ENT

Question 1

Diagnosis and treatment of BPPV

Answer 1

Hallpikes test and epley manouevre

Question 2

Treatment for candida

Answer 2

Nystatin

Question 3

White patches on red, raw mucous membranes in the throat

Answer 3

Candida

Question 4

Cheesy discharge, hearing loss, headache, pain and vertigo

Answer 4

Cholesteatoma

Question 5

Cholesteatoma treatment

Answer 5

ENT referral and surgical removal

Question 6

What is a cholesteatoma

Answer 6

Keratinising squamous epithelium

Question 7

Treatment of diptheria

Answer 7

Antitoxin, penicillin/erythromycin

Question 8

Typer of toxin produced by diptheria

Answer 8

Exotoxin which is cardiotoxic and neurotoxic

Question 9

Tests for glandular fever

Answer 9

Atypical lymphocytes in peripheral blood, positive monospot, low CRP and IgM

Question 10

Something sticking in throat without dysphagia

Answer 10

Globus pharyngeus

Question 11

Erosion of the mucous membrane over the arytenoid. Voice abuse and hoarseness

Answer 11

Laryngeal contact ulcer

Question 12

Tx of laryngeal contact ulcer

Answer 12

6 weeks of voice rest and antibiotics

Question 13

Laryngeal papillomatosis HPV

Answer 13

6 and 11

Question 14

What is koilocytosis

Answer 14

Squamous cells undergo change

Question 15

Tx of laryngeal papillomatosis

Answer 15

Repeated debulking of growths

Question 16

Most common cause of congenital stridor

Answer 16

Laryngomalacia

Question 17

What is laryngomalacia

Answer 17

Collapse of supraglottic structures during inspiration

Question 18

Samsters triad

Answer 18

Asthma, nasal polyps and aspirin allergy

Question 19

Common in post-nasal drip

Answer 19

Nasal polyps

Question 20

Tx for nasal polyps

Answer 20

Dexamethsone spray

Question 21

Red, itchy painful, swollen ear canal. Discharge too. Swimmer with dermatitis

Answer 21

Otitis externa

Question 22

Organism of otitis externa

Answer 22

Staph aureus

Question 23

Tx of otitis externa

Answer 23

Topical aural toilet and treat for sensitivity

Question 24

What is malignant otitis

Answer 24

Otitis externa spread to bone. Head symptoms

Question 25

URTI up eustachian tube.

Answer 25

Otitis media

Question 26

Smelly and potentially chronic otitis media

Answer 26

Pseudomonas

Question 27

Tx of otitis media

Answer 27

Usually self limiting but Amox or erythromycin

Question 28

Deaf, speech, timpanic membrane retraction, reduced tm mobility and altered tm colour

Answer 28

Glue ear

Question 29

Tx of glue ear

Answer 29

Usually self-limiting. Over 3 months: <3 years=Grommets >3 years first intervention= Grommets >3 years second intervention=Grommets and adenoidectomy

Question 30

Pink tinge on ear drum

Answer 30

Otosclerosis

Question 31

Deafness in otosclerosis

Answer 31

Progressively worse but not complete

Question 32

Tx of peritonsillar abscess

Answer 32

Drain and penicillin (clarithromyin if allergy)

Question 33

SU hearing loss bc of old age

Answer 33

Prebycusis

Question 34

General rules for salivary gland pathology

Answer 34

Large glands are common benign and tumours in minor glands are more malignant

Question 35

Most common benign parotid tumour

Answer 35

Pleomorphic adenoma (benign)

Question 36

Treatment for pleomorphic adenoma

Answer 36

Wide excision

Question 37

Tumour in parotid related to older smoking males

Answer 37

Warthins benign tumour

Question 38

Pen allergy tonsillitis

Answer 38

Clarithromycin

Question 39

Benign tumour of the vestibular nerve

Answer 39

Vestibular schwannoma

Question 40

Young patient with bilateral vestibular schwannoma

Answer 40

Neurofibromatosis type 2