ENT Flashcards

1
Q

What lines the nose?

A

Resp epithelium

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2
Q

What lines the roof of the nasal cavity?

A

Olfactory epithelium

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3
Q

What is the role of the nasal turbinate?

A

Heat up and moisten air

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4
Q

What is Kiesselbach’s area?

A

Area where the arteries of the nose anastamose

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5
Q

What drains into the superior meatus?

A

Posterior ethmoid air cells

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6
Q

What drains into the middle meatus?

A

Frontal and maxillary sinus

Anterior and middle air cells

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7
Q

What drains into the inferior meatus?

A

Nasolacrimal duct

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8
Q

How does a septal haematoma present?

A
Bruising
Swelling
Tenderness
Deviation
Epstaxis
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9
Q

How is mild epistaxis managed?

A

Lean forward

External compression

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10
Q

How is moderate epistaxis treated?

A

Silver nitrate cautery

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11
Q

How is severe epistaxis treated?

A

Topical vasoconstrictors
Rhino packs
Arterial ligation

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12
Q

How does sinusitis present?

A

Purulent nasal discharge
Nasal obstruction
Facial pain

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13
Q

How long does viral sinusitis last?

A

<10 days

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14
Q

How is acute viral sinusitis treated?

A

Analgesia
Decongestants
intranasal corticosteroids
Mucolytics

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15
Q

How is acute bacterial sinusitis treated?

A

Penicillin or doxy

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16
Q

How is chronic sinusitis managed?

A

Functional endoscopic sinus surgery

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17
Q

How is chronic sinusitis investigated?

A

Anterior rhinoscopy

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18
Q

What rheumatology condition are polyps a/w?

A

EGPA

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19
Q

How do nasal papillomas present?

A

Anosamia
Bleeding
Irritation
Occlusion

20
Q

What is the most common cancer in the nose?

21
Q

What is the centor criteria for bacterial tonsillitis?

A

Tonsillar exudate
Tender anterior cervical lymphadenopathy
Fever
Absence of cough

22
Q

How is tonsillitis treated?

A

Viral - supportive

Bacterial - Penicillin

23
Q

Which viruses cause tonsillitis?

A

Rhinovirus

Adenovirus

24
Q

What causes Scarlett Fever?

25
How does Scarlet fever present?
``` Maculopapular rash Flushed cheeks Sore throat Fever Lymphadenopathy Strawberry tongue ```
26
How is Scarlet Fever managed?
Penicillin
27
How does epiglottitis present?
``` Sore throat Dysphagia Acute stress Fever Difficulty breathing Stridor ```
28
How is epiglottitis managed?
Secure airway IV ceftriaxone Senior help
29
How does acute otitis media present?
``` Fullness Bulginess Pulling on ear Otalgia Fever ```
30
How is otitis media investigated?
Otoscopy | Audiometry
31
How is otitis media treated?
Should resolve in a week | Amoxicillin
32
How does glue ear look on otoscopy?
Fluid line present Poor schooling Behavioural issues Speech delay
33
How is glue ear investigated?
Audiometry | Tympanometry
34
How is glue ear managed?
Most resolve in 3m Grommet Adenoidectomy
35
What is the medical term for glue ear?
Otitis media with effusion
36
How does cholesteatoma present?
Hearing loss Discharge Tinnitus
37
How is cholesteatoma investigated?
Diffusion weighted MRI
38
How is cholesteatoma managed?
Surgery
39
What is cholesteatoma?
Collection of keratin in the middle ear?
40
How does otosclerosis present?
Gradual onset conduction hearing loss
41
How is otosclerosis managed?
Stapedectomy
42
Bilateral acoustic neuroma in a young patient suggests what?
NF2
43
How does acoustic neuroma present?
Hearing loss Tinnitus Imbalance Absent corneal reflex
44
How is acoustic neuroma investigated?
MRI
45
What is presbycusis?
Age related hearing loss