ENT Kahoot

Question 1

What additional test can you do to evaluate mobility of the TM?

Answer 1

Pneumatic otoscopy

Question 2

True or false: routine cerumen removal is not recommended for asymptomatic pts

Answer 2

True

Question 3

List 3 criteria for referral to an otolaryngologist

Answer 3

-Ear pain w Hx of multiple ENT surgeries
-Purulence or necrotic tissue
-Persistence of otologic complaints after cerumen removal

Question 4

What would redness with no visibility of the TM indicate on an otoscopic exam?

Answer 4

Otitis externa

Question 5

What is a major risk factor for otitis externa?

Answer 5

Swimming/ water exposure

Question 6

True or false: topical therapy is the treatment of choice in otitis externa

Answer 6

True

Question 7

What is the #1 cause of malignant/ necrotizing external otitis?

Answer 7

P. aeruginosa

Question 8

A 5 year old presents with a FB in the EAC. What’s your next move?

Answer 8

Check the other ear and both nares

Question 9

What is the likely diagnosis for a bulging and red TM?

Answer 9

Acute otitis media (AOM)

Question 10

What is the Tx of choice for AOM in kids with no antibiotics use in the past month?

Answer 10

Amoxicillin

Question 11

What’s the most common treatment for OME in children?

Answer 11

Watchful waiting (observation)

Question 12

Your pt with a Hx of rhinosinusitis has a retracted left TM with decreased mobility on pneumatic otoscopy. Dx?

Answer 12

ETD (eustachian tube dysfunction)

Question 13

Your 52 y/o pt presents with sudden left sided SNHL. What should you order? Why?

Answer 13

Order a head CT or brain MRI (to rule out acoustic neuroma)

Question 14

If a pt presents with vertigo, what’s it important to determine? (3 things)

Answer 14

-Clarify what they mean by dizzy
-Do they have auditory complaints?
-Is it central or peripheral?

Question 15

True or false: Central vertigo has a gradual onset and is not associated with auditory Sx

Answer 15

True

Question 16

Is BPPV associated with HL?

Answer 16

No

Question 17

What maneuver can help establish the Dx of BPPV?

Answer 17

Dix-Hallpike

Question 18

What is the Ramsay Hunt syndrome triad?

Answer 18

Ipsilateral facial paralysis, otalgia, vesicles in the EAC

Question 19

What is the most common suppurative complication of AOM?

Answer 19

Mastoiditis

Question 20

Which of the following abt Meniere’s is false?
a) characterized by episodic vertigo
b) characterized by SNHL
c) most commonly bilateral
d) pt may complain abt fluctuating aural fullness

Answer 20

c) most commonly bilateral

Question 21

What is the most common cause of tinnitus?

Answer 21

SNHL (presbycusis)

Question 22

True or false: SNHL is usually correctable

Answer 22

False

Question 23

What is the most common neoplasm of the EAC?

Answer 23

SCC (squamous cell carcinoma)

Question 24

What is the most common source of anterior epistaxis?

Answer 24

Kiesselbach’s plexus

Question 25

Anterior epistaxis in kids is most likely due to what?

Answer 25

Digital trauma

Question 26

What is an important first step when treating anterior epistaxis?

Answer 26

Try to localize source of bleeding

Question 27

True or false: posterior epistaxis always requires an urgent ENT consult

Answer 27

True

Question 28

Which is a feature of allergic rhinitis? a) ocular Sx b) mucopurulent discharge c) chronic cough d) fever

Answer 28

a) ocular Sx

Question 29

Which is a PE finding consistent with allergic rhinitis? a) erythematous nasal mucosa b) maxillary sinus tenderness c) pale or violaceous turbinate mucosa

Answer 29

c) pale or violaceous turbinate mucosa

Question 30

True or false: intranasal antihistamines are the mainstay of allergic rhinitis therapy

Answer 30

False (intranasal corticosteroids)

Question 31

Which is not typically of non-allergic rhinitis? a) can be triggered by spicy food b) presence of ocular Sx or allergic conjunctivitis

Answer 31

B

Question 32

Rhinitis medicamentosa can happen after you use OTC nasal decongestants for more than ________ days

Answer 32

3

Question 33

True or false: acute rhinosinusitis means the Sx have been present for less than 4 weeks

Answer 33

True

Question 34

List 3 common features of true bacterial sinusitis

Answer 34

1) Sx duration longer than 10 days 2) Double worsening 3) Unilateral facial pain

Question 35

Which is NOT one of the 4 cardinal signs/ Sx of chronic sinusitis in adults? a) anterior mucopurulent drainage b) nasal obstruction, bilateral congestion c) nasal pain d) cough

Answer 35

d) cough

Question 36

What is the most common subtype of chronic sinusitis?

Answer 36

CRS without nasal polyposis

Question 37

True or false: The Dx of invasive fungal rhinosinusitis requires hospital admission and an urgent ENT referral

Answer 37

True

Question 38

What is the treatment of choice for necrotizing ulcerative gingivitis? a) amoxicillin b) penicillin d) metronidazole c) azithromycin

Answer 38

d) metronidazole

Question 39

Which of the following are considered emergencies? a) upper airway FB b) epiglottitis c) leukoplakia d) Ludwig's angina

Answer 39

a, b, d

Question 40

Which of the following is included on the Centor criteria? a) pharyngotonsillar exudates b) tender anterior cervical LAD c) absence of cough d) congestion

Answer 40

a, b, c