Stomps

Question 1

Ostiomeatal complex

Answer 1

channel that links the frontal sinus, anterior ethmoid air cells and maxillary sinus to the middle meatus, allowing airflow and mucociliary drainage.

Question 2

MC paranasal Sinusitis

Answer 2

Acute Maxillary Sinusitis-MC- larger easily obstructed

Question 3

ACUTE RHINOSINUSITIS Abx DOC?

Answer 3

Amoxicillin-Clavulanate (Augmentin

Question 4

NASAL VESTIBULITIS MC due to what organism?

Answer 4

Staph aureus

Question 5

NASAL VESTIBULITIS TXT DOc?

Answer 5

Dicloxacillin W/
Mupirocin topical (nasal)

Question 6

INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS causes? What organism?

Answer 6

Aspergillus enters Danger triangle/vascular space and causes tissue necrosis

Question 7

What type of priority is INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS?

Answer 7

Medical/surgical ER

Question 8

DOC to TXT INVASIVE FUNGAL SINUSITIS (RHINOCEREBRAL MUCORMYCOSIS?

Answer 8

Amphotericin B

Question 9

Mainstay TXT of Allergic Rhinitis?

Answer 9

(IN) CCS
Pt education - spray into middle turbinate (not septum)
- Hold bottle straight up, head tilted forward, point ipsilateral

Question 10

MC cause of Olfactory dysfx?

Answer 10

Anatomic Blockage

Question 11

Recurrent epistaxis MC site of bleeding?

Answer 11

Anterior bleeds - Kiesselbach’s plexus

Question 12

Recurrent epistaxis Most severe site of bleeding?

Answer 12

bigger arterial supply – Woodruff’s plexus ass/w HTN/athrosclerosis (ADMIT)

Question 13

MC Fx bone in the body?

Answer 13

Nasal Fx

Question 14

MC cancer found in the sinuses and nasopharynx?

Answer 14

SCC

Question 15

Behcet’s disease

Answer 15

INFLAMMATORY DISORDER WITH RECURRENT ORAL AND GENITAL ULCERS

Question 16

Adult DOC TXT of GAS pharyngitis/tonsilitis?

Answer 16

(PO) PCN VK or Benz PCN (IM)

Question 17

Child DOC TXT of GAS pharyngitis/tonsilitis?

Answer 17

(PO) PVK (DOC)

(IM) Bicillin C-R

Question 18

Peritonsillar Abscess TXT?

Answer 18

Needle aspiration OR
Incision and drainage (fail TXT 24h) OR
Tonsillectomy (Fail TXT 24h)

Question 19

Peritonsillar Cellulitis TXT

Answer 19

Severe - (IV) Amox or Clinda

Less severe - (PO) Amox, amox/clav, clinda

Question 20

MC cause of Hoarseness?

Answer 20

Acute laryngitis

Question 21

Epiglottitis or supraglottis organsim?

Answer 21

HIB

Question 22

XR sign seen w/ Epiglottis?

Answer 22

Thumb sign

Question 23

Hoarseness >2w w/out S/S of URI req?

Answer 23

Complete ENT exam w/ Hx of tob/Etoh

Question 24

MC cause of unilateral vocal cord paralysis?

Answer 24

Iatrogenic injury

Question 25

Vocal cord dysfx is AKA?

Answer 25

Paradoxical Vocal Fold Movement (PVFM)

Question 26

PVFM is

Answer 26

syndrome of acute and chronic upper airway obstruction characterized by paradoxical vocal cord adduction

Question 27

MC tumor of Childhood is?

Answer 27

Hemangiomas

Question 28

Rule of 7s concerning masses

Answer 28

``` 7d = inflam 7w-7mo = neoplastic 7yrs = Congenital ```

Question 29

Suppurative LAD in middle-aged pt w/ Tob/Etoh hx suggest what until R/O?

Answer 29

Malig - (Mets SCC)

Question 30

Ludwigs Angina TXT

Answer 30

Penicillin + metronidazole, OR clindamycin