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Question 1

Nose bleeds:

1. What angle is packing inserted at and why?
2. Pt with long nosebleeds but hypoxic - how manage?
3. What is the most common artery to be ligated in surgery

Answer 1

1. on the horizontal plane so don’t damage cribriform plate
2. still give o2 - 15l 100% O2 non-rebreather
3. SPA - sphenopalatine artery

Question 2

Stridor with septic picture on 3 month old child. Spot diagnosis

Answer 2

Epiglottitis

Question 3

DD of stridor adults and kids?

Answer 3

Foreign body
Tumour
Infection
Epiglottitis/supraglottitis

Croup
Laryngomalacia

Question 4

EBV linked to what kind of cancer?

HPV linked to?

Answer 4

Nasopharyngeal (linked to EB = EBove = nasal)

Oropharngeal

Question 5

Stridor managed??

Answer 5

Dex

nebulised adrenaline

O2

Question 6

What is the bed side intervention ENT docs can do in life-threatening stridor?

Answer 6

Cricoidectomy - just straight through the neck

Question 7

Trachestomy vs larngectomy

Answer 7

Tracheostomy - still have larynx just a hole through the trachea

Larngeyctomy - full removal of the larynx

Question 8

How do you know if it’s left or right ear on otoscope?

Answer 8

Handle of the malleous on L = L ear

Question 9

Learn some classic audiograms

Question 10

How long for glue ear to resolve?
If doesn’t resolve?

Answer 10

3 months
1. Grommets
2. Hearing aid

Question 11

Presentation of cholesteatoma

Answer 11

Bilateral smelly ear discharge
Sensironeural hearing loss