Ears

Question 1

what is Meniers

Answer 1

excessive endolymph in labrynth (inner ear)

Question 2

how is meniers diagnosed

Answer 2

clinical ENT diagnosis

Question 3

sx of meniers

Answer 3

40-50y male with aural fullness
drop attacks
vertigo
tinnitus
unidirectional nystagmus
progressive hearing loss (SN)
rombergs +ve

Question 4

tx of meniers

Answer 4

antohistamines and betahistine

Question 5

what are 90% of acoustic neuromas

Answer 5

cerebellopontine tumour affecting CN5+8 - unilateral

Question 6

what to test for if acoustic neuroma is bilateral

Answer 6

neurofibromatosis T2

Question 7

sx of acoustic neuroma

Answer 7

tinnitus
hearing loss
vertigo
CN5 palsy

Question 8

dx of acoustic neuroma

Answer 8

audiometry
MRI head

Question 9

tx of acoustic neuroma

Answer 9

urgent ENT referral +/- surgery

Question 10

what is BPPV

Answer 10

Benign paroxysmal positional vertigo

Question 11

what happens in BPPV

Answer 11

20s episodes of vertigo triggered by postural changes, post RTA

Question 12

dx of BPPV

Answer 12

dix hallpike test –> rotary nystagmus

Question 13

tx of BPPV

Answer 13

epley manouvere + vestibular rehab

Question 14

describe vestibular neuronitis

Answer 14

• post viral infection
• N+V, tinnitus
• no SN hearing loss
• supportive tx + antihistamine + vestibular rehab

Question 15

describe viral labrynitis

Answer 15

• post viral infection
• N+V, tinnitus
• SN hearing loss
• supportive tx + antihistamine