EENT

Question 0

37. 14 days colds, fever, facial pain

Answer 0

sinusitis

Question 1

In an 18 yr old female with a palpable mass on the thyroid area, which would indicate malignancy?
​a. rapidly enlarging mass associated with hoarseness
​b. cold nodule
​c. high thyroxine levels
​d. (di ko maalala)

Answer 1

A. rapidly enlarging mass associated with hoarseness

NTP, Chapter on Carcinoma of the Thyroid: A painless nodule in the thyroid or in the neck is the usual initial evidence of disease. Large nodule size, firmness, fixation to adjacent tissues, and vocal cord paralysis are risk factors for thyroid cancer.

Question 2

74. Otitis Media is caused by the ff EXCEPT;
    a. streptococcus pneumonia
    b. H. influenza
    c. Grp A Betal Hemolytic strep
    d. Moraxella catarrhalis

Answer 2

c. p.2139
#1 strep  #2 H influ #3 moraxella

Question 3

77. A boy swallowed a coin accidentally. He tried to swallow but he was drooling & couldn’t do it. On x-ray, the coin was at the level of the aortic arch. What will you do?
    a. Wait for the patient to cough or pass out the coin with his stool.
    b. refer for endoscopic removal of the coin

Answer 3

B??