ENT

Question 1

management persistent oral ulceration >3 weeks

Answer 1

refer oral surgery 2ww

Question 2

treating chronic rhinosinusitis

Answer 2

nasal irrigation with saline solution
intranasal CCS

Question 3

predisposing factors chronic rhinosinusitis

Answer 3

atopy
nasal obstruction eg polyp
smoking, recent local infection

Question 4

red flags chronic rhinosinusitis

Answer 4

unilateral
persistent despite 3 months tx
epistaxis

Question 5

branchial cyst

Answer 5

oval, mobile moveable mass
between SCM and pharynx
sometimes appear after URTI

Question 6

BPPV finding on dix hallpike

Answer 6

rotatory nystagmus

Question 7

menieres hearin gloss pattern

Answer 7

low to medium frequency
sensorineural

Question 8

managing uncomplicated typanic membrane perforation

Answer 8

watchful waiting for 4 weeks

Question 9

causes of bilateral parotid swelling

Answer 9

sarcoidosis
lymphoma
sjogrens
mumps
alcoholic liver disease

Question 10

unilateral parotid gland swelling

Answer 10

pleomorphic adenoma
stone, infection

Question 11

epistaxis initial mx

Answer 11

pinch nasal ala, sit forward 20 mins

Question 12

when to start antibiotics for otitis media

Answer 12

no better in 2-3 days

Question 13

antibiotic for otitis media if prescribing

Answer 13

amoxicillin

Question 14

risk factors glue ear

Answer 14

male
bottle feeding, day care
parental smoking

Question 15

suspsicion after recurrent otitis externa after antibiotics

Answer 15

candida infection

Question 16

risk with mastoiditis

Answer 16

meningitis

Question 17

common cause of bacterial otitis media

Answer 17

H influenzae
strep pneumoniae

Question 18

unexplained unilateral earache for >4 weeks

Answer 18

refer to ENT 2ww

Question 19

otosclerosis inheritance

Answer 19

AD

Question 20

features otosclerosis

Answer 20

conductive deafness, tinnitus, FH

Question 21

drugs causing tinnitus

Answer 21

aspirin/NSAIDs
gentamicin
loop diuretics
quinine

Question 22

thyroid surgery complications

Answer 22

recurrent laryngeal nerve damage
bleeding
damage to parathyroid glands

Question 23

damage to parathyroid glands can cause

Answer 23

hypocalcaemia

Question 24

managing new sensorineural hearing loss

Answer 24

steroids and urgent referral to ENT

Question 25

treating uncomplicated acute sinusitis

Answer 25

analgesia and fluids

Question 26

when to consider intranasal CCS for acute sinusitis

Answer 26

symptoms >10 days

Question 27

treating vestibular neuronitis

Answer 27

short course prochlorperazine

Question 28

when to refer children with glue ear

Answer 28

hearing loss, impact on education/development downs syndrome, cleft palate

Question 29

causing gingival hyperplasia

Answer 29

phenytoin ciclosporin CCBs (AML)

Question 30

samters triad

Answer 30

aspirin sensitivity asthma nasal polyps

Question 31

treating mastoiditis

Answer 31

IV antibiotics

Question 32

Ramsay Hunt syndrome treatment

Answer 32

oral aciclovir and CCS

Question 33

centor criteria

Answer 33

absence of cough tender cervical LN exudate fever

Question 34

antibiotics for tonsillitis

Answer 34

phenoxymethylpenicillin for 7 days

Question 35

medication most useful to prevent attacks in menieres

Answer 35

betahistine

Question 36

Over how long should perf ear drum heal?

Answer 36

6-8 weeks, if not ref to ENT

Question 37

treatment otitis externa

Answer 37

topical steroids and antibiotics

Question 38

treatment malignant otitis externa

Answer 38

ciprofloxacin

Question 39

main risk factor malignant otitis externa

Answer 39

diabetes

Question 40

predisposing factors black hairy tongue

Answer 40

poor oral hygiene antibiotics HIV head and neck radiation IVDU

Question 41

investigating blakc hairy tongue

Answer 41

swab ?candida

Question 42

features of cholesteatoma nerve invasion

Answer 42

facial palsy vertigo

Question 43

managing haemorrhage after tonsillectomy

Answer 43

often wound infection antibiotics and ref ENT

Question 44

red flag - nasal symptoms

Answer 44

unilateral nasal blockage, epistaxis or polyp