inservice

Question 1

Length of time for battery to cause caustic injury

Answer 1

As little as two hours.

Question 2

Ptosis w too much botox, give what medication

Answer 2

Apraclonidine -> alpha 2 agonist gets 1-2mm additional lid elevation

Question 3

Most common IgG deficiency in children? Adults?

Answer 3

-IgG2 leads to infections w encapsulated bacteria eg H flu, S pneumo, Klebsiella -Adults IgG3

Question 4

Over past 10 yrs, what % of OPCa’s are attributed to HPV

Answer 4

*60%

Question 5

Z plasties, length and angles

Answer 5

Question 6

rollover is indicative of what condition?

Answer 6

Vestibular schwannoma

-rollover is when speech discrim gets worse with higher signal intensity

Question 7

How many hair cells per cochlear nerve?

Answer 7

10 outer hair cells per efferent nerve

10 afferent nerves per 1 inner hair cell

Question 8

Ideal upper eyelid crease in women? men?

Answer 8

women - 8-11mm

men 6-9mm

Question 9

What age are auditory brainstem implants approved for?

Answer 9

12yrs and older

Question 10

What is a positive Queckestedt’s test?

Answer 10

Question 11

Development timeline of sinuses?

Answer 11

• The maxillary sinus develops first in utero
• The ethmoids are the most developed at birth
• The sphenoid starts to develop at 3 yo
• The frontal sinus starts to develop at 5yo

Question 12

Most common bug involved with cavernous sinus thrombosis?

Answer 12

S Aureus

Question 13

What anomaly is associated with an absent foramen spinosum and middle meningeal artery?

Answer 13

*persistent stapedial artery

Question 14

OSHA levels?

Answer 14

Question 15

MCC bug assc with malig OE? fungal?

Answer 15

• Pseudonomas
• Aspergillus

Question 16

MCC congenital facial palsy?

Answer 16

Congenital lower lip palsy syndrome

Question 17

Congenital b/l facial paralysis and abducens palsy?

Answer 17

Mobius syndrome

Question 18

EBV is RF for what ca’s?

Answer 18

• NPCa
• salivary gland ca

Question 19

Salted foods are a risk for what ca’s?

Answer 19

NPCa

Question 20

Eponym for Branchial oto renal syndrome?

Answer 20

Melnick Fraser

Question 21

Dose of epinephrine for anaphalyxis

Answer 21

-0.3cc IM every 5-15 min

Question 22

Treatment of hyperthyroidism in preggers?

Answer 22

• Propylthiouracial in 1st trimester (methimazole assc w aplasia cutis)
• Then methimazole (PTU assc w liver damage)

Question 23

NF2 inheritance pattern?

Answer 23

AD

Question 24

When to mask on an audiogram?

Answer 24

• >40db difference on circumaural headset
• >70dB difference of intraaural headset.

Question 25

Treatment of RLS?

Answer 25

-Dopamine agonists eg pramipaxole, ropinirole, bromocriptine

Question 26

What lab value assc w narcolepsy? Differences in their sleep studies?

Answer 26

\*low CSF hypcretin \*increased stage 1, sleep latency less than 8 min

Question 27

When to be suspicious of malingering score for UPSIT?

Answer 27

\<5 - Anosmia is 5-18 - Hyposmia is 19-33

Question 28

Ideal TSH level prior to radio-iodine therapy

Answer 28

\*30mg/dL -therefore off thyroid meds for 2-4 wks w low iodine diet.

Question 29

Baker Gordon peel

Answer 29

\*Deep peel -Contains liquid soap, 88% phenol, water, croton oil

Question 30

-MCC age of Recurrent parotitis of childhood and Tx?

Answer 30

\*3-6yo -resolves usu by teens therefore conservative management and abx

Question 31

Wound strengthe timeline

Answer 31

\*3% at one week \*20% at 3 wks \*80% at 3 mo's

Question 32

Inheritance pattern of connexin 26

Answer 32

\*AR

Question 33

What drains into the maxillary vein? Where does the submucosal plexus drain?

Answer 33

\*pterygoid plexus \*facial, ophthalmic, and sphenopalatine vein

Question 34

Components of the internal valve?

Answer 34

\*upper lat, inf turb, septum, piriform aperture

Question 35

Cogan syndrome

Answer 35

Cochlear deafness Ophthalmic issue (interstitial keratitis Glucocorticoids for tx Aortic involvement Nerve deafness/dizziness (It's an AI disorder)

Question 38

CI's for hemilaryngectomy?

Answer 38

\*piriform sinus involvement \*Proximity to the cricopharyngeus \*post cricoid region \*ipsilateral cord paralysis

Question 39

Tx of hypercalcemic crisis?

Answer 39

\*2-4 L of fluids - Loop diuretic - Bisphosphonate - calcitonin -

Question 40

Minimum thickness of melanoma where you should consider sentinel node bx?

Answer 40

0.75 mm

Question 41

Treatment of malingnant hyperthermia?

Answer 41

Sodium dantrolene -push a minimum of 1mg/kg until symptoms stop or max dose of 10mg/kg

Question 42

CI's for gamma knife for vestibular schwannoma

Answer 42

tumor \>3cm can lead to obstructive hydrocephalus.

Question 43

Mitomycin C MOA and concentration?

Answer 43

DNA crosslinker 0.4mg/ml

Question 44

Cotton myer grading for subglottic stenosis?

Answer 44

Grade 1: 0-50% Grade 2:50-70% 3: 70-99 4: complete

Question 45

When is a neck dissection indicated in salivary ca?

Answer 45

\*Mass \>4cm \*high grade pathology except adenoid cystic \*nodal disease \*adenoid cystic has rare neck mets and therefore rarely needs neck dissection.

Question 46

Optimal time to dermabrade scars?

Answer 46

6-8 wks

Question 47

Metabolization of local anesthetics?

Answer 47

Amides are metabolized by liver Esters are metabolized by psueocholinesterase - amides have two i's in name - esters have one i in name

Question 48

Freidman staging for OSA surgery?

Answer 48

Stage I 80% success Stage II 40% success Stage III 8% success

Question 49

Sinus tumor staging?

Answer 49

Question 50

Medications that can cause tinnitus?

Answer 50

ASA, neomycin, furesomide, quinine, vanco