mis

Question 1

when are anitb indicted for otitis media

Answer 1

symptoms ≥4 days or not improving
systemically unwell
immunocompromised
co-morbidities
<2yrs with bilateral otitis media 
otitis media with perforation

Question 2

antib choice for otitis media

Answer 2

amoxicillin

Question 3

initial imaging for neck lump

Answer 3

USS

Question 4

reinke’s oedema

Answer 4

thickening of vocal cords, leading to change in voice - deeper

assoc with hypothyroidism

Question 5

potts puffy tumour

Answer 5

subperiosteal abscess
complication of frontal osteomyelitis

well defined, tender, localised swelling of forehead

Question 6

Ix of salivary duct stones

Answer 6

xray

sialogram

Question 7

Mx haemorrhoge 5-10 days after tonsillectomy

Answer 7

assoc w wound infection

Mx - IV antib

Question 8

Mx haemorrhoge within hours of tonsillectomy

Answer 8

immediate return to theatre

Question 9

when to give intranasal steroids for sinusitis

Answer 9

if symptoms persist 10+ days