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Flashcards in ENT Deck (48)
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1

acute sinusitis is most commonly caused by which two pathogens?

strep pneumo. and H . flu

2

Oral herpes is best treated with systemic or topical antivirals

topical is the first line. Systemic antivirals will help but are only indicated for severe cases

3

A patient presents with severe episodes of vertigo over the past several weeks. He has had intermittent unilateral hearing loss and a "blowing" in his ears. What is the most likely diagnosis?

Meniere's disease

4

White oral lesions which cannot be scraped off should make you think of what diagnosis?

oral leukoplakia

5

What type of hearing loss is associated with aging?

sensory

6

Which is the most commonly affected sinus in acute sinusitis

maxillary

7

A patient presents with a hot potato or muffled voice. What is the most likely diagnosis?

Peritonsillar abscess

8

What time frame are we talking about for chronic sinusitis

>3 months

9

List the time of year when each of the following allergens is most prominent: pollen, grass, mold and ragweed?

pollen tree and flower = spring, grasses are the summer, mold and ragweed are fall

10

HOw long should pressure by applied to treat epistaxis

15 minutes

11

List the four things that suggest group A beta hemolytic strep in a patient with pharyngitis

Fever, tender anterior cervical adenopathy, no cough and an exudate in the throat

12

A child presenting with an erythematous sandpaper rash should make you think of your diagnosis?

Scarlet fever

13

When is watchful waiting with a diagnosis of acoustic neuroma an appropriate plan?

Because this tumor is so slow growing, watching in an elderly patient is appropriate

14

What type of hearing loss would be caused by cerumen impaction

Conductive

15

How do you administer the Weber hearing test

Tuning fork placed in the middle of the forehead

16

A 14 year old field hockey player presents with prominent adenopathy, white purple exudates in the throat and a palpable spleen. What is the most likely diagnosis?

Mononucleosis

17

How do you administer the Rinne hearing test

Place the tuning fork on the mastoid and then move it next to the ear

18

Describe the result of a Weber hearing test in a patient with conductive hearing loss

Patient will report the sound louder in the affected ear

19

An x-ray of the skull reveals coalescence of mastoid air cells. What is the most likely diagnosis?

Matoiditis

20

After 7 days of sinusitis what antibiotic would you start?

Amoxicillin or bactrim

21

A 45 year old female complains of feeling the ground rolling under her feet at times. WHat is the most likely diagnosis?

Vertigo

22

A patient with a history of smoking presents with a new onset hoarseness. This has been persistant for the past two weeks. What is the most likely diagnosis?

Laryngeal squamous cell carcinoma

23

A patient presents with acute onset of continuous severe vertigo for the past five days. He does have a history of URI 2 weeks ago. What is the most likely diagnosis?

Labrynthitis

24

What does Kiesselbach's plexus refer to?

A group of veins in the anterior nose which bleed a lot

25

Small grouped vesicles on the vermillion border should make you think of what diagnosis?

herpes

26

How do you differentiate between preseptal and post septal orbital cellulitis?

Ct scan of the orbits can help differentiate or clinical exam (pain with eye movement in post septal)

27

What typically causes preseptal cellulitis?

An ascending URI

28

You have a patient who presents with a harden painless lump on the lid of their eye. What is this? How do you treat it?

Chalazion- warm compresses might provide symptomatic relief. Consider ophthalmologist referral

29

Most common etiology of viral conjunctivitis?

adenovirus

30

Main distinguishing factor between viral conjunctivitis and allergic conjunctivitis?

allergic conjunctivitis is itchy