Nasal
Nasal
EAR
EAR
EAR
100
Allergic rhinitis is triggered by what mediated response? What do you expect to see on physical exam?
What is IgE; Boggy nasals - pale/bluish-gray in color
100
most common pathogens for sinusitis?
What is strep pneumo, M. cat, H. flu
100
What does the ET tube connect? Conductive phase - hearing loss Weber test and Rinne? Sensorineural phase - hearing loss Weber test and Rinne? Most common organism for otitis externa?
What is middle ear to nasopharynx; Conductive - Weber = lateralizes to the bad side, Rinne = bone conduction > air conduction; Sensorineural phase - Weber = lateralizes to the good side, Rinne = air conduction > bone conduction; pseudomonas
100
Most consistent symptom of mastoiditis? what is the gold standard for diagnosis?
What is persistent painless otorrhea for > 3 weeks; CT of the temporal bone with IV contrast
100
What are you thinking if you see an abnormal collection of squamous epithelium trapped within the temporal bone?
What is cholesteatoma
200
How long do you hold the antihistamines for prior to an allergy skin test? How to get maximal effectiveness when using a nasal corticosteroid? What disease is associated with nasal polyps? What is the study of choice for nasal polyps evaluation?
What is 7 days; when used daily as maintenance therapy (Ex = Nasacort); Cystic fibrosis; CT without contrast of the paranasal sinuses
200
Most common for a chronic sinusitis?
What is Staph
200
RF for otitis externa? Physical exam hallmark signs for otitis externa? How long until it can be called chronic OE? Management of OE?
What is underlying eczema, allergic rhinitis, or asthma; pain upon palpation of the triages or upon application of traction to the pinna; > 6 weeks; Ofloxacin
200
What to avoid in a TM perf?
What is water entry
200
What is the treatment of cholesteatoma?
What is surgical excision
300
At what age do sinuses fully develop?
What is 12
300
What kind of patients is fungal sinusitis seen in?
What is immunocompromised - diabetics
300
What population of people do you see necrotizing (malignant) OE? management of necrotizing OE?
What is immunocompromised = Diabetics!; oral ciprofloxacin
300
What is a cause of sudden hearing loss?
What is toxins = salicylic acid
300
What is the drug of choice for a TM perf?
What is Ofloxacin
400
What is the function of the sinuses?
What is humidify and warm the inspired air
400
Study of choice for sinusitis?
What is CT without contrast
400
3 most common organisms in AOM?
What is strep pneumo, M. cat, H. flu
400
What is the gold standard diagnostic test for pulsatile tinnitus?
What is angiogram
400
What is the gold standard for examination of OM?
What is pneumatic otoscopy - TM color = dark pink/light red
500
How long does chronic sinusitis persist for?
What is > 3 months
500
Abx of choice for sinusitis?
What is Augmentin
500
OME (otitis media with effusion) what's the patient story in the HPI? If you have an effusion in an adult without associated symptoms what are you thinking?
What is recent plane trip or scuba diving; CANCER until proven otherwise
500
Medications that can cause tinnitus?
What is high dose ASA and loop diuretics
500
1st line treatment for OM?
What is Amoxicillin (89-90 mg/kg/day)
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