Welcome to your ENT quiz 2020 By completing this quiz and reviewing and reflecting on the links supplied in the answers, 1 hour of CPD time may be claimed. Email Name 1. EpistaxisRegarding using nasal specula in epistaxis management, which of the following is correct? They open medial/lateral They open inferiorly/superiorly They allow visualisation of posterior bleeds They work best with no light source 2. Nasal TraumaWhich of these statements about nasal trauma is not correct? Septal haematoma must be excluded in all cases of nasal trauma X-rays are diagnostic in suspected nasal fracture Nasal fractures are the most common facial fracture Re-assessment of deformity is advised after the swelling has subsided 3. Pharyngitis/TonsillitisWhich of these are not part of the high-risk rheumatic fever criteria in the Heart Foundation GAS sore throat algorithm? Māori or Pacific ethnicity Aged 3-35 (with emphasis on 4-19) Male gender Crowded circumstances/lower socioeconomic areas 4. RhinosinusitisWhich of these signs is an indication for consideration of antibiotic therapy in bacterial sinusitis? Fever Generalised facial pain Blocked nose Anosmia 5. Acute Otitis MediaWhich of these statements is not true about AOM? Peak incidence in children is 6-18 months of age 50-85% of children will have had an AOM by age 3 An effusion is diagnostic of AOM Mastoiditis is a recognised complication of AOM 6. Acute Otitis MediaReferring to the Royal Children’s Hospital Melbourne guidelines, which of these statements is not true? Pneumatic otoscopy is the best method to diagnose middle ear fluid by demonstrating reduced TM mobility Short term use of 2% topical lignocaine instilled in the presence of an intact TM may be effective for acute severe otalgia Wax needs to be removed to enable TMs to be visualised in symptomatic children Decongestants and antihistamines are not effective in AOM. 7. Otitis externaAcute same day ENT review is not warranted in which of these situations? Febrile, systemically unwell with cellulitis present Severe canal oedema precluding drops administration Recurrent or chronic otitis externa not responding to treatment Concerns regarding osteomyelitis 8. CholesteotomaWhich of these is not a risk group for Cholesteotoma? Downs Syndrome Cleft palate Recurrent childhood OM Recurrent childhood OE 9. MastoiditisWhich of the statements about mastoiditis is not true? Pneumococcus is the most common organism Presents with signs of conductive deafness Can be managed in the community Prior antibiotic treatment can partially mask symptoms 10. Neck LumpsWhich of these statements is not true about neck lumps? Unless shrinking, neck lumps present for > 3weeks need investigation Most primary parotid tumours are malignant Lumps < 3 weeks are usually due to infection 50% of submandibular salivary gland tumours are malignant Share This ArticleShare with FacebookShare with TwitterShare with Google+Share with PinterestShare with LinkedIn