ENT Quiz 2020

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.

Name

1. Epistaxis
Regarding 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 Trauma
Which 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/Tonsillitis
Which 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. Rhinosinusitis
Which of these signs is an indication for consideration of antibiotic therapy in bacterial sinusitis?

Fever

Generalised facial pain

Blocked nose

Anosmia

5. Acute Otitis Media
Which 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 Media
Referring 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 externa
Acute 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. Cholesteotoma
Which of these is not a risk group for Cholesteotoma?

Downs Syndrome

Cleft palate

Recurrent childhood OM

Recurrent childhood OE

9. Mastoiditis
Which 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 Lumps
Which 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