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Flashcards in ENT disease table Deck (36)
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1
Q

name 3 benign tumours of nose

A

squamous papillomas
schneiderian papillomas
angiofibromas

2
Q

most common benign tumour of nose

A

squamous papillomas

3
Q

cause of schneiderian papillomas

A

HPV, smoking, organic solvents, welding, males

4
Q

name 5 malignant tumours of nose

A
squamous cell carcinoma
primary adenocarcinoma
nasopharyngeal carcinoma 
neuroblastoma 
lymphoma
5
Q

most common malignant tumour of nose

A

squamous cell carcinoma

6
Q

associations with nasopharyngeal carcinoma

A

EBV

occupation - formaldehyde

7
Q

bacterial tonsilitis caused by

A

group A strep - strep pyogens

8
Q

high score in centor criteria =

A

bacterial more likely

9
Q

what is the feverPAIN criteria

A
  • fever (in last 24 hours)
  • pus on tonsils
  • attend rapidy (within 3 days)
  • severly inflammed tonsils
  • no cough or coryza
10
Q

high feverPAIN score =

A

more likely to be bacteiar

11
Q

features of rheumatic fever

A

3 weeks post sore throat

fever, arthritis + pancarditis

12
Q

what causes scarlett fever

A

group A beta haemolytic streptocci exotoxins

13
Q

how to treat scarlet fever

A

penicllin

14
Q

how does EBV get into liver spleen and lymph nodes

A
  • establishes a persistence infection in oropharyngeal B cells
  • circulating B cells then spread infection to liver, spleen and peripheral lymph nodes
15
Q

is diptheria bacterial or viral

A

bacterial

16
Q

which types of HPV cause squamous papilloma of throat

A

6 + 11

benign

17
Q

what is papaganglioma of the throat associated with

A

MEN 2

18
Q

which bugs cause epiglottiis

A

mostly H influenza but also strep pneumoniae

19
Q

treatment of epiglottiis

A

secure airway

IV ceftriaxone

20
Q

is OM viral or bacterial

A

viral followed by bacterial infecition (H influenzae, strep pneumoniae, strep pyogens)

21
Q

treatment for OM

A

if not resolved in 4 days

amoxicillin

22
Q

which bug causes malignant otitis externa

A

pseudomonas aeruginosa

23
Q

symptoms of malignant otisis externa

A

facial palsy
granulation tissue at bone-cartialge junction of ear canal
- exposed bone in ear canal

24
Q

how to diagnose malignant otitis externa

A

PV / CRP to slow inflammationn

25
Q

how to treat malignant otiis externa

A

IV ciprofloaxin

26
Q

treament for otitis externa

A
topical aural toilet 
fungal = clotrimazole
bacterial = gentamicin 0.3% drops
27
Q

what does the NF2 gene code for

A

merlin protein at Ch22q12

28
Q

should you give doxycyline in children?

A

no

29
Q

which infection causes thrombosis leading to death

A

cavernous sinus secondary to sinusitis

30
Q

what is the most common benign tumour of parotid

A

pleomorphic adenoma

31
Q

who gets pleomorphic adenoma

A

females 4-6th generation

32
Q

what is warthrins tumour

A

second most common benign tumour in parotid

33
Q

who gets warthrins tumours

A

males > 50 who smoke

34
Q

what is the most common malignant tumour in parotid

A

mucoepidermoid carcinoma

35
Q

which parotid tumour can cause loss of function

A

adenoid cystic carcinoma

36
Q

vestibular neuritis vs larbyrnitis

A

just vestibulocochlear nerve

inflammation of whole labrnth