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    Ent Cases MCQ

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    Dr-Firas Nayf Al-Thawabia
    This document provides descriptions of various ear, nose, throat and neck cases including symptoms, history, examination findings and potential complications. It covers topics such as traumatic ear drum perforation, malignant otitis externa, otitis media, Meniere's disease, Bell's palsy, benign paroxysmal positional vertigo and more. For each case, it lists relevant details to aid in diagnosis such as patient demographics, presenting symptoms, pertinent medical history and physical examination abnormalities.

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    © All Rights Reserved
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    Ent Cases MCQ

    Uploaded by

    Dr-Firas Nayf Al-Thawabia
    849 views10 pages
    This document provides descriptions of various ear, nose, throat and neck cases including symptoms, history, examination findings and potential complications. It covers topics such as traumatic ear drum perforation, malignant otitis externa, otitis media, Meniere's disease, Bell's palsy, benign paroxysmal positional vertigo and more. For each case, it lists relevant details to aid in diagnosis such as patient demographics, presenting symptoms, pertinent medical history and physical examination abnormalities.

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    Ent Cases mcq

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    This document provides descriptions of various ear, nose, throat and neck cases including symptoms, history, examination findings and potential complications. It covers topics such as traumatic ear drum perforation, malignant otitis externa, otitis media, Meniere's disease, Bell's palsy, benign paroxysmal positional vertigo and more. For each case, it lists relevant details to aid in diagnosis such as patient demographics, presenting symptoms, pertinent medical history and physical examination abnormalities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    849 views10 pages

    Ent Cases MCQ

    Uploaded by

    Dr-Firas Nayf Al-Thawabia
    This document provides descriptions of various ear, nose, throat and neck cases including symptoms, history, examination findings and potential complications. It covers topics such as traumatic ear drum perforation, malignant otitis externa, otitis media, Meniere's disease, Bell's palsy, benign paroxysmal positional vertigo and more. For each case, it lists relevant details to aid in diagnosis such as patient demographics, presenting symptoms, pertinent medical history and physical examination abnormalities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 10
    At a glance
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    Some key takeaways from the document include common ear, nose and throat conditions and their symptoms, as well as complications of chronic ear infections. The document provides keywords to help identify different ENT cases.

    Some common ear conditions mentioned include traumatic ear drum perforation, malignant otitis externa, acute otitis media, otitis media with effusion, and cholesteatoma.

    Some common nose conditions mentioned include foreign bodies in the nose, allergic nasal polyps, rhinoscleroma, atrophic rhinitis, and nasal diphtheria.

    ENT Cases Keywords NMT13

    Ear cases
    Traumatic drum
    perforation

    Earache & discharge


    history of ear wash which was painful and associated with
    water coming from nostril of same side or with fluid
    trickling on throat
    Malignant OE
    Diabetic pateint
    Earache
    Minimal discharge
    with granulations in EAC
    may lead to LMN fascial paralysis
    ASOM
    Child
    Otalgia ( pain )
    Upper respiratory tract infection
    If child : scream & pull his ear
    OME ( otitis media with Child
    effusion )
    diminution of hearing
    Upper respiratory tract infection
    Complications of CSOM pateint with history of ear discharge +\- drum perforation
    Acute Mastoiditis
    Pain behind ear & tenderness above tip of mastoid
    Neck regidity or photophobia
    Meningitis
    L.S.thrombophlebitis Rigor, headache & intermittent or spiky fever
    L.S.thrombophlebitis Headache, papilloedema , projectile vommitting &
    blurring of vision >>>>> increase in ICT
    , Brain abcess OR
    Meningitis
    Acute excerbation on Pulsating discharge
    top of CSOM
    Vertigo , nausea & vomitting
    Labyrinthitis
    Diabetic pateint with facial pain & squint ( Gradeingos
    Petrositis
    syndrome )
    Otosclerosis
    Middel aged female - pregnant -family history
    bilateral hearing loss & tinnitus
    with intact drum
    hearing is improves in noisy environment
    Meniere's disease
    attacks of vertigo , tinnitus , hearing loss over years
    with aural fullness ( patient feel as ear is about to explode )
    Fascial n paralysis
    Inability to close his eye of one side
    deviation of angel of mouth to opposite

    1 www.medadteam.org

    ENT Cases Keywords NMT13


    Benign Paroxysmal
    Positional Vertigo (
    BPPV)

    Sense of rotation of the surrounding objects which


    increase with change of position
    no diminution of hearing
    on examination ears were free
    Longitudenal fracture of car accident
    temp bone
    bloody otorhea
    traumatic perforation of TM
    fascial paralysis (Inability to close his eye of one side
    deviation of angel of mouth to opposite side )
    Glomus tumor
    Deafness ( BC is better than AC )
    pulstaile tinnitus
    reddish drum
    Acoustic Neuroma
    progressive hearing loss tinnitus
    no abnormality in both ears but SNHL ( do MRI )
    may complicated by :
    cerebellar ataxia ( swaying during walkimg ) ,
    vagus paralysis (change in voice) ,
    fascial n paralysis ,
    trigeminal or fascial paralysis ( loss of corneal reflrx )
    Sq cell carcinoma of
    male heavy smoker
    middle ear
    deep seated earache
    long history of deafness - tinnitus - discharge
    reddish mass behind drum
    Ramsy Hunt Syndrome earache and diminution of hearing
    insbility to close eye , deviation of mouth angle to other
    side (fascial n palsy)
    days later vesicular eruption appear in ex auditory meatus
    and auricle
    Otomycosis
    Itching and deep pain in ear
    history of swimming in swimming pool
    examination : white mass with black spots in ex. Aud.canal
    Recurrent Furunclosis
    Old male
    earache become sevre on chewing and during speech
    on examination pressure on tragus was painful , and there
    was small red swelling arise from anterior meatal wall
    history of recurrent simillat attack
    Preauriculat Fistula
    Bilateral pinpoint depression in skin just in fronof the helix
    dated since birth

    2 www.medadteam.org

    ENT Cases Keywords NMT13


    Nose cases
    FB in the Nose
    bilateral choanal
    atresia
    Atrophic rhinitis

    Rhinoscleroma

    Allergic nasal polyps

    antrochoanal nasal
    polyp
    CSF rhinorhoea

    oroantral fistula

    Child
    Unilateral Offensive Nasal Discharge
    bilateral nasal obstruction and discharge
    in newlyborne
    e' cyanosis
    bilateral Nasal obstruction & discharge ( crusty )
    Anosmia
    epistaxis
    roomy nose
    crustations e' bad odour
    bilateral Nasal obstruction & discharge ( crusty )
    Bilateral Nasal Masses at muco-cutaneous junction
    deformity(fibrotic stage)
    May lead to :
    if there is hoarseness of voice >>>>>>> laryngeoscleroma
    if there is epiphora >>>>>>> dacroscleroma
    if there is shortening and deformity of uvula >>>>>>>
    pharyngeoscleroma
    Nasal obstruction
    history of sneezing , lacrimation , rhinorrhea which sometimes
    become yellowish green
    dull headache
    anosmia
    Snoring & attacks of sleep
    bilateral multiple glistening grape like mobile nasal masses
    (attached to the wall )
    unilateral single nasal mass passing through choana
    accident
    unilateral watery nasal discharge
    headache
    nasal offensive discharge
    pain in the affected side of face
    regurgitation of fluid
    history of teeth of extraction

    3 www.medadteam.org

    ENT Cases Keywords NMT13


    chronic sinusitis

    history of recurrent attacks of bilateral nasal obustraction &


    discharge ,
    headache ( dull aching pain over forehead )
    fascial pain
    no masses in nose
    may lead to :
    orbital complication
    eye proptosis
    edema of eyelid
    pain
    limitatioms of eye movement
    visual diminution

    fracture nose
    nasal diphtheria
    Septal haematoma

    frontal lobe abcess


    drowsiness
    behavioral change
    vomitting
    blurred vision)
    history of trauma to the nose
    epistaxis
    Child
    unialteral nasal offensive discharge e' greyish pseudomembrane
    Bilateral nasal obustraction with discharge
    Nasal pain
    no fever
    History of blunt trauma
    Swelling of septum

    4 www.medadteam.org

    ENT Cases Keywords NMT13


    Pharynax
    Adenoid

    Child
    snoring
    sleep apnea
    bilateral nasal discharge
    any sign of adenoid facies.. ,
    CHL, may lead to secretory otitis media ( mucois basal discarge
    & bilateral retracted drum )
    Acute tonsillitis
    Fever
    rapid pulse
    Sore throat
    dysphagis
    jugulodigastric LNs enlagement.
    Chronic tonsillitis
    Recurrent acute attack
    low grade fever
    otalgia
    asymetrically enlaged tonsilles
    jugulodigastric LNs enlagement.
    Quinsy ( peritonsillar
    History of acute tonsillitis ( fever , dysphagia )
    abcess )
    throbbing pain
    Unilateral swelling above & lateral to tonsile
    jugulodigastric LNs enlagement
    Neck pain referred to ear
    Parapharengeal
    Fever , thore throat , dysphagia , throbbing pain
    abscess
    BECK's triad:
    1-Internal swelling ( lat. to tonsile)
    2-Ext. swelling: Below & behind angle of mandible deep to ant.
    border of strenomastoid
    3-Trismus.
    retropharyngeal
    Infant
    abcess
    Difficult breathing
    difficult sucking
    examination show swelling on post pharyngeal wall lateral to
    midline , feverish
    chronic
    Adult
    Difficult breathing & difficult swallowing
    retropharyngeal
    abcess ( chold abcess ) examination swelling on post pharyngeal wall in midline

    5 www.medadteam.org

    ENT Cases Keywords NMT13


    Angiofibroma

    Nasopharyngeal
    carcinoma

    plummer vinson
    syndrome

    hypopharyngeal (post
    cricoid ) carinoma

    carcinoma of pyriform
    fossa

    ludwings angina

    male
    teenage (Young boy )
    unilateral nasal obstructio
    severe epistaxis
    male
    45 years
    heavy smoker
    unilateral nasal obstruction
    unilateral CHL ( through ET )
    Trotter's triad:
    v Unilateral trigeminal facial pain.
    v Unilateral palatal immobility.
    v Unilateral CHL
    Progressive dysphagia first to solids
    loss of weight pallor
    glazed tougue (glossitis)
    CBC microcytic hypochromic anaemia
    xray with barium show web formation at upper part of
    esophagus may lead to postcricoid carcinoma
    Dysphagia for solids
    loss of weight
    neck swelling
    loss of laryngeal click
    Chronic Earache
    sweeling appear in side of neck
    recentlr change of voice & dysphagia
    examination show froth behind lt side of larynax
    Dental caries , gingivitis
    congested elevated floor of mouth
    submandibular and submental swelling
    sevre dysphagia
    fever
    pain in floor of mouth
    stifness In tongue movement

    6 www.medadteam.org

    ENT Cases Keywords NMT13


    Esophagus
    Reflux esophagitis :

    Cardiac achalasia :
    Cancer esophagus

    Hyperacidity
    hoarseness of voice
    attacks of sleep apnea
    Dysphagia more to fluids
    no wasting , no loss of weight
    xray with barium show dilatation of lower part of esophagus
    Progressive Dysphagia
    Loss of weight
    Hoarseness of voice
    Refarred otalgia

    Larynax
    Unilateral vocal cord
    paralysis :
    Bilateral vocal cord
    paralysis
    Laryngeal carcinoma

    Inhaled foreign body (


    in the airway )
    acute non specific
    laryngitis
    Laryngomalacia

    Congenital web

    Hoarseness of voice after neck surgery


    difficulty in breathing (stridor )
    Thyroidectomy ( neck surgery )
    Old man
    chronic heavy smoker
    progressive hoarsness of voice ( persist and not releaved )
    vocal cord polypoid masses ( there may be vocal cord paralysis
    or cough & haemoptysis due to lung metastasis )
    Young boy
    sudden respiratory difficulty
    cough & dyspnea
    Child
    has common cold
    2 days later has inspiratory stridor , cough , hoarsness
    Newlyborn Infant
    intermittent attacks of inspiratory stridor and diminsh slightly at
    sleep
    no hoarsness no fever and child is of good health
    examination show collapse of larynax or curling of glottis
    Newlyborn Infant - no fever
    inspiratory stridor after birth and persist by day and night

    7 www.medadteam.org

    ENT Cases Keywords NMT13


    Laryngismus stridulus
    ( decrease Ca ) :

    Laryngeoscleroma

    Laryngeal polyp

    Leukoplakia of vocal
    cords

    Pyriform fossa
    malignancy

    Thyroglossal cyst

    Thyroid swelling
    Multible
    papillomatosis

    Acute
    laryngeotreacheo
    bronchitis

    Child
    attack of stridor at night
    carpopedal spasm may be present
    improve after deep breath
    child is umdernourished
    Female
    sevre stridoe
    examination of nose show bilateral nasal masses or crustations
    Male smoker
    hoarseness of voice
    on examination small pedunculated grayish mass that get up
    with expiration and down by inspiration
    Male
    smoker
    hoarseness of voice
    respiratory distress
    on examination billateral firm tender upper neck swellings (
    metastasis )
    Chronic earache
    swelling on side of neck progressive enlarge
    change in voice and dysphagia
    on examination there was froth behind larynax
    Child
    tender painful midline swelling
    move upward and down with swallowing and tongue protrusion
    Neck swelling move up and down with deglutition
    Boy
    change in voice
    then stridor that need tracheostomy
    examination show multible polypi
    recuurence after removal
    Child
    Nasal obustracton with water rhinorhea ( common cold )
    Fever
    Cough with expectoration
    Respiratory distress ( may the case need immediate
    tracheostomy then it relieve )

    8 www.medadteam.org

    ENT Cases Keywords NMT13


    N.B :
    1) bilateral nasal obstruction in children ............... most commonly adenoid
    2) history of sever epistaxis in a boy................. angiofibroma
    3) commonest cause of epistaxiin old age .................. hypertension
    4) Different Incisions for Treatment of Pharyngeal Suppuration
    Quinsy: INTERNAL incision (most pointing point or midpoint between uvula &
    last upper molar)
    Parapharyngeal Abcess: EXTERNAL incision , Along the ANTERIOR border of
    Sternomastoid muscle
    Acute Retropharyngeal Abcess: INTERNAL incision, Vertical with head low down
    Chronic Retropharyngeal Abcess (Cold Abcess) : EXTERNAL incision, Along the
    POSTERIOR border of sternomastoid
    5) d.d of offensive ear discharge:
    Cholesteatoma.
    F.B.
    otomycosis.
    6) Especially in diabetics
    Malignant O.E
    Petrositis.
    Fungal infection of the nose.
    7) D.D of offensive nasal discharge:

    F.B. ( unilateral)
    oro-antral fistula ( unilateral)
    Rhinoscleroma( bilateral)
    chronic atrophic rhinitis(bilateral)
    Nasal diphteria
    Isolated maxillary sinusitis(of dental origin)

    9 www.medadteam.org

    ENT Cases Keywords NMT13


    8) Nasal polypi are seen in:
    Allergic fungal sinusitis.
    Allergic rhinosinusitis.
    aspirin sensitivity or intolerance
    9) in acute inammation :ear wash is contraindicated
    10) in drum perforation : Nothing per ear
    11) in OME we try medical ttt for 3 month aat least then we do myringotomy &tube BUT
    almost cases recover with medical ttt & myringotomy is done in ANTROSUPERIOR part
    of the drum
    12) in all complications of OM main investigation is CT to confirm diagnosis and
    exclude other complications
    13 ) While main ttt is Radical mastoidectomy (in almost cases) TO CURE UNDERLYING
    CAUSE OF COMPLICATION then we do symptomatic ttt according to complication
    14) lateral sinus thrombophelibitis may be Asymptomatic being covered by
    ANTIBIOTICS
    15 ) Reversible SNHL occurs in
    serous labrynthitis
    menieres disease

    10 www.medadteam.org

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