ENT Diseases, a Picture Quiz

aallerina
Quiz by aallerina, updated more than 1 year ago
aallerina
Created by aallerina about 6 years ago
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Description

Picture Quiz

Resource summary

Question 1

Question
Describe the ear!
Answer
  • Bulging Tympanic Membrane
  • Acute Otitis Media
  • Distorted cone of light
  • Left ear
  • Treat with penicillin, amoxycillin, co-amoxiclav
  • Caused by: Streptococcus pneumoniae, haemophilus influenzae, moraxella catarhalis, GAS or S. aureus
  • Caused by: Klebsiella, Strep pneumoniae, pseudomonas aeruginosa

Question 2

Question
Describe this image:
Answer
  • Blue tympanic membrane
  • Due to blood behind the eardrum
  • Not a serious complication of acute otitis media
  • Perforation is seen

Question 3

Question
Describe the disease shown in this picture!
Answer
  • Direct contact between keratinizing squamous epithelium in external meatus and mucoperiosteum of middle ear damaged by inflammation
  • Tx: Remove matrix, perimatrix, eroded bone
  • Can progress to labryinthitis, meningitis , brain abscess
  • Does not require surgery
  • Fetid otorrhea, purulent
  • No perforation is observed

Question 4

Question
Describe image
Answer
  • Air bubbles seen
  • Acute otitis Externa
  • Petrositis
  • Mastoiditis

Question 5

Question
Describe the image
Answer
  • Chronic otitis media
  • Due to Late treatment of acute otitis media
  • Can see parts of the ossicular chain
  • Tx: Clean, irrigate, local antibiotics, may need mastoidectomy, tympanoplasty

Question 6

Question
Clinical features of this?
Answer
  • Fever, lymphadenitis, pain
  • Cellulitic form can extend to parotid, mastoid, skull base
  • Can be mistaken for mastoiditis
  • Caused by: humidity, psoriasis, seborrhoea, trauma, swimming
  • Pinna haematoma

Question 7

Question
Describe image:
Answer
  • Causes: nasopharyngeal obstruction, otitis barotrauma, COM, epistaxis
  • Causes: nasopharyngeal obstruction, otitis barotrauma, AOM, allergic rhinitis
  • Symptoms: Deafness, tinnitus occasionally
  • Uncommon in small children
  • Leads to sensorineural deafness

Question 8

Question
Function of the object in the TM
Answer
  • To drain the pus
  • One can go swimming
  • Extrudes in about 6-9 months
  • Requires a 2nd surgery to remove
  • Used to treat glue ear

Question 9

Question
Describe this!
Answer
  • Presentation: Pyrexia, tenderness, swelling of post auricular region, bulging drum
  • Presentation: Pyrexia, tenderness, swelling of post auricular region, retracted drum
  • Acute otitis externa may be mistaken for this
  • Tx: IV antibiotics- amoxycillin, metronidazole Cortical mastoidectomy
  • Not a clinical emergency
  • Can result in subperiosteal abscess, bezolds abscess in neck, zygomatic mastoiditis over zygoma

Question 10

Question
Describe this
Answer
  • Left ear
  • Can see the lateral handle of the malleus
  • Pearly gray membrane
  • Drum is red and bulging
  • Cone of light is anteroposterior

Question 11

Question
Describe this image and the syndrome!
Answer
  • White lesion may be due to scarring of TM
  • Perforation of TM
  • Cone of light reflex is preserved
  • Tympanoplasty is always indicated
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