Ent- Ent Emergencies

Front 1

Auricular hematoma:
1) more common name?
2) Tx

Back 1

1) cauliflower ear
2) Evaculate hematoma, repair incision, place bolster

Front 2

Random systemic disease which can cause epistaxis?

Back 2

Osler-Weber-Rendau

Front 3

Common systemis disease which can predispose to epistaxis

Back 3

hypertension

Front 4

Drugs which predispose to epistaxis

Back 4

coumadin, plavix, apsirin

Front 5

Local cause of epistaxis

Back 5

trauma: digital, fracture

Front 6

Epistaxis is an emergency ONLY of a person:

Back 6

cannot manage their airway

Front 7

1)most common site of epistaxis
2) ant or post?

Back 7

Keiselbachs plexus, anterior

Front 8

Keisselbachs plexus gets blood supply from:

Back 8

both internal and external carotid (opthalmic and, facial, lingual)

Front 9

Tx for epistaxis

Back 9

compress for 20 minutes

Front 10

Mot common treatment for a persistent nose bleed, and what is done if that doesnt work

Back 10

1) anterior nasal pack
2)and and posterior nasal pack

Front 11

Surgical treatment of epistaxis

Back 11

IR ligation of the sphnopalatine, and anterior ethmoidal artery

Front 12

Most common bacterial causes of acute sinusitis

Back 12

S. pneumo, H. flu

Front 13

What is the mode of spread of acute sinusitis?

Back 13

hematogenous through the valve-less veins of the mid-face and intra-cranial cavity.

Front 14

complications of acute sinusitis

Back 14

orbital infections, intracranial abscess, meningitis and cavernous sinus thrombosis.

Front 15

Indications for urget surgery for sinusitis complications

Back 15

Intracranial involvement
Near total opthalmoplegia
Worsening visual acuity or ocular exam while on medical treatment
Failure to improve within 48 hours of medical treatment

Front 16

Seatelt injuries can cause:

Back 16

Fracture of laryngeal cartilage

Front 17

NECK ZONE 1
1) define
2) Mode of evaluation for penetrating injury

Back 17

1) below clavicle
2) ANGIOGRAM

Front 18

NECK ZONE 2
1) define
2) Mode of evaluation for penetrating injury

Back 18

1) mandible to clavicle
2) exploration

Front 19

NECK ZONE 3
1) define
2) Mode of evaluation for penetrating injury

Back 19

1) ABOVE mandible
2) ANGIOGRAM

Front 20

Which two neck zone require angiogram?

Back 20

1 and 3 ( ANYTHING above mandible or below clavicle)

Front 21

Know the three zones of the neck

Back 21

Front 22

Inspiratory stridor is due to obstruction

Back 22

Extrathoracic: Tupraglottic

Front 23

Expiratory stridor is due to obstruction:

Back 23

Intrathoracic: trachea/lungs

Front 24

Biphasic stridor is due to obstruction:

Back 24

Subglottis

Front 25

At barnes who adresses a peds airway?

Back 25

an ENT AND a Anesthesiologist

Front 26

Drooling is a sign of?

Back 26

Airway obstruction

Front 27

Steeple sign on plain film indicates?

Back 27

Croup

Front 28

Presentation of a retropharyngeal abcess

Back 28

High WBC, fever, ring enhancing lesion which may compress airway

Front 29

Floor of mouth Abcess is called?

Back 29

Ludwigs Angina?

Front 30

Describe Ludwigs angina

Back 30

floor of mouth abcess that is ROCK HARD, this abcess raises the tongue to touch the top of the mouth.

Front 31

What is the probable cause of ludwigs angina?

Back 31

Odontogenic

Front 32

Why do cric instead of a trach in emergency situation?

Back 32

cricothyroid membrane is thing and close to skin

Front 33

What can one do if there is dificulty getting an airway in a non-obstucted pt.?

Back 33

Bag the patient

Front 34

Danger of tracheostomy?

Back 34

false passage into space behind sternum

Front 35

1) Position of head best for manipulation of neck and airway

2) caution?

Back 35

1) extended
2) spine trauma

Front 36

Location of cricothyroid membrane?

Back 36

between thyroid cartilage and cricoid cartilage