Inhaled foreign b ody in right main m ain bronchus
B
Retropharyngeal Retropharyngeal abscess
C
Bacterial tracheitis
D
Bilateral vocal cord paralysis
Answer
2
Regarding Facial nerve palsy
A
Orbicularis oris may be spared in upper motor neuron lesions
B
Herpes zoster is thought to be involved in Bells palsy
C
Paralysis may be seen with sarcoid disease
D
Carotid tumour may cause Bells palsy
Answer
3
Regarding pharyngotonsillitis, pharyngotonsi llitis, which of the following is FALSE?
A
The majority of streptococcal streptococc al infections will w ill improve improv e in 3-4 days without antibiotic therapy
B
Group A !-haemolytic streptococci are the cause of pharyngitis in about 20% of cases
C
Antibiotic therapy reduces the incidence of post-streptococcal post-streptoco ccal glomerulonephritis glomerulonephritis by 50%
D
Throat culture is not indicated unless resistant to standard therapy
Answer
4
The following are true of epiglottis EXCEPT
A
90% cases are paediatric
B
Incidence is 1:100,000
C
Most commonly occurs in age 40-50 years
D
More cases occur in springtime
Answer
5
All of the following are true of sore throat EXCEPT
A
Viral in 70% of cases
B
Group A Streptococci is the pathogen in 5-10% of adults
C
Antibiotics shorten infection course by 1-2 days
D
Antibiotics decrease risk of rheumatic fever by 70%
Answer
6
Regarding epistaxis, which of the following arteries does NOT supply blood to the anastomosis known as Kiesselbach’s plexus (Little’s area) in the nasal septum?
A
Ophthalmic
B
Superior alveolar
C
Sphenopalatine
D
Posterior ethmoidal
Answer
7
Which is false regarding use of antibiotics in pharyngitis?
A 70% pharyngitis is viral B Reduced incidence of subsequent otitis media C Reduced incidence of post strep glomerulonephritis D Reduced incidence of peritonsillar abscess Answer
8
With regard to a Retropharyngeal Abscess which of the following is false?
A An unwillingness to look up (Bolte’s sign) is a reliable sign B May present with torticollis, with turning the head toward the affected side C Contrast CT scan is the gold-standard diagnostic test D Most cases are associated with H. Influenzae type B Answer
9
Which of the following statements regarding paediatric ENT conditions is FALSE?
A
Peritonsillar abscess is the most common abscess of the head and neck
B
Glomerulonephritis incidence is reduced by the use of penicillin in suspected GABHS tonsillitis
C
Antibiotic use in acute otitis media significantly reduces pain
D
Airway management is the initial priority in the management of a retropharyngeal abscess
Answer
10
All of the following can cause stridor EXCEPT:
A
Inhaled foreign body in right main bronchus
B
Retropharyngeal abscess
C
Ludwig’s angina
D
Bacterial tracheitis
Answer
Answers
1.
A
2.
C
3.
C
4. A (used to be)
Dunn
5.
C ( by half day)
6.
B
7.
C Dunn
8.
D Tintinalli page 1497
9.
B
Dunn p189
not reduced, but rheumatic fever is in high risk groups. Textbook of Paeds
