UWORLD ENT Step 2 CK

__ is a potential complication of tonsillitis and requires both IV antibiotics and urgent drainage.

Peritonsillar abscess

- muffled or "hot potato voice", deviation of the uvula

- unilateral lymphadenopathy

- can be fatal 2/2 airway obstruction can spread to paraphyryngeal space involving the carotid sheath

Patient's history of wheezing following the ingestion of naproxen as well as symptoms of post-nasal drainage are suggestive of ___.

Aspirin exacerbated respiratory disease (AERD)

- associated with development of nasal polyps

AERD:

- asthma, chronic rhino sinusitis with nasal polyposis, and bronchospasm or nasal congestion following ingestion of aspirin or NSAIDs

Malignant otitis externa (MOE) is a serious infection of the ear seen in elderly patients with poorly controlled diabetes and most commonly caused by __.

Pseudomonas aeruginosa

- ear pain and ear drainage, granulation tissue in the ear canal

- progression of the disease can lead to osteomyelitis of the skull base and destruction of the facial nerve

- CT or MRI confirm dx

- tx: Ciprofloxacin

Ramsay Hunt syndrome

Manifestation of herpes zoster infection in the ear

- facial nerve palsy and vesicles in the auditory canal and auricle

Sensorineural hearing loss that occurs with aging is referred to as ___.

Presbycusis

- sixth decade of life

- high-frequency B/L hearing loss

- difficulty hearing in noisy, crowded environments

White granular patch or plaque over the buccal mucosa in a patient with hx of smoking and alcohol use consistent with ___.

Oral leukoplakia

- reactive precancerous lesion hyperplasia of squamous epithelium

- 1 to 20% lesions progressing to squamous carcinoma in 10 years

___ is a common cause of conductive hearing loss in adults especially in their 20s and 30s with slight female predominance.

Otosclerosis

- abnormal remodeling of the otic capsule

Hearing loss associated which CHF drug.

Loop diuretic

- ototoxicity

__ benign, noninflammatory enlargement of the salivary glands. Seen in patient with advanced liver disease as well as variety of dietary and nutritional disorders.

Sialiadenosis

Patients with ___ present with combo of vertigo, ear fullness, tinnitus, and hearing loss.

Meniere's disease

- low-salt diet

- avoid caffeine, alcohol, nicotine, and foods high in salt