ENT Final Exam ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS
- presents with pain and swelling of the involved gland sialadenitis/sialolithiasis
that worsens when eating or anticipation of eating
- purulent infections can occur w/ obstruction
- glands affected are submandibular, sublingual, parotid
80-90% of stone obstructions occur in which major submandibular
gland?
The submandibular and sublingual glands flow through wharton's; stenson's
_________ duct while the parotid gland flows through ________
duct
The imaging study of choice for sialadenitis/sialolithiasis high resolution CT w/o contrast
is...
* US can help but requires good technique and can only detect stones if ≥ 2mm
, Treatment for sialadenitis/sialolithiasis (non- - hydration is paramount !!
pharmacologic) - moist heat, gland massage, "milking" of duct
- d/c anticholinergic meds
- NSAIDs
- recommend sialogogues (lemon drops, tart candy, etc)
Treatment for sialadenitis/sialolithiasis (pharmacologic) Dicloxicillin or Cephalexin 500mg QID x 7-10 days
When should a patient be referred to ENT for - any stone bigger than 2mm
sialolithiasis? - any stone that will not pass
- symptoms lasting 3-5 days
- antibiotic failure
apthae = __________ oral ulcers (aka canker sores)
oral ulcers affect _____ % of the normal population and 20
usually occur on the lips or buccal mucosa
Oral ulcers resolve sponatenously in _______ days 10-14
Common causes of oral ulcers stress, hormones, infxns, certain foods, toothpaste, detergent, mouth wash, vit B
deficiency, etc
Treatment for oral ulcers (aka apthous ulcers aka apthous - identify and fix underlying cause
stomatitis) - topical steroids
- magic mouthwash
- chronic, relapsing inflammatory disease characterized Behcet's disease
by recurrent oral aphthae and any of several systemic
manifestations (genital aphthae, ocular disease, skin
lesions, vascular disease, arthritis, etc)
- affects small, medium, and large vessels of
both arterial and venous circulation
- "silk road disease"
Treatment for Behcet's disease - supportive; no cure for condition
- regular monitoring by specialists is essential to manage disease effectively
Fungal infxn of oropharynx/esophagus occurring oral candidiasis (aka oral thrush)
predominantly in infants, older adults who wear
dentures, patients treated with abx, steroids, chemo/rad
to head & neck, immunocompromised
- presents with pain and swelling of the involved gland sialadenitis/sialolithiasis
that worsens when eating or anticipation of eating
- purulent infections can occur w/ obstruction
- glands affected are submandibular, sublingual, parotid
80-90% of stone obstructions occur in which major submandibular
gland?
The submandibular and sublingual glands flow through wharton's; stenson's
_________ duct while the parotid gland flows through ________
duct
The imaging study of choice for sialadenitis/sialolithiasis high resolution CT w/o contrast
is...
* US can help but requires good technique and can only detect stones if ≥ 2mm
, Treatment for sialadenitis/sialolithiasis (non- - hydration is paramount !!
pharmacologic) - moist heat, gland massage, "milking" of duct
- d/c anticholinergic meds
- NSAIDs
- recommend sialogogues (lemon drops, tart candy, etc)
Treatment for sialadenitis/sialolithiasis (pharmacologic) Dicloxicillin or Cephalexin 500mg QID x 7-10 days
When should a patient be referred to ENT for - any stone bigger than 2mm
sialolithiasis? - any stone that will not pass
- symptoms lasting 3-5 days
- antibiotic failure
apthae = __________ oral ulcers (aka canker sores)
oral ulcers affect _____ % of the normal population and 20
usually occur on the lips or buccal mucosa
Oral ulcers resolve sponatenously in _______ days 10-14
Common causes of oral ulcers stress, hormones, infxns, certain foods, toothpaste, detergent, mouth wash, vit B
deficiency, etc
Treatment for oral ulcers (aka apthous ulcers aka apthous - identify and fix underlying cause
stomatitis) - topical steroids
- magic mouthwash
- chronic, relapsing inflammatory disease characterized Behcet's disease
by recurrent oral aphthae and any of several systemic
manifestations (genital aphthae, ocular disease, skin
lesions, vascular disease, arthritis, etc)
- affects small, medium, and large vessels of
both arterial and venous circulation
- "silk road disease"
Treatment for Behcet's disease - supportive; no cure for condition
- regular monitoring by specialists is essential to manage disease effectively
Fungal infxn of oropharynx/esophagus occurring oral candidiasis (aka oral thrush)
predominantly in infants, older adults who wear
dentures, patients treated with abx, steroids, chemo/rad
to head & neck, immunocompromised
