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ENT OSCE (girls 1428-29).doc

Date post: 05-Oct-2015
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ENT
9
Ear 1. Audiogram What type of hearing loss in the right ear? SNHL What is the diagnosis? Asustic neuroma (Hearing loss to the high frequenc . !ympanometry What is the instrument? What is the diagnosis? " thin# it $as flat. %. &ia'etic pt. $ith facial $ea#ness &? alignat otitis e terna *rganism? +seudomonas ,. +ositional test (hill'ach test) What is the test? d if it is positi-e? ++
Transcript

Ear

1. Audiogram

What type of hearing loss in the right ear?

SNHL

What is the diagnosis? Asustic neuroma (Hearing loss to the high frequencies).

2. Tympanometry

What is the instrument?

What is the diagnosis? I think it was flat.3. Diabetic pt. with facial weakness

Dx? Malignat otitis externa

Organism? Pseudomonas

4. Positional test (hillbach test)

What is the test?

dx if it is positive? BBPP5. Ear anatomy

A- Helix

B- Antihelix

C- Tragus

D- Lobule

6. Grommet tube in the drum

What is the operation?

1 Indication ?

7. Microtia

Dx?

Best hearing aid if bilateral? BAHA

8. TM with marginal perforation

Dx?

How would you treat? Myringoplasty

9. scanty bad smell ear discharge (Cholsteatoma) Dx?

Rx?

Nose

10. What is the diagnosis? FB

What is the most thing you afraid from? Aspiration

11. Hereditary hemorrhagic telangeictasia.

Dx?

How can you help this patient?

12. Skin prick test

What is this test?

If the pt. suddenly collapsed what does he develop? anaphylactic shock

13. endoscopic view of nasal polyp

dx?

what would you do before operation? CT

14. ER with fever + unilateral nasal obstruction (picture of unilateral mass in the nose)

Dx? Frunculosis (?)

Most serious complication? Cavernous sinus thrombosis

15. eye movement limited + fever Dx? Orbital cellulitis Most common sinus? Ethmoidal

ORL & Salivary glands

16. ( ) Severe earache with facial muscle weakness What is the diagnosis? Ramsy Hunt syndrome

What is the organism? Herpes zoster

17. aphthous ulcer dx?

If it is associated with arthritis and genital ulcers what would be the dx? Bahcets dis

18. a boy with bilateral tonsillar hypertrophy (kissing tonsils) What is your advise to his parents?

19. Post tonsillectomy

What is this tissue? Necrotic tonsillar tissue. What is your extra care? About Eating & drinking (avoid sore, hot, dry )20. Curette

Name of this instrument?

Indication? adenoidectomy

21. Lateral Neck mass + axial CT

Dx?

Most common salivary gland?

22. Tongue pic. With a mass coming from the base of the tongue. Dx? Ca (?) What would you do before surgery? Excisional biopsy (?)

23. Recurrant central neck mass in spite of 5 operation since childhood

Dx? Thyrogolssal cyst

What would you do to prevent recurrence? Sistrunks operation

Larynx

24. Stroboscopy (the same picture) What is this instrument?

What does it show? Unilateral VC (as the dr. said coz we couldn't see the image in the picture)

25. Hoarseness of voice since 3 weeks

Dx? Bilateral VC nodules Before excision what would you do? Speech therapy

26. inspiratory stridor without cyanosis

Dx? Laryngomalacia Rx?

RAD

27. Transverse fracture of temporal bone

View?

Dx?

28. Angiogram

Investigation name?

Dx? Angiofibroma

29. CXR Dx? FB Complications?

30. Acute mastoiditis Dx?

Complications?

Good luck


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