Ent Miniosce Group a3

8/13/2019 Ent Miniosce Group a3

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Mini-OSCE of Ear Nose & Throat24thFebruary 2011

Group A3

Tareq Al-Hammouri


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Question 1This is the exact same picture we had in the exam

A) What is (a)?

B) What is (b)?

C) What is the treatment of (b)?

ab


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Question 1 answers

A) Tympanosclerosis

B) Tympanic membrane perforationC) Tympanoplasty


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Question 2

A) What is this instrument?

B) What is the name of the diagnosticprocedure that is made using this

instrument?


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Question 2 answers

A) Nasal speculum

B) Anterior rhinoscopy (Nasal inspection)


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Question 3This is the exact same picture we had in the

exam

A) What is this condition?

B) What is your management?


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Question 3 answers

A) Tongue tie

B) Tongue release surgery


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Question 4This is the exact same picture we had in the exam

A) What is the name of this procedure?

B) Name one indication.C) Name one complication.


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Question 4 answers

A) Anterior packing (note the strings

hanging from the other end)

B) Epistaxis

C) Infection / Nasal septum perforation.


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Question 5

History of a young male with

runny nose and nasal

congestion, and frequent

nasal infections.

A) What is your diagnosis?



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Question 5 answers

A) Nasal polyp

B) Surgical excision


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Question 6

This is a patient with Laryngeal carcinomacomplaining of hoarseness of voice

A) What is the most common type of

laryngeal cancer?B) Give two predisposing factors.

C) Suggest two other complains.


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Question 6 answers

A) Squamous Cell Carcinoma

B) 1- Smoking

2- Voice abuse (screaming, singing)

C) 1- Cough

2- Stridor

3- Sore throat (feeling of somethingstuck!)

4- Bad breath


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Question 7

Patient presented with hearing loss in his leftear. His Rinnes test is negative in left ear

and this is his audiogram.

A) Mention 4 possible causes of deafness inthis patient.


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Question 7 answers

4 causes of conductive deafness:

1. Earwax block

2. Otitis Externa3. Acute otitis media

4. Congenital atresia of external canal

5. Otosclerosis6. Tympanic membrane perforation


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Question 8

A young boy presented to you complainingof snoring. This picture is seen on

examining the childs thraot.



C) Give 2 indications for your management.


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Question 8 answers

A) Tonsilar hypertrophy

B) Tonsilectomy

C) 1- Recurrent infections2- Sleep apnea

3- Dysphagia


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Question 9

A) What is (a)?

B) What is (b)?

C) Where does theethmoidal sinus

drain?

a

b


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Question 9 answers

A) Maxillary sinus

B) Inferior turbinate (inferior meatus is also

accepted)

C) Middle meatus* (Middle turbinate is not

accepted at all!)


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Question 10I couldnt find the picture we had!

A child presented with history of choking.

We did him this X-ray.



C) Give two complications to this condition.


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Question 10 answers

A) Foreign body aspiration

B) Rigid bronchoscopy

C) 1- Pneumonia

2- Lung collapse


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Question 11I couldnt find the picture we had!

Patient presented with neck mass, anteriorto the Sternocledomastoid muscle.

A) Give two differential diagnosis.

B) Give two investigations.


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Question 11 answers

A) 1- Lymphadenopathy (lymph node

enlargement)2- Dermoid cyst

B) 1- CT scan with contrast

2- FNA


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Question 12

A) What is (a)?

B) What is (b)?

C) What is (c)?

a

b

c


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Question 12 answers

A) Pars flaccida

B) Handle of Malleus (Umbo)

C) Pars tensa

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Ent Miniosce Group a3