1 the third european orl-board examination (oral part ii,) 1.9.2010 during the els 2010 vienna,...
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The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts
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Entrance
Registration
Buffet
Examroom IExamroom IIPreexamWaitingRoom
Buffet for examinersChairmen
room
Courtyard
Toiletts
Post-examWaitingRoom
1rst floor
Supervisors from the Austrian Medical Academy
University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien
PorterInternet
Part II Oral Examination EBE-ORL-HNS 2010 September 1: 7.00 -18.00
Ways of the
Candidates
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Time Activity
6.00 Arrival staff
6.30 Arrival candidates 1
7.00Cand.1preexam.+ Info question+arrival examiners
7.30 9.00 Exam 1.round
9.00 9.15 Break, coffee,
9.15 10.45 Exam. 2.round
10.45 11.00 Break, coffee,
11.00 12.30 Exam. 3.round
12.30 13.15 Lunch
13.15 14.45 Exam. 4.round
14.45 15.00 Break, coffee,
15.00 16.30 Exam. 5.round
16.30 17.00 Break, Coffee
17.00 18.30 Call over, Preparation of the letters
18.30 19.00 Farewell-Ceremony, Toast with some wine, proseccho, jiuce, water, snacks…….
19.00 Departure for Heurigen Wolff
8.15 Arrival Cand.2
8.45 preexam. Cand.2
10.00 Arrival Cand.3
10.30 preexam. Cand.3
12.15 Arrival Cand.4
12.45 preexam. Cand.4
14.00 Arrival Cand.5
14.30 preexam. Cand 5
9.00 Postexam room Cand.1
10.45 Postexam room Cand.2
Exit
14.45 Postexam room Cand.4
Exit
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First Part II Oral Exam Vienna, Sept. 1 2010Number of Candidates n=78
Bahrain 1
Czech Republic 1
France 1
Kuwait 1
New Zealand 1
Romania 1
Serbia 1
Slovenia 1
Thailand 1
Venezuela 1
Countries of the
Candidates II
Countries of the
Candidates I
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Results
Part II Oral Exam ViennaNumber of Candidates n=78Not passed n=8, Passed n=70
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The third European ORL-Board Examination (first oral part II,) 1.9.2010 during the ELS congress 2010 Vienna, University of Music and Arts
38 Examiners, 4 Supervisors, 6 Guides
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4 4 3 3 2 2 2 2 1 1 1 1
Reihe1
Distribution of the 38 Examiners and Supervisors From 13 European Countries for the Oral Exam in Vienna
September 1 2010
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Case Report:A mother comes with her 14 months daughter to the ENT-Specialist. The baby presents with left retro-auricular redness and fever (39.2 C) of 24 hours duration. She has had an upper airway respiratory infection one week ago. There was no ear drainage, however, she has had purulent nasal drainage.
Otoscopic PicturePatients Foto of the retroauricular region
For the Candidate
Question 1:a) What do you see on the pictures?b) What is your first diagnosis?c) Do you have further questions?d) What is your next step?
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Intracranial complicationsI. Most common is meningitisS. pneumoniaeH. Influenzae
2. Cerebral abscess (temporal lobe > cerebellum)3. Sigmoid (lateral) sinus thrombosisCannonball chest infiltrates on chest x-ray (CXR)edema and tenderness over the mastoid cortex and is
associated with thrombosis of the mastoid emissary vein as a result of lateral sinus thrombosis (Griesinger sign)
4. Jacksonian epilepsy, hemiplegia, and OM indicates a subdural abscess, until proven otherwise
For the Examiner
Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens)
Background Information for the examiners
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a. Most common complication is mastoiditis, which may progress to Subperiosteal abscess
1. Bezold abscess—abscess in digastric groove of SCM
b. Petrous apicitis1, Gradenigo syndrome--otorrhea, retro-orbital pain, and lateral rectus palsy
secondary to irritation of CN VI within Dorello canal
c. Facial Nerve paralysis: perform myringotomy, culture, and administer antibiotics
Residual middle ear effusion after treatmenta. 70% of patients at 2 weeksb. 20% after 2 monthsc. 10% after 3 monthsd. 90% of middle ear effusions persistent after an episode of treated AOM
resolve within 90 days
For the Examiner
Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens)
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Question 3: Which complications of acute otitis media do you know?
Question 1: 20%a) What do you see on the pictures?b) What is your first diagnosis?c) Do you have further questions?d) What is your next step?
Question 4:What Therapy would you consider?
Question 5: 30%What are the main causative organisms of AOM?
Acute otitis media (AOM)Causative organisms Streptococcus pneumoniae (40%)Haemophilus influenzae (30%)Moraxella catarrhalis (20%)
Diagnosis: Acute otitis media with early mastoiditis
Further Diagnostic procedures necessary? Plain-X-ray? CT of the temporal bones ?
50% ??
It was immediately done: in this case it showed cloudiness of the left mastoid without any destruction of the air cells
Question 2:Are further diagnostic procedures necessary?
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SITUATION ON THE WEBSITE AS PER 06/10/2010
NUMBERS
REGISTRATIONS ON WEB SITE WITH INCOMPLETE REGISTRATION. IN PROCESS OF SENDING REQUIRED DOCUMENTATION
120
CANDIDATES THAT HAVE ALREADY BEEN VALIDATED (DOCUMENTS SENT AND CORRECT). WAITING TO REGISTER FOR NEXT EXAM
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CANDIDATES THAT HAVE PAST THE WRITTEN PART EITHER IN MANNHEIM OR PAMPLONA AND HAVE EITHER FAILED OR NOT DONE THE ORAL EXAM YET. POTENTIAL CANDIDATES FOR NEXT ORAL EXAM
42
FELLOWS OF THE EUROPEAN BOARD EXAM.CANDIDATES THAT HAVE PASSED BOTH PARTS (I AND II)
70
What will be the future of
the European Exam ORL-
HNS?
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We are convinced, that the introduction of the EBE ORL-HNS is a big step forward in the harmonisation process and quality
improvement of our speciality in Europe!