osce 02ans

The slide will change automatically in 2 minutes Answers should be brief and to the point

24-1-2002

1. A 20-year-old male presents with right sided ear ache, itching and blocked sensation since 2 months. Otoscopic findings are as below.

A. What is your diagnosis?

B. Name 2 etiological factors for this condition.

C. How will you treat this case?

1+1+2

Ear wax Factors: stenosis, exostosis, genetic Wax solvent: sodium bicarbonate Syringing, instrument under microscope

2. A 6-year-old boy presents with left sided nasal obstruction of 4 months duration and anterior rhinoscopy shows the following picture.

A. What is your diagnosis?

B. Give 2 differential diagnosis of this condition.

C. How will you treat this condition if it recurs?

1+2+1

Antrochoanal nasal polyp middle turbinate, pathological thick

mucous, rhinosporidiosis, meningocele, foreign body, rhinolith

3. A 23 year old female presents with decreased hearing since 7 years associated with intermittent ear discharge. Otoscopy showed the following findings.

A. What is the finding?

B. What is your diagnosis?

C. Name 2 relevant investigations.

D. What is THE surgical treatment of this condition?

1+1+1+1

Central perforation of TM CSOM, tubotympanic type EUM, ear swab for C/S , x ray myringoplasty

4. A 7 year old child presents with pain in the throat with fever and difficulty in swallowing since 3 days. Examination of the throat showed the following finding.

A. What is your diagnosis?

B. Name 2 relevant investigations you will do.

C. How will you treat this case?

1+1+2

Acute tonsillitis Full blood picture, throat swab for C/S Medical only- antibiotic: amoxycillin,

analgesics, antiseptic garggles, lozenges

5. A 40-year-old male presents with left sided nasal obstruction since 9 years and examination of the nose showed the following picture.

A. What are the findings?

B. Name 2 complications of this condition.

C. What is THE surgical treatment of this condition?

1+2+1

Deviated nasal septum to the left, hypertrophy middle and inferior turbinate of right

Epistaxis, anosmia septoplasty

A.A. Which tuning fork Which tuning fork will you prefer?will you prefer?

B.B. Give 2 reasons for Give 2 reasons for your preference.your preference.

C.C. Name 4 causes of Name 4 causes of conductive conductive hearing loss.hearing loss.

--1+1+21+1+2

6.

7.

A. Name this investigation.

B. What are the findings?

C. What is your diagnosis?

1+2+1

Pure tona audiometry Both air and bone conduction threshold

are raised, no AB gap Sensorineural hearing loss

8.

A. Identify this instrument

B. Name any 4 structures that are visualized with this instrument.

C. Name any 2 conditions that can make its use difficult.

1+2+1

laryngeal mirror

Base of tongue, vallecula, epiglottis, vocal cord

Patient gag, tonsillitis

9.

A. Identify this radiograph and its view.B. What is the finding?C. What is your radiological diagnosis?

2+1+1

10.

A. Identify the structure ‘A’

B. What is its length?

C. Name 2 pathological conditions which can affect this structure

1+1+2

A

External auditory canal 24mm Exostosis, stenosis

Thank you

Please proceed to the ENT clinics at the Melaka Hospital for

the clinical examination by 10.00AM