ent miniosce group a3
TRANSCRIPT
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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?
B) What is your management?
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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.
A) What is your diagnosis?
B) What is your management?
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.
A) What is your diagnosis?
B) What is your management?
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