Ent osce for medical students and doctors.pdf

Ent osce

1. OSCE of Ear Nose & ThroatOSCE of Ear Nose & Throat

2. Question 1 Question 1
This is the exact same picture we had in the examThis is the exact same picture we had in the exam
A)A)What is (a)?What is (a)?
B)B)What is (b)?What is (b)?
C)C)What is the treatment of (b)?What is the treatment of (b)?
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3. Question 1 answersQuestion 1 answers
A)A)TympanosclerosisTympanosclerosis
B)B)Tympanic membrane perforationTympanic membrane perforation
C)C)TympanoplastyTympanoplasty

4. Question 2Question 2
A)A)What is this instrument?What is this instrument?
B)B)What is the name of the diagnostic What is the name of the diagnostic
procedure that is made using this procedure that is made using this
instrument?instrument?

5. Question 2 answersQuestion 2 answers
A)A)Nasal speculumNasal speculum
B)B)Anterior rhinoscopy (Nasal inspection)Anterior rhinoscopy (Nasal inspection)

6. Question 3 Question 3
This is the exact same picture we had in the This is the exact same picture we had in the
examexam
A)A)What is this condition?What is this condition?
B)B)What is your management?What is your management?

7. Question 3 answersQuestion 3 answers
A)A)Tongue tieTongue tie
B)B)Tongue release surgeryTongue release surgery

8. Question 4Question 4
This is the exact same picture we had in the examThis is the exact same picture we had in the exam
A)A)What is the name of this procedure?What is the name of this procedure?
B)B)Name one indication.Name one indication.
C)C)Name one complication.Name one complication.

9. Question 4 answersQuestion 4 answers
A)A)Anterior packing (Anterior packing (note the strings note the strings
hanging from the other endhanging from the other end))
B)B)EpistaxisEpistaxis
C)C)Infection / Nasal septum perforation.Infection / Nasal septum perforation.

10. Question 5Question 5
History of a young male with History of a young male with
runny nose and nasal runny nose and nasal
congestion, and frequent congestion, and frequent
nasal infections.nasal infections.
A)A)What is your diagnosis?What is your diagnosis?
B)B)What is your management?What is your management?

11. Question 5 answersQuestion 5 answers
A)A)Nasal polypNasal polyp
B)B)Surgical excisionSurgical excision

12. Question 6Question 6
This is a patient with Laryngeal carcinoma This is a patient with Laryngeal carcinoma
complaining of hoarseness of voicecomplaining of hoarseness of voice
A)A)What is the most common type of What is the most common type of
laryngeal cancer?laryngeal cancer?
B)B)Give two predisposing factors.Give two predisposing factors.
C)C)Suggest two other complains.Suggest two other complains.

13. Question 6 answersQuestion 6 answers
A)A)Squamous Cell CarcinomaSquamous Cell Carcinoma
B)B)1- Smoking1- Smoking
2- Voice abuse (screaming, singing) 2- Voice abuse (screaming, singing)
C)C)1- Cough1- Cough
2- Stridor2- Stridor
3- Sore throat (feeling of something 3- Sore throat (feeling of something
stuck!)stuck!)
4- Bad breath4- Bad breath

14. Question 7Question 7
Patient presented with hearing loss in his Patient presented with hearing loss in his
left ear. His Rinne’s test is negative in left left ear. His Rinne’s test is negative in left
ear and this is his audiogram.ear and this is his audiogram.
A) Mention 4 possible causes of deafness in A) Mention 4 possible causes of deafness in
this patient.this patient.

15. Question 7 answersQuestion 7 answers
4 causes of conductive deafness:4 causes of conductive deafness:
1.1.Earwax blockEarwax block
2.2.Otitis ExternaOtitis Externa
3.3.Acute otitis mediaAcute otitis media
4.4.Congenital atresia of external canalCongenital atresia of external canal
5.5.OtosclerosisOtosclerosis
6.6.Tympanic membrane perforationTympanic membrane perforation

16. Question 8Question 8
A young boy presented to you complaining A young boy presented to you complaining
of snoring. This picture is seen on of snoring. This picture is seen on
examining the child’s thraot.examining the child’s thraot.
A)A)What is your diagnosis?What is your diagnosis?
B)B)What is your management?What is your management?
C)C)Give 2 indications for your management.Give 2 indications for your management.

17. Question 8 answersQuestion 8 answers
A)A)Tonsilar hypertrophyTonsilar hypertrophy
B)B)TonsilectomyTonsilectomy
C)C)1- Recurrent infections 1- Recurrent infections
2- Sleep apnea2- Sleep apnea
3- Dysphagia3- Dysphagia

18. Question 9Question 9
A) What is (a)?A) What is (a)?
B) What is (b)?B) What is (b)?
C) Where does the C) Where does the
ethmoidal sinus ethmoidal sinus
drain?drain?
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19. Question 9 answersQuestion 9 answers
A)A)Maxillary sinusMaxillary sinus
B)B)Inferior turbinate (inferior meatus is also Inferior turbinate (inferior meatus is also
accepted)accepted)
C)C)Middle meatus* (Middle turbinate is not Middle meatus* (Middle turbinate is not
accepted at all!)accepted at all!)

20. Question 10Question 10
I couldn’t find the picture we had!I couldn’t find the picture we had!
A child presented with history of choking. A child presented with history of choking.
We did him this X-ray.We did him this X-ray.
A)A)What is your diagnosis?What is your diagnosis?
B)B)What is your management?What is your management?
C)C)Give two complications to this condition.Give two complications to this condition.

21. Question 10 answersQuestion 10 answers
A)A)Foreign body aspirationForeign body aspiration
B)B)Rigid bronchoscopyRigid bronchoscopy
C)C)1- Pneumonia 1- Pneumonia
2- Lung collapse2- Lung collapse

22. Question 11 Question 11
I couldn’t find the picture we had!I couldn’t find the picture we had!
Patient presented with neck mass, anterior Patient presented with neck mass, anterior
to the Sternocledomastoid muscle.to the Sternocledomastoid muscle.
A)A)Give two differential diagnosis.Give two differential diagnosis.
B)B)Give two investigations.Give two investigations.

23. Question 11 answersQuestion 11 answers
A)A)1- Lymphadenopathy (lymph node 1- Lymphadenopathy (lymph node
enlargement) enlargement)
2- Dermoid cyst2- Dermoid cyst
B)B)1- CT scan with contrast1- CT scan with contrast
2- FNA2- FNA