Download Question #2

ENT Group A3 & A4
Collected by: Mo’ath Azmi
Question #1
- Write three complications of
this condition
Question #2
- Name the sinus
- Three symptoms of the
condition
- Treatment
Question #3
- Mention three drugs
that may cause this
codition
Question #4
- This patient is presented with allergic
rhinitis since 8 weeks, mention 4 signs in
the nase and oral cavities.
Question #5
- Name the device used to take
this picture
- Name the sign
- Management
Question #6
- Which ear?
- Three signs
- Three causative micro-organisms
Not the same picture of the exam, but
close enough !
th
5
year End rotation exam
Done By:
Muthanna Ababneh & Anmar
Almomani
Group A1 + A2
19.3.2015
Question #1
• Patient presented to ER with Vertigo
1- Mention 3 accompanied symptoms to support your assumption:
- Tinnitus
- Hearing loss
- Nausea & vomiting
Question #1
2- Mention 3 otologically related signs to support your assumption.
- Positive Rinne test:
- Weber test: lateralized to the not affected site
- Tenderness over the mastoid process
Question #1
3- Mention two common otological disorders in the differential
diagnosis:
- Miniere’s disease
- Labybrinthitis
Question #2
A man came complaining of
ear pain after very loud
shooting with a rifle.
This image represents
otoscopy of the ear.
Question #2
1-Descripe the otoscopic finding:
- Tear in the inferior part of tympanic membrane
- Pinpoint bleeding in the anterior side of tympanic membrane.
Question #2
2- What you expect the results of
- Weber Test: lateralized to the left ear.
- Rinne Test: Negative Rinne test.
Question #2
3- The most important medication to prescribed?
 Analgesia..
4- What will you advice him to do ?
 Avoid water exposure.
Question #3
Patient came to the ER with Epistaxis
1- Give 3 generic names of medications you want to ask about in the
history
- Nasal Steriods
- Anti-Platelets (Aspirin & clopidegrel)
- Warfarin & Heparin
Question #3
2- Name 3 lab tests you want to perform for this patient and state
your verification in 1 sentence for each:
- INR  exclude bleeding tendency
- Platlets count  Exclude thrombocytopenia
- HB  to evaluate the effect of epistaxis
Question #4
Referring to this picture
Question #4
1- Choose the right answer
- The lesion located on
A: Anterior vocal cord B: Posterior vocal cord
- The lesion located on
A: Right vocal cord
B: Left vocal cord
2- Give 2 possible predisposing factors:
- Smoking - Voice abuse and misuse
ENT
Hope-D2
Pics are not the same of those in the exam ,,, but they are so close to ^^
Pt presented with nasal obstruction after few days of a surgery
in his nose?
• 1) what’s the
diagnosis?
• Rt septal Hematoma.
• 2) the main line of TT?
• Incision & drainage.
• 2) two complications?
• Septal perforation &
abscess formation.
Pt complaining of otalgia & otorrhea for 5 days duration?
• 1) what’s the diagnosis?
• Acute otitis externa.
• 2) the 2 most causative
microorganisms?
• S. aureus & P.aeruginosa.
• 3) two main lines of TT?
• Aural toilet.
• Topical AB.
• 1) what’s this?
• Tracheostomy tube.
• 2) three indications to use?
• A-Mechanical obstruction of the
upper airways.
B-Retention of bronchial
secretions
C-Protection of
tracheobronchialtree in patients
at risk of aspiration.
• 3) two complication?
• Dislodgment & obstruction.
Pt complaining of sore throat and other symptoms for 6 days
duration?
• 1) what’s the diagnosis?
• Acute follicular tonsillitis.
• 2) the most causative
organism?
• GABH.
• 3)two complication?
• Obstructive sleep apnea.
• Peritonsillerabcess.
• 4) two absolute indications of
surgery?
• Suspecting malignancy.
• Obstructive sleep apnea.
A 30 Ys old teacher complaining of hoarseness of voice
• 1) what’s the diagnosis?
• Vocal (singer) nodules.
• 2)two lines of TT?
• voice rest, voice physiotherapy.
• 3) the most common risk factor?
• Voice abuse.
The End
Ayssar F. Smadi
Good luck 
ENT
5th-year Mini-OSCE
Dec.2014
Done by:
Mohammed Al-Hawamdeh
Q #1
20 year old male complain of chronic nasal
obstruction and discharge …
1) what’s your Dx.?
2) The disease In which paranasal sinus?
3) what’s the best surgical management?
1) Nasal polyps, chronic sinusitis, antrochoanal mass.
“ all these consider as true answers”
2) Left maxillary sinus
3) Endoscopic removal of the mass or FESS
Q #2
60 year old femal visit the ENT clinic complaning of
chronic ear discharge …
1) what’s your Dx?
2) Give two microorganism?
3) Give two line of treatment?
1) Otomycosis
2) Candida albicans
Aspergillius nigra.
3) Aural toilet
Local anti fugal
Q #3
Yong male pt. presented to the ER with sever sore
throat, truisms and …
1) what’s your Dx.?
2) what’s the most likely microorganism?
3) what’s your management?
1) Peritonsiller abscess
2) Group A streptococcus
3) Secure the airway
surgical drainage and antibiotics
Q #4
1) what’s this?
2) what’s your Dx.?
3) Give two causes for this condition?
4) what’s the best surgical management?
1) Pure tone audiogram
2) Right ear conductive hearing loss
3) Otitis media with effusion
Wax impaction in the canal
Otosclerosis …
4) I think the answer will be according to the
cause that you write!!