OSCEVII semester10-1-2002

The slides will change automatically in 2 minutes.

Each slide carries 4 marks

Answer to the point

Clinical examination will follow in the ENT clinics, Melaka Hospital.

1.

A. Identify the instrument being used

B. Name the procedure being done

C. Mention 2 precautions you will take during the above procedure 1+1+2

Thudicum nasal speculum

Anterior rhinoscopy

Close the speculum before put in the nose. Don’t close it when withdraw from nose. Aseptic measure. Make sure no anterior nasal pathology.

2.

A. Identify the X-ray and its view

B. What are the findings?

C. What is your radiological diagnosis? 1+2+1

Plain x ray occipitometal view.

Opacity in the right maxillary sinus and right nasal cavity.

Maxillary sinusitis

3.

A. Identify the instrument

B. Mention 2 precautions you will take during its use

C. What is segalization? 1+2+1

Otoscopy

Aseptic of ear speculum with normal size. Make sure no EAC pathology.

4. A 4-year-old child presents with right sided purulent, blood stained nasal discharge since one month

A. What is your most probable diagnosis?

B. Name 2 investigations to confirm your diagnosis?

C. Name any 2 complications of the above condition.

1+2+1

5. A 26-year-old female presents with itching in the right ear since 3 months associated with serous discharge and blocked feeling. Otoscopy showed the following.

A. What is your most probable diagnosis?

B. Mention 2 causes of this condition.

C. Name the drug you will prescribe in this case. 1+2+1

Otomycosis

Proctective wax lining is loss, any condition introduce moist to the ear like CSOM, normal acidic ph of canal converted to alkali pH

6. A 50-year-old male, a chronic smoker, presents with hoarseness of 3 months and mild stridor since 4 days. Laryngeal examination showed the following.

A. What is your most probable diagnosis?

B. Mention 2 investigations to confirm the disease.

C. Mention the 3 modalities of its treatment

1+2+1

Carcinoma of larynx

CT scan, microlaryngoscopy with biopsy

Surgery, radiotherapy, chemotherapy

7. A 30-year-old male presents with right sided scanty, foul smelling ear discharge since 2 years associated with vertigo and tinnitus since 2 weeks. Fistula test was positive. Otoscopy showed the following.

A. What is your complete diagnosis?

B. Name 2 relevant investigations.

C. How will you treat this case? 1+1+2

CSOM, atticoantral type

EUM, oto-endoscopy, x ray mastoid

Make the ear dry, modified radical mastoidectomy, middle ear reconstruction, hearing aids

8.

A. Identify this investigation.

B. What is the name of this pattern?

C. Mention 2 causes of the above finding. 1+1+2

Tympanogram ( impedance audiometry)

B curve( flat curve)

Middle ear fluid, thick TM

9. An 15-year-old boy presents with left sided nasal obstruction since one year and nasal endoscopy showed the following picture.

A. What is your diagnosis?

B. Mention 2 differential diagnosis

C. What is the surgical treatment? 1+2+1

Nasal polyp

Middle turbinate, pathological mucous

Intranasal avulsion polypectomy

10. A 12 year old female presents with acute pain in throat since 3 days with fever. Examination of the throat revealed the following picture.

A. What is your diagnosis?

B. Mention 2 differential diagnosis.

C. Name 2 drugs you will prescribe. 1+1+2