Osce 04ans

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Osce 04ans

  1. 1. OSCE 9-8-2002 VI semester <ul><li>The slide will change automatically in 2 minutes. </li></ul><ul><li>Your answers should be brief and to the point. </li></ul><ul><li>Each slide carries 4 marks. </li></ul>
  2. 2. 1. <ul><li>Identify the instrument </li></ul><ul><li>Name 4 structures that are visible using this instrument </li></ul><ul><li>What is the importance of Fossa of Rossenmuller? </li></ul><ul><ul><ul><ul><li>1+2+1 </li></ul></ul></ul></ul>
  3. 3. 2. <ul><li>Identify the test </li></ul><ul><li>What will be test results in left sided sensorineural deafness? </li></ul><ul><li>Why is 512 frequency preferred in otology? </li></ul><ul><ul><ul><li>1+1+2 </li></ul></ul></ul>
  4. 4. 3. A 30-year-old male presents with complaints of sneezing spells, watery rhinorrhoea and nasal obstruction since 5 years. Anterior rhinoscopy showed the following picture. <ul><li>What is your most probable diagnosis? </li></ul><ul><li>Name 2 investigations which will confirm your diagnosis. </li></ul><ul><li>Name 2 drugs that are useful in treating this condition. </li></ul><ul><ul><ul><li>1+1+2 </li></ul></ul></ul>
  5. 5. <ul><li>Allergic rhinitis </li></ul><ul><li>Nasal smear for eosinophil, DNE </li></ul><ul><li>Loratidine, sodium cromoglycate </li></ul>
  6. 6. 4. A 6-year-old girl presents with complaints of mouth breathing, snoring at night and recurrent nasal discharge. <ul><li>What is the most probable diagnosis? </li></ul><ul><li>Name 2 relevant investigations you will advice to confirm your diagnosis. </li></ul><ul><li>What is THE surgical treatment for the above condition? </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  7. 7. 5. A 23-year-old female presents with recurrent bilateral otorrhoea since 8 years brought on with episodes of nasal discharge, purulent postnasal drip and nasal obstruction. <ul><li>What is the otoscopic finding? </li></ul><ul><li>What is your most probable diagnosis? </li></ul><ul><li>How do you think this ear condition is related to the nose? </li></ul><ul><li>Name 2 investigations you will do in this case. </li></ul><ul><ul><li>1X4 </li></ul></ul>
  8. 8. <ul><li>Through ET </li></ul><ul><li>DNE, EUM </li></ul>
  9. 9. 6. A 7-year-old child presents with bilateral reduced hearing and does poorly at school. Otoscopy shows the following picture. <ul><li>What is the finding and your most appropriate diagnosis? </li></ul><ul><li>Name the screening test that is useful in confirming your diagnosis. </li></ul><ul><li>What is THE surgical treatment for this case? </li></ul><ul><ul><li>2+1+1 </li></ul></ul>
  10. 10. <ul><li>Fluid behind TM. Otitis media with effusion </li></ul><ul><li>Tympanogram. </li></ul><ul><li>Myringotomy with grommet insertion. </li></ul>
  11. 11. 7. A-12-year old boy presents with acute pain in the throat since 3 days associated with fever. Examination of the throat showed the following picture. <ul><li>What is your diagnosis? </li></ul><ul><li>Name 2 investigations you will advice in this case. </li></ul><ul><li>Name 2 drugs that are useful in treating this condition. </li></ul><ul><ul><ul><li>1+1+2 </li></ul></ul></ul>
  12. 12. 8. A 45-year-old Malay male presents with right sided neck swelling since 3 months and right sided tinnitus. <ul><li>What should you rule out in this patient? </li></ul><ul><li>Name 2 investigation to confirm your suspicion. </li></ul><ul><li>What is THE treatment if the above suspicion is confirmed? </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  13. 13. 9. <ul><li>What are the anterior rhinoscopic findings? </li></ul><ul><li>How will you surgically treat this case? </li></ul><ul><ul><li>2+2 </li></ul></ul>R
  14. 14. 10. <ul><li>Identify this investigation. </li></ul><ul><li>What are the findings? </li></ul><ul><li>What is your inference? </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  15. 15. Thank You

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