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mmmc ent  05
 

mmmc ent 05

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    mmmc ent  05 mmmc ent 05 Presentation Transcript

    • OSCE VII semester 10-1-2002
      • 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.
      • Identify the instrument being used
      • Name the procedure being done
      • 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.
      • Identify the X-ray and its view
      • What are the findings?
      • 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.
      • Identify the instrument
      • Mention 2 precautions you will take during its use
      • 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
      • What is your most probable diagnosis?
      • Name 2 investigations to confirm your diagnosis?
      • 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.
      • What is your most probable diagnosis?
      • Mention 2 causes of this condition.
      • 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.
      • What is your most probable diagnosis?
      • Mention 2 investigations to confirm the disease.
      • 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.
      • What is your complete diagnosis?
      • Name 2 relevant investigations.
      • 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.
      • Identify this investigation.
      • What is the name of this pattern?
      • 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.
      • What is your diagnosis?
      • Mention 2 differential diagnosis
      • 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.
      • What is your diagnosis?
      • Mention 2 differential diagnosis.
      • Name 2 drugs you will prescribe.
        • 1+1+2
    • Thank you