2. What is the most likely
diagnosis? (1)
How might you confirm this?
(1)
List three symptoms (3)
List three signs (3)
How would you treat this? (2)
5 min
Slide 1
3. Comment:
What is this action? (1)
What is the underlying
cause likely to be? (1)
How would you
investigate the
condition? (2)
2 min
Slide 2
4. Right nasal passage:
What is the structure
in the centre of the
picture? (2)
How would one
investigate it? (2)
Slide 3
2 min
5. Coronal section nasal cavity
Label the structures:
1 (1)
2 (1)
What is this and what
wrong with this
structure? (2)
1
2
Slide 4
2 min
6. Recurrent epistaxis
This patient has
recurring epistaxis
What is the likely
diagnosis? (1)
How might the epistaxis
in this situation be
treated? (3)
Slide 5
2 min
7. Leucoplakia, lateral part of tongue
What risk factors
should be excluded in
this patient? (2)
How would one obtain
tissue diagnosis? (1)
What other diagnoses
are possible? (1)
2 min
Slide 6
8. Non-healing lesion of the buccal mucosa:
What is this likely to be? (1)
How would you investigate this?
(2)
What ‘risk factors’ might be
associated with this lesion? (3)
Slide 7
3 min
9. Lateral X-ray of neck:
1. What is this? (1)
2. What is this? (1)
3. What symptoms, if
any, would you
expect from No 2 ?
(4)
3 min
Slide 8
9
10. Endoscopic view of the larynx
What are these? (2)
What are they most
probably caused by? (1)
How would the voice
sound? (1)
What is the most
appropriate management?
(2)
3 min
10
Silde 9
11. Endoscopic view of the larynx
What is this lesion most
likely to be? (1)
What are the most
probable risk factors? (2)
How would the voice
sound? (1)
What is the most
appropriate management?
(2)
3 min
11
Slide 10
12. Right lateral neck mass
In this 60 year old, what
is the likely diagnosis?
(1)
What is the most likely
primary source of the
mass? (1)
To confirm diagnosis,
name two acceptable &
one unacceptable
special investigations
(2)
2 min
12
Slide 11
13. This diagram illustrates the course of
the facial nerve:
Course of CN VII
1. In which bone is it travelling? (1)
2. Name the segments marked 1,2,3. (3)
3. Name 1 pathology which could cause a
palsy in each of the segments:
1. (1)
2. (1)
3. (1)
4. What is the name of the opening at 4.
through which the facial nerve leaves the
skull? (1)
1
2
3
4
4 min
Slide 12
14. This woman presents with a red
swollen mass here.
1. In which structure is the mass? (1)
2. The function of which nerve should
always be tested in such a case? (1)
3. If there is indeed fallout of the nerve,
what does this suggest about the
underlying pathology that is causing
the swelling? (1)
4. What investigation would you use first
to establish the nature of the
pathology? (1)
2 min
Slide 13
15. This patient is lying unconscious in an ICU after a head
injury. There was blood running out of his ear.
1. What is this sign called? (1)
2. What fracture-complex should you
consider in this situation? (1)
3. What investigation would you request to
confirm this? (1)
4. Fallout of which cranial nerve is possible?
(1)
5. How could you try to elicit this in this
unconscious patient? (1)
6. Why is it important to determine this
early? (2)
7. What sense organ could have been
damaged? (1)
4 min
Slide 14
16. This is the bony base of the skull.
1.
1. What is the compartment of the skull
bracketed at 1 called? (1)
2. What is the structure at 2.? (1)
3. What organ lies below here? (1)
4. What spaces lie below here? (1)
5. What space lies below here? (1)
6. What sensory structure lies in this
groove? (1)
7. What part of the brain fills this
compartment of the skull indicated in
Q 1? (1)
8. What signs might a patient show who
has pathology in this part of the
brain? (1)
4 min
Silde 15
17. This depicts a test done for patients
with balance disturbances
1. What is the name of the test? (2)
2. For which specific condition is it done?
(1)
3. What clinical sign do you look out for
to confirm a positive test? (1)
4. What characteristics must this sign
conform to, to be truly positive? (4)
5. If the sign does not conform to these
features, but is atypical, what
pathology can one not rule out? (2)
5 min
Slide 16
18. Looking only at the external
ear:
1. Where is the best place to
pierce the ear for an
earring? (1)
2. If the patient wanted the
ear pierced somewhere
else, what MUST be
avoided? (1)
3. What could be the
consequence of not
adhering to this principle?
(2)
2 min
Slide 17
