Osce 02ans


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Osce 02ans

  1. 1. <ul><li>The slide will change automatically in 2 minutes </li></ul><ul><li>Answers should be brief and to the point </li></ul>OSCE VI semester Batch 4 24-1-2002
  2. 2. 1. A 20-year-old male presents with right sided ear ache, itching and blocked sensation since 2 months. Otoscopic findings are as below. <ul><li>What is your diagnosis? </li></ul><ul><li>Name 2 etiological factors for this condition. </li></ul><ul><li>How will you treat this case? </li></ul><ul><ul><ul><li>1+1+2 </li></ul></ul></ul>
  3. 3. <ul><li>Ear wax </li></ul><ul><li>Factors: stenosis, exostosis, genetic </li></ul><ul><li>Wax solvent: sodium bicarbonate </li></ul><ul><li>Syringing, instrument under microscope </li></ul>
  4. 4. 2. A 6-year-old boy presents with left sided nasal obstruction of 4 months duration and anterior rhinoscopy shows the following picture. <ul><li>What is your diagnosis? </li></ul><ul><li>Give 2 differential diagnosis of this condition. </li></ul><ul><li>How will you treat this condition if it recurs? </li></ul><ul><ul><ul><li>1+2+1 </li></ul></ul></ul>
  5. 5. <ul><li>Antrochoanal nasal polyp </li></ul><ul><li>middle turbinate, pathological thick mucous, rhinosporidiosis, meningocele, foreign body, rhinolith </li></ul>
  6. 6. 3. A 23 year old female presents with decreased hearing since 7 years associated with intermittent ear discharge. Otoscopy showed the following findings. <ul><li>What is the finding? </li></ul><ul><li>What is your diagnosis? </li></ul><ul><li>Name 2 relevant investigations. </li></ul><ul><li>What is THE surgical treatment of this condition? </li></ul><ul><ul><ul><li>1+1+1+1 </li></ul></ul></ul>
  7. 7. <ul><li>Central perforation of TM </li></ul><ul><li>CSOM, tubotympanic type </li></ul><ul><li>EUM, ear swab for C/S , x ray </li></ul><ul><li>myringoplasty </li></ul>
  8. 8. 4. A 7 year old child presents with pain in the throat with fever and difficulty in swallowing since 3 days. Examination of the throat showed the following finding. <ul><li>What is your diagnosis? </li></ul><ul><li>Name 2 relevant investigations you will do. </li></ul><ul><li>How will you treat this case? </li></ul><ul><ul><ul><li>1+1+2 </li></ul></ul></ul>
  9. 9. <ul><li>Acute tonsillitis </li></ul><ul><li>Full blood picture, throat swab for C/S </li></ul><ul><li>Medical only- antibiotic: amoxycillin, analgesics, antiseptic garggles, lozenges </li></ul>
  10. 10. 5. A 40-year-old male presents with left sided nasal obstruction since 9 years and examination of the nose showed the following picture. <ul><li>What are the findings? </li></ul><ul><li>Name 2 complications of this condition. </li></ul><ul><li>What is THE surgical treatment of this condition? </li></ul><ul><ul><ul><li>1+2+1 </li></ul></ul></ul>
  11. 11. <ul><li>Deviated nasal septum to the left, hypertrophy middle and inferior turbinate of right </li></ul><ul><li>Epistaxis, anosmia </li></ul><ul><li>septoplasty </li></ul>
  12. 12. 6.
  13. 13. 7. <ul><li>Name this investigation. </li></ul><ul><li>What are the findings? </li></ul><ul><li>What is your diagnosis? </li></ul><ul><ul><ul><li>1+2+1 </li></ul></ul></ul>
  14. 14. <ul><li>Pure tona audiometry </li></ul><ul><li>Both air and bone conduction threshold are raised, no AB gap </li></ul><ul><li>Sensorineural hearing loss </li></ul>
  15. 15. 8. <ul><li>Identify this instrument </li></ul><ul><li>Name any 4 structures that are visualized with this instrument. </li></ul><ul><li>Name any 2 conditions that can make its use difficult. </li></ul><ul><ul><ul><li>1+2+1 </li></ul></ul></ul>
  16. 16. <ul><li>laryngeal mirror </li></ul><ul><li>Base of tongue, vallecula, epiglottis, vocal cord </li></ul><ul><li>Patient gag, tonsillitis </li></ul>
  17. 17. 9. <ul><li>Identify this radiograph and its view. </li></ul><ul><li>What is the finding? </li></ul><ul><li>What is your radiological diagnosis? </li></ul><ul><ul><ul><li>2+1+1 </li></ul></ul></ul>
  18. 18. 10. <ul><li>Identify the structure ‘A’ </li></ul><ul><li>What is its length? </li></ul><ul><li>Name 2 pathological conditions which can affect this structure </li></ul><ul><ul><ul><li>1+1+2 </li></ul></ul></ul>A
  19. 19. <ul><li>External auditory canal </li></ul><ul><li>24mm </li></ul><ul><li>Exostosis, stenosis </li></ul>
  20. 20. Thank you Please proceed to the ENT clinics at the Melaka Hospital for the clinical examination by 10.00AM