mmmc ent 05


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mmmc ent 05

  1. 1. OSCE VII semester 10-1-2002 <ul><li>The slides will change automatically in 2 minutes. </li></ul><ul><li>Each slide carries 4 marks </li></ul><ul><li>Answer to the point </li></ul><ul><li>Clinical examination will follow in the ENT clinics, Melaka Hospital. </li></ul>
  2. 2. 1. <ul><li>Identify the instrument being used </li></ul><ul><li>Name the procedure being done </li></ul><ul><li>Mention 2 precautions you will take during the above procedure </li></ul><ul><ul><li>1+1+2 </li></ul></ul>
  3. 3. <ul><li>Thudicum nasal speculum </li></ul><ul><li>Anterior rhinoscopy </li></ul><ul><li>Close the speculum before put in the nose. Don’t close it when withdraw from nose. Aseptic measure. Make sure no anterior nasal pathology. </li></ul>
  4. 4. 2. <ul><li>Identify the X-ray and its view </li></ul><ul><li>What are the findings? </li></ul><ul><li>What is your radiological diagnosis? </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  5. 5. <ul><li>Plain x ray occipitometal view. </li></ul><ul><li>Opacity in the right maxillary sinus and right nasal cavity. </li></ul><ul><li>Maxillary sinusitis </li></ul>
  6. 6. 3. <ul><li>Identify the instrument </li></ul><ul><li>Mention 2 precautions you will take during its use </li></ul><ul><li>What is segalization? </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  7. 7. <ul><li>Otoscopy </li></ul><ul><li>Aseptic of ear speculum with normal size. Make sure no EAC pathology. </li></ul>
  8. 8. 4. A 4-year-old child presents with right sided purulent, blood stained nasal discharge since one month <ul><li>What is your most probable diagnosis? </li></ul><ul><li>Name 2 investigations to confirm your diagnosis? </li></ul><ul><li>Name any 2 complications of the above condition. </li></ul><ul><ul><ul><li>1+2+1 </li></ul></ul></ul>
  9. 9. 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. <ul><li>What is your most probable diagnosis? </li></ul><ul><li>Mention 2 causes of this condition. </li></ul><ul><li>Name the drug you will prescribe in this case. </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  10. 10. <ul><li>Otomycosis </li></ul><ul><li>Proctective wax lining is loss, any condition introduce moist to the ear like CSOM, normal acidic ph of canal converted to alkali pH </li></ul>
  11. 11. 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. <ul><li>What is your most probable diagnosis? </li></ul><ul><li>Mention 2 investigations to confirm the disease. </li></ul><ul><li>Mention the 3 modalities of its treatment </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  12. 12. <ul><li>Carcinoma of larynx </li></ul><ul><li>CT scan, microlaryngoscopy with biopsy </li></ul><ul><li>Surgery, radiotherapy, chemotherapy </li></ul>
  13. 13. 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. <ul><li>What is your complete diagnosis? </li></ul><ul><li>Name 2 relevant investigations. </li></ul><ul><li>How will you treat this case? </li></ul><ul><ul><li>1+1+2 </li></ul></ul>
  14. 14. <ul><li>CSOM, atticoantral type </li></ul><ul><li>EUM, oto-endoscopy, x ray mastoid </li></ul><ul><li>Make the ear dry, modified radical mastoidectomy, middle ear reconstruction, hearing aids </li></ul>
  15. 15. 8. <ul><li>Identify this investigation. </li></ul><ul><li>What is the name of this pattern? </li></ul><ul><li>Mention 2 causes of the above finding. </li></ul><ul><ul><li>1+1+2 </li></ul></ul>
  16. 16. <ul><li>Tympanogram ( impedance audiometry) </li></ul><ul><li>B curve( flat curve) </li></ul><ul><li>Middle ear fluid, thick TM </li></ul>
  17. 17. 9. An 15-year-old boy presents with left sided nasal obstruction since one year and nasal endoscopy showed the following picture. <ul><li>What is your diagnosis? </li></ul><ul><li>Mention 2 differential diagnosis </li></ul><ul><li>What is the surgical treatment? </li></ul><ul><ul><li>1+2+1 </li></ul></ul>
  18. 18. <ul><li>Nasal polyp </li></ul><ul><li>Middle turbinate, pathological mucous </li></ul><ul><li>Intranasal avulsion polypectomy </li></ul>
  19. 19. 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. <ul><li>What is your diagnosis? </li></ul><ul><li>Mention 2 differential diagnosis. </li></ul><ul><li>Name 2 drugs you will prescribe. </li></ul><ul><ul><li>1+1+2 </li></ul></ul>
  20. 20. Thank you