This document appears to be instructions for an OSCE (objective structured clinical examination) in ENT (ear, nose, and throat) for medical students. It provides 10 case scenarios with questions about procedures, diagnoses, investigations, and treatments. For each case, students must identify findings and structures, state diagnoses, and recommend relevant next steps. The exam will have automatic slide changes every 2 minutes and students should provide brief, to-the-point answers for each case.

1. Each slide changes automatically in 2 minutes. Answers should be brief and to the point Each slide carries 4 marks OSCE VI semester 21-2-2002

2. 1. Identify this instrument Name 2 uses of this instrument in the examination of the nose Name any 4 components of ‘Waldeyar’s ring’ 1+1+2

3. 2. Name the procedure done using this instrument Name 4 structures visualized by this instrument What separates the oral cavity from the oropharynx? 1+2+1

4. 3. Identify this radiograph and its view What are the findings? What is your radiological diagnosis? 1+2+1

5. 4. Identify this test. Why is 512 frequency preferred in otology? Why does Weber lateralize to deafer ear in conductive deafness? 1+2+1

6. 5. Identify the structure marked ‘A’ Name 2 functions of this structure Name 4 conditions that can arise by malfunction of this structure 1+1+2 A

7. 6. A 30-year-old female presents with recurrent episodes of bilateral profuse ear discharge since 5 years following upper respiratory tract infections. Otoscopy shows the following finding. What is the finding? What is your diagnosis? Name 4 relevant investigations you will do in this case 1+1+2

8. 7. A 28-year-old male presents with bilateral nasal obstruction since 4 years associated with sneezing spells and anosmia. Anterior rhinoscopy revealed the following finding. What is your diagnosis? How will you differentiate this mass from a turbinate (give 4 points) Name 2 investigations to confirm the diagnosis 1+2+1

9. 8. A 5-year-old girl presents with mouth breathing more at night associated with snoring and recurrent otalgia since 2 years. What is the most probable diagnosis? Name 2 relevant investigations that will help to confirm your diagnosis. What is its surgical treatment? 1+2+1

10. 9. What is this person wearing on his forehead? Name 2 advantages of this instrument What is its focal length? 1+2+1

11. 10. A 10-year-old boy presents with acute odynophagia since 3 days with fever. Oropharyngeal examination shows the following finding. What is your diagnosis? Name 2 relevant investigations you will ask for in this case Name 2 drugs and its dosage that you will prescribe to this boy. 1+1+2

12. Please proceed to the ENT clinics, Melaka Hospital for the clinical examination. Thank you