ENT OSCE

1) Pic:

- What is your Dx?!

Hematoma of the Auricle

- What is yours management?!

Incision and drainage with pressure dressing

and prophylactic antibiotics.

- Give one complication?!

Boxers Ear

2) 22 y/o pt. present with Rt. Ear hearing difficulty:

- Describe what you see?!

Rt. Ear perforated tympanic membrane.

The perforation is centrally located at

Anterior superior quarter mainly & it’s dry.

- What type of hearing loss the pt. will

have?!

Conductive hearing loss

Doctor of this course

Dr.Saba Jrar

3) Pic:

- What is your Dx.?!

Acute mastoiditis

- What is your management?!

Cortical mastoidectomy. IV antibiotic and analgesia

- Give 2 complications?!

Intracranial abscess

Meningitis

Facial nerve paresis

4) Pic:

- Describe what you see?!

Normal audiogram at low frequencies with a Dip at 4K Hz

- What is your Dx?!

SNHL due Noise exposure

5) Pic with Hx.:

- Describe what you see?!

Redness and swelling of tip of the nose

(Nasal Vestibulitis)

- What is your management?!

Antibiotics. Anti-congestion, analgesia & Never squeeze

- Give one complication?!

cavernous sinus thrombosis

6) Pic:

- Give 2 changes could be usually found in these

Cases?!

Dull facial expression

Dilated and flattened nose

Open mouth

High vaulted palate

Protruding upper incisor teeth

- What cause these changes?!

Adenoids

- What is your management?!

Adenoidectomy

7) Pic:

- Describe what you see?!

Left glottic mass occupying ant. 2/3 of left vocal

cord.

- What is your Dx.?!

SCC

- Management?!

Surgery or radiotherapy

8) Pic:

- Describe what you see?!

Saddle Nose Deformity

- Give 2 causes?!

Nasal trauma, Wegener granulomatosis (vasculitis)

Relapsing Polychondritis, leprosy, tuberculosis,

Syphilis.

9) Pic:

- What is the most common site where

bleeding occur?!

little’s area

- Give 2 causes?!

Trauma, HTN

- Your management at home?!

Direct digital pressure on the lower nose

compresses the vessel on the septum and

leaning forward

Q1) attico antral CPOM cholesteatoma

- Description

- Dx

- Type of discharge

- Management

Q2) Boxer's ear

- cause

- management

Q3) ottosclerosis description of the audiogram

- Dx

- Treatment

Q4) periorbital cellulitis

- Description

- Dx

- Management

Q5) acute mastoiditis

- Complication

- Management

Q6) grommet tube

- Indications

- Complications

Q7) adenoid facies 2 features

- Cause

- Treatment

“The physician should not treat the disease but the patient who is

suffering from it”

Collected by: Ahmad Al-Masri

Good Luck