24-1-2002

 The slide will change automatically in 2 minutes

 Answers should be brief and to the point
1. A 20-year-old male presents with right sided ear
ache, itching and blocked sensation since 2 months.
Otoscopic findings are as below.

A. What is your
diagnosis?
B. Name 2 etiological
factors for this
condition.
C. How will you treat
this case?
 1+1+2
 Ear wax
 Factors: stenosis, exostosis, genetic
 Wax solvent: sodium bicarbonate
 Syringing, instrument under microscope
2. A 6-year-old boy presents with left sided nasal
obstruction of 4 months duration and anterior
rhinoscopy shows the following picture.

A. What is your
diagnosis?
B. Give 2 differential
diagnosis of this
condition.
C. How will you treat this
condition if it recurs?
 1+2+1
 Antrochoanal nasal polyp
 middle turbinate, pathological thick
mucous, rhinosporidiosis, meningocele,
foreign body, rhinolith
3. A 23 year old female presents with decreased
hearing since 7 years associated with intermittent ear
discharge. Otoscopy showed the following findings.

A. What is the finding?

B. What is your
diagnosis?
C. Name 2 relevant
investigations.
D. What is THE surgical
treatment of this
condition?
 1+1+1+1
 Central perforation of TM
 CSOM, tubotympanic type
 EUM, ear swab for C/S , x ray
 myringoplasty
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.

A. What is your
diagnosis?
B. Name 2 relevant
investigations you
will do.
C. How will you treat
this case?
 1+1+2
 Acute tonsillitis
 Full blood picture, throat swab for C/S
 Medical only- antibiotic: amoxycillin,
analgesics, antiseptic garggles, lozenges
5. A 40-year-old male presents with left sided nasal
obstruction since 9 years and examination of the
nose showed the following picture.

A. What are the

findings?
B. Name 2
complications of
this condition.
C. What is THE
surgical treatment
of this condition?
 1+2+1
 Deviated nasal septum to the left,
hypertrophy middle and inferior turbinate
of right
 Epistaxis, anosmia
 septoplasty
6.

A. Which tuning fork

will you prefer?

B. Give 2 reasons for

your preference.

C. Name 4 causes of
conductive
hearing loss.
-1+1+2
7.

A. Name this
investigation.
B. What are the
findings?
C. What is your
diagnosis?

 1+2+1
 Pure tona audiometry
 Both air and bone conduction threshold
are raised, no AB gap
 Sensorineural hearing loss
8.

A. Identify this instrument

B. Name any 4 structures that are visualized
with this instrument.
C. Name any 2 conditions that can make its
use difficult.
 1+2+1
 laryngeal mirror
Base of tongue, vallecula, epiglottis, vocal
cord
 Patient gag, tonsillitis
9.

A. Identify this radiograph and its view.

B. What is the finding?
C. What is your radiological diagnosis?
 2+1+1
10.
A. Identify the structure
‘A’
B. What is its length?
C. Name 2 pathological
conditions which can A
affect this structure
 1+1+2
 External auditory canal
 24mm
 Exostosis, stenosis
 Thank you
Please proceed to the ENT
clinics at the Melaka Hospital for
the clinical examination by
10.00AM