Infant with feeding problems, recurrent aspiration, and stridor,since birth. 1-Define this picture? 2-Most propaple diagnosis? 3-Grading system forclassification? 4- What grade is this? 5- Clinical features? 6-Aetiology? 7-Treatment? Answer 1-laryngoscopic photograph showing complet cricoid cartelage cleft 2- Laryngeal cleft 3-Benjamin-Inglis Classification 4-Grade Ill 5- Hoarse voice,cough, choking,, recurrent chest infection, feeding problems, recurrent aspiration, and stridor, 6- Incomplete development or Failure of fusion of the tracheoesophageal septum 7. Surgical: according to the grading system Scanned with CamScanner~ LAQUAT U IVERSITy a & DEM EDICAL & ALT SCE, NCES = S : JAMSHORO, aes Static “statiow [of Statie SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION DLOLIBRARY | Tae the Structure. os \ 2 ‘Identify the pathology. ey ‘Write two main symptoms. a Give treatment options. | Scanned with CamScannerSTATION 13: 14 YEARS OLD CHILD PRESENTED WITH SNORING , NASAL OBSTRUCTION AND RECURRENT PROFUSE EPSIATXIS WITH OUT ANY TRAUMA ASSOCIATED WITH tf NECK SWELLING AND FOR TWO MONTHS? Q-1: WHAT IS MOST LIKELY DIAGNOSIS? 2: WRITE 5 INVESTIGATION YOU WOULD PRESCRIBE & AND WHY? Q-3: WRITE ¥ SURGICAL OPTIONS? } Scanned with CamScanner1-Define: 2-Diagnosis? 3-Pathogenesis? 4-Common clinical presents? 5-Treatment? Answer 1- Barium swallow (nagetive picture)showing a herniation of pharyngeal mucosa through a defect in posterior pharyngeal wall. 2-Pharyngeal pouch, 3-Herniation of pharyngeal mucosa through a weak area in posterior pharyngeal wall (Killian dehiscence) between cricopharyngeal fiber and thyropharyngeal fiber of inferior constructor muscle. due to in coordination of swallowing. 4-Dysphagia ,regurgitation of undigestid food ,halitosis , weight loss aspiration. 5- Watchful waiting . - Endoscopic stapling. - Endoscopic laser. - External:Cricopharyngeal myotomy,, diverticulectomy ,,diverticulopexy, inversion. Scanned with CamScanner6 years old girl present with midline painless swelling. 1-Most likely diagnosis ? 2-Most common cause? 3-What Is the tests used before surgery? 4-Name of operation don for this disease? 5-How to prevent recurrence? Answer 1-Thyroglossal duct cysts. 2-failure of oblitration of thyroglossal duct in 7-10 weeks of gestation during emberiological development of decened thyroid gland to the neck. 3-Radio-iodin uptake and U\S for neck to be sure its not the only functioning thyroid tissue. 4-Sistrunk operation. 5-Removal of the cyst with cuff of normal tissue and follow the track till the hyoid and remove its middle part then continue till base of tongue. -avoid aspiration and incision and drainageof the cyct. Scanned with CamScanner40 years old palient presented with otilis externa 7 days back.presently his pinna is extremely painful and appears as below. AwWhat is your most probable diagnosis 7 B.How will you treat il?. C. What is the complication likely to occur if left untreatecl. Answer A.Acute auricular perichondritis. B. Treating of underling otitis externa and intravenous antibiotics,drainage of pus collection with mastoid dressing . C. Cartilage necrosis and coliflower ear. Scanned with CamScanner3 months old infant complaining of stridor and poor feeding. 1-Most likely diagnosis ? 2-What is the sign present at birth? 3-What is the indications of intervention in severe cases? 4-most common cause of stridor in infancy? Answer 1-Laryngomalacia . 2- Usually have no sign of respiratory abnormality at birth. 3--A-Airway obstruction resulting in apnea and/or cyanosis . B- weight loss from poor feeding. C-Pulmonary hypertension and cor pulmonale. D-Severe chest deformity. 4-Laryngomalacia Scanned with CamScanner1-Define this picture 7 2-Name of this sign 7 3-Name of the sign when the mass blanch during pneumatic otoscope examination 4-Origin of this pathology? 5-Most common symptom ? 6-Treaiment, Answer 1-Red mass with fluid level behind intact TM. 2-Rising sun sign. 3-Brown’s sign. 4- From paraganglia on the promontory located along the course of Jacobson’s and Arnold’s nerves 5- Pulsatile tinnitus. -Conductive hearing loss. Some time asymptomatic and incidentally discovered on physical examination 6-Surgery, stereotactic radiation therapy, combination therapy, observation Scanned with CamScanner55 yr old laborer is refered to you with throat pain.your laryngeal exam. Is presented in this clinicl photograph. 1-Describe the lesion? 2- Typically how do patient with this type of lesion presented? 3-List 2 risk factors? 4- Name the staging system currently in use? 5- List 2 investigation you would perform? 6-List 2 management strategies? Answer 1-Proliferative growth involving right true vocal cord. 2-Hoarse voice. 3-Smoking , alcohol consumption. 4-Tumor,node,metastesis(TNM). 5--CT scan of neck. -microlaryngoscopy and biopsy. 6-Radiotherapy and surgery Scanned with CamScanneree WSO Nee ISHORO. ‘Static STATIONS | 12 ET IEE E & ANSWER THE FOLLOWING QUESTION ‘ QUESTIONS _ | Identify the Pathology. ( Givvcy |Q#2 Write three main symptoms / fa 3, Write three major signs. (4 ‘What is treatment options _ = iV /Write three complications. 7 4 Scanned with CamScannerLIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO ADMISSION SESSION 2021 — 2022 Liaquat University of Medical & Health Sciences, Jamshoro is inviting applications for admissions to Doctor of Physiotherapy (DPT) and Doctor of Pharmacy (Pharm-D) (05 years Degree Programme} from 30th November to 13th December, 2021. Eligibility Criterla Coline application form Is > Sindh Domicile candidates] vallable on LUMHS website (www.lumhs.edu.pk). => HSSC (Pre-Medical) Minimum 60% Marks|>= Candidate has to upload all or equivalent Minimum| fequired documents alang with 60% Marks duly certified Paid bank voucher Rs. 2500/- by IBCC (non-refundable as entry test & processing fee) in originai in scanned format wilh online application form. Bank Account No. is available in Challan Form NOTE: > Prospectus, fee structure and list of required documents are available on LUMHS website (www.lumhs.edu.pk). > Date of entry test, venue and time will be mentioned on LUMHS website (www.lumhs.edu.pk) and Entry Test Slip. > For furlher information please contact Helpline No. 022-9213320. (DR. HAJ] MUHAMMAD SHAIKH) REGISTRAR LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES, JAMSHORO INF-KRY No, 4223/2021 apr 6 te SO Say No to Corruption WEAR MASK-SAVE LIFE | ope dn Scanned with CamScannerSTATION 08 \ Qe 1-1b 28 tFY & WRITE Ne £ THE INSTRUMENT? { Q:2- WRITE THE NAME OF 5 SURGERY/ PROCEDURE IT IS USED? Q:3- WRTIE 4 STEPS OF CONTROLL OF REACTION |ARY BLEEDING POST TONSILLECTOMY Scanned with CamScanner2 ee EeEeEEe———ees_eetl ee JAMSHORO. ENT MBBS Static stations [04 SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION oa =| ~_(ot)\ ; ify the he Instrument. _ ee ) #2 {In V ch procedure it itisused. Od [Name t ne the site v where af re applied. a (oa) \ [write four ir complications which may occur by “ \ | _|use of this inst instrument. (o2)\ Scanned with CamScanner1-Define? 2-Clinical features: 3-Manageient. Answer 1-Photograph showing perforation and slight bleeding of TM my be due to traumatic perforation. 2-Pain , deafness, tinnitus,dizziness , slight bleeding 3- Observation,avoid water contamination, (80%) mostly healed spontenously within 4-6 wks. ~My needs analgesic Scanned with CamScannerLIAQUAT UNIVENSiTy SITY -EMEDICAL & HEALTH SCIENCES = < JAMSHORO. ENT MBBS ; Static STATION# | 12 ~ SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION QUESTIONS (01) \ "/a#1 | Identify the Pathology. | /a#2| Write three main symptoms (01) /Q#3 | Write three major signs. (01) | | Q#4 | What is treatment options (01) \ [Qus | Write three complications. (01) | Scanned with CamScanner1-Nante of the sign in picture A? 2-Causes of A? 3-Name of the sign in picture B ? 4—Mention possible audiological findings in pictures A and B? Answer 1-Battle sign 2- Which is a postauricular ecchymosis resulting from extravasated blood from thepostauricular artery or mastoid emissary vein. 3-Haemotympanum. 4-Conductive in longtudinal fracture ,and SNHL if transverse fracture or mixed Scanned with CamScannerDEPARTMENT OF ENT STATION NO: 05 SEAT NO: Look at the presented pictures & answer the below question: ING PERFORMED IN THIS PICTURE 1. WHAT OPERATION IS BEI 2. GIVE FOUR INDICATIONS OF THIS OPERATION. 3, GIVE TWO SPECIFIC COMPLICATIONS OF THIS OPERATION. Scanned with CamScanner1-Most probable diagnosis? 2-Clinical features? 3-Treatment ? 4-Name of the device in second picture ? Answer 1-Otitis media with effusion. 2-Hearing loss ,aural fullness,tinnitus. 3--Watchfull watting for 3 monthes. -Hearing aids. -Myringotomy and Grommate insersion if bilateral and persist. 4- Grommet ventilation tube Scanned with CamScannerA 51-year-old male complains of persistant sore throat and ear ache sint 1 year Both vocal cords are freely mobile. No palpable neck lymph node were Detected ,Biopsy report confirmed the diagnosis to be squamous cell carcinoma 1-Describe the site of the lesion? 2.Determine it's TNM classification? 3. What options do you have for treating this case? Answer 1-Supraglottic, epiglottis and ventricular band 2-T2 NO Mx 3--Radiotherapy (larynx & neck) - Supraglottic laryngectomy & bilateral selective (lateral) neck dissection -Laser supraglottic laryngectomy & bilateral selective (lateral) neck dissection Scanned with CamScannerA 38 year old lady complains of slowly progressive dysphagia with retrosternal discomfort a. What abnormality is revealed on this radiograph? b.What is your provisional diagnosis? c. What is the causative pathology? d. What complications may arise? e. Mention options to treat such cases? Answer a. Dilatation of the lower part of the oesophagus b. Achalasia c. Lack of nonadrenergic, noncholinergic, inhibitory ganglion cells, causing an imbalance in excitatory and inhibitory neurotransmission d. Weight loss, Aspiration, Oesophagitis, malignant changes e. Graded pneumatic dilatation Botulinum toxin therapy Laparoscopic Heller myotomy Scanned with CamScannerLit SCIENCES 1ORO. Static TATIONH | 08 CEs SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION Bing ati — ae Plati QUESTIONS _ [identify the Pathology. (01) | Tt Write two causes of this pathology (01) | 3 | Write two main symptoms (01) | ana [Give treatment options (02) \ Scanned with CamScannerScanned with CamScannerDEPARTMENT OF ENT STATION NO: 04 seat 0: Look at the presented pictures & answer the below questions: 4. NAME THE CONGENITAL ANOMALY PRESENTED IN THIS PICTURE, 2, NAME THE COMMONEST CONGENITAL ANOMALY OF LARYNX. 3. GIVE THE MOST IMPORTANT CARI DINAL FEATURE TO SUSPECT IT ON HISTORY. w Scanned with CamScanneris characterized by a triad ; © recurrent pain in the oropharynx and face e Cervical pain e Dysphagia due to an elongated styloid process or calcified stylohyoid ligament . Eagle defined the length of a normal styloid process at 2.5-3.0 cm. Shown by x-ray imaging Treatment of Eagle syndrome via styloidectomy (removal of the elongated portion of the styloid process) can be performed using 1. the intraoral approach ( transpharyngeal ) or 2. the extraoral approach. Scanned with CamScanner28 year old school teacher presents with hoarseness of voice of 7 months duration and laryngeal examination shown this picture . 1-What is the most probable diagnosis ? 2-Name the surgical procedure of choice in treating this patient ? 3-What will you advice the patient to prevent its recurrence ? Answer 1-Vocal nodule. 2-Microlaryngoscopy with precise excision under GA. 3--Speech therapy , vocal hygiene , voice rest. Scanned with CamScanner12 years old boy presented with sore throat, fever,odenophagia with upper cervical lymph nodes enlargment . 1-Deffrential diagnosis? 2-What types of investigations are reguared?. 3-Most common Complications ? 4-Treatment: Answer 1- Acute folicular tonsilitis, -glandular fever. -Vencent'’s disease , -dephtheria 2 -CBC,monospot test, throat swab 3-Peritonsillar abscess,retropharyngeal abscess, toxiemia,otitis media rheumatic fever, glomeriolonephritis. 4-Rest , hydration, Antibiotics, analgesic antipyretic and avoid sport contact specially in infectious mononucleosis. Scanned with CamScanner1-Differential diagnosis of this lesion shown below ?. 2-Most common presenting symptoms ? 3-Best diagnostic image ? Answer 1--High jugular bulb -Glomus jugulare. - AOM -EAC trauma. -Vascular malformation. 2-Pulsitil tinnitus. -Conductive deafness. Aural fullness. 3-High resolution CT scan of temporal bone. Scanned with CamScanner60 years old diabetic patient with history of 3 wecks of otalgia and ear discharge,refractory fo treatment . 1-Propable diagnosis? 2-Invesligalions? 3-Trealment? 4-Time to stop anlibiotics? Mi] Answer: 1- Malignant otitis externa. 2- CT scan of the temporal bone, Te 99/GalliumG7/ ESR 3-Treatment, Strong iv Antibiotics, depridment of granulation tissue,topical antibiotic (Ciprofloxacillin aural drop) +/- steroid. For 6 weeks.treat facial palsy if present 4, When pain stop , decrease ESR, normal Gallium scan. Scanned with CamScanner( Surgical approaches © Transpalatal * Sublabial midfacial degloving ® Lateral rhinotomy ® Transfacial- maxillary swing * Mandibular swing ® Infratemporal © Transnasal-maxillary @ sew mavyarENTcora 22-07-2012 Scanned with CamScannerThis patient presented with the hoarseness of voice for few months duration. He gave the history of chronic smoking earlier, but no alcohol consumption noted. Direct laryngoscopy was performed and intraoperative image was as shown. a. Describe the findings. b. What is the likely diagnosis? c. How would this patient be managed further? Scanned with CamScanner1 Describe the image? 2. Type of intervention 7 3-Presentitig symptoms 7? Answer 1-Attic erosion and cholesteatoma. 2-Tympanomastoid exploration with eradication of disease & recon- struction of the clefect. 3-Conductive deafness. -Scanty offensive purulant discharge. -Tinnitus. -Vertigo. Scanned with CamScanner60 years old diabetic patient with history of 3 wecks of otalgia and ear discharge,refractory fo treatment . 1-Propable diagnosis? 2-Invesligalions? 3-Trealment? 4-Time to stop anlibiotics? Mi] Answer: 1- Malignant otitis externa. 2- CT scan of the temporal bone, Te 99/GalliumG7/ ESR 3-Treatment, Strong iv Antibiotics, depridment of granulation tissue,topical antibiotic (Ciprofloxacillin aural drop) +/- steroid. For 6 weeks.treat facial palsy if present 4, When pain stop , decrease ESR, normal Gallium scan. Scanned with CamScannerFe yevemerry - PT ) eerie’ way e sauenenme twe eer enricn soe tem Poctunee & Atom THE FOLLOVIING QUES TICM — ee QUESTIONS © | Identify the Instrument. (01) 4 2 In which procedure it is used. (01) )/Name the site where applied. (01) ‘/ Write four complications which may occur by the |___juse of this instrument. (02) Scanned with CamScanner1.Provisional diagnosis? 2.Name of the operation ? 3- Types of reconstrction ? Answer 1-Rt pyriform sinus tumor. 2-Partial or total pharyngolaryngectomy &bilateral lateral neck dissection. 3-Pectoralis major myocutaneos flap, - Radial forearm free flap, - Jejunal free flap, - Gastric pull up, Scanned with CamScanner1-Mention the diagnosis ? 2-What the defects you may find in this case? 3-Name the operation needed to repair that ear? 4-Two complications apart from pain and infection: Answer 1-Bat ears (Promenent ear). 2-Loss of antihelical fold and increased distance between the helix and mastoid 3- Otoplasty (e.g. Mustarde suture). 4-Assymetry, Auricular hematoma , perichondritis Scanned with CamScannerDEPARTMENT OF ENT SEAT NO: STATION NO: OL Look at the presented pictures & answer the below questions: a= QL. Identify the pathology & give diagnosis. Q.2, What are the causes of this condition? a Q3. What are the treatment options? Q.4, What about Its prognosis? Scanned with CamScannerDEPARTMENT OF ENT STATION NO: 06 SEAT NO: Asmooth surfaced, pinkish pale lump is hanging in oropharynx behind uvula. Look at the picture & answer the following questions.: 1, Give three differential diagnoses for this presentation. a 2. Give the most probable diagnosis for this presentation. —.. 3. Give the most important clinical features of this condition, SS ee 4. What is the usual age group of its presentation. —.]|4ss 5. Give its treatment option: $e eeeeeSsSsSssSSSSsssssssse Scanned with CamScannerQ:1- IDEN 11. & WRITE NAM CLINICAL PICTURE? Q:2- WRITE THE 5 DIFFERENTIAL DIAGNOSIS? Q:3- WRTIE 4 INVESTIGATION, NECESSARY FOR THE MANAGEMENT? Scanned with CamScanner——§ Juvenile ae sete —_§ Flexible/ rigid laryngesco} ae SSS NG in yale eNO ORONO KOT biopsy —— — LEW itoeinmisoscenaemaocomtnann tit faerie : Scanned with CamScanner1-Define. 2-Eliology . 3-Differential diagnosis? 4-Trealment: Answer 1-Axial CT scan of temporal bone and picture of Rt EAC showing multiple swelling wilh narowing of Ihe ear canal. 2- Swimming in cold water,surfers 3-Exostosis ,ostioma 4-Treaiment, - if asymptomatic no needs treatment. -if symptomatic -canalplasty Scanned with CamScannerSTATION 04 Q:1 = LOOK AT PICTURE WRITE THE DIAGNOSS? Q:2- WRITE 5 COMPLICATION OF TONSILLECTOMY? Q:3 WRITE 4 MODES OF TONSILLECTOMY? Scanned with CamScannerinfant present with neck mass that are characterized histologically by dense fibrous tissue and the absence of normal striated muscle. 1-Most probable diagnosis? 2-Typical presentation ? 3-What is the course of this disorder? 4-Treatment ? Answer 1-Sternocleidomastoid tumors. 2-Firm, painless, discrete masses within the sternocleidomastoid muscle. 3-Slowly increase in size for 2-3 months and then regress for 4-8 months. 4-Treatment ? -Eighty percent of cases resolve spontaneously. -physical therapy to prevent restrictive torticollis. -Surgical resection is reserved for persistent cases Scanned with CamScannerDEPARTMENT OF ENT STATION NO: 08 7 SEAT NO) Look at the presented pictures & answer the below questions; 4. NAME THE CONGENITAL ANOMALY PRESENTED IN THIS PICTURE, 2. NAME THE COMMONEST CONGENITAL ANOMALY OF LARYNX. | 3. GIVE THE MOST IMPORTANT CARI HISTORY. _ a Mi Is CONDITION DINAL FEATURE TO SUSPECT IT ON | w Scanned with CamScanner1-What is the study ? 2-Indications? 3-Contraindications? 4-Types of this study? 5-Most propaple diagnosis from the this picture ? 6-Aetiology. Answer 1- Barium swallow 2-To visualise oesophageal lumen,to diagnose pharyngeal pouch,achalasia, stricture, Hiatus hernia and oesophageal tumour 3- Suspected perforation , corrosive injury, impacted FB ,aspiration absolute dysphagia.allergy to contrast. 4- Standard and modified Barium swallow 5-Pharyngeal pouch. 6- Mucosal herniation of posterior pharyngeal wall between cricopharyngeus m. and thyropharyngeus m in weak area (Killian dehecscent) due to incoordination of swallowing. Scanned with CamScanner1-Site of the lesion ? 2-Most common presenting symptoms ? 3-What is the staging system ? 4-Indications for postoperative radiation ? Answer 1-Glottic /Lesion spreading on both vocal cords mainly on Lt side and anterlor commissure. 2-Hoarsness of voice . 3-Tumor Node Metasteses /TNM staging system. 4- Include 74 primary, bone/cartilage invasion, extension into soft tissue of the neck, perineural invasion, vascular invasion, multiple positive nodes, nodal extracapsular extension, margins less than 5 mm, positive margins, carcinoma in situ at margins, and subglottic extension of primary tumor. Scanned with CamScannerold patient presents with otalgia of 4 days duration and facial weakness of 24 hours. 1-Most likely diagnosis? 2-Eiliology? 3-Grading system used? 4-Treatment? Answer 1-Ramsay Hant syndrome. 2-Herpis zoster virus. 3-House-Brackmann grading systent. 4-Eye careslape closed at naight.artificial teer and tarsorraphy -Analgesia. -Systemic Steroid tapering dose. Scanned with CamScannerThis child was seen in emergency department in the evening and you were called to sce him ,the motlicr give history of fever,URTI, followed by paitt in car,decrease hearing for few days but today got worse . 1-Whalt is your Dx? 2-Whal are your next line of management? 3- Name 6 complication if left untreated? Answer 1-Acute mastoiditis. 2-/1- Admition and 1V antibiotics, 2-CT of the mastoid. 3-If fluctuant then incision and drainage under GA. 4- Cortical mastoidectomy if complications occure or failure to resolve, 3---Meningitis , Facial palsy , Brain absacse,Bezold,citelli,luc’s absaeses. - CSOM. -Post aural fistula Scanned with CamScanner40 years old palient presented with otilis externa 7 days back.presently his pinna is extremely painful and appears as below. AwWhat is your most probable diagnosis 7 B.How will you treat il?. C. What is the complication likely to occur if left untreatecl. Answer A.Acute auricular perichondritis. B. Treating of underling otitis externa and intravenous antibiotics,drainage of pus collection with mastoid dressing . C. Cartilage necrosis and coliflower ear. Scanned with CamScanner58 years old man presents with hoarse voice since 6 months duration anr long history of cigarate smoking. 1-What is the probable diagnosis? 2-Defferntial diagonsis ; 3-Investigations : 4-Staging system : 5-If you confirm that this aggressive disease what your line of management? Answer 1-Rt vocal fold carcinoma. 2-:-Sguemous cell carcinoma of Rt VC, -Recurrent respiretory papilloma, -laryngeal granuloma, -TB laryngitis 3-CT scan & microlaryngoscopic biopsy 4-Tumore Node Metasteses . 5- -T1,72 singel modality RT or Surgery. -T3,T4:either surgery and p.o.RT or CRT Scanned with CamScanner12 years old girl presented with this finding and multiple fracturs now complaining of hearing impairment. 1-What could be the diagnosis? 2-Whiat investigations? 3-What management? Answer 1-Osteogenesis imperfecta \van dur hoave synderom 2- CT ,PTA,lympanometry, 3-Medical therapy with calcitonin, sodium fluoride, and vitamin D is unclear, Surgical intervention with stapedectomy to improve conductive hearing loss Scanned with CamScanner4 yrs old boy presents with otalgia,hearing loss, irritability, poor feeding and fever for 5 days after URTI. 1-Most likely diagnosis ? 2-Staging of this pathlogy? 3-How you can confirm the diagnosis? 4-Treatment? Answer 1-Acute otitis media . 2-stage1:hyperemia .stage 2:Exudation.stage3:suppuration.stage 4:perforation stage 5:Resolusion 3-Clinical diagnosis by otoscopic finding,cultur and sensitivity if perforation present. 4-Treatment? -Analgesic ,antipyretic,antibiotic if less than 2 years. -myringotomy with or without Grommet insertion if persist and sever pain or complication Scanned with CamScannera JAMSHORO. STATIONE | 08 SEE SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION & ANSWER THE FOLLOWING QUESTION e QUESTIONS [ae Ie (#1 Identify the Pathology. C Cantwed Reefs | Write two causes of this pathology (Ase 43 | Write two main symptoms (Ene Sryher Give treatment options (U-tn 3 2h“) What is option of rehabilitation. i UT Basing om? Scanned with CamScanner+ Boy 15 years old came with nasal obstruction his examination showed this appearance 1. Describe abnormality in anatomical terms:? Ust 5 differential diagnosis What is the specific imaging you will request first for him What is the definitive treatment 5, Ust S complications of treatment hupsif/t.me/easy_course [email protected] Scanned with CamScannerPhotograph of 20 years old Patient 3 days post tonsillectomy afebrile with good oral intake. 1-What is this white colour in the tonsillar fossa? 2- What makes you think of this? 3-If patient present with bleeding what is the probable causes? Answer 1- Post tonsillectomy healing membrane. 2- No fever or signs of infection and good oral intake 3-According to amount either sloughing of membrane or secondary post tonsillectomy bleeding mostly due to infection. Scanned with CamScanner4 yrs old boy presents with otalgia,hearing loss, irritability, poor feeding and fever for 5 days after URTI. 1-Most likely diagnosis ? 2-Staging of this pathlogy? 3-How you can confirm the diagnosis? 4-Treatment? Answer 1-Acute otitis media . 2-stage1:hyperemia .stage 2:Exudation.stage3:suppuration.stage 4:perforation stage 5:Resolusion 3-Clinical diagnosis by otoscopic finding,cultur and sensitivity if perforation present. 4-Treatment? -Analgesic ,antipyretic,antibiotic if less than 2 years. -myringotomy with or without Grommet insertion if persist and sever pain or complication Scanned with CamScannerA)Describe above image? B)What is diagnosis? C)Give 2 possible microorganism? D)Whal type of management and for how long? Answer A) - Oloendoscopic picture showing white cotton like lesion with black spots in EAC, By - Otomycosis. C) - Candida albicans, aspergilus nigor. D) -1-Aural toilet . 2- Topical antifungal ¢.g clotrimazol. 3- Analgesic . 4-Avoid water exposure. - For two weeks Scanned with CamScannerDEPARTMENT OF ENT STATION NO: OL SEAT NO: S=S==—=—eE Qu1. Identify the pathology & give diagnosis. 0.2. What are the causes of this condition? Q.3. What are the treatment options? QA, What about its prognosis? Scanned with CamScanner4 year old child presents with history of hoarseness of 3 months duration and stridor of 5 days duration. Laryngoscopy reveals the following picture. 1- What is the most probable diagnosis ? 2-What Is its cause? 3-How will you confirm the diagnosis? 4-What will you advice the mother after surgically treating the child? Answer 1-Juvenil respiretory papillomatosis . 2-Human papilloma virus type 6, 11. 3- Microlaryngoscope and biopsy. 4-Its highly recurrent lesion,my needs Multiple operations Scanned with CamScannerScanned with CamScanner1-Nante of the sign in picture A? 2-Causes of A? 3-Name of the sign in picture B ? 4—Mention possible audiological findings in pictures A and B? Answer 1-Battle sign 2- Which is a postauricular ecchymosis resulting from extravasated blood from thepostauricular artery or mastoid emissary vein. 3-Haemotympanum. 4-Conductive in longtudinal fracture ,and SNHL if transverse fracture or mixed Scanned with CamScannerDEPARTMENT OF ENT STATION NO: SEATNO: Look at the presented pictures & answer the below questions: 4, WHAT OPERATION IS BEING PERFORMED IN THIS PICTURE 2. GIVE FOUR INDICATIONS OF THIS OPERATION. \ 3. GIVE TWO SPECIFIC COMPLICATIONS OF THIS OPERATION. Scanned with CamScanner1-Differential diagnosis of this lesion shown below ?. 2-Most common presenting symptoms ? 3-Best diagnostic image ? Answer 1--High jugular bulb -Glomus jugulare. - AOM -EAC trauma. -Vascular malformation. 2-Pulsitil tinnitus. -Conductive deafness. Aural fullness. 3-High resolution CT scan of temporal bone. Scanned with CamScannerYou are consulted from neurology department for this patient. 1-What is the relevant pathology ? 2-What could be the cause ? 3-Is their any prevention method ? 4-Whats your treatment ? Answer 1-Labrynthitis ossificance. 2-Postmeningitis . 3-Streptoccocal vaccine. 4-Cochlear implant as soon as possible. Scanned with CamScanner1. Provisional Diagnosis ? 2. Indication of surgical intervention? 3.Instruction given to patient post operativelly. 4.Principle of surgical. Answer 1-Reinks oedema. 2-Failure to responde to conservative medical treatment, or symptomatic patient. 3-Give up smoking, voice rest, speech therapy. 4-Microlaryngoscopic excision UGA via laterally placed incision over superior surface of VC, removal of gelatinous material , trimming of redundant mucosa & replacement of mucosal flap. Scanned with CamScanneraH Si _wAtiSHono. - Static E & ANSWER THE FOLLOWING ESTION. —————]| QUESTIONS [ a#1| Identify the Instrument. (Tats Secte) (01 (Fe dasemet AO / Q#2 | What is its use in ENT. Q#H3 | Name 03 clinical tests performed by this. \ Q#H4 | Mention 04 other tests for further assessment , @A Je peber MOVE: sxe Linn es ot 6 Scanned with CamScannerSTATION NO: A. This is the typical fadal expression of 2 condition in condition. 2. Give four clinical features for this condition, 3. Name the radiographic view to diagnose this condition. 4, Name the surgical treatment for this condition. 5, Name the main instrument used for is surgery. Scanned with CamScannerA 42 -year-old anaemic female complains of intermittent dysphagia limited to solids & felt in the throat a. Determine the site of the lesion in the radiograph b.Describe the endoscopic finding. c, What is your provisional diagnosis d. Name three manifestations of this disease e,What options do you have for the treatment of such a case? Answer a. Postcricoid , upper oesophagus b. Thin web is detected C-Plummer Vinson syndrome d. -Angular cheilitis - Glossitis - Koilonychia, spleenomegaly e.-lron replacement - Endoscopic dilatation - ND:YAG laser therapy Scanned with CamScannerENT. MBBS STATIONS | 09 - i SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION = Lm x | 4) “ \ QUESTIONS 7 a) /qz1 [Identify the Pathology. ee \ #2 | Write two causes of this pathology a Write two main symptoms ( a Q#4 | What is treatment options ae Q#5 | Write 03 post operative complications. Scanned with CamScanner1-Most likely Diagnosis ? 2-Causes ? 3-Managements: Answer 1-Fungal infection of soft palate. (oral candidiasis) 2-Diabetics , Aids.Renal Failur.any immune defeciency ,drugs like steroid,antibiotic, chemo-radiotherapy 3 -Local antifungal,treat the causes.oral hygein. Scanned with CamScannerLIAQUAT UNIVERSITY EMICAL & HEALTH scrENCES JAMSHORO. Static QUESTIONS 4 Q#1 Identify the Pathology. an 'Q#2 Write two causes of this pathology ( Q#3 Write two main symptoms (01) Q24 Give treatment options (02) Scanned with CamScannerA)Describe above image? B)What is diagnosis? C)Give 2 possible microorganism? D)Whal type of management and for how long? Answer A) - Oloendoscopic picture showing white cotton like lesion with black spots in EAC, By - Otomycosis. C) - Candida albicans, aspergilus nigor. D) -1-Aural toilet . 2- Topical antifungal ¢.g clotrimazol. 3- Analgesic . 4-Avoid water exposure. - For two weeks Scanned with CamScanner5 years old child presented with Rt auricular swelling after one day of trauma. A. What Is the diagnosis? B. Describe the pathophysiology ?. C. What Is the likely long -term complication If left untreated? Answer A. Pinna hematoma. B. The blood /blood clot(or pus in case of an abscess formation) separates the perichondrium from the cartilage causing necrosis. Fibrous tissue form in the overlying skin. C- Untreated pinna hematoma may lead to the development of a deformed ear, so called cauliflower ear’. Scanned with CamScannerSSS DD Lae — Stati STATION# 02 gaz —— Sen s | ——_____ EE THE PICTURE & ANSWER THE FOLLOWING QUESTION (02) QUESTIONS ames = ; name the a in which use Sy comm | init site where inserted i Name [Write four complications. ! Scanned with CamScannerMEDICAL & HEALTH SCIENCES ™ = JAMSHORO. QUESTIONS : Q#1 | Name the examination performed (01) \ Q#2 | Name the instrument used. (01) Q#3 Write two indications for examination. (01) Q#4 Name 04 normal structure seen by this (examination. (02) Scanned with CamScannerold patient presents with otalgia of 4 days duration and facial weakness of 24 hours. 1-Most likely diagnosis? 2-Eiliology? 3-Grading system used? 4-Treatment? Answer 1-Ramsay Hant syndrome. 2-Herpis zoster virus. 3-House-Brackmann grading systent. 4-Eye careslape closed at naight.artificial teer and tarsorraphy -Analgesia. -Systemic Steroid tapering dose. Scanned with CamScannerDEPARTMENT OF ENT STATION NO: 06 SEAT NO: Asmooth surfaced, pinkish pale lump is hanging in oropharynx behind uvula. Look at the picture & answer the following questions.: 1. Give three differential diagnoses for this presentation. ss 2. Give the most probable diagnosis for this presentation. ee 3. Give the most important clinical features of this condition. —. 4, What is the usual age group of its presentation. 5. Give its treatment option: a Scanned with CamScannerA 4 -yeai-Old-ciild presents) with) hoarseness of 4 months, and moderate sieilos of4' sy ee = Aj What is the most SSS elh os a Sree Nila a riyasietscve (ose BAeSreat te CeeCoaezosee faa esl er ome rs wus surgical =treatment-for the-above Sac Scanned with CamScannermem RET aay sAMSHORO. \ . ie STATIONS [09 SEE THE PICTURE & ANSWER THE FOLLOWING QUESTION QUESTIONS Identify the Pathology. ( 4c FHP) (01) | 2/Write two causes of this pathology (Tie, AOI ny Write two main symptoms @ Norst o bstsolu (03) coach [What i is treatment options (din RHRSeYy AO), [Write 03 post operative complications. (01) @ Sgr Mae © sya - ‘ fob Ce . B pte Aerashon © Reet Scanned with CamScanner