Acute Phase 1

Question 1

Topics

Answer 1

Breast
General surgery
ENT
Orthopaedics

Question 2

Fibroadenoma presentation

Answer 2

Painless breast lump

Question 3

Imaging of fibroadenoma

Answer 3

• ultrasound of breast
• well defined, oval or round, hypoechoic smooth borders
• well circumscribed without calcifications
• mammogram in older patients
• core needle biopsy for definitive diagnosis

Question 4

Histopathologicalcfinding of fibroadenoma

Answer 4

• biphasic pattern
• stromal and epithelial component

Question 6

Normal Rinne and Webers test

Answer 6

Air conduction > bone conduction

(Positive Rinne’s)

Question 7

Conductive hearing loss

Answer 7

Bone conduction > Air conduction

(Negative Rinne’s)

Heard in the bad ear

Question 8

Bone conduction > Air conduction

(Negative Rinne’s)

Heard in the bad ear

Answer 8

Conductive hearing loss

Question 9

Air conduction > bone conduction

(Positive Rinne’s)

Heard in the good ear

Answer 9

Sensionerual hearing loss

Question 10

Sensoneural hearing loss

Answer 10

Air conduction > bone conduction

(Positive Rinne’s)

Heard in the good ear

Question 11

Managment of sudden senoneurial hearing loss

Answer 11

High dose steroid
Dosage: A common initial dose is 1 mg/kg/day, up to a maximum of 60 mg/day.
Duration: Typically prescribed for 10-14 days.
Tapering: After the initial treatment period, the dose is usually tapered over a further 7-14 days.
Refer to ENT