Formative Flashcards
A patient presents with a midline neck swelling that moves on tongue protrusion. What is the most likely lesion?
A. Dermoid cyst B. Laryngocele C. Thyroglossal duct cyst D. Brachialcyst E. Thymic cyst
C. Thyroglossal duct cyst
On going epistaxis after a nasal fracture is most likely to be originating from which artery?
A. Posterior ethmoid artery B. Anterior ethmoid artery C. Sphenopalatineartery D. Greaterpalatineartery E. External carotid artery
B. Anterior ethmoid artery
Part of Keissalbach’s plexus along with superior labial artery from facial artery (Little’s area)
An 18 month old boy presents with a reduced GCS and a history of a painful ear. A CT scan shows an intracranial abscess. What is the intracranial abscess most likely a complication of?
A. Acute mastoiditis B. Otitis externa C. Acute sinusitis D. Thyroiditis E. Parotitis
A. Acute mastoiditis
A 58 year old gentleman presents with hearing loss affecting his left ear. Weber’s test localises to the right side and Rinne’s test is positive on both sides. What is the likely hearing issue?
A. Right sensorineural hearing loss B. Right conductive hearing loss C. Left conductive hearing loss D. Left sensorineural hearing loss E. Normal hearing
D. Left sensorineural hearing loss
Which of the following contacts the oval window as the last bone in the ossicular chain? A. Stapes B. Incus C. Mastoid D. Malleus E. Malleolus
A. Stapes
A patient with diabetes presents with necrotising otitis externa having had multiple courses of topical antibiotics. What is the likely causative organism? A. Staph. Aureus B. Strep. Pyogenes C. Mycobacterium Brasiliensis D. Pseudomonas Aeruginosa E. Strep. Viridans
D. Pseudomonas Aeruginosa
A patient with a family history of MEN (multiple endocrine neoplasia) presents with an anterior neck swelling and weight loss. She is found to have a high calcitonin on blood tests. What is the likely diagnosis? A. Papillary thyroid cancer B. Medullary thyroid cancer C. Parathyroid adenoma D. Thymoma E. Follicular thyroid cancer
B. Medullary thyroid cancer
The corda tympani provides innervation to which of the following?
A. Sensation to the ear drum
B. Taste sensation to the anterior 2/3 of the tongue
C. Touch sensation to the anterior 2/3 of the tongue
D. Touch sensation to the ear lobe
E. Motor innervation to the tensor tympani
B. Taste sensation to the anterior 2/3 of the tongue
A patient is diagnosed as having oropharyngeal cancer. After further investigation they are staged as T1N2M0. What does the N2 mean the patient has?
A. A larger than 4 cm primary tumour B. Distant metastatic disease C. Nometastases D. A smaller than 2cm primary tumour E. Metastases in their neck
E. Metastases in their neck
A 65 year old male presents with a 3 month history of hoarseness and weight loss. He smokes 20 a day. Examination reveals a suspicious vocal cord lesion which is confirmed on biopsy to be cancer. Which imaging modality is commonly used to help stage the patient?
A. MRI of the neck B. CT of the head and neck C. US neck D. Chest x-ray E. CT of the neck and chest
E. CT of the neck and chest
A post thyroidectomy patient presents with a hoarse voice and is found to have a paralysed left vocal cord. Which nerve has been damaged?
A. Hypoglossal nerve (CNXII) B. Superficial laryngeal nerve C. Accessory nerve (CNXI) D. Recurrent laryngeal nerve E. Phrenic nerve
D. Recurrent laryngeal nerve
Presbycusis is often referred to as ‘age related hearing loss’. What is the most common finding on audiogram?
A. Hearing loss across the frequencies
B. Sloping sensorineural hearing loss with hearing
worse in higher frequencies
C. Conductive hearing loss with an air/bone gap
D. Norma laudiogram
E. Complete sensorineural hearing loss
B. Sloping sensorineural hearing loss with hearing
worse in higher frequencies
What is a grommet most commonly use to treat?
A. Acute otitis media
B. Sensorineuraldeafness
C. Congenital hearing loss
D. Chronic otitis media with effusion (glue ear)
E. Tympanicmembraneperforations
D. Chronic otitis media with effusion (glue ear)
A 60 year old patient presents with a right sided lower motor neurone facial nerve palsy and some vesicle around his external auditory canal. What is the likely diagnosis?
A. Bell’s palsy B. Ramsey Hunt syndrome C. Haemorrhagic stroke D. Otitis externa E. Parotid malignancy
B. Ramsey Hunt syndrome
A 5 year old girl presents with a 3 week history of foul smelling unilateral nasal discharge. She is afebrile and otherwise asymptomatic. What is the likely diagnosis?
A. Chronic sinusitis B. Nasal malignancy C. Mucormycosis D. Glue ear E. Retained foreign body
E. Retained foreign body
