Head and Neck

Question 1

The cone of light in the tympanic membrane points in which direction?

Answer 1

Anterioinferiorly

Question 2

58 year old male patient presents with hearing loss in left ear. Weber’s test localises to the right, Rinne’s test is positive on both sides. Is this likely to be conductive or sensorineural hearing loss?

Answer 2

Sensorineural

Question 3

What ossicle is in contact with the oval window?

Answer 3

Stapes

Question 4

Type 2 DM patient presents with necrotising otitis externa.

They have had multiple antibiotics. What is the likely causative organism?

Answer 4

Pseudomonal Aeruginosa

Question 5

What does the corda tympani provide innervation to?

Answer 5

Taste - Anterior 2/3 of tongue

Question 6

60 y/o patient presents with right sided LMN facial nerve palsy and some vesicle. What is the most likely diagnosis?

Answer 6

Ramsey Hunt Syndrome

Question 7

What is Presbycusis and what is the most common finding on audiogram?

Answer 7

Most common type of sensorineural hearing loss. Caused by the natural ageing of the auditory system.

Findings: Sloping sensorineural hearing loss with hearing worse in higher frequencies.

Question 8

What are the two main surgical options for emergency access to front of neck?

Answer 8

Cricothyroidectomy

Tracheostomy

Question 9

A patient with multiple endocrine neoplasia (MEN) oresents with weight loss and anterior neck swelling.

She has high calcitonin levels.

What is the most likely diagnosis?

Answer 9

Medullary Thyroid Cancer