A 2-year-old boy has cerebral palsy. He presents with profuse rhinorrhoea, pyrexia and noisy respiration. The noise is a heavy-snoring inspiratory sound. His tonsils are enlarged and inflamed.
Which of the following describes the sound that this child is making?
A 49-year-old man presents to you with concerns about a sudden hearing loss in his left ear. He was watching TV with his wife the previous night when he went to the bathroom. Upon returning, he noticed that he could no longer hear speech or music from his left ear and instead, he could only hear a loud hissing sound.
Upon examination, both ears, ear canals, and tympanic membranes appear normal. Combined Weber’s and Rinne’s tests reveal that he has a sensorineural hearing loss on the left side.
What is the most probable cause of this man’s symptoms?
A 9-year-old girl undergoes pinnaplasty.
What is the most significant risk of the surgery that should be discussed with her parents?
A 70-year-old man visits his doctor after his family complains about his hearing loss. He claims that they speak too softly, but admits that he struggles to hear in noisy settings. The patient reports feeling generally healthy, but has a history of hypertension and chronic obstructive pulmonary disease.
During the examination, the doctor discovers bilateral sensorineural hearing loss. Presbycusis is suspected as the cause and the patient is referred for audiometric testing.
What is the expected audiogram pattern for this individual?
A 35-year-old woman presents with headache.
Select from the list below the single feature that would suggest frontal sinusitis rather than migraine.
A 29-year-old man contacts his GP seeking advice for his seasonal allergic rhinitis. He has been managing his symptoms with intranasal decongestants, but lately, he has noticed that they are only partially effective. He experiences a runny nose and occasional sneezing, but there are no red flag symptoms such as unilateral obstruction or cacosmia. He has already taken the maximum dose of over-the-counter decongestants and is wondering if the GP can prescribe a higher dose.
A 10-year-old girl has been discharged from hospital after having her tonsils removed.
Which of the following is typical after a tonsillectomy?
A parent is concerned about her 9-month-old child’s prominent ears.
On a Monday morning you see a 25-year-old man who has a broken nose from a fight the previous Saturday night. Apart from pain and swelling, he has no other symptoms.
Which of the following statements about the management of a fractured nose is correct?
An 80-year-old man presents with tinnitus.
Which of the following statements about tinnitus is correct?