You see a 28-year-old female patient with painful mouth ulcers. She has been experiencing coryzal symptoms for the past week. The patient has around 5 small shallow ulcers scattered around her gums and inside her cheeks. The ulcers have been present for 2 days, and she is having difficulty eating and drinking. The patient has no significant medical history and is generally healthy. She smokes 5-10 cigarettes daily.
What is the accurate statement about aphthous mouth ulcers?
A 50-year-old man presents with classic symptoms of benign paroxysmal positional vertigo (BPPV) and is concerned about the likelihood of recurrence. He reports multiple episodes of the room spinning when he moves his head, lasting 30 seconds to 1 minute. You explain that while symptoms often resolve without treatment over several weeks, the Epley manoeuvre can be offered to alleviate symptoms. The patient, who is a driver, is disabled by his symptoms and would like to know the chances of recurrence over the next 3-5 years.
A 25-year-old man presents to the General Practitioner with a swollen ear. He plays amateur rugby and was punched during a match the previous day. The upper pinna is fluctuant and mildly erythematous, but there are no other injuries. What is the most suitable management option?
A 67-year-old male comes to the GP with a history of hearing loss for 6 months due to ototoxicity from furosemide. Upon examination, he has severe bilateral sensorineural hearing loss and can only hear spoken words if they are within 10 cm of him. He has been using hearing aids for 4 months, but they are not very effective. What aspect of his history indicates that cochlear implantation may be necessary?
Samantha is a 50-year-old factory worker whose hearing has been gradually declining over the past 4 years. She has been exposed to loud noises in her workplace for many years.
Samantha finally decided to visit her doctor 3 months ago, as she was hesitant to seek help, and her hearing has now severely deteriorated. After undergoing audiology testing, she was diagnosed with bilateral sensorineural hearing loss.
What would be the most suitable course of action for managing Samantha’s condition?
A 26-year-old male presents with benign paroxysmal positional vertigo that has persisted for 3 weeks after a recent upper respiratory tract infection. He requests the Epley manoeuvre to alleviate his symptoms as he is currently unable to operate a vehicle. What is the success rate of the Epley manoeuvre in patients with this condition?
You see a 65-year-old man with vertigo. He describes the repeated sensation that his surroundings are spinning when he moves his head. This has been occurring for the last 2 weeks and the episodes last approximately 30 seconds. He has hypertension but no other past medical history. He had a viral illness 3 weeks ago. You believe the history is consistent with benign paroxysmal positional vertigo (BPPV).
Which statement is correct regarding BPPV?
A 65 year-old man comes to you with complaints of nasal blockage on the right side for the past two months. He reports that it is now affecting his sleep. He denies any episodes of bleeding but has been experiencing postnasal drip. Upon examination, you observe a polyp on the right side and inflamed mucosa on both sides. What would be the most suitable course of action?
You see a 40-year-old male patient with right sided facial paralysis. It started about 3 days ago and has slowly become worse. He is unable to raise his right forehead, close his right eye or move the right-hand side of his mouth. He has also noticed that his taste has been altered on the right-hand side of his tongue.
He is not particularly worried about it as it happened 12 months ago and you diagnosed Bell’s palsy. He would like some more treatment as he feels it helped his recovery last time. He is normally fit and well and has no allergies.
You arrange to see the patient in your afternoon clinic to examine him.
Regarding Bell’s palsy, which statement below is correct?
A 50-year-old woman comes to the clinic complaining of persistent tinnitus in her left ear for the past 5 months. She has also observed a gradual decline in her hearing ability in the same ear. Upon examination, both ears appear normal. Rinne’s test shows air conduction greater than bone conduction in the left ear, and Weber’s test lateralises to the right ear. What is the probable diagnosis?