A 50-year-old woman comes in with complaints of hearing loss. Tuning fork tests are performed, revealing a Rinne-positive result on both sides (air conduction heard better than bone conduction) and lateralisation of the Weber test to the left ear. How should these tuning fork test results be interpreted?
A 25-year-old woman comes in with complaints of hearing loss. She appears to be in good health and there are no noticeable abnormalities during otoscopy. Tuning fork tests are conducted, revealing a negative Rinne test on the right side (bone conduction is better than air conduction) and a positive Rinne test on the left side. The Weber test shows lateralisation to the right ear. How should these tuning fork test results be interpreted?
What is a true statement about tuning fork tests used for hearing?
A 20-year-old, previously healthy, female presents with a nine day history of fever, sore throat and fatigue.
On examination of her throat, there are palatal petechiae and white tonsillar exudates. Two days ago, another doctor prescribed amoxicillin, and she has since developed a widespread maculopapular rash.
What is the diagnosis?
A 48-year-old factory machine operator is seen with recent onset hearing difficulties. He has had a hearing test done via a private company and has brought the result of his pure tone audiometry in to show you.
Which of the following audiogram findings would most suggest he has early noise-induced hearing loss?
You see a 26-year-old man with a five day history of a sore throat. He has been feverish and has had a marked sore throat with pain when swallowing. He tells you that he has felt progressively worse over the last five days.
On examination, he has a temperature of 38.2°C and bilateral tonsillar exudates. There is some tender cervical lymphadenopathy present.
You discuss with him the role of antibiotic treatment and feel that his condition warrants treatment. He has no allergies and you prescribe a course of phenoxymethylpenicillin.
What duration of antibiotic treatment should you prescribe?
A 20-year-old woman presents with a painful throat. She has been experiencing a sore throat and painful swallowing for the past few days, but her symptoms have worsened over the last 24 hours. She now has neck pain and difficulty opening her mouth fully.
Upon examination, her temperature is 38.9 °C and her throat shows a displaced uvula, an enlarged right tonsil, and swelling around the right tonsil.
What is the best initial management strategy for this patient?
A 28-year-old female, originally from Malta, presents with complaints of oral and genital ulcers. She has a history of recurrent ulcers and scarring from previous episodes. Other than the ulcers, she appears to be in good health. Upon reviewing her medical records, it is noted that she has a history of arthritis and anterior uveitis. What is the most probable diagnosis that connects all of these symptoms?
A 42-year-old woman comes to the clinic with a left facial palsy. She reports that the weakness developed gradually over a few days. She is waiting for a referral to the hospital for a nodular swelling in the left parotid salivary gland, suspected to be caused by a stone. Her husband is currently taking oral aciclovir for shingles.
During the examination, a hard nodular mass is found over the tail of the left parotid gland, along with a lower motor neurone seventh nerve palsy.
What is the most appropriate next step?
An 80-year-old man presents for follow up of his hoarse voice, which he first noticed after attending a family gathering a month ago. Initially, a viral infection was suspected and he was given symptomatic advice. However, he reports that there has been no improvement in his symptoms and his voice remains hoarse. He quit smoking over 30 years ago and only drinks occasionally. He denies any cough or recent illness. His weight is stable and he has not experienced any hemoptysis. On examination, his ears, nose, and throat appear normal, as does his chest. What is the most appropriate management plan for this patient?