AKT-1592
A 9-year-old girl undergoes pinnaplasty.
What is the most significant risk of the surgery that should be discussed with her parents?
Archives: MRCGP AKT
AKT-1593
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?
AKT-1594
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.
AKT-1595
A parent is concerned about her 9-month-old child’s prominent ears.
AKT-1571
A 12-year-old boy comes to his General Practitioner with his dad, reporting that he has been unable to breathe through either nostril since he caught a cold three days ago. During examination, the doctor observes smooth pink swellings in the lower part of the lateral side of each nostril. The swellings are tender, but there is no evidence of ulceration. The boy is otherwise healthy, with no fever or facial pain, and he has never had a nosebleed before.
What is the most suitable course of action in this scenario?
AKT-1572
A 7-year-old child has a foul-smelling unilateral nasal discharge, which he has had for the last week. Nothing obvious is visible apart from discharge.
What is the most appropriate management option?
AKT-1573
A 70-year-old man has unilateral hearing loss of gradual onset, but most noticeably for the last six months. His hearing test shows 60-dB unilateral high-frequency sensorineural hearing loss.
What is the single most appropriate intervention?
AKT-1574
A 25-year-old man comes to his General Practitioner complaining of a painful discharging right ear and a mild unilateral right-sided hearing loss that has been going on for 3 days. During examination, the doctor observes an intact tympanic membrane and copious purulent liquid discharge. The patient has a normal heart rate of 70 bpm and is not running a fever.
What is the most suitable course of action for this patient?
AKT-1575
You review a patient who you diagnosed with Meniere’s disease last week. Her vertigo has settled but she still has hearing loss and tinnitus on the right side. She is still waiting to be seen by the ENT department but has a few questions about Meniere’s disease.
Which statement below regarding Meniere’s disease is correct?
AKT-1576
You encounter a 50-year-old woman during your afternoon clinic. She reports experiencing sudden episodes where the room spins uncontrollably, accompanied by nausea and occasional vomiting. Additionally, she feels as though her hearing is impaired on the right side and experiences a ringing sound and a feeling of fullness on that side. Based on these symptoms, you suspect that she may have Meniere’s disease. What is a true statement about this condition?