You assess a 65-year-old heavy smoker who has just been diagnosed with cancer and is hesitant to undergo surgery. He is interested in exploring the option of radiotherapy. Which tumour from the following list is most suitable for potentially curative treatment with RADIOTHERAPY ALONE? Choose only ONE option.
A 47-year-old man visits his primary care physician with concerns about a persistent ulcer on his tongue that has been growing for a few weeks. He is a heavy smoker, consuming 30 cigarettes a day, and drinks alcohol regularly. Upon examination, the physician notes bilateral submandibular lymphadenopathy, multiple dental caries, and a 1-cm ulcer on the lateral border of his tongue. What is the most suitable course of action for managing this patient?
A 50-year-old woman presents with a large thyroid swelling, difficulty breathing on lying flat and slight dysphagia. What is the most appropriate investigation to delineate the size and extent of the goitre?
A 4-year-old girl is brought to her General Practitioner by her parents because of concerns regarding her hearing. They have noticed she often doesn’t respond when spoken to and seems to have difficulty following instructions. Three months ago, she presented with pain and discharge from her right ear and was treated with a course of amoxicillin.
On examination, she is well. Both tympanic membranes are intact and have a grey appearance, with absent light reflexes.
What is the single most likely diagnosis?
A 25-year-old man presents with a three-month history of weight loss, night sweats, and painful lumps in his neck that worsen with alcohol consumption. What is the most probable diagnosis?
A 60-year-old man comes to the clinic 3 days after being hit on the left side of his head. He reports experiencing muffled hearing on the left side since the incident. Upon examination, there are no visible bruises, but both ears are covered by a thin, translucent layer of wax. Rinne’s test reveals that the tuning fork is more audible when placed on the mastoid bone on the left side. On Weber’s test, the sound is heard most clearly on the left side. What is the probable diagnosis?
A 62-year-old Chinese man who is a smoker visits his doctor with complaints of a constantly congested nose and bloody discharge from the nose. What type of cancer is he most susceptible to?
A 29-year-old man presents with decreased hearing in his left ear. Upon examination, there are no signs of acute infection, but both eardrums appear dull. Tuning-fork tests are performed, revealing that bone conduction is heard better than air conduction on the left side (the affected ear) during Rinne’s test, while Weber’s test localizes to the left ear. Rinne’s test on the right side shows air conduction better than bone conduction. What type of hearing loss is present in this patient?
A 24-year-old man comes to the clinic with a slow-developing swelling in the anterior triangle of his neck, located in front of the sternocleidomastoid muscle. The swelling is movable, fluctuant, painless, has no visible punctum, and doesn’t shift with swallowing.
What is the most probable diagnosis?
Samantha is a 7-year-old girl who has presented with impacted earwax which has failed to improve with olive oil drops. Ear irrigation has been recommended.
Which of the following would be a contraindication to this?