MSFinals-1205
A 38-year-old man with a tumour of the left submandibular gland underwent surgery. While operating on the left submandibular gland, the lingual nerve was damaged. What is the most probable postoperative complaint of the patient?
Archives: Medical Student Finals
MSFinals-1206
A 52-year-old woman with a history of intermittent ringing sound in her left ear for the last six months presents to the Ear, Nose and Throat (ENT) Outpatient Department. She describes the ringing sound to be pulsatile in nature. She has no history of fever, hearing loss, trauma or any recent ear infections. Her past medical history includes a diagnosis of multiple sclerosis under remission for the past two years. Clinical examination of the head and neck is unremarkable.
Which is the most appropriate investigation which will help to reach a final diagnosis in this patient?
MSFinals-1207
A 30-year-old woman presents with deteriorating hearing during pregnancy. There is no known family history of hearing loss. Upon examination, the tympanic membrane appears intact and pure tone audiometry indicates a conductive hearing loss with a Carhart notch.
What is the most probable location of the issue?
MSFinals-1208
A 68-year-old woman visits her GP complaining of hearing loss and ringing in her ears for the past six months. She experienced this after being hospitalized for two weeks due to a soft tissue infection that was complicated by a bloodstream infection caused by methicillin-resistant Staphylococcus aureus. During her hospital stay, she was treated with flucloxacillin, gentamicin, and vancomycin. The tinnitus is present in both ears, and her ear and neurological examinations are normal. What is the probable underlying cause of this patient’s tinnitus?
MSFinals-1209
A 42-year-old receptionist presents to the Ear, Nose and Throat (ENT) Clinic for a follow-up visit. She experiences sudden-onset bouts of vertigo and tinnitus that are debilitating and leave her confined to bed until the episode subsides. The initial episode occurred 5 years ago and since then she has noticed a slight decrease in hearing in her left ear. She has undergone a thorough evaluation, and an MRI scan revealed no abnormalities.
What is the probable diagnosis for this patient’s condition?
MSFinals-1210
A 30-year-old man presents with increasing pain on the left side of the floor of the mouth. He has been experiencing pain on and off for about 2 weeks, particularly during meals. However, the pain has increased significantly over the last 2 days. During examination, he is found to be febrile at 38.2°C. There is a smooth swelling along the floor of the mouth. Intra-oral examination reveals poor dental hygiene and pus oozing into the floor of the mouth anteriorly.
What is the most probable diagnosis?
MSFinals-1211
A 56-year-old woman presents to the clinic with a complaint of feeling like there is a lump in her throat. She reports an itching sensation, but no pain. The symptoms are intermittent and not related to swallowing solids or liquids, and there is no persistent hoarseness. She also reports feeling anxious and tired. There is no significant family history. She was a heavy smoker between the ages of 22-32 but has since quit smoking and drinking. Her blood profile and thyroid function tests show the following results:
– Haemoglobin: 98 g/l (normal range: 115-165 g/l)
– Mean corpuscular value: 75 fl (normal range: 80-100 fl)
– Thyroid stimulating hormone: 2.2 mU/L (normal range: 0.45-4.1 mU/L)
What is the most appropriate initial investigation for this patient?
MSFinals-1212
A 16-year-old boy comes to the Emergency Department after being involved in a fight. He reports being punched on his left ear and has since lost hearing in that ear. He has a GCS score of 15 and has been coherent and lucid throughout the incident. He experiences a mild headache but has not vomited or felt drowsy. On examination, there are no focal neurological signs, and his cervical spine is not tender. Fundoscopy reveals a normal retina, but there is a ruptured left tympanic membrane with a small amount of blood. What is the most appropriate course of action?
MSFinals-1213
A 48-year-old woman presents with a 10-day history of fever, sinus pain and fullness, bilateral yellow nasal discharge and difficulty smelling. Prior to this episode she describes having a minor cold, with sore throat and clear nasal discharge. She has no past medical history. On examination, her temperature is 38.2 °C and there is mild tenderness to palpation over the maxillofacial area. There are no nasal polyps. Her throat appears normal.
What should be included in the management of this patient’s condition?
MSFinals-1214
A 12-year-old girl presents to the General Practitioner with severe right ear pain, swelling, and itching. Her mother reports that it all started after her daughter began swimming lessons two months ago. During examination, the clinician notes tenderness when pulling the right ear upwards. Otoscopy is challenging due to the painful, swollen ear canal and white discharge. Additionally, the girl has tender cervical lymph nodes on the right side below the ear and experiences pain when moving her jaw sideways. She has a mild fever (38.3 °C), but the rest of the examination is unremarkable. What is the most appropriate management for this condition?