A 25-year-old student presents with four days of right otalgia, discharge and reduced hearing. There is no significant past medical history, and she is systemically well. She never had any similar symptoms before.
On examination, there is an inflamed auditory canal and a small amount of debris, the tympanic membrane appears to be normal.
What is the best initial management for this patient?
A 45-year-old woman presents to her General Practitioner after discovering a firm lump just under her tongue on the right side. She has been experiencing discomfort and mild swelling in the same area while eating for the past few days. She is stable and not running a fever.
What is the most suitable management option for this probable diagnosis?
A 60-year-old man presents following a fall. During an assessment of his fall, he complained of balance problems, nausea and dizziness whenever he looked upwards, eg to change a light bulb. He denies loss of consciousness and did not injure himself during the fall. His past medical history consists of hypertension and high cholesterol.
On examination, his gait and balance and neurological examination are normal, and there are no injuries. The Hallpike test is positive.
Which of the following is the most appropriate management for this patient’s vertigo?
A 42-year-old woman visits her doctor with complaints of a persistent blocked nose and reduced sense of smell for the past few months. During examination, the doctor observes pale grey mucosal sacs in both nostrils. The patient has a history of allergies but is otherwise healthy. What is the most likely condition she is suffering from?
A 42-year-old woman requests a referral to the Ear, Nose and Throat Clinic from her General Practitioner. She wishes to discuss the potential removal of unilateral nasal polyps which have failed to respond to a steroid nasal spray.
Which of the following conditions is most likely associated with this patient’s pathology?
A 45-year-old woman visits her primary care physician (PCP) complaining of bilateral tinnitus. She denies any changes in her hearing or other ear-related symptoms. The PCP conducts ear and cranial nerve examinations, which reveal no abnormalities. The patient’s medication list is reviewed.
Which ONE medication from the following list is most likely responsible for the patient’s tinnitus?
A 62-year-old woman visits the clinic complaining of unpleasant breath and gurgling sounds while swallowing. She reports no other symptoms or changes in her health.
What is the MOST probable diagnosis?
A 35-year-old woman presents to the Emergency Department with a gradual decrease in the hearing from her right ear. On further questioning, she reports that occasionally she hears a buzzing sound in this ear, but denies any episodes of dizziness or vomiting. Otoscopy of her right ear only reveals a reddish tympanic membrane. Rinne’s test is negative on the right, Weber’s test lateralises to the right. Which of the following describes the best management option for this condition?
A 32-year-old man has had severe left-sided facial pain with purulent nasal discharge for ten days. He describes how he initially felt ‘okay’ with milder symptoms, but noticed a sudden deterioration in his symptoms a few days ago.
Which of the following treatments would be the treatment of choice?
A 45-year-old businessman presents to the Emergency Department with his second episode of epistaxis in a 24 hour period. On each occasion, the nosebleeds stopped with pressure applied just below the nasal bridge, but the most recent bleed went on for 30 minutes. He has hypertension, for which he takes medication regularly. He also admits to smoking a pack of cigarettes per day and drinking 10-15 units of alcohol each week. There is no history of trauma. He is worried about the problem affecting his work, as he has an important meeting the following day.
On examination, he looks well and is not pale, and his blood pressure and pulse are within normal limits. He is peripherally well perfused. On inspection of the nasal vestibule, there are prominent blood vessels visible on the right side of the nasal septum, with a small amount of clotted blood also present.
What is the most appropriate management plan for this patient?