A 35-year-old man visits the clinic with complaints of decreased hearing and ringing in his right ear, which feels congested, and he experiences frequent bouts of vertigo lasting up to a few hours at a time. There are no abnormalities found during the neurological examination.
What is the most probable diagnosis?
A 38-year-old factory worker undergoes a routine hearing assessment as part of his annual work-based medical. He is noted to have a positive Rinne’s test (normal) and Weber’s test localising to the left ear.
What is the most likely defect in this patient?
A 45-year-old woman, who came to the Emergency Department two days ago for uncontrolled epistaxis, has been admitted following Ear, Nose and Throat (ENT) referral. Bleeding was located and managed by anterior nasal packing. She had no complications following the procedure. However, on the third day, she developed fever, myalgia, hypotension, rashes in the genital mucocutaneous junctions, generalized oedema and several episodes of bloody diarrhoea, with nausea and vomiting.
Which of the following investigations/findings would help you make a diagnosis?
A 45-year-old woman presents to the Emergency Department with a 2-week history of dull pain under her tongue while eating. This resolves after she finishes eating and has been gradually getting worse. Over the previous three days, this was also accompanied by swelling of the floor of her mouth. She is afebrile and all of her parameters are stable.
Which of the following is the first-line investigation that needs to be done?
A 5-year-old girl presents with a sore throat that has been bothering her for 3 days. She has no cough or runny nose. Her mother has kept her home from preschool. Upon examination, she has a fever and swollen tonsils with white patches. She also has tender lymph nodes in her neck.
What is the most appropriate treatment for this patient? Choose ONE answer only.
A 10-year-old girl presents to the general practice clinic with a sore throat and fever that have been present for 3 days. What clinical sign would indicate that the patient may have a bacterial throat infection and could benefit from antibiotics? Choose ONE positive indicator from the options provided.
An 82-year-old woman is brought to see you by her daughter who complains that she has to repeat everything multiple times for her mother to understand. An audiogram confirms sensorineural hearing loss.
What is the most probable cause?
A 42-year-old woman presents with bilateral hearing loss and tinnitus for several months. Her mother and brother had similar issues. Ear examination reveals no abnormalities. An audiometry test indicates bilateral conductive hearing loss.
What is the most probable diagnosis?
A 3-year-old girl with Down syndrome is brought to see her General Practitioner by her father who has concerns about her motor development which are echoed by her daycare provider. There are no concerns about her speech and she is usually well apart from a few episodes of constipation in the past for which she has received laxatives. Neurological examination is normal. Abdominal examination reveals mild distension and tenderness in the left upper quadrant.
Which of the following is the most likely diagnosis?
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An 80-year-old woman visits her doctor with a complaint of progressive hearing loss in both ears. What is the MOST probable diagnosis?