PLAB TRAINER (SWAMY) LTD JEL ORITILALSMOL OGY snp DERMATOLOGY ENT Eat Testi Seagate der die rates come ie he hes festa suggestive of extern complain of Iefl sided amnnetie. Oh foe bias Sere. What ht ba re A Ames B Gutegetee SS © Tapieal acyctonie < D, Parscetaret 02-430 year old Stucmination abd wan = phere Hin or dege He pant Ife ia complaining of earache. Ox eg 7 = ‘What will te meet appropriate mex io as sprrorr te eae cai ‘tae eas les te bore : ei). Tawar a ie patient i under teste! for LVF folowing MAI which cocured ax moth beck. Now he (oe WX BB Wek coup oC pte Wirt wont tay cen ee ON Pb Taoe manual Teale Lad copyrighe®. Ali rights reserved. No part of tia manzal may be eaaer wei eae et aera ar etharwise, wiht the prin 0 copyrighe Owner. Anjo viclating the edAllergic sinusitis A. B. ITP oe Acute pharyngitis (D.’ Drug induced Ee E. Sepsis sais ea splenomes® y : ints of ep!s Q 6-A young boy admitted in ICY with cellulitis now bas complaint : What is the most likely cause of his epistaxis? 5 7 A. Allergic sinusitis ‘ f B. TTP Z c. Acute pharyngitis AY Drug induced Q = i ight istaxis, WELES Sepsis ij ~ > frent D. @ Q7- A man with history of smoking now complains of unilateral diplopia, rebyrren! Joss and a maxillary opacification seen on x ray, What is the most likely diagmpsis? A. Ethmoid bone fracture B. Frontal sinusitis ¢ Cc Maxillary adenocarcinoma 4) I. Allergic sinusitis q ITP vv EB. Q8- A boy hit his head on a pole few hours ago, Hi tray ious and presents to A& E with leakage tags of watery fluid from his nose. What is the most li Ethmoid bone fracture Frontal sinusitis ® Cue @d Pee ton EB OV T + Nev 21a" old man presents with asymmetrical sensoncural h i } i c : fees yrnmet Sneural hearing loss, vertigo, unilateral tie So tenes He's on Atel fo control of hypertension, Wha isthe sa TeyQ11-A child b 2 with con Mai teeth ses Continuous stridor and mild fever which started 6 hrs ago, On the o va from the angle of mouth and he looks very ill. What is the - s erie (ef! most appropriate next in hi agemen — ——— (A) Call Acne: ag " B. Give penicillin = Oral cavity examination, = sere for culture and sensitivity oe child presents with a foreign body in the ear. He is extremely agitated. He does n “ ‘amining and when he does a plastic bead is scen in his ear. What is the best treatment 7 A Removal underGA. 9 ae B, Reassure Q> C. _Syringing s\ @) - RefertoENT E. Observation S Q13- Post thyroidectomy, patient presents with hoarseness ae of surgery. Which of following nerve may get injured to cause this symptom? QR Recurrent laryngeal nerve By Superior laryngeal nerve Y c. Vagus nerve he D. Glossopharyngeal nerve a\ E Facial nerve. » x Q 14- A25 yr old female presents to hoarseness of voice past 6 months. She is a school teacher by profession. What is the me ‘ly diagnosis? A Singer nodule B, Recurrent laryngeal sy Cc Carcinoma larynx D. External e palsy EB. oma Carcin 1 Q15-A80 ae with history of hoarseness of voice which is progressive, fever, ; ight loss. What is the most likely diagnosis? —— A. nodule ‘ B. palsy SN xternallayngeal nerve palsy RR Carcinoma larynx Ez Carcinoma thyroid Q.16- A 60 year old man presents with. i ive deafness. On examination Bone conduction is normal and air conduction is reduced on the affected side. Ear drum is obscured by a dark brown mass. Opposite ear is normal oni examination. What is the most likely diagnosis? oO Plab Trainer (Swamy) Ltd. Ilford, UK. 1G] 1TL. ir haCm Meniere's disease A. es ~ Herpes zoster D, E. Presbycusis Otosclerosis ea Q17-A45 Id wulty hearing on the telephone. Heis concern! erat 5 old Asian man has noticed difficulty hearng ction 15 becuse is fater as bee moderately hard of hearing since middle age. BONE ne He rte An audiogram shows moderate hearing Joss in bath cars with loss of lower eee Ss can hear better in noisy surroundings, What is the most likely diagnosis? x A. Meniere's disease Ca | Congenital deafness = c. Herpes zoster Qo BD. Presbycusis Aven, E. ) Otosclerosis a) Q18-A 65 CY v ow fee at Old woman has had several severe episodes of rotatory vertigo. She has tinnitus and fiinieer With Go eeen a is ‘affected side where as + Meniere's di : IBNIOSIS: & B, Congenital deafness . C. Herpes zoster Y D._ Presbycusis. ; L\ Otosclerosis diagnosis? A. Meniere's disease Q 19- An 80 year old woman . ith di meg inte ay in hearing. An audiogram shows a marked hi hearing | “fin quiet Surroundings. What is the most likely 2 B. Congenital deafness Cc Herpes zoster E. — Otosclerosis NS Q20- A 25 ye Woman complains of iainaie o of three nose bleeds in the last two da lasting, At most ee pial hacmorhages and ing over-her re Pe management? ‘unk. What is the5 Q21-A AS year old woman complains of repeated nose bleeds of variable duration over the past two years, They are increasing in frequency and Seventy The Tull Blood count and clotting screen are normal. She has had two episodes of metena im the last five years. She says her father has had repeated sever epistaxis often requiring blood transfusion. What is the most appropriate next step in her management? vaio |e A. Biopsy ofuiasal Septuin A cUbiton B. Platelet count, 1g Cale owt & Bleeding time —— d p> UGIE E. Full blood count > Q 22- A 15 year old girl presents with repeated epistaxis and menorrhagia. Her mother's a. affected. Full blood count (FBC) and clotting screen is normal but the bleeding ti longed. ; What is the most appropriate.next step in management? nS A. Biopsy of nasal septum latele? puncliin B. Platelet count. QD P } > . Bleeding time CG ¢ D) Von willibrand factor assay # ras Full blood count “) Q 23- A 68 year old man on warfarin for atrial fibrillation ths pad two sever epistaxis in the last week. What sho the most appropriate next investigats ' A Biopsy of nasal septum B. Platelet count. » Cc, Bleeding time & ‘ Wot De. Von willibrand factor assay PN . Be E. INR ede cow oT Q 24- A 65 year old widower ith epistaxis. She has peifallicfashemohages, and bruising over his limbs. The bleeding jt clothing screen are normal. What is the most appropriate next investigation? A) Vit C assay B. im @c 3 D. iid factor assay E B. Wax Impaction G Acoustic Neuroma D. _Acute Otitis Media E. Presbyacusis $2014 Plab Trainer (Swamy) Ltd. Mford, UK. 1G1 1TL. 3 Trainer (Swamy) Ltd copyright©. All rights reserved. No part of this manual may bering loss. On further earl ral osant as js the most likely Q 26- A 50 year old man present with complaints Saat questioning he admits his father had hearing loss when diagnosis? fA) Otosclerosis ‘B. Meniere's Disease VG Acoustic Neuroma Dz Acute Otitis Media - E. _Presbyacusis os len in onset. On pp Be Q 27- A woman presents with conductive hearing loss which was sudd ely did; brown mass is seen which obliterates the tympanic membrane. What is the most likely es A. Meniere's Disease (B ) Wax Impaction ~ QE “e Acoustic Neuroma ok Dd. Acute Otitis Media B Presbyacusis QO Q 28- A 52 year old woman Presents will in three month aes 2 i car neck swelling, st likely diagnosis? B. c Vocal cord nodules AY D. _—_-Hyperparathyroidism al CE) Carcinoma of thyroid Q 29- A 50 year old man who smokes 20 Hanes — drooping eyelid, chronic cough. A 24+ most likely diagnosis? Ne jar “{" A. Carcinoma of larynx eo Pan coast’s tumor QR 3 day presents with a two month history of the right ight supraclavicular fossa. What is the Functional dysp! D. Carcinoma of ronchus BR. Carcinoma ofsjefitmnain bronchus Q30.A = th muff man presents wil Hed hearing and fullness of pressure in with __What is the most appropriate diagnosis? car with tinnitus and vertigo, \ A)Menniere’s disease 7 ‘B. Acoustic neuroma G oy labyrinthitis ©2014 Plab Trainer | (Swamy) Ltd copyright©, All9 32- ; oe bes abuses drugs presents with recent 13 kg weight loss, cough, night a : ta ice and swelling in the neck. Th | nontender swellin sides of the neck. What is the most et da a ere are several non-Tender swellings on both A Carcinoma of larynx CB. ) Tuberculosis Cc, Vocal cord nodules Db Functional dysphonia E. Carcinoma of thyroid laryngoscope well circumscribed lesions arc scen at the junction of the anterior third and, thirds of both vocal cords, What is the most likely diagnosis? Carcinoma of larynx & Q33- A 25 year old school teacher - presents with a three month history of hoarseness on Oy es jor two A. B, Pan coast’s tumor © Voeal cord nodules Q D. Functional dysphonia Sd E. Carcinoma of thyroid © ¢ it and earache. She has Q 34- A 23 years old women presents with painful, sore, swoll is the most appropriate next step in difficulty swallowing fluids and her temperature is 39.4°C. management? (4) Admission for parenteral antibiotic cs, B. Nasal Decongestant f al co Oral amoxicillin > D. Oral Amoxicillin and Metronidazole E. Outpatient clinic review Y Q35-A 14 year old boy with | discharge from the ear presents with earache, fever, jon he is Totally tender over the left mastoid area. What is anorexia, nausea and rigors. On the most appropriate gement? (AY Admission for biotic B. Nasal Deco! Gc D i. ‘and Metronidazole E. ic review developed earache and pain in the left maxilla five days after root wa old woman has b ‘ 2 temperature of 37.8°C. What is the most appropriate management8 had been fora came on after he «his right ear which raat Q.37-.A 45 year old man presents with deafness in * right € fron shows 10 evidene Swim. He has no previous history of ear problems 2 examuna inflammation but some wax. What will you do next: a Syringing B. Nasal Decongestant Cc, Oral amoxicillin D. Oral Amoxicillin and Metronidazole Ss E. Outpatient clinic review i . He ear anda little bleeding fi oi Q 38- A 16 year old boy presents with acute pain in his right / ee £ had been in a boxing competition and had sustained a blow to the ear. There 18 @ Tittle Ul auditory canal and small perforation of the ear drum. What is the next step in “a A. Admission for parenteral antibiotic (BI Urgent referral to specialist. Q (C@— Oral amoxicillin D. Oral Amoxicillin and Metronidazole CO E, Outpatient clinic review , Q 39- A 50 year old furniture maker presents with cheek and repeated left sided episodes of epistaxis. What is the most likely diagnosis? (AD Maxillary antral carcinoma TS B. Herpes zoster Gc Trigeminal Neuralgia D. Bell's palsy . E. Coagulopath: ft rohan Ne va) give noo! per | Q 40- A 50 year old worker from a plating factory, presents with repeated episodes of ie ing. on ing in through the nose. What is the most likely diagnosis? SD (A) Sepial perforation B. Nasopharyng: ma c, Cocaine abusj BD, Coagul iy Q4l- SO) csi dense ein ge Teveals a bleeding for the anterior nasal septum. What is the most likely diagnosis? B.S, Nasopharyngeal carcinoma C. "Cocaine abusive D. —_Coagulopathy E. Maxillary antral carcinama Q42- An 80 year old man ith epistaxis of tw i d “ Presents with epistaxis of two hours duration. What is the most likelyt b- aye, OF ‘0 A Nasal Polyp Cx ce st nb Hyper tension t Cocaine abusive bD Coagulopathy I Maxillary antral carcinoma i Ung? Q 43. Patient with some pathology of car comes with sides and it worsens with movement. The test for it is by lowering-the-patient. What is the most likely diagnosis? (a) Tilt test (BLY)— B. Salicylate levels > c Fracture of petrous temporal bone ‘eS D., ‘Wax in ears AS BE Ototoxicity Q 44- Patient took some treatment for his shoulder pain for 3 y for 3 weeks and oe ‘with tinnitus. What is the most likely cause? (A) Ototoxicity ( S o ‘Tilt test (BPV) ? i Salicylate levels S Dd. Fracture of petrous temporal bone E. Wax in ears i) Q 45- A boy was hit behind his ear and now comes ghey in hearing an tinnitus, what she most likely diagnosis? et A Tilt test (BPV) Y : B. Salicylate levels @) Fracture of petrous temporal D. Wax in ears Ne E. Acoustic neuroma Oss: Aree10 he followins diagnosis ural hearing loss. Which of t Q48- Patient presents with bilateral sensori ne resolve spontaneously? = CA) Noise induced hearing loss Presbycusis Otosclerosis Acoustic neuroma L Otitis media ‘ ie : a ive he: = Q49- A patient, with a family history of hearing loss, presents with bilateral conducti uae . What is the most likely diagnosis? xX Noise induced hearing loss Presbycusis ~ Otosclerosis RK Acoustic neuroma Q Otitis media 30- Patient presents with bilateral sensori neural hearing loss. What hoe likely diagnosis? ees SL Noise induced hearing loss > Presbycusis ) Otosclerosis .. Q Acoustic neuroma wo Otitis media ) Q51-A 65 year old man compl kien igh ding ear syringing. The drum is obscured with water and residual wax. Choos { management. A. Diclofenac (oral) es B. Amoxicillin (oral) Cc. Betamethasone ear drops Cy @) Same Day Referral to § ids E. Lidocaine (topical) or Q52-.A 60 year old pain in both cars wi moos A o@)o >» FS Olt)\> oO cin (intramuscular) dD. « y\ Séctamicin (topical) and ciprofloxacin (oral) @ $3: A 70 year old woman hes sudden onset pain and di i vesicular rash on the right side of surface of ear drum, Validea Doe ee What i the most appropriate treatment option? - ie . @® Oral acyclovir , B asi : Betamethasone ear drops E. Acyclovir (topical), 11 Q 34 A 75 year old man has had repeat episodes of pain and discharge from his ear since childhood, lic has reduced hearing, the drum has a large perforation with a white mass visible through the drum. What is the most appropriate next step in management? %, Oral acyclovir ip B Amoxicillin (oral) ( Uho_bty ni ee a ie a ¢ Betamethasone ear drops Dy Same Day Referral to Specialist E Acyclovir (topical) Q55- A 35 year old man on warfarin for a prosthetic heart valve presents with a severe wactig? His international (INR) is 10.0. His blood pressure is 80/55 mmHg and his pulse is 120 eS at is =—_—— the most appropriate immediate management? ‘ Apply ice to the bridge of the nose Fresh frozen plasma infusion (¢/ecb\@ ) A B. 8 Pinch the bony nasal bridge ; E Prothombin complex concentrate \\)/ tabs cleswonged 9 Eee S See ry one afar fonlul Le’) \ Q 56- A 5 yrs old boy presents with intermittent epistax is On ation there is crusting seen on anterior nasal mucosa, What is the most likely diagnosis? ae scabeinw (Onvonie ve A. Anterior nasal packing Px ; eS. veh bull #45 D c. Apply fibrin glue to the nose D. Apply ice to the bridge of the nose E. Fresh frozen plasma infusion Q57- Asix six year old girl who has nei nose bleeds attends the Accident and Emergency Department fol ute epistaxis. ‘This has now stopped. She has a small B. Application of neomycin cream f and no other abnormality. What is the most appropriate next A. B zB Q5 old woman complains that before she goes out to work the room goes round and she t feat. What isthe most ikcly diagoosis? ‘Wes Acoustic neuroma cals Se eruieis D. E. Benign positional vertigo Cerebellar degeneration ANT Dich, Toniaar (Cruamat Ted Titned ITK IGT ITT.12 . nfusion i companied yy ee Q.59-A.58 year old man with atrial fibrillation has an attack — S ( all lasting for two to three hours, What is the most likely diagnos's* C.ueoa li A. Post traumatic” ie . B. Temporal lobe epilepsy a, kesh £28 €C) Transient ischemic attach Abie Orie) te TWA) ; y a Vertebro-basilar insufficiency ? pe Yee grr oud v D. E. Vestibular neuronitis (labyrinthitis ae as Q.60- A 47 year old woman has recurrent episodes of deafness, vertigo and tinnitus. peer deafness increases, the vertigo settles, What is the most likely diagnosis? A. Basilar artery migraine © B. Benign positional vertigo ~ c, Cerebellar degeneration Qe D. Drug induced a\" ai } Meniere's disease Q61- A 37 year old woman has a sudden onset of vertigo visting wine upper respiratory tract infection. What is the most likely diagnosis? Ky Cerebellar degeneration Dmg induced YD “fs Meniere's disease Vertebro-basilar insufficiency S Vestibular neuronitis (labyrinthitis ) (So e> ae isan and causing his nose to bleed. Q 62- A 28 year old man falls, striking his; When he attends the Accident and Department he is Jucid, the istaxis has stopped but clear fluid is noted to be dripping right nostril. What is the moet tikaly dagnness? A. Acute pharyngitis QR B. Allergic shinitis Q CC) —_Ethmoide D. _ Frontal sinusiti man is admitted to hospital with epistaxis nine days after day care excisi olyps. He is tender over the nostril and febrile. What i the most likely diagnocioy13 Maxillary sinusitis B Nasal bone fracture ee Nasal sepsis aXgie : AAs and Dp Nasopharyngeal carcinoma PR vnnaca' (ey cece E Thrombocytopenia t i I a el, Q 65- A 30 year old Woman presents with recurrent nos¢bleeds over the past year, the only abnormality found is enlargement of the spleen. What is the most likely diagnosis? ALL qj Nasal bone fracture Nasal sepsis. cS Nasopharyngeal carcinoma Thrombocytopenia eS Aon oe Management of ear ache; Q Q 66- A four year old girl presents with a 12 hour history of earache Syke of 38.C she has rhinorrhoea and a pink left eardrum. What isthe most aS gement option for her? AL Hydrocortisone polymixin and neomycin ear drops B —Olive oil ear drops B, Infective vestibulitis a\’ Nasopharyngeal carcinoma ° E Prominent blood vessels ‘ Q 86. A 45 year old man presents with noses bleeds. He is pale, hadenopathy and an enlarged spleen. What is the most likely diagnosis? ; Vv O & <<) Cocaine ahuse Q Dd. Y ce Cocaine abuse D. Nasopharyngeal carcinoma Y E. Prominent blood vessels Q 87. A four year old girl has had nose bleeds in the past few weeks. She has extensive, ee t is the most likely diagnosis? “A) Infective vestibulitis Q) Q88. A, Ce ee Lions Waki Soe epistaxis from anterior septum requiring cauterization. What is the most —18 7 dually ! days and then grae Q 89. A 43 year old man has developed acute vertigo which lasts for sceae a denly. What is the improves over three weeks. He continues to feel dizzy if he changes Pp L most likely finding on investigations? A BOG: B. Abnormal Caloric Vestibular Tests Cc. Lying standing blood pressure (D) — Abnormal Tilt Tests E. Tumour at the Brain Stem on Brain Scan aq ‘0! Q 90. A 45 year old man presents with a history of repeated ear infection, progressive hearing loss and attic crust. What is the single most likely diagnosis? SS CA) Cholestatoma B. Chondromalasia Qe Cc Myringitis | ; D. Nasopharyngeal tumour RQ E Otosclerosis y pe Q QOL. A455 year old man presents with ittesigns of otitis media. There the single most likely is a history of recurrent epistaxis during the past three months, diagnosis? A. Cholestatoma Vv B. Chondromalacia Cc, Myringitis \) @ Nasopharyngeal tumour ~ E. c Otosclerosis obscured by a dark brown mass. diagnosis? A. Acoustic neuroma B. Chronic suppurati Cc, Oto-sclerosis D. Presbyacusi: ) Wax Q94. An 81 year old woman has i: i loss in both ears. What is the. ele mnat ky gee shows marked hi htAcoustic neuroma Chronic suppurative otitis media Meniere's disease D. Oto-sclerosis i Presbyacusis Q 3 an axe old man has a smooth, tender swelling extending from the ear to the angle of the jaw, of sudden coe He has a temperature of 38.5°C. What is the single most likely diagnosis? A. Dental caries . — &B Mumps c Otitis externa D. Otitis media E. »S Temporomandibular joint pain ; Q 96. A 65 year old man complaints of episodes of vertigo, deafness and ti a in the right ear, all these symptoms are progressing slowly. Patient also complaints of ri facial numbness. Which of the following would help in the diagnosis? A. Caloric test / ‘ ; Electromagnetic Imaging of the vestibule a) Goer tut © MRI Head & D. Gutenberger’s test VY E. Blood tests for tumor markers .\ 97. A 30 years old gentleman complains of hoarseness of voice. On examination an immobile vocal cord on one Si is the most probable diagnosis? 5 A. Grave’s disease Th Te B. Hematoma Oe Recurrent Laryngeal Nerve Injury . External Laryngeal Nerve Injury FE. Tracheomalacia 98. A 34year old man has -orbital pain and tendemess and developed tenderness over the maxilla. He also has mild fever. What is the SINGLE likely cause for these symptoms? CADAcute Sinusitis . B. Giant Cell Arteritis _ C. Trigeminal Neuralgia D. Maxillary Careinoma his ear during a rugby match. He reported it being painful. On examination the be AE ia tender. Tympanic membrane was normal. What would be the next appropriate a4 is20 sn innitus in ri examination, weber ith hearing Joss and tinnitus in right ear. On mina 00, A45 year old presents with i id tinnit contuetioa in aa lateralizes to the left. On audiometry air conduction is better than bone both ears. What is the next best investigation? A. CT scan CB)MRI brain C. Angiogram D, Otoscopy it i i inki with nasal 101. A 60-year-old man with a long history of smoking and alcohol drinking presents h obstruction, epistaxis, diplopia, otalgia and conductive deafness. What is the single most likely diagnosis? ( ANasopharyngeal cancer B, Pharyngeal carcinoma C. Sinus squamous cell carcinoma D, Squamous cell laryngeal cancer E. Hypopharyngealtumour. 102. A 34 year old man had a cold two days back. He now presents with right sided facial pain. What is the single most likely diagnosis? ara @ Maxillary sinus B. Ethmoid sinus C. Septal hematoma D, Septal abscess E. Allergic rhinitis 103.A young child was brought by his mother to the out patient complaining that he raised the volume of TV and did not respond to her when she called him. On examination tympanic membrane was dull greyish and no shadow of handle of malleus, What is the most probable diagnosis? — A. Chronic otitis media B. Acute otitis media Secretory otitis media , Otitis extema E, Cholesteatoma 104.4 67-year-old man with a hi of wei: lains of faaccam Sacer Hea tomnogrigy tan reveals pesky Intec ee fla in breathing. What is the 5 pace ee is the single most appropriate investigation? C Sve at 2 | :4, Acoustic REUFOMA 3. Menicre's disease C. Noise-induced deafness D) Oto-sclerosis FE. Presbyacusis 106. A 26 year old woman has become aw: i ing right — si i i i recent pregnancy, Her eardrums are 1 lg ba rpg ee mei 08" sp Bone= conduction normal. “i ; Weber test lateralizes to the right ear. What is the single most likely diagnosis? A. Encephalopathy B. Functional bearing loss C. Tympano-sclerosis (D/ Otosclerosis E. Sensorineural deafness 107. A 40- man witha 25 years history of smoking presents with progressive hoarseness of voice, di ty in swallowing and episodes of haemoptysis. He mentioned that he used Tt bea — regular cannabis user. What is the single most likely diagnosis? Z + is f] Nasopharyngeal cancer. oe VLA O We Pree Cannas 1s ¥ eldlea +0 pec. C. Sinus squamous cell carcinoma D. Squamous cell laryngeal cancer E. Hypo-pharyngeal tumour 108, A middle aged man who has had a history of chronic sinusitis, nasal obstruction, and blood 7 stained nasal discharge. He now presents with cheek swelling, epiphora, ptosis, diplopia and maxillary pain. What is the single most likely diagnosis? va A. Nasopharyngeal cancer B. Pharyngeal carcinoma’ . Sinus squamous cell carcinoma as Squamous cell laryngeal cancer E. Hypopharyngealtumour 109 ‘29 year old man with history of asthma comes with post nasal discharge and bisters airless nasal blockage. What is the single most likely diagnosis? sare ‘A. Nasal polyp - Septal hematoma C. Septal abscess D. Atopic rhinitis ho is recovering from surgery on the left carotid artery in his neck. He has 110. A 73 year old man wie i the ti deviated to the side of the operation. What is the On protrusion of his tongue, the up oe slurred speech. no ; A. Accessory nerve B. Facial nerve - C. Glossopharyngeal nerve Hypoglossal nerve ‘Vagus nerve 3014 Plab Trainer (Swamy) Ltd. Ilford, UB. IG] 1TL. Dee eae ee ge eee et el ee be22 11.420 ‘old woman, with no previous history 0! ‘ear comp. aoe ee en the Hat ear. The ear i extremely tender To exansine diagnosis? cai A, Chondromalasia B. Furuncle C. Myringitis (DI Otitis extema KF, Otitis media 112. A 7S year old woman has weakness of the left side of her face. She has had a painful eat for ; hours. “There tre pustules in the left car canal attor-the eardrum.” What is the single most Gagnosis? A. Chronic serous otitis media (glue ear) (CB) Herpes zoster infection C. Impacted earwax 1D. Perforation of eardrum E. Presbycusis 113.468 old male presented with swelling in the lower pole of the parotid gland for the last, a eC ee a \S | i“ . eomorphic adenoma. yl be ory avurot ) C, Mikulicz’s disease D. Parotiditis B. Frey's syndrome | chyo (o chile leas) 114. A patient a small child presented with peice andthe rmpanie piembrane is dull Te he tympanic n is dal 5