Sample OSCE Question

Group Studies

1
a) What x-ray is this?
• Plain X-ray of Occipitomental view (or
paranasal sinuses) of the skull (water’s
view), showing opacity in the right
maxillary sinus

b) Use your findings to arrive at a

diagnosis
a) Chronic right maxillary sinusitis

2
 • Plain X-ray of Occipitomental view of the skull (water’s view),
showing opacity in the right maxillary sinus

Orbit

Left maxillary
Left maxillary
sinus (with sinus
opacification)

3
a) Describe the x-ray
• AP and Lateral x-ray views
• Showing a radio opaque
foreign body in the right main
bronchus (spring like)

b) State one method of

treatment
• Rigid Bronchoscopy

4
a) Describe the lesion
• Soft tissue lateral x-ray of the neck
• Loss of cervical lordosis
• Widened pre-vertebral soft tissue
shadow
• Narrowing of the airway

b) What is the most common cause

of these lesions in children
• Retropharyngeal Abscess (URT)

5
a) Describe the x-ray
• Soft tissue lateral x-ray of the neck
• Loss of cervical lordosis
• Pre-vertebral soft tissue shadow
• Well-circumscribed radio opaque foreign
object (coin) in the thoracic inlet at the
level of C6 to T1

b) What procedure must be done

• Rigid Esophagoscopy and removal

6
a) Describe the x-ray
• Soft tissue lateral x-ray of the neck,
thorax and abdomen
• Loss of cervical lordosis
• Well-circumscribed radio opaque
foreign object (coin) at the thoracic
inlet

b) What procedure must be

done
• Rigid Esophagoscopy and removal

7
a) Describe this x-ray
• X-ray of the skull, AP and Lateral view
• Radio opaque foreign object
(watch battery) in the left nasal cavity
• Removal is by Nasal Rhinoscopy

b) Give 2 possible clinical features

• Nasal Obstruction / Congestion
• Unilateral nasal discharge (offensive)

8
a) Describe this pathology
• Fronto ethmoidal sinus mucocele

CT-Scan Coronal View 9

a) Describe this x-ray
• X-ray of the skull, AP
• Radio opaque foreign object in the left
nasal cavity
• Removal is by Nasal Rhinoscopy

b) Give 2 possible clinical features

• Nasal Obstruction / Congestion
• Unilateral nasal discharge (offensive)

10
a) Describe this x-ray
• Plain X-ray of the chest, PA
• Tracheal deviation to the left

• Opacity of the left lung due to lung collapse

as a result of inhaled foreign body in the left
main bronchus

11
a) Describe this x-ray
• Plain X-ray of the chest, PA
• Tracheal deviation to the right

• Opacity of the right lung due to lung

collapse as a result of inhaled
foreign body in the right main
bronchus

12
a) Describe the x-ray
• Soft tissue lateral x-ray of the neck
• Loss of cervical lordosis
• Radio opaque object foreign (peg pin) at
the level of C4 to C6

b) What procedure must be done

• Rigid Esophagoscopy and removal

13
• Soft tissue lateral x-ray of the neck, with
• Loss of cervical lordosis
• Narrowing of the airway - Epiglottitis (thumb
sign)

• Soft tissue AP x-ray of the neck, with

• Narrowing of the airway - Epiglottitis (stipple
sign)

14
a) Name the instrument in use
• Flexible Laryngoscopy

b) Name one pathology that can be

diagnosed with this
• Laryngeal cancer/tumor
• Singers Nodule
• Laryngitis
• Any lesion in the larynx

15
a) Name the possible diagnosis
• Obstructive sleep apnea 2⁰ to Adenoid Hypertrophy

b) Give 4 clinical features

• Nasal congestion
• snoring
• Mouth breathing
• Rhinorrhea

16
a) Describe this lesion
• Antrochoanal polyp (which arises fron the maxillary antrum near its accessory
ostium and comes out and grows towards posterior choana and anterior nasal cavity)
• Consist of 3 parts:
• Antral: a thin stalk
• Choanal: round and globular
• Nasal: flat from side to side

b) Give 2 possible differential

diagnosis
• Blob of mucus
• Hypertrophied middle turbinate
• Angiofibroma
• Malignancy

17
a) Describe what you see
• An infant in obvious respiratory distress
• Mouth breathing

b) Give 1 possible ENT diagnosis

• Upper airway obstruction
• Congenital malformation like laryngomalacia
or choanal atresia
• Foreign body aspiration

18
a) Name the instrument being used
• L-shaped metallic tongue depressor

b) Describe the pathology

• Polyp

19
a) Name 2 instruments in use
• Audio booth
• Audiometer

b) Explain why a hand is raised

• It indicates the individual can hear the
tones

20
a) Name 2 instruments in use
• Doyle-Davis Mouth Gag
• Draffins Bipod and Magauran's Plate

b) Name one possible surgery being done

• Adenoidectomy
• Tonsillectomy
• Adenotonsillectomy

21
a) What instrument is this?
• Tracheostomy tube

b) Give 2 indications for its use

• Head and neck surgeries
• Upper airway obstruction due to trauma

22
a) Describe this pathology
• Otoscopy showing central perforation
of the Tympanic Membrane

b) Give 2 possible clinical features

• Hearing loss
• Mucoid ear discharge
• Tinnitus
• Pain
• Dizziness / vertigo

23
a) Name the instrument in use
• Killian nasal speculum

b) What procedure is being done?

• Anterior Rhinoscopy

24