DOHNS OSCE October 2013 in Dublin
Manned station:
1. Explain to a father regarding the PTA results for his 6 years old
child with unilateral profound sensorineural hearing loss and advices.
2. Perform flexible scope on a manikin and draw laryngeal structures.
3. Examine ears and facial nerve.
4. Explain to a patient with a history of recurrent tonsillitis
regarding tonsillectomy.
5. Take consent for submandibulectomy.
Unmanned station:
1. Identify base of skull foramen: rotundum, ovale, spinosum, IAM and
structures passed through them.
2. Identify structures in a neck dissection patient with mandible
removed.
3. Tympanometry in cases of nasopharyngeal carcinoma, middle ear
effusion, perforated TM, otosclerosis, acoustic neuroma.
4. Identify hearing aid parts – material used; ventilation channel, why
acoustic feedback occurred and management.
5. Describe a frontal lobe lesion in a MRI brain and identify anatomy
structures, approach of operation with what kind of imaging helpful to
it.
6. Nasal polyp, NARES, Samster’s triad.
7. Menierre’s disease in a driver, PTA findings, lifestyle
modification, treatment options.
8. Identify bone conduction hearing aid, TORP, stapes prosthesis,
tracheal esophageal posthesis, lary tube.
9. Laryngectomy indication, TEP function and how it works,
complications.
10. Coin ingestion in throat for adult vs. child, where the
constriction is and why FB did not descend distally, difference in term
of management and complications.
11. Identify anatomy of ear; bat ear, surgery to correct Bat ear,
advices before surgery, what to take into account regarding mastoid
surgery on a children.
12. Label parts of TM.
13. Ramsay hunt syndrome, type of skin rashes involved, palatal
vesicles, what happened in immunocompromised patient in contact with
this patient.
14. Write an operative note for a patient underwent adenoidectomy,
myringotomy and grommet insertion .
15. Hashimoto thyroiditis: signs and symptoms; diagnostic
investigations; indications for thyroidectomy.
16. Branchial cyst and differential diagnosis, fine needle aspiration
findings, management.
17. Thyroglossal cyst, embryology, investigation and how to manage.
18. Septal hematoma, complication and treatment; battle sign underlying
pathology; perichondral hematoma and management; nasal bone fracture
management.
19. Mastoiditis, organism involved, how to manage.
20. Pictures of CSOM, cholesteatoma, glomus tympanicum,
tympanosclerosis.
21. Describe layngomalacia anatomical features, typical stridor
features, how to manage.
22. Oral cavity - hairy tongue, geographical tongue, hypertrophic
gingiva and drug causes it, torus palatinus
23. PTA machine - bone conduction, response button, how to perform PTA,
how to detect malinger.
Provided by Dr David Yee
Unedited