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ENT Junior Doctors Induction Assessment
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First Name
Last Name
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Your Score
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1. What is the definitive management for hard oesophageal foreign bodies?
*Single choice - only one is true
Antibiotics
IV glucagon
IV buscopan
Removal as soon as possible
Transfer to HDU/ITU
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2. Which of the following is
not
a presentation or complication of acute mastoiditis?
*Single choice - only one is true
Displaced pinna and / or fluctuance due to an abscess over the mastoid
Meningitis
Granulation tissue within the ear canal
Facial nerve palsy
Venous sinus thrombosis
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3. Which of the following is part of resuscitation plan for a child with a post-tonsillectomy haemorrhage?
*Single choice - only one is true
Fluid resuscitation of 30ml/kg
Hydrogen peroxide gargles in older children
Keep the child lying down
Monitor the child in children's minors
Using blood pressure measurement as a key to measure need for theatre
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4. Which of the following is
not
a life-threatening complication of thyroid surgery?
*Single choice - only one is true
Hypocalcemia
Hypercalcemia
Neck Haematoma
Bilateral vocal cord palsy
Airway obstruction
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5. Which of the following is part of the management pathway of periorbital cellulitis?
*Single choice - only one is true
CT scan of orbits and sinuses
IV antibiotics
Opthalmology input
Nasal decongestants
All of the above
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6. Which nasal preparation is commonly used before flexible nasoendoscopy?
*Single choice - only one is true
Betnesol drops
Otrivine drops
Fluticasone spray
Co-phenylcaine spray
Momethasone spray
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7. Which of the following is a highly suspicious sign for nasal bone fracture?
*Single choice - only one is true
Deviated nasal septum
Periorbital bruising / ecchymosis
Nasal scarring
Septal perforation
Saddle deformity
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8. Which of the following tuning fork test findings indicate a right-sided sensorineural hearing loss?
*Single choice - only one is true
Rinne's +ve bilaterally and a central Webers test
Rinne's +ve bilaterally and a Webers test to the left
Rinne's +ve bilaterally and Webers test to the right
Rinne's +ve in the right and -ve to the left with a Webers test to the left
Rinne's –ve bilaterally and central Webers
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12
9. Where is most practical place to drain / aspirate a quinsy from?
*Single choice - only one is true
Line drawn from uvula intersecting line drawn from upper incisors
Just anterior to anterior pillar
Just posterior to anterior pillar
Base of the uvula
At the most fluctuant / bulging point
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10. Which of the following is an emergency tracheostomy situation requiring urgent attention?
*Single choice - only one is true
Excess secretions from the tracheostomy tube
Blocked speech valve
Blocked nose
Excessive secretions from the mouth
Blocked tracheostomy tube
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11. Which of the following are commonly caused by viral illnesses?
*Multiple are true - select ALL the true answers for a full score
Tonsillitis
Peritonsillar abscess
Glandular fever
Epiglotitis / supraglotitis
Airway foreign bodies
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12. Which of the following are complications of acute otitis externa?
*Multiple are true - select ALL the true answers for a full score
Acute mastoiditis
Necrotizing otitis externa
Pinna haematoma
Pinna laceration
Pinna cellulitis and perichondritis
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13. Which of the following are common causes of stridor?
*Multiple are true - select ALL the true answers for a full score
Adenotonsillar enlargement
Laryngomalacia
Foreign bodies in the larynx
Foreign bodies in the nasal cavity
Subglottic stenosis
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14. Which of the following are complications of Endoscopic sinus surgery?
*Multiple are true - select ALL the true answers for a full score
CSF leak
Septal haematoma
Blindness
Bleeding
Infection
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15. Which of the following are complications of nasal trauma?
*Multiple are true - select ALL the true answers for a full score
CSF leak
Septal haematoma
Epistaxis
Nasal discharge
Facial bone fractures
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16. Which of the following manoeuvres are employed during nasoendoscopy?
*Multiple are true - select ALL the true answers for a full score
Getting the patient to turn their neck
Getting the patient to puff their cheeks
Getting the patients to shout
Getting the patients to say 'eeeee’
Getting the patients to raise their hands above their heads
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20
17. Which of the following equipment is used in foreign body removal from the nose?
*Multiple are true - select ALL the true answers for a full score
Headlight
Tongue depressor
Syringe
Wax hook
Jobson Horne
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21
18. Which of the following
statements are true
?
*Multiple are true - select ALL the true answers for a full score
There are two main sizes for the auroscope speculum
It is important to look for pre-auricular, post-auricular and tragal surgical scars during inspection
A 125kHz tuning fork is used for Rinne and Webers testing
The stapes bone is commonly visualised during otoscopy
Wax can be removed with microsuction
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19. Which of the following are equipment used in tonsil assessment and quinsy drainage?
*Multiple are true - select ALL the true answers for a full score
Needle / scalpel
Headlight
Jobson Horne
Wax hook
Thudicum's speculum
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23
20. Which of the following regarding tracheostomies and laryngectomies are true?
*Multiple are true - select ALL the true answers for a full score
Patients with a laryngectomy have a patent upper airway
A cuffed tube is used to prevent aspiration in a tracheostomy
Tracheostomies are commonly performed for long term ventilation
Tracheostomies tubes are only cuffed tubes
Patients with tracheostomies and laryngectomies are unable to speak
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Do you have any suggestions for improving the induction material?
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