40 years old male present with cough, sore throat, fatigue and headache. On examination there is an enlarged inflamed tonsills. The suspected diagnose is
Anonymous Quiz
56%
A. Acute tonsillitis
17%
B. Chronic tonsillitis
20%
C. GERD
3%
D. Cystic fibrosis
5%
E. Infectious Mononucleosis
Precise ENT
40 years old male present with cough, sore throat, fatigue and headache. On examination there is an enlarged inflamed tonsills. The suspected diagnose is
The correct answer is C Gastroesophageal reflux disease (GERD).
⭕️Explanations for this answer.
كلنا عارفين انو by age of 20 years الtonsil بحصل ليها atrophy.... ففي عمر 40 سنه صعب المريض يحصل ليهو tonsillitis...والage دا برضو هوا دا اكتر عمر لحدوث مرض الGERD دي اول حاجة.... تاني حاجه عشان تقدر تصل التشخيص الصح انو الsymptoms اللي جا بيها المريض cough and sore throat ودي indicate انو الgastric acid طلع لغايه الthroat وعمل Irritation اللي تسبب لي في الكحة وعمل inflammation للtonsills عشان كدا بقت enlarged.
So the most important thing you should know as GP.
✔️Note: suspect GERD in any patient above age of 40 years with symptoms and signs of tonsillitis.
⭕️Explanations for this answer.
كلنا عارفين انو by age of 20 years الtonsil بحصل ليها atrophy.... ففي عمر 40 سنه صعب المريض يحصل ليهو tonsillitis...والage دا برضو هوا دا اكتر عمر لحدوث مرض الGERD دي اول حاجة.... تاني حاجه عشان تقدر تصل التشخيص الصح انو الsymptoms اللي جا بيها المريض cough and sore throat ودي indicate انو الgastric acid طلع لغايه الthroat وعمل Irritation اللي تسبب لي في الكحة وعمل inflammation للtonsills عشان كدا بقت enlarged.
So the most important thing you should know as GP.
✔️Note: suspect GERD in any patient above age of 40 years with symptoms and signs of tonsillitis.
Precise ENT
The correct answer is C Gastroesophageal reflux disease (GERD). ⭕️Explanations for this answer. كلنا عارفين انو by age of 20 years الtonsil بحصل ليها atrophy.... ففي عمر 40 سنه صعب المريض يحصل ليهو tonsillitis...والage دا برضو هوا دا اكتر عمر لحدوث مرض الGERD…
Good opinion towarks logic thinking beside GERD
At age think also on malignace
&leukamia
At age think also on malignace
&leukamia
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رقم تلفون: +249122220455
الايميل:ubsudan@ Hotmail.com
In UAE: Alfalah library
In Sudan
University library... Khartoum Buri infront of Khartoum book fair
To contact library
Phone number: +249122220455
Email: ubsudan@ Hotmail.com
الكتاب متوفر الان في السودان 🇸🇩 والإمارات 🇦🇪
في الإمارات: مكتبه دار الفلاح
في السودان: مكتبه الجامعه... الخرطوم بري أمام معرض الخرطوم الدولي للكتاب
للتواصل مع المكتبه
رقم تلفون: +249122220455
الايميل:ubsudan@ Hotmail.com
هنشتغل الخمسه الايام الجايه بطريقه long problem ENT cases وهتكون بإذن الله علي الكيسات الcommon اللي بتلاقيكم بعدين as GP السوال الواحد هيكون فيهو كم سوال ويا رب تستفيدو منها ❤️🙌
⭕️Case 1.
10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal. Three days later he become feverish, irritable and continously cry due to persistent headaches. Also he had some head retraction. The child was not manged properly and died at the end of the week.
10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal. Three days later he become feverish, irritable and continously cry due to persistent headaches. Also he had some head retraction. The child was not manged properly and died at the end of the week.
Precise ENT
⭕️Case 1. 10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal.…
The diagnosis of this patient?
Anonymous Quiz
9%
A. Acute otitis media
9%
B. Otitis media with effusion
4%
C. Middle ear tumor
68%
D. Chronic suppurative otitis media
10%
E. Acoustic neuroma
Precise ENT
⭕️Case 1. 10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal.…
Which of the following have been occured in this child
Anonymous Quiz
12%
A. Suppurative labyrinthitis
20%
B. Meningitis
3%
C. Perostitis
16%
D. Both A and C
48%
E. Both A and B
Precise ENT
⭕️Case 1. 10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal.…
Which of the following examination or investigation you should to confirm what really happened to this patient
Anonymous Quiz
57%
A. Brudizinski
5%
B. Auricular wash
4%
C. Urea breath test
31%
D. Lateral veiw X ray
4%
E. Tuberculin test
Precise ENT
⭕️Case 1. 10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal.…
If the physician requires audiogram, it will show
Anonymous Quiz
19%
A. CHL in right ear
1%
B. CHL in left ear
5%
C. SNHL in left ear
14%
D. SNHL in right ear
60%
E. Both CHL and SNHL in the right ear
⭕️Case 2.
50 years old male complain of right earache of 2 days duration. The pain was especially severe on chewing food and during speech. There is also marked edema of the right side of the face. On examination, pressure on the tragus was painful and there is swelling arising from the anterior external auditory meatal wall. Renine test was positive in the right ear. The patient give history of 2 previous similar attacks in the same ear during the last six months
50 years old male complain of right earache of 2 days duration. The pain was especially severe on chewing food and during speech. There is also marked edema of the right side of the face. On examination, pressure on the tragus was painful and there is swelling arising from the anterior external auditory meatal wall. Renine test was positive in the right ear. The patient give history of 2 previous similar attacks in the same ear during the last six months
The diagnosis of this patient is
Anonymous Quiz
14%
A. Acute otitis media
24%
B. Malignant otitis externa
9%
C. Perichondritis
47%
D. Frunculosis
6%
E. External ear tumor
Precise ENT
⭕️Case 2. 50 years old male complain of right earache of 2 days duration. The pain was especially severe on chewing food and during speech. There is also marked edema of the right side of the face. On examination, pressure on the tragus was painful and there…
Which of the following diseases, you should be aware about it and may be one the risk factors that contribute to this patient
Anonymous Quiz
8%
A. TB
77%
B. DM
4%
C. Hyperthyroidism
9%
D. Hypertension
3%
E. Epilepsy
Precise ENT
⭕️Case 2. 50 years old male complain of right earache of 2 days duration. The pain was especially severe on chewing food and during speech. There is also marked edema of the right side of the face. On examination, pressure on the tragus was painful and there…
The best management for this patient is
Anonymous Quiz
12%
A. Give analgesia and regular follow up
72%
B. Antibiotics and analgesia
8%
C. Non steroidal anti-inflammatory drugs
5%
D. Prednisone
4%
E. Ear wash
Precise ENT
⭕️Case 2. 50 years old male complain of right earache of 2 days duration. The pain was especially severe on chewing food and during speech. There is also marked edema of the right side of the face. On examination, pressure on the tragus was painful and there…
During management of this patient, physician should avoid to perform an inscison in the odematous area to reduce risk of
Anonymous Quiz
9%
A. Acute otitis media
9%
B. Chronic suppurative otitis media
14%
C. Periostitis
50%
D. Perichondritis
18%
E. Acute mastoiditis
⭕️Case 3.
30 years old female present with bilateral hearing loss more on the right side following the delivery of her first child. Hearing loss was marked in quite places but hearing is improved in noisy environment. Both tympanic membranes show normal appearance and Renine test is negative. In drug history, patient takes paracetamol when she had headache.
30 years old female present with bilateral hearing loss more on the right side following the delivery of her first child. Hearing loss was marked in quite places but hearing is improved in noisy environment. Both tympanic membranes show normal appearance and Renine test is negative. In drug history, patient takes paracetamol when she had headache.
The diagnosis of this patient
Anonymous Quiz
54%
A. Otosclerosis
8%
B. Glomus tumor
3%
C. Otitis media with effusion
24%
D. Drug induced hearing loss
11%
E. Idiopathic hearing loss
Precise ENT
⭕️Case 3. 30 years old female present with bilateral hearing loss more on the right side following the delivery of her first child. Hearing loss was marked in quite places but hearing is improved in noisy environment. Both tympanic membranes show normal appearance…
If physician perform tympanogram, the patient will have
Anonymous Quiz
40%
A. Type A tympanogram
23%
B. Type B tympanogram
16%
C. Type C tympanogram
14%
D. Both A and C
6%
E. Both A and B
Precise ENT
⭕️Case 3. 30 years old female present with bilateral hearing loss more on the right side following the delivery of her first child. Hearing loss was marked in quite places but hearing is improved in noisy environment. Both tympanic membranes show normal appearance…
The characteristic sign for this patient is
Anonymous Quiz
10%
A. Kernig's sign
22%
B. Griesinger’s sign
48%
C. Carhart's sign
8%
D. Hoffman sign
13%
E. Rising sun sign