Ent Osce 1 PDF
Ent Osce 1 PDF
Ent Osce 1 PDF
Station No: 1
Instructions for Candidate
Examine the Rt. Ear of the Patient
Station No: 1 Examiners Check List
Examination of Ears Roll No.
Task Performed Max
marks
Introduction
Consent 01
Illumination
Exposure
Position
Inspection of Pinna 01
EAM (Pulls the Pinna Upward, backward & laterally
Pre auricular area
Palpation (Pressing of Tragus, pulling the pinna, Mc evens triangle
Inspection with ear speculum (select the appropriate size, holds in 01
orresponding hand) Perform Valsalva
Hearing tests (speech / friction) 0.5
Tuning fork test 1.5
Rennis / Webers / ABC
Facial Nerve function tests 1.5
Nystagmus 0.5
Vestibular function test / cerebellar test 01
Fistula test 0.5
Selection & handling of Instruments 01
Redrapping & Thanks 0.5
TOTAL 10
Global Assessment
Fail
Pass
Good
Excellent
Station No: 2
Instructions for Candidate
Station No: VI Examiners Check List
Roll No
Task Performed Max
Marks
Greets & introduce himself 0.5
Duration of obstruction 01
Side of obstruction 0.5
Degree of obstruction complete / partial 01
Pattern of obstruction Intermittent / permanent 01
Aggravating factors dust / chemical / fumes / smell etc 0.5
Relieving factors (medications etc) 0.5
Associated symptoms (headache watering of Eyes & Nose or 01
Ear symptoms
Trauma 0.5
Post Nasal Drip 0.5
Olfaction disorder 0.5
Past history Medical / Surgical / Allergies / Drugs / 01
Chronic illness
Family History 0.5
Thanks 0.5
TOTAL 10
Global Assessment
Fail
Pass
Good
Excellent
A seven year old presented with H/O recurrent sore throat for last 04 years.
Station No: VII
Examiners Cheek List
Roll No
Task Performed Max
Marks
Greet the patient & introduce himself 01
No of attacks in a year 01
History of fever 01
History of difficulty in swallowing 01
History of joint pains 01
History of Nasal Obst. / mouth breathing 01
Treatment history 01
History of Bleeding disorders 01
Past History Medical 01
Surgical
Family History 01
TOTAL 10
Global Assessment
Fail
Pass
Good
Excellent
2. a) Trauma 03
b) Idiopathic
c) Angiofibroma
3. Little’s Area 01
4. Ask the patient to adopt sitting posture 02
a. Pinch the nose
- Ice packs over forehead
5. a) Anterior nasal packing 03
b)Posterior nasal packing
c)Electro cautery/Diathermy
TOTAL 10
Station No: X
A27 years old man presented in out-patient with complain of severe ear ache and
decreased hearing in his right ear. There is a history of scratching with ear bud. On
examination there is a smooth red swelling in the outer third of the external auditory
meatus;
Please answer the following questions on the response sheet provided:
1. What is the most likely diagnosis?
2. What is the pathological cause of this condition?
3. What is the cause of decreased haring?
4. What clinical sign will confirm it?
5. What is its treatment?
Station No: X Key
Examiners Cheek List Roll No
Task Performed Max
Marks
1. Boil / frunculosis / Otitis Externa 02
2. Invasion of staph. Aureus in hair follicles 02
3. Odema / Swelling of EAC 02
4. Tragus sign / Tenderness on pulling pinna 02
5. Analgesic, Antibiotics (systemic, local), soothing 02
agents like Icthymol glycerine
TOTAL 10
● Nasal Obstruction
● Headache
What are the Sings/Symptoms? ● Post Nasal Drip 2
● Decreased Patency
● Cottles test +ve
1. Septal Haematoma
2. Septal Abscess
What Operative Complications can occur? 2
3. Septal Perforation
4. Saddle Nose