ENT & Ophthalmology — Prometric Style Questions, Set 2

What this deck covers

ENT and Ophthalmology – Prometric Style Questions, Set 2 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Referred from the newborn screen
2. Fluid for four months
3. When aids are not enough
4. Not listening after treatment
5. Deafness plus blood in the urine
6. Discharge for months, smelling bad
7. Grabbing the furniture
8. A swollen ear after wrestling
9. A droop with a running ear
10. Sore ears after the summer
11. Hoarse for four months
12. Worse by the evening
13. The catheter will not pass
14. Croup that keeps coming back
15. A weak cry after the operation
16. A disc with two rings
17. One side only, and smelling
18. A bead near the drum
19. Swelling inside the nose
20. He can still cry
21. Painful feeds at three weeks
22. A bad tooth and a swollen neck
23. Ulcers that keep returning
24. Swollen glands and a sore tummy
25. White patches that will not wipe
26. One eye that never developed
27. Straight with his glasses on
28. Stronger glasses every year
29. Eyes that will not settle
30. A child who cannot read a chart
31. A pupil pulled out of shape
32. Numb cheek after the ball
33. Haemorrhages out to the edges
34. Four minutes since the splash
35. A shadow three days later
36. A white eye that is inflamed
37. Two numbers on the chart
38. Pale eyes that let light through
39. Brown spots on the iris
40. One pupil white in the photograph
41. No red reflex at birth
42. Watering and hating the light
43. A pupil like a keyhole
44. A sticky eye since birth
45. Covering the eye completely
46. A little blood on day seven
47. Can he go in the water
48. Home the same day or not
49. Not drinking on day four
50. A cold on the day of surgery

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Repeat the screen at six months of age, Middle ear effusion from the treatment, Focal seizures with impaired awareness, Oral antibiotics for at least ten days, Change the tracheostomy tube, Observe and repeat the radiograph tomorrow, Nasal packing and discharge, Oral antibiotics and dental review next week, Antifungal treatment for infant and mother, Wearing weaker glasses than the full prescription, Shield the eye and refer urgently, Assess visual acuity before anything else, The presence of visible eye abnormality, Repeat the photograph in better lighting.

Clinical pearls from this deck

• Three months to diagnose, six to aid. Those two dates decide how well he will speak at five.
• Ask how he is doing at nursery, not just what the audiogram says. Function decides the operation, not the number.
• The window closes. A child implanted at two speaks better than the same child implanted at four, and the difference is permanent.
• The child who seems inattentive after chemotherapy is often not hearing the consonants. Book the audiogram.
• Test the urine of every deaf child. It costs nothing and it separates isolated deafness from a syndrome that takes the kidneys.
• An ear that smells and will not stop running is surgical. Look at the top of the drum, where nobody looks.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ENT and ophthalmology case decks · pediatric reference values.