ENT and Ophthalmology – Exam Review Set 1

What this deck covers

ENT and Ophthalmology – Exam Review Set 1 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 paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Which mark is which
2. What the axes mean
3. Which route wins
4. The two traces agree
5. Where the loss sits
6. It lights up
7. If it is left alone
8. Press on the gland
9. Which one does not count
10. Not yet
11. The newborn screen
12. The commonest cause
13. Pull the ear
14. Three days, no better
15. No canal to use
16. A torch and a glance
17. It only looks like one
18. How to be sure
19. Naming the turn
20. Before any surgery
21. Green, and one side
22. The commonest lump
23. Before assuming benign
24. When it is not benign
25. What the wait is for
26. Where it starts
27. A visible vessel
28. Stopping the next one
29. When to look further
30. A week afterwards
31. Open it, do not chase it
32. Swells at the meal
33. Find it first
34. Where the gland began
35. The operation has a name
36. After the platinum
37. Put a number on it
38. Two signs, one nerve
39. When it crosses over
40. Scan comes first
41. Chemical in the eye ten minutes ago
42. A white pupil in a photograph
43. A grey reflex at six months
44. Struggling to see the board
45. Blurred discs and morning headache
46. Painful loss of vision in one eye
47. A lid that has always drooped
48. A squint worse at close range
49. A red lump on the eyelid
50. Blood inside the eye after a ball

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: A cross for the right ear, A wide gap between the two traces, Recurrent infection, Review in about three months, Fever above 39, Visual acuity testing, An exotropia, turning outwards, A pleomorphic adenoma, Because the family must consent formally first, A decongestant spray, Marsupialisation, The foramen caecum of the tongue, Mild hearing loss, Excision in day surgery.

Clinical pearls from this deck

• Read the key before the curves. An audiogram interpreted with the ears the wrong way round is a confident answer about the wrong side of the head.
• The vertical axis is upside down so the chart looks like the hearing. Down the page means worse, which is why a normal audiogram is a line across the top.
• Air goes through everything and bone skips to the end. Once you hold that, every audiogram pattern follows from comparing the two.
• Test hearing early after meningitis, not at the follow-up appointment. The cochlea can ossify while everyone is waiting to see whether the hearing recovers.
• The gap is the diagnosis. Measure the distance between the two traces and you have both the site of the lesion and the size of the problem.
• Take a torch to a neck lump in a baby. A swelling that glows is full of clear fluid, and in the posterior triangle that answers the question on the spot.

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 & ophthalmology case decks · pediatric reference values.