, ENT OSCEs: A Guide
to Passing the DO-HNS
and MRCS (ENT) OSCE
Second Edition
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, Contents
Foreword to the Second Edition vii
Preface to the Second Edition ix
Acknowledgmentsxi
Authorsxiii
Abbreviationsxv
The DO-HNS and MRCS (ENT) Examination and How to Pass It xvii
General Tips for the Communication and History Stations xix
1 History Stations 1
1.1 Olfactory Dysfunction 2
1.2 Nosebleeds in Adults 5
1.3 Nosebleeds in Children 7
1.4 Dry Mouth 9
1.5 Lump in the Throat 12
1.6 Hoarse Voice 14
1.7 Catarrh and Post-Nasal Drip 17
1.8 Tinnitus19
1.9 Child with Recurrent Ear Infections 22
1.10 Facial Weakness 24
1.11 Septal Perforation 27
1.12 Hearing Loss in a Child 29
1.13 Adult with Itchy, Painful Ear 31
1.14 Adult with Non-Acute Hearing Loss 33
1.15 Adult with Sudden Hearing Loss 35
1.16 Otalgia37
1.17 Nasal Crusting 39
1.18 Dizziness41
1.19 Neck Lump 44
1.20 Snoring in a Child 46
1.21 Recurrent Tonsillitis 48
1.22 Nasal Obstruction 50
2 Examination Stations 53
2.1 Examination of the Ear 55
2.2 Examination of the Nose 62
2.3 Examination of the Neck 65
2.4 Examination of the Oral Cavity 70
2.5 Flexible Nasendoscopy 73
2.6 Vestibular Assessment 75
v
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, Contents
3 Communication Skills Stations 81
3.1 Consent81
Grommets81
Functional Endoscopic Sinus Surgery 83
Septoplasty84
Panendoscopy and Microlaryngoscopy 85
Myringoplasty86
Parotid Surgery 87
Submandibular Surgery 89
3.2 Explanation90
Benign Paroxysmal Positional Vertigo 90
Cholesteatoma91
Thy3F Thyroid Nodule 92
Acoustic Neuroma 94
3.3 Breaking Bad News 96
3.4 Discharge Letter 98
3.5 Operation Note 99
4 Data and Picture Interpretation Stations: Cases 1–42 103
Index189
vi
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