Manometry reveals incomplete relaxation of the lower esophageal sphincter and no peristalsis in the proximal part of the esophagus. 38.What is the Most likely diagnosis? a.Benign Oesophageal Stricture b.Oesophageal adenocarcinoma c.Primary achalasia d.Secondary achalasia e.Pneumomediastinum 39.Which of the following is the most appropriate next step in management?
Otolaryngology (ENT) Clerkship Multiple Choice Examination Theme: Hearing screening 40.A mother brings her 5-day old baby to have a hearing assessment. She is concerned because She has a history of sensorineural hearing loss and did not receive all her vaccinations. The most appropriate test to order is 41.Which of the following modalities of hearing assessment does not require a response from the patient?
Otolaryngology (ENT) Clerkship Multiple Choice Examination Theme: Otorrhea A 52-year-old male with poorly controlled diabetes has now presented to his general practitioner with gnawing earache. He has a mass in the ear canal along with scant foul smelling mucopurulent discharge from the left ear. 42.Which of the following is likely to be associated with his condition? a.Sensorineural hearing loss b.Decreased ESR c.Fixation of the stapes footplate to the oval window d.Infectious spread through the Fissures of santorini e.Attico-antral inclusion epidermoid cyst A 41-year-old man presents with a longstanding foul smelling ear discharge and progressive hearing loss. Otoscopy shows a perforation of the pars flaccida and a flakey mass in the upper part of the middle ear. 43.The most likely mechanism of the genesis of his condition is 44.What is the next best step?
Otolaryngology (ENT) Clerkship Multiple Choice Examination Theme: neck masses in adolescence A 14-year old boy is brought to the clinic with swelling to the right side of his neck extending from the angle of the mandible to the upper 1/3 of the sternocleidomastoid muscle. The mass trans illuminates brilliantly
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- Fall '19
- Internal carotid artery, Parotid gland, superior laryngeal nerve, Recurrent laryngeal nerve