MODULE 4: ENT
There are some important topics to read in ENT. Again, there are a definable number of topics that are realistically examinable, and we have covered these below.
watch.
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How to remove airway foreign bodies: A/Prof Peter Kas. Remember, writing about *how* you would do something (vis-a-vis change a gastrostomy tube) is fair game on the new exam....
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For the curious (who hasn't wanted to know?!?) we have a short clip from sinusvideos.com via Vimeo illustrating a technique for drainage of a septal haematoma.
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Septal Hematoma from SinusVideos on Vimeo.
READ.
A nice review of both epistaxis and the evidence surrounding tranexamic acid from the resus.com.au blog.
Below is a review of non traumatic neck pain from emed-journal.com. There's a couple of paragraphs on vascular type stuff, which you will need to know at some point, but a nice overview of nasty neck infections (retropharyngeal abscesses, Ludwig's Angina, Lemierre's syndrome etc). There are also some associated clinical images to give you some pointers for the exam.
solve.
QUICK HIT!- Here is a quick question/answer scenario to test your knowledge.
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STOP What you are doing and write down 5 causes of stridor in children.
This is an important set of differentials to know and is the type of knowledge that is tested........ How many can you get? Click to the right to see a simple list from resus.com.au. Lists like this should form part of the learning and you should hunt them down and place them in a separate place as this is your differential set when you are asked a question. If you don't remember, it's good to have a system, where you can generate differentials. My system is a set of headings. I hope they help. TRAUMATIC INFLAMMATORY NEOPLASTIC VASCULAR INFECTIVE |
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QUESTION
Let's have a look at another VAQ from the old exam. This one is an ENT question from 2006. Have a go at the question, and then we'll go through the examiner's comments as an illustration of where candidates need to be prepared to go. Incidentally, it's not a large step from this "old" question to one in the new format.... YOUR HOMEWORK THIS WEEK INCLUDES THIS.
"A 12 year old boy presents with a 2 day history of fever and sore throat".
1. Describe and interpret the clinical image. (30%)
2. Describe your initial management (70%)
Let's have a look at another VAQ from the old exam. This one is an ENT question from 2006. Have a go at the question, and then we'll go through the examiner's comments as an illustration of where candidates need to be prepared to go. Incidentally, it's not a large step from this "old" question to one in the new format.... YOUR HOMEWORK THIS WEEK INCLUDES THIS.
"A 12 year old boy presents with a 2 day history of fever and sore throat".
1. Describe and interpret the clinical image. (30%)
2. Describe your initial management (70%)
write.
1 Please write 3 MCQ questions on ENT. Go back to the week 1 and 2 discussion and have a think about how you write the questions. Specifically, rather than give an explicit diagnosis in your clinical information and 4 stems, try to make the diagnosis or issue implicit: i.e. add the extra layer of reasoning.
2 Please write a short description(about half a A4 page) of how you would manage a patient with quinsy ( you have no ENT at your hospital and general surgery will not assist). The answer is in the powerpoint above, but I want you to write it out and have it as this is a 'fair game' question. Do it in point form, as you would in the exam. Write LESS but MORE, and write as scientifically as possible.
2 Please write a short description(about half a A4 page) of how you would manage a patient with quinsy ( you have no ENT at your hospital and general surgery will not assist). The answer is in the powerpoint above, but I want you to write it out and have it as this is a 'fair game' question. Do it in point form, as you would in the exam. Write LESS but MORE, and write as scientifically as possible.