Académique Documents
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A mother brings a 9-year-old child to see you regarding his recurrent tonsillitis. She claims that he has had eight episodes during the
last year and seven episodes the previous year. This has resulted in a
lot of time away from school, and he frequently complains of a sore
throat. Which of the features in the history suggest that a tonsillectomy may be appropriate?
a He has had more than one attack in the last year.
b Symptoms have persisted for more than 1 year.
c He is under 10 years of age.
d The mother demands a tonsillectomy.
e The condition is preventing him from attending school.
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A mother brings her ill son to see you. He has not been eating and
is drooling saliva. She claims that his voice has changed and he has
a fever. His sister has had u. You notice that the boy has stridor.
Which of the following statements are true regarding the management of this patient?
a A thorough ENT clinical examination is required, including
inspection of his throat.
b The child may be sent home and the mother given advice on
paracetamol administration.
c Antibiotics are not needed, as it is most probably a viral infection.
d The child should be given 20% oxygen using a standard mask.
e The child should be made to cry, as this will cause vasoconstriction and relieve the neck swelling.
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A 32-year-old man has come to see you complaining of blood arising from his mouth. He has recently returned from living in South
Africa for 5 years. On examination you identify a purple, friable
patch on the hard palate that bleeds readily as you palpate it. The
following statements may be true:
a He has HIV.
b This is an intraoral psoriatic plaque.
c He has EBV.
d This is Kaposis sarcoma.
e He should be isolated and quarantined.
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You have been asked to see a young man who has fractured his jaw.
Regarding mandibular fractures, the following statements are true:
a They most commonly occur at the condyle of the mandible.
b There may be a swelling on the oor of the mouth.
c They may present with heightened sensation in the region of the
chin.
d They most commonly occur in the body of the mandible.
e Most cases have more than one fracture in the mandible.
48.
The following neck lumps are found in the midline of the neck:
a Dermoid cyst.
b Laryngocoele.
c Thyroglossal cyst.
d Brachial cyst.
e Thymic cyst.
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