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Chapter: 28 / Q: 65
A 62 year old man presents with left sided hearing loss and tinnitus. He also complains of vomiting and headache. Examination: papilledema and SNHL (sensory neural hearing loss) in the left ear. What is the single most likely diagnosis?
Chapter: 28 / Q: 66
A 30 year old lady complaining of right ear deafness with decreased corneal reflex and past pointing. Acoustic analysis shows SNHL (sensory neural hearing loss). What is the next most appropriate investigation to do?
Chapter: 28 / Q: 67
A 7 year old boy presents with epistaxis of 2 hour duration. The bleeding has been controlled. Investigation: Plts 210, PT 13, APTT 42, bleeding time normal. Which of the following is the most likely diagnosis?
Chapter: 28 / Q: 68
A 43 year old presents with severe vertigo on moving sidewards whilst sleeping. What test would you do to confirm the diagnosis?
Chapter: 28 / Q: 69
A 23 year old man is having difficulty in speaking following a stab wound to the right of his neck. On being asked to protrude his tongue, the tip deviated to the right. Which anatomical site is most likely to be affected?
Chapter: 28 / Q: 70
A 10 year old boy develops nasal bleeding. What is the best way to stop the bleeding from the nose?
Chapter: 28 / Q: 71
A 38 year old man has just returned from a holiday where he went swimming everyday. For the last few days he has had irritation in both ears. Now his right ear is hot, red, swollen and acutely painful. What is the single most likely diagnosis?
Chapter: 28 / Q: 72
An 8 year old girl has had left earache for 2 days. The earache subsided about 2 hours ago with the onset of a purulent discharge which relieved the pain. Her temperature is 39.2C. What is the SINGLE most appropriate antibiotic?
Chapter: 29 / Q: 1
A 67 year old man has deteriorating vision in his left eye. He has longstanding COPD and is on multiple drug therapy. What single medication is likely to cause this visual deterioration?
Chapter: 29 / Q: 2
A 30 year old woman had a gradual decrease of visual acuity since the last 3 years. Now she has a disability due to very low vision. What’s the diagnosis?
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