Group⟨D⟩~[4th Year]^(39)
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complication of diphtheria
1..cardiovascular
heart fialur due to toxic Myocaditis
2..neurological
platal paralysis
ocular paralysis
laryngeal paralysis and pharyngeal, esophgeal paralysis
respiratory paralysis
respiratory
laryngeal obstruction
respiratory infection
respiratory fialur
Secratory otitis media
chronic non specefic inflammation of mucosa lining medial ear cleft
treatment
medical
antibiotics, steriod, decongestant, mucolytic, valsalva maneuver
surgical treatment
myringiotomy or tympanostomy tube , insertion T tube
progressive dysphagea
cacinoma
achalasia
scleroderma
corrosive structure
supurattive otitis media
chronic inflammation of mucoperisteal lining medial ear characters by effusion, and intermittent discharge in safe type and perminant discharge in unsafe type
treatment
medical treatment
systemic antibiotics
local antibiotics ear drop
aural toilet by suction or dry mopping
avoid wetting, control upper respiratory tract infections
surgical treatment
typanoplasty with or without cortical mastiodectomy
unsafe type
surgical treatment,
cortical mastiodectomy
اختبرت الساعه 1 الظهر 😪😷 كم انتظرت لما شبعت 😐
جاء دوري عند الدكتور علي عبيد ودكتور ثاني جنبه يمكن اسمه ناصر
جابوا ورقه فيها 3 أسئلة
وقالوا اختاري 2
الصراحه شفت السؤال الثاني والثالث وجاوبت عليهم ما شفت السؤال الأول خالص 😇
كانوا السؤال الأول
Q1/ SOM & ttt
هنا بدأت قلت
Chronic non specific OM
قال خلاص هذا اللي اشتيه سريع قولي ايش ال ttt
بدأت قلت medical قال ممتاز وايش كمان قلت surgical وهي ال
myringotomy tub
الصراحه الدكتور الثاني كان مبتسم يجيب للواحد الضحك قال وايش اسم myringotomy الثاني قلت
tympanostomy tube
قال يلا السؤال الثاني
والسؤال الثاني كان
Q2/ Prograsive dysphagia
عددتهم وناقشني شويه فيهم عشان هو سؤال قصير دخل بشوية تفاصيل ومش مره صعب والله متعاونين جدا 😊
الحمدلله دائما وأبدا ..
طبعا اللجان كانوا
1/ د.عبدالوهاب ، د.امال
2/د.شهاب ، د......
3/ د.وائل العنسي ، د......
4/د.علي عبيد ، د.ناصر
احتمال بكره يجيبوا لكم أشعة وأدوات اليوم ما كان في
الا الدكتور العنسي جاب الايباد وكان يسأل احتمال صور او شيء. الاجابه👇
types of retropharyngeal abcess
acute
chronic
causes of vancint angina
streptococcous
pericarditis inflammation of perichonderum, and cartilage
causes
infected hematoma
infected wounds
furuncle
ramsy hunt syndrome,
clinical syndrome causes by varisela zoster virus, characters by traind of
oralgia
vesicles
facial paralysis
SNHL
treatment
analgesic
acyclovir
DD OF Membrane in tonsill
acute folicular tonsillitis
dephthyria
infectionous mononucleosis
leukemia
tonsillictomy
indication
recurrent acute attack more than 3 times per year
one attack of quinsy
chronic tonsillitis causing
snoring, sleep apnea
dysphagea
pesistent enlarged jugulodiagastric lymphe nod
septic focus
diphtheria
tumour in tonsill
contraindications
absolute
bleeding disorders
relative
acute tonsillitis
acute upper respiratory tract infection
active systemic disease DM
rhumatic fever
menstruation
quinsy,
collections of pus in peritonsilar space
supuration in pharynx
infection of space around pharynx
اختبرت عند الدكتور شهاب وواحد تاني مش معروف
الاسئله :causes of otites externa
Cause of malegnant o.E
What is pericondritis and what is the organism that cause it
What do you know about ramsy hant $
D/D of membrance on tonsils
INDICAtion and CI of tonsilectomy
What is quensy and what are suppuration of pharings
Type of retropharyengial abcess
causative organsm that cause vensent angina?
الاختبار كان سهل وحلو
الشي المتعب الانتظار اصطبحوا وكل شي من قبل لانه الوقت طويل طويل
...
اهم شي تسلموا على الدكاتره قالو ولا حد سلم عليهم
والهدوووء جروب امس قالو اليوم الدكاتره انه الازعاج ضرهم
اليوم هدوء فكانوا الدكاتره مبسوطين
وبعدوا الخوف وحسسوهم بالثقه بالنفس وان شاء الله بيكون سهل
موفقين.. الاجابه👇
treatment of unsafe type of CSOM
:
surgical treatment
radical mastiodectomy
types of hearing loss
conductive hearing loss due to abnormality in cunduction in external, and medial ear
sensoryneural hearing loss due to abnormality on perception, in inner ear and brain
mixed hearing loss
management in epistaxis
first aid
pateint position in setting with head fixed forward
nose pinched between 2 fingers
application cold compression
ask pateint to spiting
introduce cotton piece soaked in vasoconstrctor to nose for 10 minutes
assessment to reach diagnosis,
history, of trauma
hypertension, bleeding disease
examination,
unilateral , bilateral
little area,
severty of bleeding
shock
investigation,
coagulation profile
complete blood count
CT to nose And paranasal sinus
biopsy
3 control bleeding
mild epistaxis,
A ..cautrization
for anterior
chemical, silver nitrate
electrical
laser
for posterior
endoscopic electocautrization
B.. nasal packing
sever epistaxis
nasal packing
anterior nasal packing
posterior nasal packing
surgery
maxillary artery ligation
ethmoidal artery ligation
embolization
treatment causes
deviated septum
tumour
hypertension
blood disease
اختبرت عند دامال والعطاب ود عبدالوهاب حبوبين الدكاتره السؤالين كانت عن ال mangmant of epistaxis و type of hearing loss مع الاسباب وكمان انسئلت عن الmangmant of unsafe type of cosm لا تخافوا من حكايه السؤالين الدكاترة متعاونين ويساعدوك لو نسيت شي ويطولو معك النقاش لو جبت اجابه ناقصه عشان يغطوا لك النقص المهم ذاكروا الاسئله الشائعه فقط الاجابه👇
باقي نقطه الدكتور علي عبيد لم تذكر ال specific chronic laryngitis ضروري انك تحدد الsite للانواع كامل مثلا
في ال syphilis ولleprosy والhistoplasmosis في ال ant part of the layrinx
وال TB في الpost part
ال scleroma bilateral
cause
corynebacterium diphtheria
treatment
hospitalization, isolation
تبليغ,
antitoxic serum
40000-100000IU IM OR IV
pre test should be done .05 ml intradermal
antibiotics, penicillin or erythromycin
treatment complication
laryngeal obstruction, tracheostomy
platal, pharyngeal, esophgeal, paralysis, nasogastric tube
respiratory paralysis, artificial respiration
prophylaxis
active immunization, PDT given 2, 4 , 6 months booster doe at 18 months second dose at school age
passive immunization, small dose of antitoxic serum
treatment laryngeal trauma
saving air way by tracheostomy or endotracheal intubation
saving blood volume shock
systemic antibiotics
steriod to edema
litigation bleeding
reductions and fixation fractured cartilage
complication of laryngeal trauma
bleeding , shock
suffocating,
infection
deformity
dysphagea
death, form respiratory obstruction
اللجنه الي فيها
د.علي عبيد و د.عبد الوهاب نسر موجود معاهم سؤالين في ورقه
1. Dephtheria cause and treatment
2.treatment of laryngeal trauma
أضاف لي
complication of laryngeal الاجابه👇trauma
causes of common cold
rhinovirus
complication
secondly bacterial infection
sinusitis, otitis media , pharyngitis, bronchitis,
anosmia
symptoms
prodromal stage
bony ache , general
local
dryness , burning sensations
, sneezing
2 catarrhal stage
fever, headache, malaise,
bilateral nasal obstruction
bilateral watery nasal discharge,
3, stage of bacterial infection,
mucuperulant discharge
persistent nasal obstruction
stage of recovery in 3rd day
treatment
prophylaxis,
avoid peridesposing factor
vaccination no value
complete rest,plenty warm water supply,
antibiotics
analgesic, antipyratic
antihistamine,
vitamin c
indication of adenoidectomy
nasal, obstruction causing snoring
eustachian tube obstruction
adenoid face
recurrent infection
rhinitis, sinusitis
otitis media
pharyngitis
symptoms of adenoid hypertrophy
snoring , sleep apnea
difficult suckling in infant
rhinolia clausa
CHL du eustachian tube obstruction
adenoid face
1. open dray mouth
2.elevated upper lip
3. prominent central incisor
4. high arched palate
5. receding lower jaw
6.naraw panched anterior narse
7. apathic look
rhinitis, sinusitis
otitis media
pharyngitis, laryngitis, bronchitis
school retardation
nucturenal anurisis
sleep apnea
signs
adenoid face
anterior rhinoscopy
naraw anterior pinched narse
posterior rhinoscopy . postnasal discharge, and seen adenoid
open dray mouth
nasal endoscopy, in cooperative children
investigation,
plan x ray lateral view
ENT oral exsm: by Dr Wa'el Alansy & Dr Almahbashy:
Q1_ x_ray latral veiw of skull showing adenoid hypertrophy.
Then he asked about syptoms of adenoid HT and indecations of adenoidectomy.
Q2_ common cold :
_cause
_ symptoms
_ complications
_ ttt. الاجابه👇
indication of ear wash
1. ear wax
2. forgin body no vegetable
3. fungal infection
4. caloric test
contraindications
1. viral or bacterial infection
2. vegetable forgin body
3. perforated drum
complication
injury or EAC and drum
infection
stemulate inner ear lead to nestigmus,
stemulate vagus nerve lead to reflex cough
predisposing factor of sinusitis
adenoid
deviated septum
upper respiratory tract infection
low immunity
overcrowding
allergic rhinitis
dental caris
