DOHNS Part 2 Exam RCS of England Feb. 2014

DOHNS Part 2 Exam RCS of England Feb. 2014-03-12  Ear and balance examination  Neck and neck flexibility examination.  Meniere (MOST IMPORTANT INVESTIGATION, AVOIDANCE, LIFE CHANGES)  CT scan and MRI of Lesions causing vertigo (MULTIPLE SCLEROSIS.FISTULA( LAB). superior semicircular canal dehiscence SYNDROME)  INSTRUMENTS: STAPES,TORP,BONE CONDUCTION HEARING AID,LARY TUBE, cricoid hook, TRACHEOSTOMY TUBES(CUFFED ,UN CUFFED).  BABHA INDICATION OF UNILATRAL,BILATRAL ...)  SKULL BASE FORAMINA (CONTENTS) and Arnold–Chiari malformation.  SUB MANDIBULAR SIALOGRAPH :( JUXTA DUCTAL STONE) Symtoms and Treatment.  Picture of CANAL WALL DOWN MASTOIDECTOMY,(LEFT EAR),LABELS OF MIDDLE EAR STRUCTURES  Ramsay Hunt Syndrome: name of virus , if stapedial reflex done what will show  Pictures and Otoscopic Pictures of Cancer ear pinna, Otomycosis and Exostosis.  Breaking bad news: A man come to know result of biopsy From his larynx. Tell him that he had t1 ca larynx And team decide to him either laser surgery or radiotherapy. Talk about prognosis. (Three task on the station, 1. To break the bad news, 2. Explain the prognosis, 3. Discuss the treatment options laser or RT).  Manned station 2. Take the history from a patient having globes feeling in the throat (fosit) and discuss the management with the examiner.  Manned station 3. Discuss the diagnosis and the treatment options of cholesteatoma with the parent of the child (EXPLANATION OF CHOLESTEATOMA).  Manned station 4. Task 1. Take history from a patient with epistaxis , task 2. Do anterior rhinoscopic examination, task 3. Explain regarding FNE to the patient, perform it and discuss the result with the patient, One day one it was neck examination and FNE ,,,,,  Manned station 5. Ear and facial nerve examination.  Manned station 6. Consent from the parent for a child who is having right side perforation and has been posted for myringoplasty. Child is a keen swimmer as well. (Consent for myringoplasty).  Label Pharyngeal Pouch image and mention the most common procedures and mention 5 symptoms and Early complications of surgery.  Thyroid Cancer (Goiter Picture): HISTLOGICAL TYPES OF CANCER, INVESTIGATION, MARKERS and how to follow recurrence of the cancer.  Child with nasal polyposis : give 3 diff. diagnosis and what drugs he should avoid (consider Samter's triad).  SECONDARY POST TONSILLECTOMY Bleeding (TREATMENT AND PREVENTION)  ELECTRON MICROSCOPY OF INNER EAR  Thyroglossal cyst  Carhart Notch  ORBITAL CELLULITIS