DO-HNS (RCSI) Practice Questions - Diploma in Otolaryngology - Head and Neck Surgery (DO-HNS) (RCSI, Ireland) Exam - DO-HNS (RCSI) Practice Questions - Diploma in Otolaryngology - Head and Neck Surgery (DO-HNS) (RCSI, Ireland) Exam

Question 1

A 4-year-old child presents with a 24-hour history of severe right ear pain, high fever of 39.5°C, and irritable behavior. Otoscopy reveals a bulging, intensely erythematous right tympanic membrane with loss of landmarks and visible purulent effusion behind it. What is the single best initial management step for this child, assuming no signs of systemic complications?

Reassurance and watchful waiting for 48 hours Oral amoxicillin at 80-90 mg/kg/day split into two doses Immediate referral for urgent myringotomy and grommet insertion Topical ciprofloxacin-dexamethasone ear drops

Correct Answer:

Oral amoxicillin at 80-90 mg/kg/day split into two doses

Question 2

A 22-year-old university student presents with right ear pruritus, mild discomfort, and a sensation of fullness after returning from a summer beach holiday. Otoscopy shows a narrowed external auditory canal containing white, fuzzy debris with black spores that resembles wet blotting paper. What is the most appropriate first-line treatment for this patient?

Systemic oral fluconazole for 7 days Aural toilet followed by topical clotrimazole or acetic acid drops Topical ciprofloxacin ear drops for 7 days Oral amoxicillin-clavulanate for 10 days

Correct Answer:

Aural toilet followed by topical clotrimazole or acetic acid drops

Question 3

A 68-year-old male with poorly controlled type 2 diabetes presents with deep, unrelenting right-sided otalgia that is worse at night, and persistent purulent otorrhea. Otoscopy reveals granulation tissue at the junction of the cartilaginous and bony parts of the external auditory canal. What is the most likely pathogen responsible for this condition?

Streptococcus pneumoniae Pseudomonas aeruginosa Staphylococcus aureus Aspergillus fumigatus

Correct Answer:

Pseudomonas aeruginosa

Question 4

A 32-year-old female presents with slowly progressive, bilateral hearing loss, which she notes is easier to tolerate in noisy environments (paracusis Willisii). Otoscopy shows normal, mobile tympanic membranes, though a faint pinkish blush is visible behind the left tympanic membrane. Audiometry confirms bilateral conductive hearing loss with a notch at 2000 Hz. Which surgical procedure is the treatment of choice for this patient?

Cortical mastoidectomy Stapedotomy or stapedectomy Myringotomy and grommet insertion Endolymphatic sac decompression

Correct Answer:

Stapedotomy or stapedectomy

Question 5

A 45-year-old man presents with recurrent episodes of rotational vertigo lasting between 1 and 3 hours, accompanied by a roaring sound in his left ear and a sensation of pressure. Audiometric testing during an symptomatic phase demonstrates a low-to-medium-frequency sensorineural hearing loss in the left ear. What is the primary pathophysiological mechanism underlying this disease?

Ectopic bone formation around the stapes footplate Endolymphatic hydrops leading to distension of the membranous labyrinth Migration of calcium carbonate crystals into the posterior semicircular canal Microvascular compression of the vestibulocochlear nerve in the cerebellopontine angle

Correct Answer:

Endolymphatic hydrops leading to distension of the membranous labyrinth

Question 1

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Prepare with the DO-HNS (RCSI) Practice Questions - Diploma in Otolaryngology - Head and Neck Surgery (DO-HNS) (RCSI, Ireland) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, nasal, left, and reveals. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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DO-HNS (RCSI) Practice Questions - Diploma in Otolaryngology - Head and Neck Surgery (DO-HNS) (RCSI, Ireland) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, nasal, left, and reveals. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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DO-HNS (RCSI) Practice Questions - Diploma in Otolaryngology - Head and Neck Surgery (DO-HNS) (RCSI, Ireland) Exam

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