PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS STATION 16 OSCE / OSPE LOOPS BLOCK EXAMINATION AUGUST 2003 THERE ARE SIX SLIDES IN THIS LOOP PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS

PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS A four year old child was taken to see the family doctor. She had a three day history of a sore throat and a very painful left ear (ear ache). The doctor confirmed the presence of a swollen and red pharynx and on examination of the ear found what is Seen in Fig 1. Figure 1. Q1. Which region(s) of the pharynx have become swollen and red? [1 mark] PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS SLIDE 2

PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS Figure 1. Q2. What structure does the infection travel through to reach the structure in Fig 1? [1 mark] PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS SLIDE 3

PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS Figure 1. Q3. What bones are responsible for enabling the structure in Fig 1 to function normally? What is the innervation of the membrane over the structure in Fig 1. [2 marks] PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS SLIDE 4

PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS Figure 2. Q4. Identify the tissue in Fig 2? [1 mark] Describe the pathological change in the structure in Fig 2. [2 marks] PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS SLIDE 5

PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS Figure 2. Q5. What is the innervation of the structure in Fig 2? [1 mark] What is the arterial blood supply to the structure in Fig 2? [1 mark] What is the function of this structure? [1 mark] PRESS PAGE DOWN TO MOVE TO NEXT SLIDE AND QUESTIONS SLIDE 6