ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 01 / 20

ENT Assessment & Clinical Examination

Build a focused ear, nose and throat assessment while identifying airway and neurological emergencies.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which ENT presentation takes priority over routine history taking? A. Stable wax-related blockageB. Stridor with increasing respiratory distressC. Longstanding mild nasal itchD. An unchanged small painless lip scar

Question 02. Which detail is especially useful in an ENT symptom history? A. Onset, side and progressionB. Shoe size aloneC. Only the patient’s ageD. Only the room temperature

Question 03. An ear canal is blocked by wax and the drum cannot be seen. What should be documented? A. Normal middle earB. No perforation possibleC. Definite acute otitis mediaD. Tympanic membrane not adequately visualised

Question 04. Why support the examining hand during otoscopy? A. To increase insertion depth automaticallyB. To avoid using illuminationC. To reduce injury if the patient movesD. To measure hearing thresholds

Question 05. Why ask about diabetes in severe ear pain? A. It can alter infection risk and urgencyB. It proves all pain is referredC. It excludes skull-base infectionD. It removes the need for examination

Question 06. A distressed patient with suspected upper-airway obstruction should not undergo what? A. Immediate help from an airway teamB. Assessment of breathingC. Careful observation of postureD. Repeated forceful throat examination

Question 07. What can specialist nasal or laryngeal endoscopy add? A. A replacement for every historyB. Assessment of areas not visible on routine examinationC. Automatic exclusion of all malignancyD. A hearing threshold measurement

Question 08. Which symptom pattern warrants attention for structural disease? A. Brief bilateral itch after a known exposureB. Persistent progressive unilateral symptomsC. Stable lifelong mild asymmetry aloneD. One resolved sneeze

Question 09. What should an investigation request specify? A. Only a test name without contextB. The clinical question it is intended to answerC. A guaranteed diagnosisD. An instruction to ignore contradictory findings

Question 10. What completes an urgent ENT referral? A. A form sent without checking urgencyB. A receiving pathway and feasible attendance planC. Advice to return only after collapseD. An appointment with no location

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.