1 The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts.

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The third European ORL-Board Examination (oral part II,) 1.9.2010 during the ELS 2010 Vienna, University of Music and Arts

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Entrance

Registration

Buffet

Examroom IExamroom IIPreexamWaitingRoom

Buffet for examinersChairmen

room

Courtyard

Toiletts

Post-examWaitingRoom

1rst floor

Supervisors from the Austrian Medical Academy

University of Music and Art Vienna, Anton von Webern Platz 1, 1030 Wien

PorterInternet

Part II Oral Examination EBE-ORL-HNS 2010 September 1: 7.00 -18.00

Ways of the

Candidates

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Time Activity

6.00 Arrival staff

6.30 Arrival candidates 1

7.00Cand.1preexam.+ Info question+arrival examiners

7.30 9.00 Exam 1.round

9.00 9.15 Break, coffee,

9.15 10.45 Exam. 2.round

10.45 11.00 Break, coffee,

11.00 12.30 Exam. 3.round

12.30 13.15 Lunch

13.15 14.45 Exam. 4.round

14.45 15.00 Break, coffee,

15.00 16.30 Exam. 5.round

16.30 17.00 Break, Coffee

17.00 18.30 Call over, Preparation of the letters

18.30 19.00 Farewell-Ceremony, Toast with some wine, proseccho, jiuce, water, snacks…….

19.00 Departure for Heurigen Wolff

8.15 Arrival Cand.2

8.45 preexam. Cand.2

10.00 Arrival Cand.3

10.30 preexam. Cand.3

12.15 Arrival Cand.4

12.45 preexam. Cand.4

14.00 Arrival Cand.5

14.30 preexam. Cand 5

9.00 Postexam room Cand.1

10.45 Postexam room Cand.2

Exit

14.45 Postexam room Cand.4

Exit

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First Part II Oral Exam Vienna, Sept. 1 2010Number of Candidates n=78

Bahrain 1

Czech Republic 1

France 1

Kuwait 1

New Zealand 1

Romania 1

Serbia 1

Slovenia 1

Thailand 1

Venezuela 1

Countries of the

Candidates II

Countries of the

Candidates I

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Results

Part II Oral Exam ViennaNumber of Candidates n=78Not passed n=8, Passed n=70

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The third European ORL-Board Examination (first oral part II,) 1.9.2010 during the ELS congress 2010 Vienna, University of Music and Arts

38 Examiners, 4 Supervisors, 6 Guides

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4 4 3 3 2 2 2 2 1 1 1 1

Reihe1

Distribution of the 38 Examiners and Supervisors From 13 European Countries for the Oral Exam in Vienna

September 1 2010

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Case Report:A mother comes with her 14 months daughter to the ENT-Specialist. The baby presents with left retro-auricular redness and fever (39.2 C) of 24 hours duration. She has had an upper airway respiratory infection one week ago. There was no ear drainage, however, she has had purulent nasal drainage.

Otoscopic PicturePatients Foto of the retroauricular region

For the Candidate

Question 1:a) What do you see on the pictures?b) What is your first diagnosis?c) Do you have further questions?d) What is your next step?

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Intracranial complicationsI. Most common is meningitisS. pneumoniaeH. Influenzae

2. Cerebral abscess (temporal lobe > cerebellum)3. Sigmoid (lateral) sinus thrombosisCannonball chest infiltrates on chest x-ray (CXR)edema and tenderness over the mastoid cortex and is

associated with thrombosis of the mastoid emissary vein as a result of lateral sinus thrombosis (Griesinger sign)

4. Jacksonian epilepsy, hemiplegia, and OM indicates a subdural abscess, until proven otherwise

For the Examiner

Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens)

Background Information for the examiners

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a. Most common complication is mastoiditis, which may progress to Subperiosteal abscess

1. Bezold abscess—abscess in digastric groove of SCM

b. Petrous apicitis1, Gradenigo syndrome--otorrhea, retro-orbital pain, and lateral rectus palsy

secondary to irritation of CN VI within Dorello canal

c. Facial Nerve paralysis: perform myringotomy, culture, and administer antibiotics

Residual middle ear effusion after treatmenta. 70% of patients at 2 weeksb. 20% after 2 monthsc. 10% after 3 monthsd. 90% of middle ear effusions persistent after an episode of treated AOM

resolve within 90 days

For the Examiner

Blue Print: Diagnosis, Bacteria, possible complications and treatment of acute otitis media with early mastoiditis. By Ari Sismanis (Athens)

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Question 3: Which complications of acute otitis media do you know?

Question 1: 20%a) What do you see on the pictures?b) What is your first diagnosis?c) Do you have further questions?d) What is your next step?

Question 4:What Therapy would you consider?

Question 5: 30%What are the main causative organisms of AOM?

Acute otitis media (AOM)Causative organisms Streptococcus pneumoniae (40%)Haemophilus influenzae (30%)Moraxella catarrhalis (20%)

Diagnosis: Acute otitis media with early mastoiditis

Further Diagnostic procedures necessary? Plain-X-ray? CT of the temporal bones ?

50% ??

It was immediately done: in this case it showed cloudiness of the left mastoid without any destruction of the air cells

Question 2:Are further diagnostic procedures necessary?

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SITUATION ON THE WEBSITE AS PER 06/10/2010

NUMBERS

REGISTRATIONS ON WEB SITE WITH INCOMPLETE REGISTRATION. IN PROCESS OF SENDING REQUIRED DOCUMENTATION

120

CANDIDATES THAT HAVE ALREADY BEEN VALIDATED (DOCUMENTS SENT AND CORRECT). WAITING TO REGISTER FOR NEXT EXAM

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CANDIDATES THAT HAVE PAST THE WRITTEN PART EITHER IN MANNHEIM OR PAMPLONA AND HAVE EITHER FAILED OR NOT DONE THE ORAL EXAM YET. POTENTIAL CANDIDATES FOR NEXT ORAL EXAM

42

FELLOWS OF THE EUROPEAN BOARD EXAM.CANDIDATES THAT HAVE PASSED BOTH PARTS (I AND II)

70

What will be the future of

the European Exam ORL-

HNS?

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We are convinced, that the introduction of the EBE ORL-HNS is a big step forward in the harmonisation process and quality

improvement of our speciality in Europe!