ABSTRACT
HEAD AND NECK QUESTIONS In each of the following clinical situations, you must choose the most likely diagnosis. Each option may be used once, more than once or not at all.
DIAGNOSTIC OPTIONS
1. C2 fracture 2. C5 fracture 3. Disc prolapse 4. Erb’s palsy 5. Le Fort type I
6. Le Fort type II 7. Osteoarthritis 8. Posterior fossa trauma 9. Rheumatoid arthritis 10. Tibial plate fracture
Question 1 You are the Emergency Department junior doctor on call at night. You have been fast-bleeped to go to the resuscitation unit to see a 35-year-old man who has fallen downstairs in a pub and been brought in by the paramedics. e patient has a Guedel (oropharyngeal airway) in situ and a Glasgow Coma Score (GCS) of 8. While he is being stabilized by your registrar and the nursing sta, you notice what looks like bruising behind an ear. What might the bruising a sign of?
