Advanced ENT training A guide to passing the FRCS (ORL-HNS) examination

The syllabus for the FRCS (ORL-HNS) is vast, and sound preparation for the exams has traditionally involved assimilatingknowledge from a wide range of sources. This book provides a focused guide for exam candidates. More than a question and answer book, this book is a coaching manual.Each section features a combination of model answers, pearls of wisdom, checklists and pointers for further reading. Detailed advice is provided for both Part 1 and Part 2 of the examination. Viva topics that have featured in the exam in recent years have been included.and are supplemented by invaluable editorial contributions from leaders in each of the subspecialties. Trainees frequently comment that exam preparation is an enlightening process and the knowledge gained would have served them well during their time as an ENT registrar or Otorhinolaryngology resident.This book willalsoserve as a valuable learning tool for trainees as early as ST3 and will facilitate the development of effective and safe clinical practice.

INTRODUCTION. PERSONAL REFLECTIONS ON THE FRCS(ORL-HNS) PART 1: EXPERIENCE. GENERAL ADVICE FOR PREPARING FOR PART 2. HISTORIES AND EXAMINATIONS IN THE PART 2: CLINICAL SECTION. Examining the ‘Dizzy’ Patient. COMMON HEAD AND NECK VIVA TOPICS. Benign Laryngeal Lesions. Deep Neck Space Infections. Hypercalcaemia and Hypocalcaemia. Hypopharyngeal Cancer. Laryngeal Cancer. Nasopharyngeal Cancer. Neck Dissection and Accessory Nerve Palsy. Obstructive Sleep Apnoea (OSA). Oral Cavity Cancer. Oropharyngeal Cancer. Penetrating Neck Trauma. Pharyngeal Pouch. Post-laryngectomy Care. Post-laryngectomy Complications. Radiotherapy, Chemotherapy and Osteoradionecrosis. Ranula. Salivary Gland Malignancy. Sialolithiasis. Thyroid Pathology. Unknown Primary Cancer in the Head and Neck. Vocal Cord Palsy. COMMON OTOLOGY VIVA TOPICS. Air Conduction Hearing Devices. Benign Paroxysmal Positional Vertigo. Bone Conduction Hearing Implants and Middle Ear Implants. Cerebellopontine Angle Tumours. Cholesteatoma. Chronic Otitis Media. Cochlear Implantation. Ear drops and Anaesthetics. Facial Palsy. Ménière’s disease. Necrotising Otitis Externa. Noise-induced Hearing Loss. Non-organic Hearing Loss. Ossiculoplasty. Otosclerosis. Paraganglioma. Pre-auricular Sinus. Sensorineural Hearing Loss, Presbyacusis, Autoimmune Hearing Loss. Sudden Sensorineural Hearing Loss. Temporal Bone Fracture. Tinnitus. Vertigo. COMMON PAEDIATRIC ENT VIVA TOPICS. Branchial Anomalies. Cervical Lymphadenopathy. Choanal Atresia. Cleft Lip and Palate. Congenital Midline Nasal Masses. Developmental Milestones, Hearing and Speech, Autism. Drooling. Juvenile Nasopharyngeal Angiofibroma. Laryngomalacia. Microtia. Obstructive Sleep Apnoea. Otitis Media. Paediatric Airway Compromise. Paediatric Hearing Loss. Periorbital Cellulitis. Recurrent Respiratory Papillomatosis. Syndromes in ENT. Thyroglossal Duct Cyst. Tonsillitis and Post-Tonsillectomy Bleeding. Vascular Malformations. COMMON RHINOLOGY AND FACIAL PLASTICS VIVA TOPICS. Acute Sinonasal Infections. Allergic Rhinitis and Nasal Steroids. Anosmia. Chronic Rhinosinusitis. CSF Rhinorrhoea. Endoscopic Sinus Surgery. Epistaxis. Facial Flaps and Reconstruction. Facial Pain. Fungal Sinusitis. Hereditary Haemorrhagic Telangiectasia. Keloids. Olfactory Neuroblastoma. Pinnaplasty. Septal Perforation. Septorhinoplasty. Sinonasal Tumours. Skin Cancer.

Joseph Manjaly is a Consultant ENT Surgeon at the Royal National ENT Hospital and University College London Hospitals, specialising in Otology and Auditory Implant surgery. He completed higher surgical training in the London North Thames region and subsequently undertook a fellowship in otology and hearing implantation at Cambridge University Hospitals. He has held an interest in teaching since his undergraduate years at Bristol University and co-authored the first edition of the Masterpass title ‘ENT OSCEs – a guide to passing the DOHNS and MRCS(ENT) OSCE’ with Peter Kullar whilst a core trainee in Wessex deanery. He has been actively involved in training issues regionally and nationally, holding a number of AOT committee roles. As well as being a keen sports fan he is also a musician who performs in a band semi-professionally around the country. Peter Kullar is an NIHR Clinical Lecturer at Cambridge University Hospitals, having previously been a Wellcome Trust Clinical Research Fellow and academic ENT trainee in the Northern Deanery. He graduated from Cambridge University and subsequently completed a PhD from the same institution where his work elucidated mechanisms of mitochondrial associated hearing loss. Peter co-authored the Masterpass title ‘ENT OSCEs – a guide to passing the DOHNS and MRCS(ENT)’ with Joe Manjaly after they met on a course and concurred that there was a need for such a book amongst ENT trainees. Peter has held an active role in teaching and maintains a number of research streams with a specialist interest in otology.