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EN4.{12-14,16-20} | Hearing Vestibular and Neuro Otology — Assignment

Grading Rubric — Hearing Vestibular and Neuro Otology — Assignment Rubric

Criterion	Points	Full-marks descriptor
EN4.14, EN4.17, EN4.18 — Differential Diagnosis of Vertigo with Hearing Loss	8 pts	Exceeds: Correctly identifies and distinguishes Meniere's disease (episodic vertigo + fluctuating low-frequency SNHL + tinnitus + aural fullness = endolymphatic hydrops), BPPV (brief positional vertigo, Dix-Hallpike positive, no hearing loss, canalolithiasis), and vestibular neuritis (single prolonged episode, no hearing loss, viral origin); accurately applies Rinne and Weber interpretation to the audiological findings; correctly matches management to each diagnosis.
EN4.12, EN4.13 — Acoustic Neuroma vs Otosclerosis: Investigations and Principles of Management	6 pts	Exceeds: Correctly describes the investigation pathway for acoustic neuroma (ABR → contrast MRI IAC as gold standard; audiometry first step) and treatment options (observation, Gamma Knife, microsurgery); correctly identifies otosclerosis features (Rinne negative, Carhart notch at 2 kHz, normal BC, absent stapedial reflexes, Schwartze sign) and its management (stapedectomy / hearing aid).
EN4.16, EN4.20 — Facial Nerve Palsy Localisation and Deaf Child Management	4 pts	Exceeds: Correctly localises facial nerve palsy using chorda tympani involvement (loss of taste = lesion proximal to chorda tympani origin, intratemporal); correctly outlines the deaf child investigation and management pathway (BERA + OAE → hearing aids → cochlear implant candidacy criteria including pre-lingual onset, normal cochlear anatomy, good family support).
Quality of Clinical Reasoning and Communication	2 pts	Exceeds: Responses are logically structured, clinically precise, free of factual inversions; uses correct ENT terminology throughout; clinical reasoning explicitly links symptoms → pathophysiology → investigation → management.