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EN3.1-3 | ENT Diagnostic Procedures — Assignment

Grading Rubric — ENT Diagnostic Procedures — Assignment Rubric

Criterion	Points	Full-marks descriptor
EN3.1 — Oto-microscopic Examination: Indications, Instrument Principles and Findings	8 pts	Exceeds: Correctly identifies CSOM unsafe type as indication for oto-microscopy over auriscopy with clear justification; accurately describes objective lens working distance and speculum selection rationale; correctly classifies the TM finding as cholesteatoma and explains the safe vs unsafe CSOM distinction using pars flaccida/posterosuperior location and scutum erosion
EN3.2 — Diagnostic Nasal Endoscopy: Indications, OMC Anatomy and Polyp Assessment	6 pts	Exceeds: Correctly identifies the OMC as the primary anatomical target in CRS; accurately names the structures of the OMC (uncinate process, hiatus semilunaris, ethmoidal infundibulum) and the sinuses they drain; correctly identifies unilateral polyp as requiring histology to exclude inverted papilloma or malignancy; names the 30° scope advantage over 0° for middle meatus visualisation
EN3.3 — Laryngoscopy: Indications, Instrument Choice and Critical Finding Interpretation	4 pts	Exceeds: Applies the 3-week hoarseness rule correctly and without qualification; recommends flexible nasopharyngolaryngoscopy for initial assessment with the rigid 70° scope for stroboscopy; correctly identifies the irregular lesion with impaired mobility as suspicious for glottic carcinoma and explains impaired mobility as indicating deep muscle/joint involvement (at least T3); correctly states supraglottic carcinoma presents later than glottic with bilateral lymph node involvement
Quality of Clinical Reasoning and Communication	2 pts	Exceeds: Responses are logically structured with clear headings; clinical reasoning is explicit and linked to anatomical/procedural principles; diagnoses supported by specific findings; no factual errors