Page 16 of 17

EN4.{37-39,45} | Throat Pharynx and Oesophagus — Assignment

Grading Rubric — Throat Pharynx and Oesophagus — Assignment Rubric

Criterion	Points	Full-marks descriptor
EN4.37 & EN4.45 — Dysphagia Assessment and Oesophageal Disease Diagnosis	8 pts	Exceeds: Correctly classifies dysphagia as mechanical (solid-only) vs motility (both); accurately lists history variables (progression, consistency, weight loss, pain) and investigations; chooses correct first investigation (endoscopy with biopsy) for suspected malignancy and explains histological diagnosis rationale; correctly identifies oesophageal SCC vs adenocarcinoma by location and risk factors
EN4.38 — Tonsillitis Diagnosis, EBV Trap, and Surgical Threshold	6 pts	Exceeds: Correctly diagnoses quinsy from the clinical triad (unilateral bulging + uvular deviation + trismus); names all three Paradise criteria thresholds accurately; correctly identifies amoxicillin-EBV rash trap and explains mechanism; names the management steps for both quinsy (drainage ± tonsillectomy) and EBV (supportive)
EN4.39 — Tonsillectomy Complications and Post-operative Management	4 pts	Exceeds: Correctly classifies secondary haemorrhage (Day 5–10, infected eschar); names all key post-tonsillectomy counselling points (soft diet, antibiotics, immediate return for bleeding); correctly states absolute indication of OSA for tonsillectomy with explanation of neurocognitive/cardiovascular consequences
Quality of Clinical Reasoning and Communication	2 pts	Exceeds: Responses logically structured with clear headings; clinical reasoning explicitly linked to case vignette; no factual contradictions; language precise and appropriate for a final-year MBBS student