Try it
ENT · Syndromes: Jervell and Lange-Nielsen
Sample itemA deaf child has recurrent syncope on exertion. Which investigation should be done urgently?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Electrocardiogram
Jervell and Lange-Nielsen syndrome combines congenital sensorineural deafness with a long QT interval and risk of ventricular arrhythmias. An ECG detects the prolonged QT, and beta-blockers are used for prophylaxis. It is autosomal recessive.
Option by option
A. Electrocardiogram (correct)
Correct. An ECG detects the long QT of this syndrome.
B. CT of the temporal bone
Temporal bone CT will not explain the syncope.
C. Chest X-ray
A chest X-ray does not assess arrhythmia risk.
D. Thyroid function tests
Thyroid tests are not relevant here.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More ENT questions
- AudiologyIn a tuning fork test, Rinne is negative (bone conduction louder than air conduction) in…
- EarWhich type of chronic suppurative otitis media is considered 'unsafe'?
- LarynxIn singers, vocal nodules typically occur at:
- Vestibular disordersA patient has recurrent attacks of vertigo lasting hours, with fluctuating low-frequency…