Iraqi Board ENT study plan
Iraqi Board ENT · Give each week a clear focus.
8 weeks · About 6 hours per week
Otology and Neurotology (chronic suppurative otitis media, cholesteatoma, hearing loss, vertigo, facial nerve)
Map the anatomy of the temporal bone and middle ear cleft from memory, then label an unlabeled diagram without references
Distinguish mucosal chronic suppurative otitis media from squamous disease by listing defining clinical and radiological features for each
Explain the pathophysiology of cholesteatoma (retraction pocket versus immigration) and the rationale for canal wall up versus canal wall down surgery
Outline a stepwise audiometric workup for a patient with unilateral conductive hearing loss and a normal-looking tympanic membrane
Your checkpoint
A one-page decision table comparing mucosal CSOM, cholesteatoma, and tympanosclerosis by presentation, examination, imaging, and first-line surgical option, self-quizzed to 90% recall
Otology and Neurotology (chronic suppurative otitis media, cholesteatoma, hearing loss, vertigo, facial nerve)
Grade facial nerve function using the House-Brackmann scale and justify prognosis and timing of surgical decompression in Bell palsy versus cholesteatoma-related palsy
Differentiate peripheral from central vertigo using HINTS examination findings and describe the Dix-Hallpike and canalith repositioning maneuvers
Classify hearing loss as conductive, sensorineural, or mixed using tuning fork tests and pure-tone audiometry patterns
List the complications of otitis media (mastoiditis, petrositis, labyrinthitis, intracranial extension) with their hallmark clinical signs
Your checkpoint
Ten written case vignettes (vertigo, facial palsy, chronic ear discharge) each answered with a diagnosis, one discriminating test, and a management step in under 200 words
Rhinology and Sinology (chronic rhinosinusitis, nasal polyposis, allergic rhinitis, epistaxis, endoscopic sinus surgery)
Apply the EPOS diagnostic criteria to separate chronic rhinosinusitis with and without nasal polyposis, including duration and endoscopic findings
Interpret a sinus CT using the Lund-Mackay staging system and identify surgically critical anatomy (sphenoid ostium, frontal recess, Onodi cells, lamina papyracea)
Sequence first-line medical therapy for CRSwNP and state when biologic therapy or surgery is indicated
Distinguish allergic rhinitis from non-allergic rhinitis by history, skin prick testing, and serum-specific IgE interpretation
Your checkpoint
A completed Lund-Mackay scoring exercise on three written CT descriptions plus a written stepped management algorithm for CRSwNP, checked against guideline criteria
Head and Neck Surgery and Oncology (laryngeal and oral cavity cancer, thyroid and salivary gland disease, neck masses, reconstructive principles)
Stage laryngeal squamous cell carcinoma by subsite (glottic, supraglottic, subglottic) using T, N, and M categories and explain how stage changes treatment intent
Evaluate a thyroid nodule using ultrasound risk features, Bethesda cytology categories, and molecular testing, then justify hemithyroidectomy versus total thyroidectomy
Differentiate the common benign and malignant salivary gland tumors by site, histology, and typical nerve involvement
Describe the workup of an adult with a painless neck mass, including when fine-needle aspiration versus open biopsy is appropriate
Your checkpoint
A written 15-question self-test on laryngeal cancer staging and thyroid nodule management, scored and reviewed with a list of every missed concept and its corrected fact
Laryngology and Voice (benign vocal fold lesions, dysphonia, airway stenosis, tracheostomy, swallowing disorders) & Pediatric Otolaryngology (otitis media, obstructive sleep apnea and adenotonsillar disease, congenital neck masses, airway anomalies)
Differentiate vocal fold nodules, polyps, cysts, and Reinke edema by history, stroboscopic appearance, and first-line management
Outline the assessment and staged management of laryngotracheal stenosis, including when dilation, laser, or open resection is chosen
Indicate tracheostomy versus cricothyrotomy in an obstructed airway and list early and late tracheostomy complications
Apply the adenotonsillar hypertrophy workup for pediatric obstructive sleep apnea, including when polysomnography is required before surgery
Compare acute otitis media, otitis media with effusion, and recurrent acute otitis media by diagnostic criteria and tympanostomy tube indications
Your checkpoint
A two-column comparison sheet covering benign vocal fold lesions, pediatric sleep-disordered breathing, and otitis media variants, with a five-case self-quiz answered at 80% or better
Facial Plastic and Reconstructive Surgery (rhinoplasty, facial trauma, scar revision, local flaps and grafts) & General Otolaryngology and Emergency Care (foreign bodies, deep neck space infections, peritonsillar abscess, epistaxis, airway emergencies)
Plan the assessment of facial fractures by subunit (nasal, zygomatic, orbital, mandibular) and state which findings mandate urgent imaging or repair
Select an appropriate local flap or graft for a given facial defect by matching defect size, location, and vascular territory
Describe the management sequence for peritonsillar abscess, including when to drain and when to admit
Outline the red-flag findings and imaging strategy for deep neck space infections, including airway risk and drainage indications
List the emergency management steps for airway foreign bodies and for severe posterior epistaxis unresponsive to packing
Your checkpoint
A written emergency algorithm card for five scenarios (airway foreign body, deep neck abscess, posterior epistaxis, peritonsillar abscess, orbital blowout fracture) each with first three actions and one pitfall
Audiology and Vestibular Science (audiometry, tympanometry, otoacoustic emissions, vestibular testing, hearing rehabilitation) & Basic Sciences Relevant to ENT (anatomy, physiology, microbiology, pathology, pharmacology, immunology of the head and neck)
Interpret a pure-tone audiogram, tympanogram type (A, B, C), and otoacoustic emission result to localize a lesion along the auditory pathway
Explain the physiological basis of caloric testing, videonystagmography, and vestibular evoked myogenic potentials and what each localizes
Match hearing rehabilitation options (conventional hearing aid, bone-anchored device, cochlear implant) to audiometric profiles and candidacy criteria
Review head and neck anatomy, microbiology of common ENT infections, and the pharmacology of commonly used antibiotics, steroids, and nasal preparations
Your checkpoint
A one-page audiovestibular interpretation guide with four worked example results, plus a 20-item rapid-recall list on ENT pharmacology and anatomy scored to 85%
Otology and Neurotology (chronic suppurative otitis media, cholesteatoma, hearing loss, vertigo, facial nerve) & Rhinology and Sinology (chronic rhinosinusitis, nasal polyposis, allergic rhinitis, epistaxis, endoscopic sinus surgery) & Head and Neck Surgery and Oncology (laryngeal and oral cavity cancer, thyroid and salivary gland disease, neck masses, reconstructive principles) & Laryngology and Voice (benign vocal fold lesions, dysphonia, airway stenosis, tracheostomy, swallowing disorders) & Pediatric Otolaryngology (otitis media, obstructive sleep apnea and adenotonsillar disease, congenital neck masses, airway anomalies) & Facial Plastic and Reconstructive Surgery (rhinoplasty, facial trauma, scar revision, local flaps and grafts) & General Otolaryngology and Emergency Care (foreign bodies, deep neck space infections, peritonsillar abscess, epistaxis, airway emergencies) & Audiology and Vestibular Science (audiometry, tympanometry, otoacoustic emissions, vestibular testing, hearing rehabilitation) & Basic Sciences Relevant to ENT (anatomy, physiology, microbiology, pathology, pharmacology, immunology of the head and neck)
Re-attempt every previously missed self-test question and state why the correct answer is correct
Complete two timed mixed-domain mock examinations under exam conditions and review each error by domain
Rehearse high-yield decision points in otology, head and neck oncology, and emergency airway management aloud to confirm fluent recall
Your checkpoint
A written error log of all missed questions from the mock exams, with corrected explanations and a final self-rated confidence score per domain
Milestones
Week 2: Score at least 80% on a 20-question otology self-test covering CSOM, cholesteatoma, vertigo, and facial nerve, with all missed items explained in writing
Week 4: Correctly stage five laryngeal cancer vignettes and classify five thyroid nodules by Bethesda category, achieving 8 of 10 correct
Week 6: Deliver the emergency algorithm card and correctly answer at least 4 of 5 scenario prompts on first attempt without notes
Week 8: Score at least 70% on both timed mixed-domain mock exams and submit a complete error log covering every missed question