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Question (1/21)
A 1 -year-child with anotia (absence of Pinna) on right side is brought by the parents to ENT clinic
with concern of hearing loss on right side. What is the best device in such a case, if hearing loss is
confirmed?
Options
Cochlear implant immediately
Cochlear implant at 6 years
BAHA immediately
BAHA at 6 years of age
Ideal time for treatment of hearing loss for language development is:
Options
6 months
1 year
2 years
3 years
Options
Titanium implant
Receiver
External abutment
Sound processor
Following
Prev implantation of cochlear implant, activation of the device is done after:
Skip
Options
Next
1 week
1 day
2 weeks
3-4 weeks
All of the following investigations are done before implanting cochlear implant except:
Options
CT
MRI
Pure tone audiometry
X-ray
Options
Not contraindicated in cochlear malformation
Contraindicated in children < 5 years of age
Indicated in mild-moderate hearing loss
Port is inserted through oval window
Options
Lateral ventricle
Fourth ventricle
Round window
Scala tympani
Which of the following would be the most appropriate treatment for rehabilitation of a patient,
who has bilateral profound deafness following surgery for bilateral acoustic schwannoma:
Options
Bilateral high powered digital hearing aid
Bilateral cochlear implant
Unilateral cochlear implant
Brainstem implant
A child aged 3 years, presented with severe sensorineural deafness was prescribed hearing aids,
but showed no improvement. What is the next line of management:
Options
Fenestration surgery
Stapes mobilisation
Cochlear implant
Conservative
A 10-year-old boy Rajan is having sensorineural deafness, not benefited by hearing aids. Next best
management is:
Options
Cochlear implant
Stapes fixation
Stapedectomy
Fenestration
Options
Scala vestibuli
Scala tympani
Cochlear duct
Endolymphatic duct
Options
Cochlear malformation is not a Cl to its use
Contraindicated in children < 5 yrs of age
Indicated in mild-moderate hearing loss
Approached through oval window
Options
Outer hair cell
Inner hair cell
Spiral ganglion cell
Auditory nerve
Which intervention is best in patients operated for bilateral acoustic neuroma for hearing
rehabilitation:
Options
Brainstem hearing implant
Bilateral cochlear implant
Unilateral cochlear implant
High power hearing aid
Options
Useful in canal atresia and microtia
Useful in bilateral severe SNHL
Useful after surgery in neurofibromatosis 2 for acoustic neuroma
It can bypass cochlea
Options
William F House
Julius Lempert
John Shea
Hayes Martin
Options
Minimum age is 1 year
PTA of 70 dB or more
Switch on is done after 3 weeks
MRI has no role in preop assessment
A two year old child was planned for brainstem implant. All are indications of brainstem implant
except:
Options
B/L neurofibromatosis
Absent auditory nerves
Absent cochlea
Mondini deformity
Options
Receiver stimulator
Transmitting coil
Microphone
Speech processor
Options
Microphone
Speech processor
Transmitting coil
Receiver stimulator
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Question (1/19)
Options
CP angle
Fossa of Rosenmuller
Retropharyngeal space
None of the above
Options
HRCT
PET scan
Gadolinium enhanced MRI
CSF examination
Options
Acoustic neuroma
Cholesteastoma
Meningioma
All of the above
Options
Prev
SkipVestibular part of VIIIth nerve
NextCochlear part of VIIIth nerve
Vagus nerve
Hypoglossal nerve
Options
Superior vestibular nerve
Inferior vestibular nerve
Cochlear nerve
Facial nerve
Options
5
7
10
9
Options
Sensorineuran hearing loss
Tinnitus
Vertigo
Otorrhea
Options
Facial weakness
Unilateral deafness
Reduced corneal reflex
Cerebellar signs
Options
Cochlear deafness
Retrocochlear deafness
Conductive deafness
Any of the above
Options
Vestibular schwannoma
Mastoiditis
Bells palsy
Cholesteatoma
Options
Loss of corneal reflex
Tinnitus
Facial palsy
Diplopia
In a patient with acoustic neuroma all are seen except:
Options
Facial nerve may be involved unilateral deafness
Reduced corneal reflex
Cerebellar signs
Acute episode of vertigo
Options
Diplopia
Ptosis
Loss of corneal sensation
Papilloedema
Options
Nystagmus
High frequency sensorineural deafness
Absence of caloric response
Normal corneal reflex
Options
Malignant tumor
Arises form vestibular nerve
Upper pole displaces IX, X, XI nerves
Lower pole displaces trigeminal cranial nerve
Progressive loss of hearing, tinnitus and ataxia are commonly seen in a case of:
Options
Otitis media
Cerebral glioma
Acoustic neuroma
Ependymoma
Options
CT scan
MRI scan
Plain X-ray skull
Air encephalography
A patient is suspected to have vestibular schwannoma the investigation of choice for its diagnosis
is:
Options
Contrast enhanced CT scan
Gadolinium enhanced MRI
SPECT
PET scan
A 70-year-old male presents with loss of sensation in external auditory meatus (Hitselberger sign
positive). The likely diagnosis is:
Options
Vestibular Schwannoma
Mastoiditis
Bell's palsy
Cholesteatoma
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Question (1/21)
Options
Difference of surface are of tympanic membrane and foot plate
Semicircular canal fluid
Utricle and saccule
None of the above
Options
Supporting cell
Tectorial membrane
Tunnel of corti
Hair cells
Options
Hearing
Rotatory nystagmus
Linear acceleration
Angular acceleration
Options
Prev
SkipOrgan of Corti
NextBasilar membrane
Cochlear nuclei
Transverse temporal gyrus
Options
Auditory pathway
Visual pathway
Extrapyramidal system
Pyramidal system
Options
100-400 Hz
100- 1000 Hz
1000-4000 Hz
20-20000 Hz
Options
0 dB
10 dB
20 dB
30 dB
Options
Hensen cell
Hensen node
Deiters cell
Pillar cell
Options
Superior olivary complex
Medial geniculate body
Superior colliculus
Lateral lemniscus
Options
V and VII nerves
V and VIII nerves
VII and VI nerves
VIl and VIII nerves
Perilymph contains:
Options
Na+
K+
Mg++
Cl-
Options
Is a filtrate of blood serum
Is secreted by stria vascularis
Is secreted by basilar membrane
Is secreted by hair cells
Options
Trapezoid body
Medial geniculate body
Genu of internal capsule
Lateral lemniscus
Options
Sound frequency
Loudness
Speech discrimination
Sound localization
Options
Amplification of sound intensity
Reduction of sound intensity
Protecting the inner ear
Reduction of impedance to sound transmission
Options
Gravity
Linear acceleration
Rotation
Sound
Options
Horizontal acceleration
Rotational acceleration
Gravity
Anteroposterior acceleration
Options
Cochlea
Saccule
Utricle
Semicircular canals
Options
Otolith-Made up of uric acid crystals
Position of otolith-Changes with head position
Otoliths-Stretch receptors
Otolith organs-Stimulated by gravity and linear acceleration
Singular nerve is a:
Options
Superior vestibular nerve supplying posterior semicircular canal
Interior vestibular nerve supplying posterior semicircular canal
Superior vestibular nerve supplying anterior semicircular canal
Interior vestibular nerve supplying anterior semicircular canal
Options
+45 mv
-45mv
+ 60 mv
+85 mv
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Question (1/23)
Options
Low frequency hearing loss initially
High frequency hearing loss initially
Both high and low frequencies affected simultaneously
No hearing loss at all
Options
Meniere's disease
Superior canal dehiscence
Otosclerosis
Perilymph fistula
Options
6
9
11
14
Options
Prev
SkipBERA
NextPTA
Electrocochleography
CT
Options
Diplopia
Tinnitus
Vertigo
Fullness of pressure in ear
Options
Tinnitus
Vertigo
Sensorineural deafness
Loss of consciousness
Options
Tinnitus
Vertigo
Deafness
Otorrhea
Options
Conductive hearing loss and tinnitus
Vertigo, ear discharge, tinnitus and headache
Vertigo, tinnitus, hearing loss and headache
Vertigo, tinnitus and hearing loss
Options
Triad of recurrent vertigo, fluctuating sensorineural hearing loss, and tinnitus are found
Treatment consists of use of thiazide
Drop attack occurs
Onset only after > 50 years
Options
Perilymphatic hydrops
Endolymphatic hydrops
Otospongiosis
Coalescent mastoiditis
Options
B/L Condition
Females more common
3rd to 4th decades
Conductive deafness
Options
Otosclerosis
Lateral sinus thrombosis
Meniere's disease
None of the above
In a classical case of Meniere's disease which one of the following statements is true?
Options
Carhart's Notch is a characteristic feature in puretone audiogram
Schwartz's sign is usually present in the tympanic membrane
Low frequency sensorineural deafness is often seen in pure tone audiogram
Decompression fallopian canal is the treatment of choice
Options
Otosclerosis
Meniere's disease
Acoustic nerve schwannoma
Otitis media with effusion
Options
Dilate lymphatic vessels
Decrease endolymph secretion
Increase endolymph reabsorption
Are of no use
Options
Tinnitus
Acoustic neuroma
Meniere's disease
Endolymphatic fistula
Options
Fick's procedure
Cody tack procedure
Vestibular neurectomy
Labyrinthectomy
Options
Acoustic neuroma
CNS disease
Labyrinthitis
Suppurative otitis media
A 55-year-old female presents with tinnitus, dizziness and n/o progressive deafness. Which of the
following is not a D/D?
Options
Acoustic neuroma
Endolymphatic hydrops
Meningitis
Histiocytosis 'X'
Initial mechanism of action of intra-tympanic gentamicin microwick catheter inserted into inner
ear in treatment of Meniere's disease:
Options
Damage outer hair cell
Binds to hair cell Na+-K+ ATPase channel
Acts on mechanoreceptors of outer hair cell
Bind to Mg2+ channel
Options
Surgery is the mainstay of treatment
Electrocochleography is the gold standard investigation for diagnosis
Semont's maneuver is used for treatment
In initial stages, inverted 'V' shaped audiogram is seen
Options
Meniere's disease
Malignant Otitis Externa
CSOM
Otosclerosis
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Question
30. 30
31. 31
Malignant otitis externa is:
32. 32
Options
33. 33
34.Malignancy
34 of external ear
35.Caused
35 by hemophilus
Blackish mass of Aspergillus
Pseudomonas infection in diabetic patients
Options
Tc-99 scan
Ga-67 scan
In 111 labelled leukocyte scan
MRI
Options
CT scan
MRI
Biopsy
Tc-99 scan
Options
Prev
SkipCT scan
NextMRI
Ga-67 scan
Tc-99 scan
Options
CT scan
MRI
Ga-67 scan
Tc-99 scan
Options
Glue ear
Malignant otitis externa
Telephonist's ear
ASOM
Options
Caused by pseudomonas
Surgery never done
Facial nerve involved
Common in diabetics
Options
Staphylococcus
Pseudomonas
Candida
Streptococcus
Options
Influenza
Proteus
Staph
Streptococcus
Options
Coloboma lobuli
Melotia
Scroll ear
Cleft pinna
Blue drum is seen in:
Options
Tympanosclerosis
Secretory otitis media
Otosclerosis
Myringitis bullosa
Options
Foreign body in external auditory canal
Desquamated epithelial cell + cholesterol
Cholesterol crystals surrounded by calcium
Wax in ext. auditory canal
Options
Glue ear
Malignant otitis externa
Telephonist's ear
ASOM
Options
Aspergillus fumigatus
Candida
Mucor
Penicillin
Options
Virion
Fungus
Bacteria
Virus
Options
5
7
8
9
A patient has come with furuncle of ear. What is the commonest method of treatment?
Options
Ear pack with 10% ichthammol in glycerin wick
Antibiotic and rest
Antibiotic and drainage
Analgesic
Options
S. aureus
S. albus
P. aeruginosa
E. coli
Options
Not painful
Common in diabetics and old age
Caused by streptococcus
All of the above
Options
Malignancy of external ear
Caused by hemophilus influenzae
Blackish mass of aspergillus
Pseudomonas infection in diabetic patient
All of the following are true about malignant otitis externa except:
Options
ESR is used for follow-up after treatment
Granulation tissues are seen on superior wall of the external auditory canal
Severe hearing loss is the chief presenting complaint
Pseudomonas is the most common cause
An elderly diabetic present with painful ear discharge and edema of the external auditory canal
with facia palsy, not responding to antibiotics. An increased uptake on technetium bone scan is
noted. The most probable diagnosis is:
Options
Malignant otitis external
Malignancy of the middle ear
Infective disease of the middle ear
Malignancy of nasopharynx with Eustachian tube obstruction
A 75-year-old diabetic patient presents with severe ear pain and granulation tissue at external
auditory canal with facial nerve involvement. The most likely diagnosis is:
Options
Malignant otitis externa
Nasopharyngeal carcinoma
Acute suppurative otitis media
Chronic suppurative otitis media
An old diabetic male presented with rapidly spreading infection of the external auditory canal
with involvement of the bone and presence of granulation tissue. The drug of choice for this
condition is:
Options
Ciprofloxacin
Penicillin
Second generation cephalosporin
Aminoglycosides
Options
Caused by Pseudomonas aeruginosa
Patients are usually old
Mitotic figures are high
Patient is immunocompromised
Options
Seborrheic otitis externa
Otomycosis
Malignant otitis externa
Eczematous otitis externa
Options
Foreign body in external auditory canal
Desquamated epithelial cell + cholesterol
Cholesterol crystals surrounded by calcium
Wax in external auditory canal
A 60-year-old man presented with left sided ear discharge for 7 years with dull earache. O/eintact
tympanic membrane on both sides, mass is seen in the posterior canal wall on left side. Diagnosis
is?
Options
Keratosis obturans
CSOM
External otitis
Carcinoma of external auditory canal
Options
Keloid
Perichondritis in Boxers
Squamous cell carcinoma
Anaplastic cell carcinoma
Options
All case should receive antibiotic
Commonly seen in rugby player
Resolve spontaneously
None
Options
Anteroinferior
Posterosuperior
Anterosuperior
Posteroinferior
A newborn presents with bilateral microtia and external auditory canal atresia. Corrective
surgery is usually performed is:
Options
< 1 year of age
5-7 years of age
Puberty
Adulthood
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Question
30. 30
31. 31
Conductive hearing loss occurs in:
Options
Travelling in an aeroplane
Trauma to labyrinth
Stapes abnormal at oval window
High noise
Options
Old age
Cochlear otosclerosis
Loud sound
Rupture of tympanic membrane
Options
800 Hz
800-1600 Hz
3000 Hz
None of the above
Options
Prev
Skip3000-5000 Hz
Next300-500 Hz
500-2000 Hz
5000-20000 Hz
Options
Corona virus
Mumps virus
Adenovirus
Rotavirus
Options
26-40 dB
0-25 dB
41 -55 dB
More than 91 dB
A person has frequent difficulty in understanding normal speech. The approximate hearing loss in
the person is:
Options
26-40 dB
41 -55 dB
56-70 dB
71 -90 dB
Options
Recruitment present
Tone decay significant
Speech discrimination is highly impaired
Rollover phenomenon present
Options
1000 Hz
2000 Hz
3000 Hz
4000 Hz
Delayed speech in a 5-year-old child with normal motor and adaptive development, is most likely
due to:
Options
Mental retardation
Cerebral palsy
Kernicterus
Deafness
According to WHO definition of hearing loss, what is the value to clarify as profound hearing loss:
Options
61 -71 dB
>81 dB
> 91 dB
> 101 dB
Options
26-40 dB
41 -60 dB
61 -80 dB
> 81 dB
Options
100-120 dB
80-85 dB
60-65 dB
20-25 dB
Options
500-3500 Hz
1000-3000 Hz
300-5000 Hz
5000-8000 Hz
Options
10-40 dB
5-15 dB
20 dB
300 dB
Options
Ossicular disruption with intact tympanic membrane
Disruption of malleus and incus with intact tympanic membrane
Partial fixation of the stapes footplate
Ottitis media with effusion
In a patient audiogram shows hearing loss of 54 dB. Most probably it is due to:
Options
Ossicular disruption with intact TM
Ossicular disruption with TM perforation
Complete fixation of stapes footplate
Otitis media with effusion
Options
CSOM
ASOM
Acoustic - neuroma
Chronic secretory otitis media
Options
Microtia with atresia of external auditory meatus
Trauma
Otitis media with effusion
Bony canal
Options
Trauma
Wax
Acute mastoiditis
Meniere's disease
Options
Measles
Mumps
Chickenpox
Rubella
Options
Hearing of only loud sound
Normal sounds heard as loud and painful
Completely deaf
Ability to hear in noisy surroundings
A patient has bilateral conductive deafness, tinnitus with positive family history. The diagnosis is:
Options
Otospongiosis
Tympanosclerosis
Meniere's disease
B/L otitis media
A 55-year-old female presents with tinnitus, dizziness and h/o progressive deafness. Differential
diagnosis includes all except:
Options
Acoustic neuroma
Endolymphatic hydrops
Meningioma
Histiocytosis-X
Options
Streptomycin
Quinine
Diuretics
Propranolol
Post head injury, the patient had conductive deafness and on examination, tympanic membrane
was normal and mobile. Likely diagnosis is:
Options
Distortion of ossicular chain
Hemotympanum
EAC sclerosis
Otosclerosis
Options
Old age
Cochlear otosclerosis
Loud sound
Rupture of tympanic membrane
Prolonged exposure to noise levels greater than the following can impair hearing permanently:
Options
40 decibels
85 decibels
100 decibels
140 decibels
A steel factory worker is suffering from noise induced hearing loss. Which of the following is most
likely to be affected?
Options
Inner hair cells
Macula
Crista ampullaris
Saccule
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Question
30. 30
31. 31 sign seen in:
Schwartz
Options
Glomus jugulare
Otosclerosis
Meniere's diseases
Acoustic neuroma
Options
Ototoxicity
Noise induced hearing loss
Otosclerosis
Presbyacusis
Options
Low compliance
High compliance
Normal compliance
Any of the above
Options
Prev
SkipMastoidectomy
NextFESS
Stapedectomy
Transsphenoidal pituitary surgery
Options
Julius Lempert
Dr Hayes Marten
John Shea
William House
Options
Meniere disease
Otosclerosis
Glomus tumor
Nasal polyp
Options
Autosomal dominant
Autosomal recessive
X-linked dominant
X-linked recessive
Options
5-10 years
10-20 years
20-30 years
30-45 years
Options
Round window
Oval window
Utricle
Ossicles
Options
Oval window
Round window
Tympanic membranes
Malleus
Most common site for the initiation of otosclerosis is:
Options
Footplate of stapes
Margins of stapes
Fissula ante fenestram
Fissula postfenestram
Otospongiosis causes:
Options
U/L conductive deafness
B/L conductive deafness
U/L sensorineural deafness
B/L sensori neural deafness
Options
Tympanosclerosis
Otosclerosis
Meniere's disease
Presbycusis
Options
Hyperacusis
Hypoacusis
Presbycusis
Paracusis
Options
Cochlear otosclerosis
Increased vascularity in lesion
Conductive deafness
All of the above
Options
Normal
Flamingo-pink
Blue
Yellow
Options
Otosclerosis
NIHL
Sensorineural deafness
None of these
Options
Sounds not heard in noisy environment
Normal tympanum
More common in males
Malleus is most commonly effected
Options
0.5 kHz
2 kHz
4 kHz
8 kHz
Options
Ocular discontinuity
Haemotympanum
Otomycosis
Otosclerosis
In the pure tone audiogram shown below, identify the likely cause:
Options
Meniere's disease
Noise induced hearing loss
Otosclerosis
Ototoxicity
Options
2000 Hz
4000 Hz
500 Hz
1500 Hz
Lady has B/L hearing loss since 4 years which worsened during pregnancy. Type of impedance
audiometry graph will be:
Options
Ad
As
B
C
Options
Conductive deafness
Positive Rinne's test
Paracusis willisii
Mobile ear drum
A 30-year old woman with family history of hearing loss from her mother's side developed
hearing problem during pregnancy. Hearing loss is bilateral, slowly progressive, Pure tone
audiometry bone conduction hearing loss with an apparent bone conduction hearing loss at 2000
Hz. What is the most likely diagnosis?
Options
Otosclerosis
Acoustic neuroma
Otitis media with effusion
Sigmoid sinus thrombosis
Options
Steroids
Antibiotics
Fluorides
Vitamins
All are true statements regarding use of sodium fluoride in the treatment of otosclerosis except:
Options
It inhibits osteoblastic activity
Used in active phase of otosclerosis when Schwartz sign is positive
Has proteolytic activity (bone enzymes)
Contraindicated in chronic nephritis
A 31 -year-old female patient complains of bilateral impairment of hearing for the 5 year. On
examination, tympanic membrane is normal and audiogram shows a bilateral conductive
deafness. Impedance audiometry shows As type of curve and acoustic reflexes are absent. All
constitute part of treatment, except:
Options
Hearing aid
Stapedectomy
Sodium fluoride
Gentamicin
Options
Teflon piston
Grommet
Total ossiculear replacement
All of the above
Options
Anterior crus of stapes
Posterior crus of stapes
Stapedial ligament
Lenticular process of incus
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Question
30. 30
31. of
Part 31pinna which lies behind the external auditory meatus is:
32. 32
Options
33. 33
34.Scaphoid
34 fossa
35.Concha
35
36. 36
Cymba concha
37. 37
38.Tragus
38
39. 39
Part
40. of
40pinna lying between ascending crest of helix and tragus is called as:
41. 41
Options
42. 42
43.Scaphoid
43 fossa
44.Concha
44
45.Incisura
45 terminalis
46.Darwin's
46 tubercle
47. 47
48. 48
Major part of the skin of pinna is supplied by:
49. 49
Options
50. 50
51.Auriculotemporal
51 nerve
52.Auricular
52 branch of vagus
53. 53
54.Lesser
54 occipital nerve
55.Greater
55 auricular nerve
56. 56
Arnolds
57. 57 nerve is a branch of:
58. 58
Options
Prev
59. 59
60.Vagus
Skip 60
Glossopharyngeal
Next 61
61.
62.Auditory
62
63.Facial
63
64. 64
65. 65 the area marked 'X':
Identify
66. 66
67. 67
68. 68
69. 69
70. 70
71. 71
72. 72
73. 73
74. 74
75. 75
76. 76
77. 77
78. 78
79. 79
80. 80
81. 81
82. 82
83. 83
84. 84
Options
85. 85
Cymba concha
86. 86
87.Incisura
87 terminalis
88.Scaphoid
88 fossa
89.Ascending
89 crux of helix
90. 90
Which
91. 91of the following statement is correct with respect to EAC of newborn?
92. 92
Options
93. 93
94.In94
newborn, cartilaginous part of EAC is absent
95.In95
newborn, bony part of EAC is absent
96.Both
96 bony and cartilaginous part are present but EAC is short
97. 97
98.Both
98 bony and cartilaginous part are present and EAC of newborn and adults are of same size
99. 99
All of the following are seen in bony part of EAC except:
100. 100
101. 101
Options
102. 102
Foramen of Huschke
103. 103
104.Fissure
104 of Santorini
105.Isthmus
105
106.Anterior
106 meatal recess
107. 107
The
108.cough
108 response caused while cleaning the ear canal is mediated by stimulation of:
109. 109
Options
110. 110
111.The
111V cranial nerve
112.In112
nervation of external ear canal by C1, C2
113. 113
The X cranial nerve
114. 114
Branches of the VII cranial nerve
True about tympanic membrane:
Options
Attached to oval window
Forms an angle of 55° with external auditory canal
Chorda tympani nerve passes through pars tensa
Cone of light forms on arteriosuperior quadrant
Options
Petrosquamous suture
Temporal squamous suture
Petromastoid suture
Frontozygomatic suture
Options
Von Troeltsch anterior pouch
Facial recess
Sinus tympani
Prussak's space
Options
Epitympanum
Mesotympanum
Hypotympanum
Prussak's space
Space between pars tensa and anterior malleolar fold is called as:
Options
Von Troeltsch anterior pouch
Facial recess
Sinus tympani
Prussak's space
Portion of middle ear around the tympanic orifice of Eustachian tube is:
Options
Mesotympanum
Epitympanum
Hypotympanum
Protympanum
Options
Mastoid air cells
Temporal bone
Paranasal sinuses
Tonsils
The site exit of chorda tympani from middle ear is called as:
Options
Glaserian fissure
Fissure of Santorini
Foramen of Huschke
Canal of Huguier
Scutum is:
Options
Bony part of outer attic wall
Bony part of inner attic wall
Cartilaginous part of outer attic wall
Cartilaginous part of inner attic wall
Options
Ethmoid
Sphenoid
Maxillary
Mastoid
Options
24 mm
36 mm
46 mm
26 mm
Patulous Eustachian tube is seen in:
Options
Pregnancy
Cleft lip
Down syndrome
Turner's syndrome
Options
15 mm of Hg
30 mm of Hg
50 mm of Hg
90 mm of Hg
Options
Sphenoid sinus
Mastoid air cells
Round window
Carotid canal
Options
Cochlea
Semicircular canal
Organ of Corti
Vestibule
The bony cochlea is a coiled tube making...turns around a bony pyramid called:
Options
2, 1/4 modiolus
2, 1/2 helicotrema
2, 3/4 modiolus
2, 3/4 helicotrema
Options
Organ of Corti
Cristae
Macula
None
Options
Solid angle
Trautman triangle
Utelli's angle
Donaldson line
Options
+ 80 mV
- 80 mV
+ 60 mV
-60 mV
Options
Oral window
Round window
Endolymphatic sac
Cochlear aqueduct
Options
Perilymph secretion
Endolymph secretion
Both perilymph and endolymph secretion
CSF secretion
Options
Scala media
Scala vestibulae
Scala tympani
Cochlear aqueduct
Options
6 hours after birth
8-9 years after birth
6-8 months after birth
2-4 years after birth
A new born presents with bilateral microtia and external auditory canal atresia. Corrective
surgery is usually performed at:
Options
< 1 year of age
5-7 years of age
Puberty
Adulthood
Options
Bat ear
Microtia
Macrotia
Crotia
Options
1st branchial cleft anomaly
2nd branchial cleft anomaly
1stbranchial pouch anomaly
2nd branchial pouch anomaly
Options
Mastoid
Tympanic antrum
Ear ossicles
Cochlea
Options
Membranous labyrinth
Perilymphatic labyrinth
Bony labyrinth
Ossicles
Options
Dermoid cyst of pinna
Keloid on pinna
Cauliflower ear
Preauricular sinus
Options
Ear speculum
Otoendoscope
Siegel speculum
Politzer bag
Options
Modified eccrine glands
Modified apocrine glands
Mucous gland
Modified holocrine glands
Options
Greater occipital nerve
Greater auricular nerve
Auriculotemporal nerve
Lesser occipital nerve
All of the following nerves supply auricle and external meatus except:
Options
Trigeminal nerve
Glossopharyngeal nerve
Facial nerve
Vagus nerve
Which of the following nerves has no sensory supply to the auricle?
Options
Lesser occipital nerve
Greater auricular nerve
Auricular branch of vagus nerve
Tympanic branch of glossopharyngeal nerve
Options
Pterygomandibular ganglion
Geniculate ganglion
Facial nerve
Auriculotemporal nerve
Options
Firmly on both sides
Loosely on medial side
Loosely on lateral side
Loosely on both side
Dehiscence of anterior wall of the external auditory canal cause infection in the parotid gland via:
Options
Fissure of Santorini
Notch of ramus
Petrous fissure
Retropharyngeal fissure
Options
Pearly white
Gray
Yellow
Red
Options
Central
Peripheral
Both
None of the above
Options
Promontory
Bony part of pharyngotympanic tube
Processus cochleariformis
Tensor tympani muscle
The distance between tympanic membrane and medial wall of middle ear at the level of center is:
Options
3 mm
4 mm
6 mm
2 mm
Options
2 mm
5 mm
6 mm
7 mm
Options
Hypotympanum
Epitympanum
Attic
Mesotympanum
Options
55 mm2
70 mm2
80 mm2
90 mm2
Options
25 mm2
30 mm2
40 mm2
45 mm2
Options
1.4:1
1.3 : 1
18.2:1
1.5 : 1
Options
Malleolar fold
Handle of malleus
Anterior inferior quadrant
Stapes
Options
Lateral process of malleus
Handle of malleus
Umbo
Cone of light
Options
Auriculotemporal
Lesser occipital
Greater occipital
Parasympathetic ganglion
Options
Cone of light is anteroinferior
Shrapnell's membrane is also known as pars flaccida
Healed perforation has three layers
Anterior malleolar fold is longer than posterior
Options
Facial
Glossopharyngeal
Vagus
Trigeminal
Options
Hypoglossal nerve
Vagus nerve
Glossopharyngeal nerve
Lingual nerve
Options
Pharynx
Tongue
TM joint
Vestibule of nose
Options
Maxillary nerve
Facial nerve
Auditory nerve
Mandibular disease
Options
It helps to enhance the sound conduction in middle ear
It is a protective reflex against loud sounds
It helps i n masking the sound waves
It is unilateral reflex
Options
Anterior part of V nerve
Posterior part of V nerve
IX nerve
VII nerve
Options
Arnold's nerve
Vidian nerve
Nerve of Kuntz
Criminal nerve of Grassi
Options
Body of incus
Head of malleus
Chorda tympani
Footplate of stapes
Options
Epitympanum
Mesotympanum
Hypotympanum
Ear canal
Tegmen seperates middle ear from the middle cranial fossa containing temporal lobe of brain by:
Options
Medical wall of middle ear
Lateral wall of middle ear
Roof of middle ear
Anterior wall of middle ear
Whlie doing posterior tympanotomy through the facial recess there are chances of injury to the
following except:
Options
Facial nerve horizontal part
Chorda tympani
Dislodgement of short process of incus from fossa incudis
Vertical descending part of facial nerve
Options
Suprapyramical recess
Medially it is bounded by chordatympani and laterally by facial nerve
Important in cochlear implant
Middle ear can be a pproached through it
Options
Internal carotid artery
Bulb of the internal jugular vein
Sigmoid sinus
Round window
Promontory seen in the middle ear is:
Options
Jugular bulge
Basal turn of cochlea
Semicircular canal
Head of incus
Options
Tendon of tensor tympani
Basal turns of helix
Handle of malleus
Lncus
Options
Maxillary sinus
Mastoid antrum
Frontal sinus
None
Options
Mastoid antrum
Mastoid air cells
Antrum
Facial nerve
Options
Suprameatal triangle
Spine of Henle
Tip of the mastoid process
None
Options
Temporalline
Posterosuperior segment of bony external auditory canal
Promontory
Tangent drawn to the external auditory meatus
Options
Anterior wall
Medial wall
Lateral wall
Posterior wall
Options
16 mm
24 mm
36 mm
40 mm
Options
Salpingopharyngeus
Levator veli palatine
Tensor veli palatini
None of the above
Options
Length is 36 mm in adults and 1.6 to 3 mm in children
Higher elastin content in adults
Ventilatory function of ear better developed in infants
More horizontal in adults
Options
Parietal bone
Petrous part of temporal bone
Occipital bone
Petrous part of squamous bone
Options
Strongest bone in the body
Cancellous bone
Cartilaginous bone
Membranous bone
Cochlear aqueduct:
Options
Connects internal ear with subarachnoid space
Connects cochlea with vestibule
Contains endolymph
Same as S media
Options
Cochlear aqueduct
Endolymphatic sac
Vestibular aqueduct
Hyrtl fissure
Which of the following is not a route of spread of infection from middle ear?
Options
Directly through openings such as rou n d window and oval window
By bony invasion
Osteothrombotic route
Lymphatics
Options
Cochlea
Middle ear
Semicircular canal
Vestibule
Options
Round window
Oval window
Inferior sinus tympani
Pyramid
Options
Scala media
Sinus tympani
Sinus vestibuli
Saccule
Options
Scala media
Scala tympani
Scala vestibuli
Semicircular canal
Options
Tegmen tympani
Mastoid process
Promontory
Tympanic membrane
Spine of Henle is a:
Options
Cortical bone
Cancellous bone
Sclerotic bone
Long bone with Haversian system
Options
Internal carotid artery
Basilar artery
Posterior cerebellar artery
Anteroinferior cerebellar artery
Options
Scala media to subdural space
Scala vestibule to aqueduct of cochlea
Scala tympani to aqueduct of cochlea
Scala tympani to subdural space
Options
Scala vestibuli
Scala media
Helicotrema
Organ of Corti
Options
Is a filtrate of blood serum
Is secreted by striae vascularis
Is secreted by basilar membrane
Is secreted by hair cells
Options
To produce perilymph
To absorb perilymph
To maintain electric milieu of endolymph
To maintain electric milieu of perilymph
Options
1st pharyngeal arch
1st and 3rd pharyngeal arch
1st and 2nd pharyngeal arch
2nd pharyngeal arch
The following structure represents all the 3 components of the embryonic disc:
Options
Tympanic membrane
Retina
Meninges
None of the above
Options
Bill's bar
Ponticulus
Cog
Falciform crest
Options
2nd and 3rd pharyngeal pouch
1st pharyngeal pouch
4th pharyngeal pouch
3rd pharyngeal pouch
All of the following are of adult size at birth except?
Options
Mastoid antrum
Earossicles
Tympanic cavity
Maxillary antrum
Options
Ear ossicles
Maxilla
Mastoid
Parietal bone
Options
Improper fusion of auricular tubercles
Persistent opening of first branchial arch
Autosomal recessive pattern
None
Options
1st arch
2nd arch
3rd arch
4th arch
Options
14 weeks
20 weeks
32 weeks
33 weeks
Options
Michel aplasia
Mondini aplasia
Scheibe dysplasia
Alexander aplasia
Options
Utricle and sacule -Semicircular canal
Oval window -Footplate of staps
Aditus ad antrum -Macewen's triangle
Scala vestibule -Reissner's membrane
Options
Isolated stapes defect
Stapes defect with fixation of footplate and lenticular process involvement
Defective lenticular process of incus
None of the above
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11. 11
12. 12
13. 13
14. 14
15. 15
16. 16
Question (1/16)
Options
CT scan
Catecholamine levels
MRI
Biopsy
A 42-year-female presents with U/L progressive conductive hearing loss with pulsatile tinnitus
and blood stained discharge. She also complains of headache, sweating and palpitations. All of the
following investigations are warranted in this case except:
Options
Otoscopy
Serum catecholamines
Urine VMA
Biopsy
Options
Juvenile nasopharyngeal angiofibroma
Nasopharyngeal ca
Vestibular schwannoma
Glomus tumor
M/C
Prevbenign tumor of the external auditory canal is:
Skip
Options
Next
Glomus tumor
Exostosis
Osteoma
Hemangioma
Options
Glomus tumor
Hemangioma
Exostosis
Osteoma
Options
Epitympanum
Hypotympanum
Mastoidal cell
Promontory
Options
Pulsatile tinnitus
Deafness
Headache
Vertigo
Options
Malignant otitis media
Osteoma
Mastoid reservoirs
Glomus jugulare tumor
Options
Common in female
Causes sensory neural deafness
It is a disease of infancy
It invades labyrinth, petrous pyramid and mastoid
Options
Glomus tumor
Meniere's desease
Acoustic neuroma
Otoscleorsis
Options
Glomus jugulare
Vesti bular Schawannoma
Maniere's disease
Neurofibromatosis
The glomus tumor invasion of jugular bulb is diagnosed by?
Options
Carotid angiography
Vertebralvenousvenography
X-ray
Jugular venography
A patient presents with bleeding from the ear pain tinnitus and progressive deafness. On
examination, there is a red swelling behind the intact tympanic membrane which blanches on
pressure with pneumatic speculum. Management includes all except:
Options
Radiotherapy
Surgery
Interferons
Preoperative embolization
Which is the most pulsatile tumor found i n external auditary meatus which bleeds on touch?
Options
Squamous cell ca of pinna
Basal cell ca
Adenoma
Glomus tumor
Options
Glomus Jugulare
Ca mastoid
Acoustic neuroma
Angiofibroma
Options
Adenocarcinoma
Squamous cell carcinoma
Glomous tumor
Acoustic neuroma
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14. 14
Question (1/14)
Options
Sold angle
CP angle
Sinodural angle
Part of MC Evans triangle
Options
Tinnitus
Vertigo
Conductive deafness
Fullness in ear
Use of Siegel's speculum during examination of the ear provides all except:
Options
Magnification
Assessment of movement of the tympanic membrane
Removal of foreign body from the ear
As applicator for the powdered antibiotic of ear
Options
9 inch
10 inch (25 cm)
11 inch
12 inch
Impedance denotes:
Options
Site of perforation
Disease of cochlea
Disease of ossicles
Higher function disorder
Options
80 dB
60 dB
90 dB
120 d B
Prolonged exposure to noise levels greater than the following can impair hearing permanently:
Options
40 decibels
85 decibels
100 decibels
140 decibels
A man Rajan, age 70 years, presents with tinnitus. Most probable diagnosis is:
Options
Acoustic neuroma
ASOM
Labyrinthitis
Acoustic trauma
Options
Trigeminal nerve
Facial nerve
Glossopharyngeal nerve
Auriculotemporal nerve
A patient has bilateral conductive deafness, tinnitus with positive family history. The diagnosis:
Options
Otospongiosis
Tympanosclerosis
Menitere's disease
Bilateral otitis media
Presbycusis is:
Options
Loss of accommodation power
Hearing loss due to aging
Noise induced hearing loss
Congenital deafness
Second primary tumor of head and neck is most commonly seen in malignancy of:
Options
Oral cavity
Larynx
Hypopharynx
Paranasal sinuses
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Question
30. 30
31. 31of Wrisberg is:
Nerve
32. 32
Options
33. 33
34.Sensory
34 part of facial nerve
35.Motor
35 part of facial nerve
36. 36
Branch of trigeminal nerve
37. 37
38.Branch
38 of vestibular nerve
39. 39
The
40.longest
part of facial nerve is:
40
41. 41
Options
42. 42
43.Intracranial
43
44.Intratemporal
44
Extracranial
Labyrinthine
Options
Anterosuperior part
Posterosuperior part
Anteroinferior part
Posteroinferior part
Options
Prev
SkipMeatal segment
NextLabyrinthine segment
Horizontal segment
Vertical segment
Options
Meatal segment
Labyrinthine segment
Horizontal segment
Vertical segment
Options
Meatal segment
Labyrinthine segment
Horizontal segment
Vertical segment
Options
Meatal segment
Labyrinthine segment
Horizontal segment
Vertical segment
A patient following injury presents with normal Schirmer test but stapedial reflex is absent on
right side. The approximate site of injury of facial nerve is:
Options
Intrameatal part
Horizontal part
Vertical part
At stylomastoid foramen
Options
MRI
HRCT
X-ray
PET scan
All of the following nerve grafts can be used in facial nerve injury except:
Options
Greater auricular N
Sural N
Lateral cutaneous N of thigh
Occipital N
First branch of the facial nerve is:
Options
Greater petrosal nerve
Lesser petrosal nerve
Chorda-tympani nerve
Nerve to the stapedius
All the following muscles are innervated by the facial nerve except:
Options
Occipito-frontalis
Anterior belly of digastric
Risorius
Procerus
Options
Geniculate ganglion
In semicirculalr canal
At sphenopalatine gangila
At foramen spinosum
A patient presents with hyperacusis, loss of lacrimation and loss of taste sensation in the anterior
2/3rd of the tongue. Edema extends u p to which level of facial nerve:
Options
Vertical part
Vertical part beyond nerve to stapedius
Vertical part and beyond nerve to stapedius
Proximal to geniculate ganglion
Options
Chorda tympani
Cerebellopontine angle
Tympanic canal
Geniculate ganglion
Options
Tensor tympani
Levator palatii
Tensor veli palatii
Stapedius
Options
Chorda tympani nerve
Cerebellopontine angle
Geniculate ganglion
Concussion of Tympanic membrane
Options
Loss of corneal reflex at site of lesion
Loss of corneal taste sensation anterior 2/3 of ipsilateral tongue
Loss of lacrimation at site of lesion
Hyperacusis
Options
Loss of taste sensation in right anterior part tongue
Loss of corneal reflex right side
Loss of wrinkling of forehead left side
Paralysis of lower facial muscles left side
Options
The nasolabial fold is obliterated on the same side
The nasolabial fold is obliterated on the o pposite side
The face deviates to the same side
The face deviates to the opposite side
Which test can detect facial nerve palsy occurring due to lesion at the outlet of stylomastoid:
Options
Deviation of angle of mouth towards opposite side
Loss of taste sensation in anterior 2/3 of tongue
Loss of sensation over right cheek
Deviation of tongue towards opposite side
Options
Cross innervation of facial nerve fibers
Cross innervation of trigeminal nerve fibers
Improper regeneration of trigeminal nerve
Improper regeneration of facial nerve
Options
Myringoplasty
Stapedectomy
Mastoidectomy
Ossiculoplasty
Which fracture of the petrous bone will cause facial nerve palsy:
Options
Longitudinal fractures
Transverse fractures
Mastoid
Facial nerve injury is always complete
Options
Seborrheic otitis externa
Otomycosis
Malignant otitis externa
Cerebellar abscess
Which part of the facial nerve is commonly exposed through natural dehiscence in the fallopian
canal?
Options
Horizontal part
Upper half of the vertical part
Lower half of the vertical part
Labyrimthine part
Options
Post operative
Trauma
Ramsay Hunt syndrome
Bell's palsy
Options
Cholesteatoma
Cerebello-pontine angle tumours
Bell's palsy
Postoperative (ear surgery)
Options
UMNV nerve
UMN VII nerve
LMN V nerve
LMN VII nerve
Options
Steroids are used
U/L facial weakness
Role of herpes simplex in etiology
Immediate surgical decompression is required
Options
Acute onset
Always recurrent
Spontaneous remission
Increased predisposition in Diabetes Mellitus
Options
Hemiparesis and contralateral facial nerve paralysis
Combined paralysis of the facial, trigeminal, and abducens nerves
Idiopathic ipsilateral paralysis of the facial nerve
Facial nerve paralysis with a dry eye
Options
Ipsilateral-facial palsy
Ipsilateral-loss of taste sensation
Hyperacusis
Ipsilateral ptosis
Options
Intratympanic steroids
Oral steroids + vitamin B
Oral steroids + Acyclovir
Vitamin B Vasodilator
A case of Bell's palsy on steroids, shows no improvement after two weeks. Next step in
manangement is:
Options
Vasodilators and ACTH
Physiotherapy
↓ Steroids dose
Electrophysiological nerve testing
Options
Facial nerve massage
Facial nerve stimulation
Steroid
Acyclovir
Treatment of choice for mastoid fracture with facial nerve palsy is:
Options
Nerve decompression
High dose of steroid
Sling operation
Repair the fracture and wait and watch
A patient presents with facial nerve palsy following head trauma with fracture of the mastoid:
best intervention here is:
Options
Immediate decompression
Wait and watch
Facial sling
Steroids
A man presents with vesicles over external acoustic meatus with ipsilateral facial palsy of LMN
type. The cause is:
Options
Herpes zoster
Herpes simpex virus-I
Varicella
None of the above
Options
H. simplex
H. zoster
Influenza
Adenovirus
Options
VII Nerve is involved
Facial muscle are involved
Facial vesicle is seen
Herpes zoster is etiologic agent
All of the following are true for Ramsay Hunt syndrome, except:
Options
It has viral etiology
Involves VII th nerve
May involve VIII th nerve
Results of spontaneous recovery are excellent
Options
Involves VII nerve
May involves VIII nerve
Surgical removal gives excellent prognosis
Causative agent is virus
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Question
30. 30
31. 31
Myringotomy is:
32. 32
Options
33. 33
34.Surgical
34 opening in Eustachian tube
35.Surgical
35 opening in tympanic membrane
36. 36
Surgical opening in semicircular canal
37. 37
38.None
38
39. 39
For
40.ASOM
40 Myringotomy is done in which quadrant:
41. 41
Options
42. 42
43.Antero-inferior
43
44.Antero-superior
44
45.Postero-superior
45
46.Postero-inferior
46
47. 47
48. 48
Light house sign is seen in ASOM in which stage:
49. 49
Options
50. 50
51.Stage
51 of suppuration
52.Stage
52 of hyperemia
53. 53
54.Stage
54 of resolution
55.Stage
55 of pre-suppuration
56. 56
M/c
57.organism
57 of AOM:
58. 58
Options
Prev
59. 59
60.Pneumococcus
Skip 60
Staphylococcus
Next 61
61.
62.Streptococcus
62
63.H.63
influenzae
64. 64
65. standard
Gold 65 investigation for otitis media with effusion:
66. 66
Options
67. 67
68.Pneumatic
68 otoscopy
69.Tympanometry
69
70. 70
Audiometry
71. 71
72.None
72
73. 73
M/c
74.cause
74 of conductive deafness in children is:
75. 75
Options
76. 76
77.Secretory
77 otitis media
78.Otosclerosis
78
79.Congenital
79 stapes fixation
80.Trauma
80
81. 81
82. 82
Otitic barotrauma results due to:
83. 83
Options
84. 84
85.Ascent
85 in air
86.Descent
86 in air
87. 87
88.Linear
acceleration
88
89.Sudden
89 acceleration
90. 90
Eustachian
91. 91 tube gets blocked if pressure difference is more than:
92. 92
Options
93. 93
94.1594mm Hg
95.3095mm Hg
96.5096mm Hg
97.9097mm Hg
98. 98
99. 99
Witt-Mack's theory of cholesteatoma formation is related to:
100. 100
Options
101. 101
102.Squamous
102 metaplasia
103.Basal
103 cell hyperplasia
104. 104
105.Invagination
105 of pars flaccida
106.None
106 of the above
107. 107
Which
108. 108is true of cholesteatoma?
109. 109
Options
110. 110
111.Physiological
111
112.Erodes
112 bone
113.Benign
113 neoplasm
114.Contains
114 cholesterol
115. 115
Cholesteatoma
116. 116 is commonly caused by:
117. 117
Options
118. 118
119.Atticoantral
119 perforation
120.Tubotympanic
120 disease
Central perforation of tympanic membrane
Meniere's disease
Options
Myringoplasty
Modified radical mastoidectomy
Antibiotics
Radical mastoidectomy
Options
Light house sign
Mastoid reservoir sign
Mastoid tenderness
Griesinger's sign
Options
Mastoiditis
Petrositis
Labyrinth
Facial N palsy
Options
Bezold
Citelli
LUC
Subperiosteal
Mastoid infection which erodes through the outer cortex results in:
Options
Subperiosteal abscess
Epidural abscess
Perichondritis
Lateral sinus thrombosis
Appearance of fever with rigor in a person with otitis media should make you suspect:
Options
Cerebellar abscess
Extradural abscess
Lateral sinus thrombosis
Apex petrositis
Options
Meningitis
Brain abscess
Lateral sinus thrombosis
Subdural abscess
Options
Aero otitis media
Glomus tumor
Bulging ear drum
Atelectatic ear
Options
Otosclerosis
CSOM
ASOM
None
What is tympanoplasty:
Options
Eradication of middle ear disease with reconstruction of tympanic membrane and ossicles
Eradication of disease from internal ear
Eradication of middle ear disease with repair of tympanic membrane only
Eradication of middle ear disease with repair of ossicles only
Options
Malleus head and stapes footplate
Malleus handle and stapes suprastructure
Malleus head and stapes suprastructure
Malleus head and stapes head
A 3 years old child presents with fever and ear ache. After a course of antibiotic, his condition is
still not relieved. What is the next step in management?
Options
Myringotomy with antibiotics
Myringotomy with grommet insertion
Oral antibiotics and decongestants
Anti-allergic and decongestants only
Options
Type 1
Type 2
Type 3
Type 4
Options
It is closer to the ear
It is easy to remove
It has low metabolic rate
Has some consistency as that of tympanic membrane
Tympanoplasty is most commonly performed for tympanic membrane perforation greater than:
Options
10-20% of the size of tympanic membrane
20-30% of the size of tympanic membrane
30-40% of the size of tympanic membrane
40-50% of the size of tympanic membrane
Options
Antibiotics and labyrinthine sedative
Myringoplasty
Immediate mastoid exploration
Labyrinthectomy
Options
Blood spread
Eustachian tube
Nasocranial spread
Simultaneous infection
Options
H. influenzae
S. pneumoniae
S. aureus
Pseudomonas
Options
Pneumococcus
H. influenzae
Staphylococcus
Streptococcus
Options
Most frequently it resolves without sequelae
Commonly follows painful parotitis
Radical mastoidectomy is required for treatment
Most common organism is pseudomonas
Options
ASOM
AOM
OME
CSOM
Options
Erythromycin
Penicillin
Streptomycin
Cephalosporin
A child presents with barotrauma pain. There is no inflammation of middle ear, management is:
Options
Antibiotics
Paracetamol
Suppurative
Grommet tube insertion
Options
Glomus tumour
CSF otorrhea
ASOM
Fistula
Options
Antero-inferior
Postero-inferior
Antero-superior
Postero-superior
Options
ASOM
CSOM
Menieres disease
Cholesteatoma
A boy with ASOM undergoing treatment with penicillin therapy for 7 days now presents with
subsidence of pain and persistence of deafness, diagnosis is:
Options
Ototoxicity
Secretory otitis media
Adhesive otiti media
Tympanosclerosis
Options
CSOM
Nasopharyngeal carcinoma
Mastoiditis
Foreign body of external ear
Options
Allergic rhinitis
URTI
Trauma
Malignancy
Glue ear:
Options
Is painful
Is painless
Radical mastoidectomy is required
NaF is useful
Options
Early ASOM
Glue ear
Cholesteatoma
Cholesterol granuloma
Options
Myringotomy with cold knife
Myringotomy with diode laser
Myringotomy with ventilation tube insertion
Conservative treatment with analgesics and antibiotics
A 6-year-old child with recurrent URTI with mouth breathing and failure to grow with high
arched palate and impaired hearing is:
Options
Tonsillectomy
Grommet insertion
Myringotomy with grommet insertion
Adenoidectomy with grommet insertion
Options
1 month
3 months
6 months
1 year
Options
Sensorineural deafness occurs as a complication in 80% of the cases
Intracranial spread of the infection complicates the clinical courses
Tympanostomy tubes are usually required for treatment
Gram-positive organisms are grown routinely in culture in the aspirate
Options
Marginal perforation
Attic perforation
Large central perforation
Multiple perforation
Options
Multiple perforations
Pale granulations
Pain
Thin odorless fluid
A child presents with barotrauma pain without middle ear inflammation. Management is:
Options
Antibiotics
Myringotomy
Supportive
Grommet
To do myringotomy in ASOM, the incision is given in posteroinferior region, this is the preferred
region for all the following reasons except.
Options
It is easily accessible
Damage to ossicular chain does not occur
Damage to chorda tympani is avoided
It is the very vascular region
Options
Stapes
Long process of incus
Head of malleus
Handle of malleus
Options
Etiology is multiple bacteria
Oral antibiotics are not affective
Ear drops have no role
Ottic hydrocephalus is a known complication
Options
Modified mastoidectomy
Tympanoplasty
Myringoplasty
Conservative management
Options
CSOM is a rare cause
Associated with cholesteatoma
Usually due to trauma
All of the above
Options
Attic
Marginal
Subtotal
Total
Options
Attico-antral perforation
Tubotympanic disease
Central perforation of tympanic membrane
Meniere's disease
Options
Anterior quadrant of tympanic membrane
Posteroinferior quadrant of tympanic membrane
Attic region
Central part
Options
CSOM with central perforation
Masked mastoiditis
Coalescent mastoiditis
Acute necrotizing otitis media
Options
ASOM
CSOM
Secretory ottitis media
Osteosclerosis
Options
Congenital
Squamous metaplasia
Ingrowth of squamous epithelium
Retraction pocket
Prior H/O ear surgery Scanty, foul smelling, painless discharge from the ear is characteristic
feature of which of the following lesions:
Options
ASOM
Cholesteatoma
Central perforation
Otitis externa
Options
It is a benign tumor
Metastasizes to lymph node
Contains cholesterol
Erodes the bone
Options
Lat. Semicircular canal
Sup. semicircular canal
Promontory
Oval window
The treatment of choice for atticoantral variety of chronic suppurative otitis media is:
Options
Mastoidectomy
Medical management
Underlay myringoplasty
Insertion of ventilation tube
Treatment of choice for Perforation in pars flaccida of the tympanic membrane with
cholesteatoma is:
Options
Myringoplasty
MRM
Antibiotics
Radical mastoidectomy
Options
Sensori-neural hearing loss
Secondary cholesteatoma
Tympanosclerosis
Tertiary cholesteatoma
Options
Anterior facial ridge
Posterior facial ridge
Epitympanum
Hypotympanum
A child presents with ear infection with foul smelling discharge. On further exploration a small
perforation is found in the pars flaccida of the tympanic membrance. Most appropriate next step
in the management would be:
Options
Topical antibiotics and decongestants for 4 weeks
IV antibiotics and follow-up after a month
Tympanoplasty
Tympano-mastoid exploration
A 5-year-old boy has been diagnosed to have posterior superior retraction pocket. All would
constitute part of the management except:
Options
Audiometry
Mastoid exploration
Tympanoplasty
Myringoplasty
Options
Meningitis
Intracerebral abscess
Cholesteatoma
Conductive deafness
Options
Subperiosteal abscess
Mastoiditis
Brain absess
Meningitis
Options
III
IV
VI
VII
Options
Deafness
Mastoiditis
Cholesteatoma
Facial nerve palsy
Options
Facial nerve paralysis
Lateral sinus thrombosis
Mastoiditis
Brain abscess
Options
CSOM
Petrositis
Coalescent otitis media
Mastoiditis
Options
Clouding of air cells
Obliteration of retroau ricular sulcus
Deafness
Outward and downward deviation of the pinna
Options
Temporal bone pneumatisation
Clouding of air cells of mastoid
Rarefaction and tuning of petrous bone
Thickening of temporal bone
Options
Bezold abscess
Luc abscess
Subperiosteal abscess
Parapharyngeal abscess
Options
Submandibular region
Sternomastoid muscle
Digastric triangle
Infratemporal region
Options
Deep part of bony meatus
Preauricular area
Postauricular area
Upper part of neck
The diagnosis in a patient with 6th nerve palsy, retroorbital pain and persistent ear discharge is:
Options
Gradenigo's syndrome
Sjogren's syndrome
Frey's syndrome
Rendu Osler Weber disease
Options
It is associated with jugular vein tenderness
It is caused by an abscess in the petrous a pex
It leads to involvement of the Cranial nerves V and VI.
It is characterized by retro-orbital pain
Options
Retroorbital pain
Profuse discharge from the ear
VII nerve palsy
Diplopia
Options
Antibiotics to dry ear and then mastoidectomy
Immediate mastoidectomy
Observation
Only antibiotic ear drops
Treatment of choice for CSOM with vertigo and facial nerve palsy is:
Options
Antibiotics and labyrinthine sedative
Myringoplasty
Immediate mastoid exploration
Labyrinthectomy
Most potential route for transmission of Meningitis from CNS to Inner ear is:
Options
Cochlear Aqueduct
Endolymphatic sac
Vestibular Aqueduct
Hyrtle fissure
Options
CSOM
Pyogenic meningitis
Trauma
Chr. sinusitis
Patient is having scanty, foul smelling discharge from middle ear, develops fever, headache and
neck rigidity. CT of the temporal lobe shows a localized ring enhancing lesion, which of the
following is least likely cause of this condition:
Options
S. aureus
Pseudomonas
S. Pneumoniae
H. influenzae
Options
Greisinger sign
Gradenigo sign
Lily-Crowe sign
Tobey Ayer test
Options
Lateral sinus thrombosis
Meningitis
Brain abscess
Cerebellar abscess
Options
CSF rhinorrhea
Lateral sinus thrombosis
Sigmoid sinus thrombosis
To check patency of Eustachian tube
A child was treated for H.influenza meningitis for 6 month. Most important investigation to be
done before discharging the patient is:
Options
MRI
Brainstem evoked auditory response
Growth screening test
Psychotherapy
A patient of CSOM has cholesteatoma and presents vertigo with. Treatment of choice would be:
Options
Antibiotics and labyrinthine sedative
Myringoplasty
Immediate mastoid exploration
Labyrinthectomy
Options
III
VII
IV
VI
A 7-year-old child presenting with acute otitis media, does not respond to ampicillin. Examination
reveals full and bulging tympanic membrane, the treatment of choice is:
Options
Systemic steroid
Ciprofloxacin
Myringotomy
Cortical mastoidectomy
A 3-year-old child presents with fever and earache. On examination there is congested tympanic
membrane with slight bulge. The treatment of choice is:
Options
Myringotomy with penicillin
Myringotomy with grommet
Only antibiotics
Wait and watch
Options
Tympanoplasty
Mastoidectomy
Myringotomy
Medical treatment
Options
Antero-inferior
Antero-superior
Postero-superior
Postero-inferior
Options
Anterior superior quadrant
Anterior inferior quadrant
Posterior superior
Posterior inferior
Options
Middle ear
Internal ear
Eustachian tube
Tympanic membrane
Options
In underlay graft is placed medial to the annulus
In underlay graft is placed lateral to the malleus
In overlay g raft is placed lateral to the malleus
In overlay g raft is placed medial to the annulus
Options
Tympanoplasty
Septoplasty
Tracheostomy
None of the above
Options
Operative microscope
Laser
Direct vision
Blindly
Which focal length in the objective piece of microscope is commonly used for ear surgery:
Options
100 mm
250 mm
450 mm
950 mm
Options
Cortical mastoidectomy
Modified radical mastoidectomy
Radial mastoidectomy
Fenestration operation
Options
Acute mastoiditis
Cholesteatoma
Coalescent mastoiditis
Localized chronic otitis media
Cortical mastoidectomy is indicated in:
Options
Cholesteatoma without complication
Coalescent mastoiditis
CSOM with brain abscess
Perforation in Pars flaccida
Options
ASOM
CSOM
Atticoantral cholesteatoma
Acute mastoiditis
Options
Lowering of facial ridge
Removal of middle ear mucosa and muscles
Removal of all ossicles of Eustachian tube plate
Maintenance of patency of Eustachian tube
Options
Closure of the auditory tube
Ossicles removed
Cochlea removed
Exteriorisation of mastoid
Options
Facial
Cochlear
Vestibular
All of the above
Options
Safe SCOM
Unsafe CSOM with atticoantral disease
Coalescent mastoiditis
Limited mastoid pathology
A 30-yead-old male is having Attic cholesteatoma of left ear with lateral sinus thrombophlebitis.
Which of the following will be the operation of choice?
Options
Intact canal will be the operation of choice
Simple mastoidectomy with Tympanoplasty
Canal wall down mastoidectomy
Mastodidectomy with cavity obliteration
All of the following techniques are used to control bleeding from bone during mastoid surgery
except:
Options
Cutting drill over the bleeding area
Diamond drill over the bleeding area
Bipolar cautery over the bleeding area
Bone wax
Communication between middle ear and Eustachian tube is obliterated in which surgery:
Options
Tympanoplasty
Schwartz operation
Modified radical mastoidectomy
Radical mastoidectomy
Mr. Ramu presented with persistent ear pain and discharge, retro-orbital pain, modified radical
mastoidectomy was done to him. Patient comes back with persistent discharge, what is your
diagnosis?
Options
Diffuse serous labyrinthitis
Purulent labyrinthitis
Petrositis
Latent mastoiditis
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Question
30. 30
31. 31
True about central nystagmus is:
32. 32
Options
33. 33
34.Duration
34 not limited
35.Direction
35 fixed
36. 36
Latency present
37. 37
38.Suppressed
38 by visual fixation
39. 39
True about peripheral nystagmus is:
Options
Duration not limited
Direction fixed
No latency
Vertigo not present
Options
Horizontal nystagmus
Pure vertical nystagmus
Pendular nystagmus
Torsional vertical nystagmus
Options
Prev
SkipCold air caloric test
NextFitzgerald Hallpike's test
Bithermal caloric test
Rinne test
Options
Pure vertical
Pure horizontal
Pure torsional
Vertical and torsional
Options
Determining Eustachian tube patency
Testing vestibulo-ocular reflex by injecting cold water
Politzerization
Syringe of ear in patient with CSOM and meningitis
Options
Lateral SCC
Posterior SCC
Anterior SCC
Cochlea
Options
Perilymph fistula
Malignant sclerosis
Congenital syphilis
Cholesteatoma
Options
Otoendoscope
Siegel speculum
Politzer bag
Otoscope
Options
Undistorted light image on the anterior quadrant of tympanic membrane
No movement of the tympanic membrane on Siegel's method
Malleus is easily visible
Lusterless tympanic membrane
Options
Adenoids
Siegle's
Otitis media
Pharyngitis
Options
Valsalva maneuver
Fistula's test
Frenzel's maneuver
Tonybee's maneuver
Options
Politzer test
VEMP
Rhinomanometry
Tympanometry
Options
Proprioceptive pathway
Cerebellum
Spinothalamic tract
Peripheral nerve
Options
Posterior semicircular canal
Superior semicircular canal
Flocculonodular node
Cerebellar hemisphere
Options
Lateral
Superior
Inferior
Posterior
Options
Vestibular exercises
Vestibular sedatives
Antihistamines
Diuretics
On otological examination all of the following will have positive fistula test except:
Options
Dead ear
Labyrinthine fistula
Hypermobile stapes footplate
Following fenestration surgery
Options
Ossicular discontinuity
Paralabyrinthitis due to erosion of lateral semicircular canal
CSF leak through the ear
Fixation of stapes bone
Options
Perilymph fistula
Malignant sclerosis
Congenital syphilis
Cholesteatoma
Options
Vestibular function
Corneal test
Cochlear function
Audiometry
Options
30°C and 44°C
34°C and 41°C
33°C and 21°C
37°C and 41°C
Options
15°
30°
45°
60°
Options
Cochlea
Lateral semicircular canal
Posterior semicircular canal
All of the above
In 'cold caloric stimulation test1 , the cold water, induces movement of the eye ball in the
following direction:
Options
Towards the opposite side
Towards the same side
Upwards
Downwards
In Fitzgerald Hallpike differential caloric test, cold-water irrigation at 30 degrees centigrade in the
left ear in a normal person will include:
Options
Nystagmus to the right side
Nystagmus to the left side
Direction changing nystagmus
Positional nystagmus
Options
Induction of nystagmus by thermal stimulation
Normally, cold water induces nystatmus to opposite side and warm water to same side.
In canal paresis the test is inconclusive
None of the above
Options
Slow component only
Fast component only
Slow + Fast component
Fast component occasionally
Options
Midbrain
Labyrinth
Vestibule
Cochlea
Options
Perforated tympanum
Dehiscent superior semicircular canal
Round window
Oval window
Options
Subjective sense of imbalance
Objective sense of imbalance
Both of the above
Round movement
Calorie test based on thermal stimulation stimulates of which part of the semi circular canals:
Options
Posterior
Anterior
Lateral
All of the above
Options
Cerebellar disease
Vestibular disease
Cochlear disease
Arnold Chiari malformation
Options
Medulla
Labyrinth
Middle ear
Cochlea
Options
Right side
Left side
Pendular nystagmus
No nystagmus
Options
Lateral semicircular canal
Superior semicircular canal
Inferior semicircular canal
Posterior semicircular canal
In cold caloric stimulation test, the cold water, induces movement of the eye ball in the following
direction:
Options
Towards the opposite side
Towards the same side
Upwards
Downwards
Options
Positional vertigo
Otosclerosis
ASOM
CSOM
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Question
30. 30
31. 31
Frequency of tuning fork mostly used in most commonly ENT is:
32. 32
Options
33. 33
34.256
34 Hz
35.512
35 Hz
36. 36
1024 Hz
37. 37
38.2048
38 Hz
39. 39
Positive
40. 40 Rinne test indicates:
41. 41
Options
42. 42
43.AC
43> BC
44.BC
44> AC
45.BC
45= AC
46.None
46 of the above
47. 47
A 48. 48
negative Rinne's test indicates the presence of:
49. 49
Options
50. 50
51.Profound
51 SNHL
52.Conductive
52 hearing loss
53. 53
54.Recruitment
54
55.None
55
56. 56
In57.
conductive
57 deafness, Weber's test is lateralized to:
58. 58
Options
Prev
59. 59
60.Deaf
Skip 60 ear
61.Normal
Next 61 ear
Both ears
Any of the above
In a patient, Rinne test positive in both ears, Weber's lateralizes to the right. This implies:
Options
Right sensorineural deafness
Left sensorineural deafness
Right conductive deafness
Left conductive deafness
In Bing test on alternately compressing and relaxing the tragus the sound increases and
decreases. This indicates:
Options
Sensorineural deafness
Adhesive otitis media
Otosclerosis
CSOM
Options
It confirms the type of hearing loss
It confirms the degree of hearing loss
It can tell response to the treatment
It can be used in neonates
Options
Congenital SNHL
Otitis media with effusion
Otosclerosis
Meniere's disease
Options
Meniere's disease
Otosclerosis
Presbycusis
Congenital hearing loss
Options
External ear
Middle ear
Mastoid air cell
Inner cell
In a patient of tympanic membrane perforation Tympanometry shows curve:
Options
Flat
As curve
Ad curve
C type
Options
VI nerve lesion
X nerve lesion
VIII nerve lesion
V nerve lesion
In facial nerve palsy of right side, Stapedial reflex will be absent on:
Options
Right side
Left side
Both sides
Not absent
Options
Cochlea
Auditory nerve
Brainstem
Cerebrum
40 dB compared to 20 dB is:
Options
Double
10 times
100 times
1000 times
Options
Schwaback test
Grant's test
Rinne's test
Weber's test
Tuning fork of 512 FPS is used to test the hearing because it is:
Options
Better heard
Better felt
Produces over tones
Not heard
Options
Senile deafness
Traumatic deafness
Osteosclerosis
Serous otitis media
Options
Stenger's test
Bunge's test
Weber's test
Rinne's test
Options
Sensorineural deafness
Acoustic neuroma
Tympanosclerosis
Meniere's disease
Options
Presbycusis
CSOM
Labyrinthitis
Meniere's disease
Options
15-20 dB
25-30 dB
35-40 dB
15-50 dB
Options
Otosclerosis
CSOM
Wax impacted ear
Presbycusis
Options
Chronic suppurative otitis media
Normal individual
Wax in ear
Otomycosis
Options
Placing the tuning fork on the mastoid process and comparing the bone conduction of the
patient with that of the exam iner
Placing the tunning fork on the vertex of the skull and determining the effect of gently
occluding the auditory canal on the threshold of low freq uencies
Placing the tuning fork on the mastoid process and comparing the b o n e conduction in the
patient
Placing the tuning fork on the forehead and asking him to report in which ear he hears it
better.
Options
Normal
Centralized
Lateralized to right side
Lateralized to left side
Options
Sound louder in normal ear
Sound louder in diseased ear
Heard with equal intensity in both ears
Inconclusive test
What should be the least hearing loss for Weber test to lateralize?
Options
5 dB
10 dB
15 dB
20 dB
A 38-year-old gentleman reports of decreased hearing in the right ear for the last two years. On
testing with a 512Hz tuning fork the Rinne's test without masking is negative on the right ear and
positive on the left ear. With the Weber's test the tone is perceived as louder in the left ear. The
most likely patient has:
Options
Right conductive hearing loss
Right sensorineural hearing loss
Left sensorineural hearing loss
Left conductive hearing loss
A middle-aged women presented with right sided hearing loss, Rinne's test shows positive result
on left side and negative result on right side Weber's test showed lateralization to left side,
diagnosis is:
Options
Right sided conductive deafness
Right sided sensorineural deafness
Left sided sensorineural deafness
Left sided conductive deafness
One m a n had 30 dB deafness in left ear with Weber test showing more sound in left ear and BC
(Bone conduction] more on left side and normal hearing i n right ear, his test ca n be summarized
as:
Options
Weber's test-left lateralized; Rinne test-right positive, BC>AC on left side
Weber's test-right lateralized; Rinne test-left positive, AC>BC on right side
Weber's test-left lateralized; Rinne test-false positive on right side, BC>AC on left side
Weber's left lateralized; Rinne test-equivocal, BC>AC on right side
A patient presents to your clinic for evaluation of defective hearing. Rinne's test shows air
conduction greaterthanthe bone conduction on both sides with Weber test lateralized to right ear.
What is the next logical step?
Options
Normal test
Schwabach's test
Repeat Rinnie's test on right side
Wax removal
Options
True positive Rinne's test
False positive Rinne's test
True negative Rinne's test
False negative Rinne's test
In pure tone audiogram the symbol X is used to mark:
Options
Air conduction in right ear
Air conduction in left ear
Bone conduction in right ear
No change in air conduction in right ear
Options
Air conduction of right ear
Air conduction of left ear
Bone conduction of right ear
Bone conduction of left ear
Options
Cochlear deafness
Neural deafness
Middle ear problem
Otosclerosis
Options
Tone decay
Impedance audiometry
Speech audiometry
Pure tone audiometry
Options
External ear
Middle ear
Mastoid air cell
Inner ear
Options
220 Hz
550 Hz
440 Hz
1000 Hz
Options
The frequency tested is 2000-9000Hz
Done in silent room
Air conduction for right ear is represented on audiogram by symbol 'X'
Air conduction for left ear is represented on audiogram by symbol 'O'
Options
Otosclerosis
Ototoxicity
Nonorganic hearing loss
Meniere's disease
A lady has B/L hearing loss since 4 years which worsened during pregnancy. Type of impedance
audiometry graph will be:
Options
Ad
As
B
C
Options
Serous otitis media
Ossicular discontinuity
Otosclerosis
All of the above
Options
Otosclerosis
Ossicular discontinuity
TM perforation
Middle ear fluid
Options
Flat
Noncompliance
High-compliance
Low-compliance
A young man presents with an accident leading to loss of hearing in right ear. On otoscopic
examination, the tympanic membrane was intact pure tone audiometry that shows an air-bone
gap of 55 dB in the right with normal cochlear reserve. Which of the following will be the like
tympanometry finding:
Options
As type tympanogram
Ad type tympanogram
B type tympanogra
C type tympanogram
Which is the best test for screening of the auditory function of neonates?
Options
Pure tone audiometry
Stapedial reflex
Otoacoustic emissions (OAE)
Brainstem evoked auditory response
Options
Impedance audiometry
Brainstem evoked response audiometry (BERA)
Free field audiometry
Behavioral audiometry
Options
Automated auditory brainstem response
Spontaneous OAE
Evoked OAE
Distorted product OAE
To distinguish between cochlear and post cochlear damage test done is:
Options
Brainsterm evoked response audiometry
Impedance audiometry
Pure tone audiometry
Auditory cochlear potential
Options
Caloric test
Weber test
Rinne's test
ABC test
Threshold for bone conduction is normal and that for air conduction is increased in disease of:
Options
Middle ear
Inner ear
Cochlear nerve
Temporal lobe
Options
V and VII nerves
V and VIII nerves
VII and VI nerves
VII and VIII nerves
Options
Cochlear nerve
Superior vestibular nerve
Inferior vestibular nerve
Inflammatory myopathy
In electrocochleography:
Options
It measures middle ear latency
Outer hair cells are mainly responsible for cochlear microphonics and sum mation potential
Summation potential is a compound of synchronus auditory nerve potential
Total AP represents endocochlear receptor potential to an external auditory stimulus
Electrocochleography is
Options
Probe, stimulation of outer hair cells only
Summation of microphonics
AP of cochlear nerve
Evoked potential generated in cochlea and auditory nerve
Options
Stenger test
Bing test
Weber test
Rinne test
Which of the following does not show negative Rinne test in the right ear?
Options
Sensorineural hearing loss of 45 dB in left ear and normal right ear
Profound hearing loss
Conductive hearing loss of 40 dB in both ears
Conductive hearing loss of 40 dB in right ear and left ear normal
A 35 years old pregnant female complaining of hearing loss, which aggravated during pregnancy,
was sent for tympanometry. Which of the following graph will be seen?
Options
As
Ad
B
C
MOHAMMAD
RIZWAN
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LARYNX,
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ORAL CAVITY
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Question
30. 30
31.shape
The 31 of septal cartilage is:
32. 32
Options
33. 33
34.Triangular
34
35.Quadrilateral
35
36. 36
Rectangle
37. 37
38.Pyramidal
38
39. 39
The
40.part
40 between the 2 nasal vestibules is called as:
41. 41
Options
42. 42
43.Rhinon
43
44.Nasion
44
45.Columella
45
46.Root
46 of nose
47. 47
48. 48
Osseocartilaginous j unction on the dorsum of nose is:
49. 49
Options
50. 50
51.Nasion
51
Rhinion
Columella
Glabella
Options
Prev
SkipNeural crest
NextNeural tube
Endoderm
Mesoderm
Options
Superior turbinate
Nasal septum
Upper lateral cartilage
Pyriform aperture
Options
Septal cartilage
Lower lateral cartilage
Upper lateral cartilage
Alae
Options
Caloric test
Rhinoscopy
Cottle test
Probing
Options
Superior turbinate
Middle turbinate
Inferior turbinate
All of the a bove
Options
Superior turbinate
Middle turbinate
Inferior turbinate
None of the above
Options
Maxillary sinus
Frontal sinus
Ethmoidal sinus
Nasolacrimal duct
Match the following: A Agger cells I Posterior most ethmoidal cells B Haller cells II Cells in roofof
maxillary sinus C Onodi cell Ill Cells anterior to attachment of middle turbinate D Concha bullosa
IV Pneumatisation of middleturbinate
Options
A Ill B I C II D IV
A I B II C Ill D II
A Ill B II C I D IV
A II B Ill C I D IV
Options
Maxillary artery
Mandibular artery
Superficial temporal artery
Ophthalmic artery
Options
1 -2 mm/min
2-5 mm/min
5-10 mm/min
1 0- 12 mm/min
Parosmia is:
Options
Perversion of smell sensation
Absolute loss of smell sensation
Decreased smellsensation
Perception of bad smell
Options
Every 6- 1 2 hours
Every 2-4 hours
Every 4-8 hours
Every 1 2-24 hours
Options
Temperature regulation
Increased the velocity of inspired air
Traps the pathogenic organisms in inspired air
Has no physiological role
Options
Mucociliary action
Inspiration
Expiration
Both inspiration and expiration
Options
Olfactory epithelium
Olfactory tract
Amygdala
Olfactory bulbs
Options
Posterior nasal cavity
Posterior nares
Larynx
Anterior nasal cavity
Options
Eustachian tube
Inferior meatus
Middle meatus
Superior concha
The figure shows structure seen on posterior rhinoscopy- ldentify the structure shown by 'X':
Options
Superior meatus
Middle meatus
Inferior meatus
Eustachian tube opening
Options
CT
MRI
X-ray
Sinoscopy
Options
Superior
Middle
Inferior
All of the above
Options
Inferior meatus
Middle meatus
Superior meatus
Inferior turbinate
Options
Superior meatus
Inferior meatus
Middle meatus
Ethmoid recess
Options
Maxillary
Anterior ethmoid
Posterior ethmoid
Frontal
The maxillary sinus opens into middle meatus at the level of:
Options
Hiatus semulinaris
Bulla ethmoidalis
Lnfundibulum
None of the above
Options
Lacrimal duct
Maxi llary sinus
Frontal sinus
Ethmoidal sinus
Options
Superior meatus
Middle meatus
Inferior meatus
Spenoethmoidal recess
Options
Superior meatus
Inferior meatus
Middle meatus
Sphenoethmoidal recess
Options
Sphenoethmoid recess
Superior meatus
Inferior meatus
Middle meatus
Options
Inferior meatus
Middle meatus
Superior meatus
Sphenoethmoidal recess
Options
Superior meatus
Middle meatus
Inferior meatus
Sphenopalatine recess
Inferior turbinate is a:
Options
Part of maxil la
Part of sphenoid
Separate bone
Part of ethmoid
Options
Superior turbinate
Middle turbinate
Interior turbinate
Uncinate process
Options
Superior turbinate
Aggernasi
Supreme turbinate
Bulous turbi nate
Options
Superior
Middle
Inferior
All of the above
Options
3 paired + 3 unpaired cartilages
3 paired + 1 unpaired cartilages
3 paired + 4 unpaired
1 paired + 1 unpaired
Choana is:
Options
Anterior nares
Posterior nares
Tonsils
Larynx
Options
Downward, backward and medially
Downward, backward and laterally
Downward, forward and medially
Downward, forward and laterally
Options
Sphenoid
Lacrimal
Palatine
Ethmoid
Quadrilateral cartilage is attached to all except:
Options
Ethmoid
Vomer
Sphenoid
Maxilla
All these structures are found in the lateral nasal wall except:
Options
Superior turbinate
Vomer
Agger nasi
Hasner's vale
Options
Septum
Middle turbinate
Lower end of upper lateral cartilage
Inferior turbinate
Options
Optic nerve and floor of orbit
Optic nerve and frontal sinus
Optic nerve and ethmoidal air cells
Orbital chiasma and nasolacrimal duct
Options
Nasal cavity with maxillary sinus
Nasal cavity with sphenoid sinus
The two nasal cavities
Ethmoidal sinus with ethmoidal bulla
Options
Only external carotid artery
Only internal carotid
Mainly external carotid artery
Mainly internal carotid artery
During inspiration the main current of airflow in a normal nasal cavity is through
Options
Middle part of the cavity in middle meatus in a parabolic curve
Lower part of the cavity in the inferior meatus in a para- bolic curve
Superior part of the cavity in the superior meatus
Through olfactory area
Options
Protective
Increase the velocity of inspired air
Traps the pathogenic organisms in inspired air
Has no physiological role
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Question
30. 30
31. 31 the condition of nose shown in plate:
Identify
32. 32
33. 33
Options
Crooked nose
Deviated nose
Saddle nose
Humped nose
Prev
Skip
Next
Options
Crooked nose
Deviated nose
Saddle nose
Humped nose
Options
Also called as elephantiasis of nose
Hypertrophy of holocrine gland
Most commonly due to diabetes mellitus
Associated with acne rosacea
Options
Hypertrophy of sebaceous gland
Hypertrophy of salivary gland
Hypertrophy of sweat gland
Hypertrophy of Bartholin's gland
A polypoidal swelling is noted in an infant near the glabella. The swelling is compressible and
increases in size on coughing All of the flowing investing actions should be done except:
Options
Biopsy
CT scan
MRI
Anterior Rhinoscopy
A 2 years old infant is boughtto OPD by the mother with case of frequent nasal blockage. On
examination a solitary polypoidal mass is seen to arise from the roof of the nose. First step in
investigation is:
Options
Biopsy
CT scan
X-ray
MRI
Options
Killian's incision
Freer's incision
Weber-Ferguson incision
Schobinger incision
Options
TB
Leprosy
Syphilis
Rhinosporidiosis
Options
It can appear spontaneously
It resolves itself
Need surgical correction
Can cause secondary infection
Options
Immediate evacuation
Wait and watch for spontaneous regression
Nasal decongestants
Antibiotics
Options
Pyogenic granuloma
Septal perforation
Cutaneous fistula
Retropharyngeal abscess
Options
Hemangioma of nose
Rhinophyma of nose
Papilloma of nose
Neurofibroma
Options
Difficulty in breathing
Dysphagia
Smiling
Difficulty in wal king
Options
They are B/L
They present in adults
Derived from odontogenic epithelium
Strong female predilection
Depressed bridge of the nose may be due to any of the following except
Options
Leprosy
Syphilis
Thalassemia
Acromegaly
Options
Deviated dorsum but tip midline
Depressed dorsum
Humped dorsum
Deviated dorsum and tip
Options
2%
10%
20%
60%
Options
Epistaxis
Atrophy of turbinate
Hypertrophy of turbinate
Recurrent sinusitis
Options
Recurrent sphenoiditis
Acute otitis media
Hypertrophy of the inferior turbinate
Recurrent maxillary sinusitis
Options
Indicated in septal deviation
Mucoperichondrium is removed
Preferably done after 16 years of age
Done in some cases of epistaxis
Options
Tympanoplasty
Septoplasty
Caldwell-Luc operation
Turboplasty
Options
Deviated ala
Deviated septum
Humping nasal septum
Deviated dorsum and septa
Options
Submucous resection of nasal septum
I ntranasal antrostomy
Caldwell-Luc operation
Myringoplasty
Options
Rhinoplasty
FESS
SMR
Septoplasty
To prevent synachiae formation after nasal surgery, which one of the following packings is the
most useful?
Options
Mitomycin
Ribbon gauze
Ribbon gauza with liquid paraffin
Ribbon gauza steroids
Options
Septa! abscess
Leprosy
Rhinophyma
Trauma
Options
Inferior turbinate pressing on the nasal septum
Middle turbinate pressing on the nasal septum
Superior turbinate pressing on the nasal septum
Causing obstruction of sphenoid opening
Options
Atrophic rhinitis
Rhinosporidiosis
Deviated nasal septum
Hypertrophied inferior turbinate
After laproscopic appendicectomy, patient had fall from bed on her nose after which she had
swelling in nose and difficulty in breathing. Next step in management:
Options
IN antibiotics for 7-10 days
Observation in hospital
Surgical drainage
Discharge after 2 days and follow up of the patient after 8 weeks
A 2-year-old child is brought to the hospital with a compressible swelling at the root of nose, most
likely diagnosis is:
Options
AV malformation
Lacrimal sac cyst
Ethmoid sinus cyst
Meningoencephalocele
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Question
30. 30
31. 31
Tapir nose is seen in:
32. 32
Options
33. 33
34.Leprosy
34
35.Syphilis
35
36. 36
Rhinoscleroma
37. 37
38.Lupus
38 vulgaris
39. 39
Nasal polypoidal mass with subcutaneous nodules on skin are seen in:
40. 40
41. 41
Options
42. 42
43.Zygomycosis
43
44.Rhinosporidiosis
44
45.Sporotrichosis
45
46.Aspergil
46 losis
47. 47
48. 48
Ideal treatment of rhinosporodiosis is:
Options
Rifampicin
Excision with cautery at base
Tetracycline
Laser
Options
Prev
SkipWegener's granulomatosis
NextSarcoidosis
Kawasaki disease
Rhinosporidiosis
Options
Rhinosporidiosis
Rhinoscleroma
Rhinophyma
Inferior turbinate
Options
A. fumigatus
A. niger
A. flavus
None of these
Options
Wegener's granuloma
Rhinosporidium
Lupus
Stewarts granuloma
Options
Rhinoscleroma
Rhinosporidiasis
Scleroderma
Lupus vulgaris
Options
Rhinoscleroma
Olfactory tract
Rhinosporidiosis
Optic nerve
Options
Nasal polyp
Syphilis of nose
Wegner's granulomatosis
TB of nose
Most common nasal mass:
Options
Polyp
Papilloma
Angiofibroma
None of these
Options
Maxillary sinus
Frontal sinus
Ethmoidal sinus
Sphenoidal sinus
A 68-year-old Chandu is a diabetic and presented with black, foul smelling discharge from the
nose. Examination revealed blackish discoloration of the inferior turbinate. The diagnosis is:
Options
Mucormycosis
Aspergil losis
Infarct of inferior turbinate
Foreign body
IDDM patient presents with septal perforation of nose with brownish black d ischarge probable d
iagnosis
Options
Rhinosporidiosis
Aspergillus
Leprosy
Mucormycosis
Options
Fungus
Virus
Bacteria
Protozoa
Options
Most common organism is klebsiella rhinoscleromatis
Seen only in immunocompromised patients
Presents as a nasal polyp
Can be diagnosed by isolation of organism
Ideal treatment of rhinosporidiosis is:
Options
Rifampicin
Excision with cautery at base
Dapsone
Laser
Options
Klebseilla
Autoimmune
Spirochetes
Rhinosporidium
Options
Rhinoscleroma
Rhinosporidiosis
Plasma cell disorder
Lethal midline granuloma
Atrophic dry nasal mucosa, extensive encrustations with woody' hard external nose is suggestive
of
Options
Rhinosporidiosis
Rhinoscleroma
Atrophic rhinitis
Carcinoma of nose
Options
Tuberculosis
Syphilis
Lupus vulgaris
Rhinoscleroma
Options
Ethmoidal
Antrochoanal
Tonsillar cyst
Tonsillolith
Options
Single
Unilateral
Premalignant
Arises from maxillary antrum
Options
Caldwell-Luc operation
Intranasal polypectomy
Corticosteroids
Wait and watch
A patient presents with antrochoanal polyp arising from the medial wall of the maxilla. Which of
the following would be the best management for the patient?
Options
FESS with polypectomy
Medial maxillectomy (TEMM)
Caldwell-Luc procedure
I ntranasal polypectomy
Options
Caldwell-Luc operation
FESS
Simple polypectomy
Both a and b
The current treatment of choice for a large antrochoanal polyp in a 1 0-year-old is:
Options
Intranasal polypectomy
Caldwell-Luc operation
FESS
Lateral rhinotomy and excision
The current treatment of choice for a large antrochoanal polyp in a 30-year-old man is:
Options
Intranasal polypectomy
Caldwell-Luc operation
Functional endoscopic sinus surgery (FESS)
Lateral rhinotomy and excision
Options
Al lergy is an etiological factor
Occur in the first decade of life
Are bilateral
Are often associated with bronchial asthma
Options
Epistaxis
Uni lateral
<10 years
Associated with bronchial asthma
Options
Antrochoanal polyp
Ethmoidal polyp
Nasal polyp
Hypertrophic turbinate
Options
Nasal septum
Inferior turbinate
Vestibule
Nasopharynx
Options
Perforation occurs in septum
Saddle nose deformity may occur
In newborn, it presents as snuffles
Secondary syphilis is the common association
In a patient with multiple bilateral nasal polyps with X-ray showing opacity in the para nasal
sinuses. The treatment consists of all of the following except:
Options
Epinephrine
Corticosteroids
Amphoterecin B
Antihistamines
Patient with ethmoidal polyp undergoes polypectomy. Presents 6 months later with ethmoidal
polyp. Correct Rx:
Options
Intranasal ethmoidectomy
Extranasal ethmoidectomy
Caldwell-Luc procedure
Polypectomy
Options
Nasal polyp
Thyroglossal cyst
Zenker's diverticulum
Laryngomalacia
Options
Allergic fungal n usitis
Chronic rhinosinusitis
Antrochoanal polyp
Lingual nerve
Options
Superior meatus
Inferior meatus
Middle meatus
None of the above
Options
Oroantral fistula
Infraorbital nerve palsy
Hemorrhage
Orbital cellulitis
Multiple nasal polyp in children should guide the clinician to search for underlying:
Options
Mucoviscidosis
Celiac disease
Hirschsprung's disease
Sturge-Weber syndrome
Options
Histoplasmosis
Sporotrichosis
Mucormycosis
Sarcoidosis
Options
Rhinosleroma
Rhinosporidiosis
Rhinophyma
Lupus vulgaris
Options
Foreign body
Adenoids which are blocking the airways
Deviated nasal septum
Inadequately treated acute frontal sinusitis
A child has retained disc battery in the nose. What is the most important consideration in the
management?
Options
Battery substance leaks and cause tissue damage
It can lead to tetanus
Refer the child to a specialist for removal of battery
Insti ll nasal drops
What is a Rhinolith:
Options
Foreign body in nose
Stone in nose
Deposition of calcium around foreign body in nose
M isnomer
Options
Chloroform diluted with water
Liquid paraffin
Systemic antibiotics
Lignocaine spray
The combination of nasal polyps, bronchial asthma and aspirin sensitivity is referred to as:
Options
Santer's triad
Saint's triad
Virchow's triad
Trotter's triad
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Question (1/22)
Options
Atrophic rhinitis
Allergic rhinitis
Ethmoidal polyposis
Wegener's granulomatosis
Options
Hypertrophic rhinitis
Allergic rhinitis
Rhinitis sicca
Atrophic rhinitis
Options
Vasomotor rhinitis
Atrophic rhinitis
Rhinitis sicca
Rhinitis caseosa
Options
Prev
SkipDrying of anterior 1 /3 of nasal cavity
NextDrying of middle 1 /3 of nasal cavity
Drying of posterior 1 /3 of nasal cavity
Drying of entire nasal cavity
Options
Al lergic rhinitis
Atrophic rhinitis
Vasomotor rhinitis
Rhinitis sicca
Options
Nasal decongestants
Steroid
Antihistaminics
Surgery
Options
Antibiotics
Avoiding allergen
Corticosteroids
Surgery
Options
ACE inhibitors
Methyldopa
Reserpine
Oxymetazoline
Options
Acute rhinitis
Allergic rhinitis
Hypertrophic rhinitis
Atrophic rhinitis
Options
Vidian neurectomy
Steroids
Antibiotics
Surgery
Options
Viruses
Bacteria
Fungi
Lergy
Options
Pale and swol len
Pink and swollen
Bluish and atrophied
Bradykinin
All of the following surgical procedures are used for allergic rhinitis except:
Options
Radiofrequency ablation of the inferior turbinate
Laser ablation of the inferior turbinate
Submucosal placement of silastic in inferior turbinate
Inferior turbinectomy
Options
Chronic sinusitis
Nasal deformity
DNS
Strong hereditary factors
Options
Klebsiella pneumoniae
Klebsiella ozaenae
Streptococcus pneumoniae
Streptococcus foetidis
Options
Crusting
Polyp
Secretions
DNS
Options
More common in males
Crusts are seen
Anosmia is noticed
Young's operation is useful
Options
Common in female
It is usually uni lateral
Nasal cavity is fil led with greenish crusts
Atrophic pharyngitis
Options
NaCl
Na biborate
NaHC03
Glucose
Options
Allergic rhinitis
Atropic rhinitis
Vasomotor rhinitis
Idiopathic rhinitis
Options
Vasomotor rhinitis
Rhinitis sicca
Allergic sinusitis
Epistaxis
Options
Coryza
Atrophic rhinitis
Maxillary sinusitis
Chronic hypertrophic rhinitis
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Question (1/28)
Options
Posterior end of middle turbinate
Anterior end of septum
Posterior end of inferior turbinate
Posterior end of superior turbinate
Options
Nose picking
Tumor
Hypertension
Adenoid
Options
Allergic rhinitis
Foreign body
Tumor
Hypertension
Options
Prev
SkipWoodruff area
NextBrown area
Little's area
None
Options
Children with ethmoidal polyps
Foreign bodies of the nose
Hypertension
Nose picking
A child with unilateral nasal obstruction a long with a mass in cheek and profuse and recurrent
epistaxis:
Options
Glomus tumor
Antrochoanal polyp
Juvenile nasal angiofibroma
Rhinolith
Options
Anterior ethmoidal artery
Sphenopalatine artery
Greater palatine artery
Septa I branch of superior labial artery
Options
Alcohol
Environment
NSAID's
Antrochoanal polyps
Options
Anteroinferior part of superior turbinate
Middle turbinate
Posterior part of inferior turbinate
Anterior part of inferior turbinate
Options
Anteroinferior
Anterosuperior
Posteroinfesion
Posterosuperior
Main vascular supply of Little's area is all except:
Options
Septal branch of superior labial artery
Nasal branch of sphenopalatine artery
Anterior ethmoidal artery
Palatal branch of sphenopalatine artery
Options
Anterior ethmoidal artery
Septal branch of facial artery
Sphenopalatine artery
Posterior ethmoidal artery
Which of the following arteries of the Kiesselbach's plexus is not a branch of External carotid
artery:
Options
Sphenopalatine artery
Greater palatine artery
Anterior and middle ethmoid arteries
Septa I branch of the superior labial artery
Options
Trauma to Little's area
AV aneurysm
Posterosuperior part of nasal septum
Hiatus semilunaris
Options
Nasal polyp
Foreign body
Upper respiratory catarrh
Atrophic rhinitis
Options
Foreign body
Polyp
Atrophic rhinitis
Maggot's
Diagnosis in a 10-year-old boy with recurrent epistaxis and a unilateral nasal mass is:
Options
Antrochoanal polyp
Ethmoidal polyp
Angiofibroma
Rhinolith
Options
Foreign body
Allergic rhinitis
Hypertension
Nasopharyngeal carcinoma
Options
Hypertension
Anticoagulant treatment
Hereditary telangiectasia
Hemophilia
Options
Observation
I nternal maxillary artery ligation
Anterior and posterior nasal pack
Anterior nasal pack
Options
Maxillary artery
Greater palatine artery
Superior labial artery
Ethmoidal artery
Options
Posterior ethmoidal artery
Maxillary artery
Sphenopalatine artery
External carotid artery
Options
Maxil lary antrum
Pterygopalatine fossa
At the neck
Medial wall of orbit
Options
Anterior ethmoidal artery ligation
Septal dermoplasty
External carotid artery ligation
Internal carotid artery ligation
Options
Medial wall of the middle ear
Lateral wall of the nasopharynx
Medial wall of the nasal cavity
Laryngeal aspect of epiglottis
Options
Woodruff's plexus
Kiesselbach's plexus
Atherosclerosis
Little's area
Options
Internal carotid artery
External carotid artery
Maxillary artery
Anterior ethmoidal artery
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Question
30. 30
31. 31 of Highmore is:
Antrum
32. 32
Options
33. 33
34.Maxillary
34 sinus
35.Frontal
35 sinus
36. 36
Ethmoid sinus
37. 37
38.Sphenoid
38 sinus
39. 39
Sinus which is not present at birth?
40. 40
41. 41
Options
42. 42
43.Maxillary
43
44.Frontal
44
45.Ethmoid
45
46.Sphenoid
46
47. 47
48. paranasal
First 48 sinus to develop at birth is:
49. 49
Options
50. 50
51.Maxillary
51
52.Ethmoidal
52
53. 53
54.Frontal
54
Sphenoidal
Options
Prev
SkipMaxillary
NextFrontal
Ethmoid
Sphenoid
Options
Maxillary
Frontal
Sphenoid
Ethmoid
Options
Maxillary
Sphenoid
Ethmoid
Frontal
Options
Water's view
Lateral view
Basal view
Caldwell-Luc view
Options
External frontonasal ethmoidectomy
Frontal stnus trephine
Endoscopic sinus surgery
Maxillary antrostomy
Options
Superior meatus
Inferior meatus
Middle meatus
None
Options
Hemorrhage
Meningitis
Air embolism
Thrombus of maxillary artery
Proof puncture is done in:
Options
Ethmoid sinusitis
Sphenoid sinusitis
Maxillary sinusitis
Frontal sinusitis
Options
Approaching nasolacrimal duct
Approaching middle meatus
Rhinoplasty
Choanal atresia repair
Options
Maxillary
Sphenoid
Frontal
Ethmoid
Options
Maxillary
Sphenoid
Frontal
Ethmoid
Options
Cavernous sinus thrombosis
Meaningitis
Hydrocephalus
Orbital cellulitis
Options
Maxillary
Frontal
Ethmoidal
Sphenoidal
Options
Superior meatus
Inferior meatus
Middle meatus
None of the above
Options
Oroantral fistula
Infraorbital nerve injury
Hemorrhage
Orbital cel lulitis
Options
Hard palate
Sublabial sulcus
Inferior meatus
Superior meatus
Options
Lingual nerve
Infraorbital nerve
Optic nerve
Facial nerve
Options
Sphenoethmoidal recess
Osteomeatal complex
Inferior turbinate
Middle turbinate
Options
Retro-orbital hematoma
CSF rhinorrhea
Internal carotid injury
Nasolacrimal duct injury
Options
1 st pass
2nd pass
3rd pass
4th pass
Endoscopic surgery through intranasal approach is used for surgery of all organs except:
Options
Lacrimal gland
Cerebellum
Pituitary gland
Optic nerve
Options
Frontal
Ethmoid
Sphenoid
Pyriform
Options
Lined by stratified squamous epithelium
Duct open in middle meatus
Open in sphenoethmoid recess
Present at birth
Options
Pre sellar
Post sella
Concha bullosa
Concha
Options
Ethmoid
Maxillary
Sphenoid
Frontal
Options
Frontal
Maxillary
Ethmoid
Sphenoid
Options
Supraorbital nerve
Lacrimal nerve
Nasociliary nerve
Lnfraorbital nerve
Options
At birth
At primary dentition
At secondary dentition
At puberty
Options
Sphenoid
Frontal
Ethmoid
Maxillary
Options
Maxillary
Sphenoid
Ethmoid
Frontal
Options
Maxillary
Ethmoid
Frontal
Sphenoid
Options
Aspergillus sp
Histoplasma
Conidiobolus coronatus
Candida albicans
All of the following are diagnostic criteria of allergic fungal sinusitis (AFS) except:
Options
Areas of High attenuation on CT scan
Orbital invasion
Allergic eosinophilic mucin
Type 1 Hypersensitivity
Options
Maxillary sinus infection
Frontal sinus infection
Sphenoid sinus infection
Ethmoid sinus infection
Options
Occiput
Cost of nose
Frontal
Temporal region
Options
Caldwell
Towne
Water's
Lateral view
Options
Sphenoid sinus
Maxillary sinus
Ethmoid sinus
Frontal sinus
For viewing superior orbital fissure-best view is:
Options
Plain AP view
Caldwell view
Towne view
Basal view
Options
Cavernous sinus
Sphenoidal sinus
Petrosal sinus
Sigmoid sinus
A patient with sinus infection develops chemosis, B/L proptosis and fever, the diagnosis goes in
favor of:
Options
Lateral sinus thrombosis
Frontal lobe abscess
Cavernous sinus thrombosis
Meningtitis
Options
X-ray PNS
Proof puncture
Sinoscopy
Transillumination test
Options
Mucopus in the middle meatus
Inferior turbinate hypertrophy
Purulent nasal discharge
Atrophic sinusitis
Options
Swelling above medial canthus, below the floor offrontal sinus
Swelling above eyebrow lateral to grabella
External proptosis
Lntianasal swel ling
Options
Maxillary sinus
Ethmoid sinus
Frontal sinus
Sphenoid sinus
A 2-year-old child with purulent nasal discharge, fever and pain since 2 months. His fever is 102-
103°C, and leucocyte count is 12000 cu/mm. X-ray PNS showed opacification of left ethmoidal air
cells. The culture of the eye discharge was negative. Which of the following would be most useful
further step in evaluation of this patient?
Options
CT scan
Urine culture
Blood culture
Repeat culture of the eye discharge
A 24-year-old female with long standing history of sinusitis present with fevers, headache (recent
origin) and personality changes; Fundus examination revealed papilledema. Most likely diagnosis
is:
Options
Frontal lobe abscess
Meningitis
Encephalitis
Frontal bone osteomyelitis
Cavernous sinus thrombosis following sinusitis results in all of the following signs except:
Options
Constricted pupil in response to light
Engorgement of retinal veins upon ophthalmoscopic examination
Ptosis of eyelid
Ophthalmoplegia
Options
Repeated antral washout
Fiberoptic endoscopic sinus surgery
Caldwell-Luc's operation
Horgan'.s operation
FESS means:
Options
Factual endoscopic sinus surgey
Functional endonasal sinus surgery
Factual endonasal sinus surgery
Functional endoscopic sinus surgery
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Question (1/21)
Options
Squamous cell CA of nose b
Laryngeal cancer
Basal cell CA of nose
Dermoid cyst of nose
Options
Maxillary
Frontal
Sphenoid
Ethmoid
Ohngren's classification of maxillary sinus carcinoma is based on: Imaginary plane between
lateral canthus of eye and angle of mandible
Options
Imaginary plane between the medical canthus of eye and angle of mandible
Imaginary plane between lateral canthus of eye and angle of mandible
Two horizontal lines, one passing through floor of orbit and other through floor of antrum
None
Options
Submental
Submandibular
Clavicular
Lower jugular
Options
Nasal glioma
Adenoid cystic carcinoma
Nasopharyngeal carcinoma
Esthesioneuroblastoma
Ohngren's line that divides maxillary sinus into superolateral and inferomedial zone is related to:
Options
Maxillary sinusitis
Maxillary carcinoma
Maxillary osteoma
Lnfratemporal carcinoma
Options
Roof of nasal cavity
Medial wall of nose
Lateral wall of nose
None
Options
Also called as Schneiderian papilloma
Seen more often in females
Presents with epistaxis and nasal obstruction
Originates from lateral wall of nose
True about tumors of PNS and Nasal Ca: [PG/ Dec 06]
Options
Squamous cell Ca is the most common type
Adenocarcinoma can occur
Melanoma is most common
Adenoid cystic Ca is most common
Options
Mucoepidermoid Carcinoma
Adeno cystic Ca
Adenocarcinoma
Squamous cell Ca
Options
Adeno Ca
Squamous cell Ca
Anaplastic Ca
Melanoma
Options
Fire workers
Chimney workers
Watch makers
Wood workers
Ca maxillary sinus stage Ill (T3 NO MO), treatment of choice is/Ca maxillary sinus is treated by:
Options
Radiotherapy
Surgery + Radiotherapy
Chemotherapy
Chemotherapy + Surgery
Options
Equal incidence in male and female
Commoner on the trunk
Radiation is the only treatment
Chemotherapy can be given
Which of the following nasal tumors originates from the olfactory mucosa?
Options
Neuroblastoma
Nasal gl ioma
Esthesioneuroblastoma
Antrochoanal polyp
Options
Maxillary sinus
Ethmoid sinus
Frontal sinus
Sphenoid sinus
Options
Frontal-Ethmoidal region
Mandible
Maxilla
Sphenoid
Options
Maxillary sinusitis
Maxillary carcinoma
Maxillary polyp
Maxillary fibrous dysplasia
Options
Ohngren's line
Kasami line
Frankfurt's line
Donaldson line
The patient came with an ulcer on the side of the nose as shown, which bleeds on itching. What is
the diagnosis?
Options
Squamous cells carcinoma
Basal cell carcinoma
Marjolin's ulcer
Nevus
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Question
30. 30
31. 31
Areas of carcinoma of oral mucosa can be identified by Staining with:
32. 32
Options
33. 33
34.1%
34zinc chloride
35.2%
35silver nitrate
36. 36
Gentian violet
37. 37
38.2%
38toluidine blue
39. 39
The
40.most
40 common site of oral cancer among Indian population is:
41. 41
Options
42. 42
43.Tongue
43
44.Floor
44 of mouth
45.Alveobuccal
45 complex
46.Lip
46
47. 47
48. 48
Abbe-Estlander flap is used for:
49. 49
Options
50. 50
51.Lip
51
52.Tongue
52
53. 53
54.Eyelid
54
55.Ears
55
56. 56
Abbe-Estlander
57. 57 flap is based on:
58. 58
Options
Prev
59. 59
60.Lingual
Skip 60 artery
61.Facial
Next 61 artery
62.Labial
62 artery
63.Internal
63 maxillary artery
64. 64
65. 65
Stain used to detect premalignant lesion of lip is:
66. 66
Options
67. 67
68.Crystal
68 violet
69.Giemsa
69
70. 70
Toluidine blue
71. 71
72.Silver
72 nitrate
73. 73
M/C
74.site
74 of metastasis of CA of buccal mucosa is:
75. 75
Options
76. 76
Regional lymph nodes
Liver
Brain
Heart
In the reconstruction following excision of previously irradilted cheek, the flap will be:
Options
Tongue
Cervical
Forehead
Pectoralis major myocutaneous
Options
Mandible
Oral Cancer
Maxillary CA
Nasal CA
Options
Lateral border
Dorsum
Posterior 1/3
Tip of tongue
Options
2nd incisor
2nd premolar
1st premolar
1st molar
Parasympathetic fibers of the sublingual salivary gland are found in:
Options
Facial N
Glossopharyngeal N
Vagus N
Hypoglossal N
Options
Adeno CA
Adenoid cystic carcinoma
Basal cell carcinoma
Squamous cell CA
Options
20%
60%
100%
80%
Options
Horizontal backward
Vertically backwards
Transverse backwards
Oblique backwards
Options
Oblique
Comminuted
Vertical
Horizontal
Options
Mandible
Maxilla
Nasal bone
Zygoma
Options
Glucose concentration
Handkerchief test
Halo sign
Beta-2 transferrin
Options
Putting swab in nose
Craniotomy
Advising freq uent blowing of nose
Wait and watch for 7 days and start antibiotics
Options
Head low position on bed
Straining activities
Endoscopic repair
All of the above
A patient present with enophthalmos after a trauma to face by blunt object. There is no fever and
no extraocular muscle palsy. Diagnosis is:
Options
Fracture maxilla
Fracture zygoma
Blow out fracture
Fracture ethmoid
Grayish white membrane in throat may be seen in all of the following infections except:
Options
Streptococcal tonsilitis
Diphtheria
Adenovirus
Ludwig's angina
Options
Acute tonsillitis
Peritonsillar abscess
Vincent's angina
Leukemia
Options
Submucosal fibrosis
Tumor at uveal angle
Ulcerative lesion of the tonsil
Retension cyst of the tonsil
Options
Loosely attached
Pearly white in color
Firmly attached and bleeds on removal
Fast component occasionally
Options
Periorbital ecchymosis
Ecchymosis around mastoid area
Facial congestion and cyanosis
Pulsatile ear discharge
Options
Fracture zygoma
Fracture of anterior cranial fossa
Fracture of middle cranial fossa
Nasoethmoid fracture
Options
Leukoplakia
Erythroplakia
Submucous fibrosis
Malignancy of tongue
Options
Mucous glands
Sebaceous glands
Taste buds
Minor salivary glands
Options
Retention cyst
Arises from submandibular gland
Translucent
Plunging may be a feature
Options
It is also called as epulis
It is a cystic swelling in the floor of mouth.
It is a type of thyroglossal cyst
It is a type of mucus retention cyst
Options
Chronic glossitis
Submucous fibrosis
Hypertrophic glossitis
Aphthous stomatitis
Options
Leukoplakia
Erythroplakia
Lichen planus
Fibrosis
The most common site of oral cancer among Indian population is:
Options
Tongue
Floor of mouth
Alveobuccal complex
Lip
Options
Tip
Lateral border
Dorsal portion
All portions equally
A patient has carcinoma of right tongue on its lateral border of anterior 2/3rd, with lymph node of
size 4 cm in level 3 on left side of the neck, stage of disease is:
Options
N0
N1
N2
N3
A patient with Ca tongue is found to have lymph nodes in the lower neck. The treatment of choice
for the lymph nodes is:
Options
Lower cervical neck dissection
Suprahyoid neck dissection
Teleradiotherapy
Radical neck dissection
Carcinoma of buccal mucosa commonly drain to the following lymph nodes sites:
Options
Submental
Submandibular
Supraclavicular
Cervical
Options
Regional lymph node
Liver
Heart
Brain
A patient presented with a 1 x 1.5 cm growth on the lateral border of the tongue. The treatment
indicated would be:
Options
Laser ablation
Interstitial brachytherapy
External beam radiotherapy
Chemotherapy
A 70-year-old male who has been chewing tobacco for the past 50 years present with a six months
history of large, fungating, soft papillary lesions in the oral cavity. The lesion has penetrated into
the mandible. Lymph nodes are not palpable. Two biopsies taken from the lesion proper show
benign appearing papillomatosis with hyperkeratosis and acanthosis infiltrating the subjacent
tissues. The most likely diagnosis is:
Options
Squamous cell papilloma
Squamous cell carcinoma
Verrucous carcinoma
Malignant mixed tumor
An 80-year-old patient present with a midline tumor of the lower jaw, involving the alveolar
margin. He is edentulous. Treatment of coice:
Options
Hemimandibulectomy
Commando operation
Segmental mandibulectomy
Marginal mandibulectomy
An old man who is edentulous squamous cell carcinoma in buccal mucosa that has developed
infiltrated to the alveolus. Following is not indicated in treatment:
Options
Radiotherapy
Segment mandibulectomy
Marginal mandibulectomy i nvolving removal of outer table only
Marginal mandibulectomy involving removal of upper half of mandible
Options
Carcinoma lip
Carcinoma cheek
Carcinoma tongue
Carcinoma palate
Options
Upper cervical LN
Supraclavicular LN
Axillary LN
Mediastinal LN
Options
Sublingual
Palatal
Parotid
Submandibular
The most common tumor of the salivary gland is:
Options
Mucoepidermoid tumor
Warthin's tumor
Acinic cell tumor
Pleomorphic adenoma
Options
Lymphoma
Adenoid cystic Ca
Pleomorphic adenoma
Mucoepidermoid Ca
Options
Superficial parotidectomy
Radical parotidectomy
Enucleation
Radiotherapy
Ramavati, a 40-year-old female, presented with a progressively increasing lump in the parotid
region. On oral examinations, the tonsil was pushed medially. Biopsy showed it to be pleomorphic
adenoma. The appropriate treatment is:
Options
Superficial parotidectomy
Lumpectomy
Conservative total parotidectomy
Enucleation
Options
Involvement of deep lobe
2nd histologically benign recurrence
Microscopically positive margins
Malignant transformation
Options
Most common in submandibular gland
Usually malignant
Most common incarotid gland
Associated with calculi
In which one of the following head and neck cancer perineural invasion is most commonly seen:
Options
Adenocarcinoma
Adenoid cystic carcinoma
Basal cell carcinoma
Squamous cell carcinoma
Options
An adenolymphoma of parotid gland
A pleomorphic adenoma of the parotid
A carcinoma of the parotid
A carcinoma of submandibular salivary gland
Options
More common in females
Commonly involve the parotid glands
They arise from the epithelial and the lymphoid cells
10% are bilateral
Options
Superficial parotidectomy
Enucleation
Radiotherapy
Injection of a sclerosing agent
Options
Mucus secreting and epidermal cells
Excretory cells
Myoepithelium cells
Acinus
Options
Ductal calculus
Chronic parotitis
Parotid obstruction
Acute sialadenitis
Most common cause of unilateral parotid swelling in a 27 year old male is:
Options
Warthin's tumor
Pleomorphic adenoma
Adenocarcinoma
Hemangioma
A patient of head injury was brought to the hospital. Patient was conscious having clear nasal
discharge through right nostril. NCCT head was done which reveated non-operable injury to
frontobasal area. What is the most appropriate management?
Options
Wait and watch for 4-5 days to allow spontaneous healing
Do an MRI to localize the leak and control the discharge endoscopically
Put a dural catheter to control CSF leak
Approach transcranially to repair the damaged frontobasal region
Options
Bacterial infection
Peritonsillar abscess
Vocal cord edema
Edema of uvula
Options
Zygoma
Maxilla
Nasal bone
Mandible
Options
Le Fort 1 fracture
Le Fort 2 fracture
Le Fort 3 fracture
Tripod fracture
Options
It is fracture of zygomatic bone
May cause CSF rhinorrhea
Type 1: complete separation of facial bones from the cranial bones
Classified as types 1 to 5
Options
Diplopia
CSF rhinorrhea
Epistaxis
Trismus
Options
Mandible
Maxilla
Nasal bone
Zygoma
Options
CSF rhinorrhea
Malocclusion
Anesthesia upper lip
Surgical emphysema
Options
Roof of orbit
Cribriform plate of ethmoidal bone
Frontal sinus
Sphenoid bone
Options
Ethmoid sinus
Frontal sinus
Petrous part of temporal bone
Sphenoid sinus
Target sign is seen in a blot test from nasal discharge in which of these conditions?
Options
Traumatic CSF leak
Fracture mastoid
Spontaneous CSF leak
Meningoencephaloccle
Options
Antibiotics and observation
Plugging with paraffin guage
Blowing of nose
Craniotomy
Options
Beta-2 microglobulin
Beta-2 transferrin
Thyroglobulin
Transthyretin
Options
Glucose concentration
Handkerchief test
Halo sign
Beta-2 transferrin
After laparoscopic appendectomy, patient had fall from bed on her nose after which she had
swelling in nose and slight difficulty in breathing. Next step in management:
Options
IV antibiotics for 7-10 days
Observation in hospital
Surgical drainage
Discharge after 2 days and follow-up of the patient after 8 weeks
Options
Immediately
After few days
After 2 weeks
After 3-4 weeks
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Question
30. 30
31. 31
True regarding nasopharynx are all except:
32. 32
Options
33. 33
34.Fossa
34 of rosenmuller corresponds to the internal carotid artery
35.Lateral
35 wall has pharyngeal opening of Eustachian tube
36. 36
Passavant's muscle is formed by Stylopharyngeus
37. 37
38.Also
38 called as epipharynx
39. 39
Lower
40. 40limit of hypopharynx is:
41. 41
Options
42. 42
43.Lower
43 border of cricoid cartilage
44.Upper
44 border of cricoid cartilage
45.Upper
45 border of thyroid cartilage
Lower border of thyroid cartilage
Options
Ciliated columnar epithelium
Stratified squamous epithel ium
Cuboidal epithelium
Transition at epithelium
Options
Prev
SkipSinus of morgagni
NextWaldeyer's ring
Killian's dehiscence
Passavant ridge
Options
It occurs in children
M/C symptom is dysphagia
It is a false diverticulum
M/C site for diverticulum is killians dehiscence
Options
Zenkers diverticulum
Barretts esophagus
Epiglottis
Plummer-Vinson syndrome
Options
Achlasia cardia
Barretts oesophagus
Zenkers diverticulum
Schatzki ring
A patient presents with regurgitation of food with foul smelling breath and intermittent
dysphagia and diagnosis is:
Options
Achalasia cardia
Tracheoesophageal fistula
Zenker's diverticulum
Diabetic gastropathy
Options
Tubal tonsil
Palatine tonsil
Adenoids
Lingual tonsil
Options
Palatine tonsil
Adenoids
Jugulodigastric node
Lateral pharyngeal band
Stylopharyn eus is supplied by:
Options
VIII cranial nerve
IX cranial nerve
X cranial nerve
None of the above
Options
Nasopharyngeal tonsil
Tubal tonsil
Palatine tonsi
Lingual tonsil
Options
1 year
3 years
5 years
12 years
Options
Maxillary artery
Tonsillar branch of facial artery
Middle meningeal artery
Internal carotid artery
The palatine tonsil receives its arterial supply from all of the following except:
Options
Tonsillar branch of facial artery
Ascending palatine artery
Sphenopalatine a rtery
Dorsal lingual artery
Options
Vagus N
Chorda tympani N
Glossopharyngeal N
Hypoglossal N
Options
Facial artery
Tonsilar artery
Paratonsillar vein
None of the above
Options
Paratonsillar
Maxillary A
Lingual A
Middle meningeal A
Options
Within 24 hours
After 2 weeks
5-10 postoperative days
After 1 month
Options
Small atrophic tonsils
Quinsy
Poliomyelitis epidemic
Tonsillolith
Options
Quinsy
Atrophic tonsillitis
Polioepidemic
Recurrent acute tonsillitis
Swelling between tonsillar area and superior constrictor muscle is known as:
Options
Quinsy
Dental abscess
Parapharyngeal abscess
Retropharyngeal abscess
Options
L&D
Antibiotics
Tonsillectomy
I & D and antibiotics
Options
Superior
Lateral
Inferior
Posterior
Options
Glottic cancer
Tonsillar malignancy
Posterior tongue malignancy
Peritonsillar abscess
Options
Pyriform sinus
Post cricoid region
Anterior pharyngeal wall
Posterior pharyngeal wall
Options
Pharyngotympanic tube
Fossa of Rosenmuller
Palatine tonsil
Pyriform fossa
Options
Upper deep cervical nodes
Prelaryngeal node
Parapharyngeal nodes
Mediastinal nodes
Options
Oropharynx
Nosophrynx
Cricopharynx
Vocal cords
6-year-old child with recurrent URTI with mouth breathing and failure to grow with high arched
palate and impaited hearing is:
Options
Tonsil lectomy
Grommet insertion
Myringotomy with grommet insertion
Adenoidectomy with grommet insertion
Options
Recurrent respiratory tract infections
Recurrent middle ear infection with deafness
Chronic serous otitis media
Multiple adenoids
Options
Submandibular lymph node
Tonsils
Lingual tonsils
Adenoids
Options
Staph aureus
Anaerobes
Hemolytic streptococci
Pneumococcus
Options
Infectious mononucleosis
Ludwig's angina
Streptococcal tonsillitis
Diphtheria
Options
Acute tonsillitis
Aphthous ulcers in the pharynx
Rheumatic tonsillitis
Physiological enlargement
A 5-year-old patient is scheduled of for tonsillectomy. On the day of surgery he had running nose,
temperature,37 .5°C and dry cough. Which of the following should be the most appropriate
decision for surgery?
Options
Surgery should be canceled
Can proceed for surgery, if chest is clear and there is nohistory of asthma
Should get X-ray chest before proceeding for surgery
Cancel surgery for 3 weeks and patient to be on antibiotic
Options
1 -3 weeks
6-8 weeks
4-6 weeks
8-12 weeks
Options
Palatal palsy
Hemorrhage
Injury to uvula
Nfection
Options
Within 12 hrs
Within 6hrs
Within 6 days
Within 1
Ramu, 15 years of age presents with hemorrhage 5 hours after tonsillectomy. Treatment of choice
is:
Options
External gauze packing
Antibiotics and mouth wash
Irrigation with saline
Reopen immediately
Options
Peritonsillar space
Parapharyngeal space
Retropnaryngeal space
Within the tonsil
7-year-old child has peritonsillar abscess presents with trismus, the best treatment is:
Options
Immediate abscess drain orally
Drainage externally
Systemic antibiotics up to 48 hours then drainage
Tracheostomy
Options
It is an acquired condition
It is a false diverticulum
Barium swallow, lateral view is the investigation of chioce
Out poucing of anterior pharyngeal wall above circopharyngeus muscles
Options
Hyponasality of speech
Retro pharyngeal abscess
Velopharyngeal insufficiency
Grisel syndrome
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Question (1/17)
Options
Parapharyngeal space
Retropharyngeal space
Peritonsillar space
None of the above
Options
Retropharyngeal nodes
Parapharyngeal nodes
Cervical nodes
Adenoids
Options
Buccopharyngeal fascia anteriorly and alarfascia posteriorly
Alar fascia anteriorly and prevertebral fascia posteriorly
Prevertebral fascia anteriorly and vertebral body posteriorly
Tonsils a nteriorly and superior constrictor muscle posteriorly
Options
Prev
SkipDysphagia
NextSwelling on posterolateral wall
Torticollis
Caries of cervical spine is usually a common cause
Options
Lies only on one side
Presents behind prevertebral fascia
Surgical drainage is required
Can be palpated by inserting finger in mouth
The medial bulging of pharynx is seen in:
Options
Parapharyngeal abscess
Retropharyngeal abscess
Peritonsillar abscess
Paratonsillar abscess
Options
Medial pterygoid
Lateral pterygoid
Masseter
Temporalis
Middle age diabetic with tooth extraction with ipsilateral swelling over middle one-third of
sternocleidomastoid and displacement of tonsils towards contralateral side:
Options
Parapharyngeal abscess
Retropharyngeal abscess
Ludwig's angina
None of the above
Options
Laryngeal cyst
Nasopharyngeal cyst
Ear cyst
None
Options
Marsupialization is done
Also called as nasopharyngeal bursa
Presents as persistent postnasal drip
Antitubercular treatment is given
A male Shyam, age 30 years presented with trismus, fever, swelling pushing the tonsils medially
and spreading laterally posterior to the middle sternocleidomastoid. He gives H/O excision of 3rd
molar few days back for dental caries. The diagnosis is:
Options
Retropharyngeal abscess
Ludwig's angina
Submental abscess
Parapharyngeal abscess
A postdental extraction patient presents with swelling in posterior one third of the
sternocleidomastoid, the tonsil is pushed medially. Most likely diagnosis is:
Options
Retopharyngeal abscess
Parapharyngeal abscess
Ludwig angina
Vincent angina
Options
Pharyngomaxillary abscess
Retropharyngeal a bscess
Peritonsillar abscess
Paratonsillar abscess
Options
Masseter muscle
Medial pterygoid
Lateral pterygoid
Temporalis
Options
Suppuration of retropharyngeal lymph node
Caries of cervical spine
Infective foreign body
Caries teeth
Options
It lies lateral to midline
Causes difficulty in swallowing and speech
Can always be palpated by finger at the post pharyngeal wall
It is present beneath the vertebral fascia.
Options
Ludwig angina
Vincent angina
Prinzmetal angina
Unstable angina
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Question
30. 30
31. face
Frog 31 deformity of nose is caused by:
32. 32
Options
33. 33
34.Rhinoscleroma
34
35.Angiofibroma
35
36. 36
Antral polyp
37. 37
38.Ethmoidal
38 polyp
39. 39
Angiofibroma is classified as stage-if it extends to one or more paranasal sinuses:
40. 40
41. 41
Options
42. 42
43.Stage
43 I
Stage II
Stage Ill
Stage IV
Options
Surgery
Radiotherapy
Chemotherapy
None of the above
Options
Prev
SkipFacial artery
NextInternal maxillary artery
Internal carotid artery
Ascending pharyngeal artery
Options
Antral sign
Lhermitte's sign
Furstenberg sign
Ervin Moore sign
Options
MRI
CECT
Carotid angiography
Biopsy
Options
India
Bangladesh
Pakistan
China
Options
Type 1
Type 2
Type 3
Type 4
Options
Epistaxis
Hoarseness of voice
Nasal stuffiness
Cervical lymphadenopathy
Options
Sensory disturbance over distribution of 5th cranial nerve
Diplopia
Conductive deafness
Palatal palsy
A 70-year-old man with cervical lymphadenopathy. What can be the cause?
Options
Nasopharyngeal carcinoma
B. Angiofibroma
Acoustic neuroma
Otosclerosis
Options
Asbestos industry
Cement industry
Wood workers
Chimney workers
Options
Maxilla
Larynx
Nasopharynx
Ethmoid sinus
Options
Unknown etiology
Excellent prognosis
High incidence of nodal metastasis
Surgery offers good chances of cure
Options
Surgery
Radiotherapy
RT + CT
Surgery + CT
Options
Roof of nasopharynx
At sphenopalatine foramen
Vault of skull
Lateral wall of nose
A 1 4-year old boy presents with history of frequent nasal bleeding. His Hb was found to be 6.4
g/dl and peripheral smear showed normocytic hypochromic anemia. The most probable diagnosis
is:
Options
Juvenile nasopharyngeal angiofibroma
Hemangioma
Antrochonal polyp
Carcinoma of nasopharynx
Chandu a 1 5-year-aged boy presents with unilateral nasal blockade mass in the cheek and
epistaxis; likely diasnosis is:
Options
Nasopharyngeal
Angiofibroma
Inverted papilloma
None of the above
Options
Common in female
Most common presentation is epistaxis
Arises from roof of nasopharynx
In late cases frog-face deformity occurs
Options
Internal maxillary artery
Ascending pharyngeal artery
Facial artery
Anterior Ethmoidal artery
Options
Internal maxillary artery
Ascending pharyngeal artery
Facial artery
Anterior Ethmoidal artery
Options
Angiography
CT scan
MRI scan
Plain X-ray
A 2 years child presents with B/L nasal pink masses. Most important investigation prior to
undertaking surgery is:
Options
CT scan
FNAC
Biopsy
Ultrasound
A 1 0-year-old boy presents with nasal obstruction and intermittent profuse epistaxis. He has a
firm pinkish mass in the nasopharynx. All of the following i nvestigations are done in this case
except:
Options
X-ray base of skull
Carotid angiography
CT scan
Biopsy
Options
CT scaan
MRI
Angiography
Plain X-ray
An 1 8-year-old boy presented with repeated epistaxis and there was a mass arising from the
lateral wall of his nose extending into the nasopharynx. It was decided to operate him. All of the
following are true regarding his management except:
Options
Requires adequate amount of blood to be transfused
A lateral rhinotomy approach may be used
Transpalatal approach used
Transmaxillary approach
Options
Surgery
Radiotherapy
Both
Chemotherapy
Options
Cheek
Orbit
Middle cranial fossa
Cavernous sinus
Options
Nasal septum
Fossa of Rosen muller
Vault of nasopharynx
Anterosuperior wall
Options
EBV
Papilloma virus
Parvo virus
Adeno virus
Options
Epistaxis
Hoarseness of voice
Nasal stuffiness
Cervical lymphadenopathy
A 70-year-old male presents with Neck nodes. Examination reveals a Dull Tympanic Membrance,
deafness and tinnitus and on evaluation Audiometry gives Curve B. The most probable diagnosis
is:
Options
Nasopharyngeal carcinoma
Fluid in maddle ear
Tumor in interior ear
Sensorineuronal hearing loss
A 70-year-old man presented with left sided conductive hearing loss, o/e Tt'I intact and Type B
curve on tympanogram. Next step is:
Options
Myrinogotomy and grommet insertion
Conservative management
Type 3 tympanoplasty
Endoscopic examination to look for nasopharyngeal causes
Options
Temporal bone metastasis
Middle ear infiltration
Serous effusion
Radiation therapy
Options
Nasopharyngeal carcinoma metastasis
Facial bone injury
Maxillary sinusites
Ethmoid polyp
Options
Maxilla
Larynx
Nasopharynx
Ethmoid sinus
Options
Mandibular Neuralgia
Deafness
Palatal palsy
Seizures
Options
Associated with EBV infection
Starts in the fossa of Rosen muller
Radiotherapy is the treatment of choice
Adenocarcinoma is usual
Which of the following is not true about nasopharyngeal carcinoma?
Options
Bimodal age distribution
EBV is implicated as etiological agent
Squamous cell carcinoma is common
Nasopharyngectomy and lymph node dissection is mainstay of treatment
Options
Radiotherapy
Chemotherapy
Surgery
Surgery and radiotherapy
Options
Web is M/C in lower esophagus
Web is M/C in mid esophagus
Web is M/C in postcricoid region
It occurs due to abnormal vessels
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Question (1/5)
Options
Nasophar yngeal CA
Tongue CA
OSA
Oropharyngeal CA
All of the following are true about obstructive sleep apnea syndrome except:
Options
Females affected more than males
Commonly associated w ith hypertension
Day time sleepiness is seen
>5 episodes of apnea per hou r
A 36 years old obese man was suffering from hypertension and snoring. Patient was a known
smoker. In Sleep test, there were 5 apnea/hyperapnoes episodes per hour He was given anti
hypertensives
Prev and advised to quit smoking. Next line of management
Skip
Options
Next
Uvu lopalatopharyngeoplasty
Weight reduction and diet plan
Nasal CPAP
Mandibular repositioning sling
Options
Compr ess the poster ior part of tongue
Tip of the esophagoscope lies in pyriform fossa
Epiglottis should be lifted up
Incisiors mu st act as fulcrum
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Question
30. 30
All31.
of31the following are hyaline cartilages except:
32. 32
Options
33. 33
34.Epiglottis
34
35.Arytenoid
35
36. 36
Cricoid
37. 37
38.Thyroid
38
39. 39
Thyroid
40. 40 cartilage develops from:
Options
4th brachial arch
6th brachial arch
Both of the above
None of the above
Options
Second arch
Third arch
Fourth arch
Six arch
Prev
Skip
Next
Options
Thyrohyoid membrane
Cricothy roid membrane
Cricotracheal membrane
None
Options
Sternothyroid
Thyrohyoid
Middle constrictor
Inferior constrictor
Options
Thyroid
Epiglottis
Cricoid
Erythroid
Options
Space of Boyer
Space of Tucker
Reinke's space
Space of Gillette
Options
Trachea
Glottis
Supraglottis
Subglottis
Narrowest part in an infant's respiratory tract is:
Options
Subglottis
Glottis
Carina
None
Options
Potential space with scanty subepithelial connective tissue
Lies under the epithelium of true vocal cords
Lies superficial to elastic layer of vocal cords
Lies under the epithelium of false vocal cords
Which of the following is the only intrinsic muscle of larynx that lies outside the laryngeal
framework?
Options
Cricothiroid
Superior constrictor
Cricopharyngeus
Lateral cricothyroid
Options
Posterior cricoarytenoid
Cricothyroid
Lateralcricoarytenoid
None of the above
Options
Glass surface on flame
Ba ck of mirror on flame
Whole mirror into flame
Mirror in boiling water
Options
Tracheal foreign body
Bronchial foreign body
Laryngeal foreign body
None of the above
Options
Supraglottic
Subglottic
Glottic
None of the above
Options
Cricothyroid
Posterior cricoarytenoid
Lateral cricoarytenoid
Cricohyoid
Options
Thyrohyoid
Digastric
Stylohyoid
Sternohyoid
Sensory nerve supply of larynx below the level of vocal cord is:
Options
External branch of superior laryngeal nerve
Internal branch of superior laryngeal nerve
Recurrent laryngeal nerve
Inferior pharyngeal
Options
Aryepiglottic fold
False cord
Lingual surface of epiglottis
Laryngeal surface of epiglottis
Options
Paraglottic space
Pyriform fossa
Reinke's space
Laryngeal ventricles
Options
Stratified columnar epithelium
Pseudostratified ciliated columnar epithelium
Stratified squamous epithelium
Cuboidal epithelium
Options
Ventricular fold
Aryepiglottic fold
Glossoepiglottic
Vocal ford
A neonate while suckling milk can respire without difficulty due to:
Options
Start soft palate
Small tongue
High larynx
Small pharynx
Options
Anterior commissure
Saccule of the ventricle
True cords
False cords
Options
Thyrohyoid
Cricothyroid
Cricotracheal
Crisosternal
Options
Laryngeal web
Laryngomalacia
Laryngeal stenosis
Vocal and palsy
Options
Omega-shaped epiglottis
Stridor increases on crying, but decreases on placing the child in prone position
Most common congenital anomaly of the larynx
Surgical management of the airway by tracheostomy is the preferred initial treatment
Options
Reassurance
Medical
Surgery
Wait and watch
Options
Laryngomalacia
Foreign body
Vocal nodule
Hypertrophy of turbinate
Options
Laryngomalacia
Congenital laryngeal paralysis
Foreign body in larynx
Congenital laryngeal tumors
Options
Tracheostomy
Steroid therapy
Reassurance to the child's parents
Amputating epiglottis
Options
Hypocalcemia
Asthma
Epiglottis
Laryngeal tumor
A 2-year-old boy presenting with sudden severe dyspnea, most common cause is:
Options
Foreign body
Bronchiolitis
Asthmatic attack
None
Options
Reinke's edema
Malignancy
Acute severe asthma
Toxic gas inhalation
Options
Nasopharyngeal carcinoma
Thyroid carcinoma
Foreign body aspiration
Carcinoma larynx
Laryngofissure is:
Options
Opening the larynx in midline
Making window in thyroid cartilage
Removal of arytenoids
Removal of epiglottis
Options
True vocal cord
Anterior commmissure
Epiglottis
False vocal cord
Options
Bruce Benjamin
Kleinsasser
Chevalier Jackson
None of the above
The procedure that should precede microlaryngoscopy is:
Options
Pharyngoscopy
Esophagoscopy
Rhinoscopy
Laryngoendoscopy
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Question
30. 30
31. 31 sign is seen in:
Steeple
32. 32
Options
33. 33
34.Croup
34
35.Acute
35 epiglottis
36. 36
Laryngomalacia
37. 37
38.Quinsy
38
39. 39
A 40.
6-year-old girl complaining of high fever, hoarseness of voice and respiratory distress was
40
bought
41. 41to ENT OPD. The child gets some relief in the position shown in figure. The most probable
diagnosis is:
Options
Croup
PrevLaryngitis
Skip
Epig lottitis
NextPseudocroup
All of the following are true about pachydermia laryngitis except;
Options
Hoarseness of voice
Biopsy shows acanthosis and hyperkeratosis
Premalignant condition
Involves posterior part of larynx
Options
Voice a buse
Smoking
TB
Malignancy
Options
Vocal cord palsy
Vocal nodules
Larynx Ca
TB larynx
Options
Acute laryngitis
Allergic laryngitis
Laryngeal TB
Carcinoma larynx
Options
Vocalis
Cricothyroid
Thyroarytenoid
Posterior cricoarytenoid
Options
Dysphonia plica ventricularis
Functional aphonia
Puberphonia
Mogiphonia
Options
Patient with the abductor type have strained and strangled voice
Botulinum toxin is the standard treatment for it
May be associated with other focal dysphonia
Local laryngeal disorder
Options
Laryngomalacia
Puberphonia
Laryngeal polyp
Vocal cord polyp
Options
Influenza virus
Staphylococcus aureus
Haemophius influenzae
Respiratory syncytial virus
Options
Acute larynagotracheobronchitis
Acute epiglottitis
Acute laryngeal diphtheria
Laryngomalacia
Options
Epiglottitis
Internal hemorrhage
Saccular cyst
Ca epiglottis
Options
Acidosis
Respiratory obstruction
Atelactasis
Laryngospasm
The antibiotic of choice in acute epiglottitis pending culture sensitivity report is:
Options
Erythromycin
Rolitetracycline
Doxycycline
Ampicillin
An 1-year-old infant has biphasic stridor, barking cough and difficulty in breathing since 3-4 days.
He has highgrade fever and leukocyte count is increased. Which of the following would not be a
true statement regarding the clinical condition of the child?
Options
It is more common in boys than in girls
Subglotic area is the common site of involvement
Antibiotics are mainstay of treatment
Narrowing of subglottic space with ballooning of hypopharynx is seen
Options
Arytenoids cartilage
Posterior 1/3 and anterior 1/3 commissure
Anterior 1/3 commissure
Vestibular fold
Options
Voice a buse
Smoking
TB
Malignancy
Options
The commonest site is the junction of a nterior 1/3rd and middle 1/3rd of vocal cord and
gastroesophageal reflux is the causative factor
Can be caused by intubation injury
The vocal process is the site and is caused/aggravated by acid reflux
Can be caused by adductor dysphonia
In a patient hoarseness of voice was found to be having pachydermia laryngitis. All of the
following are true except:
Options
It is a hyperkeratotic lesion present within the anterior 2/3rd of the vocal cords
It is not premalignant lesion
Diagnosis is made by biopsy
On microscopy it shows acanthosis and hyperkeratosis
A middle-aged male comes to the outpatient department (OPD) with the only complaint of
hoarseness of voice for the past 2 years. He has been a chronic smoker for 30 years. On
examination, a reddish area of mucosal irregularity overlying a portion of both cords was seen.
Management would include all except:
Options
Cessation of smoking
Bilateral cordectomy
Microlaryngeal surgery for biopsy
Regular follow-up
Options
Croup
Acute epiglottitis
Laryngomalacia
Quinsy
Options
Also known as laryngitis atrophica
Caused by Klebsiella ozaena
Caused by Rhinosporodium
Common in women
Options
TB
Syphillis
Cancer
Papilloma
Patient following peanut consumption presented with laryngeal edema, stridor, hoarseness:
Options
Angioneurotic edema
Pharyngeal abscess
Foreign body larynx
Foreign body bronches
Patient following peanut consumption presented with laryngeal edema, stridor, hoarseness of
voice and swelling of tongue. Most likely diagnosis is:
Options
Angioneurotic edema
Pharyngeal abscess
Foreign body larynx
Foreign body bronchus
Options
Vestibular folds
Edges of vocal cords
Between true and false vocal cords
In pyriform fossa
Options
Vocal cord
Tympanic membrane
Cochlea
Reissner's membrane
Options
Vocal abuse
Laryngopharyngeal reflux
Tuberculosis
Corticosteroid usage
Options
False vocal cords
True vocal cords
Ventricle of larynx
Tongue
Options
Allergic rhinitis
Palatal paralysis
Adenoids
Nasal polyps
In a patient with hypertrophied adenoids, the voice abnormality that is seen is:
Options
Rhinolalia clausa
Rhinolalia aperta
Hot potato voice
Staccato voice
Options
Puberphonia
Androphonia
Plica ventricularis
Functional aphonia
Options
Type 1 thyroplasty
Type 2 thyroplasty
Type 3 thyroplasty
Type 4 thyroplasty
Options
Functional aphonia
Puberphonia
Phonasthenia
Vocal cord paralysis
Options
Anterior 1/3 and posterior 2/3 junction
Anterior commissure
Posterior 1/3 and anterior 2/3 junction
Posterior commissure
Options
Caused by phonotrauma
Commonly occur at Junction of middle and posterior 1/3
Common at junction of A 1/3 with P 2/3
Common in teachers
Options
Type I
Type II
Type III
Type IV
Options
Post cricoarytenoids
Lateral cricoarytenoids
Cricothyroid
Vocalis
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Question
30. 30
31. 31of vocal cord includes
Tensor
Options
Cricothyroid
Thyroarytenoid
Interarytenoid
Posterior cricoarytenoid
Options
Post cricoarytenoid
Thyroarytenoid
Lateral cricoarytenoid
Cricothyroid
Options
Superior laryngeal nerve
External laryngeal nerve
Vagus nerve
Glossopharyngeal nerve
Options
Prev
SkipMedian
NextParamedian
Intermediate
Full abduction
Options
Vocal cord is muscle, lack of blood vessels network
Absence of mucosa, no blood vessels
Absence of submucosa, no blood vessels
Absence of mucosa with blood vessels
Options
Larynx carcinoma
Aortic aneurysm
Mediastinal lymphadenopathy
Right vocal nodule
Options
Total thyroidectomy
Bronchogenic carcinoma
Aneurysm of aorta
Tubercular lymph nodes
Options
Left hilar bronchial carcinoma
Mitral stenosis
Thyroid malignancy
Thyroid surgery
Options
Vertebral secondaries
Left atrial enlargement
Bronchogenic carcinoma
Secondaries in mediastinum
Options
Thyroid surgery
Cancercervical oesophagus
Blow from nasal cavity
Thyroid cancer
Which one of the following lesions of vocal cord is dangerous to life?
Options
Bronchogenic carcinoma
Bilateral abductor paralysis
Combined paralysis of left side superior and recurrent laryngeal nerve
Superior laryngeal nerve paralysis
Options
Complete loss of speech with stridor and dyspnea
Complete loss of speech but not difficulty in breathing
Preservation of speech with severe stridor and dyspnea
Preservation of speech and not difficu lty in breathing
Options
Puberphonia
Phonasthenia
Dysphonia plicae ventricularis
Normal or good voice
Options
Teflon paste
Cordectomy
Nerve muscle implant
Arytenoidectomy
Options
Hoarseness
Paralysis of vocal cords
No effect
Loss of timbre of voice
Options
Common in left side
50% idiopathic
Cord will be laterally
Speech therapy given
Partial recurrent laryngeal nerve palsy produces vocal cord in which position:
Options
Cadaveric
Abducted
Adducted
Paramedian
Options
Vocal cord medialization
Vocal cord lateralization
Vocal cord shortening
Vocal cord lengthening
Options
Lateralized
Medialized
Shorterned
Lengthened
Options
Gel foam injection of right vocal cord
Fat injection of right vocal cord
Thyroplasty type-I
Wait for spontaneous recovery of vocal cord
A patient presented with stridor and dyspnea which he developed after an attack of upper
respiratory tract infection. On examination he was found to have a 3 mm glottic opening. All of
the following are used in the management except:
Options
Tracheostomy
Arytenoidectomy
Teflon injection
Cordectomy
Which of the following is the most common cause of vocal cord palsy?
Options
Trauma
Malignancy
Inflammatory
Surgical
All of the following are true about superior laryngeal nerve except;
Options
Supplies cricothyroid
Internal laryngeal branch supplies larynx above vocal cord
External laryngeal nerve tenses vocal cord
Supplies all muscles except cricothyroid
Options
Pure sensory
Pure motor
Secretomotor
Mixed
Options
3.5 mm
7 mm
19 mm
3 mm
Options
Palatal palsy
Vocal cord palsy
Facial palsy
Hypoglossal palsy
Options
Recurrent laryngeal nerve
Facial nerve
Mandibular nerve
External laryngeal nerve
Options
Unilateral abductor palsy
Lateral adductor palsy
B/L superior laryngeal palsy
Total adductor palsy
Options
Thyroplasty type 1
Thyroplasty type 2
Thyroplasty type 3
Thyroplasty type 4
Options
High pitch
Aphonia
Normal
Hoarseness
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Question
30. 30
31.benign
M/C 31 tumor of larynx in a child from 2-5 years is:
32. 32
Options
33. 33
34.Chondroma
34
35.Juvenile
35 laryngeal papilloma
36. 36
Infantile hemangioma
37. 37
38.Scleroma
38
39. 39
Juvenile papillomatosis is caused by:
Options
HPV
EBV
CMV
HSV
Options
Arytenoid cartilage
Thyroid cartilage
Cricoid cartilage
Corniculate cartilage
Options
Prev
SkipCricoid
NextThyroid
Arytenoid
Epiglottis
Options
Solitary and senile
Has tendency to develop into papillary carci noma
Multiple and friable
Has familial inheritance
Options
Su praglottic CA
Glottic CA
Subglottic CA
None
Options
Surgery
Chemotherapy
Radiotherapy
Combined T It
Options
Vagus nerve
Submandibular gland
Sternocleidomastoid
Internal Jugular Vein
Which structure is preserved during modified radical neck dissection?
Options
Phrenic nerve
Submandibular gland
Sternocleidomastoid
Thoracic duct
Options
Upper jugular nodes
Middle jugular nodes
Lower jugular nodes
Posterior triangle nodes
Maintenance of airway during laryngectomy in a patient with carcinoma of larynx is best done
by:
Options
Tracheostomy
Laryngeal mask airway
Laryngeal tube
Combitube
Options
CT
MRI
Biopsy
Toluidine blue staining
Options
Total laryngectomy
Near laryngectomy
Hemi laryngectomy
None
Options
T1
T2
T3
T4
Options
Pachydermia of larynx
Laryngitis sicca
Keratosis of larynx
Scleroma larynx
Of the following statements about Recurrent Laryngeal papillomatosis are true, except:
Options
Caused by human papilloma virus (HPV)
HPV6 and HPVl 1 are most commonly implicated
HPV6 is more virulent than HPVl 1
Transmission to neonate occurs through contact with mother during vaginal delivery
Options
HSV is causative agent
Radiotherapy treatment of choice
It is premalignant
It is more common in 15 to 33 yrs
Options
Acyclovir
Cidofovir
Ranitidine
Zinc
Options
More common in females
Common in patients over 40 years of age
After laryngectomy, esophageal voice can be used
Poor prognosis
The most common and earliest manifestation of carcinoma of the glottis is:
Options
Hoarseness
Hemoptysis
Cervical lymph nodes
Stridor
Options
Carcinoma vocal cords
Supraglottic carcinoma
Carcinoma of tonsil
Papillary carcinoma thyroids
Options
Cricoid
Glottic
Epiglottis
Anterior commissure
Options
Commonly spreads to mediastinal nodes
Second most common carcinoma
Most common carci noma
Spreads to submental nodes
Options
Radical surgery
Chemotherapy
Radiotherapy
Surgery followed by radiotherapy
Options
Laryngectomy
Conservative surgery
RT
Chemotherapy
Options
Surgery
Chemotherapy
Radiotherapy
None of the above
Options
Radiotherapy and surgery
Chemotherapy with cisplatin
Partial laryngectomy with chemotherapy
Radiotherapy with chemotherapy
An elderly male presents with T3NO laryngeal carcinoma. What would be the management?
Options
Neoadjuvant chemotherapy followed b y radiotherapy
Concurrent chemoradiotherapy
Radial radiotherapy followed by chemotherapy
Radical radiotherapy without chemotherapy
Options
Nasopharyngeal Ca T3 N
Supraglottic Ca T3 N0
Glottic Ca T3 N1
Subglottic Ca T3 N0
A patient of carcinoma larynx with stridor presents in casualty, immediate management is:
Options
Planned tracheostomy
Immediate tracheostomy
High dose steroid
Intubate, give bronchodilator and wait for 1 2 hours, if no response, proceed to tracheostomy
Options
T3 stage
Anterior commissure involvement
Supraglotic involvement
Both arytenoids involved
A patient presents with carcinoma of the larynx involving the left false cord, left a rytenoids and
the left a ryepiglottic folds with bilateral mobile true cords. Treatment of choice is:
Options
Vertical hemilaryngectomy
Horizontal hemilaryngectomy
Radiotherapy followed by chemotherapy
Total laryngectomy
A case of carcinoma larynx with the involvement of anterior commissure and right vocal cord,
developed perichondritis of thyroid cartilage. Which of the following statements is true for the
management of this case?
Options
He should be given radical radiotherapy as this can cure early tumors
He should be treated with combination of chemotherapy and radiotherapy
He should first receive radiotherapy and if residual tumor is present then should under go
laryngectomy
He should first undergo laryngectomy a nd then postoperative radiotherapy
Options
External beam radiotherapy
Radioactive implants
Surgery
Surgery and radiotherapy
Options
Pulmonary surgery
Electron bea m therapy
Total laryngectomy
Endoscopic removal
Laryngofissure is:
Options
Opening the larynx in midline
Making window in thyroid cartilage
Removal of arytenoids
Removal of epiglottis
Options
Argon
CO2
Holmium
Nd Yag
A S-year-old male with worsen i n g hoa rseness for 3 months and stridor for 2 weeks. What is the
likely diagnosis?
Options
Vocal nodule
Acute epiglottis
Respiratory papillomatosis
Carcinoma larynx
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Question
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31. 31of the following anesthetics should be avoided in middle ear surgery?
Which
32. 32
Options
33. 33
Halothane
N2O
Ether
Isoflurane
Options
Associated with ear surgeries
Associated with tonsil lectomy
Causes laryngospasm
Causes cardiac arrhythmias/tachypnea
Options
Carcinoma
TB
Tetanus
Diphtheria
Options
Prev
SkipLaser assisted myringoplasty
NextLaser assisted myringotomy
Laser assisted meatoplasty
Laser assisted mastoidectomy
Options
Myringitis bullosa
Serous otitis media
Middle ear defect
Mastoiditis
Options
Tracheal stenosis
Bilateral vocal cord palsy
Foreign body larynx
Uncomplicated bronchial asthma
Options
Carcinoma larynx
Uncomplicated bronchial asthma
Diphtheria
Comatose patient
Options
Laryngeal diphtheria
Foreign body aspiration
Carcinoma
Asthma
Options
Emphysema
Bronch iectosis
Atelectasis
Pneumothorax
Options
Scleroma of the larynx
Multiple papillomatosis of larynx
Bilateral vocal cord paralysis
Carcinoma of larynx
True about tracheostomy tube are all except:
Options
Double tube
Made of titanium silver alloy
Cuffed tube for IPPV
Has to be changed ideally in every 2 to 3 days
Options
Jackson's tube has 2 lumens
Removal of metallic tube in every 2-3 days
Cuffed tube is used to prevent aspiration of pharyngeal secretion
Made up of titanium-silver alloy
Options
Double barrel tube
Lobster tail tube
Airway tube
Silicone tube
Options
Isthmus of thyroid
Inferior thyoid vein
Inferior thyroid artery
Thyoid IMA
A 30-year-old Ravi presented with gradually increasing respiratory distress since 4 days. She gives
history of hospitalization and mechanical ventilation with orotracheal intubation for 2 weeks.
Now she is diagnosed as having severe laryngotracheal stenosis. Next step in the management is:
Options
Laser excision and stent insertion
Steroid
Tracheal dilation
Resection and end-to-end anastomosis
Options
Angiofibroma
Tracheal stenosis
Skull base osteomyelitis
Laryngeal carcinoma
The commonest site of aspiration of a foreign body in the supine position is into the:
Options
Right upper lobe apical
Right lower lobe apical
Left basal
Right medial
Options
Thyroplasty
Tracheostomy
Tracheal division and permanent tracheostomy
Feeding gastrostomy/jejunostomy
Options
Bronchoscopy
IPPV and intubation
Steroid
Tracheostomy
Options
Holes
Apertures
Vents
Any of the above
Options
Straight blade with uncuffed tube
Cu rved blade with uncuffed tube
Straight blade with cuffed tube
Straight curved blade with cuffed tube
A 2-year-old child with intercostal retraction and increasing cyanosis was brought with a history
of foreign body aspiration which might be a lifesaving in this situation
Options
Oxygen through face mask
Heimlich's manoeuvre
Extracardiac massage
Intracaridiac adrenaline
Options
Lesions of cervical spine
Cardiac failure
Active bleeding
Trismus
A 2-year-old child develops acute respiratory distress. O/E breath sounds are decreased with
wheeze on right side. Chest X-ray shows diffuse opacity on right sideMost probable diagnosis:
Options
Pneumothorax
Foreign body aspiration
Pleural effusion
U/L emphysema
A 5-year- old boy having dinner suddenly becomes aphonic and is brought to causality for the
complaint of respiratory difficulty. What is the most appropriate management?
Options
Cricothyroidotomy
Tracheostomy
Humidified O2
Heimlich maneuver
Options
Tonsillectomy approach
Transpalatal approach
Transmandibular approach
Transpharyngeal approach
All are true statement about tracheostomy and larynx in children except:
Options
Omega shaped epiglottis
Laryngeal cartilages are soft and collapsable
Larynx is high in children
Trachea can be easily palpated
Options
Internal jugular vein
Carotid artery
Accessory nerve
Brachial plexus
Options
Left
Right
Both
Either of these
Laser uvulopharyngopa latoplasty is the surgery done for which of the following?
Options
Snoring of diseases of ear
Recurrent pharyngotonsillitis
Cleft palate
Stammering
A construction worker met with an accident and presented to the trauma centre when a heavy
concrete block fell over his face. He was found to have severe maxillofacial and laryngeal injury.
He was not able to open his mouth and, on examination, he is found to have multiple fractures
and obstruction in nasopharynx as well as oropharynx. In order to maintain a patent airway, the
following procedure was done for him . Which of the following options correct define the
procedure?
Options
Submental endotracheal intubation
Emergency tracheostomy
Cricothyroidotomy
Subcutaneous tracheostomy
MOHAMMAD
RIZWAN