Ear

Question 1

Nerve supply of external ear

Answer 1

Upper tip—Lesser occipital
Greater part—Greater auricular(shaving area also)
Backside near meatus—7 and 10

Anterior wall and roof—Auriculotemporal(V3)
Posterior wall and floor—7 and 10(Arnold)

Question 2

Referred otalgia from
Tonsillitis
Larynx pharynx
Face

Answer 2

9
10
V3

Question 3

Syncipe due to syringing due to

Answer 3

Arnolds nerve(10)

Question 4

Hitzelberger sign

Answer 4

7th CN — Post and floor anesthesia

Question 5

Incisura terminalis

Answer 5

Lempert endaural incision
Access to middle ear

Question 6

Glands in EAC

Answer 6

Santorini in Cartilage—parotid
Hushke in Bony—parotid

Question 7

Surfers ear
Swimmers ear

Answer 7

Exostosis
Generalised Otitis externa

Question 8

Malignant otitis externa ass with which nerve palsy
Cause

Answer 8

7th nerve
Pseudomonas

Question 9

Type of epithelium present in keratosis obliterans

Answer 9

Desquamative keratinised epithelium

Question 10

Fluid in
Scala vestibuli
Scala tympani
Scala media

Answer 10

Perilymph — Na predominant
Production — Stria vascularis
Absorption— Endolymphatic sac

Endolymph — K predominant

Question 11

Low frequency
High frequency

Answer 11

Apex
Basal turn

Question 12

Rows of
Outer hair cells
Inner hair cells

Answer 12

3 rows
Single row

Question 13

Which hair cells are damaged in Noise induced hearing loss

Answer 13

Outer hair cells

Question 14

Layers of
Pars flaccida
Pars tensa

Answer 14

Outer epi Inner endo

Outer epi Fibous layer Inner endo

Question 15

Which perforation cause cholesteatoma

Answer 15

Atticoantral

Not tubotympanic(central)

Question 16

AIQ of tympanic membrane

Answer 16

Cone of light
Myringotomy
Grommet
Perforation

Question 17

Painless otorrhea

Answer 17

TB

Question 18

Cartwheel TM

Answer 18

Acute OM

Question 19

Bullous myringitis

Answer 19

HSV/Mycoplasma

Question 20

Rising sun

Answer 20

Glomus tympanicum

Question 21

Pulsatile tinnitus

Answer 21

Glomus jugulare

Question 22

Staledial reflex
Aff
Eff

Answer 22

Aff—8
Eff—7
Prevent hyperacusis

Question 23

Tuning fork 256 512 1024
Air bone gap?

Answer 23

256 — 2030 3045 4560
512 — 3045 4560
1024 — 4560

Question 24

Roll over phenomenon seen in

Answer 24

Retrocochlear lesion

Question 25

Tulio Tumarkin

Answer 25

Vertigo dt loud sound Drop attack dt loud sound

Question 26

Paracusis Diplacusis

Answer 26

Otosclerosis Menieres

Question 27

Gelle test negative in

Answer 27

Otosclerosis

Question 28

Fissula ante fenestrum

Answer 28

Earliest in otosclerosis

Question 29

Von der hoeve

Answer 29

Osteogenesis imperfecta + otosclerosis

Question 30

Schwartz sign

Answer 30

Active otosclerosis

Question 31

Carharts notch Boilers notch

Answer 31

At 2000 Otosclerosis At 4000 Noise induced hearing loss

Question 32

High frequency hearing loss Low frequency hearing loss

Answer 32

Presbycusis Menieres

Question 33

Tympanogram A Ad As B C

Answer 33

Normal Ossicular discontinuity Otosclerosis SOM(flat) Retracted TM(eustachian tube dysfunction)

Question 34

Objective tests of ear Subjective tests

Answer 34

Impedence audiometry Tympanometry BERA OAE PTA Tuning fork

Question 35

Imp points in facial nerve Labyrinthine part GG Tympanic part Mastoid part

Answer 35

Mc in viral inf. HSV1. Bells palsy GSPN. VZV. Mc site for dehiscence Mc site for injury in mastoid surgery

Question 36

Crocodile tears

Answer 36

GSPN mix with CT

Question 37

Ramsay hunt

Answer 37

Bells palsy with EExternal ear vesicles

Question 38

Melkerson rosenthal syndrome

Answer 38

Bells palsy with fissured tongue

Question 39

Frey syndrome

Answer 39

Gustatory sweating Auriculotemporal nerve with sympathetic fibres

Question 40

Swelling of neck only inside Inside and outside

Answer 40

Quinsy PPS abscess

Question 41

Stridors Inspi Biphasic Expi

Answer 41

Supraglottis Glottis/Subglottis/Cervical trachea Intrathoracic

Question 42

Cause of acute epiglottitis

Answer 42

Step>HiB

Question 43

Steeple sign Cause Treatment

Answer 43

Croup/Acute LTB Parainfluenza Mild mod—Racemic epinephrine Severe—Dexamethasone

Question 44

Cause of bronchiolitis

Answer 44

RSV

Question 45

Order of fascia and spaces from outer to inner at pharynx

Answer 45

Prevertebral space Prevertebral fascia Danger space Alar fascia RP space(Spaces of gillete)( Rouviera nodes) Buccopharyngeal fascia Pharyngobasilar fascia

Question 46

B/L acoustic schwannoma

Answer 46

NF2

Question 47

Antoni A Antoni B

Answer 47

Verrucay bodies Acellular

Question 48

Superior semicircular canal dehiscence

Answer 48

CHL Tulio phenomenon Fistula test positive

Question 49

McEwan triangle

Answer 49

Henle spine Inferior temporal line

Question 50

DOC for Malignant otitis media

Answer 50

Ceftazidime Cefoperazone

Question 51

IOC for diagnosis and follow up of Malignant otitis externa

Answer 51

Initial diagnosis—Tc99 Follow up for response—Gallium scan