ENT

Question 1

MC cause for Septal haematoma

Answer 1

Trauma/Nasal Surgery

Question 2

treatment of choice for nasopharyngeal cancer.

Answer 2

• Stage I and II are treated by radiotherapy alone while
• Stage III and IV require concomitant radiation and chemotherapy or radiation followed by chemotherapy.

Question 3

Forceps for nasal septum fracture

Answer 3

Asch forceps

Question 4

Cottle test

Answer 4

is positive in patients with a deviated nasal septum

Question 5

Hennebert’s sign in

Answer 5

Congenital Syphillis
Hennebert*s sign is a positive fistula sign (nystagmus occurring on applying positive and negative pressure in
the external auditory canal) in the absence of a fistula seen in congenital syphilis due to the formation of
adhesions between stapes footplate and saccule. It is also seen in a few cases of Meniere’s disease.

Question 6

Schwartz sign

Answer 6

A pink or reddish hue seen on the promontory through the tympanic membrane is called the Schwartz sign. It is
seen in active otosclerosis.

Question 7

Bryce’s sign

Answer 7

The gurgling sound produced on pressing the swelling in the laryngocele is known as Bryce’s sign.

Question 8

CNS infections can spread to inner ear through

Answer 8

Scala tympani is connected with the subarachnoid space through the aqueduct of cochlea. Infection
spreads from inner ear to CNS or vice versa through this route.

Question 9

Where is the electrode placed in cochlear implant procedures?

Answer 9

Scala tympani

Question 10

maneuver used in BPPV is the

Answer 10

Dix-Hallpike maneuver, the gold standard for diagnosing BPPV.

Question 11

clinical scenario of intermittent mucoid discharge and central perforation of the tympanic membrane points to a

Answer 11

tubotympanic type of CSOM

Question 12

episodic vertigo, sense of ear pressure and fullness, decreased hearing, and a low-tone roaring tinnitus. What is the possible clinical diagnosis?

Answer 12

Meniere’s disease

Question 13

most common benign middle ear neoplasm

Answer 13

Glomus tumor

Question 14

Mikulicz cells and Russell bodies are characteristic of

Answer 14

Rhinoscleroma

Question 15

Diabetic patients with local tissue destruction with blackish nasal discharge typically resembles the presentation of

Answer 15

Mucormycosis

Question 16

Tx for Mucormycosis

Answer 16

Intravenous administration of amphotericin B is the treatment of choice for invasive mucormycosis.

Question 17

Procedure for Carhart’s Notch

Answer 17

Stapedotomy

Question 18

malignant otitis externa.

Answer 18

It is an inflammatory condition caused by Pseudomonas aeruginosa in elderly diabetics and immunocompromised patients. It is characterised by excruciating ear pain, profuse discharge and granulations on the floor of the external ear canal.

Question 19

Tympanogram in Otosclerosis

Answer 19

Type As
Compliance is lower at or near ambient air pressure. Seen in fixation of ossicles, e.g. otosclerosis or malleus fixation.

Question 20

The clinical scenario of a patient with vertigo and a positive Dix-Hallpike test is suggestive of benign positional paroxysmal vertigo (BPPV). The otoconial debris are repositioned from the

Answer 20

posterior semicircular canal to the utricle to relieve the symptoms of BPPV.

Question 21

10. A patient with impacted wax develops a severe cough while performing the following procedure on him. This is due to stimulation of which of the following nerve?

Answer 21

Auricular branch of the vagus nerve

Question 22

Myer Cotton’s grading is used for

Answer 22

subglottic stenosis.

Question 23

Thumb sign on lateral X-ray of neck is pathognomonic for

Answer 23

Acute epiglottitis

Question 24

Post pregnancy hearing loss is also called

Answer 24

Otosclerosis, dip in conductive hearing loss at 2000 hz

Question 25

Kraissl lines

Answer 25

relaxed tension lines in the skin

Question 26

Branches of Opthalmic artery

Answer 26

anterior and posterior ethmoidal artery

Question 27

A metal factory worker suffers from noise-induced hearing loss. Which of the following structures will be affected?

Answer 27

Outer hair cells

Question 28

First artery to be ligated in epistaxis

Answer 28

Sphenopalatine artery

Question 29

The persistence of the Petro squamous suture is called

Answer 29

Korner’s septum

Question 30

The presentation of vertigo, tinnitus, and head tilt following myringoplasty suggests a diagnosis of

Answer 30

Peri lymphatic fistula
Causes of perilymphatic fistula include post-stapedectomy, ear surgery with dislocation of the stapes, head trauma, inner ear injury due to forceful Valsalva or barotrauma, raised intracranial pressure, and occasionally spontaneous or idiopathic. Clinically, intermittent vertigo, fluctuating sensorineural hearing loss, tinnitus, and a sense of fullness in the affected ear are present. The fistula test is positive, and high-resolution computed tomography (HRCT) of the temporal bone is highly sensitive for detecting the fistula. A combination of CT and magnetic resonance imaging (MRI) can diagnose almost all cases. Audiometry and electrocochleography may be performed additionally.