Nose

Question 1

Drainage from
Inf meatus
Middle meatus
Superior meatus
Superior ethmoidal recess

Answer 1

Nasolacrimal duct
FRAME DCR Dacrocystorhinostomy opening
Posterior ethmoidal sinus
Sphenoidal sinus

Question 2

Ethmoidal air cells
Anterior most
Largest
Infraorbital
Optic nerve compression
Kuhn cell

Answer 2

Ager nasi
Bulla ethmoidalis
Haller cell(block maxillary sinus ostium)
ONodi cell
Anterior cells that extend into frontal sinus

Question 3

Sinusitis
MC site in child
Mc site in adult
Mc mucocele
Mc osteomyelitis
1st sinus to be seen radiologically
Not present at birth

Answer 3

Ethmoid
Maxillary
Frontal
Ethmoid
Maxillary largest
Frontal

Question 4

Indications of FESS

Answer 4

Chronic bacterial sinusitis
Nasal polyps
Control of epistaxis
Fungal sinusitis
Mucocele
Removal of foreign body
Recurrent acute sinusitis

Question 5

Allergic fungal sinusitis

Major Minor

Answer 5

Major
—nasal polyposis
—characteristic CT finding - Double density sign
—Eosinophilic MUCUS
—POSITIVE FUNGAL STAIN
Minor
—Asthma
—SERUM EOSINOPHILIA
—FUNGAL CULTURE

Question 6

Antrochoanal vs Ethmoidal

Answer 6

UL
Child
Infection

BL multiple
Adult
Atopy/Asthma
Lateral wall of nose
Mass doesnot grow posteriorly

Question 7

Incisions of
Lateral rhinotomy/medial maxillectomy
Total maxillectomy
Total laryngectomy

Answer 7

Moure
Weber ferguson
Gluck sorensen

Question 8

Homer miller sign

Answer 8

Maxillary sinus posterior wall is pushed forward

Question 9

Treatment of JNA

Answer 9

Pre op embolisation of internal maxillary artery

X

Surgery

X

Flutamide(androgen inhibitor)

Question 10

Sampters triad

Answer 10

Asthma
ETHMOIDAL POLYP
Aspirin allergy

Question 11

Trotters triad

Answer 11

NP Ca

V - Neuralgia
X - Palatal palsy
SOM - CHL

Question 12

Gradenigo syndrome

Answer 12

Petrositis

V - Retro orbital pain
VI - Diplopia
CSOM - CSOM

Question 13

Grisel syndrome

Answer 13

Atlantoaxial dislocation
Increase incidence in Down syndrome

Question 14

Griesinger syndrome

Answer 14

Lateral / transverse sinus thrombosis

Question 15

Le fortes fractures 1 2 3

Answer 15

I - Guerin sign
Greater palatine artery hematoma
Floating palate
No csf rhinorrhea

II - Pyramidal fracture
Floating maxilla

III - Craniofacial dysjunction

Question 16

Csf rhinorrhea
Trauma at
Mc site
IOC for site and csf

Answer 16

Fovea ethmoidalis
Cribriform plate
CT>MRI cisternography
B2 transferrin

Question 17

Nasal fracture treatment

Answer 17

CR
If edema — wait for 7 days then CR

Question 18

Sluders neuralgia

Answer 18

Spur impinging on Anterior ethmoidal nerve in DNS

Question 19

MCC of DNS

Answer 19

Birth trauma

Question 20

SMR VS SEPTOPLASTY
Flaps
Incision
Recurrence
Perforation

Answer 20

2 1
Killians Friers
Low High
High Low

Question 21

Tapir/Hebra nose
Russel body
Mikulicz body

Answer 21

Rhinoscleroma

Question 22

HPE of Rhinosporidiosis

Answer 22

Sporangium
Endospores

Question 23

Sebacous gland hypertrophy of nose

Answer 23

Rhinophyma

Question 24

Septal perforation
Cartilage causes
Bony causes
Both

Answer 24

CARTILAGE
TB
Sarcoidosis
SLE
Leprosy

BONY
Syphilis

BOTH
Wegeners

Cocaine C>B

Question 25

Treatment of mucosal edema of nose

Answer 25

Steroid irrigation Antihistamines

Question 26

Cause of Atrophic rhinitis Treatment

Answer 26

K ozanae Alkaline douching X Youngs operation

Question 27

Arteries of Kiesselbach plexus

Answer 27

LEGS Anterior ethmoid from ICA Superior labial artery Greater palatine artery Sphenopalatine artery from ECA Posterior ethmoidal not included

Question 28

Treatment of epistaxis

Answer 28

Trotters manoeuvre X Nasal endoscopy/cautery/packing X TESPAL

Question 29

FESS contraindicated in

Answer 29

Lateral frontal sinusitis Stenosis of internal opening of frontal sinus Osteomyelitis Threatened intracranial or intraorbital complication