Ans: Necrotizing otitis externa effects old uncontrolled diabetes and is caused by pseudomonas and involve facial nerve.
Q2: 35 to 40 years old person complaining about severe recurrent vertigo , patient is feeling tinnitus and sensorineural deafness
Ans: Menieres disease
( Severe vertigo without tinnitus and deafness associated with flu is due to vestibular neuronitis )
Q3: Old patient with a complaint of bilateral deafness started during pregnancy or after first trimester , hearing of patient becomes better in noisy environment
Ans: Otosclerosis ( Usually present with conductive deafness)
( In impedance audiometery stapedial reflex is absent in otosclerosis )
Q4: Old patient with a complain of change of voice patient is chain smoker or habitual alcohollic , with a fungating mass in IDL
Ans : Laryngeal carcinoma
Q5: Regarding cholesteatoma
Ans: Attic region commonest site (pearly white color ) (commonly destroy long process if incuss)
Q6: A young male patient with the complaint of recurrent severe bleeding from nose nasal obstruction , swelling checks and orbital area , proptosis of eyeball , X-ray – Antral sign :
Ans: Angiofibroma ( Common site of origin of angiofibroma is lateral wall of nasopharynx i.e sphenopalatine foramen ) ( Common bleeding in angiofibroma occurs in maxillary artery )
Q7: 15 to 20 years old patient with recurrent history of swelling of floor of mouth on examination frog belly like mass of soft tissue
Ans: Ranula
Q8: A patient of 20 to 30 years old with severe throat pain , restriction of opening of mouth , tonsils are congested and shifted posteriorly , with high grade fever
Ans: Quincy ( peritonsillar abscess )
Q9:Patient with complaint of swelling in submental or submandibular region, history of tooth ache , infection and swelling in the floor of mouth
Ans: Ludwigs angina
Q10: 7 to 9 years old child having severe pain and dirty white membrane and multiple lymph node swelling
Ans: Diptheria ( Diptheria affects 7 to 10 years of age commonly )
Q11: Regarding external auditory canal
Ans: Cartilaginous part makes outer one third of external auditory canal
Q12: Tensor tympani muscle is attached to
Ans : Handle of malleus ( in book it is written that it is attached to the neck of malleus ) and stapedius muscle is attached to the neck of stapes
Q13: In a patient unilateral conductive deafness webers test is
Ans : Lateralized to diseased ear ( in a patient with sensorineural deafness webers test is lateralized to better ear)
Q14: A child has decreased hearing , recurrent attacks of pain on examination tympanic membrane is retracted
Ans: Secretory otitis media / otitis media with effusion / serous otitis media / mucoid otitis media ( Also called glue ear)
Q15: Regarding anatomy of nose posteroinferior part of the nasal septum formed by
Ans: Vomer ( Posterosuperior part is formed by perpendicular plate of ethmoid )
Q16: Saddle nose is a complication of
Ans: SMR operation , Destruction of septal cartilage by haematoma or abscess , some time by leprosy , tuberculosis or syphilis
The deformity is corrected by augmented rhinoplasty by filling the dorsum with cartilage , bone or a synthetic implant .
Nasal trauma is the most common Aetiology of saddle nose
Q17: Teacher or singer or hawker complaining of change of voice and fatigueness as well , on examination nodules are present in vocal cord
Ans: Vocal cord nodules / vocal nodules
Q18: The term Radical antrostomy is ( collectively used for) other name for
Ans : Caldwell-luc operation ( it is also called anterior antrostomy )(process of opening the maxillary antrum through canine fossa by sublabial approach )
Q19: Attending a patient with a complain of sneezing , clearly watery rhinorhea , nasal mucosa is bluish and all allergic investigation are negative
Ans: Vasomotor rhinitis
( Attending a patient with a complain of sneezing , clearly watery rhinorhea , nasal mucosa is pale then right option is allergic rhinitis )
Q20: Infection of nasal boil may spread to
Ans: Cavernous sinus
Q21: In Caldwell lus operation opening is made in the region of
Ans: Canine fossa ( if incision is made instead of opening then right answer will be maxillary sinus )
Q22: Adenoid hypertrophy is best observed by
Ans: X-ray nasopharyngeal lateral view ( soft tissue lateral radiograph of nasopharynx will reveal the size of adenoid )
Q23: Regarding laryngeal carcinoma common site is
Ans: True vocal cord ( glottis region )
Common type of carcinoma in larynx is squamous cell carcinoma
Q24: Regarding fungal infection of nose
Ans: Rhinosporidiosis
( if Rhinosporidiosis is not present in the option then answer will be Mucor mycosis )
Q25: 8 to 9 years old child with severe pain in throat , on examination there is necrotizing tonsils , patches on palate and red rashes over trunk , on blood CP raised monocytes
Ans : Infectious mononucleosis
( in this disease penicillins are strictly contraindicated / Paul-Bunnel test / monotest is confirmatory)
Q26: Regarding tympanic membrane severely congested in which disease
Ans: Acute suppurative otitis media
( Tympanic membrane is perforated in chronic suppurative otitis media )
Q27: You are attending a patient with foul smelled blood stained continuous discharge from ear , on examination marginal perforation of tympanic membrane is present
Ans: CSOM ( Atticoantral type)
( long standing discharge from ear , patient has red mass in external auditory canal = CSOM with Polyp )
(long standing discharge with severe painfull swelling in the posterior auricular region = CSOM with mastoid abscess)
( In citelli’s abscess , pus is present in posterior belly of digastric muscle)
( in Bezold abscess pus is in sternocleidomastoid muscle )
Q28: Which muscle of larynx is not supplied by recurrent laryngeal nerve
Ans: Cricothyroid Muscle
Q29: Immunotherapy is the treatment of choice for
Ans: Allergic rhinitis
Q30: Trachea is made up of how many cartilages
Ans: About 18-20 cartilages ( 18 incomplete cartilaginous ring )
Q31: Which one is the premalignant condition of oral cavity
