Transcript Following are causes of epistaxis except

Following is true regarding rhinitis
medicamentosa
A.
B.
C.
D.
E.
It is caused by steroid drops
There is atrophy of inferior turbinate
It is caused by oral pseudoephidrine
Septoplasty is treatment of choice
It is caused by vasoconstrictive drops
Following are causes of epistaxis
except
A.
B.
C.
D.
E.
Trauma
,
Ostler s disease
Nasal polyp
Septal perforation
Idiopathic
A patient has been put on IV heparin for
pulmonary embolism .He started nose bleed .
His PT is 50 seconds. His treatment is
A.
B.
C.
D.
E.
Give adrenaline
Give normal saline
Give protamine sulphate
Give blood transfusion
Give transamine
A young boy of ten years age went for swimming.
Next day he developed nasal congestion, fever
and headache .He deteriorated over next twenty
four hours and developed redness and edema of
both eyelids on left side. His likely diagnosis is
A.
B.
C.
D.
E.
Acute maxillary sinusitis
Cavernous sinus thrombosis
Meningitis
Erysipelas
Acute ethmoiditis
Allergic rhinitis
A. Is a type 1 IgE mediated hypersensitivity
reaction
B. Is a type 2 IgM mediated reaction
C. IgA antibodies are produced in
desensitization process which block IgE
D. Total serum IgE levels have to be
checked before starting immunotherapy
E. Is very common in old age
A young woman was on contraceptive pills
due to which she developed deep vein
thrombosis .She was placed on warfarin
.She started bleeding from nose. The best
test to check her coagulation status is
A.
B.
C.
D.
E.
Bleeding time
Clotting time
Platelet count
Activated partial thromboplastin time
Hess test
A young boy was involved in road traffic accident and
broke his nose. Next day he noticed a watery fluid
coming from his left nostril.
Which test will you do to confirm the nature of fluid.
A. Blood sugar
B. Blood sugar in the fluid collected from
nose
C. Leukocyte count in fluid
D. Do biochemical analysis of fluid and
match the findings with findings of
specimen collected by lumbar puncture
E. Protein levels in nasal fluid
A 40 year old man who is on steroids developed
boil in the nose .Two days later he developed
swelling of eye lids on one side with chemosis
and opthalmoplegia of extraoccular muscles . He
also has fever. Which investigation will clinch the
diagnosis
A.
B.
C.
D.
E.
Total leukocyte count
ESR
X-ray Para nasal sinuses
MRI scan
,
Quickenstead s test
A young girl has developed saddling
of nose after trauma .The best thing
to do is
A.
B.
C.
D.
E.
Septoplasty
Tip plasty
SMR
Augmentation rhinoplasty
septorhinoplasty
Following are measures for house
dust mite avoidance in allergic
rhinitis except
A.
B.
C.
D.
E.
Do dry dusting
Avoid carpets in bed room
Use polythine bedcovers for mattress
Wash bed linen in boiling water
Do not do dusting in the morning
A young footballer presented in
casualty with broken nose. On
examination his nose is deviated
with swelling and bruising. The best
time to fix the nose is
A. Straight away
B. One week later
C. Two weeks later when swelling has
subsided
D. One month later
E. Six months later
The skeleton of nasal tip is formed by
A.
B.
C.
D.
E.
Caudal end of the septal cartilage
Lower lateral cartilage
Upper lateral cartilage
Sesamoid cartilage
Hyaline cartilage
A two year old child is having
unilateral nasal discharge which is
foul smelling and purulent the likely
diagnosis is
A.
B.
C.
D.
E.
Adenocarcinoma of nose
Foreign body nose
Sinusitis
Nasal polyp
Rhinitis
The salient feature of nasal
vestibular lining is
A.
B.
C.
D.
E.
It contains sebacious glands
It contains mucous glands
It contains ceruminous glands
It contains salivary glands
It contains hair follicle
The best treatment for recurrent
nasal polyps is
A.
B.
C.
D.
E.
Intranasal polypectomy
Transantral ethmoidectomy
Functional endoscopic sinus surgery
Steroids
Transantral ethmoidectomy with
postoperative inhaled steroids
The bone which takes part in
formation of nasal septum is
A.
B.
C.
D.
E.
Nasal bone
Lacrimal bone
Frontal bone
Perpendicular plate of ethmoid bone
Perpendicular plate of platine bone
Major portion of nasal cavity is
lined by
A.
B.
C.
D.
E.
Columnar epithelium (respiratory type)
Olfactory epithelium
Squamous epithelium
Skin
Cuboidal epithelium
Following structures open into
middle meatus
A.
B.
C.
D.
E.
Frontal sinus
Nasolacrimal duct
Sphenoid sinus
Posterior ethmoid cells
Hiatus semilunaris
A young man has peculiar nasal
obstruction, that he can breath in but
can not breath out. On examination he
has a mass in left nostril. Likely
diagnosis is
A.
B.
C.
D.
E.
Rhinolith
Antrochoanal polyp
Unilateral ethmoidal polyp
Nasopharyngeal fibroma
Bleeding polypus of septum
The middle turbinate
A.
B.
C.
D.
E.
Is part of ethmoid bone
Is part of maxilla
Is a separate bone
It is only mucosal structure
It contains cartilage and bone covered
with mucosa
The patient has developed traumatic
CSF rhinorrhoea .The best way to
localize the site of leak is
A.
B.
C.
D.
CT scan
MRI scan
Radioisotope scan
Use florescence dye intrathecally and
examine nose with blue nasoendoscope
E. Examine nose with endoscope
Ethmoid sinuses
A. Are more than thirty air cells
B. Ethmoid bulla belongs to superior
ethmoid sinuses
C. Basal lamella divides ethmoid sinuses
into anterior and posterior group
D. Posterior ethmoid cells drain into
sphenoethmoidal recess
E. Have no relation with optic nerve
Which cranial nerve lies in
cavernous sinus as lateral relation
of sphenoid sinus
A.
B.
C.
D.
E.
Trochlear nerve
Facial nerve
Vidian nerve
Sphenoplatine nerve
Mandibular division of maxillary nerve
Skeletal support to columella is
provided by
A.
B.
C.
D.
E.
Caudal end of quadrilateral cartilage
Middle crura of allay cartilage
Medial crura of allar cartilage
Medial crural feet of allar cartilage
Anterior nasal spine
The floor of maxillary sinus is
closely related to
A.
B.
C.
D.
E.
Canine teeth
Molar teeth
Premolar teeth
Second premolar and first molar
All of above
A young patient has severe nose bleed . On
examination he has multiple bleeding spots
on nasal septum. He also has multiple
telangectasia on tongue. His father also had
similar problem. His bleeding is due to
A.
B.
C.
D.
E.
Idiopathic varicosities
Nasal picking
Hypertension
Osteler-Weber-Rendu syndrome
Liver cirrhosis
A patient has been started on intravenous
heparin for pulmonary embolism.. He
started bleeding from nose. Best treatment
for him is
A.
B.
C.
D.
E.
Give transamine
Give adrenaline
Give IV normal saline
Give blood transfusion
Give protamine sulphate
Little,s area is situated on
A.
B.
C.
D.
E.
Anterior inferior part of septum
Posterior part of the septum
Lateral wall of nose
Posterior nares
Floor of nose
Concha bullosa is
A.
B.
C.
D.
E.
A big air cell in the septum
A big air cell in the middle turbinate
A big air cell in the superior turbinate
A big air cell in the middle meatus
A big air cell in the inferior turbinate
Which statement is true regarding
frunculosis of external auditory
meatus
A. It forms in deeper portion of EAM
B. It is sterptococcal infection of hair follicle
C. Incision and drainage is treatment of
choice
D. Cold sponging helps
E. Augmentin ( amoxill +c alvulonic acid ) is
drug of choice
Which statement is true regarding
perichondritis of pinna
A.
B.
C.
D.
E.
Pus has bluish tinge
Is painless
Caused by staphylococcus
There is no necrosis of cartilage
Penicillin is drug of choice
Malignant otitis externa
A. Intravenous aminoglycosides are very
effective in treatment
B. Is caused by staphylococcal infection in
a diabetic patient
C. MRI is diagnostic
D. Radiotherapy is indicated
E. Is a malignancy of external ear
A young boy was involved in road traffic accident . He
developed vertigo when he tried to move about . On
examination he had blue ear drum and facial palsy on
right side. Audiogram done two weeks later confirmed
sensorineural hearing loss. The likely diagnosis is
A.
B.
C.
D.
E.
Transverse fracture of temporal bone
Longitudinal fracture of temporal bone
Ossicular chain disruption
Disruption of spiral ganglion
Brain contusion
A two year old child is suffering from acute
otitis media. His pain is not relieved in spite of
adequate treatment .The best treatment in this
situation is
A.
B.
C.
D.
E.
Change antibiotic
Increase analgesic dose
Do hot fomentation
Give lignocaine ear drops
Do myringotomy
The posterior meatal wall is left
intact in
A.
B.
C.
D.
E.
Cortical mastoidectomy
Modified radical mastoidectomy
Radical mastoidectomy
Fenestration operation
Mastectomy
A fifty year old lady sustained head injury and had bleeding
from her left ear. She also had perforation in the ear drum
which healed in two weeks time .How ever she kept
complaining of hearing loss in the same ear. Audiogram
showed 60dB conductive hearing loss with high
compliance depicted on tympanogram . The diagnosis is
A.
B.
C.
D.
E.
Fracture temporal bone
Ossicular chain disruption
Scarred ear drum
Tympanosclerosis
Stapedius tendon disruption
Whish of the following is not a clinical
feature of baurotraumatic otitis media
A.
B.
C.
D.
E.
Otalgia
Deafness
Tinnitus
Blue ear drum
Purulent ear discharge
Which of the following statements is
false regarding wax in ear
A. Wax is a mixture of ceruminous and
pilosebacious glands
B. Ceruminous glands are situated in bony
part of meatus
C. Normally wax is expelled from ear canal
in flakes
D. Wax is removed by ear syringing
E. Hard wax is made soft prior to removal
Tensor tympani muscle is attached to
A.
B.
C.
D.
E.
Neck of stapes
Neck of malleus
Head of malleus
Body of incus
Long process of incus
The patient complains of reduced hearing .The
tuning fork test show positive Rinne test on
right side and Weber test lateralizing to same
side. This means
A.
B.
C.
D.
E.
Conductive deafness on right side
Perceptive deafness on right side
Sensorineural deafness on right side
Cochlear hydrops on right side
Cochlear otosclerosis on right side
Which of the following is not included in the
treatment of perichondritis of pinna
A.
B.
C.
D.
E.
Local antibiotics
Systemic antibiotics
Incision and drainage
Removal of necrotic cartilage
Subsequent plastic surgery
Which of the following statements
is not true regarding auricle (pinna )
A. It has framework of cartilage
B. There is no cartilage in ear lobule
C. The skin is loosely adherent to
perichondrium
D. It has antitragus
E. Sometimes antihelix is not formed
properly giving rise to bat ears
Which of the following is not part of osseous
labyrinth
A.
B.
C.
D.
E.
Vestibule
Saccule
Superior semicircular canal
Posterior semicircular canal
Bony cochlea
Which of the following is not true regarding
membranous labyrinth
A. It consists of Saccule and utricle in bony
vestibule
B. It has membranous semicircular ducts in
bony semicircular canals
C. Cochlear duct in bony cochlea
D. The endolymph has a very high
concentration of sodium ions
Which of the following is not included in the
contents of middle ear
A.
B.
C.
D.
E.
Stapes
incus
Air
Process cochleariformis
Facial nerve
Which of the following do not open into
anterior wall of middle ear cavity
A.
B.
C.
D.
E.
Canal for tensor plati muscle
Canal for tensor tympani muscle
Eustachian tube
Glaserian fissure
Canal of Huguier
Paracusis willsi is seen in
a)
b)
c)
d)
e)
,
Meiner s disease
Otosclerosis
Tympanosclerosis
Cholesteatoma
Vestibular schwanoma
Which statements is true regarding external
auditory meatus
A.
B.
C.
D.
E.
It is 2.5 cm long
It is 2.5 inches long
Straight in adults
Its outer one third is bony
Its deeper part contains hair
Middle ear cleft consists of
A. Eustachian tube
B. Eustachian tube and internal auditory
meatus
C. Eustachian tube ,internal auditory
meatus and external auditory meatus
D. Eustachian tube and tympanic cavity
E. Eustachian tube ,middle ear cavity and
mastoid air cell system
A young girl was being syringed for removal of
wax. Suddenly she developed severe vertigo .The
reason for her vertigo is
A. Too cold water has been used for
syringing
B. There was perforation in the ear drum
C. There was healed perforation in the ear
drum
D. The patient was already suffering from
labyrinthitis
E. Deep auricular branch of vagus has been
stimulated
A nine months old baby has put a plastic bead in her
ear. On otoscopy it is present in deeper portion of
meatus and totally occluding the meatus. The best
way to remove this bead is
A.
B.
C.
D.
E.
Remove it with foreign body hook
Remove it with crocodile forceps
Remove it with suction
Remove it with ear syringing
Remove it under general anesthesia
using microscope
The best treatment for traumatic perforation
of drum is
A.Local antibiotic drops
B.Suction toilet and local antibiotic drops
C.Myringoplasty
D.Put a piece of gel foam on perforation
E.Observe for spontaneous healing and
consider myringoplasty in case of failure
A young girl is having difficulty in hearing for last one
year. On otoscopy ear drum is dull with air fluid level.
Pure tone audiogram shows 40 dB conductive loss in
lower treatment for her is
A.Grommet insertion
B.Adenoidectomy
C.Tonsillectomy and adenoidectomy
D.Grommet insertion with adenoidectomy
E.Myringoplasty
An old man is having long standing ear discharge.
Recently has started having severe pain the same
ear . On examination there is granulation tissue along
with ear discharge in the external auditory meatus
and middle ear cavity .The investigation of choice in
this case is
A.
B.
C.
D.
E.
CT scan
X-ray mastoids
ESR
Biopsy of granulations
MRI
A thirty year old lady had flue which was
followed by severe otalgia and tinnitus.
One day later she had blood stained
discharge from ears and on otoscopy had
reddish vesicles on ear drum. She is
suffering from
A.
B.
C.
D.
E.
Malignant otitis externa
Otitis externa hemorrhagica
Ramsay-Hunt syndrome
Hemotympanum
Acute otitis media
A two year child is very slow in developing
language. On otoscopy he has dull ear
drum.
Investigation of choice is
A.
B.
C.
D.
E.
Audiogram
X-ray mastoids
Tympanogram
Serum bilirubin
Nystagmogram
A fifty year old diabetic patient has developed
itching in his ears. On otoscopy there is
debris with black specks in EAM. The
treatment of choice in this case is
A.
B.
C.
D.
Otosporin ear drops
Gentamycine ear drops
Salicylic acid in spirit drops
Repeated suction toilet with antifungal
drops
E. Oral anti fungal drugs
Hematoma auris if treated badly
leads to
A.
B.
C.
D.
E.
Bat ear
Carrot ear
Relapsing chondritis
Cholesteatoma
Cauliflower ear
Keratosis obturans
A. Is collection of wax and cholesterol in
EAM
B. Is painless
C. Is easily removed by ear syringing
D. Causes erosion and widening of meatus
E. Is associated with otitis media with
effusion
Following are characteristics of
discharge in unsafe chronic
supurative otitis media except
A.
B.
C.
D.
E.
Thick discharge
Scanty discharge
Odorless discharge
Blood stained discharge
Purulent discharge
A 20 year old boy had long standing foul
smelling ear discharge. Recently he has
developed otalgia, fever, headache and
vomiting .The likely diagnosis is
A.
B.
C.
D.
E.
Brain abscess
Bezolds abscess
Perilabyrinthine fistula
Otitis externa
Meningitis
Which of the following is not a
cause of hoarseness
A.
B.
C.
D.
E.
Carcinoma of right bronchus
Acute laryngitis
Thyroidectomy
Hypothyroidism
Carcinoma of larynx
Which of the following is not true regarding
tracheobronichial foreign body in the children
A. The child presents with breathing difficulty
B. The foreign body usually lodges in left
bronchus
C. The foreign body is best removed using rigid
bronchoscope
D. X-ray chest will show expiratory emphysema
on involved side
E. Cheat X-ray will show Mediastinal shift to
involved side
A thirty year old lady has five children. She
is complaining of hoarseness for last one
month which is not improving. She never
had any surgery .Her probable diagnosis is
A.
B.
C.
D.
E.
Carcinoma of larynx
Vocal cord nodules
,
Reinke s edema
Hypothyroidism
Recurrent laryngeal nerve palsy
A six months old baby has strider which
gets worse on crying and improves on
lying in prone position .He is suffering
from
A.
B.
C.
D.
E.
Laryngeal web
Subglottic stenosis
Laryngomalscia
Congenital paralysis of vocal cord
Vocal cord polyp
A four year old child presents in casualty with
severe strider. He feels somewhat comfortable
only in sitting position .He has high grade fever.
The x-ray of neck lateral view shows positive
thumb sign .The antibiotic of choice in this case is
A.
B.
C.
D.
E.
Penicillin
Ampicilline
Augmentin (amoxicillin +calvulonic acid )
Amoxicillin
Tetracycline
Which laryngeal cartilage makes
complete ring in larynx
A.
B.
C.
D.
E.
Arytenoid
Cricoid
Epiglottis
Corniculate
Cuneiform
During tracheostomy one should
not injure which tracheal ring
A.
B.
C.
D.
E.
Second tracheal ring
First tracheal ring
Third tracheal ring
Fourth tracheal ring
Fifth tracheal ring
A patient who has tracheostomy
will find difficulty in
A.
B.
C.
D.
E.
Micturation
Deification
Lifting heavy weight
Breathing
swallowing
A fifty year old man who is chronic smoker
complains of cough with hemoptysis and has
developed progressive hoarseness.
Examination shows left vocal cord paralysis.
The likely diagnosis is
A.
B.
C.
D.
E.
Carcinoma of larynx
Carcinoma of left bronchus
Pulmonary tuberculosis
Chronic bronchitis
Mediastinal lymphoma
A young girl has swallowed hydrochloric acid
six months ago. Now she complains of
dysphagia for solids. The best thing to do for
her is
A.
B.
C.
D.
E.
Esophagoscopy and dilatation
Barium swallow
CT scan
Esophagoscopy
Resection and anastmosis of strictured
part of esophagus
An old lady is suffering from dysphagia for solids
for last six months .She also complains of
epigastric pain. On examination she is very pale
and has koilonychia .Her Hb. is 6 gram percent.
Her anemia is due to
A.
B.
C.
D.
E.
Iron deficiency
Vitamin B12 deficiency
Folate deficiency
Bone marrow suppression
Iron and Folate deficiency
A child with laryngeal diphtheria presents in
casualty with severe strider. First thing to do
is
A.
B.
C.
D.
E.
Start antitoxin
Remove membrane from throat
Start IV antibiotics
Do throat swab for gram staining
Do tracheostomy
Adenoids if left untreated leads to
A.
B.
C.
D.
E.
Chronic supurative otitis media
Chronic adhesive otitis media
Adenoid faces
Difficulty in speech
Difficulty in swallowing
A 4 year old child was playing with his friends.
He developed a sudden spell of choking ,
cough & went blue. he settled down & was left
with dry cough. The best thing to do is
A.
B.
C.
D.
E.
Do chest X-ray
Start antibiotics
Do bronchoscopy
Give bronchodilators
Give cough suppressants
Absolute indication of tonsillectomy
is
A.
B.
C.
D.
E.
Chronic tonsillitis
Diptheria carrier
Obstructive sleep apnoea
Glassopharyngeal neurectomy
Rheumatic fever
Absolute indication for
tonsillectomy is
A.
B.
C.
D.
E.
Chronic tonsillitis
Rheumatic fever
Diphtheria carrier
Obstructive sleep apnea
Glassopharyngeal neurectomy
There are many anatomical constrictions in
the esophagus .Which of the following is not
true about these
A. First constriction is at the 15 cm. from the
upper incisor teeth
B. Second constriction is at 25 cm. from upper
incisor teeth
C. Third constriction is at 35 cm. from upper
incisor teeth
D. Last constriction is at 40 cm. from upper
incisor teeth
E. All these constrictions need to be negotiated
carefully during Esophagoscopy
Which of the following statements is not rue
regarding oropharyngeal herpes zoster
A. Vesicles appear in the distribution of
ninth and tenth cranial nerves
B. Vesicles are unilateral
C. Pharyngeal condition may be associated
with geniculate herpes
D. Healing occurs leaving scarring
E. Acyclovir when used early is helpful
Which of the following is not a clinical
feature of adenoid hypertrophy
A.
B.
C.
D.
E.
Nasal obstruction
Snoring
Eustachian tube obstruction
Nocturnal cough
Chronic suppurative otitis media
Which of the following is not a complication
of acute tonsillitis
A.
B.
C.
D.
E.
Peritonsillar abscess
,
Citilli s abscess
Acute rheumatism
Acute nephritis
Acute infection of middle ear cleft
Which of the following arteries do
not supply palatine tonsils
A.
B.
C.
D.
E.
Descending pharyngeal artery
Descending palatine artery
Ascending palatine artery
Branch from lingual artery
Tonsillar artery
Which of the following is not a feature of
Vincent's angina
A.
B.
C.
D.
E.
Marked pain
Fetor oris
No fever
Cervical adenitis
Gray membranous slough
Which of the following is not a feature of
pharyngeal diptheria
A.
B.
C.
D.
E.
Enlarged tender cervical lymph nodes
Pyrexia
Toxaemia
Pseudomembrane
Rare albumiuria
Which of the following is not true regarding
acute reteropharyngeal abscess
A. It is limited to one side of the midline
B. It forms due to suppuration in
reteropharyngeal lymph node
C. Produces difficulty in breathing and
suckling
D. It is common in children
E. Incision and drainage is done from
outside trough carotid sheath