1.
One of the following operative step is not done in Myringoplasty
Correct Answer
C. Disruption of ossicles
Explanation
Myrings palsy is done by 2 techniques:
Underlay Overlay
-Harvesting the graft -Harvesting the graft
-Prepare the TM for grafting -Incision of meatus
-Inspecting the middle ear to see -Graft place on outer surface of TM.
for the integrity of ossicles -Periphery of graft covered with meatal skin.
-Placing the graft
2.
Vasometer rhinitis is most commonly due to
Correct Answer
B. Autonomic imbalance
Explanation
Autonomic system is mainly responsible for vasometer rhinitis.
3.
Inner ear is present in
Correct Answer
B. Petrous part of temporal bone
Explanation
The innner ear is situated in the petrous of temporal bone as shown in figures.
4.
The internal tensor (lengthening) muslce of vocal cord is
Correct Answer
B. Crico-thyroid
Explanation
Tensors of vocal cords-Cricothyroid and
-Vocalis (internal part of thyroarytenoid)
Abductors-Post cricoarytenoid
Adductors-Lateral cricoarytenoid
-Interarytenoid
-Thyroarytenoid
5.
Secondary haemorrhage after tonsillectomy is due to
Correct Answer
B. Infection
Explanation
Secondary hemorrhage seen from 5-10th Post operative day, occurs due to sepsils and premature separation of membranes.
6.
Maxillary sinus opens into
Correct Answer
B. Middle meatus
Explanation
Opening of maxillary, frontal, ethmoidal (middle) Hiatus semilunaris, uncinate process, Bulls ethamoidalis and accessory opening of maxillary sinus are present in middle meatus.
7.
A patient presented with complaints of unilateral blood stained and foetid nasal discharge. The probable diagnosis is
Correct Answer
C. Foreign body nose
Explanation
Unilateral foul smelling, blood stained nasal discharge and indicates foreign body.
8.
Nasal septum is formed by all except
Correct Answer
B. Cribriform plate of palate
Explanation
Crest of palatine bone contribution in the formation of nasal septum.
9.
The adduction of the vocal cords cannot occur while talking, but can with a good cough is a condition associated with
Correct Answer
C. Functional apHonia
Explanation
Functional (hysterical)Aphonia mostly seen in emotionally labile females (15-30 years)
On examination vocal cords are in abducted position adn fall to abduct on phonation, however adduction of cords is seen on coughing.
10.
Trachestomy is not indicated in
Correct Answer
D. Foreign body in posterior basal lobe
Explanation
Chest injuries, laryngial diptheria and coma are indications for trachaeostomy.
11.
Maggota are larvae of
Correct Answer
B. Housefly
Explanation
Maggots arelarval form of flies commonly seen in cases of atrophic rhinitis, syphilis. leprosy or infected wounds.
12.
Which of the following statement regarding Eustachian dysfunction is wrong?
Correct Answer
A. Undistorted light image on the anterior quadrant of tympanic membrane
Explanation
The statement "Undistorted light image on the anterior quadrant of tympanic membrane" is incorrect. In cases of Eustachian dysfunction, there may be a distorted or blurred light image on the anterior quadrant of the tympanic membrane due to fluid accumulation or pressure changes in the middle ear. This can affect the ability of the Eustachian tube to equalize pressure and can lead to symptoms such as hearing loss or ear pain.
13.
In Acoustic neuroma, the following is not seen
Correct Answer
C. Motor apHasia
Explanation
Motor aphasia is not seen in acoustic neuroma. Acoustic neuroma is a benign tumor that develops on the vestibulocochlear nerve, which is responsible for transmitting sound and balance information from the inner ear to the brain. It typically causes symptoms such as hearing loss, tinnitus, dizziness, and balance problems. Sensory aphasia refers to difficulty in understanding and expressing language, while motor aphasia refers to difficulty in speaking or articulating words. Although acoustic neuroma can affect the auditory system and cause auditory defects and changes in audimetry, it does not typically cause motor aphasia.
14.
The length of Eustachain tube is
Correct Answer
C. 36 mm
Explanation
Eustachain tube is 36mm long and runs downwards, forwards and medially from its tympanic end.
Bony portion-12 mm
Fibro-cartilaginous -24 mm
15.
All of the following muslces are supplied by Recurrent laryngeal nerve except
Correct Answer
B. Cricothyroid
Explanation
All the muscles which move the vocal cord adductors, adductors or tensors are supplied by RLN except cricothyroid. Which is supplied by external; (superior) laryngeal nerve.
16.
Ground glass appearance of parananal sinusis is seen in
Correct Answer
A. Antrochonal polyp
Explanation
X-Ray shows Opacity of involved antrum.
17.
Commonest indication for myringotomy is
Correct Answer
B. Serous otitis media
Explanation
Serous otitis media is the most common indication for myringotomy. Serous otitis media refers to the accumulation of fluid in the middle ear without signs of infection. This condition often occurs after an upper respiratory tract infection and can cause hearing loss and discomfort. Myringotomy involves making a small incision in the eardrum to drain the fluid and relieve pressure. It is a common surgical intervention for serous otitis media to improve hearing and prevent complications.
18.
The following statement regarding Vincent's angina is correct
Correct Answer
B. It is due to anaerobic bacteria
Explanation
Vincents Angfina-acute necrotising ulcerative ginivitis organisms are fusiform bacillia dn spirobaetes.
It involves tonsils.
19.
Trans-bronchial biopsy is done through
Correct Answer
C. Fiber-optic bronchoscopy
Explanation
Flexible fibre optic bronchoscopy is used for biopsy.
20.
Regarding otosclerosis, which of the following statement is correct?
Correct Answer
C. Autosomal dominant in females
Explanation
Otosclerosis is a condition characterized by abnormal bone growth in the middle ear, leading to hearing loss. The correct statement is "Autosomal dominant in females." This means that the gene mutation responsible for otosclerosis is located on an autosome (non-sex chromosome) and only one copy of the mutated gene is needed for the condition to be expressed. Additionally, the condition is more commonly seen in females than in males.