All of the following are features of
Tubotympanic CSOM except ?
Tubotympanic CSOM except ?
Anonymous Quiz
13%
A.Profuse discharge
11%
BHearing loss
46%
C.Extreme pain
30%
D.Sometimes paradoxical improvement in hearing is seen
❤5
ENT Videos & books
All of the following are features of
Tubotympanic CSOM except ?
Tubotympanic CSOM except ?
Correct Answer - C
Ans. is 'c' i.e., Extreme pain [Ref Dhingra 5th/e p. 77; Pediatric
otolaryngology 2"/e p. 478]
Clinical features of tubotympanic CSOM
Profuse mucopurulent discharge which is not foul smelling, i.e., non-
foul smelling discharge
Hearing loss (conductive type). If sensorineural component also
occurs (i.e., mixed type), it arouses the suspicion of toxic deafness.
Sometimes, patient reports a paradoxical effect, i.e., hears better in
the presence of discharge than when the ear isdry. This is due to
round window shielding effect produced by discharge which helps to
maintain phase differential.
There is no pain, if it occurs it is due to associated otitis externa not
due to otitis media.
Since the infected area is open at both ends, discharge does not
accumulate in the middle ear cavity
Ossicular chain is mostly uninvolved, if involved only long process of
incus is involved.
Ans. is 'c' i.e., Extreme pain [Ref Dhingra 5th/e p. 77; Pediatric
otolaryngology 2"/e p. 478]
Clinical features of tubotympanic CSOM
Profuse mucopurulent discharge which is not foul smelling, i.e., non-
foul smelling discharge
Hearing loss (conductive type). If sensorineural component also
occurs (i.e., mixed type), it arouses the suspicion of toxic deafness.
Sometimes, patient reports a paradoxical effect, i.e., hears better in
the presence of discharge than when the ear isdry. This is due to
round window shielding effect produced by discharge which helps to
maintain phase differential.
There is no pain, if it occurs it is due to associated otitis externa not
due to otitis media.
Since the infected area is open at both ends, discharge does not
accumulate in the middle ear cavity
Ossicular chain is mostly uninvolved, if involved only long process of
incus is involved.
❤10
Caldwell’s view is used for:
Anonymous Quiz
36%
A.Maxillary sinus
30%
B.Frontal sinus
12%
C.Ethmoidal sinus
23%
D.All of the above
❤1
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❤1
All of the following are true about nasal
myiasis except?
myiasis except?
Anonymous Quiz
28%
A.Common in vasomotor rhinitis
17%
B.Intense nasal irritation present
29%
C Meningitis may occur in severe disease
26%
D Chloroform water is one of the modes of treatment
❤6👎1
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❤1
ENT Videos & books
All of the following are true about nasal
myiasis except?
myiasis except?
All of the following are features of a
nasal foreign body except?
nasal foreign body except?
Anonymous Quiz
35%
A.Vestibulitis
12%
B.Epistaxis
7%
C.Nasal obstruction
46%
D.Deviated septum
❤4
Intrathecal fluorescein with endoscopic
visualization is useful in diagnosis of?
visualization is useful in diagnosis of?
Anonymous Quiz
8%
A.Deviated nasal septum
32%
B.Multiple ethmoidal polyps
16%
C.Rhinitis Medicamentosa
43%
D.CSF Rhinorrhoea
❤4
ENT Videos & books
Intrathecal fluorescein with endoscopic
visualization is useful in diagnosis of?
visualization is useful in diagnosis of?
Correct Answer - D
Ans. is 'd' i.e., CSF Rhinorrhoea [ Ref: Logan Turner 10(
h
/e p.
28, Dhingra 5
th
/e p. 179]
Detection of site of CSF leak in CSF Rhinorrhoea
1. HRCT : - HRCT with or without godolinium is the most helpful study
for identifying the site of leak, i.e., investigation of choice.
2. MRI : - MRI with heavy T2 weighted image may highlight CSF
sufficiently to show the leak.
3. CT cisternography : - CT scan after injection of contrast dye is
effective in patients with an active leak.
4. Radioisotope cisternography : - Radioisotope injected intrathecally
and measured.
5. Fluorescin dye : - Intrathecal fluorescin with endoscopic
visualization.
Ans. is 'd' i.e., CSF Rhinorrhoea [ Ref: Logan Turner 10(
h
/e p.
28, Dhingra 5
th
/e p. 179]
Detection of site of CSF leak in CSF Rhinorrhoea
1. HRCT : - HRCT with or without godolinium is the most helpful study
for identifying the site of leak, i.e., investigation of choice.
2. MRI : - MRI with heavy T2 weighted image may highlight CSF
sufficiently to show the leak.
3. CT cisternography : - CT scan after injection of contrast dye is
effective in patients with an active leak.
4. Radioisotope cisternography : - Radioisotope injected intrathecally
and measured.
5. Fluorescin dye : - Intrathecal fluorescin with endoscopic
visualization.
❤5
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❤3
The artery which leads to bleeding in
Woodruff's area is?
Woodruff's area is?
Anonymous Quiz
22%
A.Anterior ethmoidal artery
59%
B.Sphenopalatine artery
15%
C.Greater palatine artery
4%
D.Superior labial artery
❤6
ENT Videos & books
The artery which leads to bleeding in
Woodruff's area is?
Woodruff's area is?
Correct Answer - B
Ans. is 'b' i.e., Sphenopalatine artery [Ref Scott Brown 7
h
/e Vol-
2p. 1597; Dhingra 5
th
/e p. 190]
Woodruff's area : ?
It is situated under the posterior end of inferior turbinate.
Sphenopalatine artery anastomoses with posterior pharyngeal artery
here. Posterior epistaxis occurs in this area.
Ans. is 'b' i.e., Sphenopalatine artery [Ref Scott Brown 7
h
/e Vol-
2p. 1597; Dhingra 5
th
/e p. 190]
Woodruff's area : ?
It is situated under the posterior end of inferior turbinate.
Sphenopalatine artery anastomoses with posterior pharyngeal artery
here. Posterior epistaxis occurs in this area.
❤13
What is the treatment of choice for
ethmoidal polyps?
ethmoidal polyps?
Anonymous Quiz
78%
A.Functional Endoscopic sinus surgery with polypectomy
13%
B.Intranasal ethmoidectomy
4%
C.Extranasl ethmoidectomy
5%
D.Transantral ethmoidectomy
❤11