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Epistaxis after ligating external carotid
artery is due to which vessel?
#PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
50%
A.Anterior ethmoidal artery
10%
B.Superior Labial artery
33%
C.Sphenopalatine artery
7%
D.Greater palatine artery
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ENT Videos & books
Epistaxis after ligating external carotid
artery is due to which vessel?
#PYQ#FMGE#NEETPG#INICET
Correct Answer - A
Ans. is 'a' i.e., Anterior ethmoidal artery

Since external carotid artery is ligated, the bleeding comes from
branches of the internal carotid artery.

Anterior ethmoidal artery, a branch of ophthalmic artery, which is a
branch of internal carotid artery, is a constituent of the blood supply
of the Little's area of the nasal septum.

Blood supply of nasal septum
i) Internal carotid system
Anterior ethmoidal artery
Branches of ophthalmic artery
Posterior ethmoidal artery
ii) External Carotid System
Sphenopalatine artery (branch of maxillary artery) gives
nasopalatine and posterior medial nasal branches.

-Septal branch of greater palatine artery (Br. of maxillary artery).
Septal branch of superior labial artery (Br. of facial artery)

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"Rising sun" appearance is seen in -

#PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
10%
A.ASOM
10%
B.CSOM
70%
C.Glomus tumor
10%
D.Acoustic neuroma
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ENT Videos & books
"Rising sun" appearance is seen in -

#PYQ#FMGE#NEETPG#INICET
Correct Answer - C
Ans. is 'c' i.e., Glomus tumor

Clinical features of glomus tumor
The earliest symptoms of glomus tumour is pulsatile tinnitus
(earliest) and hearing loss.

Hearing loss is conductive and slowly progressive. These are followed by blood stained otorrhoea and earache.

Before the tympanic membrane (eardrum) is perforated a red
swelling is seen to arise from the floor of middle ear, i.e. "Rising
sun" appearance. This results in a red reflex through the intact
tympanic membrane.

Sometimes, eardrum may be bluish and bulging. o Pulsation sign
(Brown sign) is positive, i.e. when ear canal pressure is raised with
Siegle's speculum, tumor pulsates vigorously and then blanches;
reverse happens with release of pressure.

Aquino sign is positive, i.e. blanching of mass with manual
compression of ipsilateral carotid artery.

When the tumour perforates the eardrum a polypus will be seen in
the meatus and this will bleed profusely if touched.

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Hot potato voice is characteristic of ? #PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
32%
A.Nasopharyngeal carcinoma
17%
B.Glottic carcinoma
20%
C.Sub-glottic carcinoma
30%
D.Supra-glottic carcinoma
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ENT Videos & books
Hot potato voice is characteristic of ? #PYQ#FMGE#NEETPG#INICET
Correct Answer - D
Ans. is 'd' i.e., Supraglottic carcinoma

Clinical features of supraglottic carcinoma

Pain on swallowing is the most frequent initial symptom
Mass in neck may be the first sign.
Hoarsness is a late symptom.
Pain may be referred to ear by vagus nerve and auricular nerve of
arnold.
Late symptoms include foul breath, dysphagia and aspiration.
Large tumors can cause "hot potato voice/muffled voice".
Hemoptysis, sore throat, shorteness of breath, stridor, otalgia and
aspiration pneumonia may also occur.

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ENT Videos & books
Tracheostomy indication is:

#PYQ#FMGE#NEETPG#INICET
Correct Answer - D
Answer- D. Foreign body obstructing airway

Indications of tracheostomy:

Upper respiratory tract obstruction; Laryngeal, supralaryngeal ,and
tracheal causes.( Causes of stridor )

Lower respiratory tract obstruction: (Secretory obstruction, Wet lung
syndrome).

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Water’s view is used to obtain diagnostic
information of: #PYQ#FMGE#NEETPG#INICET
Anonymous Quiz
64%
A.Maxillary sinus
13%
B.Frontal sinus
11%
C.Ethmoidal sinus
12%
D.Sphenoid sinus
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ENT Videos & books
Water’s view is used to obtain diagnostic
information of: #PYQ#FMGE#NEETPG#INICET
ANSWER: A. Maxillary sinus

Waters' view (also known as the Occipitomental view) is a
radiographic view, where an X-ray beam is angled at 45Β° to the
orbitomeatal line.

The rays pass from behind the head and are perpendicular to the
radiographic plate.

It is commonly used to get a better view of the maxillary sinuses.

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ENT Videos & books
Weber ferguson approach is used for?

Correct Answer - B
Ans. B. Maxillectomy
WEBER FERGUSON APPROACH:
This approach involves an extension of the lateral rhinotomy incision
that includes the splitting of upperlip.
Indications: Exenteration of maxilla for total or subtotal maxillectomy
(splitting the upper lip releases the facial flap for adequate lateral
retraction and adds transoral exposure of palate and teeth
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Forwarded from Community Medicine
Composition of soda lime is:
NaOH- Ca (OH)2 - KOH - Moisture
Anonymous Quiz
13%
a) 4% - 90% - 1% - 5%
39%
b) 4% - 80% - 1% - 15%
37%
c) 80% - 10% - 5% - 5%
11%
d) 15% - 80% - 1% - 4%
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