1.

In a patient, Rinne’s test positive in both ears, Webers

-
test lateralizes to the right. What does this signify?
a) Right Sensorineural Deafness
b) Left Sensorineural Deafness

*
c) Right Conductive Deafness

Right
.

d) Left Conductive Deafness

7
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.

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 ABSOLUTE BONE CONDUCTION TEST

&
-

z
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
--
BING TEST - ALTERNATIVE TRAGUS PRESS→ SNHL
=


a
GELLE TEST- SIEGELISATION → OTOSCLEROSIS
-

.
as exami
- Same

- Ised compared to exanie.

2. A 30 year old patient presents to ENT OPD with nasal
obstruction. On examination roomy nasal cavity with crust
formation is observed . Also, woody hard external nose is seen
in. What is the most probable diagnosis?
~ Phinit's
Atrophic
a) Rhinoscleroma

feature
b) Rhinosporidiosis
c) Atrophic rhinitis
d) Vasomotor rhinitis
t
Note
Hard/woody
.

- L
Rhinoschesona -
 try -Klebsieller
wer-
edof
Ozanal .

ATROPHIC RHINITIS
=>
Racial factors
 HERNIA
Nutritional
Endeschine-

Autoimm
MERCIFUL ANOSMIA
=

ALKALINE NASAL DOUCHE =

O


 SURGERY- YOUNG OPERATION: BLOCK

-
Antibiotic
-

Streptarg
NOSE in
 FOR 6 MONTHS

↓
die
 MODIFIED YOUNG:PARTIAL CLOSURE
-
1- Tethay
50
 INJ. TEFLON TO LATERAL WALL

- O
H Recentadvances
 LAUTENS LASER SURGERY -LATEST NEW
Z METHOD

Z
e dachs
Nasal
Alkaline
N : Sad Biborate

O
:

: NHCO3 -

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-
 Bodin Mickulicz alls
Dyssel - bacillus) Streptony am
.

RHINOSCLEROMA(Frisch
0 17 t
-
-- 8 dire
.

 K . RHINOSCLEROMATIS >

Tetuary
.

Oc
 WOODY NOSE/TAPIR NOSE/HEBRA NOSE/TAPIR NOSE
-

STAGES

 ATROPHIC- CARPENTER GLUE LIKE

 DISCHARGE

 GRANULOMATOUS- HEBRA NOSE

 CICATRICIAL- TAPIR NOSE

- RUSELL BODIES AND MIKULICZ CELLS

-
 A
2
RHINOSCLEROMA A/W SUBGLOTTIC
STENOSIS WITH RESPIRATORY FAILURE

-
T/T OR DOC
TETRACYCLINE + STREPTOMYCIN
8
i
 E
3. A 8-year-old child presents with ↓ hearing both ears of
insidious onset. PTA-conductive deafness of 30db &
impedence audiometry shows a B type curve. Management will
E
include all except:

O
a) Nasal Decongestants
oM
CS
b) Antiallergics
-
c) Modified radial mastoidectomy -
d) Myringotomy with grommet I

operate before 14-15ye .

Never
Mastaid
O O
SEROUS OTITIS MEDIA(GLUE EAR) AND ASOM

!
STAGES OF ASOM
GROMMET

is type ofve
we
 I lautwheel
Signssom
.

approvence
T M
of
. .

of t
house
2 .

Light
sign
TI of SOM(Whe ear]
om.
and
I Antibiotics
.

Nasal decongestants
·

· 2

·
3 Antiallengics .
4 :

Myringotoy
-
t

wommet
Ogradient
? Z -
 Myringatany
.

gradient
-
-

A -
I

apadement
.

wil Al
rah
(som)
.

I
 om
ASL
- Pos tero inferior
.

Can
11
Bee
which i openingll 1
perincip Peinzip
4. What type of tympanoplasty is depicted in the picture?

O
S
a) TYPE I TYMPANOPLASTY
b) TYPE II TYMPANOPLASTY
c) TYPE III TYMPANOPLASTY
d) TYPE IV TYMPANOPLASTY
 #
WULLSTEIN CLASSIFICATION OF TYMPANOPLASTY

TYPE
I - MYRINGOPLASTY
II - MYRINGOINCUDOPEXY

-
III - MYRINGOSTAPEDOPEXY
IV - ON FOOT PLATE (MINOR/SMALL CAVUM EFFECT)
V - FENESTRATION SURGERY

↑
TM&
O
5. A 35 year old male presents with painless ear discharge O/E →
shoes 3 peforations in para tensa & pale granulations in
=
middle ear. PTA shows AB gap of 50db. He is probably suffering
from:
a) Tubotympanic CSOM
b) Atticoantral CSOM
c) Secretory otitis media
X
d) Tubercular otitis media
TUBERCULAR OTITIS MEDIA
 PALE

PalPergeemul a t i o n
.

formation
 PERFORATIONS(MULTIPLE)
 PAINLESS

②
painProfuse
less
 T/T - ATT
T

Ppzpp ->
6. Heera a 8-year male and bilateral conductive deafness is
diagnosed to have serous otitis media. His tympanogram
will show:

Flat wire.
a) Ad curve
-
b) B curve >
c) C curve
d) As curve
IMPEDENCE AUDIOMETRY
-
⑧ T
TYMPANOMETRY + STAPEDIAL REFLEX

STAPEDIAL REFLEX
2

#
> 70 dB SOUND GIVEN → STAPEDIUS MUSCLE
CONTRACT TO DAMPEN SOUND OR TO PROTECT
 dislation
wear tachian E
dossich
( Ens rub dep
I& O depfuction Oz normal .

-Shallows
C -
-
-
ofos masis .
&
7. A 3 year old child presents with fever, dyspnoea, and
stridor. D/L examination shows red swollen epiglottis. X-ray
O
STN shows thumb sign. The most common organism causing

spiglottitis
-
the above disease is: > .
a) Respiratory syncytial virus

E
influenza
b) Para Influenza
-
c) H. Influenza H -
d) Streptococcus pneumonia. -

Hinfrma 7 S .

pulmona
 O
EPIGLOTTITIS

-Tnumb
Sign
2
1
Il

TRI pot
position
Ab + 02 humidifies
8. 36-year-old male patient met with RTA came to ENT OPD
⑦
after 3 days with a history of nasal trauma. On examination
patient was found to have nasal bone fracture. What shall be
the management of the patient?
a) Septoplasty
b) Open reduction
c) Immediate closed reduction -
-
d) Anti-inflammatory drugs for 5-7 days followed by closed
reduction
 Noedere
NASAL BONE FRACTURE
①
E
IF NO EDEMA
&
REDUCE FRACTURE IMMEDIATELY (CLOSED REDUCTION)-
F
-
At=>
IF OEDEMA PRESENT—>ANTIINFLAMMATORY FOR 5
=
DAYS—->REDUCTION
● REDUCTION IF DONE IN LESS THAN 3 WEEKS - DO
CLOSED REDUCTION
●

-
J
MORE THAN 3 WEEKS - DO OPEN REDUCTION

- septoplasty. -
X -
③
9. A 2 months old child developed stridor and persistent
dyspnoea. CT SCAN and flexible endoscopy reveals
subglottic stenosis of approximately 68 percent. What shall
-
be the cotton meyer grading of the patient ?
a) Grade I
X
b) Grade II
c) Grade III
d) Grade IV
SUBGLOTTIC STENOSIS- COTTON MEYER CLASSIFICATION

0-30 % T
-

# - 70
I % -

4 -
99 % -

-
#

100 % -IV -

-
10. A 28-year-old patient coming from southern parts of India
came with unilateral nasal obstruction and episodes of epistaxis.
What shall be the most probable diagnosis?
a) Rhinosceroma
-
b) Rhinosporodiosis
c) Septal heamatoma
d) Allergic rhinitis
 =>
RHINOSPORODIOSIS
 SOUTH INDIA, SEA
 EXCISION AND CAUTERY AT BASE
 DAPSONE IS THE DOC
 MULBERRY LIKE POLYP

Sphants .

Strandeis
11. A 32-year-old patient presents to ENT OPD with bilateral
nasal obstruction. He encountered a nasal trauma 12 hours
back . On examination a bilateral nasal septal swelling is

septal
present . What shall be the appropriate treatment for this
patient?
a) Immediate IV antibiotics
b) Septoplasty

namotoa
-
c) Incision and drainage

-
d) Wait and watch

&
Emergency -

-
.
SEPTAL HAEMATOMA/SEPTAL ABSCESS

Trama
.

to
Nass.

/Bilateral
Y
Tianate
Sep .
J
Child
als
Natal
UniTatural
Choral
swelling
wate
 Dialets
- cosis
-
Mucoug
G
: Satura
Nas Otifis
Gal
Malignant P absces
/
:

p
.

Neck :
undeig
Angle
 12. Which among the following conditions shall lead to highest
degree of hearing loss?
a) Complete obstruction of ear canal
b) Perforation of TM (Depends on sze of perforation)
F
c) Ossicular interruption with intact T.M
d) Ossicular interruption with perforation
AVERAGE HEARING LOSS IN DIFFERENT LESIONS


②
COMPLETE OBSTRUCTION OF EAR CANAL → 30dB
 PERFORATION OF TM (DEPENDS ON SZE OF

F
 - GAAC
PERFORATION)-->10-40 dB
OSSICULAR INTERRUPTION WITH INTACT T.M →54dB

- O
OSSICULAR INTERRUPTION WITH PERFORATION→ 38 dB

stapes fixation :
60-TodB .
 ②
13. Which among the following statement is incorrect regarding
BERA?
a) BERA is the investigation of choice for neural hearing loss
b) Wave V is the wave with maximum amplitude
-
c) It is the screening procedure of choice for a newborn child
d) It stands for brainstem evoked response audiometry
 BERA => Brainstem Erohend .

Response Andiag
O
&

Maxime
#z amplitude.
.

EOL 7
Neural
Loss
>
-

H
·
·
 ECOLIMA
E- I, II
C-III

O
O-IV

Leninisms
Lat
L-V
I-VI,VII E


X-
V IS THE LARGEST WAVE

E
 I IS MOST SENSITIVE WAVE
 Neurol
T OAE
-

C
NEWBORN SCREENING FOR HEARING

-
 SCREENING PROCEDURES OF CHOICE

-A
 OAE- AFTER 24 HOURS/ 1ST DAY SHOULD BE DONE
0-AE
-


--
SHOULD BE DEFINITELY DONE BY 1ST MONTH

0 BERA
 BERA - BY 3RD MONTH
 BUT REMEMBER

C
 FOR A NEWBORN IN ICU i.e HIGH RISK BABY - BERA IS THE
SCREENING PROCEDURE OF CHOICE DIRECTLY
-
=
14. Which among the following statement is incorrect regarding the
-

given image ?

D side .

---

a) Pars tensa is made up of 3 layers

b) Cone of light is formed in the anteroinferior quadrant
T
c) Pars tensa is also called as shrapnells Membrane

Fans flaccida
d) It’s a Right side TM .
 Upper 1/3
-
TYMPANIC MEMBRANE AND ITS PARTS

fibers t
&
L
n- >
-

Strapnells
memblas .

213

U
lower .
Y

⑦ & Spi t
S laye
uel
out Fibrous
: i a l
Deuter # MidInner Murosal
:
:
most
 .
corcars
C .
0
.

Tradin
-

· D sich
①
=>
side
.

clock
.

7o
 Palause is
15. All the following statements are true regarding otosclerosis
E
except?
a) Pregnancy is a risk factor in otosclerosis
b) It is usually bilateral

↑
-
c) Diplacusis willisi is a characteristic feature of otosclerosis
d) Schwartz sign is seen over Tympanic membrane

Menieres .
 C
Oto ⑤
=
cleras is

Get stapes.
AsE

Schwartz sign .

THL .
 Furdic

Gtapede
Sodium
me = Z (NaF) .

S story.
 OTOSCLEROSIS
B/L E

9
F>M

MOST IMP PREDISPOSING FACTOR

→ HEREDITARY A
ASSOCIATED WITH PREGNANCY

AND MEASLES
=
-
> Pahacusis Wills ;
VANDER HOEVE SYNDROME
-
otaschrosis +
Blme schra + 0 I
.
 CONDUCTIVE DEAFNESS- LOW INTENSITY /MILD TYPE
-
 BILATERAL, PAINLESS
IN PREGNANT FEMALES COMMONLY better
hears


 PARACUSIS WILLISI - pt im Noisy

surndige
 TINNITUS AND VERTIGO LESS COMMON
 SPEECH WILL BE SOFT
 -
C
SCHWARTZ / FLAMINGO PINK SIGN
-

CARHARTZ NOTCH
-

IN ACTIVE / OTOSPONGIOTIC PHASE

-
SODIUM FLUORIDE CAN BE GIVEN
-

STAPEDOTOMY
-
-IT IS BETTER→
CARHARTZ NOTCH DISAPPEARS
AFTER STAPEDOTOMY

C
STAPEDECTOMY + Prastres is
16. A 8 year old child underwent tonsillectomy. After 8 hours of
surgery, an intern who recently cleared his FMGE with flying
colours observed bleeding from the mouth of the child. What shall
be the best step of management that this intern should do ?
a) Continue with iv antibiotics as the child is already admitted
-
b) Inform the ENT specialist as the child shall be planned for re-
exploration
c) Ask the child to swallow the blood and say to him “don’t worry”
d) Immediately start with oral antibiotics and oral mouthwash
 Bleeding Tonsillector
im t
-
20
jo Restorating
- 7 4-5 days
table Chassx SX
an
-

.
.

ira slippage 7 Infection .

Palate 7
.

N
of sutures
·

I .

-
 antibiotics
·
ligation
.

-
Re exploratio
⑫
 Most important source of blood supply – tonsillar branch of facial artery

. • Venous drainage of tonsil: paratonsillar vein – it is main source of bleeding

during tonsillectomy

F
HEMORRHAGE IN TONSILLECTOMY
● Has 3 type:

1. Primary – during Sx
2. Reactionary – post op. It is within 24 hr of Sx
Cause: slippage of ligature. It is an emergency
Rx: immediate re-exploration.
1. Secondary – post op. After 5th day of Sx. Cause: infection
Mild bleeding only Rx: IV antibiotics
17. Not true regarding the given image is:
⑭-①
Hollman
Miller,
⑭
-
Austral
sign
:

a) Causes unilateral nasal obstruction

b) Recurrent epistaxis is present
c) Exclusively seen in adolescent males
o
d) Biopsy can be done under local anesthesia

CT
-
.

- By
is /I
 NPX ↑
JuvenilJNA
Angiofibroma
.

Adolescent
- s
-
SPHENOPALATINE FORAMEN Partery
.. -

Male
HOLLMAN MILLER SIGN
#
-DUMBELL SHAPED TUMOUR-

Testosterous
-

HO
dependent
:

PTERYGOPALATINE FOSSA→INFRATEMPORAL FOSSA

An
PRE OPRATIVE EMBOLISATION IS DONE TO KNOW WHICH IS THE BLOOD VESSEL

-
SUPPLYING THIS TUMOUR - MAXILLARY ARTERY
-
HOLLMAN MILLER SIGN - ANT. BOWING OF THE POST WALL OF MAXILLARY
ANTRUM
 Hol Iman Miller Sign/
-
Autral
signbi
I Radones
staging
i
Fisch
.

far
.

T 2 .

Facial Swelling
: Frogdeformity
.
 O
18. All are true statements for laryngomalacia except:
a) Most common congenital anomaly of larynx
L
M
b) Presents with flaccid larynx
c) Stridor decreases with prone position
d) Turban shaped epiglottis is seen

#
O
lahyx
TB
Z
orega
stape
epiglottis
 LARYNGOMALACIA
-
-
>
-
weak/flazid .
In M/C CONGENITAL ANOMALY OF LARYNX
m
STRIDOR DECREASES ON PRONE POSITION
↓
C
Mc Congenital S tridon
cause of
T

H
Inspirataly .

Reassurance
&
-

-
.
Persona position
.

D
my
is
19. Bryce sign is seen in:
a) Post cricoid laryngeal carcinoma => Boccassign
Kruggeal
-
-
-
b) Laryngocoele
c) Carotid body tumour

H
-
d) All of the above
crepites
- Sent
Legresign
.
=

-
AICA .

I/CC .
A
 lahuf .
>
- Air
filled.
LARYNGOCOELE
AAATA
Ge
• TRUMPET BLOWES
• GLASS BLOWERS
• EXTERNAL, INTERNAL, COMBINED XX
• BRYCE SIGN
-

# sound on pressing
.
Hissing a larygocoels
20. High tracheostomy is indicated in:
a) Foreign body aspiration
b) Myasthenia gravis
-
c) Patient planned for total laryngectomy
d) Carcinoma of the oropharynx
z
labyt
Tracheostomy

used
Tube
onl tracheostoy To tube
I uffed
.

* Portex
 2 -

2
typs 3
-7 T

g
lowe
mid
High -

und &grd .
edit .

St
I- & cutting.

done
N
-
#
of
olz FIB
wr
Cal compa aspiration
.
 ↓
Total labygectang
21. Ishizikis type 1 thyroplasty is done for:
F
a) Medialization of the cord
b) Shortening the cord G SX
MIS &

-
j
c) Lengthening the cord .

d) Lateralisation of the cord

Smoking
IJ
Reinkes edema
37 .

vocal polyp
Nachule C
VocalMedical .
>
-

-
:
 Thyrop
-
lasty
M - Medialisation .

T
-

L Lateralisation .

It shorteng
# S >-

.
#
~
bugthering .
 ISSHIKI CLASSIFICATION OF THYROPLASTY

I MEDIALISATION - DONE IN ADDUCTOR PALSY

-
11 LATERALISATION - DONE IN ABDUCTOR PALSY
-
III
 SHORTENING/ LOOSENING - DONE IN PUBERPHONIA
-
I
 TIGHTENING/LENGTHENING - DONR IN ANDROPHONIA
-
22. Infection of CNS spreads in inner ear through:
-
a) Aqueduct of Cochlea
b) Endolymphatic sac
c) Meningitis
d) Bleeding
Periph : UI thefiltration
ofC. SF

⑤
B
g
FAADHA -
Endoyph:

stri his
 ⑳
Nat

#
23. Hennebert’s sign is a false positive fistula test when there is
no evidence of middle ear disease causing fistula of horizontal

-
semicircular canal, it is seen in:
a) Congential syphilis
b) Stapdectomy
c) Glomus tumour
d) Cholesteatoma
 FISTULA TEST
PRESS THE TRAGUS ALTERNATIVELY TO CHECK VESTIBULAR

-
&
SYSTEM(NYSTAGMUS)
-VE IN NORMAL PEOPLE
-

①+VE IN CHOLESTEATOMA
=

=
E
FALSE +VE MEANS SYMPTOMS +SENT IN ABSENCE OF FISTULA SEEN IN
MENIERES DISEASE AND CONGENITAL SYPHILLIS- HENNEBERT SIGN -
-
O
- - -
FALSE
-
-VE MEANS SYMPTOMS -SENT IN PRESENCE OF FISTULA SEEN IN DEAD

①LABYRINTH AND EXTENSIVE CHOLESTEATOMA

AAY
24. Pure tone audiogram is shown. Most probable diagnosis is:

-
- O
Rising-
where

a) Menieres disease
b) Otosclerosis
c) Presbyacusis
d) Noise induced trauma
 Notch
Carhateotoschrosis
.

dip/Boiler's
Acoustic
~ Notch

L000H
. .

NIHL
i
i 2

00 /
upslopingRising .

Meniere's disease .
donersloping Ushaped
Cookie Bite.
wave

presbyamsis
.

Congenital
deafness
.
PTA COMPLETE
 CARHARTZ NOTCH
 ACOUSTIC DIP
 RISING CURVE
 DOWNSLOPING CURVE
 U SHAPED/COOKIE BITE PATTERN- CONGENITAL DEAFNESS
25. What is incorrect regarding given image?

O keep
ear
dry
.
a) It’s a left side TM
b) Management of the case involves keeping the

-
ear dry
c) To prevent infection immediate topical
antibiotics should be started
d) All of the above
ENT
-
BY TR SHUBHAM
.

connected)
-

(stay