Q-1. Tonsillectomy is contraindicated in
a) Small atrophic tonsils
b) QuinsyQ-11. Abductor of the larynx is
a) Crico- Arytenoideus posterior
b) Crico- Arytenoideus lateralis
c) Arytenoideus transverses
d) Vocalis muscle
Answer: Crico- Arytenoideus posterior
Explanation:
Intrinsic muscles of larynx acting on vocal cords:
Abductors: Posterior crico-arytenoid
Adductors: Lateral crico-arytenoid, inter-arytenoid and thyro-arytenoid
Tensors: Cricothyroid and Vocalis (Internal part of thyro-arytenoid)
Q-12. Trotter’s triad consists of following except
a) Conduction deafness
b) Trigeminal neuralgia
c) VII nerve palsy
d) Ipsilateral soft palate immobility
Answer: VII nerve palsy
Explanation:
The commonest site of origin is fossa of Rosenmuller in the lateral wall of the naso-pharynx.
Nasopharyngeal cancer can cause conductive deafness, ipsilateral temporo-parietal neuralgia (Involvement of cranial nerve V) and palatal paralysis (CN X) – collectively called trotter’s triad
Q-2. The commonest presentation of nasopharyngeal carcinoma is
a) Nasal
b) Aural
c) Oral
d) Neural
Answer: Nasal
Explanation:
Presentation of nasopharyngeal carcinoma:
Nasal symptoms: including bleeding, obstruction, and discharge (78%)
Ear symptoms: including infection, deafness, and tinnitus (73%)
Headaches (61%)
Neck swelling (63%)
Q-3. Radical Mastoidectomy is done for
a) ASOM
b) CSOM
c) Attico-antral cholesteatoma
d) Acute mastoiditis
Answer: Attico-antral cholesteatoma
Explanation:
Indications of Radical Mastoidectomy:
When all cholesteatoma cannot be safely removed
As an approach to petrous apex
Removal of glomus tumor
Carcinoma middle ear
Q-13. Gradenigo’s syndrome involves all of the following cranial nerves
a) IV, VII
b) V, VI
c) VI, IX
d) VII, VIII
Answer: V, VI
Explanation:
Gradenigo’s syndrome consists of ear discharge, diplopia (CN VI paralysis) and retro-orbital pain (CN V involvement). It is due to Petrositis.