TRICKY QUIZ 3 - DR. VYSHNAVI ENT

Following Parotidectomy patient had numbness while shaving. The nerve injured is

• Facial nerve

• Mandibular nerve

• Greater auricular nerve

• Auriculotemporal nerve

When a patient was administered cold water in the right ear the nystagmus was seen towards the left. Which of the following is the correct interpretation of the test:

• Fast component is to left

• Slow component is to left

• Disease is towards the left

• Direction of the nystagmus is to the right

For crocodile tears to occur, injury should be:

• Before greater superficial petrosal

• Beyond greater superficial petrosal

• At Chorda tympani

• Beyond stylomastoid foramen

For maximum symptomatic relief of intractable vertigo in a patient of meniere’s with complete SN hearing loss, which of the following should be done:

• Labyrinthectomy

• Endolymphatic sac deconmpression

• Vestibular neurectomy

• Sacculotomy

Tongue muscles are derived from:

• 1st arch

• 2nd arch

• Occipital myotomes

• Ultimo-branchial body

What is N3 in TNM staging of head and neck malignancy:

• Contralateral nodes of 3 – 6 cm

• B/L nodes of 3 – 6 cm

• Contralateral nodes of > 6 cm

• Single ipsilateral node 3 – 6 cm

A male is brought to the emergency department after being struck by a motor vehicle. In the emergency department, the patient is noted to have blood coming out of his nostrils, and his jaw is noted to be rigid, and mouth cannot open for further examination. What is the most important anatomical landmark to identify to establish a secure airway?

• The anterior triangle of the neck

• The angle of Louis

• Laryngeal prominence

• Xiphoid process

A mother brings her 6 yr old ill son to you. She claims that his voice changed and he has fever. His sister had flu. You notice the child has stridor. Which of the following statements are true regarding the management of this patient?

• A thorough ENT examination is not required including inspection of his throat

• The child may be sent home and mother given advice for paracetamol administration

• Antibiotics are not needed and it is most probably viral infection

• The child should be made to cry as it will cause vasoconstriction and relieve his neck swelling

Which of the following formulas is used to calculate the appropriate internal diameter of the tracheostomy tube?

• Internal diameter (in millimeters) = (age in years/ 3) + 1.5

• Internal diameter (in millimeters) = (age in years/ 3) + 2.5

• Internal diameter (in millimeters) = (age in years/ 3) + 3.5

• Internal diameter (in millimeters) = (age in years/ 3) + 4

A 3 year old child has been diagnosed as bilateral moderate sensorineural hearing loss. The best way for rehabilitation is

• Hearing aid

• Cochlear implant

• Stapedectomy

• Brainstem implant