TRICKY QUIZ 4 - DR. VYSHNAVI ENT

Which of the following is the best method for determining the appropriate duration of antibiotic treatment for malignant otitis externa?

• Resolution of patient symptoms

• Improvement in the appearance of the external auditory canal

• Resolution of changes found on technetium Tc 99m bone scan

• Resolution of changes found on gallium citrate Ga 67 scan

Method of speech communication after laryngectomy include all except:

• Electrolarynx

• Oesophageal Speech

• Tracheo-esophageal Speech

• Tracheal Speech

Juvenile nasopharyngeal angiofibroma is classically associated with all of the following except

• Epistaxis.

• Nasal obstruction.

• Retrobulbar pain

• Adolescent boys.

Tympanoplasty is an operation aimed at:

• correction of hearing in perceptive deafness

• eradication of infection & correction of hearing

• drainage of mastoid abcess

• correction of hearing in otosclerosis

A 65-year-old male patient presents to the emergency department with a 2-week history of purulent nasal discharge and facial pain. Mild maxillary tenderness is noted bilaterally. He denies nasal obstruction, changes in the sense of taste or smell, and has no postnasal drip. Which of the following radiographic findings are consistent with the suspected diagnosis?

• Bony destruction of the maxillary sinuses

• Air-fluid level in the maxillary sinuses

• Thinning of the sinus mucosa

• Linear fractures in the sinus

For unilateral choanal atresia which of the following is most appropriate form of treatment?

• A nasal saline spray and close monitoring for any signs of respiratory distress

• Surgery immediately

• Corticosteroids [intranasal]

• Antihistamines

A male patient was diagnosed with squamous cell carcinoma of the nasal cavity. The patient's prognosis was determined using lederman’s classification. According to this classification, which of the following may indicate good prognosis?

• Alveolar process

• Maxillary part of the nose

• Ethmoid sinus

• Olfactory area of the nose

Patient, 60 year old, female , presented with hearing loss in the left ear, ipsilateral immobility of soft palate and neuralgic pain on the left side of her face. Weber and rinne tests were done, which concluded that the hearing loss is conductive. What is the most likely diagnosis?

• Lermoyez syndrome

• Trotter’s syndrome

• Costen’s syndrome

• Ortner’s syndrom

A 40-year-old male patient is undergoing right parotidectomy for adenocarcinoma of the parotid gland. During surgery, it found that his facial nerve is involved by tumor. A decision is made to sacrifice the facial nerve. Which of the following nerves is used as an interposition graft for facial nerve reconstruction during parotidectomy?

• Greater auricular nerve

• Posterior auricular nerve

• Auriculotympanic nerve

• Auricular branch of vagus nerv

A 35-year-old man presents with a temporal bone fracture after falling off a motorcycle without a helmet. On examination, the patient has a facial weakness. He is not bothered by the resulting slight asymmetry in his smile; however, he has noticed increased nasal crusting since his accident. Where was the facial nerve most likely damaged?

• Mastoid segment

• Labyrinthine segment

• Geniculate ganglion region

• Chorda tympani segment