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    ENT EORT With Key

    Uploaded by

    Hassaan E Muhammad

    Copyright:

    © All Rights Reserved
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    ENT EORT With Key

    Uploaded by

    Hassaan E Muhammad
    14 views3 pages

    Original Title

    ENT EORT with key

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    © © All Rights Reserved

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    14 views3 pages

    ENT EORT With Key

    Uploaded by

    Hassaan E Muhammad

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    BCQs

    Q1. 3years old baby came to ER with history of foreign body ingestion. After that he is unable to
    swallow. X.ray shows no F.B. what is the most appropriate non invasive option to identify F.B
     CT scan
     MRI scan
     Ultrasound neck
     Flexible endoscopy
     Rigid endoscopy

    Q2. 30 yrs old male came in ENT opd with history of right ear discharge1 yr back now he
    compains od mild hearing loss . on examination there is dry central perforation. What should be
    the best treatment option
     Prevent ear from water
     Hearing aid
     Cortical mastoidectomy
     Tympanoplasty Ossiculoplasty

    Q3. An allergic patient having bilateral nasal obstruction for last 1 year. On examination there
    are multiple bilateral polyps seen. There is also left sided proptosis. What is the best treatment
    option
     External ethmoidectomy
     Orbital decompression
     Endoscopic sinus surgery
     Systemic steroids
     External fronto-spheno-ethmoidectomy

    Q4. An 82 year old woman comes to the office with complains of new onset discharge from her
    right ear. Past medical history is significant for Diabetes Mellitus type 2. She wakes up in the
    middle of the night clutching her right ear with pain. On examination, she appears in moderate
    distress. Ear examination reveals granulation tissue in the ear, with drainage from the ear.
    Which of the following is the organism responsible for this?
     Aspergillus niger
     Herpes Zoster
     Pseudomonas aeruginosa
     Rhizopus species
     Streptococcus pneumonia

    KEY:
    1. CT scan
    2. Prevent water from ear
    3. Endoscopic sinus surgery
    4. Pseudomena Aeruginosa
    SEQs
    Q1. 40 years old male came to emergency with history of high grade fever, difficulty in opening
    mouth and swallowing. He had previous history of recurrent fever and sore throat.
     What could be differential diagnosis?
     On examination of oral cavity what could be the findings?
     What are the treatment options?
    Q2. 60 years old male came to ENT opd having history of right sided progressive hearing loss for
    5 years. He also had tinnitus and dizziness episode for last 6 months. BERA shows delay in
    waveform.

     What is the most probable diagnosis?


     What investigations needed to confirm diagnosis?
     What are the treatment options?
    Q3. Female with history of neck swelling came in ENT opd. On examination it is mobile on
    swallowing.

     What are the differentials?


     What investigations needed to confirm diagnosis?
     What are the treatment options if swelling is benign in nature?

    KEY

    Q1. D/D: Tonsillitis, ludwigs angina, pharyngitis, submucosal fibrosis, otitis media
    Examinations: if tonsillitis there will be inflamed erythematous and exudate seen. In submucosal
    fibrosis there will be white plaques and trismus. In ludwigs when the tongue is depressed there
    is swelling at lower throat is seen.
    Treatment: Broad spectrum antibiotics( augmenten) Antipyretic, anti inflammatory

    Q2. Diagnosis: Vestibular Schwannoma (acoustic neuroma).


    Investigation: PTA done to assess hearing loss. MRI done to confirm presence of tumor.
    Treatment: first, wait and watch. Then, laser radiation therapy (eg: Cyber knife, gamma knife).
    Last resort: trans mastoid surgical removal.

    Q3. Goiter, thyroid swelling, thyroglossal duct cyst, thyroid mass, lipoma
    Investigations: TSH, T3, T4, Thyroid antibodies, thyroid scan, MRI, FNAC
    Symptomatic treatment should be done. Take repeated scans over the course of treatment. Can
    also be surgically excised if needed/recommended.

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