Following is true regarding rhinitis medicamentosa

1. Following is true regarding rhinitis medicamentosa • It is caused by steroid drops • There is atrophy of inferior turbinate • It is caused by oral pseudoephidrine • Septoplasty is treatment of choice • It is caused by vasoconstrictive drops

2. Following are causes of epistaxis except • Trauma • Ostler,s disease • Nasal polyp • Septal perforation • Idiopathic

3. A patient has been put on IV heparin for pulmonary embolism .He started nose bleed . His PT is 50 seconds. His treatment is • Give adrenaline • Give normal saline • Give protamine sulphate • Give blood transfusion • Give transamine

4. A young boy of ten years age went for swimming. Next day he developed nasal congestion, fever and headache .He deteriorated over next twenty four hours and developed redness and edema of both eyelids on left side. His likely diagnosis is • Acute maxillary sinusitis • Cavernous sinus thrombosis • Meningitis • Erysipelas • Acute ethmoiditis

5. Allergic rhinitis • Is a type 1 IgE mediated hypersensitivityreaction • Is a type 2 IgM mediated reaction • IgA antibodies are produced in desensitization process which block IgE • Total serum IgE levels have to be checked before starting immunotherapy • Is very common in old age

6. A young woman was on contraceptive pills due to which she developed deep vein thrombosis .She was placed on warfarin .She started bleeding from nose. The best test to check her coagulation status is • Bleeding time • Clotting time • Platelet count • Activated partial thromboplastin time • Hess test

7. A young boy was involved in road traffic accident and broke his nose. Next day he noticed a watery fluid coming from his left nostril.Which test will you do to confirm the nature of fluid. • Blood sugar • Blood sugar in the fluid collected from nose • Leukocyte count in fluid • Do biochemical analysis of fluid and match the findings with findings of specimen collected by lumbar puncture • Protein levels in nasal fluid

8. A 40 year old man who is on steroids developed boil in the nose .Two days later he developed swelling of eye lids on one side with chemosis and opthalmoplegia of extraoccular muscles . He also has fever. Which investigation will clinch the diagnosis • Total leukocyte count • ESR • X-ray Para nasal sinuses • MRI scan • Quickenstead,s test

9. A young girl has developed saddling of nose after trauma .The best thing to do is • Septoplasty • Tip plasty • SMR • Augmentation rhinoplasty • septorhinoplasty

10. Following are measures for house dust mite avoidance in allergic rhinitis except • Do dry dusting • Avoid carpets in bed room • Use polythine bedcovers for mattress • Wash bed linen in boiling water • Do not do dusting in the morning

11. A young footballer presented in casualty with broken nose. On examination his nose is deviated with swelling and bruising. The best time to fix the nose is • Straight away • One week later • Two weeks later when swelling has subsided • One month later • Six months later

12. The skeleton of nasal tip is formed by • Caudal end of the septal cartilage • Lower lateral cartilage • Upper lateral cartilage • Sesamoid cartilage • Hyaline cartilage

13. A two year old child is having unilateral nasal discharge which is foul smelling and purulent the likely diagnosis is • Adenocarcinoma of nose • Foreign body nose • Sinusitis • Nasal polyp • Rhinitis

14. The salient feature of nasal vestibular lining is • It contains sebacious glands • It contains mucous glands • It contains ceruminous glands • It contains salivary glands • It contains hair follicle

15. The best treatment for recurrent nasal polyps is • Intranasal polypectomy • Transantral ethmoidectomy • Functional endoscopic sinus surgery • Steroids • Transantral ethmoidectomy with postoperative inhaled steroids

16. The bone which takes part in formation of nasal septum is • Nasal bone • Lacrimal bone • Frontal bone • Perpendicular plate of ethmoid bone • Perpendicular plate of platine bone

17. Major portion of nasal cavity is lined by • Columnar epithelium (respiratory type) • Olfactory epithelium • Squamous epithelium • Skin • Cuboidal epithelium

18. Following structures open into middle meatus • Frontal sinus • Nasolacrimal duct • Sphenoid sinus • Posterior ethmoid cells • Hiatus semilunaris

19. A young man has peculiar nasal obstruction, that he can breath in but can not breath out. On examination he has a mass in left nostril. Likely diagnosis is • Rhinolith • Antrochoanal polyp • Unilateral ethmoidal polyp • Nasopharyngeal fibroma • Bleeding polypus of septum

20. The middle turbinate • Is part of ethmoid bone • Is part of maxilla • Is a separate bone • It is only mucosal structure • It contains cartilage and bone covered with mucosa

21. The patient has developed traumatic CSF rhinorrhoea .The best way to localize the site of leak is • CT scan • MRI scan • Radioisotope scan • Use florescence dye intrathecally and examine nose with blue nasoendoscope • Examine nose with endoscope

22. Ethmoid sinuses • Are more than thirty air cells • Ethmoid bulla belongs to superior ethmoid sinuses • Basal lamella divides ethmoid sinuses into anterior and posterior group • Posterior ethmoid cells drain into sphenoethmoidal recess • Have no relation with optic nerve

23. Which cranial nerve lies in cavernous sinus as lateral relation of sphenoid sinus • Trochlear nerve • Facial nerve • Vidian nerve • Sphenoplatine nerve • Mandibular division of maxillary nerve

24. Skeletal support to columella is provided by • Caudal end of quadrilateral cartilage • Middle crura of allay cartilage • Medial crura of allar cartilage • Medial crural feet of allar cartilage • Anterior nasal spine

25. The floor of maxillary sinus is closely related to • Canine teeth • Molar teeth • Premolar teeth • Second premolar and first molar • All of above

26. A young patient has severe nose bleed . On examination he has multiple bleeding spots on nasal septum. He also has multiple telangectasia on tongue. His father also had similar problem. His bleeding is due to • Idiopathic varicosities • Nasal picking • Hypertension • Osteler-Weber-Rendu syndrome • Liver cirrhosis

27. A patient has been started on intravenous heparin for pulmonary embolism.. He started bleeding from nose. Best treatment for him is • Give transamine • Give adrenaline • Give IV normal saline • Give blood transfusion • Give protamine sulphate

28. Little,s area is situated on • Anterior inferior part of septum • Posterior part of the septum • Lateral wall of nose • Posterior nares • Floor of nose

29. Concha bullosa is • A big air cell in the septum • A big air cell in the middle turbinate • A big air cell in the superior turbinate • A big air cell in the middle meatus • A big air cell in the inferior turbinate

30. Which statement is true regarding frunculosis of external auditory meatus • It forms in deeper portion of EAM • It is sterptococcal infection of hair follicle • Incision and drainage is treatment of choice • Cold sponging helps • Augmentin ( amoxill +c alvulonic acid ) is drug of choice

31. Which statement is true regarding perichondritis of pinna • Pus has bluish tinge • Is painless • Caused by staphylococcus • There is no necrosis of cartilage • Penicillin is drug of choice

32. Malignant otitis externa • Intravenous aminoglycosides are very effective in treatment • Is caused by staphylococcal infection in a diabetic patient • MRI is diagnostic • Radiotherapy is indicated • Is a malignancy of external ear

33. A young boy was involved in road traffic accident . He developed vertigo when he tried to move about . On examination he had blue ear drum and facial palsy on right side. Audiogram done two weeks later confirmed sensorineural hearing loss. The likely diagnosis is • Transverse fracture of temporal bone • Longitudinal fracture of temporal bone • Ossicular chain disruption • Disruption of spiral ganglion • Brain contusion

34. A two year old child is suffering from acute otitis media. His pain is not relieved in spite of adequate treatment .The best treatment in this situation is • Change antibiotic • Increase analgesic dose • Do hot fomentation • Give lignocaine ear drops • Do myringotomy

35. The posterior meatal wall is left intact in • Cortical mastoidectomy • Modified radical mastoidectomy • Radical mastoidectomy • Fenestration operation • Mastectomy

36. A fifty year old lady sustained head injury and had bleeding from her left ear. She also had perforation in the ear drum which healed in two weeks time .How ever she kept complaining of hearing loss in the same ear. Audiogram showed 60dB conductive hearing loss with high compliance depicted on tympanogram . The diagnosis is • Fracture temporal bone • Ossicular chain disruption • Scarred ear drum • Tympanosclerosis • Stapedius tendon disruption

37. Whish of the following is not a clinical feature of baurotraumatic otitis media • Otalgia • Deafness • Tinnitus • Blue ear drum • Purulent ear discharge

38. Which of the following statements is false regarding wax in ear • Wax is a mixture of ceruminous and pilosebacious glands • Ceruminous glands are situated in bony part of meatus • Normally wax is expelled from ear canal in flakes • Wax is removed by ear syringing • Hard wax is made soft prior to removal

39. Tensor tympani muscle is attached to • Neck of stapes • Neck of malleus • Head of malleus • Body of incus • Long process of incus

40. The patient complains of reduced hearing .The tuning fork test show positive Rinne test on right side and Weber test lateralizing to same side. This means • Conductive deafness on right side • Perceptive deafness on right side • Sensorineural deafness on right side • Cochlear hydrops on right side • Cochlear otosclerosis on right side

41. Which of the following is not included in the treatment of perichondritis of pinna • Local antibiotics • Systemic antibiotics • Incision and drainage • Removal of necrotic cartilage • Subsequent plastic surgery

42. Which of the following statements is not true regarding auricle (pinna ) • It has framework of cartilage • There is no cartilage in ear lobule • The skin is loosely adherent to perichondrium • It has antitragus • Sometimes antihelix is not formed properly giving rise to bat ears

43. Which of the following is not part of osseous labyrinth • Vestibule • Saccule • Superior semicircular canal • Posterior semicircular canal • Bony cochlea

44. Which of the following is not true regarding membranous labyrinth • It consists of Saccule and utricle in bony vestibule • It has membranous semicircular ducts in bony semicircular canals • Cochlear duct in bony cochlea • The endolymph has a very high concentration of sodium ions

45. Which of the following is not included in the contents of middle ear • Stapes • incus • Air • Process cochleariformis • Facial nerve

46. Which of the following do not open into anterior wall of middle ear cavity • Canal for tensor plati muscle • Canal for tensor tympani muscle • Eustachian tube • Glaserian fissure • Canal of Huguier

47. Paracusis willsi is seen in • Meiner,s disease • Otosclerosis • Tympanosclerosis • Cholesteatoma • Vestibular schwanoma

48. Which statements is true regarding external auditory meatus • It is 2.5 cm long • It is 2.5 inches long • Straight in adults • Its outer one third is bony • Its deeper part contains hair

49. Middle ear cleft consists of • Eustachian tube • Eustachian tube and internal auditory meatus • Eustachian tube ,internal auditory meatus and external auditory meatus • Eustachian tube and tympanic cavity • Eustachian tube ,middle ear cavity and mastoid air cell system

50. A young girl was being syringed for removal of wax. Suddenly she developed severe vertigo .The reason for her vertigo is • Too cold water has been used for syringing • There was perforation in the ear drum • There was healed perforation in the ear drum • The patient was already suffering from labyrinthitis • Deep auricular branch of vagus has been stimulated