ENT sendups- sorted out SEQz 2012

"Fear Less, hope more
  eat less, chew more
  whine less, breathe more
  talk less, say more
  hate less, love more
  and good things will be yours"
                         - Swedish Proverb

Due to possible human error, if you find any SEQ in the wrong section, kindly feel free to tell.for answers and detailed discussion on scenarios and their diagnosis, important prof questions, pastpapers, and lot more, join our group on

facebook:http://www.facebook.com/groups/mbbsbatchof2013/

Remember in Prayers

Ear

>> A 5 year old child has progressive decreased hearing loss and mild earache off and on. There is H/O nasal obstruction, both tympanic membranes are dull with loss of light reflex.
a. diagnosis?
b. investigations?
c. Management? (CPMC)

>>  A 35 year old female presented with pain left ear for last 4 days. The pain is aggravated o chewing movements. There is no history of ear discharge. On examination movements of pinna are painful, meatus is occluded by swelling and there is some forward displacement of pinna.
a. diagnosis?
b. Differential diagnosis?
c. Management? (CPMC)

>> A seven year old child who had chronically discharging left ear, developed otalgia, retroauricular tender swelling with pinna protruded outwards and forwards. How will you manage? (CMC)

>> A female 45 years develops episodic vertigo. Each episode of vertigo being intense, accompanied with nausea and sweating, fullness in the ear, tinnitus and decreased hearing during the attack. She is having such episodes for last 6 months.
a. diagnosis?
b. D/D?
c. medical management? (CMC)

>> A 7 year old boy presented with mild otalgia and his mother was worried about his progress in school. Since last 6 months he has on and off attacks of sore throat. He also c/o difficulty in hearing.
a. diagnosis?
b. audiometric tests?
c. treatment? (CMC)

>> A 28 years old female was brought to emergency with history of headache, fever and neck stiffness. There is history of long standing left ear discharge, for which she was taking medications on & off. On examination she had attic perforation.
a. Diagnosis?
b. Investigations?
c. Treatment? (AIMC)

>> A 40 years old female presented with history of episodic vertigo, right sided tinnitus and hearing loss for last 5 years. Frequency of attacks is increasing and now she has developed decreased hearing from right ear.
a. diagnosis?
b. Investigations?
c. Treatment? (AIMC)

>> 40 year old male had surgery for cholesteatoma on left side. On recovery from anaesthesia he noticed that he cannot close his left eye and angle of mouth is pulled to the right without any taste disturbance.
a. what is the cause with probable site of lesion?
b. commonest condition you have to differentiate it from?
c. manage? (WMC)

>> Note on a. Exostosis? B. Haematoma auris(WMC)

>> A 10 years old child presented to OPD with history of scanty purulent foul smelling ear discharge for last 2 years. Ottoscopic examination reveals attic perforation with granulations.
a. diagnosis?
b. Complications?
c. manage? (QAMC)

>> A 40 years old male presented with episodic vertigo and fluctuating sensorineural hearing loss and tinnitus for last 2 months.
a. diagnosis?
b. investigations? (QAMC)

>> A 15 years old boy presented in emergency with sudden facial asymmetry on left side after herpes zoster infection.
a. Diagnosis?
b. differential diagnosis? (QAMC)

>> 9 years old boy presented with complaints of watching and listening tv with loud voice and poor performance in class and no response to conversational voices.
a. possible diagnosis?
b. manage?
c. complications? (FMH)

>> 45 years old patient with sudden vertigo on changing the position of head which is of few seconds associated with nausea only.
a. diagnosis?
b. pathophysiology?
c. describe Two maneuvers to treat? (FMH)

>> describe briefly. A. internal auditory canal. B. subperiosteal abscess of orbit. C. holman’s sign and tumor brush(FMH)

>> 25 years old developed loss of hearing and facial palsy after getting injury on the scalp.
a. describe possible line of fracture
b. manage? (FMH)

>> short notes on
a. plummer vinson syndrome
b. posterior wall of tympanic cavity
c. acoustic reflex(FMH)

>> 30 year old female receptionist with episodic vertigo, tinnitus and reduced hearing. Ears normal. Her pure tone audiograms show bilateral low frequency sensorineural hearing loss.
a. diagnosis
b. further sudiological tests?
c. surgical options? (NSMC)

>> 26 years old pregnant lady with right sided complete lower motor neuron lesion facial nerve paralysis
a. diagnosis
b. manage?
c. differences bw upper and lower motor neuron lesions causing facial paralysis(NSMC)

>> A 3years old child with his mother who complains that his child could not speak intelligently. Ears normal in shape.
a. audiological investigations
b. causes leading to this problem?
c. manage? (NSMC)

>> Young man having motor cycle accident with right ear bleeding with sight hearing impairment. Vitals, Glasgow coma scale and neck movements are normal but there is some blood in the right external auditory canal with conductive hearing loss.
a. diagnosis
b.  investigate(RMC)

>> Female 22 years with right ear pain for 3 days which has gradually increased in intensity. The pain aggravated on chewing movements. There is no history of ear discharge. Movements of pinna are painful, meatus is occluded by swelling and forward displacement of pinna.
a. diagnosis
b. D/D
c. manage? (SIMS)

>> Female 25 years with decreased hearing in both ears for last 4 years which is gradually worsening. Hearing is better in noisy surroundings. Tympanic membrane intact but pinkish in colour.
a. diagnosis
b. findings on tuning fork tests and on pure tone audiometry
c. manage? (SIMS)

Short notes on.
a. cholesteatoma
b. cochlear implant(SIMS)

>> 55 years old female with recurrent attacks of tinnitus with vertigo and fluctuating hearing loss. Normal tympanic membranes.
a. investigate?
b. D/D? (SZMC)

>> 2 years child with fever and severe pain right ear. Respiratory infection 3 days back. Bulging and hyperemic right tympanic membrane.
a. diagnosis
b. treatment(SZMC)

>> Short notes on
a. otomycosis
b. otitic barotrauma(SZMC)

>> A 17 years old girl is diagnosed as a case of secretory otitis media.
a. describe clinical presentation of the case?
b. treat? (IMC)

>> 45 years old lady got an attack of severe vertigo while delivering a lecture which lasted for about 30 minutes after which she was normal. h/o few such attacks in the past. Ear looks normal. Tuning fork test shows mild sensorineural deafness in the right ear.
a. diagnosis?
b. investigations?
c. instructions to the patient? (IMC)

>> describe surgical treatments of a case of chronic maxillary sinusitis not responding to medical treatment?(IMC)

 Nose

>> A 50 years old diabetic male for last 10 years is admitted in the medical ward for management of diabetic ketoacidosis. Black necrotic turbinate is noted in the right nostril along with right eye proptosis by the medical resident on call. The patient is sent to ENT department for consultation.
a. Diagnosis?
b. How will you prove your diagnosis?
c. Manage? (CPMC)

>> A young man has peculiar nasal obstruction that he can breathe in but cannot breathe out. On examination he has a mass in left nostril.
a. Diagnosis?
b. Investigate?
c. treatment? (CPMC)

>> A 30 years old female complains of proptosis of the right eye, diminution of vision in the right eye, rhinorrhea and cough.
a. differential diagnosis?
b. what investigations will you prefer to confer or negate each of your diagnosis? (CPMC)

>> A 55 years old lady presents with right sided nasal obstruction, foul smelling blood stained discharge, right sided proptosis and pain in face. Examinsation aslso reveals a loose right upper molar tooth. How will you manage? (CMC)

>> Causes of unilateral nasal discharge. How will you treat rhinolith? (CMC)

>> Classify nasal polyp. How will you diagnose and treat case of Antrochoanal polyp. (CMC)

>> A 14 year old boy presented in ENT OPD with his mothers with compaints of bleeding from nose off and on for the last 8 months. His mother tells you that he is having nasal obstruction and his voice quality has also changed.
a. Diagnosis and which single examination procedure would you like to carry out to reach to a provisional diagnosis?
b. manage? (AIMC)

>> A 40  year old diabetic, immunocompromised woman presented with nasal obstruction, headache and swelling of left eye. CT scan shows double density sign in paranasal sinuses.
a. Diagnosis?
b. management plan? (AIMC)

>> A 40 years old patient has presented with history of attacks of profuse clear watery nasal discharge with transient obstruction. Laboratory finding show normal IgE levels
a. Diagnosis?
b. what other important condition is to be excluded?
c. differentiating features in respect of cause, age of onset, complaints and lab findings in each? (WMC)

>> A 30 year old diabetic developed boil nose. He was seen by general physician and was given antibiotics and anti inflammatory drugs. 3 days later he developed high grade fever, swelling of eyes, prostration, headache and diplopia.
a. Diagnosis?
b. Investigate?
c. Manage? (WMC)

>> A man gets feeling of tightness in the face and cheeks followed by blood stained nasal discharge after air travel. Also complains of headache of dull nature.
a. diagnosis?
b. definition, etiology, pathology clinical features and management in this case
c. How can you prevent this condition? (WMC)

>> Enumerate tumors of nasopharynx. Discuss treatment of nasopharyngeal carcinoma. (QAMC)

A young boy presented history of nose trauma 244 hours back. On examination nose is blocked with blood clots, nasal bridge is swollen with deviation of nose. How will you manage the case? What complications can be associated? (QAMC)

>> A 35 years old diabetic male presented with fever headache and nasal obstruction since last night. On examination, there is tenderness over cheeks, vision is alright, nasal mucosa is congested with purulent discharge coming through middle meatus. What is the most probable diagnosis? What complications can occur? (QAMC)

>> patients with red spot on her lips suffers from regular nose bleeds, she is also under treatment for gut lesions.
a. possibility?
b. investigate?
c. treatment (FMH)

>> 14 year old boy has right side nasal obstruction that is progressive in nature and massive nasal bleeding off and on. On examination, a mass is present in right nostril and there is also swelling of right check.
a. diagnosis?
b. Confirm your diagnosis?
c. if same mass extending into cheek, mention its route. (NSMC)

>> 47 yr male with bilateral nasal obstruction, headache and postnasal discharge. On examination his nasal cavities are filled with multiple whitish looking masses that are insensitive to touch.
a. diagnosis
b. surgical approaches and which one is best and why?
c. complications of surgery? (NSMC)

>> 27 years old school teacher with h/o nasal obstruction, watery nasal secretions and occasional sneezing specially at morning timings. She is in the habit of using a decongestant nasal spray. Her inferior turbinates were swollen and wet.
a. diagnosis
b. how this differs from nasal allergy?
c. manage(NSMC)

>> 60 years old diabetic woman develops fever with b/l nasal congestion, orbital swelling of right side of face and facial pain for the last 6 days, endoscopy shows areas of congestion of nasal mucosa with black necrotic mucous on both sides
a. diagnosis
b. investigation
c. treat? (RMC)

>> 15 year young girl with severe watery rhinorrhea bilaterally alongwith occasional nasal congestion. Dark circles under the eyes and pale boggy inferior turbinates.
a. diagnosis
b. investigate
c. treatment(RMC)

>> 20 year old woman was using vasoconstrictor nasal drops on and off for reducing rhinosinusitis for 6 years. She gets attacks of nasal discharge sneezing and permanent nasal obstruction. She has grape like masses hanging in the nasal cavity.
a. diagnosis
b. medical treatment options?
c. best surgical procedure, enumerate complications also. (RMC)

>> various non traumatic causes of CSF rhinorhoea?
b. imp radiological investigations?
c. management? (SIMS)

>> Male child 14 years with recurrent epistaxis and right sided nasal obstruction for last 6 months. Mass in right nasal cavity and nasopharynx which is lobulated and pinkish in colour.
a.diagnosis?
b. investigations?
c. manage? (SIMS)

>> Management of a 20 years old motorcyclist who has sustained injuries on his facein a road traffic accident. (SIMS)

>> 22 years female with right sided nasal obstruction and foul smeling rhinorrhea for last 2 months. X-rays of paranasal sinuses showed opacity of right nasal cavity and maxillary sinus.
a. diagnosis
b. treat? (SZMC)

>> 4 years old child with b/l nasal obstruction. h/o nasal trauma 2 days back. Anterior rhinoscopy revealed bilateral cystic swelling of septum.
a. diagnosis
b. treat
c. complications(SZMC)

>> 30 years old female with c/o intermittent attacks of sneezing, nasal blockage and watery nasal discharge for last 5years. For the last 1 yeear, she states that her left sided nasal blockage has increased in intensity. Her nasal examnination showed septal deviation to right side with pearly white glistening multiple masses in left nasal cavity.
a. diagnosis
b. investigate and treat? (SZMC)

>> 3 year old female baby with mouth breathing, exclusive watering from mouth at right, nocturnal cough and occasional epistaxis. On anterior rhinoscopy, nothing abnormal is visible.
a. diagnosis?
b. radiological investigations?
c. Treat? (IMC)

>> Boxer got sever injury to nose on day before and presented with epistaxis and almost complete blockage of nose. No external deformity of nose. Anterior rhinoscopy shows bilateral smooth reddish swellings. X-ray nasal bone shows no fracture.
a. diagnosis?
b. treat?
c. complication? (IMC)

 Pharynx & Oral cavity

>> a. How will you diagnose a case of diphtheria?
     b. Complications?
     c. Treatment? (CMC)

>> A 9 years old boy comes with history of fever and painful swallowing. On examination there is greyish white membrane over the right tonsil which also extends to the soft palate.
a. Diagnosis?
b. Treatment?
c. Complications? (AIMC)

>> A 50 year old diabetic lady comes to OPD with complaints of boil in right tonsil. The next day she is brought to the emergency with headache, fever, vomiting and drowsiness.
a. diagnosis?
b. Management? (AIMC)

>> A 62 years old overweight retired businessman comes to you in ENT OPD with complaints of pain on right side of throat for last 3 days alongwith fever and difficulty in opening the mouth.
a. diagnosis and how will you treat?
b. Complications? (AIMC)

>> 25 year old male presented with 3 days history of sore throat for which he was getting treatment from a GP. He is unable to open mouth, having high grade fever and enlarged lymph nodes in jugulodigastric region. There is marked oedema of right side of palate, enlarged tonsil and uvula pushed to right:
a. diagnosis?
b. Manage? (WMC)

>> 6 years old child with fever 38C and sore throat, there is greyish membrane over the tonsil and his pulse is 160/min
a, diagnois?
b. investigations?
c. Treatment? (FMH)

>> 7 year old boy is having h/o recurrent attacks of acute tonsillitis  with high grade fever (more than 102 degrees) and child was unable to attend school during attacks which were 5 in number per year for last 3 years.
a. diagnosis
b. treat?
c. mention different sorts of hemorrhages associated with surgical treatment of disease? (NSMC)

>> 20 years old male presented with sore throat and fever for last 3 days. Gray membrane on right tonsil which is extending to the soft palate.
a. diagnosis
b. investigate
c. complications
d. significance of early presentation regarding dosage of drug of choice. (RMC)

>> A. D/D of whitish membrane on tonsils
b. characteristic features of a diphteric membrane?
c. systemic manifestations of this condition and causes of mortality? (SIMS)

>> 35 years old female presented with fever and swelling in submental and right submandibular region for 4 days. Skin over the swelling is red and swelling is tender. First molar tooth of right lower jaw is carious.
a. diagnosis?
b. causative organisms?
c. manage? (SIMS)

>> 35 years old lady having h/o pan chewing for last 15 years, now for the last six months, she has developed slowly progressive dysphagia with trismus. Oral examination reveals whitish soft palate with contractures.
a. diagnosis?
b. management? (SZMC)

>> A. indications of tonsillectomy?
b. how will you treat reactionary hemorrhage 24 hours post-op? (IMC)

  

Larynx

>> A 4 years old child was playing. Suddenly he developed difficulty in breathing, stridor and low grade fever. No H/O foreign body inhalation. H/O running nose and cough for the last three days. How will you manage? (CPMC)

>> A 50 years old male complains of hoarseness of voice for the last 8 months.
a. How will you arrive at the diagnosis?
b. causes of vocal cord paralysis? (CPMC)

>> 55 years old male, known smoker for last 30 years presents with hoarseness of voice of two years duration. Indirect laryngoscopy shows an irregular mass involving both vocal cords anteriorly with impaired mobility. Examination of neck is unremarkable. Histopathology of the mass reveal well differentiated sq cell carcinoma.
Give TNM classification and staging of glottis tumors. (WMC)

>> what are the causes of left recurrent laryngeal nerve paralysis. How will you treat a case of B/L vocal cord paralysis? (CMC)

>> A 4 years old child presented in emergency with high grade fever and rapidly progressive dysphagia after an attack of sore throat. Child looks toxic, sitting in prop up position.
a. what is your diagnosis?
b. How will you manage this case?

>> A 55 years male, chain smoker developed change in voice for last one year. Now she developed extreme difficulty in breathing for last 15 days.
a. Diagnosis?
b. investigations
c. Different treatment modalities? (AIMC)

>> 11 years old boy learning hifz e Quran in a madrassa is seen with hoarseness of voice and at times aphonia especially in morning since he started his classes a year ago.
a. Diagnosis?
b. Differential diagnosis?
c. Management? (WMC)

>> A 60 years old smoker man developed hoarseness of voice for three months and respiratory distress for last 2 weeks. On examination there is mass on left vocal cord, what is diagnosis? Differential diagnosis? Investigations? How will you treat? (QAMC)

>> A 7 years old child has history of sore throat for last one year. He developed s3evere deep seated pain in throat. On examination he has drooling of saliva and mouth opening is painful. His oropharynx is totally normal. X- ray soft tissue neck lateral view shows thumb sign. What is diagnosis. How will you manage? (QAMC)

>> anatomical differences in children which may make management of airway more difficult than in adults (FMH)

>> classify the causes of laryngeal paralysis and briefly give the management of each variety.
(FMH)

>> 4 year old child brought with severe stridor and drooling of saliva from angle of mouth. High grade fever with ill looks.
a. diagnosis
b. name the organism responsible for this disease.
c. manage? (NSMC)

>> 65 year old male heavy smoker was having changed voice for last three months presented with respiratory difficulty.
a. diagnosis
b. manage the respiratory problem
c. treatment plan(NSMC)

>> 60 years old smoker male having progressive hoarseness of voice for last 6 months has now presented with respiratory distress for last 5 days.
a. diagnosis
b. immediate management?
c. treatment plan?(SIMS)

>> 45 years old male with h/o smoking 20 cigarettes daily for the last 30 years presented with c/o slowly progressive hoarseness of voice, now for the last 2 months developed dyspnea and right otalgia. Indirect laryngoscopy reveals fungating growth of right vocal cord with impaired mobility.
a. diagnosis?
b. manage? (SZMC)

>> 30 year old male with severe sore throat, odynophagia, high grade temperature for last 2 days. Saliva is drooling down the angle of mouth, anxious looking face and trismus.
a. diagnosis?
b. treat? (IMC)

>> Describe clinical features and treatment of vocal nodules. (IMC)

 Oesophagus

>> 70 years edentulous male came with sudden onset complete dysphagia. He is spitting saliva and getting bouts of chocking
a. Diagnosis?
b. Why is he getting cough?
c. how will you investigate a patient of dysphagia? (WMC)

>> A 40 years old landlord presented with difficulty in swallowing for last 9 months which has progressively increased over this period. Now he is only able to take liquids orally.
a. differential diagnosis?
b. Investigate? (AIMC)

>> A 25 yaers old lady complains of progressive dysphagia for last one year. On examination she has pallor, angular stomatitis and koilonychias. What is the diagnosis? How will you manage? (QAMC)

>> 30 years old female with history of difficulty in swallowing for last 6 months. Indirect laryngoscopy is normal. Hb is 6 gm/dl. Barium swallow reported esophageal web.
a. diagnosis
b.findings which can be expected during ENT and systemic examination?
c. what other investigations are likely to be abnormal in her case?
d. medical treatment?(RMC)

>> A. esophageal causes of dysphagia(SZMC)
b. enumerate complications of rigid esophagoscopy(SZMC)

 Surgical procedures

>> What is CALDWELL-LUC operation?
    Indication and contra indication? (CMC)

>> Adult patient has undergone tracheotomy operation
a. post op nursing care. Discuss with reasoning. (IMC)

Posted in: