ENT Group E
ENT Group E
Q1. On the 6th Postop day tonsillectomy, a patient came in the ER complaining of bleeding for
the last 3 hours. What should be the the most probable cause:
a) Trauma
b) Infection
c) slippage of ligature
d) bleeding disorder
e) inadequate medication taken
Q2. Young male with a history of RTA came into the ER complaining of epistaxis and bilateral
nasal obstruction. What could be the most probable diagnoses?
a) DNS
b) Fracture of nasal bone
c) Septal haematoma
d) Laceration over nose
e) Septal abscess
Q3. A patient came in with a history of nasal obstruction, thick discharge, facial pain for the last
6 months. What is the best investigation to evaluate nose and sinuses.
a) Nasal endoscopy
b) CT scan
c) MRI scan
d) X ray waters view
e) ultrasound
Q4. A male boy came to opd with a history of right ear discharge which is thick and foul
smelling. On examination of ear tympanic membrane is perforated and cholesteatoma seen. For
the last 5 days there has been a history of pain in my right ear. What is the best treatment
option
a) systemic antibiotics
b) Tympanoplasty
c) Canal wall up mastoidectomy
d) Canal wall down mastoidectomy
e) myringoplasty
SEQs
Q1. 20 yrs old male come to opd with complaint of fever for 5 days, purulent nasal discharge
along with facial pain and headache. On examination there was pus in middle meatus and facial
tenderness
a) enumerate 3 differential diagnosis
Maxillary sinusitus ethmoidal sinusitis frontal sinusitis
b) write 3 investigation of choice
CBC cs nasal discharge X ray waters view ct of nasal and para nasal sinuses and nasal
endoscopy
c) write your management plan
analgecis antibiotics nasal decongestant
antral wash antral lavage
intra nasal antrostomy
Q2. 15 years old girl came to the ER with fever for 3 days along with a sore throat and
odynophagia for 1 day. She is having dysphagia and a hot potato voice and left side pain in
throat. On examination the soft palate is swollen and uvula is pointing to the right side.
a) What is the possible diagnosis
tonsilitis
b) Commonest organism responsible for it
Group b haemolytic streptococus
c) What is acute management
Rest take fluid
analgesics
antibiotics
d) What could be the complication of this condition
Pertonsilar absess paraphrangeal abesses otitis media bacterial endocarditis
Q3. 25 years old female came to OPD with a complaint of decreased hearing for 6 months, she
noted this condition got worse in pregnancy. On examination both tympanic membranes were
normal with Rinne’s negative bilaterally and weber's going towards the left side. Her PTA
showed Cohart’s notch
a) What is the most probable diagnosis
otoscelerosis
b) What are the treatment option
sodium floride
stapedotomy stapedectomy
c) What are the contraindications to surgery if surgery is advice in this patient
the only hearing ear
young child
professional athelete
those who work in noisy surrounding
meniere disease
Q4. 33 years old female patient is presented to you in OPD with midline neck swelling which is
moving with deglutition but not with tongue protrusion. Swelling is slowly growing in size for last
6 months.
A) What are the differential diagnosis
B) What investigations needed to reach diagnosis
C) What are the treatment options
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