Correct Answer - D
Ans. is 'd' i.e., 4000 Hz

Noise induced hearing loss
Exposure to loud noise can lead to permanent hearing threshold
shifts.

This may happen immediately with extreme exposure (nearby
explosion or gunfire), but more commonly occurs slowly over time
with repeated exposure to industrial or environmental noise.

Patients will often have a typical 4-KHz (4000 Hz) notch (dip at
4000 Hz) in their audiogram called acoustic dip.

Auditory effects of noice are :?
1. Auditory fatigue :- at 90 d B and 4000 Hz.

2. Hearing loss

3. Temporary :- At 4000 - 6000 Hz

4. Permanent :- Repeated prolonged exposure to 100 d B or single exposure to 160 dB

@ENTVideos

Correct Answer - C
Ans. is 'c' i.e., Herpes zoster [Ref Head and Neck Surgical
Pathology p. 53]

Ramsay Hunt syndrome

It is lower motor neuron type of facial palsy due to Varicella (herpes) zoster.

Pain is often a prominent feature and vesicles are seen in the ipsilateral ear, on the hard palate and/or on anterior two third of tongue. It may involve other cranial nerves-V, VIII, IX and X and cervical branches (C2 , C3 & C4 ) that have
anastomotic communications with facial nerve.

This results in features like : Anaesthesia of face
Giddiness
Hearing impairment along with VII nerve palsy

@ENTVideos

Correct Answer - C
Ans. is 'c' i.e, Otitis externa [Ref Clinical ENT 5 th /e p. 223]

Excessive moisture is an important predisposing factor for otitis
externa as excessive moisture elevates the pH and removes
protective cerumen.

Therefore, humidity and hot climate predispose
to otitis externa. Hence otitis externa is also known as :-
1. Singapore ear (where climate is hot and humid)
2. Swimmer's ear
3. Telephonist's ear (telephonists who require inserts in their ear have excessive moisture due to sweating)

@ENTVideos

Correct Answer - B
Ans. is 'b' i.e., Schwartz sign


A reddish hue / Flammingo pink may be seen on the promontory and oval window niche owing to the prominent vascularity associated with an otospongiotic focus. This is k/a Schwartz sign.


Schwartz sign is a pink reflex, seen through intact tympanic
membrane, in the area of oval window.

It indicates active otosclerosis usually during pregnancy.

Lyre's sign is splaying apart of internal and external carotid arteries on angiogram in cases of carotid body tumour of the neck.

Chvostek's sign seen in hypocalcaemia as after total thyroidectomy where parathyroids have also been removed. Tapping over the distribution of facial nerve produces a twitch.

@ENTVideos

Correct Answer - D
Ans. is 'd' i.e., Elevation anterior to middle turbinate

Atrium is a shallow depression in front of the middle turbinate.

Agger nasi is an elevation just anterior to the attachement of middle turbinate.

@ENTVideos

Correct Answer - A
Ans. is 'a' i.e., Anterior ethmoidal artery

Since external carotid artery is ligated, the bleeding comes from
branches of the internal carotid artery.

Anterior ethmoidal artery, a branch of ophthalmic artery, which is a
branch of internal carotid artery, is a constituent of the blood supply
of the Little's area of the nasal septum.

Blood supply of nasal septum
i) Internal carotid system
Anterior ethmoidal artery
Branches of ophthalmic artery
Posterior ethmoidal artery
ii) External Carotid System
Sphenopalatine artery (branch of maxillary artery) gives
nasopalatine and posterior medial nasal branches.

-Septal branch of greater palatine artery (Br. of maxillary artery).
Septal branch of superior labial artery (Br. of facial artery)

@ENTVideos

Correct Answer - C
Ans. is 'c' i.e., Glomus tumor

Clinical features of glomus tumor
The earliest symptoms of glomus tumour is pulsatile tinnitus
(earliest) and hearing loss.

Hearing loss is conductive and slowly progressive. These are followed by blood stained otorrhoea and earache.

Before the tympanic membrane (eardrum) is perforated a red
swelling is seen to arise from the floor of middle ear, i.e. "Rising
sun" appearance. This results in a red reflex through the intact
tympanic membrane.

Sometimes, eardrum may be bluish and bulging. o Pulsation sign
(Brown sign) is positive, i.e. when ear canal pressure is raised with
Siegle's speculum, tumor pulsates vigorously and then blanches;
reverse happens with release of pressure.

Aquino sign is positive, i.e. blanching of mass with manual
compression of ipsilateral carotid artery.

When the tumour perforates the eardrum a polypus will be seen in
the meatus and this will bleed profusely if touched.

@ENTVideos

Correct Answer - D
Ans. is 'd' i.e., Supraglottic carcinoma

Clinical features of supraglottic carcinoma

Pain on swallowing is the most frequent initial symptom
Mass in neck may be the first sign.
Hoarsness is a late symptom.
Pain may be referred to ear by vagus nerve and auricular nerve of
arnold.
Late symptoms include foul breath, dysphagia and aspiration.
Large tumors can cause "hot potato voice/muffled voice".
Hemoptysis, sore throat, shorteness of breath, stridor, otalgia and
aspiration pneumonia may also occur.

@ENTVideos

Subjectwise Medical TELEGRAM CHANNELS
FOR NEET PG, AIIMS PG , JIPMER, NIHMANS ( INI CET)

we will be posting daily QUESTIONs, high yeild points, clinical cases and many more

1.Anatomy channel :
https://www.tg-me.com/anatomyvideoss

2. Physiology channel:
https://www.tg-me.com/Physiology_videos

3.Biochemistry channel :
https://www.tg-me.com/biochemistry_videos

4. Pathology :
https://www.tg-me.com/sketchymedical

5. Community medicine :
https://www.tg-me.com/communitymedicinevideos

6 ENT :
https://www.tg-me.com/ENTVideos

7.. Ophthalmology:
https://www.tg-me.com/ophthamologyvideos


8.. Paediatrics :
https://www.tg-me.com/paedsvideos

9.: Obs/gynecology:
https://www.tg-me.com/obs_gynee

10.. Surgery:
https://www.tg-me.com/surgeryvideos

11.:Radiology:
https://www.tg-me.com/Radiology_videos

12 :Internal Medicine :
https://www.tg-me.com/medicinevideoss

13. Orthopaedics
https://www.tg-me.com/ortho_vid


14.Oncology
https://www.tg-me.com/oncology_vid

15.Anesthesia
https://www.tg-me.com/anaesthesia_vid


16.Forensic medicine
https://www.tg-me.com/forensicmedicine_videos


17.. Dermatology
https://www.tg-me.com/dermatology_vid

18 .Psychiatry
https://www.tg-me.com/psychiatry_vid

19..Microbiology
https://www.tg-me.com/microbiology_vid


20..Pharmacology
https://www.tg-me.com/pharma_vid

Profwise Groups
21 First PROF MBBS GROUP👇
https://www.tg-me.com/+837UxE-A6680MzNl
19k members

23 . 2nd PROF MBBS GROUP👇
https://www.tg-me.com/+Wk9oxPJEmu1iOWM1
20k members

24. 3rd PROF MBBS GROUP👇
https://www.tg-me.com/+U83Zc6C4iSJmNjJl
15k members

25 FINAL PROF MBBS Group 👇
https://www.tg-me.com/+uhlou_dQxylmMzU1
20k members
26. FMGE preparation Group👇
https://www.tg-me.com/+mn-An8iSNtEzOGQ1 members
37k

27. Intern & Post Intern Group 👇
https://www.tg-me.com/+TfvNbL3UWlw1NWI1
1 lakh members

28 . NEET SS ( super speciality Group )
For Residents
www.tg-me.com/Neet_ss

29.  Sketchy videos :
30. PATHOMA VIDEOS: @pathomaavideos
31. DOCTOR IN TRAINING
@Doctors_intraining
32 MEDICAL BOOKs
@Medflix20
33.DR CONARD FISCHER LECTURES @doctorConardFischer
34..OSMOSIS VIDEOs : @Medical_osmosis
35. KAPLAN VIDEOS : @kaplanvideos
36. UWORLD : @U_world
37 Lecturio videos : @Medical_lecturio
38 Histology & physical examination :
@physicalexaminationvideos
39. onlinMeded videos : @onlineMedEdvideos
40. PLAB , Mrcp : @Plab_MRcp
41. Dr been Videos : @Dr_beenvideos
43. Incision : @incision_videos
42. physeo : @physeo_videoss
44 Usmle Step 1&2
@usmlestep_1_2
45 FMGE Channel : @Fmge_preparation
46. PYQ CHANNEL NEET PG
https://www.tg-me.com/PYQ_CHANNEL


48 FMGE 2023 Discussion & Quiz Group : @FMGEgroupstudents
49. NEET PG 2024 channel : @Doctorusmlechannel

50. NEET PG 2024 Preparation & Quiz Group
@doctorusmle

BEST TELEGRAM MEDICAL CHANNELS
All You need in your Medical Life

For any queries inbox @murtazakuchay

Correct Answer - D
Answer- D. Foreign body obstructing airway

Indications of tracheostomy:

Upper respiratory tract obstruction; Laryngeal, supralaryngeal ,and
tracheal causes.( Causes of stridor )

Lower respiratory tract obstruction: (Secretory obstruction, Wet lung
syndrome).

@ENTVideos

ANSWER: A. Maxillary sinus

Waters' view (also known as the Occipitomental view) is a
radiographic view, where an X-ray beam is angled at 45° to the
orbitomeatal line.

The rays pass from behind the head and are perpendicular to the
radiographic plate.

It is commonly used to get a better view of the maxillary sinuses.

@ENTVideos