This document contains information about various topics in otorhinolaryngology including the anatomy of the pharynx, muscles, spaces, and diverticula. It discusses conditions like Zenker's diverticulum, adenoid hypertrophy, tonsillitis, tonsillectomy, epistaxis, nasopharyngeal angiofibroma, nasopharyngeal carcinoma, quinsy, and Ludwig's angina. Multiple choice questions are provided about Dohlman's procedure, adenoid hypertrophy, tonsillar supply arteries, post-tonsillectomy ear pain, the "teardrop sign", nasopharyngeal carcinoma, and distinguishing quinsy from other abscesses.

1. E N T
O T O R H I N O L A R Y N G O L O G Y

2. PHARYNX

3. A N ATO M Y

4. WA L D E Y E R R I N G

5. M U S C L E S

6. Z E N K E R D I V E R T I C U LU M

7. Dohlman's procedure is for:
a. Meckel's diverticulum
b. Zenker's diverticulum
c. Bochadlek hernia
d. Menetrier's disease
M C Q

8. R E T R O P H A RY N G E A L S PA C E

9. A L A R S PA C E

10. P R E V E R T E B R A L S PA C E

11. C AV I T Y O F P H A RY N X

12. Pa s s a v a n t ’s r i d g e

13. P a r a p h a r y n g e a l s p a c e / p t e r y g o m a x i l l a r y s p a c e /
p h a r y n g o m a x i l l a r y s p a c e / l a t e r a l p h a r y n g e a l s p a c e

14. A D E N O I D S

15. A 5-year-old girl is brought to you by her mother
with complaints of mouth breathing. She has a flat,
expressionless long face with an open mouth. On
examination, a high-arched palate and crowded
upper teeth are noted. The X-ray is given below.
What is the most likely diagnosis?
a. Lingual tonsils
b. Quinsy
c. Tonsillar hypertrophy
d. Adenoid hypertrophy
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20. E A G L E S Y N D R O M E

21. TO N S I L S

22. T O N S I L S

23. To n s i l l e c t o my

24. Which of the following conditions does not form a
grey-white membrane over the tonsils?
a. Streptococcal tonsillitis
b. Diphtheria
c. Ludwig's angina
d. Infectious mononucleosis
M C Q

25. Which of the following is the main arterial supply of
palatine tonsils?
a. Tonsillar branch of the facial artery
b. Descending palatine branch of maxillary artery
c. Buccal branch of maxillary artery
d. Ascending palatine branch of facial artery
M C Q

26. Which of the following nerves is responsible for ear
pain after a tonsillectomy surgery?
a. Glossopharyngeal nerve
b. Facial nerve
c. Trigeminal nerve
d. Vagus nerve
M C Q

27. J N A

28. A 14-year-old boy who is a football player
comes to the casualty with complaints of
epistaxis while playing football on the ground.
There is no history of trauma or fall. He also
gives a history of recurrent spontaneous nasal
bleeding and also unilateral nasal obstruction
and denasal speech. Contrast-enhanced CT
scan of the head is shown below. What is this
sign known as?
a. Aquino sign
b. Holman Miller sign
c. Teardrop sign
M C Q

29. M C Q
An 18 years old male presented with chief complaint of
Recurrent Epistaxis with nasal blockage. On examination, a
Polypoidal mass is seen going from nose to nasopharynx,
completely occupying the posterior choana as seen in
following image. On CT Scan enhanced uptake of Contrast is
seen. Most Likely Diagnosis is? (NEET 2022)
A. Nasopharyngeal Angiofibroma
B. Rhinoscleroma
C. Rhinosporidiosis
D. Antrochoanal polyp

30. N a s o p h a r y n g e a l c a r c i n o m a

31. A 70 year old male presents with neck nodes.
Examination of left ear reveals a dull tympanic
membrane, deafness and tinnitus. On
tympanogram, a Type B curve is obtained.
Most probable diagnosis is?
a. Chronic Suppurative Otitis Media
b. Glomus tumour
c. Nasopharyngeal carcinoma
d. Sensorineural hearing loss
M C Q

32. Which of the following is part of trotter's triad,
seen in nasopharyngeal carcinoma?
a. Conductive hearing loss, Ipsilateral
temporoparietal neuralgia, Palatal paralysis
b. Sensorineural hearing loss, Contralateral
temporoparietal neuralgia, Palatal paralysis
c. Sensorineural hearing loss, Ipsilateral
temporoparietal neuralgia, Palatal paralysis
d. Conductive hearing loss, Contralateral
temporoparietal neuralgia, Palatal paralysis
M C Q

33. Q U I N SY

34. M C Q
A young boy presents with dysphagia, soft
husky voice and drooling of saliva. Oral
examination is shown below. What is the likely
diagnosis? (NEET 2020)
A. Ludwig angina
B. Peritonsillar abscess
C. Parapharyngeal abscess
D. Retropharyngeal abscess

35. LU D W I G ’ S A N G I N A

36. Moral of the story:
No matter the odds of success or the scale of the challenge, your actions can make a
difference. It’s better to light a candle than curse the dark.
Every little counts. Doing something to make a positive change is always better than nothing!

37. THANK YOU