SlideShare a Scribd company logo
1 of 132
Download to read offline
LRR for FMGE
Dr Vyshnavi
Loading…
PYQ One liner
External Ear Middle Ear Inner Ear
Cartilage –
Areas Devoid of cartilage –
Length of External aud canal –
Bony part –
Cartilagenous part
Fissure of Santorini –
Foramen of Huschke
Roof -
Floor-
Post –
Ant-
Lateral-
Medial-
Sensory Neuro epithelium in
Vestibule –
Sensory Neuro epithelium in SCC-
Sensory Neuro in Cochlea-
Loading…
• What is the function of utricle and saccule in inner ear?
• Linear motion and Angular motion
• Linear motion
• Helps in hearing low-frequency sound
• Helps in hearing high-frequency sound
Nerve supply
• A patient was diagnosed with ear wax and was
subjected to syringing to remove the wax. She
developed a syncopal episode while doing the
procedure when the tip of the syringe touched the
ear canal. Which of the nerves is responsible for
this episode of syncope?
1. Auriculotemporal nerve
2. Arnold’s nerve
3. Glossopharyngeal nerve
4. Jacobson’s nerve
Hearing pathway Vestibular pathway
Tuning fork test Audiometry Tympanometry
Rinne Positive –
Rinne Negative –
Weber test-
Normal
CHL
SNHL
ABC-
Loading…
• A young man met with an accident leading to loss of hearing in the
right ear. On otoscopy examination the tympanic membrane was
intact. Pure tone audiometry showed AB gap of 55 dB on the right ear
with normal cochlear reserve. Which of the following will be probable
tympanometry finding:
Special Test
Cochlear Retrocochlear
-OAE
-BERA
-
RECRUITMENT[SISI/AB
LB]
-Tone decay test
Electrocochleography
Middle ear Diseases[BUZZ WORDS]
• Child +Ear pain+ Fever+ Hearing loss=
• Child+ Hearing loss +/- additional features=
• Middle Age + Female + Hearing loss =
• Ear discharge[profuse ,non foul smell,non blood stained] +/- pain
+hearing loss +Discharge increases with URTI =
• Ear Discharge [Scanty,foul smell,blood stain]+hearing loss =
CSOM
Tubotympanic Atticoantral
External Ear diseases
Menieres BPPV Labyrinthitis Vestibular neuronitis
Loading…
Vestibular Assessment
• Nystagmus
• Temperature Change
• Pressure change
• Positional change
• 1]Glomus tumours originate from ………………..cells
• 2]Types of glomus 1] ………………… and 2] ………………..
• 3]Benign /Malignant ??????
• 4]Slow growing ? or fast growing ?
• 5]Histopathological appearance …………………..pattern ?
• 6]Chief symptoms???? 1]
• 2]
• 3]
• 7]Locally invasive or not???
• 8] Cranial nerve palsies yes or no???
• 9]Sweating /flushing/ headache? yes or no?
• 10]Investigation of choice? CT or MRI/Plain or contrast?
• 11]Salt and Pepper appearance is seen in – CT or MRI or Angiography or
• Acoustic Neuroma /Vestibular Schwannoma
• 1]Most common nerve from where it originates?
………………………..
• 2] Bilateral acoustic neuroma is seen in ………………………..
• 3]Type of cells seen in histopathology?
• 4]Symptoms
• Hearing loss- unilateral or bilateral?
• Cochlear or retro cochlear?
• Tinnitus? [Present or absent]
• 5]Involvement of ……………… nerve results in absent corneal
reflex?
• 6] Hitzelberger sign occurs due to involvement of ………… nerve
• 8]Dysphagia/ palatal paralysis / speech difficulty due to involvement
of ……………. nerve
• 9]Diagnosis is by ………………………………
• 10] Treatment is ……………………………….
• 11] Benign /Malignant?
• 12]Loss of corneal reflex is suggestive of ………………. size of
tumour?
• 13]Recruitment test – Positive or negative?
• 14]Speech discrimination score – Poor or good ?
• 15]On BERA delay in --------------wave is seen?
• Patient presented with severe headaches from the last 6 months. He
also complaints of tingling all over his face. He reports he has never
had any kind of trauma. MRI of the brain was taken, which is shown
below. What is the most likely diagnosis?
• A. Acoustic neuroma
• B. Hemangioblastoma
• C. Epidural hematoma
• D. Sub arachnoid hemorrhage
External nose
• Which of the following is true regarding the external nose?
• Bone 1/3rd Cartilage 2/3rd
• Bone 2/3rd Cartilage 1/3rd
• Bone 1/2rd Cartilage 1/2rd
• Bone 1/3rd Cartilage 1/3rd
Internal nose
• Septum
• Lateral wall
• A emotional patient complains of being able to taste her own tears
after a few minutes of crying. Through which pathway do tears drain
into the nasal cavity?
• 1 Nasolacrimal duct into the infundibulum of the middle meatus.
• 2.Nasolacrimal duct into the inferior meatus.
• 3.Nasolacrimal duct into the sphenopalatine foramen into the superior
meatus.
• 4.Nasolacrimal duct into the semilunar hiatus of the superior meatus.
Septal Hematoma Septal Abscess
Rhinoscleroma Rhinosporidiosis
Mode of inf-
Organism –
Symptoms-
Diagnosis
Treatment
Atrophic Rhinitis Rhinitis Sicca
Organism –
Symptoms
• A female presented with decreased ability to smell. On examination
there is a large nasal cavity with foul smell coming from her nasal
cavity. CBC showed microcytic anemia and serum vitamin D levels
are low. What is the most likely organism causing her disorder?
• A. Pseudomonas aeruginos
• B. Klebsiella ozaena
• C. Proteus mirabilis
• D. Haemophilus influenza
Allergic Rhinitis Non allergic rhinitis
Sinusitis
• A 65-year-old male patient presents to the emergency department with
a 2-week history of purulent nasal discharge and facial pain. Mild
maxillary tenderness is noted bilaterally. He denies nasal obstruction,
changes in the sense of taste or smell, and has no postnasal drip.
Which of the following radiographic findings are consistent with the
suspected diagnosis?
• 1.Bony destruction of the maxillary sinuses
• 2.Air-fluid level in the maxillary sinuses
• 3.Thinning of the sinus mucosa
• 4.Linear fractures in the sinus
AC polyp Ethmoidal Polyp
• A 35-year-old female takes a tablet of aspirin for her headache, later
she presented with wheezing and breathlessness. These symptoms are
most likely due to which of the following?
• IgE release
• Nasal polyp
• Drug interaction
• Extrinsic asthma
• A patient with facial injuries is brought to casualty with swelling of
the upper lip and bleeding from the nose. There is malocclusion and
ecchymosis of the maxillary buccal sulcus. A CT scan of facial bone
shows bilateral transverse fractures passing through the maxilla above
the level of the teeth. Which of the following is consistent with the
injury described?
• 1.Le Fort I fracture
• 2.Le Fort II fracture
• 3.Le Fort III fracture
• 4.Le Fort IV fracture
• After a RTA , 24-year-old male is brought to the ER .He hit is head on
the stearing of the car.Now the patient complains of difficulty in
perception of smell along with clear 'mucous' draining from his nose.
On CT of the skull, there is a fracture. What is the most likely
anatomical injury that caused these symptoms?
• 1.The cribriform plate of the ethmoid
• 2.Superior turbinate
• 3.Frontal sinus
• 4.Middle turbinate
Pharynx Anatomy
One liners
• Passavants ridge is formed by ………………..
• Sinus of Morgagni lies between ……………
• Lusckas tonsil is …………….
• Gerlach tonsil is ……………..
Mcq
• Hot potato voice is seen in
• 1]Nasal mass
• 2]Nasopharyngeal mass
• 3]Oropharyngeal mass
• 4]Hypopharyngeal mass
Mcq
• What is wrong about the pharynx?
• A. Extends from base of the skull to the sixth cervical vertebra at
upper border of the cricoid cartilage.
• B. It is the upper part of the respiratory tract.
• C. It is the upper part of the digestive tract.
• D. About 10 cm in length in adult.
• E. The pharyngeal cavity opens in front into the nose, mouth, and
larynx
Tonsil Adenoid
Organism
• Patient with a history of recurrent tonsillitis underwent tonsillectomy.
The patient presented with secondary haemorrhage post tonsillectomy.
When is this complication most commonly seen ?
• A. 6 hours after surgery
• B. 24 hours after surgery
• C. 6 days after surgery
• D. 14 days after surgery
MCQ
• A 7 year old child with presented with symptoms of recurrent SOM.
On examination there was a high arched palate, crowding of teeth.
Xray nasopharynx showed a grade 4 adenoid. Treatment is
• 1]Conservative
• 2]Adenoidectomy
• 3]Adenoidectomy with Grommet
• 4]Intranasal corticosteroids
MCQ
• True about the condition shown in the picture
• 1]Hypertrophic lymphoid tissue
• 2]Transillumination test positive
• 3]Arises from submandibular salivary gland
• 4]An abscess in floor of mouth
JNA NPC
Buzz words:
Males or Females
Site of orgin
IOC
Treatment
• Patient, 60 year old, female , presented with hearing loss in the left ear,
ipsilateral immobility of soft palate and neuralgic pain on the left side
of her face. Weber and rinne tests were done, which concluded that the
hearing loss is conductive. What is the most likely diagnosis?
• A. Lermoyez syndrome
• B. Trotter’s syndrome
• C. Costen’s syndrome
• D. Ortner’s syndrome
Pharyngeal Space and abscess
Retropharyngeal Abscess Prevertebral Abscess
LUDWIGS ANGINA /PHARYNGEAL
POUCH
LARYNX ANATOMY
Paired
Unpaired
Hyaline
Elastic
Largest Cartilage
Only complete cartilaginous ring in airway
ACUTE EPIGLOTTIS CROUP
Buzz words
Organism
treatment
BENIGN LESIONS
One liners
• Pachyderma laryngitis involves …………… part of vocal cords
[Anterior/Posterior]
• Painfull laryngeal condition is
• Premalignant condition is
• Not a true ulcer is……………
• Stripping of vocal cord is done in ………………
MCQ
• True about pachyderma laryngitis are all except
• 1]This condition occurs due to vocal abuse and aggrevated by reflux
• 2]Diagnosis is made on biopsy
• 3]On microscopy it shows hyperkeratosis
• 4]Can be caused because of intubation
MCQ
• True about TB larynx are all except [Multiple choice]
• 1]Turban epiglottis
• 2]Odynophagia
• 3]Mamillated arytenoids
• 4]Cricoarytenoid fixation
• 5]Paralysis of vocal cords
MCQ
• Which of the following is Precancerous condition
• 1]Pachyderma larynx
• 2]Keratosis larynx
• 3]Scleroma of larynx
• 4]Laryngitis sicca
Loading…
MCQ
• Best treatment for Leukoplakia of vocal cord is
• 1]Stripping and decortication
• 2]Radiotherapy
• 3]Partial laryngectomy
• 4]Chemotherapy
Mcq
• True about Reinkes edema is
• 1]It is unilateral
• 2]Common in smokers
• 3]GERD is also associated with Reinkes edema
• 4]Involves cartilaginous portion of the vocal cord
• 5]Low pitch voice is produced.
MCQ
• Anterior larynx is involved in
• 1]Lupus larynx
• 2]Contact ulcer
• 3]Intubation granuloma
• 4]Vocal polyp
One liners
• Gutzmann pressure test is used for the diagnosis of …………
• Keyhole appearance of vocal cord is seen in ……………….
• Adductor spasmodic dysphonia occurs due to ……………muscle
• Abductor spasmodic dysphonia occurs due to……………….muscle
LARYNGEAL CANCER
VOCAL CORD PARALYSIS
• . Which Sensory Nerve supplies the larynx above the vocal cord?
• Internal laryngeal nerve
• External Laryngeal nerve
• Recurrent Laryngeal nerve
• Superior Laryngeal nerve
• Which type of tracheostomy tube is used in the case of a ICU patient?
• Metallic tube
• Cuffed tube
• Uncuffed tube
• Fenestrated cuffless tube
XRAY OF PARANASAL SINUS.
CALDWELL VIEW
Identify the procedure
Identify this triangle
ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf
ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf
ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf
ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf
ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf

More Related Content

Similar to ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf

Benign lesions of larynx
Benign lesions of larynxBenign lesions of larynx
Benign lesions of larynxJoel Mathew
 
examinationofthroat-190206143804.pdf
examinationofthroat-190206143804.pdfexaminationofthroat-190206143804.pdf
examinationofthroat-190206143804.pdfWaelShamy1
 
brief anatomy of larynx and its clinical evaluation
brief anatomy of larynx and its clinical evaluationbrief anatomy of larynx and its clinical evaluation
brief anatomy of larynx and its clinical evaluationShraddha Joshi
 
Paranasal sinus diseases and their management
Paranasal sinus diseases and their managementParanasal sinus diseases and their management
Paranasal sinus diseases and their managementDibya Falgoon Sarkar
 
DISORDERS OF VOICE.pptx
DISORDERS OF VOICE.pptxDISORDERS OF VOICE.pptx
DISORDERS OF VOICE.pptxpraveen4uly
 
Sinusitis.pptx
Sinusitis.pptxSinusitis.pptx
Sinusitis.pptxReadwithme
 
CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)
CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)
CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)Dr Harjitpal Singh
 
Nose and Paranasal Sinus.pptx
Nose and Paranasal Sinus.pptxNose and Paranasal Sinus.pptx
Nose and Paranasal Sinus.pptxMathew Joseph
 
Conferance of chronic laryngitis
Conferance of chronic laryngitisConferance of chronic laryngitis
Conferance of chronic laryngitisZabihullah Rasooly
 
Vocal cord paralysis and evaluation of hoarseness
Vocal cord paralysis and evaluation of hoarsenessVocal cord paralysis and evaluation of hoarseness
Vocal cord paralysis and evaluation of hoarsenessDr Krishna Koirala
 
16. vocal cord paralysis and evaluation of hoarseness kk
16. vocal cord paralysis and evaluation of hoarseness kk16. vocal cord paralysis and evaluation of hoarseness kk
16. vocal cord paralysis and evaluation of hoarseness kkkrishnakoirala4
 
Vestibular schwannoma and glomus tumors
Vestibular schwannoma  and glomus tumorsVestibular schwannoma  and glomus tumors
Vestibular schwannoma and glomus tumorskrishnakoirala4
 
Vestibular schwannoma and glomus tumors
Vestibular schwannoma and  glomus tumorsVestibular schwannoma and  glomus tumors
Vestibular schwannoma and glomus tumorskrishnakoirala4
 
Parotid Gland ( Case and Basic Anatomy)
Parotid Gland ( Case and Basic Anatomy) Parotid Gland ( Case and Basic Anatomy)
Parotid Gland ( Case and Basic Anatomy) Musanna Nabi Chowdhury
 

Similar to ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf (20)

Benign lesions of larynx
Benign lesions of larynxBenign lesions of larynx
Benign lesions of larynx
 
examinationofthroat-190206143804.pdf
examinationofthroat-190206143804.pdfexaminationofthroat-190206143804.pdf
examinationofthroat-190206143804.pdf
 
brief anatomy of larynx and its clinical evaluation
brief anatomy of larynx and its clinical evaluationbrief anatomy of larynx and its clinical evaluation
brief anatomy of larynx and its clinical evaluation
 
Ear assessment
Ear assessmentEar assessment
Ear assessment
 
Art of diagnosis part 2 .pptx
Art of diagnosis part 2 .pptxArt of diagnosis part 2 .pptx
Art of diagnosis part 2 .pptx
 
Clinical otology
Clinical otologyClinical otology
Clinical otology
 
Paranasal sinus diseases and their management
Paranasal sinus diseases and their managementParanasal sinus diseases and their management
Paranasal sinus diseases and their management
 
DISORDERS OF VOICE.pptx
DISORDERS OF VOICE.pptxDISORDERS OF VOICE.pptx
DISORDERS OF VOICE.pptx
 
Sinusitis.pptx
Sinusitis.pptxSinusitis.pptx
Sinusitis.pptx
 
CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)
CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)
CHRONIC SUPPURATIVE OTITIS MEDIA (TUBOTYMPANIC)
 
Choanal atresia
Choanal atresiaChoanal atresia
Choanal atresia
 
Nose and Paranasal Sinus.pptx
Nose and Paranasal Sinus.pptxNose and Paranasal Sinus.pptx
Nose and Paranasal Sinus.pptx
 
Conferance of chronic laryngitis
Conferance of chronic laryngitisConferance of chronic laryngitis
Conferance of chronic laryngitis
 
Vocal cord paralysis and evaluation of hoarseness
Vocal cord paralysis and evaluation of hoarsenessVocal cord paralysis and evaluation of hoarseness
Vocal cord paralysis and evaluation of hoarseness
 
16. vocal cord paralysis and evaluation of hoarseness kk
16. vocal cord paralysis and evaluation of hoarseness kk16. vocal cord paralysis and evaluation of hoarseness kk
16. vocal cord paralysis and evaluation of hoarseness kk
 
Vestibular schwannoma and glomus tumors
Vestibular schwannoma  and glomus tumorsVestibular schwannoma  and glomus tumors
Vestibular schwannoma and glomus tumors
 
Vestibular schwannoma and glomus tumors
Vestibular schwannoma and  glomus tumorsVestibular schwannoma and  glomus tumors
Vestibular schwannoma and glomus tumors
 
Parotid Gland ( Case and Basic Anatomy)
Parotid Gland ( Case and Basic Anatomy) Parotid Gland ( Case and Basic Anatomy)
Parotid Gland ( Case and Basic Anatomy)
 
attachment.pptx
attachment.pptxattachment.pptx
attachment.pptx
 
facial nerve
facial nerve facial nerve
facial nerve
 

More from pratappankaj2017

LRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdf
LRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdfLRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdf
LRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdfpratappankaj2017
 
LRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdf
LRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdfLRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdf
LRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdfpratappankaj2017
 
FMGE%20LRR%20Ddermatoligyfmgwermatology.pdf
FMGE%20LRR%20Ddermatoligyfmgwermatology.pdfFMGE%20LRR%20Ddermatoligyfmgwermatology.pdf
FMGE%20LRR%20Ddermatoligyfmgwermatology.pdfpratappankaj2017
 
LRR%20Psychiatrrevudionfmgeppy%20FMGE.pdf
LRR%20Psychiatrrevudionfmgeppy%20FMGE.pdfLRR%20Psychiatrrevudionfmgeppy%20FMGE.pdf
LRR%20Psychiatrrevudionfmgeppy%20FMGE.pdfpratappankaj2017
 
LRR%20FMGE%20Surgeryeducation%20Part%201.pdf
LRR%20FMGE%20Surgeryeducation%20Part%201.pdfLRR%20FMGE%20Surgeryeducation%20Part%201.pdf
LRR%20FMGE%20Surgeryeducation%20Part%201.pdfpratappankaj2017
 
LRR%20Proff%202%20Microbiology.pdf
LRR%20Proff%202%20Microbiology.pdfLRR%20Proff%202%20Microbiology.pdf
LRR%20Proff%202%20Microbiology.pdfpratappankaj2017
 
OBG%20FMGE%20LRR%20Part%202.pdf
OBG%20FMGE%20LRR%20Part%202.pdfOBG%20FMGE%20LRR%20Part%202.pdf
OBG%20FMGE%20LRR%20Part%202.pdfpratappankaj2017
 
NEET_PG_LRR_Biochemistry.pdf
NEET_PG_LRR_Biochemistry.pdfNEET_PG_LRR_Biochemistry.pdf
NEET_PG_LRR_Biochemistry.pdfpratappankaj2017
 
Intercostal Spaces - Avinash.pdf
Intercostal Spaces - Avinash.pdfIntercostal Spaces - Avinash.pdf
Intercostal Spaces - Avinash.pdfpratappankaj2017
 

More from pratappankaj2017 (9)

LRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdf
LRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdfLRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdf
LRR_RADIOLOGY_aiimsneetpgINICET%20(2).pdf
 
LRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdf
LRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdfLRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdf
LRR%20FMGE%20fmgeneetpgSurgery%20Part%202.pdf
 
FMGE%20LRR%20Ddermatoligyfmgwermatology.pdf
FMGE%20LRR%20Ddermatoligyfmgwermatology.pdfFMGE%20LRR%20Ddermatoligyfmgwermatology.pdf
FMGE%20LRR%20Ddermatoligyfmgwermatology.pdf
 
LRR%20Psychiatrrevudionfmgeppy%20FMGE.pdf
LRR%20Psychiatrrevudionfmgeppy%20FMGE.pdfLRR%20Psychiatrrevudionfmgeppy%20FMGE.pdf
LRR%20Psychiatrrevudionfmgeppy%20FMGE.pdf
 
LRR%20FMGE%20Surgeryeducation%20Part%201.pdf
LRR%20FMGE%20Surgeryeducation%20Part%201.pdfLRR%20FMGE%20Surgeryeducation%20Part%201.pdf
LRR%20FMGE%20Surgeryeducation%20Part%201.pdf
 
LRR%20Proff%202%20Microbiology.pdf
LRR%20Proff%202%20Microbiology.pdfLRR%20Proff%202%20Microbiology.pdf
LRR%20Proff%202%20Microbiology.pdf
 
OBG%20FMGE%20LRR%20Part%202.pdf
OBG%20FMGE%20LRR%20Part%202.pdfOBG%20FMGE%20LRR%20Part%202.pdf
OBG%20FMGE%20LRR%20Part%202.pdf
 
NEET_PG_LRR_Biochemistry.pdf
NEET_PG_LRR_Biochemistry.pdfNEET_PG_LRR_Biochemistry.pdf
NEET_PG_LRR_Biochemistry.pdf
 
Intercostal Spaces - Avinash.pdf
Intercostal Spaces - Avinash.pdfIntercostal Spaces - Avinash.pdf
Intercostal Spaces - Avinash.pdf
 

Recently uploaded

Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfPoh-Sun Goh
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsTechSoup
 
Application orientated numerical on hev.ppt
Application orientated numerical on hev.pptApplication orientated numerical on hev.ppt
Application orientated numerical on hev.pptRamjanShidvankar
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactPECB
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxheathfieldcps1
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfAdmir Softic
 
Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Celine George
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingTechSoup
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin ClassesCeline George
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxVishalSingh1417
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17Celine George
 
PROCESS RECORDING FORMAT.docx
PROCESS      RECORDING        FORMAT.docxPROCESS      RECORDING        FORMAT.docx
PROCESS RECORDING FORMAT.docxPoojaSen20
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfJayanti Pande
 
Seal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxSeal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxnegromaestrong
 
Food Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-II
Food Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-IIFood Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-II
Food Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-IIShubhangi Sonawane
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxheathfieldcps1
 
Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxVishalSingh1417
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxRamakrishna Reddy Bijjam
 
On National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsOn National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsMebane Rash
 
ComPTIA Overview | Comptia Security+ Book SY0-701
ComPTIA Overview | Comptia Security+ Book SY0-701ComPTIA Overview | Comptia Security+ Book SY0-701
ComPTIA Overview | Comptia Security+ Book SY0-701bronxfugly43
 

Recently uploaded (20)

Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdf
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Application orientated numerical on hev.ppt
Application orientated numerical on hev.pptApplication orientated numerical on hev.ppt
Application orientated numerical on hev.ppt
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptx
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17Advanced Views - Calendar View in Odoo 17
Advanced Views - Calendar View in Odoo 17
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
PROCESS RECORDING FORMAT.docx
PROCESS      RECORDING        FORMAT.docxPROCESS      RECORDING        FORMAT.docx
PROCESS RECORDING FORMAT.docx
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdf
 
Seal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxSeal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptx
 
Food Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-II
Food Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-IIFood Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-II
Food Chain and Food Web (Ecosystem) EVS, B. Pharmacy 1st Year, Sem-II
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptx
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
On National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsOn National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan Fellows
 
ComPTIA Overview | Comptia Security+ Book SY0-701
ComPTIA Overview | Comptia Security+ Book SY0-701ComPTIA Overview | Comptia Security+ Book SY0-701
ComPTIA Overview | Comptia Security+ Book SY0-701
 

ENTfmgeaiimsneetpginicet%20FMGE%20LRR_.pdf

  • 1. LRR for FMGE Dr Vyshnavi
  • 2.
  • 4. PYQ One liner External Ear Middle Ear Inner Ear Cartilage – Areas Devoid of cartilage – Length of External aud canal – Bony part – Cartilagenous part Fissure of Santorini – Foramen of Huschke Roof - Floor- Post – Ant- Lateral- Medial- Sensory Neuro epithelium in Vestibule – Sensory Neuro epithelium in SCC- Sensory Neuro in Cochlea-
  • 5. Loading… • What is the function of utricle and saccule in inner ear? • Linear motion and Angular motion • Linear motion • Helps in hearing low-frequency sound • Helps in hearing high-frequency sound
  • 6.
  • 8. • A patient was diagnosed with ear wax and was subjected to syringing to remove the wax. She developed a syncopal episode while doing the procedure when the tip of the syringe touched the ear canal. Which of the nerves is responsible for this episode of syncope? 1. Auriculotemporal nerve 2. Arnold’s nerve 3. Glossopharyngeal nerve 4. Jacobson’s nerve
  • 10. Tuning fork test Audiometry Tympanometry Rinne Positive – Rinne Negative – Weber test- Normal CHL SNHL ABC-
  • 11. Loading… • A young man met with an accident leading to loss of hearing in the right ear. On otoscopy examination the tympanic membrane was intact. Pure tone audiometry showed AB gap of 55 dB on the right ear with normal cochlear reserve. Which of the following will be probable tympanometry finding:
  • 12.
  • 14.
  • 15. Middle ear Diseases[BUZZ WORDS] • Child +Ear pain+ Fever+ Hearing loss= • Child+ Hearing loss +/- additional features= • Middle Age + Female + Hearing loss = • Ear discharge[profuse ,non foul smell,non blood stained] +/- pain +hearing loss +Discharge increases with URTI = • Ear Discharge [Scanty,foul smell,blood stain]+hearing loss =
  • 16.
  • 17.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 25.
  • 26.
  • 27.
  • 28. Menieres BPPV Labyrinthitis Vestibular neuronitis
  • 30. Vestibular Assessment • Nystagmus • Temperature Change • Pressure change • Positional change
  • 31.
  • 32. • 1]Glomus tumours originate from ………………..cells • 2]Types of glomus 1] ………………… and 2] ……………….. • 3]Benign /Malignant ?????? • 4]Slow growing ? or fast growing ? • 5]Histopathological appearance …………………..pattern ? • 6]Chief symptoms???? 1] • 2] • 3] • 7]Locally invasive or not??? • 8] Cranial nerve palsies yes or no??? • 9]Sweating /flushing/ headache? yes or no? • 10]Investigation of choice? CT or MRI/Plain or contrast? • 11]Salt and Pepper appearance is seen in – CT or MRI or Angiography or
  • 33.
  • 34. • Acoustic Neuroma /Vestibular Schwannoma • 1]Most common nerve from where it originates? ……………………….. • 2] Bilateral acoustic neuroma is seen in ……………………….. • 3]Type of cells seen in histopathology? • 4]Symptoms • Hearing loss- unilateral or bilateral? • Cochlear or retro cochlear? • Tinnitus? [Present or absent] • 5]Involvement of ……………… nerve results in absent corneal reflex? • 6] Hitzelberger sign occurs due to involvement of ………… nerve
  • 35. • 8]Dysphagia/ palatal paralysis / speech difficulty due to involvement of ……………. nerve • 9]Diagnosis is by ……………………………… • 10] Treatment is ………………………………. • 11] Benign /Malignant? • 12]Loss of corneal reflex is suggestive of ………………. size of tumour? • 13]Recruitment test – Positive or negative? • 14]Speech discrimination score – Poor or good ? • 15]On BERA delay in --------------wave is seen?
  • 36. • Patient presented with severe headaches from the last 6 months. He also complaints of tingling all over his face. He reports he has never had any kind of trauma. MRI of the brain was taken, which is shown below. What is the most likely diagnosis? • A. Acoustic neuroma • B. Hemangioblastoma • C. Epidural hematoma • D. Sub arachnoid hemorrhage
  • 38. • Which of the following is true regarding the external nose? • Bone 1/3rd Cartilage 2/3rd • Bone 2/3rd Cartilage 1/3rd • Bone 1/2rd Cartilage 1/2rd • Bone 1/3rd Cartilage 1/3rd
  • 40. • A emotional patient complains of being able to taste her own tears after a few minutes of crying. Through which pathway do tears drain into the nasal cavity? • 1 Nasolacrimal duct into the infundibulum of the middle meatus. • 2.Nasolacrimal duct into the inferior meatus. • 3.Nasolacrimal duct into the sphenopalatine foramen into the superior meatus. • 4.Nasolacrimal duct into the semilunar hiatus of the superior meatus.
  • 42.
  • 43. Rhinoscleroma Rhinosporidiosis Mode of inf- Organism – Symptoms- Diagnosis Treatment
  • 44. Atrophic Rhinitis Rhinitis Sicca Organism – Symptoms
  • 45. • A female presented with decreased ability to smell. On examination there is a large nasal cavity with foul smell coming from her nasal cavity. CBC showed microcytic anemia and serum vitamin D levels are low. What is the most likely organism causing her disorder? • A. Pseudomonas aeruginos • B. Klebsiella ozaena • C. Proteus mirabilis • D. Haemophilus influenza
  • 46.
  • 47. Allergic Rhinitis Non allergic rhinitis
  • 49. • A 65-year-old male patient presents to the emergency department with a 2-week history of purulent nasal discharge and facial pain. Mild maxillary tenderness is noted bilaterally. He denies nasal obstruction, changes in the sense of taste or smell, and has no postnasal drip. Which of the following radiographic findings are consistent with the suspected diagnosis? • 1.Bony destruction of the maxillary sinuses • 2.Air-fluid level in the maxillary sinuses • 3.Thinning of the sinus mucosa
  • 50. • 4.Linear fractures in the sinus AC polyp Ethmoidal Polyp
  • 51. • A 35-year-old female takes a tablet of aspirin for her headache, later she presented with wheezing and breathlessness. These symptoms are most likely due to which of the following? • IgE release • Nasal polyp • Drug interaction • Extrinsic asthma
  • 52. • A patient with facial injuries is brought to casualty with swelling of the upper lip and bleeding from the nose. There is malocclusion and ecchymosis of the maxillary buccal sulcus. A CT scan of facial bone shows bilateral transverse fractures passing through the maxilla above the level of the teeth. Which of the following is consistent with the injury described? • 1.Le Fort I fracture • 2.Le Fort II fracture • 3.Le Fort III fracture • 4.Le Fort IV fracture
  • 53.
  • 54. • After a RTA , 24-year-old male is brought to the ER .He hit is head on the stearing of the car.Now the patient complains of difficulty in perception of smell along with clear 'mucous' draining from his nose. On CT of the skull, there is a fracture. What is the most likely anatomical injury that caused these symptoms? • 1.The cribriform plate of the ethmoid • 2.Superior turbinate • 3.Frontal sinus • 4.Middle turbinate
  • 56.
  • 57. One liners • Passavants ridge is formed by ……………….. • Sinus of Morgagni lies between …………… • Lusckas tonsil is ……………. • Gerlach tonsil is ……………..
  • 58. Mcq • Hot potato voice is seen in • 1]Nasal mass • 2]Nasopharyngeal mass • 3]Oropharyngeal mass • 4]Hypopharyngeal mass
  • 59. Mcq • What is wrong about the pharynx? • A. Extends from base of the skull to the sixth cervical vertebra at upper border of the cricoid cartilage. • B. It is the upper part of the respiratory tract. • C. It is the upper part of the digestive tract. • D. About 10 cm in length in adult. • E. The pharyngeal cavity opens in front into the nose, mouth, and larynx
  • 61.
  • 62. • Patient with a history of recurrent tonsillitis underwent tonsillectomy. The patient presented with secondary haemorrhage post tonsillectomy. When is this complication most commonly seen ? • A. 6 hours after surgery • B. 24 hours after surgery • C. 6 days after surgery • D. 14 days after surgery
  • 63.
  • 64. MCQ • A 7 year old child with presented with symptoms of recurrent SOM. On examination there was a high arched palate, crowding of teeth. Xray nasopharynx showed a grade 4 adenoid. Treatment is • 1]Conservative • 2]Adenoidectomy • 3]Adenoidectomy with Grommet • 4]Intranasal corticosteroids
  • 65.
  • 66. MCQ • True about the condition shown in the picture • 1]Hypertrophic lymphoid tissue • 2]Transillumination test positive • 3]Arises from submandibular salivary gland • 4]An abscess in floor of mouth
  • 67.
  • 68. JNA NPC Buzz words: Males or Females Site of orgin IOC Treatment
  • 69. • Patient, 60 year old, female , presented with hearing loss in the left ear, ipsilateral immobility of soft palate and neuralgic pain on the left side of her face. Weber and rinne tests were done, which concluded that the hearing loss is conductive. What is the most likely diagnosis? • A. Lermoyez syndrome • B. Trotter’s syndrome • C. Costen’s syndrome • D. Ortner’s syndrome
  • 70.
  • 71.
  • 75.
  • 77. ACUTE EPIGLOTTIS CROUP Buzz words Organism treatment
  • 79. One liners • Pachyderma laryngitis involves …………… part of vocal cords [Anterior/Posterior] • Painfull laryngeal condition is • Premalignant condition is • Not a true ulcer is…………… • Stripping of vocal cord is done in ………………
  • 80. MCQ • True about pachyderma laryngitis are all except • 1]This condition occurs due to vocal abuse and aggrevated by reflux • 2]Diagnosis is made on biopsy • 3]On microscopy it shows hyperkeratosis • 4]Can be caused because of intubation
  • 81. MCQ • True about TB larynx are all except [Multiple choice] • 1]Turban epiglottis • 2]Odynophagia • 3]Mamillated arytenoids • 4]Cricoarytenoid fixation • 5]Paralysis of vocal cords
  • 82. MCQ • Which of the following is Precancerous condition • 1]Pachyderma larynx • 2]Keratosis larynx • 3]Scleroma of larynx • 4]Laryngitis sicca
  • 83. Loading… MCQ • Best treatment for Leukoplakia of vocal cord is • 1]Stripping and decortication • 2]Radiotherapy • 3]Partial laryngectomy • 4]Chemotherapy
  • 84. Mcq • True about Reinkes edema is • 1]It is unilateral • 2]Common in smokers • 3]GERD is also associated with Reinkes edema • 4]Involves cartilaginous portion of the vocal cord • 5]Low pitch voice is produced.
  • 85. MCQ • Anterior larynx is involved in • 1]Lupus larynx • 2]Contact ulcer • 3]Intubation granuloma • 4]Vocal polyp
  • 86. One liners • Gutzmann pressure test is used for the diagnosis of ………… • Keyhole appearance of vocal cord is seen in ………………. • Adductor spasmodic dysphonia occurs due to ……………muscle • Abductor spasmodic dysphonia occurs due to……………….muscle
  • 87.
  • 89.
  • 91. • . Which Sensory Nerve supplies the larynx above the vocal cord? • Internal laryngeal nerve • External Laryngeal nerve • Recurrent Laryngeal nerve • Superior Laryngeal nerve
  • 92.
  • 93.
  • 94. • Which type of tracheostomy tube is used in the case of a ICU patient? • Metallic tube • Cuffed tube • Uncuffed tube • Fenestrated cuffless tube
  • 95.
  • 96.
  • 97.
  • 98.
  • 99.
  • 100.
  • 101.
  • 102.
  • 103.
  • 104.
  • 105.
  • 106.
  • 107.
  • 108.
  • 109.
  • 110.
  • 111.
  • 112.
  • 113.
  • 114.
  • 115. XRAY OF PARANASAL SINUS.
  • 117.
  • 118.
  • 119.
  • 120.
  • 121.
  • 122.
  • 124.
  • 125.
  • 126.