ENT (AIMS nov2007)

1.In emergency tracheostomy the following structures are damaged except:
a. Isthmus of the thyroid
b. Inferior thyroid artery
c. Thyroidea ima
d. Inferior thyroid vein

Ans—A Isthmus of the thyroid

2. After laparoscopic appendicectomy, a female patient slipped and hurt her nose on the bed. She developed swelling of the nose, injury to anterior nasal bone and had mild difficulty in breathing. What would you do next?
a. Intravenous antibiotics for 7-10 days
b. Observation in hospital
c. Surgical drainage
d. Discharge after 2 days and follow up of the patient after 8 weeks

Ans—C Surgical drainage

3. A patient presents with Carcinoma of the larynx involving the left false cords, left arytenoids and the left aryepiglottic folds with bilateral mobile true cords. Treatment of choice is:
a. Vertical hemilaryngectomy
b. Horizontal hemilaryngectomy
c. Radiotherapy followed by chemotherapy
d. Total laryngectomy

Ans--B Horizontal hemilaryngectomy


4.A child presents with ear infection with foul smelling discharge. On further exploration a small perforation is found in the pars flacida of the tympanic membrane. Most appropriate next step in the management would be:
a. Topical antibiotics and decongestants for 4 weeks
b. IV antibiotics and follow up after a month
c. Tympanoplasty
d. Tympano-mastoid exploration

Ans—D Tympano-mastoid exploration

5.A 30 year old man presents with 6 month history of nasal discharge, facial pain and fever. On antibiotic therapy, fever subsided. After 1 month again had symptoms of mucopurulent discharge from the middle meatus and the mucosa of the meatus appeared congested and oedematous. Next best investigation would be:
a. MRI of the brain
b. NCCT of the nose and para-nasal sinuses
c. Plain x-ray of the para-nasal sinuses
d. Inferior meatus puncture

Ans--B NCCT of the nose and para-nasal sinuses