ENT OSPE

By

Dr. Sajid Ali Talpur

1. Identify the instrument .

2. Give various types of tracheostomy tubes

3. Give the only indication for high tracheostomy.

1. Tracheostomy tube (metallic-cheveleir jackson)

2. 1) Chevalier Jackson or Fuller metallic tracheostomy

tube

2) The soft non metallic Portex and Shilley’s

Tracheostomy tubes availabe with or without inner tube,

with or without cuff, with or without phonation hole

3.Carcinoma of larynx

1. Give any four intracranial causes of facial nerve

paralysis

2. What do you mean by neuraprexia?

3. Name various tests to check intactness of the

facial nerve

4. What is the commonest cause of facial nerve

paralysis?

1. 1) Brainstem tumours 2) vascular accidents

3) poliomylittus 4) multiple sclerosis

2. It is physiological block without anatomical

discontinuity of the axon of the facial nerve.

3. 1) Minimal nerve excitablity test

2) maximal nerve stimulatory test

3) electromyography

4) electroneuronography

4. Bell’s palsy

1. Identify the instrument.

2. Give various diagnostic indications

3. Name any one contra indication for the

above instrument

Answer Key

1. Direct laryngoscope

2. 1) when indirect laryngoscopy is not possible

2) when indirect laryngoscopy is unsuccessfull

3) to confirm the findings of indirect laryngoscopy

4) to take biopsy and find the extent of growth

5) to see the hidden areas of larynx and hypopharynx

3. Injury or the diseases of the cervical spine

1. What is the ideal position of the patient for using

above instrument?

2. Name various types of endoscope

3. Give complications after using the instrument

1. Barking dog position

2. 1) Rigid endoscope

2) Flexible endoscope

3. 1) injury to teeth, lips

2) laryngeal edema

3) hemorrhage from the biopsy site

4) hypoxia & cardiac arrest

1. Identify the object

2. What is your probable diagnosis?

3. Name the commonest site for F.B impaction in

the digestive tract.

4.what three constrictions of esophagus?

1. Plain X-ray chest (P.A view chest and neck)

2. Foreign body (coin) in the esophagus

3. Cricopharynx

4. 1) cricopharynx

2) at the level of arch of aorta and left bronchus

3) at the level where it pierces diaphragm

DISEASES OF NOSE

1. DIPHTEROID IS THE CAUSATIVE AGENT

FOR?

2. WHICH SOLUTION IS USED TO PREVENT

CRUST

FORMATION AND KILL SAPROPHYTIC

ORGANISMS?

3. HANDKERCHIEF TEST IS PERFORMED IN

CASE OF?

1. Atrophic rhinitis

2. 25% glucose in glycerine

3. CSF rhinorrhea

4. 1) injury to check and swelling

2) injury to orbits

3) injury to pteregopalatine fossa

4) air embolism

1. Name various types of DNS

2. Name the two most common surgical procedures

for DNS

3. Name the most common complaint in the patient

with DNS

4. Define Bernoulli’s phenomenon

1. 1) simple or C shaped

2) sigmoid or S shaped

3) spur

4) thickening

5) anterior caudal dislocation

2. 1) SMR 2) Septoplasty

3. Nasal obstruction

4. When air passes through a constriction there is

creation of negative pressure distal to constriction,

called Bernoulli’s phenomenon.

1.Which position is recommended for tonsilectomy?

2.Name the two most widely used method.

3.What is the most common cause for secondary

hemorrhage?

4.Give various contraindications of tonsilectomy.

1. Rose’s position

2. Dissection and Diathermy methods

3.Infection of tonsilar bed with sloughing and opening of

smaller vessels in its bed.

4. 1) child below three years of age

2) during polio epidemics

3) during acute attack or acute R.T.I

4) anemia

5) bleeding disorders

6) uncontrolled systemic diseases like diabetes mellitus,

hypertension

INFLAMMATORY DISEASES OF PHARYNX1.Which disease is characterized by bull neck

appearance?

2. Name two diseases caused by Ebstein Bar

virus.

3. Which disease is called Trench mouth?

4.Give clinical types of chronic non specific

pharyngitis.

1.Pharyngeal diphtheria

2. 1) Infectious mononucleosis

2) Burkit lymphoma

3. 1) catarrhal

2) hypertrophic or granular

3) follicular

4) atrophic

4. Vincent’s angina

Nasal Polyp

1.Give three differences b/w ethmoidal and

antroconal type of polyps

2.What are different surgical treatments for

ethmoidal polypi

3.which test is performed to differentiate b/w

polyp and hypertrophied inferior turbinate?

1.1) ethmoidal polypi are different than antroconal type

2) ethmoidal polypi are bilateral while antroconal is

unilateral

3) ethmoidal polypi arise from ethmoidal sinuses while

antroconal type arise from maxillary sinus

2. 1) Endoscopic sinus surgery

2) intra nasal polypectomy

3) ethmoidectomy

3. Probe test

Regarding Answers you may check from your books, teachers and

internet for confirmation.Thanks…!