,, 2013. Cairo University, Faculty of medicine 23 November, End of Round Exam, ENT Time allowed: 1 hour (20 Marks) 1 A24 years old male presented to the emergency room with fever and marked dysphagia. The condition started 4 days ago with sorethroat and fever. The pain increased and became throbbing and referred to the L ear and fever became hectic. Examination of the patient was difficult as he could hardly open his mouth. There was a swelling lateral and superior to the L tonsil pushing it medially with edema of the uvula. a, Whatis the most probable diagnosis? (2 marks) b. Explain the following symptoms of the patient (hectic fever, referred earache, difficulty to open the mouth) (3 marks) ¢. How would you treat this patient? (3 marks) 2- Give a short account on laryngomalacia (4 marks) marks 3- How would you manage (diagnose and treat) a case of fracture nose? (4 marks) marl 4- How to differentiate a traumatic fro m a pathological perforation of membrane? ‘priee (4 marks)Choose the correct answer; one answer is valid for each question. 1. Little’s area Is located in: 2) Posterior part of the nasal septum b) Anterior part of the nasal septum €) the anterior end of the inferior turbinate 4) floor of the nose 2. Inallergic nasal polypi, the following is true except: a) Itis usually bilateral b) The site of origin is the ethmoidal air cells ¢) bronchial asthma is not an uncommon association d) Itis usually associated with elevated IgA level in blood 3. The function of the mucocilicary system of the nose is a) Warming of air —psbpatabriotion es. = ey = ©) Assistin olfaction } 4) Continuous clearance of the mucus blanket 4. ‘Type B tympanogram is characteristic for: a) Adhesive otitis media b) Secretory otitis media B ©) Dislocation of the ossicles d) otosclerosis ——— a) ieee canal 6) in the horizontal tympanic part " ©) inthe vertical part above the stapes " 4) in the stylomastoid foramen i 2mpanic type of chronic 6 atlof the following may be seen Inthe tb? suppurative otitis media except: a) mucopurulent otorrhoea b) central tympanic membrane perforation ‘¢)- marginal tympanic membrane perforation c ) profuse otorrhoea 7. Nota predisposing factor for cancer larynx: a) Smoking ) Akohol oD ©) Leukoplakia 4) Juvenile papillomas of the larynx ‘8, Tracheosotmy in the 2" and 2" tracheal rings is better avoided because: a) Difficult surgery e ) Injury to the thyroid gland, ©) Injury to the cricoid cartilage \. RM a een eee 9. Achalasia of the cardia Is: 2) Fibrosis of the upper esophageal sphincter b) Aneuromuscular disorder of the lower esophageal sphincter & ©) Occurs as a result of herniation ofthe esophagus through the diaphragm17 4an, 2012 Phe ENT clinic complain ae beter! neiolobsracton 0 GaVE.9 history of, fe current attact Ks of NEES Of sneezing, runny nose on, fae te it yon ess watery aischarge g _-% Whats the most probable diagnosis? S (1maiks) ~B, What are the investigations (and the value) a olrecarnd festa (mars) © What is the surgery done to manage this patient? Enumerate the possible rsh of this (4 mark} surgery toigitis? Gives short account on the clinical picture and treatment of acute masta 3 A = (5 marks) (§ marks) What indications for adeno-tonsillectomy? (& mar 3 are the contraindigath os Jans for direct laryngosocoPy the indications 4- Enumerate indications fo te Ned tenoa Se, MCQs; se mise 7 2 Bell's palsy is due to: 9) Acoustic neuroma 5) Edema of the facia neve, 4a een ¥ ‘inthe middle ear A bsg een microscopically * ia bodies are 5 Tae and Russe! radiotheray ol2 10. The following conditions cause stridor EXCE; : PT: by * a) Acute epiglottitis Bilateral abductor paralysis, Bilateral adductor paralysis ye ' Laryngoscleroma. — Single laryngeal popilloma is: a) Locally malignant lesion. ¢ b) Malignantlesion. « c) Precancerous.4 d) None ofthe above « Scleroma of the larynx effects: a) The supragiottic part. b) The glottic part, ¢) The posterior part 4} The subglottic part 4 The cause of secondary. hemorrhage Is! a) Woundsepsi# tient. unprepared 2 s i ry of the pharyngeal SE ae Se vagof blood pressure wih sIPP d) Rising psunnl testi one Fm Pas jtheria- F i Bias follicular ‘tonsillitis- eo 4 Infectious mononucl ‘ Ht gtomatitlsCairo University, Faculty of medicine 28 March, 2012 End of Round Exam, ENT Time allowed: 1 hour a. done @. (few days ago. 1 tromediately t Breathing was noisy and difficult. Her voice was more ar tess normal, Rees cine ENT eurern was unremarkable ao? Whatis the ost probable diagnosis? What could have happened dur result in this condition?wi SPS BAQ atc ‘ E Chasse the correct answer, ete answer i velid for ach question. 1. tn otosclerosis the following statement Is wrong: a. The disease is usually bilateral :b More progression occurs during pregnancy ae” Tympanometry shows type B curve (flat curve) d. tis treated by stapedectomy 2. Which of the following is not a safe perforation: “a. Subtotal perforation a. ee The nasolacrimal duct | si © Themaxilarysinus da. The frontal sinus