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1st Round 2007-2008

First Round Exam

1- A child , 2 years old came to the reception roomwith difficult reathin!" #here was noise presentdurin! inspiration"

i- $hat is the medical term for this condition andwhat are the possile causes%

ii- &ow to sa'e this patient life%

2- A male patient , 28 years old had ilateral nasalostruction"

(n examination , multiple , masses were seen fillin!oth nasal ca'ities"

i- $hat is the dia!nosis of this case%ii- )ention the other symptoms he will suffer fromdue to his ilateral nasal ostruction"

*- +auses of epistaxix"

)+

1- #he commonest cause of sleep apnea in childrenis

i- +hoanal atresia"ii- Acute rhinitis"

iii- Enlar!ed tonsils and adenoids"i'- Rhinoscleroma"'- .asal forei!n ody"

2- Reactionary haemorrha!e after adeoidectomy istreated y

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i- /i!ation"ii- Anterior nasal pacin!"iii- osterior nasal pacin!"

i'- +hemical cauterisation"'- Electric cauterisation"

*- /ateral displacement of the eye all is due toi- phenoidal sinus lesions"ii- Ethmoidal sinus lesions"

iii- )axillary sinus lesions"i'- Frontal sinus lesions"

3- /ower motor neurone facial paralysis affectsi- #he upper part of the face"ii- #he lower part of the face"

iii- #he whole side of the face"i'- Eye muscles"

'- )uscles of the ton!ue

4- +ranial copmlications of otitis media includei- External otitis"

ii- etrositis"iii- 5rain acess"

i'- Extradural acess"'- /ateral sinus thromosis"

6- ntracranial complications of (")" include

i- Facial paralysis"ii- )astoiditis"

iii- External otitis"i'- Extradural aces

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2nd Round 2007-2008

+ases

1- A 12 years old male pt" had a history of Rt" eardischar!e for 2 yrs" ei!ht days a!o he started to

ha'e fe'er pain ehind the Rt" ear" (nexamination, there was a perforation in the tympanic

mem" located in pars flaccida" there was tendernesso'er the mastoid tip with a swellin! posterior to the

auricle"

a- full dia!nosis of this case%-$hat is the 9"9%

c-discrie the dischar!e comin! from the rt" ear inthe pre'ious 2 yrs"

d-what is the most imp" sin!le dia!nosis to do% &owdoes it help in reachin! the proper dia!nosis%

2-Achild * yrs old came to emer!ency afterswallowin! of caustic potash *0 min" a!o"

a-+linial pic" on presentation"

-how to tt%c-+linical pic" after * monthes"

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d-$hat is the mst 'alule in'esti!ation to do after *ms" efore any interference%

$ritten

First aid treatment of a case of epistaxis

)+

1-All are ranches of the facial ner'e E:+E#

a-chorda tympani"-;reater auricular ner'e"c-.er'e to stapedius muscle"d-;reater superfacial petrosal ner'e"

2-

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a-#hyroid cartila!e"-Arytenoid cartila!e"c-+ricoid cartila!e"

d-Epi!lottis"

4-#he commonest cause of sleep apnoea in childrenisa-Redundant soft palate"

-Enlar!ed ton!ue ase"c-Enlar!ed tonsils and adenoids"

d-9e'iated nasal septum"

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*rd Round 2007-2008

cases

1- A male pt"a!ed 2* years" he was sufferin! fromilateral intermittent mucopurulant ear dischar!e for

the last 3 yrs" three days a!o he had an attac ofcommon cold"

(n examination oth drum showed cenralperforations" the dischar!e commin! was pulsatin!"

a-+ause of pulastin! dischar!e in this case%-$hat do you ad'ice this pt"%c-$hich ear to operate first% why%

2-A *0 yrs old female had an attac of acute

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follicular tonsillitis for the last 3 days" (n the fouthday the pain in the throat started to locali=e to theleft tonsillar re!ion"

the pain ecame throin! and radiatin! to the leftear"

a-what is the liely dai!nosis%-$hat are the other symptoms do you expect tofind%

c-what are the si!ns you shall find in the pt"%

$ritten

-$hat are the indications of tracheostomy%

-what are the typesof nasal pacin! for epistaxis

how to do each%

)+

1-+() cause all of the followin! symptoms except-9ischar!e"-ain

-tinnitus-deafness

2-tridor is-difficult reathin!"-noisy reathin!"

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-chan!e in 'oice"-difficult noisy reathin!"-difficult reathin! swallowin!"

*-acute mastoditis is treated y

-radical mastoidectomy"-cortical mastoidectomy"-tympanoplasty"-stapedectomy"

3-/aryn!oscleroma affect-epi!lottis"-'ocal cords"-ao'e 'ocal cords"

-elow 'ocal cords

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4th Round 2007-2008

1-A male patient aged 16 years suffered from recurrentattacks of Epistaxis.Over a 2-years period he was admitted twice to hospital forlood transfusion.

a-!hat is the most proale diagnosis" #2 marks$- %ow to investigate" #& marks$c- %ow to treat" #& marks$

2-A five years old girl came suffering of diminution ofhearing in oth

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ears for the last 2 months. 'he condition followed an attackof upperrespiratory tract infection. On examination( oth ear drumswere intact ut

retracted.a- %ow to know that the drum is retracted" #2 marks$- !hat is the diagnosis" #2 marks$e- !hat are the investigations needed" #& marks$d- %ow to treat" #& marks$

3- )ost operative complications of tracheostomy. #* marks$

4- M.C.Q+ #* marks$1- Meniere's disease is characterized by :a- ,onductive deafness( otorrhea and vertigo.- ensor neural deafness( pain in the ear and tinnitus.c- ensorineural deafness( tinnitus and vertigo.d- ,onductive deafness( facial paralysis and vertigo.

2- One of the following laryngeal lesions isrecancero!s:a- ingers nodule.- /aryngoscleromac- 0ultiple papillomad- /aryngeal we.e- ingle papilloma

3- "ll the following #!scles are s!lied by therec!rrent laryngeal

ner$e e%cet:a- 'hroaryrenoid.- )osterior cricoarytenoid .c- 'hyrohyoid.d- /ateral cricoarytenoid.

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4- &he co##onest ca!se of slee anea in children is:a- ilateral nasal polyp- eviated nasal septum.c- Adenotonsillar hypertrophy.

d- /arge uvula and soft palate.- &ra!#atic erforation of the dr!# is characterized byall of thefollowings except+a- 3rregular edges.- 0arginal.c- 3n pars tensa

d- 0ay heal spontaneously.

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1st Round 2009

1.A child 7 year old presented with sore throat and feverfor 3 days. Nowthe pain is localized to the right side, throbbing andreferred to the rightear. The child cannot open his mouth. Eternally, only the!ugulodigastriclymph nodes are felt."# mar$s% &hat is the possible diagnosis'

&hat are other signs to search for' "3 mar$s%(ow to treat' ")mar$s%

2. Acute otitis media in children* Aetiological causes,clinical picture andtreatment ") mar$s%

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3. +ompare between different types of papillomas of thelaryn' ") mar$s%

4-Mcqs "- mar$s%1- The commonest cause of epistaxis in children is:a Adenoids.b Nasopharyngeal fibroma.c /diopathic.d 0oreign body

2- In achalasia of the cardia dysphgia is :

a Not present.b 1ore to solids.c 1ore to fluids.d E2ual for both.

3- In upper motor neurone facia paralysis:a All muscles of the face are affected.b (ypertonia of the muscles is present.

e lost epressionsd 1uscles are wasted.

4- !.".#. rhinorrhoea is:a ilateral.b 4nilateral.c 1ucoid.d 5ulsattng.

$- %ll are symptoms of chronic suppurati&e otitis media'xcept:a 6ischarge.b 5ain.c 6eafness.

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d T/nnitus.

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2nd Round 2009

1- *4 years old man presented with hoarseness for last &weeks conditionwas stationary inspite of medical ttt.indirect laryngoscopy revealed a paralysed left vocal cord.the remainder of otolaryngyological examination was normal.he gave no history of truama nor operation prior to the onset

of hoarseness.a$ how does a paralysed cord appear"$what are the possiple causes in this particular case"c$ how to know the definite cause"

2-Enumerate causes of dysphagia.

3-,auses and medical ttt of vertigo.

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3rd Round 2009

Answer the following 5uestions+

1. A male patient ** years old presented with diminution ofhearing in hisright ear for the last 2 months. %e felt a sensation of fluid 3nhis right ear.

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On examination the right ear drum was opa5ue andretracted. !eers testshowed lateraliation to the right ear .a$ !hat is the diagnosis of such a case" #1 0ark$

$ !hat are the full investigations needed for this elderlymale patient"#40arks$c$ %ow to treat" #2 0arks$

2. A male patient aged 24 years received a trauma to hishead. 3mmediatelyfollowing this trauma he noticed a clear watery fluid coming

from his leftnostril .a$ !hat do you need to know more aout the characters ofthisdischarge" #2 0arks$$ !hat are the investigations needed for such a case" #20arks$c$ !hat do you advise him to do 7 not to do" #2 0arks$d$ %ow to treat" #1 0ark$

&. !hat are the symptoms( signs and management ofingestion of acorrosive +a$ 3mmediately after ingestion. #& marks$$ 'wo months following the ingestion. #& 0arks$

4. M.C.Q. #18 0arks$

1. ("C :a. &6 cm. /ined y skinc. 9esponsile for preception of hearingd. :ormed of cartilage

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2. Olfactory eitheli!# lines :a. 0ost of nasal passage. 9oof of nasal passage

c. :loor of nasal passage

3. Co##enest ca!se of slee anea in children is:a. ilateral nasal poly. eviated nasal septum.c. Adenotonsillar hypertrophyd. /arge uvula and soft palate

4. )yhilis of the nose affectsa. Anterior part of the septum. )osterior part of the septumc. 0iddle turinated. 3nferioe turinate

*. *aryngosclero#a affect+a. epiglottis.. vocal cords.c. elow vocal cordsd. aove vocal cord

Round cases answers >uestions

1st Round 200? @@ #he dia!nosis is uinsy "throin! pain locali=ed to one side"

2nd round 200? @@ the answers are from the

oo *ady"" +auses of left cord paralysis , w el

position w el in'esti!ations

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*rd round 200? @@ 1st case @@ ecretory (titis

)edia

@@ 2nd case @@ +F rhinorrhea B 7at2oola2eet el characteristics eta*et el dischar!e @

salty taste, doesnCt stiffen handerchief, increase

y strainin! and cou!hin! """""" w *deen el

in'esti!ations w el ttt mel na=ary *adyD

3th Round 200? @@ )sh *ndy el exam aslan,

Cm orry""

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