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A middle aged male comes to the outer patient department (OPD) with th...

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both the vocal cords, it may be a pre malignant condition. The best treatment here would be microlaryngeal surgery and the specimen should be send for histopathology. The patient

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2013-11-16 10:40:52
middle aged male comes outer patient department (OPD) with only complaint hoarseness voice for past years has been chronic smoker for years examination reddish area mucosal irregularity overlying portion both cords was seen Management would include all except:a Cessation smokingb Bilateral cordectomy Microlaryngeal surgery for biopsyd Regular follow-upSincepatient ischronic smoker and there isreddish irregular lesion bothvocal cords may bepre malignant conditionbest treatment here would microlaryngeal surgery andspecimen should send for histopathologypatient should advised quit smoking Regular follow should also done Bilateral cordectomynot even indicatedearly stageslaryngeal malignanciesReference:DiseasesEar Nose and Throat Dhingra 4th Edition Page 286
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Topic :- MOCK TEST 3

following indication for Type thyroplasty Vocal cord medialization Vocal cord lateralizationc Vocal cord shorteningd Vocal cord lengtheningType thyroplasty form medialization laryngoplasty implant placed between thyroid cartilage and vocalis muscle medialize membranous vocal fold Reference:Otolaryngology: Basic Science and Clinical Review Thomas Van Wate Page 548.......

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Carhart’s notch audiogram represent following deepest frequency KHzb KHz KHzd KHzCarhart’s notch seen patients with otosclerosis dip bone conduction curve seen maximally KHz region disappears after successful stapedectomy Reference:1 Essential Guide Hearing and Balance Disorders Charles Limb Page Ear Nose and Throat Diseases: Pocket Reference Walter Becker 2nd Edition Page 1153 Hearing and Deafness: Introduction for Health and Education Professionals Peter Paul Page .......

year old female patient complaints bilateral impairment hearing for the past

Subject :-random

Topic :- MOCK TEST 3

year old female patient complaints bilateral impairment hearing for past years examination tympanic membrane normal and audiogram shows bilateral conductive deafness Impedance audiometry shows normal curve and acoustic reflexes absent All following constitute part its treatment except:a Gentamicin Hearing aidc Stapedectomyd Sodium fluorideThe patient showing features otosclerosis condition due new spongy bone formation About 50% cases may have positive family history and deafness starts between age 20-30 years Non surgical treatment otosclerosis includes use hearing aid and sodium fluoride Use high doses sodium fluoride thought increase remineralization otospongotic foci has been reported stabilize progressive inner ear hearing loss and tinnitus Surgical treatment choice stapedectomy Reference:1 Otology Neurotology and Lateral Skull Base Surgery: Illustrated Handbook Oliver Adunka Chapter Ear Nose and Throat Diseases: With Head and Neck Surgery Hans Behrbohm 3rd Edition Page 81-2.......

year old boy been diagnosed have posterior superior retraction pocket cholesteotoma

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Topic :- MOCK TEST 3

year old boy been diagnosed have posterior superior retraction pocket cholesteotoma All following would constitute part its management except:a Audiometryb Myringoplasty Tympanoplastyd Mastoid explorationMyringoplasty procedure done close central perforations patients with safe type tubotympanic type chronic suppurative ottitis media not done case cholesteatoma occur atticoantral type dangerous type CSOM Surgical treatment choice this case open mastoidectomy tympanoplasty can also done Reference:1 Medical Surgical Nursing Specialities Salins Pages 120-22 Ear Nose and Throat For Lawyers John Cherry Pages 103 114-6 .......

The treatment choice T1N0M0 glottic carcinoma?a. Surgeryb. Brachytherapyc. Chemot

Subject :-random

Topic :- MOCK TEST 3

treatment choice T1N0M0 glottic carcinoma Surgeryb Brachytherapyc Chemotherapyd External beam radiotherapy T1N0M0 glottic cancer tumor confined vocal cord with normal mobility without any regional lymph node involvement distant metastasis this stage treatment choice external beam radiotherapy has about 90% cure rate vocal cord mobility not impaired added benefit this procedure that voice production preserved certain cases radiotherapy refused not available excision cord endoscopic CO2 laser laryngofissure performed Reference:Diseases Ear Nose and Throat Dhingra 4th Edition Page 286.......

year old male chronic smoker complaints hoarseness voice for the past months.

Subject :-random

Topic :- MOCK TEST 3

year old male chronic smoker complaints hoarseness voice for past months Microlaryngoscopic biopsy shows keratosis larynx All suggested treatment modalities for this condition except:a Stop smokingb Laser vaporizerc Partial laryngectomy Stripping vocal cordLaryngeal keratosis precancerous condition Treatment modalities includes avoidance aetiological factors such smoking stripping vocal cords and examination tissues for malignancy and use laser vaporization The treatment Keratosis larynx conservative involving microsurgical excision Partial laryngectomy may used presence certain stage malignancy Larynx Reference:1 Diseases Ear Nose and Throat Dhingra 4th Edition Page 2812 Larynx Harvey Tucker 2nd Edition Page 2903 Cancer Precursors: Epidemiology Detection and Prevention Eduardo Franco Page 904 Flexible Bronchoscopy Pen Wang 2nd Edition Page .......

Rajesh, month old child, presents with failure gaining weight and noisy breathing

Subject :-random

Topic :- MOCK TEST 3

Rajesh month old child presents with failure gaining weight and noisy breathing becomes worse child cries Laryngoscopy showed reddish mass subglottis Treatment modality may include all except:a Radiation Steroidsc Tracheostomyd Carbon dioxide laser treatmentChild question suffering from subglottic hemangioma treatment choice this condition CO2 laser Shrinking lesion achieved single laser spots placed adequate distances apart via mucosal incision followed enucleation angioma lesion also shrinks size with use steroids Radiation not modality treatment this condition Reference:1 Ent-Head and Neck Surgery Essential Procedures Juergen Theissing Chapter 102 Textbook Clinical Pediatrics Elzouki Volume 2nd Edition Pages 2197-8 .......

one year old child having leucocoria was detected having unilateral, large reti

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Topic :- MOCK TEST 3

one year old child having leucocoria was detected having unilateral large retinoblastoma filling half globe following therapy choice Enucleation Chemotherapy followed local dyesc Scleral radiotherapy followed chemotherapyd Direct Laser ablation using photo dynamic cryotherapySince child having very large retinoblastoma filling more than half globe treatment choice enucleation Eyeball enucleated along with maximum length optic nerve without perforating eyeball Enucleation indicated treatment retinoblastoma tumor involves more than half retina optic nerve involved and glaucoma present and anterior chamber involved Reference:Comprehensive Ophthalmology Khurana 4th Edition Page 283.......

Which the following condition surgically corrected Fasanella servan operation?a.

Subject :-random

Topic :- MOCK TEST 3

following condition surgically corrected Fasanella servan operation Horner's syndrome Myasthenia gravisc Steroid induced ptosisd Severe congenital ptosisFasanella Servan operation indicated cases having mild ptosis 5-2mm) and good elevator function( 10mm this procedure upper lid everted and upper tarsal border along with its attached Muller’s muscle and conjunctiva resected Indications Fasanella servan surgery includes: Mild ptosis associated with Horner’s syndrome Selected cases mild acquired involutional ptosis Mild congenital ptosis with good elevator functionReference:1 Comprehensive Ophthalmology Khurana 4th Edition Page 3582 Ophthalmic Surgical Procedures Peter Hersh 2nd Edition Page 281.......

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