Middle Ear Disease

• Q1.Light house sign in seen in ASOM in which stage?

  • AStage of suppuration
  • BStage of hyperaemia
  • CStage of resolution
  • DStage of pre-suppuration
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• Q2.Mainstay of treatment of glue ear:-

  • ARadical Mastoidectomy
  • BMyringotomy + aeration to middle ear
  • CTemporal bone resection
  • DTonsillectomy & adenoidectomy
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• Q3.Tuberculous otitis media is characterized by all except -

  • AMultiple perforations
  • BPale granulations
  • CPain
  • DThin odourless fluid
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• Q4.In a 4 year old child with ASOM the infecting of organism is likely to be –

  • APneumococcus
  • BH.influenza
  • CStreptococcus
  • DStaphylococcus
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• Q5.Which of the following is characteristic of T.B. otitis media -

  • AMarginal perforation
  • BAttic perforation
  • CLarge central perforation
  • DMultiple perforation
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• Q6.True about deafness due to serous otitis media is all except -

  • ASpeech defects
  • BProfound loss of hearing
  • CType B tympanogram on impedence audiometry
  • DAssociated with earache
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• Q7.Sclerosing otitis media is diagnosed by

  • AImpedence audiometry
  • BPure tone audiometry
  • CX-ray
  • DOtoscopy
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• Q8.In a patient with CSF otorrhea a cotton plug is kept in ear near Eustachian tube. A dye is injected in the sub- arachnoid space. The plug gets stained. Which of the following is most likely site of CSF leak?

  • ATemporal bone
  • BEthmoid
  • CSphenoid
  • DCribriform plate
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• Q9.A 18-month-old boy is brought by parents to his family physician with a 2-day history of fever, irritability, and frequent tugging of his left ear. The physician diagnoses acute otitis media and treated with antibiotics. In follow-up 2 months later, otoscopic examination, air-fluid levels are seen in the left ear. Medical management is failed to resolve the effusion. Treatment of choice in this child is:

  • AConservative
  • BTympanoplasty
  • CMyringotomy with ventilation tube inseion
  • DMyringotomy with diode laser
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• Q10.Post head injury, the patient had conductive deafness and on examination, tympanic membrane was normal and mobile with increased compliance on impedance. Likely diagnosis is:

  • ADistortion of ossicular chain
  • BHemotympanum
  • CTympanosclerosis
  • DOtosclerosis
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Answer key

Q1: A. Stage of suppuration; Q2: B. Myringotomy + aeration to middle ear; Q3: C. Pain; Q4: A. Pneumococcus; Q5: D. Multiple perforation; Q6: B. Profound loss of hearing; Q7: D. Otoscopy; Q8: A. Temporal bone; Q9: C. Myringotomy with ventilation tube inseion; Q10: A. Distortion of ossicular chain.

Other topics in ENT

• Ear Embryology and Congenital Malformations
• External Ear Anatomy
• Middle Ear Anatomy
• Mastoid Anatomy
• Inner Ear Anatomy
• External Ear Disease
• CSOM Types and Cholesteatoma
• CSOM: Management and Complications
• Otosclerosis
• Meniere's Disease
• Vertigo and Vestibular Disorders
• Tumours of the Ear
• Facial Nerve Anatomy
• Facial Nerve Palsy and Related Disorders
• Eustachian Tube
• Hearing Physiology and Tuning Fork Tests
• Audiometry and Special Hearing Tests
• Deafness and Hearing Rehabilitation
• Nasal Anatomy
• Paranasal Sinus Anatomy
• Nasal and Sinus Physiology
• Epistaxis
• Congenital and Acquired Nasal Disorders
• Rhinitis
• Nasal Septal Disorders and Polyposis
• Nasal and Facial Injuries
• Tumours of the Nose and PNS
• Sinusitis and Related Complications
• Pharyngeal Anatomy and Physiology
• Adenoids
• Tonsils
• Pharyngeal Abscesses
• Nasopharyngeal Angiofibroma
• Nasopharyngeal Carcinoma
• Laryngeal Anatomy and Physiology
• Stridor and Congenital Laryngeal Anomalies
• Disorders of Voice and Speech
• Laryngeal Carcinoma
• Tracheostomy and Foreign Bodies of the Air and Food Passages
• ENT Instruments