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4th YEAR MBBS  ENT MCQs 

           Ear MCQs points

 

¨Tympanic membrane develops from all three germ layers

¨Pinna and eustachian tube develops from 1st and 2nd pharyngeal arch

¨Number of centres from which bony labryinth ossifies are 14

¨Tympanic membrane nerve supply is from

o  auriculotemporal nerve,

o  auricular branch of vagus

o   glossopharyngeal nerve

 

¨Stapes footplate covers oval window

¨Bone anchored  hearing Aids  are treatment of choice for management  of single-sided deafness

¨Cochleotoxic drugs are  Neomycin,Kanamycin ,Amikacin  (KAN )

¨Vestibulotoxic drugs are  Streptomycin,Gentamycin ,Tobramycin

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¨Type C curve is seen on tympanogram  in Retracted tympanic Membrane ( Eustachian tube blockage)

¨Carhart's notch  is present at 2000Hz in otosclerosis

¨The pinna attains 90-95% of adult size by 5-6 years but the ossicles attain adult size before birth

¨Sensory nerve supple of middle ear is from glossopharyngeal nerves

¨Pinna has to be pulled upward backward and laterally to see tympanic membrane

¨Kormer’s septum in the mastoid separates squamous cells from the deeper petrosal cells

¨Dangerous type of CSOM is  Attico antral

¨During superficial parotidectomy, the most reliable landmark to identify main trunk of facial

¨nerve is tympanomastoid suture

¨Endolymph is formed in scala media by stria vascularis

¨Communication between middle ear and eustachian tube is obliterated surgically in radial

mastoidectomy

¨Stapes superstructure develops from reichert’s cartilage(2nd arch)

¨Interpretation of BERA is affected by age of the child

¨Cause of SNHL due to furosemide toxicity is oedema of stria vascularis

¨Jacobson’s nerve is other name for tympanic branch of glossopharyngeal nerve

¨In a sitting position with head tiltes 60° backward, lateral canal in stimulated during caloric

testing

¨Dorello’s canal transmits CN VI abducens

¨Costen’s syndrome; otalgia,vertigo and tinnitus (due to TM JOINT abnormality)

¨The cough response caused while cleaning the ear canal is mediated by stimulation of vagus nerve

¨Investigation of choice in assessing hearing loss in neonates is BERA

¨Ossicular disruption with intact tympanic membrane causes maximum hearing loss 54 dB

¨Unit of intensity while testing for threshold of hearing in an audiogram is dB SL

¨Otoacoustic emissions are produced by outer hair cells

¨Speech frequencies include 500 1000 2000 Hz

¨Decrease  Bone conduction  in an audiogram indicates damage to cochlea

¨Caloric test determines function of lateral semicircular canal

¨On Dix-hallpike testing, nystagmus of central origin appears immediately as soon as head is in critical position without a latent period

¨In episodic positional vertigo dix hallpike manouvere test is used

¨Ceruminous glands present in the ear are modified apocrine glands

¨Skin over pinna is loosely attached on medial side  and tightly adherent on lateral side

 

¨Dehiscence of ant wall of external auditory canal cause infection in parotid gland via fissure of santorini

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