ENT MCQ Answer 002
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Chronic secretory Otitis Media
Examination in chronic secretory Otitis Media:
- Retracted drum is the main sign, diagnosed by:
- Distorted cone of light.
- Foreshortening of the malleus handle.
- Prominent anterior and posterior malleolar fold.
- Prominent short process of the malleus.
- Diminished drum mobility.
- The drum may show fluid level appear as a hair line.
- Air bubbles may be present behind the drum.
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Bilateral Choanal Atresia
Bilateral cases present as an emergency at birth because neonates are obligate nasal breathers. The neonate suffers severe respiratory difficulties and cyanosis until he cries and the mouth is opened. After a few quick breathes, the lips close again and this sequence of events continues. If not properly managed, the child commonly die from respiratory obstruction.
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ENT MCQ Answer 014
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ENT MCQ Answer 016
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ENT MCQ Answer 017
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Deviated Nasal Septum
It is conservative surgical correction of the severely deviated nasal septum in children causing severe nasal obstruction leading to chronic mouth breathing with its harmful effect on development of the midface, repeated chest infection and chronic paranasal sinus infection, dental deformities, recurrent suppurative otitis media …etc.
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Respiratory Medicine MCQ Answer 010
Answer B. A 35 year old male with Wegener's necrotizing granulomatosis and vasculitis
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Respiratory Medicine MCQ Answer 009
Answer D. Mycoplasma interstitial pneumonitis
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Respiratory Medicine MCQ Answer 008
Answer B. A 65 year old chronic smoker hospitalized in traction after a motor vehicle accident with multiple pelvic fractures
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Respiratory Medicine MCQ Answer 007
Answer D. Distribution of inflammatory infiltrate in the lung
Explanation Click Here
Explanation Click Here
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Respiratory Medicine MCQ Answer 006
Answer D. Asbestos exposure
Asbestos is a special type of long-thin silica crystal, usually of the mineral group chrysotile. In tissue, these crystals are highly irritative and highly fibrogenic. The fibers become coated with a protein-iron-calcium matrix, giving them a shish-kebab appearance. These are called "ferruginous bodies" because they are highlighted with an iron stain.
Asbestos is a special type of long-thin silica crystal, usually of the mineral group chrysotile. In tissue, these crystals are highly irritative and highly fibrogenic. The fibers become coated with a protein-iron-calcium matrix, giving them a shish-kebab appearance. These are called "ferruginous bodies" because they are highlighted with an iron stain.
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Respiratory Medicine MCQ Answer 005
Answer B. A cough productive of sputum for 3 months for at least 2 years.
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Respiratory Medicine MCQ Answer 004
Answer A. Allergic asthma
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Respiratory Medicine MCQ Answer 003
Answer B. Non caseating granulomata
Sarcoidosis is a multisystem disease of unknown cause characterized by noncaseating granulomas in many tissues and organs, but it can cause restrictive lung disease also.
Sarcoidosis is multisystem (eye and skin involvement) but the major manifestations are bilateral hilar lymphadenopathy or lung involvement or both and these can be seen on x-ray. The lymph nodes and tonsils (in one-third of cases) are affected and are enlarged and lobulated. When seen on x-ray, the bilateral hilar lymphadenopathy is referred to as “potato nodes”.
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ENT MCQ Answer 024
Otosclerosis : fibrous osteodystrophy of the human otic capsule
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Contraindications for Tonsillectomy
Contraindications:
Absolute:
- Blood diseases as haemophilia, purpura, leukaemia and agranulocytosis.
- When enlargement is a part of a systemic disease as lymphoma and leukaemia.
- General contraindications to operation.
- During acute attacks à wait for 2 weeks.
- During quinsy à wait for 4 weeks.
- During upper respiratory tract infections à wait for 2 weeks.
- During active rheumatic fever.
- During epidemics of poliomylitis.
- During an active general disease (T.B., hypertension).
- During menses.
- Cleft palate.
- Age: less than 3 years.
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