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nose Flashcards

(57 cards)

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1
Q

saddle nose causes

A

tertiary syphillis, tb, trauma, septal surgery

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2
Q

Cottles test

A

Done to check blockage of nasal valve
Two fingers on check fit it upwards breathing better - +ve indicates nasal valve prolapse

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3
Q

Saddle nose Rx

A

Augmentation rhinoplasty by using ilaic crest

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4
Q

Hump nose Rx

A

Reduction rhinoplasty

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5
Q

Crooked vs deviated nose

A

Crooked - dorsum deviated, tip midline
Deviated- both deviated to midline but to one side

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6
Q

young child with cystic swelling in or around the nose IOC?

A

CT

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7
Q

3 Cystic swellings - young child - area: in or around nose

A

1) nasal DERMOID
2) nasal encephalocele
3) nasal glioma

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8
Q

nasal dermoid
1) types
2) rx

A

types 3
a) simple
b) + sinus
c) + hair + sinus
rx: surgical excision with sinus tract

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9
Q

Fur sten berg test
A) positive
B) negative

A

Swelling- pulsatile, reducible and increased in size on coughing or crying
A) nasal encephalocele
B) nasal glioma

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10
Q

m/c type of malignancy of skin of external nose ?
presentation?

A

Basal cell carcinoma
ulcerative, telangectatic lesion with rolled out edges

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11
Q

Choanal atresia is persistence of ?

A

Bucconasal membrane

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12
Q

Blue baby turns pink on crying in labour room or ot and Pediatrician not able to pass suction catheter through the nose ???
cause and treatment ?

A

Cho Anal atresia
Rx: immediate management - McGoverns technique => putting a wide bore nipple in the baby’s mouth to keep it open
Then trache os tomy
At 1 year of age - recanalisation surgery
Followed by MITOMYCIN C

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13
Q

Concha parts of which bone

A

Inferior - independent bone
Middle and superior- ethmoid bone

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14
Q

nose and paranasal sinus is lined with

A

pseudo stratified ciliated columar epithelium

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15
Q

another name of maxillary sinus

A

antrum of HIGH MORE

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16
Q

oroantral fistula is a complication of _______

A

dental extraction

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17
Q

Sphneoid sinusitis pt developed suddenly develops neuro symptoms
Cause?
Rx?

A

Cavernous sinus thrombosis
Urgent ct brain

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18
Q

Best surgical approach for pituitary adenoma revomal

A

Endoscopic endonasal transphenoid hypophysectomy

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19
Q

Ethmoid bond fracture lead to?

A

Csf rhinorrhea

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20
Q

Anterior Ethmoid air cells constant cells
A) no?
B) name

A

A) 2
B) bulla ethmoidalis - constant and largest
Agger nasi - constant anterior most

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21
Q

3 unusual locations of ethm air cells and complications

A

In Orbital floor -> haller cells
Close to optic nerve -> onodi cells
Inside middle turbinate-> concha bullosa ( complication sinusitis)

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22
Q

m/c anatomical variation of ethm air cells
lead to ?

A

concha bullosa - inside the middle turbinate
leads to sinusitis

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23
Q

Drain into?
A) nasolacrimal duct
B) maxillary sinus
C) frontal sinus
D) anterior ethmoid air cells
E) posterior
F) sphenoid sinus

Study These Flashcards
A

A) inferior meatus
B c d ) middle meatus
E) superior meatus
F) SER ( spheno ethmoidal recess)

24
Q

DCR ( dacryo cysto rhin os tomy)
Procedure?
Instrument?

Study These Flashcards
A

Surgical procedure to make a Opening in the lacrimal sac into the middle meatus.
Instrument- KERRISUN’s endoscopic DCR bone punch

25
OMC ? Key pathology of ?
Osteo meatal complex = BE + UP + EI + 3 sinus opening Key pathology of sinusitis Bulla ethmoidalis Uncinate process Ethmoid infundibulum 3 sinus - frontal, ant.ethmoid air cells, maxillary
26
Investigation for sinusitis A) Endoscopy name? 3 Passes? B) best investigation for sinusitis
A) DNE diagnostic nasal endoscopy EGREES endoscope (30 or 0 degree) 1st pass- along IT 2nd - above MT 3rd- inside MM B) CT scan
27
Waters view shows all sinuses expect
Posterior ethmoid air cells
28
Caldwell view shows sinuses?
Frontal and ethmoid sinus
29
FESS A) Main aim B) steps C) complications
Functional endoscopic sinus surgery A) - to re establish the sinus drainage B) uncinectomy -> removing BE C) orbital hematoma, enophthalmos, diplopia, csf rhinorrhea, ON and ICA injury
30
Orbital hematoma after FESS is due to
Injury of anterior ethmoidal artery
31
Most common long term complication of FESS or any nasal surgery + Rx
Synechiae formation (adhesions) Rx: local application of MITOMICIN C
32
Potts puffy tumour
Frontal sinusitis leads to frontal osteomyelitis leads to sub periosteal frontal abcess Presents as red, painful forehead swelling
33
Samp ters triad
Nasal polyp (ethmoid) Bronichal asthma Allergy to NSAIDS (like aspirin)
34
Allergic fungal sinusitis A) c/f B) best invg
A) allergic nasal mucin, nasal polyp - CT : heterogenous / double density shadow B) mri
35
Bent and kunn criteria to diagn allergic fungal rhino sinusitis
36
Mucor myco sis Invg
Biopsy > MRI with contrast Koh mount - no value
37
Mucor myco sis C/f
38
Mucor myco sis Rx
1- debridement 1st 2- DOC AMPHO TERI CIN B
39
Kallman’s syndrome 2 features
1- ansomia 2- hypogonadism ( infertility)
40
Test for ciliary function
Sacchrine test
41
Tests for olfactory
UPSIT smell diskettes Olfactory threshold test
42
Mulberry appearance of nasal mucosa of ITH
DNS of patent side of inf turbinate hypertrophy
43
Sludder headache
Headache due to contact btw DNS and middle turbinate lead to neuralgic headache. Also known as ant ethmoidal neuralgia
44
Rx for DNS
Septoplasty
45
Why should you drain septal hematoma immediately ? C/f ?
If you don’t drain -> lead to septal abscess -> lead to septal perforation C/f : b/L after trauma
46
Perforation of bony part of nasal septum is caused by
Syphilis
47
Wegeners granulomatosis Invgt
C ANCA
48
Wegeners granulomatosis Invgt
C ANCA
49
Treatment for nasal bone #
immediate closed reduction before edema starts using WALSHAM FORCEPS Edema already present-> wait for 7 days for edema to subside
50
nasal septum # Types Rx
Types: JAR JA VAY #, CHE VALLET # Rx: Septal reduction using ASCH forceps
51
Cheek anaesthesia due to injury of ______ nerve in what conditions?
Infra orbital nerve conditions- ca maxillary sinus , zygomatic # and maxilla #
52
Guerin sign seen in
Le fort I mid face #
53
Target sign or double halo or halo sign M/c site of ______ leak
Traumatic leak of CSF rhinorrhea M/c site FOVEA ETHMOIDALIS roof of ethmoid
54
Best invgt to d/b btw csf vs nasal discharge
Beta 2 transferrin estimation in csf
55
Best radiological invg of csf leak
HRCT skull base
56
Artery of epistaxis
Sphenopalatine artery
57
Kiessel bach plexus 1- Present in 2- contains 3- doesn’t contain
1- little area 2- GPA, SPA, SLA, AEA 3- PEA

ENT (2 decks)

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