Answer the following questions as a 10marks DNB answer as need to write in the answer
| Q | Topic | Key Points to Remember |
|---|---|---|
| Q1 | Cochlear microphonics / OAE / UNHS + NPPCD | CM = OHC potential; UNHS catches 50% missed by HRHS; JCIH 1-3-6 rule |
| Q2 | Intraoperative facial nerve monitoring | No long-acting NMBAs; TIVA preferred; verify signal → identify cause → repair or cable graft |
| Q3 | Keratosis obturans / Pre-auricular sinus / Tympanosclerosis | KO = desquamation + intense pain; recurrence after sinus surgery = incomplete excision; TS = hyalinization + calcification |
| Q4 | Neural plasticity & auditory neuropathy | CM present + ABR absent = ANSD; OTOF mutation = best CI outcome |
| Q5 | Cholesteatoma hidden areas / CWD / Sinus tympani | 10 hidden areas; CWD lowers facial ridge for sinus tympani access; DWI MRI for residual |
| Q6 | Noise pollution / HCP / 60% rule | 4 kHz notch; OSHA 85 dB(A) action level; 60/60 = 60% volume, 60 min/day |
| Q7 | Meniere's disease vs syndrome / Pathogenesis / IT therapy | Syphilis = most important secondary cause; K⁺ flooding theory; Gentamicin ablative vs Dex preservative |
| Q8 | SSCD / Temporal bone TB | Tullio + Hennebert + negative BC thresholds; cVEMP enhanced; TB = multiple TM perforations + FN palsy |
| Q9 | Petrous apex anatomy / Cholesteatoma clinical features + surgery | Gradenigo's triad; CN VI in Dorello's canal; approach depends on hearing status |
| Q10 | Survival rates / Case-control / Incidence vs Prevalence | Kaplan-Meier + log-rank; OR = ad/bc; Prevalence = Incidence × Duration |
Answer the above mentioned question in a similar fashion as answered above as 10marks DNB answer