Explain each question in detail
| Question | Topic | Key Diagnosis | Key Answer |
|---|---|---|---|
| Section A Q1 | 24M, unilateral SNHL, absent corneal reflex, Hitselberger's sign | Acoustic Neuroma (Vestibular Schwannoma) | Gold standard: MRI with gadolinium |
| Section A Q2 | 45M, green crusts, wide nasal cavity, anosmia | Atrophic Rhinitis (Ozaena) | Medical: alkaline douche, antibiotics; Surgical: Young's operation |
| Section A Q3 | 18F, year-round rhinitis, edematous turbinates | Perennial Allergic Rhinitis | Surgery: Inferior turbinoplasty / Radiofrequency reduction |
| Section A Q4 | 70M, vesicles in EAC, LMN facial palsy, otalgia | Ramsay Hunt Syndrome | Acyclovir + Prednisolone + Eye care |
| Section A Q5 | 4M child, barky cough, stridor, SpO2 90%, steeple sign | Viral Croup (Severe) | O2 + Nebulized epinephrine + Dexamethasone |
| Section B Q1 | Diagrams | Middle ear cleft, tonsil blood supply, Little's area, Le Fort, facial nerve | All Le Fort fractures involve pterygoid plates; Facial nerve has 5 extracranial branches |
| Section B Q2a | Third window effect | SSCD (Minor's syndrome) | Low-frequency CHL with enhanced BC; diagnosed by CT temporal bone |
| Section B Q2b | Paradise criteria | Tonsillectomy indications | 7 episodes/1yr, 5/yr x2yr, or 3/yr x3yr |
| Section B Q2c | Oral submucous fibrosis | Areca nut chewing | Malignant potential ~7-13%; Surgery for severe trismus |
| Section B Q2d | BPPV | Dislodged otoconia | Epley's maneuver is gold standard |
| Section B Q2e | Laryngomalacia | Most common neonatal stridor | Supraglottoplasty for severe cases |
| Section B Q3a | Membranous tonsillitis DDx | Diphtheria vs EBV vs Vincent's | Diphtheria: tough membrane bleeds on removal, extends beyond tonsil |
| Section B Q3b | Antrochoanal vs ethmoidal polyps | Antrochoanal = unilateral young; Ethmoidal = bilateral adult | Ethmoidal associated with allergy; Antrochoanal - no allergy |
| Section B Q3c | Topodiagnostic tests facial nerve | Schirmer's, stapedial reflex, chorda tympani (taste) | Proximal lesion = all tests abnormal |
| Section B Q3d | Informed consent | Disclosure + comprehension + voluntariness + competence + decision | Exceptions: emergency |
| Section B Q3e | OME (Glue ear) | Type B flat tympanogram | Grommet insertion + adenoidectomy |