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Explain each question in detail

Reading File
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Reading File
Reading File
Reading File
Reading File
Finding Sources
Finding Sources
Finding Sources
Finding Sources
Here is a summary of what each question covers and the key exam points to remember:

Quick Reference Guide
QuestionTopicKey DiagnosisKey Answer
Section A Q124M, unilateral SNHL, absent corneal reflex, Hitselberger's signAcoustic Neuroma (Vestibular Schwannoma)Gold standard: MRI with gadolinium
Section A Q245M, green crusts, wide nasal cavity, anosmiaAtrophic Rhinitis (Ozaena)Medical: alkaline douche, antibiotics; Surgical: Young's operation
Section A Q318F, year-round rhinitis, edematous turbinatesPerennial Allergic RhinitisSurgery: Inferior turbinoplasty / Radiofrequency reduction
Section A Q470M, vesicles in EAC, LMN facial palsy, otalgiaRamsay Hunt SyndromeAcyclovir + Prednisolone + Eye care
Section A Q54M child, barky cough, stridor, SpO2 90%, steeple signViral Croup (Severe)O2 + Nebulized epinephrine + Dexamethasone
Section B Q1DiagramsMiddle ear cleft, tonsil blood supply, Little's area, Le Fort, facial nerveAll Le Fort fractures involve pterygoid plates; Facial nerve has 5 extracranial branches
Section B Q2aThird window effectSSCD (Minor's syndrome)Low-frequency CHL with enhanced BC; diagnosed by CT temporal bone
Section B Q2bParadise criteriaTonsillectomy indications7 episodes/1yr, 5/yr x2yr, or 3/yr x3yr
Section B Q2cOral submucous fibrosisAreca nut chewingMalignant potential ~7-13%; Surgery for severe trismus
Section B Q2dBPPVDislodged otoconiaEpley's maneuver is gold standard
Section B Q2eLaryngomalaciaMost common neonatal stridorSupraglottoplasty for severe cases
Section B Q3aMembranous tonsillitis DDxDiphtheria vs EBV vs Vincent'sDiphtheria: tough membrane bleeds on removal, extends beyond tonsil
Section B Q3bAntrochoanal vs ethmoidal polypsAntrochoanal = unilateral young; Ethmoidal = bilateral adultEthmoidal associated with allergy; Antrochoanal - no allergy
Section B Q3cTopodiagnostic tests facial nerveSchirmer's, stapedial reflex, chorda tympani (taste)Proximal lesion = all tests abnormal
Section B Q3dInformed consentDisclosure + comprehension + voluntariness + competence + decisionExceptions: emergency
Section B Q3eOME (Glue ear)Type B flat tympanogramGrommet insertion + adenoidectomy
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