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131.Explanation Correct Answer - B Ans. is 'b' i.e., Vasomotor rhinitis Vasomotor is a nonallergic condition that involves a constant runny nose, sneezing and nasal congestion, i.e., the nose is stuffy or runny for reasons other than allergies and infections. The exact etiology is unknown, but triggers include emotions, odors, poor air quality, spicy foods, and medication side effects. Pathogenesis include : - Parasympathetic overactivity Hyperactive nasal mucosa to several non-specific stimuli especially in women of 20-40 years. Symptoms of vasomotor rhinitis include excessive clear rhinorrhoea, nasal obstruction/congestion, irritation, paroxysmal sneezing and post-nasal drip. Nasal mucosa is hypertrophied & congested; and mucosa of turbinates may give mulberry like appearance and is pale to dusky red in colour. Complications of vasomotor rhinitis include hypertrophic rhinitis & sinusitis, and nasal polyp. Mulberry nasal mucosa is also seen in chronic hypertrophic rhinitis Join @ENThubs

131. Mulberry nasal mucosa is seen in ?
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130.Explanation Correct Answer - C Ans. is 'c' i.e., Mastoid process Pneumatic bones are one which contain large air spaces lined by epithelium. Examples: maxilla, sphenoid, ethmoid, etc. They make the skull light in weight, help in resonance of voice, and act as air conditioning chambers for the inspired air. A bone that is hollow or contains many air cells called as penumatic bone. Examples are mastoid process of temporal bone, maxilla, ethmoid, sphlenoid and frontal bone. Very simple to remember last 4 as all four paransal sinuses are pneumatic bones. Join @ENThubs

130. Which of the following is a pneumatic bone ?
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129.Explanation Correct Answer - B Ans. is `b' i.e., Petrous temporal CSF otorrhea CSF otorrhea, i.e., leakage of cerebrospinal fluid through ear structure, is a rare but potentially life threatening situation that requires rapid intervention. The underlying etiology of spinal fluid leak through temporal bone is a violation of the bony and meningeal barriers that separate the subarachoid space from the middle ear and mastoid. This means that a defect must exist not only in the bone, but also in the dura matter. Causes of CSF otorrhea are : ? 1. Congenital:- Defect in otic capsule. 2. Acquired:- More common than congenital and cause are : - 1. Surgery:- Post-operative leakage is the most common cause of CSF otorrhea. Surgical causes are acoustic neuroma removal, skull base surgeries and sometimes mastoid surgery. 2. Trauma:- Fracture of petrous part of temporal can lead to CSF otorrhea. 3. Infection3. Spontaneous:- It is without an obvious antecedent pathology. There may be some defect in the temporal bone. Join @ENThubs

129. Fracture of which of the following bone causes leakage of cerebrospinal fluid through ear ?
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128.Explanation Correct Answer - B Ans. is 'b' i.e., Mumps Infections of labyrinth Trauma to labyrinth or VIII nerve (Head injury, surgery etc) Noise induced hearing loss Ototoxic drugs Acquired causes of SNHL Presbycusis Meniere's disease Acoustic neuroma Sudden hearing loss Systemic disorders (DM, Hypothyroidism, Renal disorders) Multiple sclerosis Smoking & Alcoholism Join @ENThubs

128. Unilateral sensorineural hearing loss may occur in?
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127.Explanation Correct Answer - C Ans. is `c' i.e., Type C2 Join @ENThubs

127.Glomus tumor invading the vertical part of carotid canal. It is ?
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127.Glomus tumor invading the vertical part of carotid canal. It is ?
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126.Explanayion Correct Answer - C Ans. is 'c' i.e., Atrophic rhinitis Nasal myiasis (Maggots in nose) It results from the presence of ova of flies particularly chrysomia species in the nose which produce ulceration and destruction of nasal structure. Mostly seen in atrophic rhinitis when the mucosa becomes insensitive to flies laying eggs inside. Clinical features Initial symptoms (3-4 days maggots) :- Intense irritation, sneezing, headache, blood stained disharge, lacrimation. o Later :- Maggots may crawl out of nose and there is foul smell. Complications Destruction of nose, sinuses, soft tissues of face, palate and eyeball. Fistulae in nose and palate. Death occurs due to meningitis. Treatment Chloroform water or vapor must be instilled in order to anaesthetize or kill the maggots and so release their grip from the skin. Join @ENThubs

126. Predisposing factor for Nasal myiasis ?
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