Medicine Review MCQs- II

Creation of a “mastoid bowl” is done in the procedure for treatment of -

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Cholesteatoma - creation of a “mastoid bowl” in which the ear canal and mastoid are joined into a large common cavity that must be periodically cleaned.

Schwartze procedure involves -

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Schwartze procedure - Removal of Mastoid air cells is undertaken without affecting the middle ear. <br.This is typically done for mastoiditis

Suppurative otitis media, pain in the distribution of the trigeminal nerve, and abducens nerve palsy suggests -

Correct! Wrong!

Gradenigo syndrome


Triad of symptoms consisting of -
Periorbital unilateral pain related to trigeminal nerve involvement,
Diplopia due to sixth nerve palsy ,
Persistent otorrhea- associated with bacterial otitis media with apex involvement of the petrous part of the temporal bone (petrositis).

Empty delta sign in radiology seen in -

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Empty delta sign is a radiologic sign seen on brain imaging which is associated with cerebral venous sinus thrombosis.
It is usually seen on magnetic resonance imaging (MRI) or computed tomography (CT) scans with contrast.

Sounds exceeding ------------- dB are potentially injurious to the cochlea -

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Sounds exceeding 85 dB are potentially injurious to the cochlea, especially with prolonged exposures.
The loss typically begins in the high frequencies (especially 4000 Hz) and, with continuing exposure, progresses to involve the speech frequencies.

What is the Most Frequent cause of Sensory Hearing Loss ?

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Presbyacusis is a progressive and irreversible bilateral symmetrical age-related sensorineural hearing loss resulting from degeneration of the cochlea or associated structures of the inner ear or auditory nerves.


The hearing loss is most marked at higher frequencies.

Antineoplastic agents most commonly associated with ototoxicity -

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Antineoplastic agents most commonly associated with ototoxicity are the platinum-based compounds cisplatin and, to a lesser degree, carboplatin.


These agents are widely used in gynecologic, lung, central nervous system, head and neck, and testicular cancers

Steeple sign is suggestive of -

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Steeple sign, also called the wine bottle sign,


Refers to the tapering of the upper trachea on a frontal chest radiograph reminiscent of a church steeple. The appearance is suggestive of croup

Holman-Miller sign seen in-

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Holman-Miller sign (also called the antral sign) is seen in juvenile nasopharyngeal angiofibroma; it refers to the anterior bowing of the posterior wall of the maxillary antrum as seen on a lateral skull radiograph or cross-sectional imaging.


Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign tumor arising predominantly in the nasopharynx of adolescent males. It is an aggressive neoplasm and shows a propensity for destructive local spread often extending to the base of the skull and into the cranium.

Phelp sign seen in -

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Phelp sign - erosion of the caroticojugular spine between the carotid canal and jugular fossa

Medicine Review MCQs-III