ORL
Explore Your Knowledge of Rhinosinusitis
This quiz is designed to test your knowledge about the anatomy and fun
Key Features:
- 162 thoughtfully crafted questions
- Multiple choice format
- Assess your understanding and retention of important concepts
ΑαΎβAnterior sinus group ααΆα sinus α’αααΈαααα?
Maxillary sinus, frontal sinus and anterior ethmoid sinus
Anterior ethmoid sinus and posterior ethmoid sinus
Spehenois sinus, posterior ethmoid sinus
Frontal sinus, sphenoid sinus and maxillary sinus
Posterior ethmoid sinus, frontal sinus, ethmoid sinus
ΑαΎβ posterior sinus group ααΆα sinus α’αααΈαααα?
Maxillary sinus, frontal sinus and anterior ethmoid sinus
Anterior ethmoid sinus and posterior ethmoid sinus
Spehenois sinus, posterior ethmoid sinus
Frontal sinus, sphenoid sinus and maxillary sinus
Posterior ethmoid sinus, frontal sinus, ethmoid sinus
Function ααααβ nasal cavity ααΆαα
αααΎα ααΎαααααααα½αααααα»αααΊ
Respiration, Audition, Olfaction and Phonation
Audition, degestion and olfaction
Olfaction,, phonation and degestion
Degestion, audition and respiration
Phonation, degestion and respiration
ΑαΎanterior sinus group, drainsααΆαααααΌαααΆ?
Inferior meatus
Middle meatus
Superior meatus
Inferior meatus and middle meatus
Inferior meatus, middle meatus and superior meatus
ΑαΎposterior sinus group, drainsααΆαααααΌαααΆ?
Inferior meatus
Middle meatus
Superior meatus
Inferior meatus and middle meatus
Inferior meatus, middle meatus and superior meatus
Nasal septum (the medial wall) ααααα‘αΎααααααα’αΉαα’αααΈαααα?
Βseptal cartilage, perpendicular plate and vomer
Perpendicular plate (ethmoid), crible lamellar
Vomer, septal cartilage, crible lamellar
Crible lamellar, septal cartilage
Hard palate, septal cartilage, crible lamellar
Αααααααacute bacterial rhinosinusitis ααΆαααΆααΆααααααα
Αα·α
ααΆα α€ α’αΆαα·ααα
Α
αααααααΈ α€β αα
α‘α’β α’αΆαα·ααα
Α
αααααααΈ α‘α’ αα
α₯α’β α’αΆαα·ααα
Α
αααΎαααΆα α₯α’β α’αΆαα·ααα
Ααααααα Chronis bacterial rhinosinusitis ααΆαααΆααΆααααααα
Αα·α
ααΆα α€ α’αΆαα·ααα
Α
αααααααΈ α€β αα
α‘α’β α’αΆαα·ααα
Α
αααααααΈ α‘α’ αα
α₯α’β α’αΆαα·ααα
Α
αααΎαααΆα α₯α’β α’αΆαα·ααα
Chronic rhinosinusitis ααΆαααααααααΆααΆα
αααΎαααΎαααααααα½αααααα·ααααααΊ
Headache
Nasal congestion
Vertigo
Post nasal drip
Facial pain
Nasal polyp ααΊααΆ
Chronic inflammation of ethomoid sinus, bilateral
Chronic inflammation of ethomoid sinus, unilateral
Acute inflammation of ethmoid sinus, bilateral
Acute inflammation of ethmoid sinus, unilateral
Acute inflammation of nasal cavity
ΑαΌααααααΆααααα nasal polyp ααΆαααΌα
ααΆαααααα
Mass αα½α bilateral; translucid or gelactineuse αααα»α nasal cavity
Mass αα½α unilateral; translucid or gelactineuse αααα»α nasal cavity
Mass αα½α unilateral; color red αααα»α nasal cavity
Mass αα½α unilateral; ulcerant αααα»α nasal cavity
ΑαααααΎclassification αααα nasal polypααΆααα»ααααΆα stages
2 stages
3 stages
`4 stages
5 stages
6 stages
Epistaxis ααΊααΆ
ΑαΆαα αΌαααΆαααΆαα
αααα»α
ΑαΆαα αΌαααΆαααΆααα½α αααααααΉαααα’α
ΑαΆαα αΌαααΆαααΆαααΆααααΆαα’αΆα αΆα
ΑαΆαα αΌαααΆαα
ααααΆαα
αααα»α ααΆαα αΌαααΆαααΆααα½ααααααααΉαααα’α ααΆαα αΌαααΆαααΆαααΆααααΆαα’αΆα αΆα
Frontonasal duct opens into
Inferior meatus
Superior meatus
Middle meatus
Inferior turbinate
Frontal sinus drain into
Superior meatus
Middle meatus
Inferior meatus
Ethmoid recess
Paranasal sinus opening in middle meatus
Maxillary
Anterior ethmoid
Posterior ethmoid
Frontal
All drains into middle meatus except
Lacrimal duct
Maxillary sinus
Frontal sinus
Ethmoid sinus
Bulla ethmoidalis is seen in
Superior meatus
Inferior meatus
Middle meatus
Spheno ethmoidal recess
Sphenoidal sinus opens into
Inferior meatus
Middle meatus
Superior meatus
Spheno ethmoidal recess
Opening of posterior ethomoid sinus is in
Middle meatus
Superior meatus
Inferior meatus
None
Nasolacrimal duct opens into
Superior meatus
Middle meatus
Inferior meatus
Sphenopalatine recess
Choana is
Anterior nares
Posterior nares
Tonsils
Larynx
Which of the following bones do not contribute the nasal septum
Sphenoid
Lacrimal
Palatine
Ethomid
Quadrilateral cartilage is attached to all except
Ethmoid
Vomer
Sphenoid
Maxilla
Osteomeatal complex (OMC) connects
Nasal cavity with maxillary sinus
Nasal cavity with sphenoid sinus
The two nasal cavities
Ethmoidal sinus with ethmoidal bulla
Common cold is caused primarily by
Viruses
Bacteria
Fungi
Allergy
In Allergic rhinitis nasal mucosa is
Pale and swollen
Pink and swollen
Atrophied
Bluish and atrophied
Common sites of bleeding
Woodruff plexus
Brown area
Littles area
Vestibular area
Woodruff plexus is seen at
Antero-inferior part of superior turbinate
Middle turbinate
Posterior part of inferior turbinate
Anterior part of inferior turbinate
Little's area is situated in nasal cavity in
Anterio-inferior
Anterio-superior
Posterio-inferior
Posterio-superior
Which artery does not contribute to little's area
Anterior ethmoidal artery
Septal branch of sphenopalatine
Sphenopalatine artery
Posterior ethmoidal artery
Main vascular supply of little's area is all except
Septal branch of superior labial artery
Nasal branch of sphenopalatine artery
Anterior ethmoidal artery
Palatal branch of sphenopalatine
Most common cause for nose bleeding is
Trauma to little's area
A.V. aneurysm
Postero superior part of nasal septum
Hiatus-semilunaris
MC Cause of epistaxis in 3 years old childs
Nasal polyp
Foreign body
Upper respiratory catarrh
Atrophic rhinitis
In a 5 years old child, most common cause of female the most common cause is
Foreign body
Polyp
Atrophic rhinitis
Maggot's
Recurrent epistaxis in a 15 year old female the most common cause is
Juvenile nasopharyngeal fibroma
Rhinosporiodiosis
Foreign body
Hematopoietic disorder
Diagnosis in a ten year old boy with recurrent epistaxis and a unilateral nasal mass is
Antrochoanal polyp
Hemangioma
Angiofibroma
Rhinolith
Epistaxis in elderly person is common in
Foreign body
Allergic rhinitis
Hypertension
Nasopharyngeal carcinoma
Systemic cause of epistaxis are all except
Hypertension
Anticoagulant treatment
Hereditary telengiectasia
Haemophilia
Source off epistaxis after ligation of external carotid artery is
Maxillary ethomoidal artery
Greater palatine artery
Superior labial artery
Ethmoidal artery
If posterior epistaxis cannot be controlled, which artery is ligated
Posterior ethmoidal artery
Maxillary artery
Sphenopalatine artery
External caroid artery
In case of uncontrolled epistaxis, ligation of internal maxillary artery is to be done in the
Maxillary antrum
Pterygopalatine fossa
At the neck
Medial wall of orbit
Treatment of choice in correct epistaxis in a patient with hereditary hemotelangiectas is
Anterior ethomoidal artery ligation
Septal dematoplasty
External carotid artery ligation
Internal carotid artery ligation
Which sinus is NOT a part of para nasal sinus?
Frontal
Ethmoid
Sphenoid
Pyriform
Sinus not present at birth is
Ethmoid
Maxillary
Sphenoid
None
Maxillary sinus achieves maximum size at
At birth
At primary dentition
At secondary dentition
At puberty
Which among the following sinuses is most commonly affected in a child
Sphenoid
Frontal
Ethomoid
Maxillary
In acute sinusitis, the sinus most often involved in children is
Maxillary
Sphenoid
Ethmoid
Sphenoid
Sinusitis is least involved in
Maxillary
Ethmoid
Frontal
Sphenoid
Common organisms causing sinusitis
Pseudomonas
Moraxella catarrhalis
Streptococcus pneumonia
Staph epidermidis
H.ingluenzae
Common organisms causing sinusitis
Pseudomonas
Moraxella catarrhalis
Streptococcus pneumonia
Staph epidermidis
H.ingluenzae, Moraxella catarrhalis and Streptococcus pneumonia
Which is not the physiology of the pharynx?
Conduct of air and food
Propeller of food (Swallowing)
Resonance and speech
Taste
Hearing
The pharynx have
Nasopharynx and Oropharynx
Nasopharynx and hypopharynx
Nasopharynx, Oropharyn and hypopharynx
Oropharynx and hypopharynx
Nasopharynx, Oropharyn, laryngopharynx and hypopharynx
The Eustachain tubes open into the lateral wall of
Nasopharynx
Oropharynx
Hypopharynx
Nasopharynx, Oropharyn and hypopharynx
Nasopharynx and Oropharyn
The palatine tonsils are in the
Nasopharynx
Oropharynx
Hypopharynx
Nasopharynx and Oropharynx
Nasopharynx, Oropharynx and Hypopharynx
Waldeyer's Ring is in the
Nasopharynx and Oropharynx
Nasopharynx, Oropharyn and hypopharynx
Nasopharynx and hypopharynx
Hypopharynx
Hypopharynx and Oropharynx
Acute tonsillitis is an infection
On the surface of the tonsil or the crypts or substance of the tonsils
Only on the surface of the tonsil
Only the crypts
Only substance
Only the crypts and only substance
Etiology of acute tonsilitis
Common bacteria and other
Only bacteria
Only virus
Allergy
Fungus
The treatment of acute tonsillitis with the cause of bacteria
Come to the health center
Monitor at home, gargle with salt water
Drink a lot of water
Try to work hard
Drink a lot of water and try to work hard
Which one is not the symtom of acute tonsilitis
Sudden occurrence
It can appear chilly
High fever, headach
The patient shows acute faces
Anorexic, weakness, constipation
Which one is not the local symptoms of acute tonsilitis?
Pharyngalgia
Can arouse dysphagia and usually refer to the ears
In children the hypertrophic tonsil can arouse dyspnea
Sudden occurence
The patient shows acute faces
Which one is not the differential diagnosis of acute tonsillitis?
Pharyngeal diphtheria
Vincent's angina
Hypoleukocytic angina
Acute otitis media
Hyper trophic tonsil
Which one is not the local tonsilitis complication
Acute nephritis
Peritonsillar abscess (Quinsy)
Acute otitis media
Acute rhinosinusitis
Acute laryngitis
General tonsillitis complication
Acute rheumatism, acute nephritis
Peritonsillar abscess
Acute otitis media
Acute rhinosinusitis
Acute laryngitis
The treatment acute tonsillitis
Oral intake
Adequate rest, gargle saline
Analgesics
Antibiotics (a 10 days course and enough dosage)
All are corrects
Chronic tonsillitis is
Persistent inflammation of the tonsils as a result of recurrent acute or subclinical infection
Sudden infection on the surface of the tonsil
Hypertrophic tonsils
Hypotrophic tonsils
Hypertrophic tonsils and Hypotrophic tonsils
Etiology of chronic tonsillitis
Common bacteria and others
Only bacteria
Only virus
Allergy
Fungus
Which one is not the tonsillitis complication
Acute rheumatism
Peritonsillar abscess
Acute otitis media
Acute rhinosinusitis
Acute heptatitis
Which one is not the symptom of chronic tonsillitis
Recurrent sore throats
Malaise
Joint pain
Cervical lymphadenopathy
Red swollen tonsils
Which one is not the sign of chronic tonsillitis
Covered by some degree of debris or purulent within tonsillar crypts
Tonsilar hypertrophy or sunken atrophic tonsils
Some purulent run out the crypts when pushing the tonsil with a spatula
The tonsillar pillars may show signs of scarring or chronic inflammation
Recurrent sore throats
The diagnosis of chronic tonsillitis base on
Medical history
Local examination
Medical history and local examination
Laboratory
Imagery investigation
Which one is not distinguishing diagnosis (differential diagnosis) of chronic tonsillitis
Physiological tonsillar hypertrophy
Keratinization of tonsil
Tumor of tonsil
Peritonsillar abscess
Which one is not the complication of chronic tonsillitis
Pulmonary tuberculosis
Rheumatic or renal disorders
Acute otitis media
Acute rhinosinusitis
Peritonsillar abscess
The treatment of chronic tonsillitis
Oral intake, adequate rest
Analgesics
Antibiotics
Tonsillectomy
All are corrects
Peritonsillar abscess occur in patients with
Recurrent tonsillitis or those with chronic tonsillitis that has been inadequately treated
Recurrent rhinitis
Recurrent otitis media
Recurrent pharyngitis
Recurrent sinusitis
Peritonsillar abscess it is usually
Unilateral and most frequently affects adult males
Bilateral
Bilateral and most frequently children
Bilateral and in the hot season
Bilateral and in the cold season
Which one is not the symptom of peritonsillar abscess
Extreme unilateral soreness of the throat
Deviation of the uvula to the normal size
Odynophagia, drooling
Drooling (saliva dribbles from the mouth)
Otalgia
Which one is not the sign of peritonsillar abscess
Edema of the soft palate
Displaces the tonsil medially forward and downward
Deviation of the uvula to the normal size
Extreme unilateral soreness of the throat
Bulge of the soft palate
Which one should not recommend for treatment peritonsillar abscess
Intravenous antibiotics (large dose)
Needle aspiration (formed pus), incision drainage
Incision drainage
Tonsillectomy (after 8 weeks)
Only rest at home
Which one is not the indication of tonsillectomy
Repeated attacks (5 infections/year)
One attack of peritonsillar abscess
Purulent material in the crypts of the tonsils
Acute tonsillar inflammation
Tonsillar hypertrophy causes the sleep apnoea syndrome
Which one is not the contraindication of tonsillectomy
Respiratory tract infection or acute tonsillar inflammation
Bleeding disorder or clotting problem
Uncontrol hypertension
During menses or 3 days before menses
One attack of peritonsillar abscess
Which one is not the local symptom of adenoid hypertrophy
Chronic nasal obstruction: mouth breathing, snore
Recurrent rhinitis and sinusitis, nasal discharge serous
Recurrent otitis media, nasal tone and toneless
Adenoid face
Eating slowly
Which one is not the general symptom of adenoid hypertrophy
Eating slowly
Malnutrition reaction bluntness
Unconcentration
Enuresis (bed-wetting)
Adenoid face
For diagnosis of adenoid hypertrophy base on
Adenoid face
High arching of the palate
Palpation
X-ray, CT
All are corrects
The treatment of adenoid hypertrophy
Medical
Surgery
Medical and surgery
No medical and surgery
Etilogy of pharyngitis
Viruses
Bacteria
Fungus
Industrial or atmospheric pollution, heavy smokers or drinkers
Gastroesophageal reflux, allergen
All are correct
Acute pharyngitis is usually resulted from
Acute tonsillitis
Acute rhinitis
A part of an upper respiratory tract infection
Acute tonsillitis, Acute rhinitis and A part of an upper respiratory tract infection
Acute otitis media
Which one is not the symptom of chronic pharyngitis
A raw, dry, uncomfortable
Painful throat
Feeling a foreign body in throat
A dry cough
Otalgia
Which one is not the symptom of chronic pharyngitis?
A raw, dry, uncomfortable
Painful throat
Feeling a foreign body in throat
A dry cough
Slight red and swelling pharynx
Which one is not the symptom of chronic pharyngitis
Posterior wall thick with islands of hypertrophied lymphoid follicles
Painful throat
Feeling a foreign body in throat
A dry cough
A raw, dry, uncomfortable
Which one is not the sign of chronic pharyngitis
A normal-looking pharynx
Slight red and swelling pharynx
A posterior wall thick with islands of
Hypertrophied lymphoid follicles
Feeling a foreign body in throat
Which one should not recommend for chronic pharyngitis treatment
Avoidance of tobacco and constant irritation
Antihistamines
Antiviral medication
Tranquilizer
Digestive
For diagnosis of carcinoma of nasopharynx base on
Medical history
Careful examination
Biopsy of nasopharynx
Medical history, careful examination, and biopsy of nasopharynx
Blood test
Which one is not the physiology of nasopharynx
Protection of lower airways
Phonation
Respiration
Fixation of the chest
Hearing
Sign of acute laryngitis
Hoarseness
Cough
Fever
Malaise
True vocal cord swelling
Which one should not recommend for treatment of acute laryngitis
Voice rest
Mucolytic
Anticold
+/- antibiotic
Surgery
Which one is not the symptom of acute laryngotracheobronchitis (CROUP)
Barking cough
Stridor
Exhausted
Lying down
Narrowing of subglottis
Which one should not recommend for treatment of acute laryngotracheobronchitis (CROUP)
Admit
Humidification, hydration, O2
Antibiotic, steroid
Intubation
Only rest at home
Sign of acute epiglottitis
Early URI symptoms
Children > change very fast 6-12 hours
Fever
Pain in throat
Epiglottis > swelling inflammation
Pathogen of epiglottitis
Adenovirus
Morexella catarrharis
Staphylococcus
Streptococcus pneumoniae
H. Influenza type B
Which one should not recommend for treatment of epiglottitis
Admit, closed monitoring, prepare for intubation
Broad spectrum penicillin
Hydration, humidification
Steriod
Only rest at home
External auditory canal
1 part
2 parts
3 parts
4 parts
5 parts
The two common causes of acute rhinosinusitis are
Rhinogenic and dental cause
Rhinogenic and allergic
Allergic and trauma
Trauma and idiopathic
Idiopathic and rhinogenic
The location of facial pain in the acute maxillary sinusitis is
Cheek
Retro-orbital
Vertex, occipital
Forehead
Nasal bridge
The location of facial pain in the acute frontal sinusitis is
Cheek, infra orbital
Retro-orbital
Vertex, occipital
Forehead
Nasal bridge
The location of facial pain in the acute anterior ethmoidal sinusitis is
Cheek
Retro-orbital
Vertex, occipital
Forehead
Nasal bridge
The location of facial pain in the acute sphenoidal sinusitis is
Cheek
Retro-orbital
Vertex, occipital
Forehead
Nasal bridge
The goals in the management of acute sinusitis are
Eradicate disease, decrease duration, prevent complications
Cure the disease
Avoid complications
Avoid other repetitive disease
Decrease the pain
The main cause of chronic rhinosinusitis is
Inadequate treatment of acute rhino-sinusitis
Allergic
Trauma
Foreign body
Viral
The management of chronic rhinosinusitis
Surgery after fail in medical treatment
Almost medical
Nasal irrigation is not include
Long term systemic corticotherapy
Antibiotic
The main local cause of epistaxis is
Hypertension
Nasal trauma
Nasal polyp
Allergic
Nasal tumor
The most common cause of epistaxis in elder population is
Hypertension
Nasal trauma
Nasal polyp
Allergic
Nasal tumor
The most common location of anterior epistaxis is
Kiesselbach's plexus
Middle turbinate
Inferior turbinate
Superior turbinate
Cavum
The most common location of posterior epistaxis is
Kiesselbach's plexus
Woodruff's plexus
Inferior turbinate
Cavum
Middle turbinate
Allergic rhinitis is defined as
Symptomatic disorder of the nose induced by an IgE-mediated inflammation after allergen exposure
Symptomatic disorder of the nose induced by an IgM-mediated inflammation after allergen exposure
Symptomatic disorder of the nose induced by an IgA-mediated inflammation after allergen exposure
Symptomatic disorder of the nose induced by an IgE-mediated inflammation after bacterial exposure
Symptomatic disorder of the nose induced by an IgE-mediated inflammation after viral exposure
The main impact of allergic rhinitis is
Life threatening
Induce other diseases
Vital complications
Money expend
Impact on quality of life
The co-morbilities of allergic rhinitis is
Rhinosinusitis, nasal polyps, asthma
Malignant nasal tumor
Epistaxis
Pneumonia
Chronic otitis media
Traditional classfication of allergic rhinitis is
Seasonal and perennial allergic rhinitis
Leger and severe allergic rhinitis
Acute and chronic allergic rhinitis
Mild and moderate allergic rhinitis
Occasional and permanent allergic rhinitis
The new classification of allergic rhinitis (ARIA) is
Seasonal and perennial allergic rhinitis
Leger and severe allergic rhinitis
Acute and chronic allergic rhinitis
Mild and moderate allergic rhinitis
Intermittent and persistent allergic rhinitis
The most 3 important symptoms of allergic rhinitis is
Nasal obstruction, rhinorrhea and sneezing
Nasal obstruction, pruritis and epistaxis
Nasal obstruction, headache and sneezing
Nasal obstruction, purulent rhinorrhea and ear pruritis
Nasal obstruction, rhinorrhea and ear infection
The first management of allergic rhinitis is
Patient's education
Long term corticothearapy
Surgery
Nasal irrigation
Allergen desensibilisation
The 4 main managements of allergic rhinitis is
Patient's education, allergen avoidance, pharmacothearapy and immunothearapy
Patient's education, allergen avoidance, surgery and immunothearapy
Patient's education, allergen avoidance, medical and surgery
Patient's education, allergen exposure, pharmacothearapy and immunothearapy
Patient's education, allergen exposure, surgery and immunothearapy
The nasal discharge in allergic rhinitis is
Purulent
Thick and purulent with bleeding sometime
Clear and watery
Unilateral
Bilateral with pus
The ear divided
2 parts
3 parts
4 parts
5 parts
6 parts
The external ear has
Auricle and tympanic membrane
Tympanic membrane and external auditory canal
Pinna and external auditory canal
Pinna and Eustachian tube
Eustachian tube and external auditory canal
Middle ear has
Tympanic membrane, Pinna, Tympanic cavity
Tympanic membrane, Eustachian tube, external auditory canal
Tympanic membrane, Esutachian tube, Tympanic cavity, Mastoid air cell system
Labyrinth, External auditory canal, Tympanic cavity
Tympanic membrane, Mastoid air cell system, lateral semicircular canal
Bony labyrinth has
1 parts
2 parts
3 parts
4 parts
5 parts
Membrane labyrinth has
1 parts
2 parts
3 parts
4 parts
5 parts
Auricle
Piece of fibro-cartilage
Piece of bone
Piece of bone and cartilage
3 surfaces
4 surfaces
Nerve supply to external ear
Branch of XII
Branch of III
Branch of IV
Branch of VIII
Branch of C2,C3
External auditory canal
1.5cm
2.5cm
3.5cm
4.5cm
5.5cm
Pars tensa (tympanic membrane)
1 layers
2 layers
3 layers
4 layers
5 layers
Pars flaccida (tympanic membrane)
1 layers
2 layers
3 layers
4 layers
5 layers
Tympanic cavity
2 parts
3 parts
4 parts
5 parts
6 parts
Contents of the middle ear
2 ossicles, 2 nerves, 2 muscles
3 ossicles, 1 nerves, 2 muscles
3 ossicles, 2 nerves, 3 muscles
3 ossicles, 2 nerves, 2 muscles
1 ossicles, 2 nerves, 2 muscles
Eustachain tube
2.5cm
1.5cm
3cm
3.6cm
4.6cm
Mastoid antrum lies at a depth
0.5cm
1.5cm
2.5cm
3.5cm
4.5cm
Bony semicircular canals
2
3
4
5
6
Bony cochlear (coiled tube)
2.5turns
1.5turns
3.5turns
4.5turns
5.5turns
Middle ear cavity communicates with inner ear through
1 window
2 windows
3 windows
4 windows
5 windows
Smallest bone in the body
Malleus
Incus
Stapes
Incus & stapes
Malleus & stapes
Big cholesteatoma disease treatment
Myringoplasty
Medical treatment
Canal wall up procedure
Canal wall down procedure
Conservation treatment
Attico-antral type of chronic otitis media
Profuse, mucoid discharge
Attic or marginal perforation
Uncommon granulation tissue
Rare complications
Absent cholesteatoma
Benign type of chronic otitis media
Central perforation
Attic perforation
Common granulation tissue
Foul-smelling discharge
Cholesteatoma
Labyrinthine fistula
Lateral semicircular canal is most commonly affected site
Cochlear is most commonly affected site
Vestibular is most commonly affected site
Cochlear and vestibular are most commonly affected site
Caused by inactive mucosal type of chronic otitis media
Active mucosal type of chronic otitis media
Middle ear and mastoid mucosa not inflamed
Inflammation within mucosa of middle ear and mastoid
Permanent perforation of Pars flaccida
Retention of keratinous debris
Dry ear
Non symptoms and signs of acute otitis media
Otalgia
Hearing loss
Vertigo, otorrhea
Fever, irritability
Cough
Acute otitis media
1 week to 12 weeks
12 weeks to 16 weeks
16 weeks to 18 weeks
18 weeks to 20 weeks
Over 20 weeks
Highest incidence of acute otitis media
6 to 24 months of age
24 to 36 months of age
36 to 48 months of age
48 to 72 months of age
72 to 96 months of age
Tragus
Part of auricle
Part of external ear canal
Part of middle ear
Part of inner ear
Part of mastoid region
Fissures of Santorini
Part of pinna
Part of external ear canal
Part of middle ear
Part of inner ear
Part of cochlear
Middle ear cavity has
3 faces
4 faces
5 faces
6 faces
7 faces
Cone of light on part of
Pars flaccida
Antero-superior quadrant
Antero-inferior quadrant
Postero-superior quadrant
Postero-inferior quadrant
Tegmen tympani on
Superior face of tympanic cavity
Inferior face of tympanic cavity
Lateral face of tympanic cavity
Medial face of tympanic cavity
Posterior face of tympanic cavity
Internal jugular vein on
Superior face of tympanic cavity
Inferior face of tympanic cavity
Lateral face of tympanic cavity
Medial face of tympanic cavity
Posterior face of tympanic cavity
Carotid artery on
Superior face of tympanic cavity
Inferior face of tympanic cavity
Lateral face of tympanic cavity
Medial face of tympanic cavity
Anterior face of tympanic cavity
Labyrinth on
Superior face of tympanic cavity
Inferior face of tympanic cavity
Lateral face of tympanic cavity
Medial face of tympanic cavity
Posterior face of tympanic cavity
Membrane tympanic on
Superior face of tympanic cavity
Inferior face of tympanic cavity
Lateral face of tympanic cavity
Medial face of tympanic cavity
Posterior face of tympanic cavity
Bony fallonpian canal of facial nerve in
Middle ear cavity
External ear canal
Pinna part
Inner ear
Mastoid region
Role of the Cochlear
Balance
Audition
No balance and no audition
Connection
Vertigo occur
Labyrinthine fistula
External ear affected site
Middle ear affected site
Cochlear affected site
Membrane tympanic perforation
Hearing loss occur
Lateral semi-circular canal affected site
Superior semi-circular canal affected site
Tympanic membrane perforation
Vestibular affected
Trauma of the pinna
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