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ENT VIVA

Hx:. Pt with foul smelling ear discharge dX why I thought it was csom. Also why would there be blood
in the discharge.
Questions about the case on the 1st station. .what is the diagnosis?
investigations? Why will you order CT? . What are the surgical Rx options in this case? . What are
the surgical approaches for ear surgery? What are the complications of this sx?
Neck examination.
1. Levels of neck lymph nodes? 2. Importance of jugulo digastric lymph nodes? 3. Lesions of oral
cavity drain in which node? 4. Lesions of the tongue drain in which node? 5. Is laryngeal crepitus
normally present?
Oral cavity and throat examination.
1. What is seen on IDL? 2. What are the components of larynx?
Also he was asking all sorts of weird stuff like EPI ki vaccines k urdu me Nam batao. Mumps ko urdu
me kya kehte hen. Kali khansi kya hoti hai
Station 3. Aik case tha it was presentating with dyphagia may be but during history mujhe laryngeal
carcinoma laga tha and it was correct Station 4. Laryngeal carcinoma related questions.hx of a prson
with dysphagia. take copmlete hx with sys inquiry n everythingstat 2: hx realated questions,
deferentials, dx esophageal cancer, tests, plummervinson syn define, risk of which cancer in
plummervinson thyroid exam briut wgera sb dkhna steth yd se lejana hyperthyroidsm k signs n0se
examinati0n plus rand0m questnx on function of nose, parts seen on ant. Rhinoscopy

plummer vinson syndrome Def.,investigation, treatment

History of a 5 year old with sore throat and deafness. Diagnosis (chronic tonsillitis, enlarged
adenoids and conductive deafness), medical investigations, med n surgical treatment, complications.

Thyroid examination. The examiner also asked me about types of thyroid nodules, types of
carcinoma and which is the m.c carcinoma.

HYPOPHARYNGEAL CARCINOMA: HISTORY , walls, most common site. management of what u


diagnosed.

NOSE EXAMINATION: ANT . Post rhinoscopy, nasal patency and olfactory test (consent lazmi layna
and introduce ur self and expkain procedure Nasal obstruction history ent history:ethmoidal polyps
(inv , treatment , comp of fess ). Details related to nasal obs case .... nasal obs with sinusitis, and u
have diagnose, give investigation , complications, nasal packing complications, surgical treatment
Complications of SMR and Anterior nasal packing
Why left sided nasal obstruction? Due to inferior turbinate hypertrophy what is inf turbinate
hypertrophy called?

Treatment, Electric and chemical cautery DNS treatment in this pt? SMR DNS treatment if his age
was less than 17- septoplasty

complications of septoplasty? Anesthesia, septal hematoma, septal abscess, septal perforation,


adhesion formation, flapping septum most common complication complication of nasal packing-
infection and airway obstruction canal wal up nd down k steps bhi
3rd pe examiner askd me to do neck examination (don't forget to wear head torch for inspection)
and girls plz tie ur hairs properly for head torch he askd me about +ve findings and diagnosis (jo b
smjh lage btadna main thing is examination steps) lymph nodes mat bhoolna nose examination and
again +ve findings / diagnosis Station 3 history of 24 year old woman with rhinorrhea and headache
and nasal discharge and deviated nasal septum.
diagnosis of patient, treatment of rhinorrhea. Treatment of deviated nasal septum. Treatment of
sinusitis. Nasal packing daalne ki complication. Acute Tonsillitis.History of tonsillitis..
In my case they ask diagnosis, d/d , stages of tonsillits, complications, treatmnt.. Tell them basic
treatmnt pattern not specific drug names.
And their fav ques, can we do laryngoscopy in thyroid exam? Its yes.nd we do it to check recurrent
laryngeal nerve!
In nose, u must know how to hold thudicum nd rest of the examntn step wise Quinsy history, don't
miss the important points like jaw pain etc.
Questions related quinsy, its acute abscess, initial treatment, organism etc.
Thyroid exam. Goitre.history taking of horasnes and dysphagia(make the diagnosis INV AND TX
Case was of ALLERGIC RHINITIS and us k questions thay. Examination was of EAR EXAMINATION-
perform everything even the test for cochlear nerve.Signs and symptoms of CSOM. Investigations.
Types of mastoidectomy. Complications of mastoid surgery.
Nose and thyroid exam,csom attico antral history and ear neck examination and history of
submucous fibrosis with associated neoplasmOral carcinoma ky history, next station mai details,
neck and ear examination. What is Myringoplasty
.contraindication.types(inlay onlay not type 1 type 2) grafts?
What are the reasons of successful uptake of graft (bmi/bmrsomthing check please )
TX of tubotympbaniccsom.

Dysphagia hx. Don't forget to ask anemia questions. Dx?


dysphagiainv, what is plummer Vinson, most common ca in plummervinson.
45 yr old male with hx of dizziness
D.dx - Meneire disease, Bpvv
Next station :diag?
Meneire's disease
Clinical finding? Nystagmus.
Clinical test? Tuning fork tests. Others?
Invg? Audiometry. Others?
Type of deafness : sensorineural
Medical tx?
Surgery?
Counselling to pt?
Relevant history of pt with ulcer on cheek and decreased mouth opening.
Then he asked diagnosis, its investigations, staging and treatment.
Name the commonest type of malignancy?
Most common sites involved?
Investigations?
Treatment?Non-surgical management?
After surgery defect bnjaega, uskokaise fill karenge? Flap kahan se lenge? Decreased mouth opening
kiwajha?
Thyroid examination. (complete)
Types of thyroid diseases?
female main knse common hoge?
malagnancyka risk kismezyadahai?
Thyroid surgery? Types?
Nose examination.
what is seen in anterior rhinoscopy?
SMR?Its complications?bleeding polyposis?SMR?Indications?
Procedure?Type of incision?Incision given where? exact location.
Age jispekarenge?myringoplasty, what type of graft, whats the ideal graft, procedure steps
oral cavity and throat examination.
Which nerves are being tested in this whole procedure?
Glossopharyngeal nerve function? Itx motor supply?

SMR and SeptoplastyIndications?


Contraindications?
Complications?
How it is performed?
Conservative surgery?
Adenoidectomy, 2 methods by which it can be done(Adenoid currettage and endoscopy),
indications, Congenital and Infectious contraindications and complications
How to treat hard ear waxmyringioplasty
DefineMaterial usedQualitues of material usedContradictionsMyringotomy everything

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