問題一覧
1
identify
Haller Cell
2
Identify
Agger nasi
3
? (Use short form for 3)
Onodi cell, Optic nerve , ICA
4
headache is referred to back of head in _____ sinusitis
Sphenoid
5
Type of spheroid sinus in a & b
Presellar , Sellar
6
mc cause of bacterial rhinosinusitis
pneumococcus
7
Structures visualised on CT before FESS
Cribriform plate depth, Orbital plate condition, Onodi cel, Sphenoid sinus , Ethmoidal artery
8
Chronic sinusitis is caused by
both
9
think of surgery in chronic sinusitis if no benefit with medical management for
3 months
10
what's this procedure called
Caldwell luc approach
11
pack inserted following caldwell luc approach is removed endoscopically from nasoantral window created in _____ meatus
inferior
12
infection can spread from ethmoid to orbit via lamina papyracea or
sup n inf opthalmic veins
13
Which of the following are Chandler stages of orbital infections in order
Preseptal cellulitis, Orbital cellulitis, Subperiosteal abscess , orbital abscess , Cavernous sinus thrombosis
14
Cavernous sinus thrombosis presents with involvement of which nerves
Abducens, trochlear, occulomotor, ophthalmic
15
Cellulitis Orbital e cavernous sinus thrombosis both present with cn 3,4,6 involvement, which is almost always unilateral..
O orbital cellulitis
16
When orbital cellulitis involves CN 2 3 5(1) and 6, it is called
Orbital apex syndrome
17
Diagnosis?
Pott’s puffy tumor
18
Drainage of frontal sinus osteomyelitis is done by a process called _ e incision is -
Trephination , Lynch Howarth incision
19
Most common intracranial complication
Subdural abscess
20
Chronic complications of sinusitis
Mucocele, Pyocele
21
Firs t/preferred approach for acute/ chronic sinusitis
Medical
22
mc caused by
Aspergillus
23
fungal ball traps which metals
iron, Ca, Mn
24
The double density sign in maxillary sinus is diagnostic of
fungal ball , allergic fungal sinusitis
25
which is the most common cause of allergic fungal sinusitis
Dematacious
26
Bent and Kuhn major diagnostic criteria for diagnosis of allergic fungal sinusitis
increased IgE, Nasal polyps, Eosinophilic mucin, double density appearance on CT, positive fungal smear
27
Antifungal of choice in patient with Atopic fungal sinusitis ie very severe n not responding to surgery
Iatroconazole
28
Management of allergic fungal sinusitis
Fess
29
Chronic invasive fungal sinusitis is caused by
Aspergillus fumigates, Aspergillus flavus
30
Immediate management of invasive aspergillosis
Liposomal amphotericin B, 5mg/kg/day
31
Doc post surgery for invasive aspergillosis
Isavuconazole, posaconazole
32
Name of view e best sinus visualised
Walter, Maxillary
33
Name of view & best visualised sinus
Caldwell, Frontal
34
View & which sinus is it used for
Pierre, sphenoid
35
Which is used for definitive diagnosis g sinusitis
Nasal endoscopy
36
Which of the following is the most common complication of sinusitis
Orbital
37
mc sinus leading to osteomyelitis in children and adults respectively is
Maxillary, Frontal
38
While performing a therapeutic antral lavage of the maxillary sinus, the patient developed a fatal complication. He stopped breathing, the colour of his face became ashen grey, and the pupils became dilated. Attempts to resuscitate the patient were futile, and he was declared dead after 20 minutes. Which of the following could be the most likely cause?
air embolism
39
Which of these is not an indication for FESS
Cavernous sinus thrombosis
40
At which site does maxillary sinus open into middle meatus
infundibulum
41
A 25-year-old woman presented to the OPD with foul-smelling nasal discharge and obstruction. On examination, crusts are present bilaterally and on the removal of the crust, bleeding is present. Which of the following is least likely to cause this?
DNS