19 - Glomus tumor mcqs

1q: PHELPS sign is seen in ?
a. Glomus jugulare
b. Vestibular schwannoma
c. Meniere's disease
d. Neurofibromatosis

answer a. Glomus jugulare.

2q: A patient presents with bleeding from the ear. Ear pain, tinnitus and progressive deafness are associated. On examination there is a red swelling behind the intact tympanic membrane which blanches on pressure with pneumatic speculum. Management includes all except ?
a. Radiotherapy
b. Surgery
c. Interferons
d. Preop embolisation

answer C.Interferons

3q: Which is the most pulsatile tumor found in external auditory meatus which bleeds on touch ?
a. Squamous cell carcinoma of pinna
b. Basal cell carcinoma
c. Adenoma
d. Glomus tumor

answer d. Glomus tumor (though its a middle ear tumor)

4q: Brown sign is seen in ?
a. Glomus tumor
b. Meniere's disease
c. Acoustic neuroma
d. Otosclerosis

answer a. Glomus tumor.

5q: True about Glomus-jugulare tumor :
a. Most common in males
b. Arises from non-chromaffin cells
c. Lymph node metastasis is seen
d. Multicentric
e. Fluctuating tinnitus and conductive type of hearing loss is seen

answer b, c, d, e.

6q: Most common bony tumor of middle ear is ?
a. Adenocarcinoma
b. Squamous cell carcinoma
c. Glomus tumor
d. Acoustic neuroma

answer b. Squamous cell carinoma

7q: Treatment of middle ear malignancy include :
a. Excision of petrous part of temporal bone
b. Subcortical excision
c. Modified radical mastoidectomy
d. None

answer a and c.

8q: The usual location of Glomus jugular tumor is ?
a. Epitympanum
b. Hypotympanum
c. Mastoidal cell
d. Promontory
e. Internal auditory meatus

answer b. Hypotymapnum.

9q: Pulsatile tinnitus in ear is due to ?
a. Malignant otitis media
b. Osteoma
c. Mastoid reservoirs
d. Glomus jugular tumor

answer d. Glomus jugulare tumor.

18 - Development and Growth of ParaNasal sinuses

SINUS	STATUS AT BIRTH And First radiological evidence	GROWTH
Frontal sinus	Not present; First radiological evidence at 6 years of age	Invades frontal bone at the age of 4 years. Size increases until teens.
Sphenoid sinus	Not present; First radiological evidence at 4 years of age	Reaches sella turcica by the age of 7 years, dorsum sellae by late teens and basisphenoid by adult age. Reaches full size between 15 years to adult age.
Maxillary sinus	Present at birth; First radiological evidence at 4-5 months of age	Rapid growth from birth to 3 years and from 7-12 years. Adult size – 15 years .
Ethmoidal sinus	Present at birth -Anterior group = 5x2x2mm -Posterior group = 5x4x2 mm; First radiological evidence at 1 year of age	Reach adult size by 12 years

17 - PGI Chandigarh December 2007 ENT Mcqs with answers

1q: Nasopharyngeal carcinoma causes deafness by ?

a. Blocking the eustachian tube
b. serous otitis media
c. Temporal bone metastasis
d. Radiation

answer a and b

2q: About otosclerosis, following are true except ?

a. more common in males
b. commonly unilateral
c. sensory neural hearing loss
d. stapedectomy done

answer b and c are wrong statements. The hearing loss in otosclerosis is bilateral conductive type. Normally females are twice as often affected with this disease than males, but in india it is predominant in males.

3q: Bone which is pneumatic ?

a. maxillary
b. parietal
c. temporal
d. frontal
e. ethmoidal

answer a, d, e.

4q: True about tympanic membrane ?

a. tympanosclerosis increases compliance
b. ossicular disruption with intact tympanic membrane decreases compliance
c. fluid in middle ear cavity increases compliance
d. otosclerosis decreases compliance

answer d is the only true statement. Otosclerosis and tympanosclerosis decreases compliance. option b increases compliance.Middle ear effusions result in no change in compliance.

5q: True in temporal bone surgery ?

a. mastoid makes landmark
b. trautmenn's triangle used as a guide for incision
c. antrum acts as landmark

answer b is the only true statement. Trautmenn's triangle is defined as the area limited by the anterior border of the sigmoid sinus posteriorly, the petrous ridge superiorly and a line connecting the jugular bulb to the petrous apex anteriorly .

16 - Insertion of Grommet Video ( Treatment of Glue ear )

A beautiful video which demonstrates the insertion of grommet to treat a condition called glue ear ( otitis media with effusion ).


Otitis media with effusion (OME), also called serous or secretory otitis media (SOM), is simply a collection of fluid that occurs within the middle ear space as a result of the negative pressure produced by altered Eustachian tube function. This can occur purely from a viral URI, with no pain or bacterial infection, or it can precede and/or follow acute bacterial otitis media. Fluid in the middle ear sometimes causes conductive hearing impairment, but only when it interferes with the normal vibration of the eardrum by sound waves.


Over weeks and months, middle ear fluid can become very thick and glue-like (thus the name glue ear), which increases the likelihood of its causing conductive hearing impairment. Early-onset OME is associated with feeding while lying down and early entry into group child care, while parental smoking, too short a period of breastfeeding and greater amounts of time spent in group child care increased the duration of OME in the first two years of life.

15 - Posterior Rhinoscopy Video

This video explains the procedure of doing posterior rhinoscopy to visualise the turbinates and eustachian tube .


An important point to be noted here is that all the turbinates except the SUPERIOR TURBINATE can be visualised by posterior rhinoscopy .

14 - Vertigo Differential Diagnosis

Differential Diagnosis of Vertigo Based on the Timeframe of Vertigo and the Presence or Absence of Hearing Loss.

Time	No Associated Hearing Loss	Hearing Loss Present
Seconds	Benign positional paroxysmal vertigo	Perilymphatic fistula Cholesteatoma
Minutes	Vertebral basilar insufficiency Migraines
Hours	Vestibulopathy	Meniere disease
Days	Vestibular neuronitis	Labyrinthitis
Weeks	Central nervous system disorders Lyme disease Multiple sclerosis	Acoustic neuroma Autoimmune processes Psychogenic

13 - Causes of bilateral facial palsy

ETIOLOGIES ASSOCIATED WITH BILATERAL FACIAL PALSIES

            ( MAY BE SIMULTANEOUS or DELAYED )

1. Guillain-Barre syndrome
2. Leukemia
3. Leprosy
4. Lime disease
5. Isoniazid
6. Infectious mononucleosis
7. Myasthenia gravis
8. Myotonic dystrophia
9. Meningitis
10. Moebius syndrome
11. Malaria
12. Periarteritis nodosa
13. Porphyrias
14. Poliomyelitis
15. Postvaccination neuropathy
16. Syphilis
17. Bell palsy
18. Basilar skull fracture
19. Bulbar palsies
20. Botulism
21. Osteopetrosis
22. Diabetes mellitus
23. Sarcoidosis ( Heerfordt syndrome )