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.

3 - Signs in ENT

*BATTLE SIGN- Bruising behind ear at mastoid region, due to petrous temporal bone# (middle fossa #).

*BOCCA'S SIGN - Absence of post cricoid crackle(Muir's crackle) in Carcinoma post. cricoid.

*BROWN SIGN - blanching of redness on increasing pressure more than systemic pressure see in glomus jugulare.

*BOYCE SIGN - Laryngocoele-Gurgling sound on compression of external laryngocoele with reduction of swelling.

*DODD’S SIGN/CRESCENT SIGN - X-ray finding-Crescent of air between the mass and posterior pharyngeal wall. positive in AC ployp. Negative in Angiofibroma

*FURSTENBERGERS SIGN-This is seen when nasopharyngeal cyst is communicating intracranially,there is enlargement of the cyst on crying and upon compression of jugular vein.

*HITSELBERGER'S SIGN - In Acoustic neuroma- loss of sensation in the ear canal suppllied by Arnold's nerve( branch of Vagus nerve to ear )

*HOLMAN MILLER SIGN, ANTRAL SIGN-it is seen in angiofibroma,the tumor pushes forward on the posterior wall of the maxillary sinus..

*HONDOUSA SIGN--X-ray finding in Angiofibroma, indicating infratemporal fossa involvement characterised by widening of gap between ramus of mandible and maxillary body.

*HENNEBERT SIGN- false fistula sign( cong.syphilis, Meniere's,)

*IRWIN MOORE’S SIGN-------- positive squeeze test in chronic tonsillitis

*LIGHT HOUSE SIGN--- seeping out of secretions in acute OTITIS media

*LYRE'S SIGN - splaying of carotid vessels in carotid body tumor

*MILIAN’S EAR SIGN- Erysipelas can spread to pinna(cuticular affection), where as cellulitis cannot.

*PHELP'S SIGN - loss of crust of bone between carotid canal and jugular canal in glomus jugulare

*RACOON SIGN-Indicate subgaleal hemorrhage,and not necessarly base of skull #

*STEEPLE SIGN- X-ray finding in Acute Laryngo tracheo bronchitis

*STANKIEWICK'S SIGN - indicate orbital injury during FESS. fat protrudes into nasal cavity on compression of eye ball from ouside

*THUMB SIGN --X-ray finding A/c epiglottitis

*TRAGUS SIGN- EXTERNAL OTITIS , Pain on pressing Tragus


*TEA POT SIGN is seen in CSF rhinorrhoea..

*WOODS SIGN----- palpable jugulodigastric lymphnodes.