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.

2 - ENT mcqs - 11 to 16

11) Why is a vocal cord pale ?
a. Vocal cord is muscle, lack of blood vessels network
b. Absence of mucosa, no blood vessels
c. absence of sub mucosa, no blood vessels
d. absence of mucosa with blood vessels

Answer : c) absence of sub mucosa, no blood vessels
Reference: Gray 38th Edition Chapter on larynx

12) Presbycusis is
a. Age associated vision loss
b. Age associated hearing loss
c. Both
d. None

Answer : b) Age associated hearing loss
Reference: Dhingra 3rd Edition Page 47

13) Acoustic dip in audiogram in noise induced hearing loss is at
a. 4 KHz
b. 3 KHz
c. 2 KHz
d. 1 KHz

Answer : a) 4 KHz
Reference: Dhingra 3rd Edition Page 46

14) False positive fistula test
a. Perilymph fistula
b. Malignant sclerosis
c. Congenital syphilis
d. Cholesteatoma
Answer : c) Congenital Syphilis
Reference: Dhingra 3rd Edition Page 53

15) Reaction time for tymphanic reflex is
a. 20 to 30 ms
b. 30 to 40 ms
c. 40 to 160 ms
d. 600 to 800 ms

Answer : c) 40 to 160 ms
Reference: ganong 22nd Edition Page 179

16) Columella effect is seen in
a. Tympanoplasty
b. Septoplasty
c. Tracheostomy
d. None of the above

Answer : a) Tympanoplasty
Reference: Dhingra 3rd Edition Page 40