Adenoids MCQs

Oxygen will further support the fire being essential for combustion. So never use 100% oxygen when a fire breaks out. Reference - Diseases of Ear, Nose and Throat & Head and Neck Surgery by P L Dhingra, 8 th Edition, pg. no - 417

Explanation: Rhinolalia clausa is not seen in cleft palate. Instead, a cleft palate causes velopharyngeal insufficiency , leading to hypernasal speech (rhinolalia aperta) due to excessive nasal resonance, rather than the nasal obstruction characteristic of rhinolalia clausa. Rhinolalia clausa Rhinolalia clausa or hyponasality is the lack of nasal resonance for sounds that are normally resonated in the nasal cavity, such as m, n, and ng . It manifests as a nasal or blocked voice caused by obstruction of the nasal passages or nasopharynx. Common causes of hyponasality Common cold Nasal allergy Nasal polyp Nasal growth Adenoid hypertrophy Nasopharyngeal mass (Option A, B, D ruled out)

Dissection and Snare method is used for tonsillectomy . The other three methods are used for adenoidectomy. These are endoscopy based newer procedures for adenoidectomy. Coblation is the best Method of Surgery. The traditional method for adenoidectomy is curettage which is a blind procedure. Reference: Diseases of Ear, Nose and Throat & Head and Neck Surgery by P L Dhingra, 8 th Edition, pg. no. 503, 507

It is atlanto-axial dislocation. Can follow adenoid surgery or nasopharyngeal infections. Manifests with painful neck and torticollis. Treatment includes cervical collar and even traction. Reference: Diseases of Ear, Nose, AND Throat by PL Dhingra, Pg.492

Before adenoidectomy, the adenoid mass should always be palpated before surgery to: Confirm the diagnosis To rule out any abnormal vessel overlying the adenoid mass. Adenoid is irregular on palpation – like a bag of worms. Reference: Diseases of Ear, Nose and Throat & Head and Neck Surgery by P L Dhingra, 8 th Edition, Pg. no. 507

Cricothyroid is the main tensor of the vocal cord which is supplied by external branch of SLN. Paralysis of this muscle leads to bowing down of vocal cords and hence loss of pitch of voice. The sensory supply of the larynx till vocal cords is by the internal branch of the superior laryngeal nerve. The loss of this supply can lead to aspiration. Reference: Diseases of Ear, Nose and Throat & Head and Neck Surgery by P L Dhingra ,8 th Edition, pg. no – 350

UNILATERAL SLN PALSY Anaesthesia of the supraglottic larynx on affected side - may pass unnoticed or cause occasional aspiration. Paralysis of cricothyroid on affected side – weak voice and pitch cannot be raised with decreased ability to sing. Bowing of affected vocal cord as cricothyroid is the main tensor of larynx. Askew position of glottis as anterior commissure is rotated to the healthy side. Reference – Diseases of Ear, Nose and Throat & Head and Neck Surgery by P L Dhingra ,8 th Edition, pg. no – 350