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ANSWER: A. Maxillary sinus

Waters' view (also known as the Occipitomental view) is a
radiographic view, where an X-ray beam is angled at 45° to the
orbitomeatal line.

The rays pass from behind the head and are perpendicular to the
radiographic plate.

It is commonly used to get a better view of the maxillary sinuses.

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Correct Answer - D
Answer- D. Foreign body obstructing airway

Indications of tracheostomy:

Upper respiratory tract obstruction; Laryngeal, supralaryngeal ,and
tracheal causes.( Causes of stridor )

Lower respiratory tract obstruction: (Secretory obstruction, Wet lung
syndrome).

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Correct Answer - D
Ans. is 'd' i.e., Supraglottic carcinoma

Clinical features of supraglottic carcinoma

Pain on swallowing is the most frequent initial symptom
Mass in neck may be the first sign.
Hoarsness is a late symptom.
Pain may be referred to ear by vagus nerve and auricular nerve of
arnold.
Late symptoms include foul breath, dysphagia and aspiration.
Large tumors can cause "hot potato voice/muffled voice".
Hemoptysis, sore throat, shorteness of breath, stridor, otalgia and
aspiration pneumonia may also occur.

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Correct Answer - C
Ans. is 'c' i.e., Glomus tumor

Clinical features of glomus tumor
The earliest symptoms of glomus tumour is pulsatile tinnitus
(earliest) and hearing loss.

Hearing loss is conductive and slowly progressive. These are followed by blood stained otorrhoea and earache.

Before the tympanic membrane (eardrum) is perforated a red
swelling is seen to arise from the floor of middle ear, i.e. "Rising
sun" appearance. This results in a red reflex through the intact
tympanic membrane.

Sometimes, eardrum may be bluish and bulging. o Pulsation sign
(Brown sign) is positive, i.e. when ear canal pressure is raised with
Siegle's speculum, tumor pulsates vigorously and then blanches;
reverse happens with release of pressure.

Aquino sign is positive, i.e. blanching of mass with manual
compression of ipsilateral carotid artery.

When the tumour perforates the eardrum a polypus will be seen in
the meatus and this will bleed profusely if touched.

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