85.

86.

87.

88.

A sixty-three-year-old gentleman presents to the ENT OPD with right sided earache of two
weeks duration which has been progressing and is severe during night hours. He has beena
diabetic for more than twenty years. Examination of the ear showed a small granulation on
the floor of external auditory canal with minimal discharge in the canal. The tympanic
membranes were grossly normal. Hearing was normal by tuning fork tests. What drug would
you start for this patient empirically?

(A) Ciprofloxacin (B) Clarithromycin
(C) Cloxacillin (D) Co-amoxiclav

A forty-five-year-old lady is brought to the casualty with severe vertigo and vomiting of one
day duration. She has a history of left ear discharge of ten years duration. Examination of
ear showed a perforation in the pars flaccida with yellowish debris. The fistula test was
positive on the left side with nystagmus beating to the left side. What would be her preferred
position to lie down in bed?

(ಸಿ) Prone position (B) Supine position
(C) With her left ear down (D) With her right ear down

A fifty-year-old gentleman was brought to the ENT casualty with severe pain on right side of
face and dimness of vision. He was a diabetic for the past twenty years. Examination showed
conjunctival chemosis and mild proptosis on the right side. The nasal cavity showed black
eschar on the lateral wall with purulent discharge. Her random blood sugar level was
415 mg% and HbAlc was 10.3. What is the drug of choice for the condition?

(A) Cefoperazone Sulbactam
(B) Colloidal Voriconazole
(C) Linezolid Vancomycin

(D) Liposomal Amphotericin B

During total thyroidectomy for papillary carcinoma thyroid in a thirty-six-year-old lady, the
recurrent laryngeal nerve of right side was sacrificed for oncological safety. The next day, the
patient complained of breathy voice. A fiberoptic laryngoscopy on the second post-operative
day showed vocal cord paralysis of the right side. What would be the positions of the right
and left vocal cords in this patient, on phonation?

(^) Right cadaveric, left intermediate
(B) Right intermediate, left intermediate
(C) Right paramedian, left median

(D) Right paramedian, left paramedian

159/2023 20 A