1. Dept. of ENT-HNS Kathmandu Medical College and Teaching Hospital
SPOTTERS
Dept. of ENT-HNS
Kathmandu Medical College and Teaching Hospital

2. Slide 1
1. A 15 years old boy presented with unilateral nasal obstruction, recurrent epistaxis and swelling over cheek.
What is the most likely diagnosis?
Where does it arise from?

3. 2. Name the arterial supply of the palatine tonsils
Slide 2
2. Name the arterial supply of the palatine tonsils

4. Slide 3
3. A bus driver has tinnitus, episodic vertigo and progressive loss of hearing.
What is he suffering from?
What kind of hearing loss will he have in audiogram?

5. 4. A patient is suspected to have acoustic neuroma
Slide 4
4. A patient is suspected to have acoustic neuroma
What is the most useful investigation?
Which nerve does it generally arise from?

6. 5. A teacher presents with hoarseness for 6 months.
Slide 5
5. A teacher presents with hoarseness for 6 months.
What is the diagnosis?
What is the most common location?

7. Slide 6
6. A 30 years male presents with unilateral throat pain, fever, difficulty in swallowing for 2 days. On examination unilateral bulge is present in right side of oropharynx and uvula is deviated to opposite side.
What is the most likely diagnosis?
Which space is most likely involved?

8. 7. A 25 years pregnant female presented with bilateral hearing loss.
Slide 7
7. A 25 years pregnant female presented with bilateral hearing loss.
What might be the condition?
What does the audiogram show ?

9. Slide 8
8. A 3 years child presented with an abrupt onset of difficulty with breathing since morning with fever. Lateral soft tissue x-ray of neck was done.
What does the x-ray show ?
What is the most likely diagnosis?

10. THANK YOU
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