NEET-PG 2012 - ENT PYQs Practice Questions

Q: What is Little's area, also known as Kiesselbach's plexus?

Anteroinferior nasal septum. ***Anteroinferior nasal septum*** - **Little's area**, or **Kiesselbach's plexus**, is a well-vascularized region located on the **anteroinferior portion of the nasal septum**. - This area is a common site for **anterior epistaxis** (nosebleeds) due to its superficial position and rich anastomotic blood supply from several arteries. *Anteroinferior lateral wall* - While the lateral nasal wall also contributes to the nasal blood supply, the specific region of **Little's area** is on the **septum**, not the lateral wall. - The **lateral wall** contains structures like the turbinates and their associated vascular networks, which are distinct from Kiesselbach's plexus. *Posteroinferior lateral wall* - The **posterior and inferior aspects** of the nasal cavity are not where Kiesselbach's plexus is predominantly located. - Bleeding from this posterior region often indicates **posterior epistaxis**, which can be more severe and difficult to control. *Posteroinferior nasal septum* - The **posterior nasal septum** is supplied by different arteries, such as branches of the **sphenopalatine artery**. - Bleeding from this part of the septum is also considered **posterior epistaxis** and is not typically associated with Kiesselbach's plexus. [Practice more ENT PYQs on OnCourse]

Q: 65-year-old person with hearing loss with normal speech discrimination is suffering from?

Presbycusis. ***Presbycusis*** - **Presbycusis**, or age-related hearing loss, is characterized by a gradual, symmetrical, **sensorineural hearing loss** primarily affecting high frequencies. - Importantly, **speech discrimination** is typically preserved in the early and moderate stages of presbycusis, which aligns with the normal speech discrimination in a 65-year-old. *Noise induced hearing loss* - **Noise-induced hearing loss** is caused by exposure to loud noise and often presents with a characteristic **4 kHz notch** in the audiogram. - While it can cause sensorineural hearing loss, it's not exclusively defined by the age-related onset and might involve more significant **speech discrimination difficulties** depending on the severity and frequency range affected. *Ototoxic drug* - Hearing loss due to **ototoxic drugs** (e.g., aminoglycosides, cisplatin) typically manifests as a **bilateral, high-frequency sensorineural hearing loss** that can progress rapidly. - The history of **drug exposure** would be a key differentiating factor, and while speech discrimination can be affected, the lack of other specific details makes this less likely without further information. *NOHL* - **NOHL** is not a standard, recognized medical acronym for a specific type of hearing loss. - This option is likely a distractor and does not represent a known diagnosis fitting the described clinical picture. [Practice more ENT PYQs on OnCourse]

Question 1

What is Little's area, also known as Kiesselbach's plexus?

Accepted Answer

Anteroinferior nasal septum

Answer

Anteroinferior lateral wall

Answer

Posteroinferior lateral wall

Answer

Posteroinferior nasal septum

Question 2

65-year-old person with hearing loss with normal speech discrimination is suffering from?

Accepted Answer

Presbycusis

Answer

Noise induced hearing loss

Answer

Ototoxic drug

Answer

NOHL

NEET-PG 2012 — ENT