4TH BM Qs Flashcards
Naturally occurring defects in the cartilaginous portion of the External Auditory Canal (EAC) that
provide avenues of spread of infection or malignancy to the superficial lobe of the parotid gland.
a. Notch of Rivinus
b. Bony-Cartilaginous Junction of the EAC
c. Fissures of Santorini
d. Foramen of Huschke
Fissures of Santorini
The following statements regarding the External Auditory Canal (EAC) are true, except:
a. The average length of the EAC is 2.5cm
b. The EAC is 2/3 bony, Laterally
c. A resonance chamber for 2000-5500 Hz
d. The EAC is 2/3 bony, Medially
The EAC is 2/3 bony, Laterally
Aside from the lateral process of the malleus, what is another otoscopic landmark for the inferior limit of the epitympanum.
a. Attic
b. Scutum
c. Spines of the notch of Rivinus
d. Prussak space
Spines of the notch of Rivinus
What do you call the space medial to the tympanic membrane that extends from the Eustachian tube opening anteriorly to the facial nerve posteriorly?
a. Epitympanum
b. Mesotympanum
c. Prussak space
d. Hypotympanum
Mesotympanum
This is a snail-shapes structure that has a wide diameter at the base which narrows for 2 and a
quarter turns until it reaches its apex.
a. Organ of Corti
b. Saccule
c. Cochlea
d. Semicircular Canal
Cochlea
Which disease condition of the external ear can more likely cause facial nerve paralysis?
a. Herpes zoster
b. Diffuse otitis externa
c. OME
d. varicella
Herpes zoster
A bony channel that allows communication between the perilymphatic fluid and cerebrospinal fluid of the subarachnoid space in the posterior fossa.
a. Cochlear aqueduct
b. Rosenthal canal
c. Scala Tympani
d. Scala Vestibuli
Cochlear aqueduct
The membranous labyrinth of the cochlea forms a third cochlear chamber, the scale media. This
is bordered superiorly by.
a. Tectorial membrane
b. Tympanic membrane
c. Reissner membrane
d. Basilar membrane
Reissner membrane
Which disease condition of the external ear can more likely cause facial nerve paralysis?
a. Circumscribed otitis externa
b. Folliculitis
c. Otitis externa
d. Malignant otitis externa
Malignant otitis externa
Patient LT sought consult at the ENT OPD clinic due to ear pain and itchiness for 5d. There was
no history of cough and colds. On PE, you noted tragal tenderness and on otoscopy a whitish
cottony (wet newspaper like) discharge was noted. What is likely the cause of the Otitis Externa?
a. Streptococcus pneumoniae
b. Aspergillus/ Candida
c. Pseudomonas
d. Staphylococcus
Aspergillus/ Candida
What is the treatment of choice of Otitis Externa?
a. Topical therapy
b. Oral antibiotic and topic antibiotic
c. Oral antibiotic
d. Prevention
Topical therapy
Oral antibiotic and topic antibiotic??
Patient LR, 12 years old, came in due decrease hearing of her left ear. Otoscopic examination
revealed an impacted cerumen left. Weber’s test was done. What is the expected finding of the
test?
a. None of the above
b. Midline
c. Lateralizes to the left
d. Lateralizes to the right
Lateralizes to the left
What is the type of hearing loss does patient LR has?
a. congenital hearing loss
b. Mixed hearing loss
c. Conductive hearing loss
d. Senorineural hearing loss
Conductive hearing loss
What is the location of the cone of light in the eardrum?
a. Posteromedial
b. Antero-inferior
c. Supero-inferior
d. Superomedial
Antero-inferior
What test is used to evaluate the difference between air and bone conduction?
a. Weber
b. Bing
c. Rinne test
d. Toynbee
Rinne test
This test is used to evaluate the difference between left and right ear.
a. Weber
b. Toynbee
c. Rinne
d. Bing
Weber
Px RX was brought to the emergency room due to penetrating neck injury. On examination, the
ROD noted a piece of metal impaled 1 cm infero-lateral to the cricoid cartilage. The impaled
metal is located to what zone of the neck?
a. Zone II
b. Zone IV
c. Zone III
d. Zone 1
Zone 1
Which of the following is true?
a. Clothesline injury have historically been the main cause of external laryngeal trauma.
b. Larynx is structurally protected by the mandible superiorly, sternum inferiorly, omohyoid
laterally, and the spinal column posteriorly.
c. If endotracheal intubation has been performed in laryngeal trauma, it should be converted
to tracheostomy at the earliest opportunity.
d. Endotracheal intubation is the preferred method of airway control in laryngeal trauma.
If endotracheal intubation has been performed in laryngeal trauma, it should be converted
to tracheostomy at the earliest opportunity.
This test serves to as an excellent screening test for thyroid function.
a. FT4
b. TG
c. TSH
d. FT3
TSH
What is the half-life of T4?
a. 5-6 days
b. 3-4 days
c. 1-2 days
d. 6-7 days
6-7 days
With change in Levothyroxine dose, thyroid function tests are reassessed after how many
weeks?
a. 1-2 weeks
b. 7-8 weeks
c. 5-6 weeks
d. 3-4 weeks
5-6 weeks
What instrument is used to examine the nose? is part of the lateral wall of the max
a. Speculum
b. alligator
c. mirror
d. Tuning fork
Speculum
The following structures are seen during anterior rhinoscopy except:
a. Inferior turbinate
b. vestibule
c. choana
d. septum
vestibule
A 26-year old patient was brought to the emergency department due to vehicular accident. ENT examination revealed a positive anterior drawer sign. What is likely the diagnosis?
a. Mandibular fracture
b. Nasal bone fracture
c. Midfacial fracture
d. Frontal bone fracture
Mandibular fracture
A 66-year old edentulous patient sought consult due to inability to close her mouth for 5 hours.
What is likely the diagnosis?
a. trismus
b. Lock jaw
c. tetanus
d. CVD
Lock jaw//
TMJ Dislocation
The following structures are seen during examination of the oral cavity except:
a. vallecular
b. Retromolar trigone
c. uvula
d. Alveolar ridge
vallecular
The following structures are seen during examination of the oral cavity except
a. Anterior tonsillar pillar
b. Retromolar trigone
c. Buccal sulcus
d. Arytenoid
Arytenoid
A 56-year old patient was brought to the emergency department due to vehicular accident. ENT examination revealed swelling of the floor of the mouth and malocclusion. What is likely the
diagnosis?
a. Lefort 1
b. Lefort 2
c. Lefort 3
d. Symphyseal fracture
Symphyseal fracture
A 56-year old patient was brought to the emergency department due to vehicular accident. ENT
examination revealed swelling of the floor of the mouth and malocclusion. What is likely the
diagnosis?
a. Midfacial fracture
b. Nasal bone fracture
c. Mandibular fracture
d. Fracture of the hyoid bone
Mandibular fracture
SC Gaban is tasked to examine the ear of a 5-year old patient. In doing so, SC Gaban should
manipulate the pinna in what direction?
a. Up and back
b. Up and forward
c. Down and back
d. Down and forward
Up and back/
Upward and backward
The following structures are seen during otoscopy except
a. scutum
b. Cone of light
c. annulus
d. Pars tensa
scutum
The following structures are seen during otoscopy except
a. Malleus
b. Stapes
c. Manubrium
d. Pars tensa
Stapes
Patient RA is diagnosed to have conductive hearing loss of his left ear. What is the result of
Rinne test?
a. AC>BC
b. BC>AC
c. AC=BC
d. None of the above
BC>AC/
Bone conduction > air conduction
The following structures are seen during indirect laryngoscopy except
a. Incisive foramen
b. Rima glottis
c. Vallecula
d. Aryepiglottic fold
Incisive foramen
The following structures are seen during indirect laryngoscopy except
a. Arytenoid
b. Anterior commissure
c. Buccal sulcus
d. Epiglottis
Buccal sulcus
Naturally occurring defects in the cartilaginous portion of the External Auditory Canal (EAC) that provide avenues of spread of infection or malignancy to the superficial lobe
of the parotid gland.
a. santorini
b. rivinus
c. stapedius
d. huscke
santorini/
Fissures of Santorini
Aside from the lateral process of the malleus, what is another otoscopic landmark for the inferior
limit of the epitympanum.
a. Posterior malleable fold
b. Anterior malleable fold
c. scutum
d. None of the above
None of the above
What do you call the space medial to the tympanic membrane that extends from the Eustachian
tube opening anteriorly to the facial nerve posteriorly?
a. Epitympanum
b. Mesotympanum
c. Hypotympanum
d. Prussak space
Mesotympanum
Px RX was brought to the emergency room due to penetrating neck injury. On examination, the
ROD noted a piece of metal impaled 2cm superolateral to the cricoid cartilage. The impaled metal
is located to what zone of the neck?
a. Zone 1
b. Zone 2
c. Zone 3
d. Zone 4
Zone 2
Which of the following is true?
a. Tracheostomy is the preferred method of
airway control in laryngeal trauma.
b. If endotracheal intubation has been
performed in laryngeal trauma, it should be
converted to tracheostomy after 1 week.
c. Clothesline injury have historically been the
main cause of external laryngeal trauma.
d. Larynx is structurally protected by the
mandible superiorly, sternum inferiorly,
omohyoid laterally, and the spinal column
posteriorly.
Tracheostomy is the preferred method of
airway control in laryngeal trauma.
What is the half-life of T4?
a. 1-2 days
b. 1-2 weeks
c. 5-6 weeks
d. 5-6 days
5-6 days
With change in Levothyroxine dose, thyroid function tests are reassessed after how many
weeks?
a. 1 month (?)
b. 2 months (?)
c. 3 months
d. 4 months
2 months
What fascia envelopes the platysma and muscles of facial expression?
a. Investing Fascia
b. Superficial cervical fascia
c. Visceral fascia
d. Prevertebral fascia
Superficial cervical fascia
What fascia envelopes the muscles of mastication and submandibular gland?
a. Investing Fascia
b. Superficial cervical fascia
c. Visceral fascia
d. Prevertebral fascia
Investing Fascia
Located anterior to the ventral bodies from the skull base to the coccyx.
a. Investing Fascia
b. Superficial cervical fascia
c. Visceral fascia
d. Prevertebral fascia
Prevertebral fascia
Refers to the lymph nodes and connective tissue containing potential space between the
middle and deep layers of deep cervical fascia.
a. Parapharyngeal space
b. Retropharyngeal space
c. Danger space
d. Buccopharyngeal space
Retropharyngeal space
Lies between retropharyngeal space and pre vertebral space.
a. Parapharyngeal space
b. Retropharyngeal space
c. Danger space
d. Buccopharyngeal space
Danger space
It is composed of muscular and visceral division.
a. Investing Fascia
b. Superficial cervical fascia
c. Visceral fascia
d. Prevertebral fascia
c. Visceral fascia
It forms the stylomandibular ligament.
a. Investing Fascia
b. Superficial cervical fascia
c. Visceral fascia
d. Prevertebral fascia
Investing Fascia
A neck mass that is mobile from side to side but is immobile in craniocaudal direction.
a. Paraganglioma
b. Thyroglossal duct cyst
c. Dermoid
d. Carotid bifurcation
Paraganglioma
Most are not seen at birth but appear by 6 months of age, progress rapidly then slowly
a. Hemangioma
b. Capillary tumor
c. Vascular malformation
d. Mongolian spots
Hemangioma
- Present at birth and grow along with the child.
a. Hemangioma
b. Capillary tumor
c. Vascular malformation
d. Mongolian spots
Vascular malformation
A 25 years old female is noted to have right lateral neck mass. Her condition is associated with dysphagia, hoarseness, ptosis and upper extremity weakness. What is the diagnosis?
a. Paranganglioma
b. Lymphoma
c. Hemangioma
d. Nasopharyngeal carcinoma
Paranganglioma
A 25 year old female is noted to have right lateral neck mass. Her condition is associated with dysphagia, hoarseness, ptosis and upper extremity weakness. What is the diagnosis?
a. Vascular Malformation
b. Hemangioma
c. Carotid body tumor
d. Dermoid
Carotid body tumor
Presents with cervical lymphadenopathy, erythema, edema and desquamation of hands and feet.
a. SLE
b. Kawasaki disease
c. Rosai-Dorfman disease
d. Vascular malformation
Kawasaki disease
Presents with massive nontender lymphadenopathy associated with fever and skin nodules.
a. SLE
b. Kawasaki disease
c. Rosai-Dorfman disease
d. Vascular malformation
Rosai-Dorfman disease
Patient X was brought to the ER due to an incised wound in the neck (submandibular area).
Exploration and ligation of bleeders was done. Intraoperative findings revealed a transected nerve located at the angle of the mandible. What nerve is transected?
a. Vagus
b. Hypoglossal
c. Facial
d. Greater auricular nerve
Hypoglossal
What is the effect of the nerve transection to patient X?
a. Low pitch voice
b. Flattening of the melolabial fold
c. Inability to protrude tongue
d. Hoarseness
Inability to protrude tongue
What is the terminal branch of the facial artery?
a. Lateral temporal
b. Angular
c. Occipital
d. Ophthalmic
Angular
Patient X was brought to the ER due to an incised wound in the neck. Exploration and ligation of bleeders was done. Intraoperative findings revealed a transected nerve located superolateral to the hyoid bone. What nerve is transected?
a. Hypoglossal nerve
b. Superior laryngeal nerve
c. Cervical branch of the facial nerve
d. Vagus nerve
Hypoglossal nerve
What is the effect of the nerve transection to Patient X?
a. Inability to protrude tongue
b. Hoarseness
c. None
d. Low pitch voice
Inability to protrude tongue
What is the terminal branch of the facial artery?
a. Angular artery
b. Lateral temporal artery
c. Ophthalmic artery
d. Occipital artery
Angular artery
What structure divides the maxillary artery into three parts?
a. Lateral ptyregoid
b. Greater palatine
c. Inferior palatine
d. ptyregopalatine
Lateral ptyregoid/
Lateral pterygoid muscle
Patient Y presented with bilateral pre-auricular mass for 10 years. He’s a smoker and alcoholic
beverage drinker. FNAB revealed a combination of papillae of eosinophilic epithelia projecting into
cystic spaces. What is the diagnosis?
a. Warthins tumor
b. Pleomorphic adenoma
c. Acinic cell tumor
d. Benign mixed tumor
Warthins tumor
According to the multicellular theory, Patient Y’s neoplasm originated from what cell of the
salivary unit?
a. Intercalated duct cell
b. Acinar cell
c. Striated ductal cell
d. Myoepithelial cell
Striated ductal cell
What is the etiologic agent of Mumps?
a. Paramyxovirus
b. Coronavirus
c. EBV
d. Parvovirus
Paramyxovirus
A neck mass that is mobile from side to side but is immobile in craniocaudal direction.
a. Epidermal inclusion cyst
b. Thyroglossal duct cyst
c. Dermoid
d. Carotid body tumor
Carotid body tumor
Patient Y presented with bilateral pre-auricular mass for 10 years. He’s a smoker and alcoholic
beverage drinker. FNAB revealed a combination of papillae of eosinophilic epithelia projecting
into cystic spaces. What is the diagnosis?
a. Benign Mixed Tumor
b. Oncocytoma
c. Basal Cell Adenoma
d. Papillary Cystadenoma Lymphomatosum
Papillary Cystadenoma Lymphomatosum
According to the Multicellular Theory, Patient Y’s neoplasm originated from what cell of the
salivary unit?
a. Acinar cell
b. Striated ductal cell
c. Intercalated duct cell
d. Myoepithelial cell
Striated ductal cell
