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MCQ Flashcards

1
Q
  1. Indications for ear wash include all of the following except:

a. Ear Wax
b. Non impacted foreign body
c. Vegetable foreign body
d. Fungal mass

A

c. Vegetable foreign body

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2
Q
  1. “Little’s Area” is a known spot on the nasal septum vulnerable to bleeding. This is because it is formed of an anastomotic network of branches of the following blood vessels EXCEPT:

a. Superior Labial artery.
b. Greater Palatine artery.
c. Nasolabial artery.
d. Sphenopalatine artery.
e. Anterior Ethmoidal artery

A

c. Nasolabial artery.

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3
Q
  1. T3 cancer larynx means:

a. Extra-laryngeal spread.
b. Fixed vocal cord.
c. Multiple ipsilateral lymph-nodes in the neck less than 6 cm.
d. Tumor involving two regions in the larynx.
e. None of the above.

A

b. Fixed vocal cord.

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4
Q
  1. In left middle ear effusion, weber test will be:

a. Centralized.
b. Lateralized to the right.
c. Lateralized to left.
d. Reduced positive.

A

c. Lateralized to left.

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5
Q
  1. The following are true for nasopharyngeal carcinoma EXCEPT:

a. Radiotherapy is considered the treatment of choice.
b. It causes unilateral middle ear effusion.
c. The first cranial nerve to be affected is the facial nerve.
d. Sends metastases to the cervical lymph nodes.
e. The mass may extend into the nasal cavity.

A

c. The first cranial nerve to be affected is the facial nerve.

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6
Q
  1. Treatment of otosclerosis is:

a. Radical mastoidectomy.
b. Myringoplasty.
c. Myringotomy and ventilation tubes insersion.
d. Cortical mastoidectomv.
e. Stapedectomy and Teflon piston insersion.

A

e. Stapedectomy and Teflon piston insersion.

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7
Q
  1. In the atrophic stage of rhinoscleroma.

a. The middle and inferior turbinates are markedly swollen.
b. Excessive watery nasal discharge is seen.
c. The patient has nasal itching and excessive sneezing.
d. There are bilateral nasal masses.
e. The nose is roomy with considerable crusts

A

e. The nose is roomy with considerable crusts

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8
Q
  1. A 3-year-old girl was brought to the ER after swallowing a coin. She has been vomiting and drooling since then. On examination, there were no signs of airway compromise. The first step in management of this girl is:

a. Barium Swallow.
b. Neck Ultrasound.
c. Plain X-ray of the neck and chest.
d. MRI of the neck.
e. Bronchoscopy.

A

c. Plain X-ray of the neck and chest.

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9
Q
  1. In malignant otitis externa:

a. The organism is pseudomonas aurginosa.
b. The patient is diabetic with low immunity.
c. Pathology is microangiopathy leading to osteomyelitis of skull base.
d. Treatment is quinolones.
e. All of the above

A

e. All of the above

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10
Q
  1. A 20-year-old female presented with right unilateral watery nasal discharge. This condition is exaggerated on leaning forward. Management of her condition include all of the following EXCEPT:

a. Biochemical analysis of the discharge.
b. MRI scan of the nose and paranasal sinsuses.
c. CT cysternography using intrathecal contrast.
d. Nasal vaso-constrictive drops.
e. Systemic Antibiotics.

A

d. Nasal vaso-constrictive drops.

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11
Q
  1. A common cause of hypopharyngeal carcinoma:

a. Esophageal atresia
b. Zinker’s diverticulum
c. Plummer Vinson syndrome
d. Occult primary

A

c. Plummer Vinson syndrome

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12
Q
  1. Endoscopic sinus surgery is indicated in the following EXCEPT:

a. Allergic fungal sinusitis.
b. Extensive Sinonasal polyposis.
c. Atrophic rhinitis.
d. Antrochoanal polyp.
e. Inverted papilloma.

A

c. Atrophic rhinitis.

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13
Q
  1. A 20-year-old male suffered a blow to the right side of the head by a blunt object. Then he had few drops of blood coming from the right ear with diminution of hearing. On examination, a perforation was seen in his right tympanic membrane. The edges were ragged and irregular, with blood clots around. Management of this case is:

a. Nothing per ear until spontaneous healing.
b. Ear wash to remove any blood clots or debris.
c. Hearing Aid fitting.
d. Immediate myringoplasty.
e. Ear exploration under general anesthesia.

A

a. Nothing per ear until spontaneous healing.

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14
Q
  1. Cholesteatoma is characterized by:

a. Scanty offensive ear discharge.
b. Marginal tympanic membrane perforation.
c. Possibility of intracranial complications.
d. Erosion of the ossicles to cause conductive deafness.
e. All of the above.

A

e. All of the above.

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15
Q
  1. The most common cause of epistaxis in elderly is:

a. Congenital blood disease.
b. Hypertension
c. Rhinoscleroma.
d. Chronic sinusitis.
e. Septal perforation

A

b. Hypertension

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16
Q
  1. Indications of tonsillectomy are:

a. Repeated attacks of acute tonsillitis.
b. Tonsillar hypertrophy causing obstructive sleep apnea.
c. Quinsy.
d. Tonsillartumor.
e. All of the above.

A

e. All of the above.

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17
Q
  1. Which one of the following statements truly represents Bell’s palsy:

a. Hemiparesis and contralateral facial nerve paralysis.
b. Combined paralysis of the facial, abducent and trigeminal nerves.
c. Bilateral facial palsy due to congenital anomaly of the facial nerve.
d. Idiopathic paralysis of the facial nerve that recovers completely in most cases.
e. Facial nerve paralysis following ear surgery.

A

d. Idiopathic paralysis of the facial nerve that recovers completely in most cases.

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18
Q
  1. The middle meatus drains all of the following sinuses EXCEPT:

a. Maxillary sinus.
b. Frontal sinus.
c. Anterior ethmoidal air cells.
d. Middle ethmoidal air cells.
e. Posterior ethmoidal air cells

A

e. Posterior ethmoidal air cells

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19
Q
  1. Accumulation of pus in Ludwig’s angina occurs in the:

a. Parapharyngeal space.
b. Retropharyngeal space.
c. Submandibular space
d. Prevertebral space.

A

c. Submandibular space

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20
Q
  1. A 6-year-old boy had progressive right ear pain of two days duration, associated with fever and runny nose. On examination the external canal was healthy, however the right tympanic membrane was obviously reddish. Management of this condition may include all the following EXCEPT:

a. Systemic Antibiotics.
b. Local and systemic pain control.
c. Cold fomentations and Antipyretics.
d. MRI scan pertrous bones to stand on the extent of the disease.

A

d. MRI scan pertrous bones to stand on the extent of the disease.

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21
Q
  1. A 28-year-old male presented 30 minutes after sustaining a blow to his face. Bleeding was noted from the nose. His nose was deviated to the left side. There were no obvious facial edema or ecchymosis. X-ray showed fractured nasal bone. Reduction of this fracture should be performed:

a. Immediately.
b. After 24 hours.
c. After 48 hours.
d. After 1 week.
e. After 3 months.

A

a. Immediately.

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22
Q
  1. A 3-year-old girl was brought to the Emergency Room by her mother soon after accidental ingestion of caustic soda. The girl was crying and drooling. Management includes all of the following EXCEPT:

a. Pain killer.
b. Systemic steroids.
c. Antibiotics.
d. Monitoring of the airway.
e. Immediate dilatation

A

e. Immediate dilatation

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23
Q
  1. Medial wall of the middle ear:

a. Separates the attic from the middle cranial fossa.
b. Contains the opening of eustachian tube.
c. SeDarates the middle ear from jugular bulb.
d. Contains both oval window and round window.
e. None of the above.

A

d. Contains both oval window and round window.

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24
Q
  1. In hematoma of the nasal septum:

a. There is recurrent severe epistaxis.
b. Excessive watery nasal discharge is reported.
c. The patient smells a bad odour.
d. There is bilateral nasal obstruction.
e. The nose is roomy with considerable crusts.

A

d. There is bilateral nasal obstruction.

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25
Q
  1. The following statements about Vocal Cord Nodules are true EXCEPT:

a. Usually bilateral.
b. Caused by voice abuse.
c. Present by hoarseness of voice.
d. Can be treated conservatively by voice therapy.
e. If not treated may present late by respiratory distress.

A

e. If not treated may present late by respiratory distress.

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26
Q
  1. Radical mastoidectomy is indicated in:

a. Cholesteatoma.
b. Otosclerosis.
c. Secretory otitis media.
d. Traumatic drum perforation.
e. Tympanosclerosis.

A

a. Cholesteatoma.

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27
Q
  1. Complications of Functional endoscopic sinus surgery might include:

a. Bleeding.
b. Nasal adhesions.
c. CSF Ieak.
d All of the above.
e. None of the above.

A

d All of the above.

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28
Q
  1. Otomycois is another name for:

a. Bacterial otitis externa
b. Viral otitis externa
c. Fungal otitis externa
d. None of the above

A

c. Fungal otitis externa

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29
Q
  1. The maxillary sinus opens in the:

a. Inferior meatus.
b. Sphenoethmoidal recess.
c Middle meatus.
d. Frontal sinus.

A

c Middle meatus.

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30
Q
  1. Regarding glottic laryngeal carcinoma, which is the true statement?

a. Hoarseness of voice is an early presentation.
b. Cough and stridor are early common symptoms.
c. It usually presents in late stages.
d. It causes early nodal metastasis

A

a. Hoarseness of voice is an early presentation.

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31
Q
  1. An Indication of myringotomy is:

a. SNHL
b. Perforated tympanic membrane
c. Secretory otitis media
d. Otosclerosis

A

c. Secretory otitis media

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32
Q
  1. Septal perforation aetiology can be all of the following except:

a. Nose picking
b. Congenital deformity
c. Septal abscess
d. Surgical trauma

A

b. Congenital deformity

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33
Q
  1. A 3-year-old girl was brought to the ER after swallowing a coin. She has been vomiting and drooling since then. On examination, there were no signs of airway compromise. The first step in management of this girl is:

a. Barium Swallow.
b. Neck Ultrasound.
c. Plain X-ray of the neck and chest.
d. MRI of the neck.
e. Bronchoscopy.

A

c. Plain X-ray of the neck and chest.

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34
Q

Otitis media may be complicated by all of the following except:

a. Brain abscess
b. Lateral sinus thrombosis
c. Mastoid abscess
d. Parapharyngeal abscess

A

d. Parapharyngeal abscess

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35
Q
  1. Orbital complications of sinusitis include all of the following except:

a. Orbital cellulitis
b. Orbital abscess
c. Cavernous sinus thrombosis
d. Lateral sinus thrombosis

A

d. Lateral sinus thrombosis

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36
Q
  1. A 15-years-old boy presented with history of recurrent epistaxis and protrusion of the eye ball that started one year ago. On examination there was a unilateral fleshy nasal mass on the side of the proptosis. The first important step to do is to:

a. Schedule the patient for urgent surgery to remove the mass.
b. Do CT of the nose and paranasal sinuses and angiography if found to be vascular.
c. Take biopsy from the mass to reach a histological diagnosis.
d. Give antibiotics and analgesics.
e. Give local steroids.

A

b. Do CT of the nose and paranasal sinuses and angiography if found to be vascular.

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37
Q
  1. A 6-year-old boy was brought by his parents for progressive right ear pain of two days duration. This is associated with fever and runny nose. On examination the external canal was healthy, however the right tympanic membrane was obviously reddish. Management of this condition may include all the following EXCEPT:

a. Systemic Antibiotics.
b. Local and systemic pain control.
c. Cold fomentations and Antipyretics.
d. MRI scan pertrous bones to stand on the extent of the disease.
e. Myringotomy if not responsive to medical treatment.

A

d. MRI scan pertrous bones to stand on the extent of the disease.

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38
Q
  1. “Inverted Papilloma” of the nose:

a. Is a malignant tumor.
b. Arises from the nasal septum in most cases.
c. Is best diagnosed by Caroitd Angiography.
d. Should be treated by “wide surgical resection” to avoid recurrence.
e. Surgery should be followed by “radiation therapy” to avoid recurrence.

A
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39
Q
  1. A common cause of hypopharyngeal carcinoma :

a. Esophageal atresia
b. Zinker’s diverticulum
c. Plummer Vinson syndrome
d. Occult primary

A

c. Plummer Vinson syndrome

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40
Q
  1. Indications for ear wash include all of the following except:

a. Ear Wax
b. Non impacted foreign body
c. Vegetable foreign body
d. Fungal mass

A

c. Vegetable foreign body

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41
Q
  1. Post-adenoidectomy bleeding can be treated by:

a. Posterior nasal packing
b. Local nasal steroids.
c. Anti-inflammatory drugs.
d. Hydrogen peroxide mouth gargle.
e. None of the above.

A

a. Posterior nasal packing

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42
Q
  1. In left middle ear effusion, weber test will be:

a. Centralized.
b. Lateralized to the right.
c. Lateralized to left.
d. Reduced positive.

A

c. Lateralized to left.

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43
Q
  1. The middle meatus drains all of the following sinuses EXCEPT:

a. Maxillary sinus.
b. Frontal sinus.
c. Anterior ethmoidal air cells.
d. Middle ethmoidal air cells.
e. Posterior ethmoidal air cells.

A

e. Posterior ethmoidal air cells.

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44
Q
  1. The main cause of secondary post-tosillectomy bleeding is:

a. Elevated blood pressure.
b. Slipped ligature in the tonsillar bed.
c. Coagulation factors deficiency.
d. Infection in the operative bed.

A

d. Infection in the operative bed.

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45
Q
  1. Medial wall of the middle ear:

a. Separates the attic from the middle cranial fossa.
b. Contains the opening of eustachian tube.
c. Separates the middle ear from jugular bulb.
d. Contains both oval window and round window.
e. None of the above.

A

d. Contains both oval window and round window.

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46
Q
  1. Endoscopic sinus surgery is indicated in the following EXCEPT:

a. Allergic fungal sinusitis.
b. Extensive Sinonasal polyposis.
c. Atrophic rhinitis.
d. Antrochoanal polyp.
e. Inverted papilloma

A

c. Atrophic rhinitis.

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47
Q

6.The following statements about Vocal Cord Nodules are true EXCEPT:

a. Caused by voice abuse.
b. Present by hoarseness of voice.
c. Can be treated conservatively by voice therapy.
d. If not treated may present late by respiratory distress.

A

d. If not treated may present late by respiratory distress.

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48
Q
  1. All of the following are characteristic clinical features of Meniere’s diseases EXCEPT:

a. Fluctuating deafness.
b. Vertigo.
c. Tinnitus.
d Loss of consciousness.
e. Vomiting.

A

d Loss of consciousness.

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49
Q
  1. A 28-year-old male presented to the Emergency Room 30 minutes after sustaining a blow to his face. Bleeding was noted from the nose. His nose was found to be deviated to the left side. There were no obvious facial edema or ecchymosis. X-ray showed fractured nasal bone. Reduction of this fracture should be performed:

a. Within a week.
b. After 3 weeks.
c. After 3 months.
d. Should never be performed

A

a. Within a week.

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50
Q
  1. High tracheostomy:

a. Is usually done in emergency cases.
b. Has the risk of cricoid injury with subsequent subglottic stenosis.
c. Rapid and easy.
d. Is done in the first two tracheal rings.
e. All of the above

A

e. All of the above

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51
Q
  1. An intracranial complication of chronic suppurative otitis media is:

a. Bezold’s abscess.
b. Extradural abscess
c. Mastoiditis.
d. Labyrinthin fistula.

A

b. Extradural abscess

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52
Q
  1. In the atrophic stage of rhinoscleroma.

a. The middle and inferior turbinates are markedly swollen.
b. Excessive watery nasal discharge is seen.
c. The patient has nasal itching and excessive sneezing.
d. There are bilateral nasal masses.
e. The nose is roomy with considerable crusts.

A

e. The nose is roomy with considerable crusts.

How well did you know this?
1
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53
Q
  1. Accumulation of pus in Ludwig’s angina occurs in the:

a. Parapharyngeal space.
b. Retropharyngeal space.
c. Submandibular space.
d. Prevertebral space.

A

c. Submandibular space.

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54
Q
  1. Commonest cause of facial paralysis is

a. Bell’s palsy
b. Mastoid surgery
c. Guillian Barre syndrome
d. Trauma to facial nerve

A

a. Bell’s palsy

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55
Q
  1. A 10-year-old girl presented to the Emergency Room with swollen left eye lid. Her condition started one week earlier by fever, nasal discharge and facial pain. This progressed to pain around the left eye and edema of both eye lids. The most informative investigation in her case is:

a. Culture and Sensitivity of her nasal discharge.
b. Measurement of serum IgE levels.
c. Complete blood picture.
d. Ocular ultrasonography.
e. CT scan of the nose and paranasal sinuses.

A

e. CT scan of the nose and paranasal sinuses.

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56
Q
  1. A 30-year-old female, otherwise healthy, presented with odynophagia of few days duration. On examination of the oral cavity, multiple ulcers were seen in the soft palate, inner cheeks and oropharyngeal walls. The most probable pathogenesis of such ulcers is:

a. Aphthous ulcers.
b. Leukoplakia.
c. Diphtheria.
d. Carcinoma in situ.
e. Candida.

A

a. Aphthous ulcers.

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57
Q
  1. A 6-year-old boy was brought by his parents for progressive right ear pain of two days duration. This is associated with fever and runny nose. On examination the external canal was healthy, however the right tympanic membrane was obviously reddish. Management of this condition may include all the following EXCEPT:

a. Systemic Antibiotics.
b. Local and systemic pain control.
c. Cold fomentations and Antipyretics.
d. MRI scan pertrous bones to stand on the extent of the disease.
e. Myringotomy if not responsive to medical treatment.

A

d. MRI scan pertrous bones to stand on the extent of the disease.

58
Q
  1. A 4-year-old child presented with unilateral nasal offensive purulent discharge. The likely diagnosis is:

a. CSF rhinorrhea.
b. Antrochoanal polyp.
c. Foreign body in the nose.
d. Allergic rhinitis.

A

c. Foreign body in the nose.

59
Q
  1. The treatment of advanced cancer larynx with neck lymph nodes metastasis is:

a. Partial laryngectomy.
b. Antibiotics.
c. Total laryngectomy and radical neck dissection.
d. Laser cordectomy.

A

c. Total laryngectomy and radical neck dissection.

60
Q
  1. Pulsatile tinnitus in ear is due to

a. Malignant otitis externa.
b. Osteoma.
c. Mastoiditis.
d. Glomus jugulare tumor.

A

d. Glomus jugulare tumor.

61
Q
  1. What is not true about septal hematoma:

a. It might cause saddle nose.
b. Treated by decondestants and antihistamines.
c. Needs surgical drainage.
d. Can cause secondary infection.

A

b. Treated by decondestants and antihistamines.

62
Q
  1. Treatment of otosclerosis is:

a. Radical mastoidectomy.
b. Myringoplasty.
c. Myringotomy and ventilation tubes insersion.
d. Cortical mastoidectomy.
e. Stapedectomy and Teflon piston insersion.

A

e. Stapedectomy and Teflon piston insersion.

63
Q
  1. “Little’s Area” is a known spot on the nasal septum vulnerable to bleeding. This is because it is formed of an anastomotic network of branches of the following blood vessels EXCEPT:

a. Superior Labial artery.
b. Greater Palatine artery.
c. Nasolabial artery.
d. Sphenopalatine artery.
e. Anterior Ethmoidal artery.

A

c. Nasolabial artery.

64
Q
  1. The following benign lesion in the larynx can be pre-cancerous:

a. Leukoplakia
b. Reinke’s edema.
c. Laryngeal nodule.
d. Laryngoscleroma.
e. Juvenile onset recurrent respiratory papillomatosis.

A

a. Leukoplakia

65
Q
  1. In malignant otitis externa:

a. The organism is pseudomonas aurginosa.
b. The patient is diabetic with low immunity.
c. Pathology is microangiopathy leading to osteomyelitis of skull base.
d. Treatment is quinolones.
e. All of the above.

A

e. All of the above.

66
Q
  1. The most common cause of epistaxis is:

a. Congenital blood disease.
b. Idiopathic.
c. Rhinoscleroma.
d. Chronic sinusitis.
e. Septal perforation.

A

b. Idiopathic.

67
Q
  1. Post-adenoidectomy bleeding can be treated by:

a. Posterior nasal packing.
b. Local nasal steroids.
c. Anti-inflammatory drugs.
d. Hydrogen peroxide mouth gargle.
e. None of the above.

A

a. Posterior nasal packing.

68
Q
  1. A 20-year-old male suffered a blow to the right side of the head by a blunt object. Then he had few drops of blood coming from the right ear with diminution of hearing. On examination, a perforation was seen in his right tympanic membrane. The edges were ragged and irregular, with blood clots around. Management of this case is:

a. Nothing per ear (do not enter water in ear) until spontaneous healing.
b. Ear wash to remove any blood clots or debris.
c. Hearing Aid fitting.
d. Immediate myringoplasty.
e. Ear exploration under general anesthesia.

A

a. Nothing per ear (do not enter water in ear) until spontaneous healing.

69
Q
  1. “Inverted Papilloma” of the nose:

a. Is a malignant tumor.
b. Arises from the nasal septum in most cases.
c. Is best diagnosed by Caroitd Angiography.
d. Should be treated by “wide surgical resection” to avoid recurrence.
e. Surgery should be followed by “radiation therapy” to avoid recurrence.

A

d. Should be treated by “wide surgical resection” to avoid recurrence.

70
Q
  1. T3 cancer larynx means:

a. Extra-laryngeal spread.
b. Fixed vocal cord.
c. Multiple ipsilateral lymph-nodes in the neck less than 6 cm.
d. Tumor involving two regions in the larynx.
e. None of the above.

A

b. Fixed vocal cord.

71
Q
  1. In cholesteatoma, the treatment of choice is:

a. Simple mastoidectomy
b. Myringotomy with ventilation tube
c. Radical mastoidectomy
d. Tympanoplasty

A

c. Radical mastoidectomy

72
Q
  1. The following facts regarding “deviated nasal septum” are true EXCEPT:

a. It may be caused by an old trauma.
b. A sharp septal deviation may be a cause of nasal bleeding.
c. Hypertrophy of the inferior turbinate on the other side of the deviation.
d. The treatment of choice is septoplasty.
e. Surgery is contraindicated to avoid septal perforation.

A

e. Surgery is contraindicated to avoid septal perforation.

73
Q
  1. A 3-year-old girl was brought to the ER after swallowing a coin. She has been vomiting and drooling since then. On examination, there were no signs of airway compromise. The first step in management of this girl is:

a. Barium Swallow.
b. Neck Ultrasound.
c. Plain X-ray of the neck and chest.
d. MRI of the neck.
e. Bronchoscopy.v

A

c. Plain X-ray of the neck and chest.

74
Q
  1. Endolymphatic hydrops is found in:

a. Otosclerosis
b. CSOM
c. Wax impaction
d Meniere’s disease

A

d Meniere’s disease

75
Q
  1. A 20-year-old female presented with right unilateral watery nasal discharge. This condition is exaggerated on leaning forward. Management of her condition include all of the following EXCEPT:

a. Biochemical analysis of the discharge.
b. MRI scan of the nose and paranasal sinsuses.
c. CT cysternography using intrathecal contrast.
d. Nasal vaso-constrictive drops.
e. Systemic Antibiotics.

A

d. Nasal vaso-constrictive drops.

76
Q
  1. “Beck’s Triad” include all of the following EXCEPT:

a. Swelling in the lateral pharyngeal wall pushing a normal tonsil medially.
b. Tender firm external swelling in the lateral side of the neck.
c. trismus.
d. White spots on the surface of the tonsil.

A

d. White spots on the surface of the tonsil.

77
Q
  1. Myringoplasty means repair of:

a. Middle ear.
b. Inner ear.
c. Eustachian tube.
d. Tympanic membrane.

A

d. Tympanic membrane.

78
Q
  1. Regarding antro-choanal polyp, which is the true statement?

a. It usually indicates an underlying fungal infection.
b. It arises primarily from the ethmoidal sinus.
c. The primary treatment is endoscopic sinus surgery.
d. It is precancerous if left untreated.
e. Observation only is required, since it resolves spontaneously.

A

c. The primary treatment is endoscopic sinus surgery.

79
Q
  1. A common cause of hypopharyngeal carcinoma :

a. Esophageal atresia
b. Zinker’s diverticulum
c. Plummer Vinson syndrome
d. Occult primary

A

c. Plummer Vinson syndrome

80
Q
  1. Which of the following statements regarding otomycosis is true?

a. Systemic treatment is necessary.
b. Treated by local antifungal ear drops.
c. Invasive fungal infections are common in immunocompetent patients.
d. The most common complaint is severe otalgia.

A

b. Treated by local antifungal ear drops.

81
Q
  1. Invasive fulminant fungal sinusitis:

a. Occurs in immunocompromised individuals.
b. Mucor is the causative organism.
c. Treated by Amphotericin B.
d. All of the above.
e. None of the above.

A

d. All of the above.

82
Q
  1. Negative Rinne test is seen in

a. Otosclerosis.
b. Chronic suppurative otitis media.
c. Wax impaction.
d. Acaustic neuroma.

A

c. Wax impaction.

83
Q
  1. The maxillary sinus drains into:

a. Inferior meatus.
b. Sphenoethmoidal recess.
c. Middle meatus
d. Superior meatus.

A

c. Middle meatus

84
Q
  1. Indications of tonsillectomy are:

a. Repeated attacks of acute tonsillitis.
b. Tonsillar hypertrophy causing obstructive sleep apnea.
c. Quinsy.
d. Rheumatic fever and glomerulonephritis.
e. All of the above.

A

e. All of the above.

85
Q
  1. Treatment of otosclerosis is:

a. Radical mastoidectomy.
b. Myringoplasty.
c. Myringotomy and ventilation tubes insertion.
d. Cortical mastoidectomy.
e. Stapedectomy and teflon piston insertion.

A

e. Stapedectomy and teflon piston insertion.

86
Q
  1. “Little’s Area” is a known spot on the nasal septum vulnerable to bleeding. This is because it is formed of an anastomotic network of branches of the following blood vessels EXCEPT:

a. Superior Labial artery.
b. Greater Palatine artery.
c. Nasolabial artery
d. Sphenopalatine artery.
e. Anterior Ethmoidal artery.

A

c. Nasolabial artery

87
Q
  1. A 3-year-old girl was brought to the ER after swallowing a coin. She has been vomiting and drooling since then. On examination, there were no signs of airway compromise. The first step in management of this girl is:

a. Barium Swallow.
b. Neck Ultrasound.
c. Plain X-ray of the neck and chest.
d. MRI of the neck.
e. Bronchoscopy.

A

c. Plain X-ray of the neck and chest.

88
Q
  1. A 19-years-old male presented to the outpatient clinic complaining of itching in the ear. On examination, the canal was full of white debris with blackish spots. The diagnosis is:

a. Malignant otitis externa.
b. Otomycosis.
c. Acute otitis media.
d. Secretory otitis media.
e. Acute mastoiditis.

A

b. Otomycosis.

89
Q
  1. Following extraction of an upper left molar tooth the patient had an offensive left nasal discharge and left nasal regurge of food and fluid, the diagnosis is:

a. Orooantral fistula
b. Malignant nasal tumor.
c. Inverted papilloma.
d. Fungal sinusitis

A

a. Orooantral fistula

90
Q
  1. Regarding glottis laryngeal carcinoma, which is the true statement?

a. Hoarseness of voice is an early presentation.
b. Dysphagia and regurgitation are early common symptoms.
c. It usually presents in late stages.
d. It causes early nodal metastasis.

A

a. Hoarseness of voice is an early presentation

91
Q
  1. An Indication of myringotomy is:

a. Sensory neural hearing loss.
b. Large central perforation.
c. Secretory otitis media.
d. Otosclerosis

A

c. Secretory otitis media.

92
Q
  1. The following facts regarding “deviated nasal septum” are true EXCEPT:

a. It may be caused by an old trauma.
b. A sharp septal deviation may be a cause of nasal bleeding.
c. Hypertrophy of the inferior turbinate on the other side of the deviation.
d. The treatment of choice is septoplasty.
e. The treatment is functional endoscopic sinus surgery.

A

e. The treatment is functional endoscopic sinus surgery.

93
Q
  1. A 3-year-old girl was brought to the Emergency Room by her mother soon after accidental ingestion of caustic soda. The girl was crying and drooling. Management of the case include all of the following EXCEPT:

a. Pain killer.
b. Systemic steroids.
c. Antibiotics.
d. Monitoring of the airway.
e. Antihistaminies.

A

e. Antihistaminies.

94
Q
  1. After an ear wash was done for the 33 years old male patient, he suffered sudden severe pain, deafness and felt water in his throat. He might have:

a. Otomycosis
b. Acute otitis externa
c. Ear drum perforation
d. Glomus jugulare tumour

A

c. Ear drum perforation

95
Q
  1. Infections in dangerous area of the face includes:

a. Acute otitis media.
b. Infected preauricular cyst.
c. Furunculosis of the nasal vestibule.
d. Chronic suppurative otitis media.

A

c. Furunculosis of the nasal vestibule.

96
Q
  1. Single laryngeal papilloma:

a. Occurs in adults.
b. Causes hoarseness of voice.
c. Treated by microlaryngosurgery.
d. Might turn malignant.
e All of the above

A

e All of the above

97
Q
  1. In malignant otitis externa:

a. The organism is pseudomonas aurginosa.
b. The patient is diabetic with low immunity.
c. Pathology is microangiopathy leading to osteomyelitis of skull base.
d. Treatment is quinolones.
e. All of the above.

A

e. All of the above.

98
Q
  1. Invasive fulminant fungal sinusitis:

a. Occurs in immunocompromised individuals.
b. Mucor is the causative organism.
c. Treated by Amphotericin B.
d All of the above.
e. None of the above.

A

d All of the above.

99
Q
  1. Most common presentation in nasopharyngeal carcinoma:

a. Epistaxis.
b. Hoarseness of voice.
c. Nasal stuffiness.
d. Cervical lymphadenopathy.

A

d. Cervical lymphadenopathy.

100
Q
  1. Acute mastoiditis may present by any of the following EXCEPT:

a. Sagging of the posterosuperior meatal wall.
b. Reservoir sign.
c. Ear drum perforation.
d. Granulations on the floor of external auditory meatus.

A

d. Granulations on the floor of external auditory meatus.

101
Q
  1. Orbital complications of sinusitis include all of the following except:

a. Orbital cellulitis
b. Orbital abscess
c. Cavernous sinus thrombosis
d Lateral sinus thrombosis

A

d Lateral sinus thrombosis

102
Q
  1. One of the complications of ear wash is:

a. Menengitis.
b. Bezold abcess.
c. Ear drum peforation.
d. Otosclerosis.

A

c. Ear drum peforation.

103
Q
  1. The most common cause of epistaxis in elderly is:

a. Congenital blood disease.
b. Hypertension.
c. Rhinoscleroma.
d. Chronic sinusitis.
e. Septal perforation.

A

b. Hypertension.

104
Q
  1. The main cause of secondary post-tosillectomy bleeding is:

a. Elevated blood pressure.
b. Slipped ligature in the tonsillar bed.
c. Coagulation factors deficiency.
d. Infection in the operative bed.

A

d. Infection in the operative bed.

105
Q

. Which of the following may cause sensorineural hearing-loss:

a. Tympanosclerosis.
b. Middle ear effusion.
c. Stapedial otosclerosis.
d. Traumatic rupture of the tympanic membrane.

A

c. Stapedial otosclerosis.

106
Q
  1. The frontal sinus drains into:

a. Middle meatus.
b. Inferior meatus.
c. Maxillary sinus.
d. Sphenoethmoidal recess.
e. None of the above.

A

a. Middle meatus.

107
Q
  1. A 30-year-old female, otherwise healthy, presented with odynophagia of few days duration. On examination of the oral cavity, multiple ulcers were seen in the soft palate, inner cheeks and oropharyngeal walls. The most probable pathogenesis of such ulcers is:

a. Aphthous ulcers
b. Leukoplakia.
c. Diphtheria.
d. Carcinoma in situ.

A

a. Aphthous ulcers

108
Q
  1. A 6-year-old boy was brought by his parents for progressive right ear pain of two days duration. This is associated with fever and runny nose. On examination the external canal was healthy, however the right tympanic membrane was obviously reddish. Management of this condition may include all the following EXCEPT:

a. Systemic Antibiotics.
b. Local and systemic pain control.
c. Cold fomentations and Antipyretics.
d. MRI scan pertrous bones to stand on the extent of the disease.
e. Myringotomy if not responsive to medical treatment.

A

d. MRI scan pertrous bones to stand on the extent of the disease.

109
Q
  1. A 20-year-old female presented with right unilateral watery nasal discharge. This condition is exaggerated on leaning forward. Management of her condition include all of the following EXCEPT:

a. Biochemical analysis of the discharge.
b. MRI scan of the nose and paranasal sinsuses.
c. CT cysternography using intrathecal contrast.
d. Nasal vaso-constrictive drops.
e. Systemic Antibiotics.

A

d. Nasal vaso-constrictive drops.

110
Q
  1. Subglottic stenosis is a condition that could occur as a result of any of the following EXCEPT:

a. Neglected laryngeal trauma with thyroid cartilage fracture.
b. Rhinolaryngoscleroma.
c. Leukoplakia.
d. Prolonged endotracheal intubation
e. High tracheostomy with cricoid injury

A

c. Leukoplakia.

111
Q
  1. An Indication of myringotomy is:

a. Sensory neural hearing loss.
b. Large central perforation.
c. Secretory otitis media.
d. Otosclerosis

A

c. Secretory otitis media.

112
Q
  1. “Inverted Papilloma” of the nose:

a. Is a malignant tumor.
b. Arises from the nasal septum in most cases.
c. Is best diagnosed by Caroitd Angiography.
d. Should be treated by “wide surgical resection” to avoid recurrence.
e. Surgery should be followed by “radiation therapy” to avoid recurrence.

A

d. Should be treated by “wide surgical resection” to avoid recurrence.

113
Q
  1. The following statements about Vocal Cord Nodules are true EXCEPT:

a. Caused by voice abuse.
b. Present by hoarseness of voice.
c. Can be treated conservatively by voice therapy.
d. If not treated may present late by respiratory distress.

A

d. If not treated may present late by respiratory distress.

114
Q
  1. All of the following are characteristic clinical features of Meniere’s diseases EXCEPT:

a. Fluctuating deafness.
b. Vertigo.
c. Tinnitus
d. Loss of consciousness.
e. Vomiting.

A

d. Loss of consciousness.

115
Q
  1. Endoscopic sinus surgery is indicated in the following EXCEPT:

a. Allergic fungal sinusitis.
b. Extensive Sinonasal polyposis.
c. Atrophic rhinitis
d. Antrochoanal polyp.
e. Inverted papilloma.

A

c. Atrophic rhinitis

116
Q
  1. Accumulation of pus in Ludwig’s angina occurs in the:

a. Parapharyngeal space.
b. Retropharyngeal space.
c. Submandibular space.
d. Prevertebral space.

A

c. Submandibular space.

117
Q
  1. In unsafe CSOM (with cholesteatoma) treatment of choice is:

a. Simple mastoidectomy
b. Myringotomy with ventilation tube
c. Radical mastoidectomy
d. Tympanoplasty

A

c. Radical mastoidectomy

118
Q
  1. In the atrophic stage of rhinoscleroma.

a. The middle and inferior turbinates are markedly swollen.
b. Excessive watery nasal discharge is seen.
c. The patient has nasal itching and excessive sneezing.
d. There are bilateral nasal masses.
e. The nose is roomy with considerable crusts.

A

e. The nose is roomy with considerable crusts.

119
Q
  1. The treatment of advanced cancer larynx with neck lymph nodes metastasis is:

a. Partial laryngectomy.
b. Antibiotics.
c. Total laryngectomy and radical neck dissection.
d. Laser cordectomy.

A

c. Total laryngectomy and radical neck dissection.

120
Q
  1. Pulsatile tinnitus in ear is due to

a. Malignant otitis externa
b. Osteoma
c. Mastoiditis
d. Glomus jugulare tumor

A

d. Glomus jugulare tumor

121
Q
  1. Orbital cellulitis most commonly occurs after which sinus infection:

a. Maxillary
b. Frontal
c. Ethmoidal
d. Sphenoidal

A

c. Ethmoidal

122
Q
  1. The commonest cause of Sensorineural Deafness in children is:

a. Post-meningitic
b. Congenital Cholesteatoma
c. Secretory Otitis media
d. Cochlear Otosclerosis

A

a. Post-meningitic

123
Q
  1. A 35-year-old male presented with right ear discharge in the last five years. The discharge is intermittent and profuse in nature. On examination, the right external canal was seen full of mucopurulent discharge. Suction revealed a central kidney-shaped perforation in the ear drum. If this condition is left untreated, the most probable consequence will be:

a. Repeated attacks of mucopurulent discharge
b. Progressive hearing loss up to complete deafness
c. Right sided Facial Paralysis
d. Spread of infection to the intracranial cavity
e. Septicemia secondary to septic focus in the ear

A

a. Repeated attacks of mucopurulent discharge

124
Q
  1. Regarding antro-choanal polyp, which is the true statement?

a. It usually indicates an underlying fungal infection
b. It arises primarily from the ethmoidal sinus
c. The primary treatment is endoscopic sinus surgery
d. It is precancerous if left untreated

A

c. The primary treatment is endoscopic sinus surgery

125
Q
  1. Unilateral clear watery nasal discharge reducing Fehling’s solution is suggestive of:

a. CSF Rhinorrhea
b. Allergic Rhinitis
c. Viral Rhinitis
d. Nasal Diphtheria

A

a. CSF Rhinorrhea

126
Q
  1. The most common complication associated with acute ethmoid sinusitis in children is:

a. Orbital cellulitis
b. Osteomyelitis of the frontal bone
c. Subdural abscess
d. Cavernous sinus thrombosis

A

a. Orbital cellulitis

127
Q
  1. Bilateral choanal atresia in a neonate is best treated by:

a. Transnasal puncture
b. Inserting an oral airway
c. Transpalatal repair
d. Transnasal by endoscope

A

d. Transnasal by endoscope

128
Q
  1. All the following is true about CSF Rhinorrhea EXCEPT:

a. Clear fluid drips from the nose
b. Initial treatment is to pack the nose
c. Fluid contains glucose
d. Fluid has salty taste

A

b. Initial treatment is to pack the nose

129
Q
  1. Rhinolalia Aperta (hypernasality) is caused by the following EXCEPT:

a. Cleft palate
b. Rhinoscleroma
c. Palatal Paralysis
d. Fistula of the palate

A

b. Rhinoscleroma

130
Q
  1. All of the following about nasopharyngeal angiofibroma is true EXCEPT:

a. Occurs exclusively in males
b. Epistaxis and nasal obstruction are common
c. Radiotherapy is the treatment of choice
d. Arises from the sphenopalatine foramen

A

c. Radiotherapy is the treatment of choice

131
Q
  1. Plummer Vinson’s syndrome is characterized by all the following EXCEPT:

a. Koilonychia
b. Dysphagia
c. Glossitis
d. Hematemesis

A

d. Hematemesis

132
Q
  1. The following are true about Plummer Vinson’s syndrome EXCEPT:

a. More common in females
b. There is iron deficiency anemia
c. There is glossitis with spooning of the nails
d. Dysphagia is present due to upper esophageal web
e. Laryngeal carcinoma may occur if left untreated

A

e. Laryngeal carcinoma may occur if left untreated

133
Q
  1. Trotter’s Triad consists of all of the following EXCEPT:

a. Unilateral CHL
b. Ipsilateral Earache and facial pain
c. Ipsilateral proptosis
d. Ipsilateral immobilization of the soft palate

A

c. Ipsilateral proptosis

134
Q
  1. Subglottic Stenosis is a condition that could occur as a result of any of the following EXCEPT:
    a. Neglected laryngeal trauma with thyroid cartilage fracture
    b. Rhinolaryngoscleroma
    c. Leukoplakia
    d. Prolonged endotracheal intubation
    e. High tracheostomy with cricoid injury
A

c. Leukoplakia

135
Q
  1. The commonest presentation of Laryngoscleroma is:

a. Vocal cord paralysis
b. Stridor & Hoarseness
c. Pain & Night Sweating
d. Metastatic LNs

A

b. Stridor & Hoarseness

136
Q
  1. An infant is noticed to have stridor and a hoarse cry. All the following diagnoses are possible EXCEPT:
    a. Laryngeal web
    b. Laryngeal paralysis
    c. Congenital laryngeal cyst
    d. Laryngomalacia
A

d. Laryngomalacia

137
Q
  1. Malignancy is suspected in enlarged LN if it has the following EXCEPT:

a. Hard
b. Painful
c. Progressive
d. Fixed

A

b. Painful

138
Q
  1. Hot potato voice is caused by the following EXCEPT:

a. Supraglottic Carcinoma
b. Epiglottis
c. Glottic carcinoma
d. Tonsillar Hypertrophy

A

c. Glottic carcinoma

139
Q
  1. A 6-year-old boy presented to the Emergence Room with Stridor. Examination of the larynx showed swollen epiglottis blocking the laryngeal inlet. The most common organism in such a case is:
    a. B-hemolytic streptococcus
    b. Penicillinase producing Staphylococcus
    c. Pseudomonas aeruginosa
    d. Hemophilus influenzae
    e. EBV
A

d. Hemophilus influenzae

140
Q
  1. A 5-year-old boy was brought by his parents to the emergency room with obvious Stridor. His temperature was 38 C. On examination, the boy was clearly distressed. Retraction of the intercostal and suprasternal notch was noted. The most probable diagnosis is:
    a. Laryngomalacia
    b. Inhaled Foreign Body
    c. Acute Laryngo-Tracheo-Bronchitis
    d. Diphtheria
    e. Juvenile onset recurrent respiratory papillomatosis
A

c. Acute Laryngo-Tracheo-Bronchitis

ENT (3 decks)

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