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SAUDI COMMISSION

FOR
HEALTH
PROMETRIC
MCQ EXAMINATIONS
SPECIALITIES
EAR , NOSE AND THROAT
2010
By Dr. Otology
drotology@gmail.com
The interaural difference in
wave V of ABR must not
exceed
1. :
0.2 msec
2. 1 msec
3. 0.1 msec
4. 2.4 msec

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 22
Korner's septum

1. Divides middle ear cavity into attic and tubal.


2. Unequally divides the nasal cavity.
3. Divides mastoid air cells into petrous and squamous.
4. Congenital defect in external ear canal.
5. Divides ethmoid air cells into anterior and posterior.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 33
Anatomy of tympanic cavity
consists of :
1. Anterior wall consists of Eustachian tube and tensor
tympani muscle above it.
2. Roof is related to temporal lobe of brain.
3. Posterior wall is related to carotid artery.
4. It's 1.5 distance from T.M. to promontory.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 44
Which of the following is
MOST specific for
otosclerosis:
1. Hyperacusis Willichii
2. Normal tymponometry with lost
reflexes.
3. Carhart's notch.
4. Schwart's sign.
5. None of the above
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 55
Ear compliance is measured
by tympanometry using :
1. Positive and negative pressure.
2. Positive pressure only.
3. Negative pressure only.
4. Electromechanic ridge.
5. Different types of continuous and
interrupted sounds.
Feb. 2010 Saudi Commission For Health Specialities -- 66
About pterygomaxillary
fissure :
1. Vascular compartment is anterior to neural
compartment .
2. Neural compartment is anterior to vascular
compartment.
3. Vascular compartment is lateral to neural
compartment .
4. Neural compartment is lateral to vascular
compartment.

Feb. 2010 Saudi Commission For Health Specialities -- 77


In transverse fractures of
temporal bone ,all true
except:
1. High incidence of ossicular discontinuity.
2. High incidence of tympanic membrane
rupture.
3. High incidence of facial nerve injury.
4. High incidence of sensorineural hearing
loss.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 88
3 years old child with
sinusitis , you expect affected
sinuses
1. aremaxillary.
Frontal and :
2. Frontal and ethmoidal.
3. Sphenoidal and maxillary
4. Maxillary and ethmoidal.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 99
When examining a case of
functional loss of voice , you
ask
1. Saythe
(A) patient to :
2. Say (E)
3. Expirate air.
4. Cough

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 1010
Vretical petrous part of
internal carotid artery is :
1. Lateral to middle meningeal artery.
2. Lateral to cavernous sinus.
3. Medial to optic chiasma.
4. Medial to styloid base.

Feb. 2010 Saudi Commission For Health Specialities -- 1111


Endolymphatic duct lies :

1. In middle cranial fossa.


2. Posterior to posterior S.C.C.
3. Between dura.
4. Below posterior S.C.C.

Feb. 2010 Saudi Commission For Health Specialities -- 1212


Utricle is connected to
saccule via:
1. Endolymphatic duct.
2. Crus communis.
3. Cochlear aqueduct.
4. Semicircular canals.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 1313
Patient with right complete
facial paralysis is working in a
noisy
1. for
Right ear 20 years,you
hearing can
loss is less at 4kHz.
expect:
2. Left ear hearing is worse than right.
3. Both ears got equal hearing.
4. Right ear hearing loss is more at 4kHz.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 1414
As landmarks in the anatomy
of the lateral nasal wall:
1. Haller cells are present at the end of
the uncinate plate.
2. Onodi cells are the most posterior
ethmoidal cells.
3. Frontonasal recess opens anteriro to
the infundibulum.
4. 2&3 are correct. Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 1515
Optic foramen lies:

1. In the greater wing of sphenoid bone.


2. In the posterior part of frontal bone.
3. Between the lesser and the greater
wing of sphenoid bone.
4. In the sphenoid body.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 1616
Cochlear microphonics
originate from:
1. Cochlear nerve.
2. Basilar membrane.
3. Outer hair cells.
4. Inner hair cells.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 1717
Bat ear is due to under
development of:
1. Helix.
2. Anti helix.
3. Postauricular muscles.
4. Ear scapha.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 1818
Compoud action potential
originates from:
1. Auditory nerve.
2. Basilar membrane.
3. Outer hair cells.
4. Inner hair cells.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 1919
The endocochlear potential
originates from:
1. Basilar membrane.
2. Outer hair cells.
3. Stria vascularis.
4. Inner hair cells.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 2020
About adenoids and tonsils:

1. Both have the same antomy.


2. Both have are lymphoid tissue with
afferent an efferent lymphatics.
3. Adenoids do have crypts.
4. Adenoidal mucosa is
pseudostratified columnar ciliated
epitheluim. Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 2121
The most specific answer
about the primary site of
noise
1. induced
Outer hair cells. SNHL:
2. Inner hair cells.
3. Stria vascularis.
4. Rootlets that connect stereocilia to top
of outer hair cells.
5. None of the above is accurate.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 2222
Bony labyrinth develops from
ossification of :
1. 12 centres.
2. 14 centres.
3. 6 centres.
4. 3 centres.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 2323
The 4th branchial arch nerve
develops into:
1. The glossopharyngeal nerve.
2. Vagus nerve.
3. Mandibular nerve.
4. Superior laryngeal nerve.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 2424
Complete ossification of
labyrinth occurs by:
1. 12 weeks.
2. 23 weeks.
3. 28 weeks.
4. 26 weeks.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 2525
Which of the following never
undergo(es) calcification:
1. Inferior border of thyroid cartilage.
2. Superior border of thyroid catilage.
3. Epiglottis and cricoid cartilage.
4. Auricle.
5. 2&4.

Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 2626
A 6 months old infant with
cleft palate presented to your
clinic,his
1. parents
At one year old. are worried
and
2. Afterasked you
eruption what
of the firstismolar.
the
suitable
3. time to operate the
2 years old.
baby:
4. As soon as possible to prevent
complications.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 2727
A new born with bilateral
external canal atresia must
be
1. operated:
As soon as possible for adequate intellectual
development as the baby almost can't hear.
2. At 2 years old and hearing aids are used till
that.
3. At 5 years old and hearing aids are used till
that.
4. At adult age.

Feb. 2010 Saudi Commission For Health Specialities -- 2828


In cancer larynx , vocal cord
fixation is due to:
1. Invation of internal laryngeal nerve.
2. Invation of external laryngeal nerve.
3. Invation of posterior crithyroid
muscle.
4. Invation of thyroarytenoid muscle.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 2929
Fusion of intermaxillary
suture forms:
1. Torus palatine.
2. Torus maxillaris.
3. Nasion.
4. Torus tuburous.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 3030
All of the following are
components of the jugular
foramen
1. except:
Sigmoid sinus.
2. Spinal accessory nerve.
3. Inferior petrosal sinus.
4. None of the above.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 3131
About tympanosclerosis

1. Usually due to high serum level of


calcuim.
2. Affects foot plate.
3. Does not affect the inner mucosal
layer of tympanic memebrane.
4. Does not affect ossicles.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 3232
Cochlea is connected to
saccule via:
1. Crus communis.
2. Endolymphatic duct.
3. Ductus reunis.
4. Lateral semicircular canal.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 3333
Osteomeatal complex is
formed of all except:
1. Concha bullosa.
2. Fovea ethmoidalis.
3. Hiatus semilunaris.
4. Bulla ethmoidalis.
5. Uncinate plate.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 3434
Number of bones froming
orbital fossa:
1. 4
2. 5
3. 6
4. 7

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 3535
All of the following bones
share in formation of orbit
except:
1. Ethmoid bone
2. Palatine bone
3. Frontal bone.
4. Maxillary bone.
5. None of the above.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 3636
Cell bodies of sympathetic
nerves of head and neck are
present
1. in:ganglion.
Spinal root
2. Target organs.
3. Cerebral cortex.
4. Cervical sympathetic chain.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 3737
Following facial nerve
trauma,peripheral end can
be10stimulated
1. days. up to:
2. 3 days.
3. 5 days.
4. 14 days.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 3838
Facial nerve is not fully
developped untill the age of:
1. 1 years.
2. 2 years.
3. 3 years.
4. 4 years.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 3939
Which of the following is used
to predict facial function
return,6-12
1. weeks
Nerve excitability test.before
clinical
2. Maximumevidences
stimulationof recovery:
test.
3. Electromyography.
4. Electroneuronography.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 4040
Which of the following is the
MOST useful test in early
facial
1. Nervenerve injury:
excitability test.
2. Maximum stimulation test.
3. Electromyography.
4. Electroneuronography.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 4141
Preganglionic sympathetic
mediator is:
1. Epinephrine.
2. Noradrenaline.
3. Adrenaline.
4. Acetyl choline.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 4242
The chief muscle which opens
eustachian tube:
1. Palatopahryngeus.
2. Salpingopharyngeus.
3. Tensor palati.
4. Levator palati.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 4343
The only abductor of vocal
cord is:
1. Cricoarytenoid.
2. Interarytenoid.
3. Posterior cricoarytenoid.
4. Lateral cricoarytenoid.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 4444
First pharyngeal arch give
rise to:
1. Stapes.
2. Incus.
3. Styloid processs.
4. Nasal bone.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 4545
Stones of salivary glands

1. Usually radiopaque.
2. May reveal underlying sialectasis.
3. Most commonly in parotid gland.

Feb. 2010 Saudi Commission For Health Specialities -- 4646


The narrowest area of infant
larynx is at level of:
1. Cricoid cartilage.
2. True vocal cord.
3. False vocal cords.
4. Subglottic area.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 4747
Tonsills develop from:

1. 1st pharyngeal pouch.


2. 2nd pharyngeal pouch.
3. 1st pharyngeal arch.
4. 2nd pharyngeal arch.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 4848
Eustachian tube is closed by
the action of
1. Tensor palati.
2. Levator palati.
3. Salpingopharyngeus.
4. None of the above.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 4949
Histological characteristics of
Wegner's granulomatosis:
1. Vasculitis,non-granulomatous
polymorphonuclear infiltration.
2. Vasculitis, granulomatous
polymorphonuclear infiltration.
3. Vasculitis, granulomatous
oesinophilic infiltration.
4. Monomorphic infiltration. Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 5050
The most common
complication of FESS:
1. Bleeding.
2. Cranial complictions.
3. Anosmia.
4. Synaechia.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 5151
In trigeminal neuralgia:

1. Pain is throbbing.
2. Mastication is restricted.
3. Facial sensation is dimineshed.
4. Movement of the face may trigger
the attack.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 5252
Sensory supply of ear lobule
is carried through:
1. Greater occipital nerve.
2. Lesser occipital nerve.
3. Auriculotemporal nerve.
4. Facial nerve.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 5353
Cribriform plate is :

1. Separate bone.
2. Part of sphenoid bone.
3. Part of frontal bone.
4. Part of ethmoid bone.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 5454
As a surgical landmark in the
lateral nasal bone :
1. Haller cells at the end of uncinate
process.
2. Frontonasal recess opens anteriorly
to infundibulum.
3. Onodi cells are the most posterior
ethmoid cells.
4. 2 & 3 .
Feb. 2010 Saudi Commission For Health Specialities -- 5555
Pre-epiglottic space
boundries include :
1. Lateral glosso-epiglottic lig.,thyroid cart. &
thyrohyoid membrane.
2. Lateral glosso-epiglottic lig.,thyroid cart. &
cricoid cart. .
3. Median glosso-epiglottic lig.,hyoid bone &
thyrohyoid memb. .
4. Median glosso-epiglottic lig.,thyroid cart. &
thyrohyoid membrane.

Feb. 2010 Saudi Commission For Health Specialities -- 5656


The MOST common route of
spread of supraglottic
carcinoma
1. Lymphatic. :
2. Blood spread.
3. Anteriroly through fenestra of
cartilage to pre-epiglottic space.
4. Inferiorly to the lung.

Answe 3
Feb. 2010 Saudi Commission For Health Specialities -- 5757
Structures passing through
superior orbital fissure:
1. III, IV , V2 , superior orbital vein.
2. III, IV , V1 , orbital br. of middle
meningeal artery.
3. II, III ,IV ,V1.
4. II, III , IV , V2.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 5858
Functions of laryngeal
saccule:
1. Tension of vocal cords.
2. Resonation of voice.
3. Secretion of lubricant mucous.
4. None of the above.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 5959
The best surgical approach
for facial nerve trauma with
good
1. hearing ability:
Transmastoid.
2. Retrosigmoid.
3. Translabyrinthine.
4. Middle cranial fossa.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 6060
A physiological method for
evaluation of eustachian tube
function
1. in a child with
Tympanometry.
perforated
2. T.M. is:
Valsalva's maneuvre.
3. Politzarisation.
4. Unproved.

Answer 2?
Feb. 2010 Saudi Commission For Health Specialities -- 6161
Blood supply of the
parathyroid gland:
1. Superior thyroid artery.
2. Inferior thyroid artery.
3. Inferior and superior thyroid artery.
4. Thyroida ima.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 6262
Parathyroid hormone causes
all of the following EXCEPT :
1. Increases Ca absorption from intestine.
2. Increses Ca resorption from kidney.
3. Increses calcitonin.
4. Increses bone calcification.

Feb. 2010 Saudi Commission For Health Specialities -- 6363


Acoustic reflexes are lost if
the hearing loss is more
than
1. :
40 dB.
2. 50 dB.
3. 55 dB.
4. 60 dB.

Answer 60
Feb. 2010 Saudi Commission For Health Specialities -- 6464
Pain sensitive structures in
brain include all except:
1. Circle of willis.
2. Falx cerebri.
3. Venous sinuses and tributaries.
4. Basal dura.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 6565
Salivary gland oncocytoma
arises from :
1. Acinar cells.
2. Excretory duct cells.
3. Striated duct cells.
4. Intercalated duct cells.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 6666
Patient with voice
change,absent taste
sensation
1. VII,X. from post. 1/3 of
tongue
2. VII,IX. and palatal paralysis,
which
3. IX,X. cranial nerve affected:
4. X,XI.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 6767
Point of meeting of internal
laryngeal and reccurrent
nerves
1. Berry's is called:
anstomosis.
2. Kissellbash's anstomosis.
3. Galen's anastomosis.

Feb. 2010 Saudi Commission For Health Specialities -- 6868


Chvostek's sign is present in:

1. Hypomagnesaemia.
2. Hypocalcaemia.
3. Hypokalaemia.
4. 1 and 2 only.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 6969
Bilateral facial palsy is
present in all of the following
EXCEPT:
1. Mobuis syndrome.
2. Lyme disease.
3. Sarcoidosis.
4. Melkersson-Rosenthal syndrome.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 7070
The condition in which there
is abberant innervation
between
1. facial nerve fibres
Frey's syndrome.
after
2. trauma
Bogarad is called:
syndrome.
3. Vernet syndrome.
4. Rolet syndrome.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 7171
The most important landmark
in identification of external
laryngeal nerve:
1. Descends posterior to the sternothyroid muscle.
2. It crosses the superior thyroid vessels to pierce th
cricothyroid muscle.
3. It descends deep to superior thyroid vessels.
4. At 1.5 cm medial to the inferior cornu of the inferior
thyroid cartilage, it inserts in the cricothyroid muscle.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 7272
Normal flora of the mouth
include all of the following
except:
1. Staph. Epidermitis.
2. Bacteroids.
3. Corynobacteruim.
4. Streptococcus pneumonia.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 7373
A patient with anosmia will
continue smelling :
1. Alcohol.
2. Amonia.
3. Coffee.
4. Garlic.
5. Vanillia.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 7474
All are true about congenital
syphilis EXCEPT:
1. Perforation of the nasal septum.
2. Saddle nose.
3. Snuffles in the newborn.
4. Atrophic rhinitis.
5. Mucocutaneous lesions.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 7575
leprotic nasal septum
perforation involves:
1. Bony septum.
2. Cartilagenous septum.
3. Both bony and cartilagenous.
4. Same as syphilis.
5. 1&4.
Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 7676
In concern to the ear, the 1st
brachial arch contributes in
the
1. formation of:
Tragus.
2. Helix.
3. Scapha.
4. Lobule.
5. 1&2
6. 3&4 Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 7777
Which of the following
sinuses is found aerated at
birth:
1. Maxillary.
2. Frontal.
3. sphenoidal.
4. 2&3.
5. None.
Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 7878
All of the following are
derived from the 1st
branchial
1. Malleus. arch except:
2. Stapes.
3. Tensor tympani muscle.
4. Incus.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 7979
About the cochlea, which of
the following is false:
1. Bony labyrinth is formed from 12 centers
of ossification.
2. Complete ossification and adult size
cochlea is reached by the 23rd weeks.
3. At the 26th weeks it starts sending
auditory informations.
4. It is formed from th auditory placode.
Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 8080
The nerve of the 4th
branchial arch forms:
1. Geniculate ganglion.
2. Semilunar ganglion.
3. Facial nerve.
4. Glossopharyngeal nerve.
5. Superior laryngeal nerve.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 8181
The artery of the left 4th
branchila arch gives:
1. Common carotid artery.
2. Thyroida imma.
3. Aorta .
4. Ligamentum arteriosum.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 8282
The cartilage bar of the 6th
branchial arch give rise to all
ofCricoid
1. the following
cartilage. except:
2. Arytenoids.
3. Corniculate.
4. Thyroid cartilage.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 8383
About thyroid (ventral)
diverticulum ,all is true
except:
1. It descends between the 1st and 2nd arches.
2. It starts from the foramen caecum on the
tongue between the tuberculum impar and the
copula.
3. It usually atrophies at the 6th week of
gestation,if not a thyroglossal cyst is formed.
4. It never contains thyroid tissue

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 8484
The artery of the 3rd
branchial arch give rise to the
: Aorta.
1.
2. Carotid artery.
3. Superior thyroid artery.
4. Inferior thyroid artery.
5. Ligamentum arteriosum.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 8585
The parathyroid glands arise
from:
1. Ventral aspect of 3rd pouch.
2. Dorsal aspect of 1st and 2nd
pouches.
3. Ventral aspect of 2nd arch.
4. None of the above.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 8686
Post ganglionic sympathetic
fibers mediators to smooth
muscles
1. is:
Acetyl choline.
2. Adrenaline.
3. Noradrenaline.
4. Prostigmine.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 8787
Post ganglionic sympathetic
fibers mediators to sweat
glands
1. is:
Acetyl choline.
2. Adrenaline.
3. Noradrenaline.
4. Prostigmine.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 8888
The T.M and ossicular action
increase hearing power by:
1. 10-15 dB.
2. 15-23 dB.
3. 24-29 dB.
4. 0-5 dB.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 8989
A surgical landmark in the
lateral nasal wall:
1. Haller cells at the end of the
uncinate plate.
2. Fronto-nasal recess opens anterior
to infundibulum.
3. Onodi cells are the most postero-
lateral ethmoidal cells.
4. 2&3
Feb. 2010 Saudi Commission For Health Specialities -- 9090
The cribriform plate is :

1. Separate bone.
2. Part of the ethmoidal bone.
3. Part of sphenoidal bone.
4. Part of frontal bone.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 9191
A patient with complete facial
trauma with good hearing,
you
1. can best approach
Transmastoid.
through
2. :
Translabyrinthine.
3. Retrosigmoid.
4. Middle fossa aaproach.
5. Infratemporal fossa approach.
Answer 4?
Feb. 2010 Saudi Commission For Health Specialities -- 9292
All of the following are
normal commensal of the
mouth
1. except:
Staphylococci epidermitis.
2. Streptococci.
3. Bacteroids.
4. Corynobacteruim.
5. Streptococcus viridans.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 9393
Patient suffering from voice
changes, absent taste &
sensory
1. IX & X. sensation from
posterior
2. IX & XII. 1/3 of tongue and
palatal
3. X & XI. paralysis. Which of
the following nerves you
4. V , IX & X.
expect to be injured:

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 9494
Ear plugs can attenuate the
noise presented to the ear
by:
1. 10-20 dB.
2. 20-40 dB.
3. 30-50 dB.
4. 40-60 dB.
5. 50-70 dB.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 9595
Relation between vascular
and neurological supply of
the
1. nose:
Anterior.
2. Lateral.
3. Medial.
4. Posterior.

?
Feb. 2010 Saudi Commission For Health Specialities -- 9696
Early signs of respiratory
failure:
1. Cyanosis.
2. Tachypnea.
3. Subcostal retraction.
4. Biphasic stridor.
5. Irritability and gasping.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 9797
Vasodilatation of nasal
mucosa can occur after :
1. Section of greater petrosal nerve.
2. Stimulation of adrenal medulla.
3. Section of vidian nerve.
4. Stimulation of cervical sympathetic
chain.

Feb. 2010 Saudi Commission For Health Specialities -- 9898


Cavernous sinus contains all
except:
1. Oculomotor nerve.
2. Trochlear nerve.
3. Abducent nerve.
4. Trigeminal nerve with it's 3
divisions.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 9999
All of the following can cause
bilateral facial palsy except:
1. Mobuis syndrome.
2. Lyme disease.
3. Sarcoidosis.
4. Melkersson Rosenthal syndrome.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 100
Vidian neurectomy can be
used to treat:
1. Menier's disease.
2. Benign paroxysmal positional
vertigo.
3. Vasomotor rhinitis.
4. Releive symptoms of trigeminal
neuralgia.
Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 101
After excision of malignant
thyroid tumour , the best
index
1. TSH in follow up is:
2. T3
3. T4
4. Serum thyroglobulin.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 102
All of the following are
depressors of larynx except:
1. Sternohyoid.
2. Omohyoid.
3. thyrohyoid,.
4. Geniohyoid.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 103
All of the following are signs
of orbital blow out except:
1. Exophtalmous.
2. Tear drop sign in X-ray.
3. Diplopia.
4. Bony step-off of orbital rim.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 104
Alport syndrome is
characterised by all except:
1. Affects all males but not all females.
2. Renal failure.
3. Sensorineural hearing loss at birth.
4. U-shaped audiogram.
5. 3 & 4.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 105
Osteoma is more common in :

1. Maxillary sinus.
2. Frontal sinus.
3. Ethmoid sinus.
4. Sphenoid sinus.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 106
Exostosis is characterised by
all except:
1. Multiple.
2. Bilateral.
3. Peduculated.
4. Usually in cold water divers.
5. Lamellated bone.
Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 107
Reinke' space is:

1. The superficial lamina propria.


2. The intermediate lamina propria.
3. The deep lamina propria.
4. The outer squamous epitheluim.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 108
Nerve supply of the
stylopharyngeous muscle :
1. X
2. XI
3. IX
4. XII

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 109
Stapedial fixation is
confirmed in operative room
by
1. :
Presence of stapedial reflex.
2. Presence of round window reflex.
3. Tympanometry.
4. None of the above.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 110
The most common
complication of stapedectomy
isDeafness.
1. :
2. Injury to facial nerve.
3. Perilymph fistula.
4. Injury to the vestibular nerve.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 111111
The mandibular nerve
supplies all except:
1. Tensor palati.
2. Levator palati.
3. Lateral pterygoid.
4. Tensor tympani.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 112
Dysphagia lusoria is the
condition in which there is:
1. Spasm of lower oesophageal sphincter
with dilatation of oesophagus.
2. Spasm of lower 1/3 oesophagus.
3. Encroachment on the oesophaagus by
right subclavian artery.
4. Encroachment on the oesophaagus by
right bronchus.
Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 113
The space defect between the
cricopharyngeus muscle and
circular
1. muscles of
Killian' space.
oesophagus
2. Killian-Jamiesonis space.
called:
3. Lamier-Hachman space.
4. Zenker's diverticulum.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 114
About lymph drainage of
head and neck,which of the
1.following isistrue:
Lymphatic content similar to that of thoracic duct.
2. Right side of H&N drains with right side of the body
in the right subclavian vein.
3. Left side of H&N drains in the thoracic duct.
4. The right and left side lymphatics drain in the
thoracic duct.
5. None of the above.

Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 115
In a patient with right
paralytic labyrinth, which of
the
1. following
Right is correct:
beating nystagmus.
2. Left beating nystagmus.
3. Vertical nystagmus.
4. Total hearing loss

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 116
In acoustic neuroma, you can
find:
1. High frequency SNHL.
2. Low frequency SNHL.
3. Flat audiogram.
4. Notch at 2 KHZ.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 117
Patient complaining of
conductive hearing loss, may
have:
1. Early otosclerosis.
2. Paget's disease.
3. Inner ear conductive hearing loss.
4. Abnormal perilymph pressure.
5. All of the above.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 118
The muscle known as anterior
pillar of the tonsil is
innervated
1. by: of tongue
Same nerve supply
through XII.
2. Same nerve supply of palate
through X.
3. Glossopharyngeal nerve.
4. Spinal accesory nerve.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 119
Ephedrine is not preffered
locally in the nose because:
1. Irritates nasal mucosa.
2. Causes mucocilliary paralysis.
3. May raise the blood pressure.
4. Rapidly causes atrophy of nasal
mucosa.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 120
Keratosis obturans:

1. Premalignant.
2. Needs emergent surgery.
3. Always associated with
cholesteatoma.
4. Collection of desquamated epitheluim
occluding external canal.
5. 3 &4 Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 121
In aminoglycoside induced
deafness, which structure is
affected:
1. Inner hair cells.
2. Outer hair cells.
3. Tectorial membrane.
4. Stria vascularis.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 122
In kobrak test:

1. Patient is sitting and head tilted 30


degrees bacwards.
2. Patient is sitting and head tilted 60
degrees bacwards.
3. Patient is supine and head tilted 30
degrees bacwards.
4. Patient is supine and head tilted 60
degrees bacwards. Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 123
EBV is related to all of the
following except:
1. Infectious mononucleosis.
2. Hodgkin's lymphoma.
3. Wegner' granulomatosis.
4. Burkit' lymphoma.
5. AIDS.
6. Nasopharyngeal carcinoma. Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 124
In modified radical neck
dissection type I , which of
the
1. following
Thoracic duct. will be
preserved:
2. Spinal accesory nerve.
3. Internal jugular vein.
4. Sternomastoid muscle.
5. 2 & 3.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 125
The primary neuron cell body
of clfactory nerve is located
in:
1. Olfactory bulb.
2. Nasal mucosa.
3. Cribriform plate.
4. Prefrontal cortex

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 126
Which one of the following
will do best in olfactory
identification
1. test:
38 year old man.
2. 40 year old woman.
3. 68 year old woman.
4. 67 year old man.
5. 5 year old girl.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 127
Layers of the scalp from out
inwards:
1. Skin, connective tissue, loose areolar tissue,
aponeurosis, pericranuim.
2. Skin, connective tissue, aponeurosis, loose
areolar tissue, pericranuim.
3. Skin, aponeurosis, connective tissue, loose
areolar tissue, pericranuim.
4. Sclap proper, areolar tissue, pericranuim.
5. 2 & 4
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 128
Rupture of the round window
is though to cause:
1. Increase endolymphatic pressure.
2. Decrease endolymphatic pressure.
3. No change in endolymphatic
pressure.
4. Bring endolymphatic pressure to
zero.
Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 129
Epiglottopexy is used to
treat:
1. Snoring.
2. Severe cases of laryngomalacia.
3. Laryngeal web.
4. Lacalised vocal cord tumours.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 130
A man went outdoor in a
windy day, he got sneezing
and
1. rhinorhoea which are
Kinines.
rapidly
2. releived when he
Histamines.
went
3. indoor. After 6 hours,
Leukotrienes.
symptoms came back. This is
4. Prostaglandin D2.
due to :
5. Chemotactic agents.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 131
Abducent palsy can be caused
in all of the following except:
1. Gradenigo's syndrome.
2. Apicitis.
3. Sphenoidal sinusitis.
4. None of the above.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 132
Trotter' triad consisit of all of
the following except:
1. Bilateral conductive hearing loss.
2. Otalgia and facial pain.
3. Unilateral immobile soft palate.
4. Unilateral ear effusion.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 133
All is true about Boeck's triad
except:
1. Swelling below angle of mandible.
2. Trismus.
3. Tonsil is pushed medially.

Feb. 2010 Saudi Commission For Health Specialities -- 134


Which of the following
malignancies are most highly
associated
1. Non-Hodgkinwith HIV:
lymphoma.
2. Kaposi's sarcoma.
3. Hodgkin lymphoma.
4. Squamous cell carcinoma of the
head and neck.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 135
Which specific nerve block
will lead to the greatest
morbidity
1. after a misplaced
Maxillary nerve.
injection:
2. Sphenopalatine ganglion.
3. Mandibular nerve.
4. Glossopharyngeal nerve.
5. Stellate ganglion.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 136
The relationship between the
function of the upper and
lower
1. lateral
Interlocked cartilage in the
scroll.
majority
2. Overlap. of humans is
3. End-to-end contact.
4. Opposed scroll.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 137
The external nasal nerve is a
branch of the _____________
nerve.
1. Supratrochlear
2. Posterior ethmoid
3. Sphenopalatine
4. Anterior ethmoid

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 138
Reflex lacrimal gland
secretion is mediated by
parasympathetic
1. V. fibers of
cranial
2. VII. nerve
3. III.
4. IX.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 139
The sphenopalatine ganglion
is
1. a special sensory afferent.
2. sympathetic.
3. parasympathetic.
4. a somatic sensory afferent.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 140
The nasopalatine nerve
supplies sensation to the
mucosa
1. Anterior of the
premaxillary palate.
2. Soft palate.
3. Lateral nasal passage.
4. Anterior cheek

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 141
The most commonly injured
branch of the facial nerve in
rhytidectomy
1. Temporal. is the
2. Marginal mandibular.
3. Buccal.
4. Cervical.
5. Zygomatic.
Answe r 2
Feb. 2010 Saudi Commission For Health Specialities -- 142
Infection spread from the
maxillary sinus intracranially
most
1. likely
Angular travels through
veins.
the
2. Ophthalmic artery.
3. Superior labial veins.
4. Pterygoid plexus.

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 143
The frontal sinus is fully
developed by _____ year(s) of
age.
1. 1
2. 4
3. 8
4. 12
5. 18
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 144
Innervation of the ethmoid air
cells includes all but the
_______
1. nerve.
Ophthalmic
2. Nasociliary
3. Maxillary
4. Sphenopalatine
5. Nasopalatine.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 145
Frostbite of the auricle is
most effectively managed by
1. Radiant heat.
2. Rubbing with snow.
3. Watchful waiting.
4. Application of 40° c soaks.
5. Alternating cool and warm soaks.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 146
The most important aspect of
management of chrondritis of
the
1. auricle
Injection is
of gentamicin subperichondrially.
2. Systemic antibiotics.
3. Topical antibiotics introduced through
catheters.
4. Early skin grafting.
5. Protective pressure dressings.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 147
The hallmark of allergic
fungal sinusitis is
1. Allergic mucin.
2. Hyphal invasion through the
epithelium.
3. Mycetoma.
4. Vascular invasion and proliferation by
fungi.
Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 148
The first-echelon nodal
drainage for tumors of the
nasal
1. lateralspace and maxillary
retropharyngeal
sinus
2. Facial is the __________ node.
3. Parotid
4. Jugulodigastric.

Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 149
Ohngren's line is an
important delineator of
1. Tip of the nose and tragus
prognosis in the management
Medial
2.of canthus and angle of
carcinoma of the maxillary the jaw
Nasal tip
3.sinus. andimaginary
This angle of the line
jaw
drawn between what two
structures?
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 150
What are the anatomic
landmarks that define the
Frankfort
1. Inferior wall horizontal line:canal to
of external auditory
the inferior orbital rim.
2. Root of the superior helical ring to the
infra orbital ring.
3. Superior tragal root to nasojugal fold.
4. Superior wall of the external auditory
canal to infra orbital rim.
Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 151
Attacks of giddiness in
otosclerosis occur due to
involvement
1. Oval window. of:
2. Roud window.
3. Vestibular aqueduct.
4. Cochlear aqueduct.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 152
Perilymoh fistula should be
suspected after
stapedectomy
1. if there
Persistent conductive is: loss.
hearing
2. Fluctuating hearing loss.
3. Absence of tinnitus.
4. Absence of vertigo.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 153
The tympanogram of an
otosclerosis patient will
show:
1. Type A curve.
2. Type Ad curve.
3. Type As curve.
4. Type B curve.

Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 154
The tympanogram of an
osteogenesis imperfecta
patient will show:
1. Presence of acoustic reflex with low compliance.
2. Absence of acoustic reflex with high
compliance.
3. Presence of acoustic reflex with high
compliance.
4. Absence of acoustic reflex with high
compliance.

Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 155
Which of the following
immunoglobulins is most
important
1. IgG in memory immune
responses?
2. IgM
3. IgA
4. IgE
5. IgD
Answer 1
Feb. 2010 Saudi Commission For Health Specialities -- 156
Eosinophils produce all of the
following except :
1. Peroxidases.
2. Neurotoxins.
3. Proteins.
4. Cytokines.
5. Histamine.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 157
In testing for nasal allergy,
which drug does not affect
skin
1. test results?
Chlorpheniramine.
2. Fexofenadine.
3. Prednisone.
4. Doxepin.
5. Astemizole.
Answer 3
Feb. 2010 Saudi Commission For Health Specialities -- 158
Which of the following are
not removed in a radical neck
dissection?
1. Submental nodes
2. Jugular nodes
3. Spinal accessory nodes
4. The tail of the parotid gland.
5. All of the above are removed in
radical neck dissection.
Answer 5
Feb. 2010 Saudi Commission For Health Specialities -- 159
The first salivary gland to
develop is
1. Sublingual salivary gland
2. Submandibular salivary gland
3. Accessory salivary glands
4. Parotid gland

Answer 4
Feb. 2010 Saudi Commission For Health Specialities -- 160
The point of bony and
cartilagenous parts on the
dorsum
1. Nasion. of the nose is called:
2. Rhinion.
3. Ganion.
4. Columella.
5. Pogonion.
Answer 2
Feb. 2010 Saudi Commission For Health Specialities -- 161
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