ENT MCQ All Days +mondays

1.
What is the medical term for the examination of the ear canal and tympanic
membrane?
Otoscopy
(2 Points)
2.
The procedure for draining pus from the middle ear is called:
(2 Points) myringotomy
3.
What is the name of the tool used to examine the oral cavity and the
pharynx?
(2 Points)
Tongue depressor
4.
The most frequent site of epistaxis is called after a man who described it
and is called:
(2 Points)
Kiesselbach’s area (Plexus)
5.
A patient complains of dysphonia that last for more than 2 weeks. What is
the clinical examination that needs to be performed first?
(2 Points)
Laryngoscopy
6.
Which is the causative microorganism of True Croup?
(2 Points)
Clostridium diphtheriae
7.
What class of commonly used medications has the Angioneurotic Edema
as an adverse effect.
(2 Points) ACE inhibitors C1 esterase inhibitor replacement??
8.
Allergic rhinitis is classified into TWO distinct forms. Which are they?
(2 Points)
Seasonal allergic rhinitis
Perennial allergic rhinitis
9.
Please name three of the surface details of the normal tympanic
membrane.
(2 Points) Umbo, cone of light, short process
Pars tensa, Pars flaccida,
10.
Please assign the following clinical signs to the most probable diagnosis
(4 Points) tick= answer (look at the row)
Infectious Scarlet Vincent's Diphtheria (True
Mononucleosis Fever Angina croup)
Skin rash: Tick
Spleen and liver Tick

enlargement
Cardiotoxicity: Tick
Ulcero-necrotic oral Tick

mucosal lesion
11.
Which of the following IS TRUE
(1 Point)
Both Pars flaccida and pars tensa have a three layered structure
the tympanic membrane is anchored to the tympanic sulcus of the tympanic
bone by the fibrous annulus (fibrocartilaginous ring)
The tympanic membrane is flat
Pars flaccida of the tympanic membrane is larger than pars tensa
12.
Which of the following is NOT true
(1 Point)
the cone of light usually points antero-inferiorly
the TM is funnel shaped
the handle of the malleus and the light reflex (cone of light) form an angle
open posteriorly
myringotomy, for draining pus from the middle ear should be performed in
the posterior inferior quadrant
13.
All of the following laryngeal muscles are closing the glottis EXCEPT:
(1 Point)
Thyroarytenoid
Posterior cricoarytenoid
Oblique arytenoid
Lateral cricoarytenoid
14.
Which of the following drain in the Superior nasal meatus
(1 Point)
Lacrimal duct and Eustachian tube
Posterior ethmoid cells and sphenoid sinus
Posterior ethmoid cells and lacrimal duct
Sphenoid sinus and Eustachian tube
15.
Which of the following IS TRUE: Removal of foreign bodies from the
external ear canal is
(1 Point)
is preferably done using a forceps
is usually done using an ear hook
irrigation should be tried first
always done under general anesthesia
16.
Which of the following IS TRUE:
(1 Point)
The mucoepidermoid cancer is the commonest malignant salivary tumor.
Sjogren’s disease affects only major salivary glands
Tumors are more frequently found in the submandibular gland
The ranula is the commonest benign tumor
17.
All are true about ear wax EXCEPT
(1 Point)
Needs to be removed on a regular basis.
Is produced in the outer third of the external auditory canal.
Contains a bactericidal enzyme.
Creates acidic environment in the ear canal
18.
Which of the following is NOT True for Acute epiglottitis
(1 Point)
Caused usually by Haemophilus influenzae
Typically presents with Biphasic stridor
Requires hospitalization and IV antibiotics
Accompanied by dysphagia and drooling
19.
Which of the following muscle is a tensor of vocal cord:
(1 Point)
Interarytenoid
Cricothyroid
20.
The protective function on the nasal lining is realized mainly by the
following EXCEPT:
(1 Point)
vibrisse in the nasal vestibulum
secretory antibodies
cellular immune responses
the mucocilliary apparatus
21.
If left untreated Glue ear can lead to all EXCEPT:
(1 Point)
Cholesteatoma
Otosclerosis
Adhesive otitis
Permanent conductive hearing loss
22.
Which of the following statements regarding the Parotid gland is NOT true:
(1 Point)
The draining duct opens opposite to the second upper molar
The parotid is the gland most frequently affected by stones
The parotid glands contains lymph nodes
The parotid gland produces saliva rich in enzymes
23.
Which of the following IS TRUE:
(1 Point)
The submandibular gland is not accessible for palpation
The submandibular gland drains in the oral vestibule
The submandibular gland is most frequently affected by stones
The submandibular gland is the commonest site of salivary tumors
24.
The treatment of choice of nasopharyngeal cancer is:
(1 Point)
Surgery with postoperative radiotherapy
Radical surgery
Chemotherapy
Radical radiotherapy
25.
An important clinical feature of odontogenic sinusitis is that it is unilateral
(1 Point)
True
False
26.
Regarding cholesteatoma, which of the following IS TRUE?
(1 Point)
It should be left untreated.
It is a malignant tumour.
It consists of squamous epithelium.
It is mainly treated medically.
27.
The nasal cavity is vascularized by branches of both internal and external
carotid arteries
(1 Point)
True
False
28.
The tongue base plays a major role in:
(1 Point)
Taste
Prevention of aspiration
Articulation
Prevention of nasopharyngeal reflux
29.
What is NOT true about Agioneurotic edema:
(1 Point)
Can affect the gastrointestinal tract
Can be hereditary or acquired
It is a IgE mediated disease
Presents with non inflammatory edema of the skin and mucosal surfaces
30.
What is NOT true about Laryngomalacia:
(1 Point)
It is the commonest cause of congenital stridor
Once detected - surgery in indicated
Usually resolves in the first 2 years of life
Can complicate with feeding difficulties, reflux and aspiration.
31.
Which of the following is NOT true? The middle ear amplifies sound by
(1 Point)
Surface difference between the tympanic membrane and the stapes
footplate
Lever mechanism
ResonanceMiddle ear muscle active contractions

32.
The common cold is most often caused by
(1 Point)
Influenza virus
Adenovirus
Respiratory syncytial virus
Rhinovirus
33.
Everything is true about sinus osteoma EXCEPT
(1 Point)
Treatment is surgery only when symptomatic
Usually asymptomatic
Usually found in the maxillary sinus
Usually found incidentally
34.
Decreased bone conduction in an audiogram indicates
(1 Point)
Tympanic membrane perforation.
Damage to the cochlea.
Ossicular fixation.
Glue ear.
35.
Which of the following statements regarding Acute Otitis Media is NOT true
(1 Point)
The most common causative microoganisms are: S. pneumoniae; H.
influenzae; M. catarrhalis
The antibiotic of choice is Amoxicillin
Acute otitis media is so common that it would affect up to 80% of the
children by the age of three
Myringotomy is indicated in every case of acute otitis media
36.
Antral lavage (puncture of the maxillary sinus) is done through the:
(1 Point)
Canine fossa
Inferior nasal meatus
Middle nasal meatus
Common nasal meatus
37.
What is the first and most important option in the treatment of acute
laryngitis?
(1 Point)
Voice rest
Orotracheal intubation
Antibiotics
Steroids
38.
The most common site of foreign body retention in the pharynx is:
(1 Point)
The nasopharynx
The tonsils
The hypopharynx
The posterior pharyngeal wall
39.
Which one is TRUE about Allergic rhinitis:
(1 Point)
It is a type 2 allergic hypersensitivity reaction.
Involves IgM reaction.
Neutrophil count is essential for diagnosis.
The mast cells have a major role in pathogenesis.
40.
Hoarseness is the earliest symptom of cancer of the:
(1 Point)
Subglottis
All of the listed
Supraglottis
Glottis
41.
The most common cause of peripheral episodic vertigo is:
(1 Point)
Meniereʼs disease
Labyrinthitis
Benign paroxysmal positional vertigo
Acoustic neuroma
42.
The nasopharynx communicates anteriorly with the nasal cavity through
(1 Point)
Aditus ad antrum
The soft palate
The faucial isthmus
The choanae
43.
Which of the following is NOT true? Foreign bodies impacted in the
esophagus
(1 Point)
Impacted disk batteries are better left to pass spontaneously
Usually lodge at the site of physiologic constrictions
Superiorly impacted FBs are tolerated worse than inferiorly impacted
Treatment should not be delayed over 24 hours
44.
Which of the following is indicative of foreign body in tracheobronchial
tree ?
(1 Point)
History of coughing, choking and gagging
X-ray of chest with hyperinflated lung on one side
All of the listed
X-ray of chest with unilateral atelectasis
45.
The typical appearance of a juvenile angiofibroma is:
(1 Point)
Soft, mobile, smooth, shiny, bluish-gray, translucent, located in the middle
nasal meatus, bilaterally
Well-circumscribed, vascularized mass with superficial vascular markings,
situated in the nasopharynx or posterior part of the nasal cavity.
Lobulated, fragile, readily bleeding mass at the antroinferior part of the
nasal septum
Welll circumscribed yellowish mass in the region of the roof of the
nasopharynx
46.
Which of the following is NOT true: The external ear canal is:
(1 Point)
2/3 cartilage and 1/3 bone
the skin of the bony part does not contain skin adnexia
the two parts form an angle open antero-inferiorly
the width of the external ear canal is the same all along it’s course
47.
The commonest cause of acute sinusitis is:
(1 Point)
Deviated nasal septum
Nasal tumors
Acute rhinitis
Swimming, diving
48.
Stapes footplate covers the
(1 Point)
Oval window
Aditus ad antrum
Choclear aqueduct
Round window
49.
Regarding furunculosis of the external nose, which one IS TRUE:
(1 Point)
Furunculosis can be complicated by cavernous sinus thrombosis.
Usually painless.
May be treated with local antibiotics.
Furunculosis is due to Streptococcus infection.
50.
The peritonsillar abscess is usually bilateral
(1 Point)
True
False
51.
Which of the following is NOT true? Cancer of the hypopharynx
(1 Point)
Initially presents with globus sensation
Has a better prognosis than laryngeal cancer
Is frequently diagnosed at the stage of neck metastasis
Typical complaint is unilateral sore throat with irradiation to the ipsilateral
ear
52.
The treatment of choice of oral cancer is:
(1 Point)
Chemotherapy
Neoadjuvant radiotherapy followed by surgery
Radical surgery +/- adjuvant radiotherapy
53.
The most common cause for bilateral conductive hearing loss in a child is:
(1 Point)
Otitis media with effusion.
Chronic suppurative otitis media
Otosclerosis.
Congenital cholesteatoma.
54.
The earliest manifestation of carcinoma of the glottis is:
(1 Point)
Stridor
Neck lymph node metastases
Hoarseness
Hemoptysis
55.
In RIGHT MIDDLE ear pathology, Weberʼs test will be
(1 Point)
Lateralized to right side
Centralized
Positive
Lateralized to left side
56.
The nasopharynx communicates laterally with:
(1 Point)
The sphenoid sinus
The middle ear
The maxillary sinus
The orbit
57.
Which one is NOT true? Conductive hearing loss is characterized by the
following
(1 Point)
Rine's test is positive on the affected side
Rine's test is negative on the affected side
Weber's test lateralizes to the affected ear
on PTA low frequencies are affected predominantly
58.
The main factor in the pathophysiology of rhinogenic sinusitis is
(1 Point)
Primary immune deficiency
Mucosal swelling in Ostiomeatal Unit (sinus ostia)
Primary ciliary dyskinesia
TurbinaI hypertrophy
59.
Type B tympanogram (flat) is MOST commonly found in
(1 Point)
Otitis media with effusion
Normal ear
Otosclerosis.
Disconnection of the ossicles
60.
(1 Point)
The majority of the salivary tumors affect the parotid gland
The parotid gland produces thicker, mucoid saliva.
The draining duct of the parotid gland is called Stensen's duct.
The facial nerve transects parotid gland, dividing it in a superficial and a
deep lobe.
61.
Regarding pure tone audiometry all of the following are true EXCEPT
(1 Point)
Is an objective test
Defines threshold both by air and bone conduction
Is used to determine the type of deafness
Is used to determine the severity of deafness.
62.
Which of the following is NOT true regarding Corrosive ingestion:
(1 Point)
Neutralization should be performed in the emergency department
Endoscopy should be avoided between day 3 and two weeks
Cause esophageal strictures in the long run
Alkali cause liquefactive necrosis
63.
Treatment of choice for glue ear which persists for more than 3 month is:
(1 Point)
Myringotomy with ventilation tube insertion.
Myringotomy.
Conservative.
Adenoidectomy.
64.
Which of the following statements IS true:
(1 Point)
The thyreoarytenoid muscle is supplied by the superior laryngeal nerve
The recurrent nerve provides mainly sensory innervation
Injury to the superior laryngeal nerve results mainly in dyspnea
The left recurrent nerves follows a longer route than the right.
65.
Paralysis of recurrent laryngeal nerve does not affect function of which of
the following muscles:
(1 Point)
Vocalis
Thyroarytenoid
Cricothyroid
66.
Which of the following IS TRUE
(1 Point)
The muscles of the middle ear protect the inner ear
The muscles of the middle ear amplify sound
The muscles of the middle ear contract during swallowing
The middle ear accommodates 3 muscles
67.
The earliest presenting symptom of nasopharyngeal cancer usually is
(1 Point)
Unilateral hearing loss (otitis media with effusion)
Epistaxis
Cervical metastasis
Nasal obstruction
68.
Everything is true about Septal deviation EXCEPT
(1 Point)
When causing symptom should be addressed with radical surgery
regardless of age
Extent of nasal obstruction can be objectively evaluated by rhinomanometry
May be congenital or traumatic
Almost everyone has a certain degree of septal deviation
69.
Which of the following is NOT TRUE:
(1 Point)
Tumors originated most frequently in the parotid.
Epidemic parotitis can affect all of the major salivary glands and other
exocrinic glands.
Bilateral multiple parotid cyst are common in AIDS.
Sjogren’s disease affects only the parotid.
70.
Which of the following is NOT true about Pleomorphic adenoma:
(1 Point)
Most frequently affects the parotid
Is the commonest benign tumor
Has a thick capsule
Can become malignant
71.
Which of the following drain in the middle nasal meatus
(1 Point)
Frontal sinus, maxillary sinus and lacrimal duct
Frontal sinus, anterior ethmoids and posterior ethmoids
Lacrimal duct, anterior and posterior ethmoids.
Maxillary sinus, frontal sinus and anterior ethmoids
72.
(1 Point)
The Eustachian tube ventilates, drains, and protects the middle ear from
ascending infections.
In infants the Eustachian tube is shorter, more horizontal and consists of
softer cartilage.
The Eustachian tube connects the middle ear to the nasal cavity.
The Eustachian tube opens actively due to contraction of the muscles of the
soft palate.
73.
Which of the following is NOT TRUE? A bronchial foreign body:
(1 Point)
Nuts are less dangerous than metallic foreign bodies
Lodges most often in the right bronchus
Can cause collapse of the lung (atelectasis)
Can cause emphysema of the lung
74.
Reinke’s oedema is a term for
(1 Point)
Diffuse polypoid degeneration of vocal cords
Laryngeal cyst
Vocal nodule
Vocal polyp
75.
In the case of a suspected juvenile angiofibroma diagnostic workup
includes all EXCEPT:
(1 Point)
Biopsy
Nasal endocopy
MRI
CT/contrast enhanced CT
76.
Which is True about External otitis?
(1 Point)
should be treated with IV ABx
is a condition causing minor complaints
predisposing factors are wetting of the ear canal, diabetes mellitus
the usual causative microorganism is Streptococcus
77.
Rhinophonia clausa (Hyponasality) is NOT present in cases of
(1 Point)
Enlarged adenoids
Nasal polyposis
Rhinosinusitis
Paralysis of the soft palate
78.
All are true about Herpangina EXCEPT:
(1 Point) All are true???
Caused by herpes simplex type I
Common in children
Causes sore throat and fever
Is a self-limiting infection
79.
Middle ear disease will present on Pure Tone Audiometry with all EXCEPT:
(1 Point)
Air – bone gap
High frequency hearing loss
Air-bone gap at the low frequencies
Low frequency hearing loss
80.
The external nose shape is maintained by skeletal framework, which is
composed of:
(1 Point)
Bone only
Cartilage only
Bone in upper 1/3 and cartilage in lower 2/3

ENT EXAM 07/07/2020
ENT exam 07 July

The quiz contains: 9 open questions - 1 minute each (2 points) 1 Likert question - 1 minute each
(4 points) 70 MCQs with one correct answer 30 seconds each (1 point) Total 45 minutes Hi
Donald Trump, when you submit this form, the owner will be able to see your name and email
address.
1.What is the name of the tool used to examine the nasal cavities?
(2 Points) Rhinoscope
2.What is the most important pathophysiologic mechanism in the development of
chronic rhinosinusitis?
(2 Points) Impaired ventilation and Obstruction of Ostiomeatal unit
3.Which nerves supplies sensory information for TASTE at the Anterior two thirds of
the tongue? Chorda tympani and facial nerve
(2 Points)
4.Between which to cartilages is the coniotomy performed
(2 Points) cricocoid and thyroid cartilage
5.Which sinus is the one to be affected first in the course of odontogenic sinusitis
(2 Points) maxillary sinus
6.The causes of epistaxis (nosebleed) can be classified into TWO groups. Which are
they? Local factors and systemic factors
(2 Points)
7.Please name the three ossicles of the middle ear forming the ossicular chain
starting from lateral to medial. Malleous-incus - staples
(2 Points)
8.Please give a definition for the term Impedance matching, regarding the function
of the middle ear. Amplication of sound to overcome the difference in the air of ME
and the fluid in the inner ear
(2 Points)
9.In which part of the semicircular canals are the receptor cells of the peripheral
vestibular organ located
(2 Points) Inner membraneous labyrinth – in the cristae ampullaris
10.Please grade the severity of following sinugenic orbital complications, the mildest
being (1) and the most severe (4)
(4 Points)
1 (mildest) 2 3 4 (most severe)
Periosteitis tick
Subperiosteal tick
abscess
Orbital edema tick
Orbital cellulitis tick
11.The earliest manifestation of carcinoma of the glottis is:
(1 Point)
Hoarseness
Hemoptysis
Neck lymph node metastases
Stridor
12.Which of the following statements regarding Corrosive ingestions is NOT true?
(1 Point)
13.The nasal cavity is vascularized by branches of both internal and external carotid
arteries (1 Point)
True False
14.Which of the following is NOT true? Peripheral vestibular nystagmus is
(1 Point)
Always beating to the same side, regardless of the gaze
Can’t be suppressed by visual fixation
Has two components fast and slow phase
Might be elicited by head shaking and Frezel’s glasses
15.The nasopharynx communicates anteriorly with the nasal cavity through
(1 Point)
The faucial isthmus
The soft palate
The choanae
The aditus ad antrum
16.The treatment of choice of oral cancer is:
(1 Point)
Chemotherapy
Radical surgery +/- adjuvant radiotherapy
Neoadjuvant radiotherapy followed by surgery
17.What is NOT true about Laryngomalacia (1
Point)
Can complicate with feeding difficulties, reflux and aspiration.
18.Which of the following IS TRUE:
(1 Point)
The submandibular gland is the commonest site of salivary tumors
The submandibular gland is most frequently affected by stones
The submandibular gland drains in the oral vestibule
The submandibular gland is not accessible for palpation
19.Everything is true about Septal deviation EXCEPT
(1 Point)
When causing symptom should be addressed with radical surgery regardless of age
20.Which of the following statements is NOT TRUE
(1 Point)
The Balance system integrates information from the inner ear, the visual system and
musucloskeletal system
Left and right vestibular end organs work in coordination on a push-pull principle
Unilateral peripheral vestibular damage results in vertigo
Peripheral vestibular spontaneous nystagmus changes direction and beats in
the
direction of the
gaze
21.The earliest presenting symptom of nasopharyngeal cancer usually is
(1 Point)
Epistaxis
Nasal obstruction
Unilateral hearing loss (otitis media with effusion)
Cervical metastasis
22.The peritonsillar abscess is usually bilateral
(1 Point) True
False
23.The commonest cause of acute sinusitis is:
(1 Point)
Swimming, diving
Acute rhinitis
Nasal tumors
24.Which of the following muscle is a tensor of vocal cord:
(1 Point)
Interarytenoid
Cricothyroid
25.The Eustachian tube in children is
(1 Point)
Shorter
Wider
More straight
All of the listed
26.What is NOT true about Otosclerosis (1
Point)
Is a disease affecting middle ear mucosa Causes
fixation of the stapes
Presents with conductive hearing loss
May impair the function of the cochlea
27.The external nose shape is maintained by skeletal framework, which is composed
of:
(1 Point)
Bone only.
Cartilage only.
Bone in upper 1/3 and cartilage in lower 2/3.
Bone in upper 2/3 and cartilage in lower 1/3.
28.In case of a bilateral recurrent nerve paralysis the main complaint is:
(1 Point)
Dyspnea
Dysphonia Aspiration
Aphonia
29.The most common site of foreign body retention in the pharynx is:
(1 Point)
The tonsils
The nasopharynx
The hypopharynx
30.Paralysis of recurrent laryngeal nerve does not affect function of which of the
following muscles: (1 Point)
Thyroarytenoid
Vocalis
Cricothyroid
31.Which of the following is NOT true about Pleomorphic adenoma:
(1 Point)
Is the commonest benign tumor.
Can become malignant.
Has a thick capsule.
Most frequently affects the parotid
32.The protective function on the nasal lining is realized mainly by the following
EXCEPT: (1 Point)
the mucocilliary apparatus
vibrisse in the nasal vastibulum
secretory antibodies cellular
immune responses
33.Which of the following statements is NOT TRUE: The travelling wave of Bekesy is:
(1 Point)
A displacement of the basilar membrane caused by stapes vibration Is
the physliological basis of frequency analysis.
For low frequencies sounds, the peak of the travelling wave is close to top of
the
cochl
ea.
The location of the peak of the wave is different for air and bone stimulation
34.Which of the following is NOT true? Otitis media with effusion (Glue ear) is (1
Point)
A non suppurative inflammation of the middle ear
Is initially managed by a follow up
Is the first symptom of Nasopharyngeal cancer
Presents with earache and fever
35.Which of the following is indicative of foreign body in tracheobronchial tree?
(1 Point)
History of coughing, choking and gagging
X-ray of chest with hyperinflated lung on one side
X-ray of chest with unilateral atelectasis
All of the listed
36.The vestibule accommodates receptor cells that register angular acceleration
(1 Point) True
False
37.Which of the following drain in the superior nasal meatus
(1 Point) sphenoid sinus and Eustachian tube Posterior
ethmoid cells and lacrimal duct
38.The inner ear is anatomically and physiologically subdivided into: Cochlea,
vestibule and semicircular canals
(1 Point) True
False
39.Which of the following statements regarding the Parotid gland is NOT true
(1 Point)
The parotid gland produces saliva rich in enzymes
The draining duct opens opposite to the second upper molar
The parotid is the gland most frequently affected by stones
The parotid glands contains lymph nodes
40.Which of the following is NOT true? Cancer of the hypopharynx (1
Point)
has better prognosis than laryngeal cancer initially
presents with globus sensation
typical complaint is unilateral sore throat with irradiation to the ipsilateral ear
is frequently diagnosed at the stage of neck metastasis 41.The nasopharynx
communicates laterally with:
(1 Point)
The maxillary sinus
The sphenoid sinus
The middle ear
The orbit
42.Everything is true about sinus osteoma EXCEPT
(1 Point)
43.Antral lavage (puncture of the maxillary sinus) is done through the:
(1 Point)
Canine fossa
Inferior nasal meatus Middle
nasal meatus
Common nasal meatus
44.The Cochlea accommodates the auditory receptor cells
(1 Point) True
False
45.Which of the following is NOT TRUE:
(1 Point)
Epidemic parotitis can affect all of the major salivary glands and other exocrinic glands.
46.Which of the following is NOT a typical symptom of Menier’s disease
(1 Point)
Vertigo
Fluctuating hearing loss
Sensorineural hearing loss
Pulsatile tinnitus
47.Regarding Sudden sensorineural hearing loss is everything is true EXCEPT:
(1 Point) is usually bilateral
up to 50 % of the cases recover spontaneously
the cause often cannot be identified a
retrocochlear disorder must be excluded
48.Which of the following is NOT a usual feature of OSAS:
(1 Point)
Daytime somnolence
Snoring
Stridor in supine position
Difficulty concentrating
49.Which of the following is NOT true
(1 Point)
The facial nerve transects parotid gland, dividing it in a superficial and a deep lobe.
The draining duct of the parotid gland is called Stensen's duct
50.All of the following laryngeal muscles are closing the glottis EXCEPT:
(1 Point)
Thyroarytenoid
Oblique arytenoid
51.What is the first and most important option in the treatment of acute laryngitis?
(1 Point)
Antibiotics
Voice rest
Steroids
52.What is NOT true about agioneurotic edema:
(1 Point)
53.An important clinical feature of odontogenic sinusitis is that it is unilateral
(1 Point) True
False
54.Which of the following is NOT true? Mastoiditis:
(1 Point)
Is a non suppurative inflammation of the middle ear
Is treated surgically
Is a complication of acute otitis media
Is characterized by destruction of bone
55.Which of the following is NOT a feature of cholesteatoma
(1 Point)
Perforation in pars flaccida
Central perforation of the tympanic membrane
Fetid ear discharge
Polyp in the external ear canal
56.Rhinophonia clausa (Hyponasality) is NOT present in cases of
(1 Point)
Nasal polyposis
Rhinosinusitis
Enlarged adenoids
57.The semicircular canals register rotatory movement
(1 Point)
True
False
58.Which of the following is NOT true? Foreign bodies impacted in the esophagus (1
Point)
Superiorly impacted FBs are tolerated worse than inferiorly impacted
Impacted disk batteries are better left to pass spontaneously 59.Which
of the following statements is NOT true?
(1 Point)
The glottis is comprised of the true and the false vocal cords
The supraglottis has a rich and bilateral lymphatic drainge
The glottis has scarce and mainly unilateral lymphatic drainage
The subglottis extends to the lower border of the cricoid
60.Which is NOT TRUE regarding Acute subglottic laryngitis
(1 Point)
It is of viral origin
Usually runs a benign course
Presents with barking cough and stridor
It is treated with oral antibiotics
61.Which of the following is TRUE
(1 Point)
Tuning fork test are only useful for the diagnosis of sensorineural hearing loss.
Tuning fork tests can determine the degree of hearing loss.
Tuning fork test are used to differentiated between conductive and
sensorineural
hearing
loss
Tuning fork tests are only performed in adult patients
62.The treatment of choice of nasopharyngeal cancer is
(1 Point) radical surgery
surgery with postoperative radiotherapy
radical radiotherapy chemotherapy
63.Chronic laryngitis can't be macroscopically distinguished from early cancer (1
Point)
True
False
64.Which statement is NOT TRUE. Meniere’s disease (1
Point)
is believed to be caused by an endolyphatic hydrops is
characterized by a classic triad of verigo, hearing loss and tinnitus
vertigo attacks last up to 24 hours.
is the most common vestibular disorder
65.The tongue base plays a major role in (1
Point)
prevention of nasopharyngeal reflux
articulation taste
prevention of aspiration
66.Regarding furunculosis of the external nose, which one IS TRUE
(1 Point)
Furuncolosis is due to Streptococcus infection.
Furuncolosis can be complicated by cavernous sinus thrombosis.
Usually painless.
May be treated with local antibiotics.
67.Which of the following is NOT TRUE? A bronchial foreign body:
(1 Point)
Can cause collapse of the lung (atelectasis) Nuts are
less dangerous than metallic foreign bodies 68.The
gold standard for diagnosis of OSAS is:
(1 Point)
Polysomnography
Cephalometric X ray
Endoscopy
BMI (body mass index)
69.Which of the following drain in the middle nasal meatus
(1 Point)
Frontal sinus, anterior ethmoids and posterior ethmoids
Maxillary sinus, frontal sinus and anterior ethmoids Lacrimal
duct, anterior and posterior ethmoids.
70.Common cod is most often caused by
(1 Point)
Influenza virus
Rhinovirus
Adenovirus
71.What is not true about Otomycosis?
(1 Point)
Is caused by usually Aspergillus species
May complicate with tympanic membrane perforation
Must be treated with systemic antimycotics
Presents with mild or no pain
72.Which one is TRUE. Allergic rhinitis
(1 Point)
It is type 2 allergic hypersensitivity reaction.
It involves IgM reaction.
The mast cells have a major role in pathogenesis.
Neutrophil count is essential for diagnosis.
73.Which of the following IS TRUE:
(1 Point)
Sjogren’s disease affects only major salivary glands
Tumors are more frequently found in the submandibular gland
The ranula is the commonest benign tumor
The mucoepidermoid cancer is the commonest malignant salivary tumor
74.In the case of a suspected juvenile angiofibroma diagnostic workup includes all
EXCEPT:
(1 Point)
Nasal endocopy
CT/contrast enhanced city
MRI
Biopsy
75.The typical appearance of a juvenile angiofibroma is (1
Point)
soft, mobile, smooth, shiny, bluish-gray, translucent, located in the middle nasal meatus,
bilaterally
well-circumscribed, vascularized mass with superficial vascular markings, situated
in
the nasopharynx or posterior part of the nasal
cavity.
well circumscribed yellowish mass in the region of the roof of the nasopharynx
lobulated, fragile, readily bleeding mass at the antroinferior part of the nasal septum
76.All are true about Herpangina EXCEPT:
(1 Point)
Caused by herpes simplex type I
Common in children
Causes sore throat and fever
Is a self-limiting infection
77.Which of the following statements IS true:
(1 Point)
The recurrent nerve provides mainly sensory innervation.
Injury to the superior laryngeal nerve results mainly in dyspnea.
The left recurrent nerves follows a longer route than the right.
78.Which of the following is NOT TRUE
(1 Point)
Tuning fork tests are used to determine the type of hearing loss.
In a case of CONDUCTIVE hearing loss Webers test’s lateralizes to the affected ear.
Rinne test compares air and bone conduction on the same ear.
In a case of CONDUCTIVE hearing loss Rinne test is Positive at the affected ear.
79.The peripheral part of the vestibular system is located in:
(1 Point) cochlea and the vestibule
Three semicircular canals, utricule and saccule
Vestibule
Cochlea and vestibular aqueduct
80.Which statement is NOT TRUE: Benign positional paroxysmal vertigo (BPPV) is
(1 Point)
is a rare vestibular disorder
is believed to be caused by otoconia floating in the endolyph of the semicircular canals
presents with short lasting attacks of vertigo is treated with repositioning maneuvers
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Test Day 3
1.
The sinuses serve for conditioning of the air, lightening the skull, resonance and voice
production, and providing a buffer against blunt traumas of the head.
(2 punti)
2.
The treatment of choice of nasopharyngeal cancer is
(1 punto)
Radical surgery
Chemotherapy
3.
Which of the following is CORRECT? Benign paroxysmal positional vertigo is
(1 punto)
a vertigo lasting for minutes to hours
may subside on its own
the second most common balance disorder
treated medically
4.
What is NOT true about Laryngomalacia
(1 punto)
Can complicate with feeding difficulties, reflux and aspiration
5.
The protective function on the nasal lining is realized mainly by the following
EXCEPT:
(1 punto)
The mucocilliary apparatus
Cellular immune responses
Secretory antibodies
Vibrisse in the nasal vestibulum
6.
Which of the following is not a muscle of the soft palate
(1 punto)
Uvulae
Tensor veli palatini
Salpingopharyngeus
Palatopharyngeus
7.
(1 punto)
8.
Which one is TRUE. Allergic rhinitis
(1 punto)
Neutrophil count is essential for diagnosis
The mast cells have a major role in pathogenesis
It involves IgM reaction
It is type 2 allergic hypersensitivity reaction
9.
Which of the following is NOT a feature of cholesteatoma
(1 punto)
Fetid ear discharge
10.
What is NOT true about Vincent's angina
(1 punto)
presents with halitosis
is caused by fusiform bacteria
must be differentiated from cancer
presents with severe unilateral pain - i think it is usually unilateral?yes
11.
Which of the following statements is NOT TRUE: The travelling wave of Bekesy is:
(1 punto)
Is the physliological basis of frequency analysis.
For low frequencies sounds, the peak of the travelling wave is close to top of the cochlea.
A displacement of the basilar membrane caused by stapes vibration
12.
What is the maximum sound level that is considered safe in the working environment
(1 punto)
100dB
110dB
75dB
85dB
13.
Which of the following is NOT true? Otitis media with effusion (Glue ear) is
(1 punto)
Presents with earache and fever.
14.
The lymphoid tissue called Waldayer’s ring is situated in
(1 punto)
Nasopharynx and oropharynx
Oral cavity and oropharynx
Base of tongue and hypopharynx
Hypopharynx and larynx
15.
Paralysis of the soft palate will present with
(1 punto)
blocked nose
regurgitation of liquids in the nose
hyponasality
dysarthria
16.
Nasopharyngeal cancer is frequently diagnosed because of
(1 punto)
Loss of smell
Nasal obstruction
Cervical metastasis
Epistaxis
17.
(1 punto)
The hypopharynx
The tonsils
The nasopharynx
18.
The typical appearance of a juvenile angiofibroma is
(1 punto)
Well-circumscribed, vascularized mass with superficial vascular markings, situated in the

nasopharynx or posterior part of the nasal cavity.
Well circumscribed yellowish mass in the region of the roof of the nasopharynx
Soft, mobile, smooth, shiny, bluish-gray, translucent, located in the middle nasal meatus,
bilaterally
Lobulated, fragile, readily bleeding mass at the antroinferior part of the nasal septum
19.
The otoacoustic emissions are produced in
(1 punto)
the Organ of Corti
the brainstem
the auditory cortex
the acoustic nerve
20.
Glottic cancer has a better prognosis than the rest of the laryngeal primaries
(1 punto)
True
False
21.
Enlarged adenoids can cause all BUT:
(1 punto)
Hypernasality
Chronic rhinosinusitis
Hearing problems
Dental problems
22.
The external nose shape is maintained by skeletal framework, which is composed of:
(1 punto)
Bone only
Cartilage only
23.
(1 punto)
24.
The acoustic reflex is:
(1 punto)
A conjugated eye movement towards the source of a load noise
Contraction of the middle ear muscles due to a load noise
Contraction of the external hear cells due sound stimuli
None of the listed
25.
The mucocilliary clearance drains the nasal secretions in the direction of …of the
nasopharynx…………….
(2 punti)
26.
Regarding Sudden sensorineural hearing loss is everything is true EXCEPT:
(1 punto)
A retrocochlear disorder must be excluded
is usually bilateral
Cause often cannot be identified
27.
Which of the following is NOT true? Mastoiditis:
(1 punto)
Is treated treated with myringotomy
Is a suppurative inflammation of the middle ear
28.
What is true about the cochlear amplifier?
(1 punto)
it is another term for impendance matching
its produced by external hair cells contraction
is saturated at 80dB
increases the frequency of the vibration
29.
(1 punto)
Surface difference between the tympanic membrane and the stapes footplate
Lever mechanism
Middle ear muscle active contractions
Resonance
30.
(1 punto)

Most frequently affects the parotid.
31.
The basiliar membrane is equally wide at the top and at the bottom of the cochlea
(1 punto)
True
False
32.
Otomycosis cannot cause perforation of the tympanic membrane
(1 punto)
True
False
33.
Which of the following is NOT true? Foreign bodies impacted in the esophagus
(1 punto)
superiorly impacted FBs are tolerated worse than inferiorly impacted
Impacted disk batteries are better left to pass spontaneously
34.
The peripheral part of the vestibular system is located in:
(1 punto)
Vestibule
cochlea and the vestibule
35.
(1 punto)
Swimming, diving

Nasal tumors
Acute rhinitis
36.
Supraglottic cancer has the tendency metastasize earlier than the glottic.
(1 punto)
True
False
37.
(1 punto)
Has better prognosis than laryngeal cancer
Typical complaint is unilateral sore throat with irradiation to the ipsilateral ear
38.
What is NOT true about Otosclerosis
(1 punto)
Causes fixation of the stapes
Is a disease affecting middle ear mucosa
39.
Ear wax needs to be removed on a regular basis.
(1 punto)
True
False
40.
Tracheostomy is indicated in cases of: upper airway obstruction, upper airway
surgeries, prolonged intubation and:assist ventilation: in conditions that cause
respiratory insufficiency?/elective procedures?
Recurrent aspiration.
(2 pun
41. In the utricule and saccule the receptor cell are concentrated in a region called:
Utricular macula
(2 punti)
42.
Which of the following is NOT true? Peripheral vestibular nystagmus is:
(1 punto)
43.
The vestibule accommodates receptor cells that register angular acceleration
(1 punto)
True
False
44.
(1 punto)
Glottis (found in yday’s MCQ’s)
Supraglottis
All of the listed
Subglottis
45.
(1 punto)
The Eustachian tube ventilates, drains, and protects the middle ear from ascending infections.
In infants the Eustachian tube is shorter, more horizontal and consists of softer cartilage.
The Eustachian tube opens actively due to contraction of the muscles of the soft palate.
46.
On the medial wall of the tympanic cavity there are 3 eminencies. The top one is:
(1 punto)
The promontory
the pyramidal eminence
the eminence of the lateral semicircular canal
processus cochleariformis
47.
The faucial isthmus divides the
(1 punto)
mesopharynx and the oral cavity
the tonsils
the meso and the hypopharynx
the mesopharynx and the nasopharynx
48.
Cholesteatoma can be classified under the type of chronic sinusitis called:
Epitympanitis
(2 punti)

49.
(1 punto)
The left recurrent nerves follows a longer route than the right
50.
The round window is above the oval one
(1 punto)
True
False
51.
Which is NOT typical for Longitudinal fractures of the temporal bone
(1 punto)
Battle sign
conductive hearing loss
hemotympanum
sensorineural hearing loss
52.
Which of the following is CORRECT? Cholesteatoma is
(1 punto)
treated medically
a safe type chronic otitis
non cancerous epidermal growth
an accumulation of keratinizing epitlium in the middle ear space
53.
Which of the following drain in the superior nasal meatus
(1 punto)
54.
Which of the following is NOT True for Acuite epiglottitis
(1 punto)
Caused usually by Haemophislus influzna
Accompnied by dysphagia and drooling
55.
The protective function on the nasal lining is realized mainly by the following
EXCEPT:
(1 punto)
Vibrisse in the nasal vastibulum
56.
Which of the following is NOT TRUE
(1 punto)
Rine and Weber's tests are performed with a high frequency tuning fork
57.
Which of the following statements regarding Corrosive ingestions is NOT true?
(1 punto)
58.
Which is NOT true about perichondritis
(1 punto)
may require surgical drainage
may lead to permanent deformity of the pinna
is treated with local antibiotics
the lobulus is spared
59.
(1 punto)
Nasal polyposis
Enlarged adenoids
Rhinosinusitis
60.
(1 punto)
The soft palate
The choanae
The faucial isthmus
61.
(1 punto)
62.
Which of the following is CORRECT. Vertigo in the course of otitis media:
(1 punto)
Requires and immediate attention
Is a normal feature of chronic otitis media
Is caused by the formation of a tympanic perforation
There is no pathophysiologic link between the two
63.
Which of the following is NOT a typical symptom of Menier’s disease
(1 punto)
Vertigo
Pulsatile tinnitus
64.
(1 punto)
Nasal polyposis
Enlarged adenoids
Rhinosinusitis
65.
What is NOT true about agioneurotic edema:
(1 punto)
66.
In the case of a suspected juvenile angiofibroma diagnostic workup includes all
EXCEPT:
(1 punto)
Nasal endocopy
Biopsy
MRI
67.
What is the first and most important option in the treatment of acute laryngitis?
(1 punto)
Voice rest
Antibiotics
Steroids
68.
(1 punto)
Conservative
Myringotomy
Adenoidectomy
Myringotomy with ventilation tube insertion
69.
(1 punto)
70.
Which of the following may be considered an absolute indication for tonsillectomy
(1 punto)
chronic tonsillitis
recurrent tonsillitis
OSAS with tonsillar hypertrophy?
peritonsillar abscess?
71.
Which of the following statements is NOT TRUE
(1 punto)
Peripheral vestibular spontaneous nystagmus changes direction and beats in the direction of
the gaze.
Unilateral peripheral vestibular damage results in vertigo.
musucloskeletal system
Left and right vestibular end organs work in coordination on a push-pull principle.
72.
Chronic laryngitis can't be macroscopically distinguished from early cancer
(1 punto)
True
False
73.
(1 punto)
74.
(1 punto)
Adenovirus
Influenza virus
Rhinovirus
75.
(1 punto)
Pars flaccida of the tympanic membrane is smaller than pars tensa
The tympanic membrane is funnel shaped
the tympanic membrane is anchored to the tympanic sulcus of the tympanic bone by the
fibrous annulus (fibrocartilaginous ring)
76.
(1 punto)

Is used to determine the type of deafness.
Is an objective test.
77.
(1 punto)
Oblique arytenoid
Thyroarytenoid
78.
Which of the following drain in the middle nasal meatus
(1 punto)
Frontal sinus, anterior ethmoids and prosterior ethmoids
Maxillary sinus, frontal sinus and anterior ethmoids
Lacrimal duct, anterior and posterior ethmoids.
79.
What is the primary pathophysiologic mechanism in the formation of the acquire
cholesteatoma.
Eustachian tube dysfunction and imparied ventilation
(2 punti)Pathological alteration of tympanic membrane leading to accumulation of keratin
within middle ear (there are 3 theories)
80.
An air bone gap on pure tone audiogram is a feature of ALL but
(1 punto)
ossicular fixation
otitis media
81.
The tongue base plays a major role in
(1 punto)
Articulation
Taste
82.
Tonotopicity is at the basis of the physiological process of
(1 punto)
protection from loud noises
frequency decoding
impedance matching
detection of the direction of sound
83.
(1 punto)
Furuncolosis is due to Streptococcus infection
May be treated with local antibiotics
Furuncolosis can be complicated by cavernous sinus thrombosis
Usually painless
84.
(1 punto)
Laryngeal cyst
Vocal nodule
Vocal polyp
85.
(1 punto)

Air – bone gap
86.
(1 punto)
Interarytenoid
Cricothyroid
Test Day 4
1.
Which of the following is NOT correct? The internal nasal valve is bordered by
(1 Punkt)
Lower end of upper lateral cartilage (triangular)

Septum
Anterior end of the middle turbinate
Pyriform aperture
2.
(1 Punkt)
Epidemic parotitis can affect all of the major salivary glands and other
exocrinic glands.
3.
(1 Punkt)
Usually painless
4.
(1 Punkt)
The facial nerve transects parotid gland, dividing it in a superficial and a
deep lobe.
5.
Name two tests which are used to evaluate the spinal motor function in the
course of the vestibular examination: Romberg test and unterberger
stepping test- RV
(2 Punkte)
6.
Testing for nystagmus is done by all, but
(1 Punkt)
Asking the patient to follow examiner’s finger left and right up to 30 degree
Asking the patient to follow examiner’s finger up and down up to 15 degree
Asking the patient to follow examiner’s finger back and forth
Using Frenzel’s glasses
7.
Gastroesophageal reflux can cause spasmodic laryngitis
(1 Punkt)
True
False
8.
(1 Punkt)
hemotympanum
Battle sign
9.
What is NOT true about Labyrinthitis
(1 Punkt)
can be Tympanogenic, Meningeal or Hematogeonos of origin
tympanogenic labyrinthitis must be treated surgically
prognosis for hearing is good
menigeal labyrinthitis can lead to bilateral deafness
10.
Which of the following is CORRECT? Benign paroxysmal positional vertigo
is
(1 Punkt)
treated medically
11.
The sinuses serve for conditioning of the air, lightening the skull, resonance
and voice production, and - protective function cushions the head from
blunt trauma
(2 Punkte)
12.
Which of the following is NOT used for the diagnosis of supertrophy:
(1 Punkt)
Polysomnography
Lateral skull X ray
Endoscopy
History
13.
(1 Punkt)
Chemotherapy
Radical surgery
14.
(1 Punkt)
15.
Glottic cancer has a better prognosis than the rest of the laryngeal
primaries
(1 Punkt)
True
False
16.
Important feature of Central nystagmus that differentiates it from peripheral
one is that
(1 Punkt)
It changes direction according to the direction of the gaze
It is suppressed by fixation of the gaze
It is fatigable during positional maneuvers
There is caloric weakness
17.
The vestibule accommodates receptor cells that register angular
acceleration
(1 Punkt)
True
False
18.
What is NOT true about Thyroglossal duct cyst
(1 Punkt)
Hyoid bone should be left intact during resection
May contain thyroid tissue
Moves with swallowing
Is a midline cyst
19.
(1 Punkt)
the tonsils
20.
(1 Punkt)
Pulsatile tinnitus
Vertigo
21.
(1 Punkt)
Hearing problems
Hypernasality
Dental problems
22.
(1 Punkt)
Palatopharyngeus
Salpingopharyngeus
Uvulae
23.
(1 Punkt)
Epistaxis
Loss of smell
Nasal obstruction
Cervical metastasis
24.
Cranial nerves passing through the jugular foramen are
(1 Punkt)
VIII, X, XI
IX, X, XI
IX, XI, XII
X, XI, XII
25.
(1 Punkt)
Resonance
Lever mechanism
Surface difference between the tympanic membrane and the stapes
footplate
26.
(1 Punkt)
Articulation
Taste
27.
The primary goal of cholesteatoma surgery is:
(1 Punkt)
To restore the hearing
To remove the disease
To restore the tympanic membrane
Ossiculoplasty
28.
(1 Punkt)
The hypopharynx
The nasopharynx
The tonsils
29.
Which of the following statements is NOT true? The internal nasal valve
(1 Punkt)
Facilitates pulmonary function
Is the narrowest area of the respiratory system
Facilitates air conditioning
Protects the olfactory cleft
30.
(1 Punkt)
impedance matching
frequency decoding
31.
(1 Punkt)
32.
Which of the following is TRUE about Malignant otitis externa
(1 Punkt)
Is a complication of a parotid cancer
Is typical for diabetic patients
Must be promptly treated surgically
Is treated with IV Penicillin
33.
The basiliar membrane is equally wide at the top and at the bottom of the
cochlea
(1 Punkt)
True
False
34.
(1 Punkt)
dysarthria
hyponasality
blocked nose
35.
(1 Punkt)
In a case of CONDUCTIVE hearing loss Webers test’s lateralizes to the
affected ear.
36.
A tympanic perforation will have the Greatest ADVERSE effect on hearing if
it is located in
(1 Punkt)
Anterior Superior quadrant
Anterior Inferior quadrant
Posterior Superior quadrant
Posterior Inferior quadrant
37.
(1 Punkt)
38.
(1 Punkt)
Vocal nodule
Vocal polyp
Laryngeal cyst
39.
(1 Punkt)
Fetid ear discharge
40.
(1 Punkt)
True
False
41.
(1 Punkt)
42.
(1 Punkt)
the tympanic membrane is anchored to the tympanic sulcus of the tympanic
bone by the fibrous annulus (fibrocartilaginous ring)
43.
Which of the following statements is NOT TRUE: The travelling wave of
Bekesy is:
(1 Punkt)
For low frequencies sounds, the peak of the travelling wave is close to top
of the cochlea.
44.
(1 Punkt)
the brainstem
the auditory cortex
the Organ of Corti
the acoustic nerve
45.
Aquired subglottic stenosis may caused by
(1 Punkt)
prolonged intubation
gastroesophageal reflux
Wegeners diseases
all of the listed
46.
Pathologic vestibular nystagmus is provoked with
(1 Punkt)
The Head thrust test (Halmagyi test)
Dix Halpike maneuver (this is for BBPV)
Caloric test
Frenzel’s glasses
47.
Which of the following may be considered an absolute indication for
tonsillectomy
(1 Punkt)
chronic tonsillitis
OSAS with tonsillar hypertrophy - RV
peritonsillar abscess - this is relative indication
48.
Which of the following statements regarding Corrosive ingestions is NOT
true?
(1 Punkt)
49.
Eustachian tube dysfunction presents with all but
(1 Punkt)
type B tympanogram
mild hearing loss
negative Rine's test
aural fullness
50.
The mucocilliary clearance drains the nasal secretions in the direction of
……nasopharynx………….
(2 Punkte)
51.
What is the maximum sound level that is considered safe in the working
environment
(1 Punkt)
85dB
100dB
75dB
110dB
52.
On the medial wall of the tympanic cavity there are 3 eminencies. The top
one is:
(1 Punkt)
The promontory
53.
Which IS correct regarding the paralysis of the facial nerve:
(1 Punkt)
Peripheral paralysis spares the superior branch
When caused by Herpes Zoster is also known as Bell’s Palsy? Or no
Most frequently caused by middle ear disease
May be accompanied with hyperacusis in some cases
54.
(1 Punkt)
True
False
55.
(1 Punkt)
56.
(1 Punkt)
Is a suppurative inflammation of the middle ear
57.
A ventilating tube on the tympanic membrane should be positioned in
(1 Punkt)
Anterior Superior quadrant
Anterior Inferior quadrant
Posterior Superior quadrant
Posterior Inferior quadrant
58.
Give a definition of nystagmus
Nystagmus is the rapid and involuntary movement of the eyes (2 Punkte)
59.
(1 Punkt)
60.
Roots of which teeth are closest to the maxillary floor
2nd premolar, 1st molar
(2 Punkte)
61.
Type C tympanogram is indicative of:
Negative middle ear pressure, Abnormal Eustachian tube functioning
(2 Punkte)
62.
(1 Punkt)
The Balance system integrates information from the inner ear, the visual
system and musculoskeletal system
Left and right vestibular end organs work in coordination on a push-pull
principle.
Peripheral vestibular spontaneous nystagmus changes direction and beats
in the direction of the gaze.
63.
The Symptom of Gradenigo does not include:
(1 Punkt)
Headache
Abducens paralysis
Ear discharge
Facial nerve paralysis
64.
following, EXCEPT:
(1 Punkt)
65.
(1 Punkt)
Lateral cricoarytenoid - this closes the vocal cord
Medial thyreoarytenoid- also known as vocalis muscle (RV)
Lateral thyreoarytenoid- closes
Interarytenoid- closes too
66.
(1 Punkt)
is caused by fusiform banteria
presents with severe unilateral pain
67.
The lymphoid tissue called Waldayer’s ring is situated in
(1 Punkt)
Nasopharynx and oropharynx
Oral cavity and oropharynx
Base of tongue and hypopharynx
Hypopharynx and larynx
68.Hoarseness is the earliest symptom of cancer of the:

(1 Punkt)
Glottis- RV
All of the listed
Subglottis
Supraglottis
69.
(1 Punkt)
Air – bone gap
70.
(1 Punkt)
In infants the Eustachian tube is shorter, more horizontal and consists of
softer cartilage.
The Eustachian tube opens actively due to contraction of the muscles of the
soft palate.
The Eustachian tube ventilates, drains, and protects the middle ear from
ascending infections.
71.
(1 Punkt)
Enlarged adenoids
Rhinosinusitis
Nasal polyposis
72.
Gold standard for the treatment of laryngeal papillomatosis is:
(1 Punkt)
Radiotherapy
Laser ablation
HPV vaccination
Intralesional injection of antiviral medication
73.
(1 Punkt)
Can become malignant. - it has a chance of becoming malignant but very
rare
Has a thick capsule
74.
Which of the following is INCORRECT? Cholesteatoma is
(1 Punkt)
impaired ventilation plays a central part in pathophysiology
is treated surgically
is known as tubotympanic chronic otitis
75.
(1 Punkt)
76.
(1 Punkt)
otitis media
ossicular fixation
77.

The sphenopalatine artery is a branch of the
(1 Punkt)
Internal carotid
Facial artery
Maxillary artery
Lingual artery

78.
(1 Punkt)

79.
What is not true about vestibular schwanomma?
(1 Punkt)
Involves VIII cranial nerve
Can present with Sudden Sensorineural Hearing loss
Hearing loss can recover spontaneously
Needs prompt surgery

80.
Which of the following statements is NOT true?
(1 Punkt)
The glottis is comprised of the true and the false vocal cords
The supraglottis has a rich and bilateral lymphatic drainge
The glottis has scarce and mainly unilateral lymphatic drainage
The subglottis extends to the lower border of the cricoid

81.
(1 Punkt)

82.
What is typical for Bilateral vestibular loss?
(1 Punkt)
presents with severe dizziness and vomiting
presents with unsteadiness and loss of balance
presents with upbeating nystagmus
presents with adyadochokinesia
83.
In the utricule and saccule the receptor cell are concentrated in a region
called: Urticular macula
(2 Punkte)
ENT MCQ Day 5

1.
Tracheostomy is indicated in cases of: upper airway obstruction, upper
airway surgeries, prolonged intubation and:
(2 Points)
Assist ventilation in conditions that cause respiratory insufficiency
elective procedures,
Recurrent respirations (change around wording for this q)
2.
What is NOT true about Thyroglossal duct cyst
(1 Point)
Is a midline cyst
Moves with swallowing
May contain thyroid tissue
Hyoid bone should be left intact during resection
3.
What is typical for Bilateral vestibular loss:
(1 Point)
presents with severe dizziness and vomiting

presents with unsteadiness and feeling of drunkenness
presents with upbeating nystagmus
presents with adyadochokinesia
4.
The mucocilliary clearance drains the nasal secretions in the direction of …
the nasopharynx
(2 Points)
5.
(1 Point)

is caused by fusiform banteria
presents with severe unilateral pain
6.
(1 Point)

Is a suppurative inflammation of the middle earl1¹
7.
In the utricule and saccule the receptor cell are concentrated in a region
called: Macula
(2 Points)
8.
Which of the following statements is NOT true? The internal nasal valve
(1 Point)
Is the narrowest area of the respiratory system

Facilitates air conditioning
Facilitates pulmonary function
Protects the olfactory cleft
9.
Glottic cancer has a better prognosis than the rest of the laryngeal
primaries
(1 Point)
True
False
10.
(1 Point)
Left and right vestibular end organs work in coordination on a push-pull principle.
Peripheral vestibular spontaneous nystagmus changes direction and beats in the direction of
the gaze.
musculoskeletal system
11.
(1 Point)

the tympanic membrane is anchored to the tympanic sulcus of the tympanic bone by the
fibrous annulus (fibrocartilaginous ring)
12.
(1 Point)

13.
(1 Point)
Nasal polyposis
Enlarged adenoids
Rhinosinusitis
14.
(1 Point)
Air – bone gap

15.
Which of the following may be considered an absolute indication for
tonsillectomy
(1 Point)
chronic tonsillitis
peritonsillar abscess
OSAS with tonsillar hypertrophy
16.
(1 Point)
Lateral thyreoarytenoid
Interarytenoid
Medial thyreoarytenoid
17.
(1 Point)

Salpingopharyngeus
Palatopharyngeus
Uvulae
18.
(1 Point)

Enlarged adenoids
Rhinosinusitis
Nasal polyposis
19.
(1 Point)
20.
(1 Point)

Usually painless
21.
(1 Point)
Surface difference between the tympanic membrane and the stapes footplate
Lever mechanism
Resonance
22.
Which of the following is CORRECT? Benign paroxysmal positional vertigo
is
(1 Point)

treated medically
23.
(1 Point)
the Organ of Corti

the brainstem
the auditory cortex
the acoustic nerve
24.
(1 Point)
Adenoidectomy
Myringotomy with ventilation tube insertion
Myringotomy
Conservative
25.
(1 Point)
Laryngeal cyst
Vocal nodule
Vocal polyp
26.
(1 Point)
Swimming, diving
Nasal tumors
Acute rhinitis
27.
Ear wax needs to be removed on a regular basis.
(1 Point)
True
False
28.
(1 Point)

Is an objective test.
Is used to determine the type of deafness.
29.
(1 Point)

Pulsatile tinnitus
Vertigo
30.
The oval window is above the round one
(1 Point)
True
False
31.
Which of the following drain in the superior nasal meatus
(1 Point)

32.
(1 Point)
Typical complaint is unilateral sore throat with irradiation to the ipsilateral ear
Has better prognosis than laryngeal cancer
33.
(1 Point)

The left recurrent nerves follows a longer route than the right
34.
(1 Point)
35.
(1 Point)

36.
(1 Point)
Adenovirus
Influenza virus
Rhinovirus
37.
(1 Point)

38.
(1 Point)
In infants the Eustachian tube is shorter, more horizontal and consists of softer cartilage.
The Eustachian tube opens actively due to contraction of the muscles of the soft palate.
The Eustachian tube ventilates, drains, and protects the middle ear from ascending infections.
39.
(1 Point)
True
False
40.
(1 Point)
Nasal obstruction
Epistaxis
Loss of smell
Cervical metastasis
41.
(1 Point)
Chemotherapy
Radical surgery
42.
(1 Point)

43.
(1 Point)

44.
(1 Point)

impedance matching
frequency decoding
45.
Please assign the following local signs to the corresponding diagnosis
(2 Points)
Unilateral
White Vesicular vesicular
Whitish plaques hyperkeratotic eruptions eruptions affecting
scattered plakes on the affecting the the palate, lateral
allover the oral border of the region of the pharyngeal wall
mucosa (oral tongue (oral hairy faucial isthmus and tongue base
candidiasis) leukoplakia) (Herpangina) (Herpes zoster)
Herpangina X
Glossopharyngeal X
Herpes Zoster
Oral candidiasis X
Oral hairy X
Leukoplakia
46.
(1 Point)

47.
(1 Point)

48.
(1 Point)

The tonsils
The nasopharynx
The hypopharynx
49.
What is NOT true about Laryngomalacia
(1 Point)

Can complicate with feeding difficulties, reflux and aspiration
50.
Which of the following statements regarding Corrosive ingestions is NOT
true?
(1 Point)

51.
(1 Point)

52.
(1 Point)
Dental problems
Hypernasality
Hearing problems
53.
(1 Point)
The choanae
The faucial isthmus
The soft palate
54.
Which of the following is not true? The internal nasal valve is bordered by
(1 Point)
Lower end of upper lateral cartilage (triangular)

Anterior end of the middle turbinate
Pyriform aperture
Septum
55.
(1 Point)
the tonsils
56.
The basiliar membrane is equally wide at the top and at the bottom of the
cochlea
(1 Point)
True
False
57.
(1 Point)
58.
(1 Point)
Supraglottis
Glottis
All of the listed
Subglottis
59.
(1 Point)

60.
following EXCEPT:
(1 Point)
61.
The peripheral part of the vestibular system is located in:
(1 Point)
Vestibule
cochlea and the vestibule
62.
The vestibule accommodates receptor cells that register angular
acceleration
(1 Point)
True
False
63.
(1 Point)

64.
The external nose shape is maintained by skeletal framework, which is
composed of:
(1 Point)
Bone only
Cartilage only
65.
Which one is TRUE. Allergic rhinitis
(1 Point)
It is type 2 allergic hypersensitivity reaction
The mast cells have a major role in pathogenesis
Neutrophil count is essential for diagnosis
It involves IgM reaction
66.
Which of the following is CORRECT? Cholesteatoma is
(1 Point)
non cancerous epidermal growth

a safe type chronic otitis
treated medically
67.
(1 Point)
Articulation
Taste
68.
following EXCEPT:
(1 Point)

Vibrisse in the nasal vestibulum
69.
Regarding Sudden sensorineural hearing loss is everything is true
EXCEPT:
(1 Point)
Cause often cannot be identified

A retrocochlear disorder must be excluded
is usually bilateral
70.
(1 Point)
hemotympanum
Battle sign
71.
Which of the following statements is NOT TRUE: The travelling wave of
Bekesy is:
(1 Point)
For low frequencies sounds, the peak of the travelling wave is close to top of the cochlea.
72.
The typical appearance of a juvenile angiofibroma is
(1 Point)
Well circumscribed yellowish mass in the region of the roof of the nasopharynx
Well-circumscribed, vascularized mass with superficial vascular markings, situated in the
nasopharynx or posterior part of the nasal cavity.
Lobulated, fragile, readily bleeding mass at the antroinferior part of the nasal septum
Soft, mobile, smooth, shiny, bluish-gray, translucent, located in the middle nasal meatus,
bilaterally
73.
What is the first and most important option in the treatment of acute
laryngitis?
(1 Point)
Voice rest
Antibiotics
Steroids
74.
(1 Point)
Oblique arytenoid
Thyroarytenoid
75.
(1 Point)

76.
Gold standard for the treatment of laryngeal papillomatosis is:
(1 Point)
Laser ablation
HPV vaccination
Radiotherapy
Intralesional injection of antiviral medication
77.
(1 Point)
dysarthria
blocked nose
hyponasality
78.
On the medial wall of the tympanic cavity there are 3 eminencies. The top
one is:
(1 Point)

The promontory
79.
Cholesteatoma can be classified under the type of chronic otitis called:
(2 Points) Epitympanitis
80.
(1 Point)

ossicular fixation
otitis media
81.
In the case of a suspected juvenile angiofibroma diagnostic workup
includes all EXCEPT:
(1 Point)
Biopsy
Nasal endocopy
MRI
82.
(1 Point)

83.
(1 Point)

Fetid ear discharge
84.
What is the maximum sound level that is considered safe in the working
environment
(1 Point)
110dB
85dB
100dB
75dB
85.
(1 Point)
True
False

ENT MCQ All Days +mondays

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Skin rash: Tick

Spleen and liver Tick

Ulcero-necrotic oral Tick

ENT exam 07 July

Surgery with postoperative radiotherapy

a vertigo lasting for minutes to hours

may subside on its own

the second most common balance disorder

Usually resolves in the first 2 years of life

Once detected - surgery in indicated

It is the commonest cause of congenital stridor

Can complicate with feeding difficulties, reflux and aspiration

The mucocilliary apparatus

Cellular immune responses

Vibrisse in the nasal vestibulum

Tensor veli palatini

Can cause emphysema of the lung

Nuts are less dangerous than metallic foreign bodies

Can cause collapse of the lung (atelectasis)

Lodges most often in the right bronchus

The mast cells have a major role in pathogenesis

It involves IgM reaction

It is type 2 allergic hypersensitivity reaction

Central perforation of the tympanic membrane

Fetid ear discharge

Perforation in pars flaccida

Polyp in the external ear canal

presents with halitosis

is caused by fusiform bacteria

must be differentiated from cancer

presents with severe unilateral pain - i think it is usually unilateral?yes

Is the physliological basis of frequency analysis.

A displacement of the basilar membrane caused by stapes vibration

Is initially managed by a follow up

Presents with earache and fever.

Is the first symptom of Nasopharyngeal cancer

A non suppurative inflammation of the middle ear

Nasopharynx and oropharynx

Oral cavity and oropharynx

Base of tongue and hypopharynx

Hypopharynx and larynx

regurgitation of liquids in the nose

The posterior pharyngeal wall

Well-circumscribed, vascularized mass with superficial vascular markings, situated in the

the Organ of Corti

the auditory cortex

the acoustic nerve

Bone in upper 1/3 and cartilage in lower 2/3

Bone in upper 2/3 and cartilage in lower 1/3

Bilateral multiple parotid cyst are common in AIDS.

Sjogren’s disease affects only the parotid.

Tumors originated most frequently in the parotid.

A conjugated eye movement towards the source of a load noise

Contraction of the middle ear muscles due to a load noise

Contraction of the external hear cells due sound stimuli

None of the listed

A retrocochlear disorder must be excluded

Cause often cannot be identified

Is characterized by destruction of bone

Is treated treated with myringotomy

Is a complication of acute otitis media

Is a suppurative inflammation of the middle ear

it is another term for impendance matching