Edited

3. Which optical devices are used for rhinoscopy:

A. Mirrors for anterior and posterior rhinoscopy
B. Hopkins’s endoscopes
C. Surgical microscope
D. Every listed devices are used
Correct answer: D
4. Which medications are not effective for treatment for allergic
rhinitis:
A. Antibiotics
B. Antihistamins
C. Glucocorticosteroids
D. All are correct, except of A
Correct answer: D
5. Among paranasal sinuses the biggest is:
A. Sphenoid sinus
B. Frontal sinus
C. Ethmodal labyrinth
D. Maxillary sinus
Correct answer: D

6. Before entering in the maxillary sinus airstream passes

through:
A. Middle meatus
B. Hiatus semilunaris
C. Maxillary openings
D. All are correct
Correct answer: D
7. 7. Existence of pus in the middle meatus means inflammation
in the:
3. Which optical devices are used for rhinoscopy:
A. Mirrors for anterior and posterior rhinoscopy
B. Hopkins’s endoscopes
C. Surgical microscope
-
D. Every listed devices are used
Correct answer: D
4. Which medications are not effective for treatment for allergic
rhinitis:
@

A. Antibiotics
B. Antihistamins
C. Glucocorticosteroids
D. All are correct, except of A
Be
Correct answer: D
5. Among paranasal sinuses the biggest is:
A. Sphenoid sinus
B. Frontal sinus
C. Ethmodal labyrinth
D. Maxillary sinus
•
Correct answer: D

6. Before entering in the maxillary sinus airstream passes

through:
A. Middle meatus
B. Hiatus semilunaris
C. Maxillary openings
as
D. All are correct
Correct answer: D
7. 7. Existence of pus in the middle meatus means inflammation
in the:
 A. Maxillary sinus and anterior ethmoid
B. Sphenoid sinus
C. Frontal sinus
ma
D. Everything is correct, except B
Correct answer: D
8. Frontal sinus develops:
*A. from 4 till 6 year
B. from 1 till 4 year
C. from 6 till 10 year
D. from 10 till 14 year
Correct answer: A
9. The methods of treatment for rhinogenic orbital complication
are:
A. Surgical
B. Detoxification and antibacterial
C. Radiotherapy
AD. All are correct, except of C
Correct answer: D
10. Functions of the nose and paranasal sinuses are:
A. Respiration
B. Voice resonance
C. Olfaction and protection
¥D. All listed are correct
Correct answer: D
11. Among the paranasal sinuses 4 walls includs:
A. Sphenoid sinus
#B. Frontal sinus
C. Ethmodal labyrinth
D. Maxillary sinus
Correct answer: B
12. Methods of treatment for the paratonsilar abscesis are:
A. Surgical
B. Detoxification and antibacterial
C. Radiotherapy
-
#D. Everything mentioned is correct, except of C
Correct answer: D
13. Hypertrophy of adenoids may cause:
A. Middle ear effusion and conductive hearing loss
B. Rhinosinusitis
C. Facial deformity
VE
D. Everything mentioned is correct
.

Correct answer: D
14. Complications of the adenotomy may be:
A. Asphyxia
B. Bleeding
C. Anaphylaxis
¥D. Everything mentioned is correct
Correct answer: D

15. The most frequent pathogen of acute tonsillitis is:

A. Haemophilus influenza
B. Staphylococcus aureus
C. Moraxella catarralis
*
D. Group A Streptococcus
Correct answer: D
16. Infection mostly appears in:
A. Nasopharynx
B. Oropharynx
#
C. Hypopharynx
D. equally
Correct answer: B
17. Lymphoid tissue produces:
#
A. Lymphocyts and interferon
B. Monocyts
C. Stem cells
D. Plasma cells
Correct answer: A
18. Forms of the laryngeal perichondritis are:
A. External
I
B. Internal
C. Mixed
Correct answer: A, B.
19. Laryngeal precancers are:
A. Phachidermy
B. Leucoplacia
C. Papiloma and fibroma
:#D. All listed are correct
Correct answer: D
20. Blood supply of the larynx are provided by:
A. A. Facialis
B. A. Lingualis
E-
C. A. Thyreoidea superior and inferior
D. A. Maxillaris
Correct answer: C
21. Complications of tracheostomy may be:
A. Subcutaneus emphizema
B. Inhalation pneumonia
C. Both of them
It
Correct answer: C
22. Laryngeal inervation is provided:
A. Superior laryngeal nerve and Inferior laryngeal nerve
B. Trigeminal nerve
C. Branches of vagus
#D. all of them , except b
Correct answer: D.
23. Damage of the laryngeal recurrence may occur because of :
A. Aortal aneurysm
B. Thoracal tumor
C. Enlargement of the perybronchial lymphatic nodes
D. All mentioned are correct
At
Correct answer: D
24. Pitch of the voice is depended on:
 A. Length of the vocal chords
B. Position of the epyglotis
C. Strain of the vocal chords
#D. All listed are correct
Correct answer: D
25. What are the symptoms of the viral laryngotracheitis:
A. Hoarseness
B. Disfagia
FU
C. Sudden beginning, mostly at night, stridor and dry cough
D. All mentioned are correct
Correct answer: C
26. Congenital stridor in children is caused by:
A. Congenital pathology of the nose
*B. Congenital pathology of the larynx
C. Congenital pathology of the paranasl sinuses
D. Tonsilar hypertrophy
Correct answer: B
27. Hypernasality (insufficient closure of the nasopharynx
during speech) may occur after:
A. Tonsillectomy
B. Turbinectomy
so
C. Adenoidectomy
D. Every listed operation
Correct answer: C
28. When examined with an otoscope the cone of light of
drumhead appears on:
A. Pars flaccida
IB. Pars tensa
C. Both of them
Correct answer: B
29. Pars flacida of tympanic membrane contains layers of:
A. Cyliar
B. Fibrous
C. Squamous and Mucous
A
D. All of them are correct, except of A
Correct answer: C
30. Causative factors of labyrinthitis may be:
A. Acute otitis media
B. Chronic otitis media
Er
C. External otitis
D. Adhesive otitis
Correct answer: B
31. Paracentesis in children may damage:
A. Oval window
B. Round window
C. incostapedial junction
#D. All of them may be damaged
Correct answer: D
32. Mastoiditis may develop :
A. Tympanosclerosis
#B. Sinusthrombosis
C. Hypertonic disease
D. Sensorineural hearing loss
Correct answer: B
33. Objective symptoms of acute otitis media are:
A. Painful tragus
#B. Perforated ear drum and purulent otorhea
C. Otalgia
D. All mentioned are correct
Correct answer: B
34. Infection spreads into the middle ear cleft through the:
IA. Eustachian tube
B. Nasolacrimal duct
C. Anterior cranila fossa
D. Every listed structures

Correct answer: A
35. Membranaceus cochlea in longitudinal section has the shape
of:
A. Circle
B. Oval
#
C. Triangular
D. Quadrangular
Correct answer: C

36. Ear labyrinth is situated in the:

A. Mastoid process
B. middle ear cleft
#C. Temporal pyramid
D. Mastoid antrum
Correct answer: C
37. Objective audiometry is carried out:
A. In newborns
B. In small children
C. At psychogenic hearing loss
#D. In every listed patients
Correct answer: D
38. Otoantritis in children requires:
A. Mastoidectomy
B. Antrotomy
TE
C. Stapedoplaty
D. Miringotomy
Correct answer: B
39. Mastoiditis is caused by:
A. External otitis
EB. Middle otitis
C. Labyrinthitis
D. Menier’s disease
Correct answer: B
40. When the catarrhal otitis media occurs in the tympanic
cavity pressure is:
A. Positive
#
B. Negative
C. Zero
D. May be negative or zero
Correct answer: B
EXTRA :
Infection spreads into the middle ear cleft through:
A. The Eustachian tube
B. Blood supply
C. The external acoustic canal
D. The maxillar sinus
-
Correct answer: A, B, C

28. Pars tensa of tympanic membrane contains layers of:

A. Squamous
B. Fibrous
c
C. Cyliar
-

D. Mucus
Correct answer: A, B, D.

Quantity of the laryngeal cartilages is:

A. 5
B. 6
C. 9
←
D. 11
Correct answer: C

Deafness of sudden onset may be due to:

A. Vascular occlusion in the cochlea
B. Virus infection
C. Blast ijury
EE
D. All of them
Correct answer: D
In sensorineural deafness the most usual distortion is loss of:
#A. High frequencies
 B. Low frequencies
C. Middle frequencies
Correct answer: A
Paracusis Willisii, or improvement of hearing in the presence of
background noise occurs in :
A. Sensorineural hearing loss
# B. Otosclerosis
C. Menier’s disease
D. Labirintitis
Correct answer: B
The method of treatment for the laryngeal precancers is:
A. Laryngectomy
B. Radiotherapy
C. Phisiotherapy
.#D. Laryngeal endoscopic microsurgery
Correct answer: D
Benign tumors of the larynx or precancerous diseases mostly
occur in:
← A. Men
B. Women
C. Equally
Correct answer: A
When chronic pharyngitis occur the most frequent affected area
is :
A. Palatine tonsils
B. Soft palate
C. Posterior pharyngeal wall
CE
D. Anterior and posterior pillars
Correct answer: C
Rhinitis medicamentosa occurs due to:
A. Viral infection
B. Bacterial infection
C. Fungal infection
E D. Over-medication and excessive use of nasal decongestant
 Correct answer: D
Nasal polyp is the:
A. Benign tumor
B. Malignant tumor
C. Inflammatory disease
ID. Allergic disease
Correct answer: D
Congenital pathology of immobile cilia of the mucous of nasal
cavity occurs in :
#A. Kartagener’s sindrom e

B. Menier’s disease
C. Allergic rhinitis
D. Hypertrophic rhinitis
Correct answer: A
Recent advances in the treatment of epistaxis is?
A. Nasal packing
B. Nasal smear
C. Cauterization of the bleeding area
ED. Embolization of the offending vessel under radiographic
control
Correct answer: D

Where does the blood appear when nasoseptal haematoma

occurs?
A. Between Cartilage and perichondreum
#
B. Between perichondreum and mucus
Correct answer: A
What is the paranasal sinus Which is developed earlier in
Ontogenesis?
A. Sphenoid sinus
 B. Frontal sinus
C. Ethmodal labyrinth
I
D. Maxillary sinus
Correct answer: C
34. A 64-year old female with diet-controlled diabetes mellitus
complains of a deep boring pain in her right ear for 1 week. On
examination, there is a small amount of granulation tissue at the
bony cartilaginous junction. The most likely diagnosis would
be:

A. Acute localised external otitis

B.Acute diffused external otitis
C.Acute exzemastoid external otitis
0D.Malignant external otitis
24. A 19 year old college student presents to you with acute
tonsillitis, occurring about 4 – 5 times a year for the past 3 years.
She misses 3-4 days of school with each episode. You would
recommend her:
A. 30 day course of cloxacillin
B. Tonsillectomy
C. Tonsillectomy and adenoidectomy
If
D. Waiting policy

27. 54 year old dock worker presents with gradual onset hearing
loss. (Audiogram shown shows hearing loss of about 40dB with
a dip in the 4kHz range. You would offer him:
A. No treatment
B. Hearing aid
I
C. Surgery
D. Topical antibiotics

2) For what condition is not typically Weber’s test lateralized to damage ear?
a) Fluid in the middle ear
b) Negative pressure in middle ear
±
c) Sensorineural hearing loss
d) stapes fixation

3. Causes of facial nerve palsy. Which is false?

a) Suppurative otitis media
b) Herpes zoster
c) Otitis media with effusion
d) Iatrogenic injury

7. What is antrum?
A. Part of tympanic cavity
B. Largest air cell in the mastoid bone

:
C. Part of inner ear
D. Part of external ear

8. Aditus connect
A. Tympanic cavity with nasopharynx
B. Tympanic cavity with antrum
C. Tympanic cavity with inner ear
D. Eustachian tube with middle ear cavity
9

10. What is not typical symptom for otitis externa

A. Hearing loss
B. Pain
I C. Fever
D. Discharge

12. In what stage of acute otitis media exudate collects in the middle ear and ear drum pushed
laterally?
A. Catarral
 #
B. Exutation
C. Suppuretion
D. Healing
13. For what stage of AOM is typical severe pain?
A. Catarral
B. Exutation
C. Suppuretion
Er
D. Healing
14. What clinical features are typical for otitis media with effusion in children
a) Ear pain
b) Inattention
c) Headache
d) Temperature
e) All are right
I

16. In what case is not facial nerve palsy?

A. Acute otitis media
B. Malignant otitis externa
C. Otitis media with effusion
at
17. Risk factors of otitis media with effusion are all accept:
A. Down’s syndrome
B. Maxillectomy
#
C. Prolonged intubacion
D. Adenoids
.

19. Pars flacida of tympanic membrane contains layers of:

A. Cyliar
B. Fibrous
C. Squamous and Mucous
#
D. All of them are correct, except of A

20. Mastoiditis is caused by:

A. External otitis
B. Middle otitis
A
C. Labyrinthitis
D. Menier’s disease
 . Foul-smelling discharge from the middle ear is the symptom of
:
I A. Cholesteatoma
B. Middle ear effusion
C. Acute otitis media
D. Otosclerosis
Diagnosis of acute otitis media with effusion is confirmed by:
A. Skull CT scan

#
B. Audiometry and tympanometry
C. Temporal bone X-ray
D. All of the above
Is the corn of light anatomical structure?

E- A. Yes
B. No
Perichondritis is affected
←
A. Cartilaginous part of pinna
B. Lobule of pinna
C. Both

What are branch of internal carotid artery?

A. Facial artery
B. Maxillary artery
C. Ophthalmic artery
E-

Nasal cavity roof formed by next structures except:

A. Nasal part of the frontal bone
B. Nasal bones
 #
C. Vomer
D. Cribriform plate

Bronchogenic cancer is cause of :

A. Right recurrent laryngeal nerve paralysis
EeB. Left recurrent laryngeal nerve paralysis
C. both
Recurrent laryngeal nerve is brunch of :
# A. Vagus
B. Facial nerve
C. Glossopharyngeal nerve

. Which laryngeal cartilage is paired?

A. Cricoid
B. Epidlottis
A
C. Arytenoid
Vocal cords extending from:
# A. Thyroid and arytenoid cartilages
B. Epiglottis and arytenoid cartilages
C. Cricoid and arytenoid cartilages

. Hypertrophy of adenoids may cause:

A. Middle ear effusion and conductive hearing loss
B. Rhinosinusitis
C. Adenoid facies
A D. Everything mentioned is correct

Hypertrophy of palatine tonsils appear at:

A. Birth
#
B. Early childhood
 C. Adult age
D. Old age

What is commonest place of nasopharyngeal carcinoma

growing?
A. Torus tubarius
B. Fossa Rosenmuller
I
C. Eustachian tube ostium

Waldeyer’s ring consists from next structure except:

A. Palatine tonsils
B. Tubal tonsils
C. Lingual tonsil "

D. All is right
✓µ

Perittonsilar abscess signs are except

A Trismus
B. Torticollis
C. Nasal discharge
E
D. High fever
Ans: a,b,d

Which from this conditions isn’t complication of the chronic

tonsillitis:
-

A. Peritonsillar abscess
B. Parapharyngeal abscess
C. Mastoiditis
I
D. Retro pharyngeal abscess

What is not complication of adenoids (hypertrophy if the

nasopharyngeal tonsils)?
A. Otitis media with effusion
B. Rhinolalia clausa
C. Sleep apnea syndrome
#
D. Ludwig’s angina

Lateral wall of the sphenoid sinus is related to next structures

except:
A. Optic nerve
B. Caverenosus sinus
#
C. Posterior cranial fossa
D. Internal carotid artery

Tubal tonsils locate in :

A. Nasopharynx
B. Oropharynx
¥
C. Hypopharynx
.What is not predisposing factor of chronic sinusitis?
A. Nasal foreign body
B. Cleft palate
C. Tympanosclerosis
←
D. Cistic fibrosis

Whish from there is not symptom of adenoid hyperplasia?

-

A. Mouth breathing
B. Conductive deafness
C. Rhin
D. olalia clausa
E. Sensorineural deafness
t

Aural manifestation of adenoid hypertrophy is caused by:

A. External ear meatus block
B. Eustachian tube block
Ir
 C. Maxillary sinus opening block

Does adenoids have capsule?

A. Yes
B. No
F

Treatment of tubotympanic disease involve

All of the above

For what condition is not typically Weber’s test lateralized to damage ear?

Sensori neural hearing loss

. Perichondritis affect:
Ans. cartilage of external ear
What additional investigation we use in case of external meatus atresia?
All of the above

Foul-smelling discharge from the middle ear is the symptom of:

Ans : cholestoma (anti coantral )

Eustachian tube connects :

Ans : middle ear to nasopharynx