1- The most common complications of Caldwell-Luc procedure is:

A. Paresthesia of the check

B. Loose teeth
C. Dacrocystitis
D. Orbital hematoma
E. Oroantral fistula

2- A 30-year-old lady underwent FESS, two hours later she started to have a
retrobulber hemorrhage . The first step has to be done:
A. Ophthalmic consultation
B. Packing the nose to prevent further bleeding
C. Lateral canthotomy
D. Re-exploration and control the bleeders
E. Observation and ice application

3- Regarding Lethal Midline Granuloma, all the followings are true EXCEPT :
A. It is a T-cell Lymphoma
B. It is a type of non-Hodgkin Lymphoma
C. There is an association with EBV
D. Patients tend to be older than patients with conventional Lymphoma
E .A combination of chemotherapy and radiotherapy appears to be more
effective than either modality alone

4- Regarding Hereditary Hemorrhagic Telangiectasia (Ösler-Weber-Rendu

disease), all the followings are true EXCEPT;
A. Autosomal recessive.
B. Could be complicated by arteriovenous malformation in the lungs
C. Characterized by mucocutaneous telangiectasia
D. Characterized by vessel walls without smooth muscles
E. Could be treated by local applications of estrogens or radiotherapy.

5- A maxillary sinus lesion (3cm) arising from the floor and bulging into the
buccal area is staged as :
A. T1
B. T2
C. T3
D. T4
E. M1
6. Regarding carcinoma of the esophagus, all the following are true except :
a. 50% of the lesions involve the middle third
b. about 30% of the patients are women
c. dysphagia is a common symptom
d. spread by the blood stream is exceptional
e. the cells may be oat cells

answer e

7. Amyloidosis all true except :

a. appears as extracellular eosinophillic hyaline material
 b. is made of calcified protein
c. shows an apple green birefringence in polarized light
d. occur in patient with multiple myeloma
e. is a complication of chronic infection

answer b

8. the accuracy of fine needle cytology in head and neck mass is :

a. 80% - 85%
b. 85% - 90%
c. 90% - 95%
d. 95% - 98%
e . 75% - 80%

answer d

9. which of the following flaps most commonly used in head and neck reconstruction

a. pectoralis major and latisimus dorsi

b. pectoralis major and sternomastoid
c. sternomastoid and latisimus dorsi
d. sternomastoid and trapezeius
e. latisimus dorsi and trapezeius

answer a

10. Peristomal reccurance in ca- larynx one is incorrect:

a. it has particular reference to the original site (supraglottic/ subglotic)
b. when the trachestomy preceded laryngectomy by 2 days occur in about 41%
c. when the trachestomy done at the time of surgery occur in about 14%
d. early excision followed by radiotherapy give a good prognosis
e. squamous cell carcinoma is commonly found

answer d

11. pemphigoid in comparison wth pemphigus vulgaris one is incorrect:

a. it is not fulminating like pemphigus
b. the skin is not usually affected like pemphigus
c. there is acantholysis unlike pemphigus
d. immunological cause is more evident in pemphigus
e. affect mainly women while in pemphigus both

answer c

12. Glottic carcinoma – one is incorrect :

a. anterior midline is the most frequent location for invasion of the laryngeal frame
work
b. frequently invade the unossified parts of the cartilage
 c. may escape laterally through the cricothyroid triangle
d. Impaired mobility is often not a contraindication to conservation surgery
e. Vertical extension seems to occur more frequently than to the opposite side
ANSWER b

13. Androphonia can be corrected by doing :

a. type 1 thyroplasty
b. type 2 thyroplasty
c. type 3 thyroplasty
d. type 4 thyroplasty
e. none of the obove
answer d

14. Corkscrew oesophagus is seen in which of the following condition:

A. a. carcinoma oesophagus
B. b. scleroderma
C. c. Achalasia cardia
D. d. diffuse oesophagial spasm
E. e . none of obove
answer d

15. Character in lymph node in sarcoidosis is :

a. painfull adherent
b. painfull non adherent
c. painless adherent
d. painless non adherent
e. none
answer d

16. one of the following is a manifestation of sarcoidosis :

a. Intrathoracic lymphadenopathy in 80%
b. splenomegaly in less than 50%
c. myopathy in less than 50%
d. testicular involvement in over 5%
e. bilateral parotid gland enlargement in over 20%
answer a

17. which of the following statements is false regarding radial fore arm free flap :
a. it is thin and friable flap
b. versatile
c. limited bulk
d. forearm defect can be closed primarily
e. osteo-cuteneus flap with 10cm of radius is possible

answer d

18. Criteria to diagnose branchiogenic carcinoma, all the followings are true except
 A. The cervical tumour occurs along the line extending from the tragus to the
clavicle, along the anterior border of sternocleidomastoid.
B. The histological appearance must be consistent with an origin from tissue
known to be present in branchial vestiges.
C. No primary source of the carcinoma should be discovered after at least five
years of follow-up.
D. There is histologic demonstration of cancer arising in the wall of an epithelial-
lined cyst.
E. Previous history branchial cyst
F.
19. Factors indicating suitability for day surgery, all the followings are true except,
A. Traveling distance home/day unit <1 hour
B. Duration of surgery <3 hours
C. No wound drain
D. Post-operative pain control with oral agents only
E. Access to a telephone
20. Clinical features of acute laryngeal infection, all the followings are true except
A. Change or loss of voice
B. Difficulty in breathing/stridor
C. Vocal cord fixation
D. Difficult or painful swallow
E. Tender larynx with or without lymphadenopathy