1. What structure in the larynx is most affected by radionecrosis after XRT?

a. Cricoid cartilage

b. Epiglottic cartilage

c. Thyroid cartilage

d. Arytenoid cartilage

e.Corniculate cartilage

Answer: D

2. 50 year old woman has left otorrhea, hearing loss, and dizziness. Exam shows

posterior/superior retraction pocket with cholesteatoma. What is the best imaging study for

surgical planning?

a. CT with contrast

b. CT without contrast

c. MRI with gadolinium

d. MRI without gadolinium

e.Mastoid X-ray

Answer: B

3. 10 days out from stapedectomy, a patient experiences fluctuating hearing loss and dizziness.There is a reddish
blush in the posterior TM. What is the next step?

a. bedrest and steroids

b. bedrest and vestibular suppressants

c. lumbar drain

d. surgical exploration

e.Re-evaluate in one week

Answer: D

4. CT scan is shown of a patient with 5 days of spiking fevers, pharyngitis and trismus. (CT with parapharyngeal
low attenuation area with extension into the lateral neck spaces). How should this be treated?

a. external neck incision and drainage

b. transoral needle aspiration

c.Re-evaluate in one week

d. IV antibiotics

e. quinsy tonsillectomy

Answer: A

5. What is the most common primary temporal bone malignancy in adults?

a. adenoid cystic carcinoma

b. malignant glomus tumor

c. sarcoma

d.pleomorphic adenoma

e. squamous cell CA

Answer: E
6. The most definitive test for nasal obstruction by adenoid hypertrophy is:

a. CT scan

b. lateral airway film

c. fiberoptic exam

d.rigid nasal endoscopy

e. rhinometric studies

Answer : B

7. In management of a laser-ignited endotracheal tube fire the first step is:

a. switch to nonvolatile agent

b. pour water down the tube and suction out

c.Tracheostomy

d. Total IV Anaesthesia ( TIVA )

e. turn off agent and extubate patient

Answer : E

8. What developmental abnormality is associated with Choanal Atresia

A. Hearing loss

B. Microtia

C. Cleft Palate

D. Renal Agenesis

E. Mental retardation

Answer: A

9. On exam, a patient has bilateral multiple, rounded nodules in the bony ear canal. The most accurate statement
regarding these is

A. commonly called osteomas

B. female greater than male incidence

C. treat only if symptomatic

D. commonly associated with cholesteatoma

E.undergo malignant changes

Answer: C

10. What is the most common complication of laser resection of a subglottic hemangioma?

a. Rapid growth

b. pneumothorax

c. airway fire
d.Laryngoeoesophageal fistula

e. subglottic stenosis

Answer: E

11. A 34 year old firefighter is exposed to freezing temperatures. On exam, both his ears are cold, numb, and pale.
Initial treatment should be

a. heat lamp rewarming

b. rubbing to rewarm by friction

c. rapid rewarming with warm saline

d. debridement

e.sterile pressure dressing

Answer: C

12. What is the best age to repair microtia?

A. 2 yrs old

B. 6 yrs old
C. 8 yrs old

D. 10 yrs old

E.17 or later

Answer: B

13. A newborn is noted to have bilateral dull tympanic membranes. What is the best option?

A. antiobiotics only

B. typanostomy

C. re-eval in 7-10 days

D. tympanostomy, antibiotics, LP

E.Tympanocentisis

Answer: C

14. 56 yo male with hyperacusis and Ramsey-Hunt Syndrome. The most likely reason for this is:

a) Hypermobility of tympanic membrane

b) Impairment of acoustic reflex

c) Mononeuritis of VIII nerve

d) viral cochleitis

e) Patoulus E.T

Answer: B

15. If the ossicles are disarticulated with an intact tympanic membrane, what is the change in average

hearing threshold decrease?

A. 15 dB
B. 25 dB

C. 45 dB

D. 60 dB

E. 90 dB

Answer: D

16. 13 yo boy presents with severe headaches. He was treated for acute otitis media 1 month ago with resolution of
disease. He has normal head imaging, physical exam only

shows papilledema. What will happen without treatment?

A.Cavernous sinus thrombosis

B. intracranial abscess

C. lateral sinus thrombosis

D. optic atrophy

E. meningitis

Answer: E

19. A 50 y/o man with facial paralysis has a lifelong history of drainage of purulent otorrhea. Exam demonstrates
chronic TM perforation with grossly infected mucosa and granulation tissue visible within the middle ear. There is
no evidence of cholesteatoma. What is the most likely reason for this patient’s facial paralysis?

A. Bell’s palsy

B. Cholesteatomatous invasion of facial nerve

C. Gross contact of infected middle ear tissue with the facial nerve in a dehiscent fallopian canal

D. Posterior fossa abscess affecting the facial nerve

E.Extradural abscess
Answer: C

20. A woman comes for revision mastoidectomy for right sided recurrent cholesteatoma. Intraop, surgeons are
unable to visualize the anatomy. In recovery room, pt has complete right sided facial paralysis. What is the best next
step in management?

A) 24 hrs of high dose steroids

B) nerve stimulation studies

C) re-exploration

D) observe for 2-3 hrs as anesthesia wears off

E) high dose antibiotics and observation

Answer: D

23. A man has recurrent right sided ear and head pain that occurs mostly at night and is associated with rhinorrhea.
The most likely cause is?

a. temporal arteritis

b. migraines

c. cluster headaches

d. sinusitis

e.unilateral secretory otitis media

Answer: C

24. A patient underwent exploratory tympanotomy and stapedectomy. The prosthesis was placed over

soft tissue (vein) graft. On the 3rd post-operative day, he developed sudden onset of vertigo.

Examination revealed severe SNHL. The most likely cause of his symptoms is:

A. Acute otitis media

B. Attachment of the strut to the annulus

C. Prosthesis medialization

D. Perilymph fistula

E. Postop.granuloma

Answer: D