1. A newborn child has an abnormally formed mandible, ear, and palate.

He is
diagnosed with mandibulofacial dysostosis. This syndrome is due to abnormal
development of which of the following structures?
A. First pharyngeal arch
B. First pharyngeal cleft
C. Second pharyngeal arch
D. Second pharyngeal cleft
E. Third pharyngeal cleft

2. A 24 year old woman presents with a rapidly growing neck lump. On

examination the lump moves up with swallowing but not with tongue
protrusion. The lump is hard in consistency. What is the most likely diagnosis?
A. Thyroid carcinoma
B. Myxoedema
C. Infected thyroglossal cyst
D. Toxic goiter
E. Enlarged lymph node
3. With regard to Meniere’s disease, the following statements are true except?
A. It typically presents between the ages of 30 and 50 years.
B. It is characterized by the triad of hyperacusis, vertigo, and
tinnitus.
C. Treatment involves lifestyle changes such as a low-salt diet and
the medical addition of a thiazide diuretic.
D. Audiometry will show a SNHL.
E. It can cause drop attacks.
4. With regard to labyrinthitis, the following statements are true except?
A. It can be a complication of upper respiratory tract infections.
B. It may cause hearing loss.
C. There is nystagmus towards the affected ear.
D. Vestibular suppressants are used in treatment.
E. It may be caused by viruses or bacteria.
5. With regard to vestibular neuronitis, one of the following is true:
A. Like labyrinthitis, vestibular neuronitis follows an upper respiratory tract
infection.
B. It affects women more often than men.
C. If left untreated, it may go on to cause permanent deafness.
D. On examination, nystagmus may be elicited towards the unaffected
ear.
E. Antiviral drugs are are the mainstay of treatment.
6. Regard to sudden hearing loss, all the following are good prognostic factors
except:
A. Young age
B. Minimal hearing loss
C. Low frequency hearing loss
D. Present of vestibular symptoms
E. Early treatment
7. Stridor in children , one is correct
A. Laryngeal 60%
B. Tracheal 30%
C. Bronchial 20%
D. Infection 10%
E. Miscellaneous 15%

8. CSF otorrhea all are correct except:

A. Repair of CSF leak is indicated if persist > 3 days
B. Associated with 6% of basilar skull fractures
C. 90% seal spontaneously
D. Middle fossa leacks heal rapidly due to extensive fibrosis promoted
by rich arachnoid mesh in this area
 E. posterior fossa leaks close more slowly.
9. Wallenberg syndrome all of the following are correct except:
A. It is the posterior inferior cerebellar artery thrombosis
B. Vertigo
C. Dysphagia
D. Hypotonia
E. Falling to the contra lateral side of the lesion.
10. Regard to cavernous sinus syndrome all are true except:
A. Ethmoiditis is the most common cause
B. AB+ anticoagulative are treatment of choice
C. Orbital pain (V2)
D. The sinus receives drainage from upper lip, nose, sinus, nasopharynx,
pharynx, and orbit
E. Venous congestion of the retina, lids and conjunctiva.
11. Patient selection criteria in cochlear implant all are true except:
A. Severe SNHL
B. Postlingually deaf adult and children over one year
C. No benefit from hearing aids
D. No medical contraindications
E. Psychologically and motivationally suitable.