ENT

1. Which of the following is NOT a common site of c. The child should be admitted and kept on close
congenital cholesteotoma: monitoring
a. Prussack’s space d. The child has secondary infection by diphtheria.
b. Cerebro-pontine angle
c. Petrous apex 7. A G2P1 lady, during her routine visit mentioned of
d. Antero-superior quadrant of middle ear hearing loss and was referred to an ENT specialist.
There’s no H/O vertigo, tinnitus, ear trauma and
2. Match the famous lines that are used in ENT disease exposure to loud noise. Otoscopy examination
a. Ohngren’s line  maxillary carcinoma showed normal tympanic membranes. Audiometry
b. Donalson’s line endolymphatic Sac showed 35 dB A-B gap. Which of the following is the
c. Sebileau’s line Carcinoma of nose and sinuses most likely tympanometry finding:
d. All are correct a. As
b. B
3. A 38 years old has complaint of hearing loss. No H/O c. Ad
pain, fever or discharge. d. C
No other systemic complaint.
Otoscopic examination image is shown. 8. Which of the following is supplied by the blue arrow
Which is the next line of management: marked nerve in the image:
a. Audiometry
b. Tympanometry
c. Nasopharyngoscopy
d. CT scan of nose

4. A house wife has been having left ear discharge for

few months for which she was on treatment from a
family physician.She has just been on a family holiday
in Goa and stated having ear discharge again. There is
no other complaint. Which of the following is the best
treatment for this patient:
a. Antibiotics
b. Antibiotics followed by type I Tympanoplasty a. Sensory to supraglottis
c. Antibiotics followed by modified radical b. Cricothyroid muscle
mastoidectomy c. Both
d. Conservative management d. None

5. Which of the following is NOT a feature of 9. The red arrow marked structure in the image of
tuberculosis of middle ear: middle is:
a. Ear ache
b. Watery discharge
c. Pale granulation
d. Tympanic membrane perforation

6. A child has under gone tonsillectomy surgery. 5 days

later, the child comes for follow up. The following is
the oropharyngeal finding.

a. Corda tympani nerve

b. Tendon of tensor tympani muscle
c. Pyramid
Which of the following is true of this child; d. Tendon of stapedius muscle
a. This is normal finding
b. The tonsillar fossa is infected
10. Which of the following X Ray view is shown in the
image:

a. Peritonsillar abscess
a. water’s view b. Parapharyngeal space abscess
b. Caldwell’s view c. Submandibular space abscess
c. Pierre’s view d. Tonsillar hypertrophy
d. Rhese view
14. A patient has undergone B/L tympanoplasty surgery
11. A patient presented with persistent frontal headache for safe CSOM. In right ear, the graft was placed over
for few months. There is no other significant body of Incus and in left ear the graft was placed over
complaint. CT Scan is shown. Most likely cause of head of stapes. Which of the following is true of this
headache is: patient.
a. Right ear will have better hearing result as
compared left ear
b. Left ear will have better hearing result as
compared right ear
c. Both will have equal hearing result
d. Tympanoplasties are NOT done for safe CSOM

15. Which of the following head and neck carcinoma and

their viral association is NOT true:
a. Oropharyngeal carcinoma- HPV 8 and 16
b. Laryngeal carcinoma – 6 & 11
c. Hypopharyngeal carcinoma - HPV 16 & 18
d. Nasopharyngeal carcinoma - EBV
a. Anterior ethmoidal neuralgia
b. Posterior ethmoidal neuralgia 16. Identify the condition by looking at the image and
c. Frontal sinusitis answer the following question:
d. Pan sinusitis

12. A patient reported of decreased hearing in the right

ear for the last two years. On testing with a 512Hz
tuning fork the Rinne’s test without masking is
negative on the right ear and positive on the left ear.
With the Weber’s test the tone is perceived as louder
in the left ear. Most likely diagnosis?
a. Right conductive hearing loss
b. Right severe sensorineural hearing loss
c. Left severe sensorineural hearing loss a. Rinne’s will be positive
d. Left conductive hearing loss b. Weber’s will lateralize to opposite side
c. Tulio’s phenomena may be present
13. A young adult presented with sever throat pain with d. All are true
muffled voice for 1 day. He was febrile to touch and
the pulse was 100/min. CT Scan was done and is given
below. Which of the following is the most likely
diagnosis:
17. A 2 years old child was brought to emergency with d. All are true
respiratory distress and fever and voice change.
He has fever for 3 days. 21. A fisherman living in a small village in coastal Tamil
Pulse is 102/min Nadu presented with right nasal blockade with bleed.
Fever 102 degrees No discharge, anosmia or halitosis.
RR is 28/min Vitals are stable. Anterior rhinoscopy examination
The child looks cyanotic and anxious. showed a deep red polypoidal mass in right nasal
X-ray of the soft tissue neck showed cavity with white dots on it. Left cavity was normal
compromised/narrowed air space with maximum Rest of the examination was normal. Most likely
narrowing in the subglottic region. diagnosis:
True of this child is: a. Rhinoscleroma
a. The child will be more comfortable in tripod b. Rhinosporidiosis
position c. Nasal carcinoma
b. Cephalosporins are the main drugs d. Ringertz tumour
c. The toxins released from the pathogen are
neurotoxic 22. A new born child has breathing problem. Endoscopic
d. None of the above is true and CT Scan images are shown. Which of the
following is true:
18. A hawker with a roadside shop in a very market
presented with hoarseness of voice. There is no
dyspnea, dysphagia, fever or pain.
No known systemic disease.
Vitals are normal.
Laryngoscopy showed a deep red pedunculated
growth of about 5mm diameter on the anterior part
of left vocal cord. No other significant finding.
True about this patient is:
a. This is singer’s nodule
b. Bleeding profile of the patient should be
checked/investigated
c. Voice rest is the best treatment
d. It is premalignant condition

19. A 35 years old presented with left ear ache. There is

no hearing loss & no other complaint. Otoscopic
a. The child might be having CHARGE syndrome
examination is normal and tuning fork and
b. Immediate MC Govern’s technique is required in
audiometry are normal.
this child
Oropharyngeal examination showed a small growth
c. Immediate Surgical correction is mandatory in
on base of tongue. On palpation there was firm to
this condition
hard & tender growth measuring 2cm in diameter.
d. All are true
Biopsy was taken and send for HPE. Which of the
following is responsible for ear ache in this patient:
23. A 8 years old child was brought with gradual onset of
a. Referred pain by lingual branch of trigeminal
hoarseness of voice. Laryngoscopy image is shown.
nerve.
What is the diagnosis:
b. Referred pain by glossopharyngeal nerve.
c. Referred pain by vagus nerve
d. Referred pain by facial nerve

20. A young lady presented with B/L nasal blockade,

rhinorrhea and hyposmia for few weeks. There is no
epistaxis. No H/O diabetic or hypertension.
Vitals are normal.
Rhinoscopy showed pale polypoidal mass occupying
both nasal cavities with mild discharge. Oral cavity
and oropharynx were normal.
Blood counts showed increased eosinophils. Plain C T a. This is a case of laryngeal carcinoma
Scan showed B/L polypoidal mass with deposits of b. This is vocal cord polyp
hyperdense areas and no evidence of tissue invasion. c. This is vocal cord nodule
True of this condition is: d. This is laryngeal papilloma
a. Most probably fungal sinusitis
b. Steroid is the main drug
c. Recurrence is very common
24. Triad of tinnitus, progressive deafness and vertigo a. This CSOM with gradenigo’s syndrome
along with facial weakness is seen in which among the b. This is CSOM with sigmoid sinus thrombosis
following conditions? c. This CSOM with labyrinthine fistula
a. Meniere's disease d. This is CSOM with labyrinthitis
b. labyrinthitis
c. Acoustic neuroma 29. A glass blower presented with neck swelling. The
d. Otosclerosis image of his radiograph is shown. Most likely
diagnosis:
25. Identify the instrument and answer the following
question:

a. Branchial cyst
a. It is st. clare Thompson curette b. Thyroglossal cyst
b. It cuts the tonsi c. Laryngocele
c. It helps reduce the bleeding during surgery d. None of the above
d. All are true
30. What is the likely diagnosis:
26. Which of the following is true of the image shown?

a. This is Dix Halpike maneuvre

b. This is Epley’s maneuvre
c. This is Optokinetic test
d. None of the above is true

27. Which of the following nerves does NOT enter

through the foremen shown:
a. Dentigerous cyst
b. Mucocele
c. Nasolabial cyst
d. Wart

31. A patient presents with CA involving left false cord,

left arytenoid, and left AE fold but B/L VC mobile. TOC
is:
a. Horizontal hemilaryngectomy
b. Vertical hemilaryngectomy
c. RT and chemotherapy
a. Facial nerve d. Total laryngectomy
b. Wrisberg’s nerve
c. Eight nerve 32. Not true about nasal valve
d. Singular nerve a. It is the narrowest part of nasal cavity
b. Anterior end of the inferior turbinate is one of the
28. A patient has h/o ear discharge with hearing loss for boundaries
few months for which he was taking treatment off c. Lower end of alar cartilage is also a boundary
and on. Now he has vertigo with nausea. On d. Rhinomanometry is used find the narrowest part
examination the patient has nystagmus. Otoscopy of nasal cavity
shows tympanic membrane perforation with red
granulation in middle ear. True of this patient is:
33. A patient reported with hearing loss in right ear. a. Prelingually deafened 20 year male
Audiometry done showed average hearing threshold b. Postlingually deafened 25 year male
in right ear to be 40 dB and in left ear to be 10 dB. c. Prelingually deafened 5 year child
Acoustic reflex was done in the right with 50 dB d. Postlingually deafened 2 year child
sound. Which of the following will be present in this
patient: 42. Youngs operation is done in
a. Acoustic reflex will be seen in right ear a. Atrophic rhinitis
b. Acoustic reflex will be seen in left ear b. Epistaxis
c. Acoustic reflex will be seen in both the ears c. PPH
d. Acoustic reflex will NOT be seen in any ear d. Varicose veins

34. Optic nerve injury following sinus surgery (FESS) is 43. A teacher experiences hoarse voice following a viral
due to removal of which ethmoidal cells? infection. Examination reveals a keyhole glottis. True
a. Haller statement regarding the involved muscles and
b. Agger nasi management is :
c. Onodi cells a. Both thyroarytenoid and interarytenoid with
d. Bullae cells thyroplasty type I
b. Both thyroarytenoid and interarytenoid with
35. Which of the following cells of olfactory epithelium is thyroplasty and arytenoid adduction
affected by covid 19 virus: c. Both thyroarytenoid and interarytenoid and voice
a. Receptor cell rest
b. Supporting cells d. Voice rest and microlaryngeal surgery
c. Basal cells
d. Bowman’s gland 44. A 63 years old gentleman had a lesion on left pinna as
shown In the image. This was extremely painful and
36. During endoscopic dacrocystorhinostomy, the the tenderness was out of proportion to the lesion.
opening in lacrimal sac is made through which of the Most probable diagnosis is?.
following meatus:
a. Supreme meatus
b. Superior meatus
c. Middle meatus
d. Inferior meatus

37. Which of these is NOT a feature of young’s syndrome:

a. Nasal polyps
b. Brochiectesis
c. Situs inversus
d. Azoospermia

38. Which of the following is most structures is likely to

be damaged in le fort I fracture: a. Chondrodermatitis Nodularis Helicis
a. Greater palatine artery b. Perichondritis
b. Sphenopalatine artery c. Basal cell carcinoma
c. Anterior ethmoidal artery d. Preauricular sinus
d. Internal maxillary artery
45. A 10 years old child is brought to the emergency with
39. In a patient who underwent total thyroidectomy. epistaxis and cheek swelling. The most likely diagnosis
Following the surgery, the patient had B/L abductor is:
palsy. Most likely feature of this condition is: a. Foreign body in nose
a. Hoarseness with dyspnea b. Trauma
b. Good voice with dyspnea c. Hypertension
c. Hoarseness with normal breathing d. Juvenile nasopharyngeal angiofibroma
d. None
46. In which of the following procedure is rigid
40. Finding of BERA in vestibular Schwannoma bronchoscopy preferred over flexible bronchoscopy:
a. Increased latency in waves I - III a. Foreign body removal
b. Increase latency in wave I –V b. Biopsy
c. Both c. Diagnosis of bleeding
d. None d. Placement of tamponade for bleeding

41. Which of the following person is at most risk for

ineffective cochlear implant use
47. A 5 yrs old child has fever, dysphagia and dyspnea.
The X-Ray is shown. Which is true of this:

a. This is X ray of soft tissue neck- lateral view

b. The finding is omega shaped epiglottis
c. The child is comfortable in supine position
d. All are true

48. A lady has H/O dysphagia, regurgitation and foul

smell from mouth. She was investigated and the
image is shown. Which of the following is true:
a. This investigation is Barium Follow through.
b. The diagnosis is Zenker’s diverticulum
c. The diverticulum lies between middle constrictor
and inferior constrictor muscles.
d. All are true

49. Identify this instrument and answer the following:

a. This is used for anterior rhinoscopy

b. Cannot be used during septoplasty
c. Always held in right hand by the examiner
d. All are true

50. Which of the following statements about larynx is

correct?
1. Larynx is placed at the level of C3 -C6 vertebra
2. Larynx is placed little higher in males and
children
3. Larynx is formed by 3 unpaired and 3 paired
cartilages
rd
4. Arytenoid cartilage makes posterior 2/3 of
vocal cord
a. Only 1 & 3 is correct
b. 1, 2, 3, 4 is correct
c. Only 2 & 4 is correct
d. All are incorrect