. GOMAL MEDICAL CO) MTT, D.LKHAN MCQs Written Test 4" YEAR MINS (Block-MI “ENT") Date: _August, 2023, Name of Student : Roll No. Please encircle the correct answer with biue/black pen Paper 1D: TIME ALLOWED: 02-HOUR'S TOTAL MARKS: 120 Note: Attempt ALL questions from this section, Select ONE best answer. Each question carries O1 mark Qua: Stapes footplate covers? a) Round window dd) Pyramid ») Oval window e) Facial nerve ©) Sinus tympani QH2:Citell's angle is? a) Solid angle 4) Genu of facial nerve b) Cerebellopontine angle e) second Genu of facial nerve ©) Sinodural angle (QH3: Which of the following statements is true? a) Korner's septum in the mastoid separates squamous cells from the deeper petrosal ce.lls b) Facial recess lies medial to the sinus tympani ¢)Trautmann's triangle forms an important surgical landmark to locate endolymrdhatic sac d) Arcuate eminence is landrnark for latera semicircular canal e) facial nerve is never dehiscent ‘Q#4: During superficial parotidectomy, the most reliable landmark to identify main trunk of facial nerve is? a) Mastoid tip d) Cartilage of external auditory canal b) Styloid process e) great auricular nerve ©) Tympanomastoid suture QHS: Operation of choice for coalescent mastoidttls is? a) Cortical mastoidectomy d) Fenestration operation b) Modified radical mastoidectomy e) ‘combine approach tympanoplasty ©) Radical mastoidectomy QHE: A 38-year-old gentleman reports of decreased hearing in the right ear for the last 2 years. On testing witt a 512-Hz 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 louder in the left ear. The patient most likely has? a) Right conductive hearing loss d) Left condttetive hearing loss b) Right sensorineural hearing loss e) left ear profound hearing loss ©) Left sensorineural hearing loss QH7: Which of the following is not a typical feature of Meniere's disease? a) Sensorineural deafness d)_ Fluctuating deafness b) Pulsatile tinnitus e) aural fullness ) Vertigo QH8: Which of the following is true regarding facial nerve palsy associated with temporal bone fracture? a) Common with longitudinal fracture d) Facial nerve injury is always complete b) Common with transverse fracture e) facial nerve injury is always incomplete ¢) Always associated with CSF otorrhoea Q#9: In right middle ear pathology, Weber's test wtll be? a) Normal d) Lateralised to left side b) Centralised e) bilateral profound hearing loss ¢) _Lateralised to right side QH10: Speech frequencies Include? a) 125250500 Hz d) 1000 2000 3000 Hz b) 250500 1000 Hz e) 4000 -6000 Hz ¢) 500 1000 2000 Hz Q#11: Decreased bone conduction in an audiogram indicates? a) Tympanic membrane perforation d) Damage to cochlea b) Ossicular dislocation e) Wax ©) Ossicular fixation QH12: Aim of mastoid surgery In CSOM which should receive first priority is? a) Making the ear dry b) Improvement in hearing,awa: quia: ams: ani6: aui7: awa: Quz0: waa: r water safe \ fe) making the ea ©) Preservation of hearing ! @) Rendering the ear safe ar ote Treatment of dry traumatic rupture of tympanle memb Ear pack soaked with antibiotl a) a) Antibiotic ear drops b) Myringoplasty Se eam POETS yg yamine tate &} heat teberenoretneneats andapocine gongs c) Contains a bactericidal enzymes e) sometime heus ©) Perforation of pars tensa posterior to handle of malieus Extra cranial complications of CSOM? a) Epidural abscess 4) Subdural Abscess ») Facial nerve palsy e) cerebellar abscess ©) Brain Abscess Which of the following is/are true about cholestea-toma? a) tis a benign tumour 4) Erodes bone b) Metastasises to lymph node e) Malignant potential ©) Contains cholesterol is mediate? ‘Treatment of choice in postauricular abscess as a complication of otitis media - @) Incision and drainage (/ and d) 4) /andd, antibiotics and mastoidectomy b) and D plus antibiotics €) suction and clearance ©) Aspiration and antibiotics " |. AIL 1 con, Year-old boy has been diagnosed to have postero- superlor retraction pocket with cholesteatoma. A\ Constitute part of management except? 2) Audiometry 4) Myringoplasty b) Mastoid exploration €) observation only ©) Tympanoplasty Picket-fence graph of temperature Is seen In? a) Otitichydrocephalous d) Meningitis b) Lateral sinus thrombosis e) mastoiditid ¢) Extradural abscess Gradenlgo's syndrome Is characterised by? a) Retro-orbital pain d) CNX1PALsY b) CNX PaLsy e) facial nerve palsy ©) CNVI palsy QH22: A 10-year-old boy presents with torticolls, a tender swelling behind the angle of mandible and fever. He had history of ear discharge for the past 6 years, Examination of the ear sho Eranulations in the ear canal. Most probable diagnosis is? Qua: Qu2a: Quas: Qw26: a) Acute lymphadenitis secondary to otitis externa 4) Parotitis b) Masked mastoiditis ©) Bezold abscess MRIs the Investigation of choice In all ofthe following complications of CSOM except? a) Extradural abscess 4) Cerebral abscess b) Bezold abscess €) facial nerve palsy ©) Coalescent mastoiditis Hand, foot and mouth disease is caused by which of the following viruses? a) Cytomegalovirus b) HIV infection ©) Coxsackie A virus ‘Which of the following lesion: a) Hypertrophic candidiasis b) Leukoedema ©) Erythroplasia ¢) brain abscess d) Herpes simplex virus e) Ebstein-Barr virus ‘sin the oral cavity has a malignant potential? d) White sponge naevus e) aphthus ulcer a) HIV inte: b) lichen planuse, ¢) Leukaemia 4) Oral candidiasis e) aphthus ulcerf27:_Allof the following are manifestations of leukaemia excent? 4) Pale mucous mermbrane ofthe oral cavity 4) 1b) Gingival hypertrophy °) ©) Subroucous fibrous bands with branching of mucous membrane In aropharyne ral manifestations of HIV inchude all except? a) Oral candidiasis, b) Hairy leutopiakin €} Buccal strive forming a lacing pattern QH29: The most common site of melanoma in the oral cavity is? a) Buccal and labial mucosa b) Base of tongue ©) Oral tongue and floor of mouth #30; Plummer-Vinson syndrome is characterised by all except? ‘nai e) a e) a) Koilonychia a b) Dysphagia @ ©) Atrophic gastritis #31: All are true about pharyngoconjunctival fever except? a) Caused by cytomegalovirus 4) b) Occurs in epidemics a ©) Causes follicular conjunctivit #32: All are true about herpangina except? a) Caused by herpes simplex type 4) b) Common in children e ¢) Causes sore throat and fever (QH33: Taste buds are seen in all of the following papillae except? potechial haemorthages of mucous membrane aphthus leer Recurrent aphthous ulcers aphthus ulcer iard palate and maxillary gingiva gingivolabial sulcus Glossitis Haematemesis Causes acute pharyngitis and fever aphthus ulcer Isa self-limiting infection common in old age Folate tip of the tongue Within tonsit a) Circumvallate <) b) Fungi form e) ¢) Filiform #34: In which of the following locations (spaces), there Is collection of pus In quinsy? a) Peritonsillar space a) b) Parapharyngeal space e) ¢) Retropharyngeal space deep in the palate (QH35: Structures passing between upper border of superior constrictor muscle and base of skull include all except? a) Levator palatini d) Ascending palatine artery b). Tensor tympani e) facial nerve ©) Eustachian tube QW36: For antral wash out Cannula is inserted in? a) Natural ostium of maxillary sinus ) superior meatus b) Middle meatus e) septum ©) Inferior Meatus QH37: Peritonsillar abscess is also known as? a) Retropharyngeal abscess d) Thornwaldt’s abscess b) Tonsillar abscess e) aphthus ulcer ©) Quinsy Q#38: Third molar caries with extension of the lesion towards tonsillar fossa and shift of tonsil reveals which of the following complication? a) Parapharyngeal abscess d) Dental abscess b)_Retropharyngeal abscess e) mastoid abscess ©) Tonsillar abscess QH39: The most common type of acute sinusitis in children is? a) Ethmoiditis d) Frontal sinusitis b) Sphenoiditis, €) unilateral frontal sinusitis ©) Maxillary sinusitis #40: Killiance dehiscence is seen in? 2 Oropharynx ©) Cricopharynx jasopharynx 4) oral cavity ) nasal cavi QH41: For Glue ear the best surgical Treatment is? , mv a Myringotomy 4d) mastoidectomy 9) Mringotomy with grommet insertion e) observation only ¢) Tympanomastoidectomyin HAR: The best treatment for septal hacmator I9? 4) obser 8) Antibiotics and nasal decongestants ce) septopls Needle sspiation ' ©) Incision drainage and pressure dressing tion of lung QWH43: Indications for tracheostomy are all EXCEPT ? 4) Extensive consonda 8) Acute epigiottitis e) icupatient b) Maxillofacial trauma ) Laryngeal malignancy waa: Q#44: Most common complication of Tracheostomy is? pneumonia e) death a) Stenosis a failure ») Infection 4) Respieatory £2 HAS: Collar stud abscess is seen in? i ss is seen in its a) Progenie cervical abscess, 8) Toe eas b) Peritonsittar abscess 2) jeu lete ©). Retropharyngeal abscess oped sudden com Qia6: A tracheostomised patient, with portex tracheostomy tube, in the ward eae ment blockage of the tube. Which of the following is best next step in the manage! ero a) Immediate removal of the tracheostomy ¢)_ Suction of tube w! eae d) Jet ventilation 'b) Suction of tube with sodium bicarbonate e) observation only reatment Qw47: After a long-standing tracheostomy patient developed almost complete stenos is of trachea, t is? i a) Tracheal dilation 4) Removal ofstenased part with anastomosi b) Laser with stent ) observation only c) Surgery #48: White ora lesions are seen in EXCEPT: a) Leukoplakia 4) Candtasise b) Keratosis )emay be early carcinoma ©) Addison’s disease QHa9: All of the following cause a grey-white membrane in the throat EXCEPT? a) Streptococcal tonsilltis d) aphthus ulcer b) Diphtheria e) may be early carcinoma ©) Ludwig's angina #50: True statement about faucial diphtheria is? a) Pearly white membrane ©) Membrane can be removed easily b) Bleeding occurs if the membrane is tried to ) never dangerous remove e) never contagious QHS1: Steeple sign on x-ray is seen in? a) Croup d) mastoid abscess b) Acute epigiottitis e) larynx carcinoma ¢)_Laryngomalacia Which of the following statement is true for Ludwig’s angina? a) Itis an ischemic, painful condition of Pectoralis minor muscle b) tis diffuse cellulitis affecting the floor of the mouth ©) Glycerin nitrate, local application is quite helpful d) None of the above e) never dangerous QHS3: The antibiotic of choice in acute epiglottitis pending culture sensitivity report is? a) Erythromycin dd) Ampicillin b) Rolitetracycline e) ciprofloxaci ©) Doxycycline Q#54: Which of the following structures are preserved in radical neck dissection? a) Vagus nerve d) Sternocleidomastoid muscle b) Accessory Nerve e) lymph nodes ¢)_ Internal jugular vein QHS55: What is the correct sequence of the following while resuscitating an infant with Foreign Body Airway Obstruction? © Chest thrust © Tongue-jaw lift + Back blows Select the correct sequence form the codes given below Codes: a) 13,2 o) 312 b) 3,21 d) 213 23,1 aus2:Sele ere ented with 8 3.5 cms site Hmph node enlargement, which was hard and presented in submandibular elon, Examination of the head and neck did not veld any lesion, the nest investigation to Be gone? a) xR 4) Laryngoscopy b) Triple endoscopy ¢) nasal endoscopy ony €)_Supravital staining of oral mucosa Q#57: Submandibular space infection is known as: a) Ludwig's angina 4) aphthus ulcer b) Vincent's angina ©) angina ©) Parapharyngeal abscess QHSB:_Most common tumor to produce metastasis to cervical lymph Nodes Is? a) Glottic Carcinoma d) Carcinoma lip b)_ Nasopharyngeal carcinoma fe) parotid carcinoma ¢) Carcinoma Base of tongue #59: Investigation of choice or nasopharyngeal angloibroma is? a) wl 3) Anglography b) CECT e) XRAY ¢) Helical CT cor QH60: Causes of posterior soft tissue nasopharyngeal mass include all EXC! a) Plasmacytoma phanynes d) Aneurysm of the carotid artery, )-Choanal atresia ®) Chordoma ©) Thornwatdt's Cyst #61: Most common bacteria involved in CSOM is: 3) Hinfluenzae @) staph aureus b) Moraxella catarrhallis @) strep aureus, ©) Pseudomonas aeruginosa QW62:_ Regarding AC Polyp all are false except? 2) Arises from lateral wall of maxillary sinus 4 b) Can become malignant ) ©). Antral wash out is the treatment of choice QH63: Mandibular nerve supplies? Give good Response - local sterolds & antibiotics surgery Is never the treatment a) Tensor palati 4d) None of the above b) Tensor tympani e) facial nerve ©) Both QH64: Most frequent site of branchial cyst is at? a) Upper third of posterior border of sternocleidomastoid 6) Lower third of anterior border of sternocleidomastoid )_ Upper third of anteromedial border of sternocleidomastoid 4d) Supraciavicular fossa e) in front of trachea ‘QHES: Which statement is correct in case of traumatic tympanic membrane perforation? a) Give local antibiotics ¢)_ Keep the ear dry 4) Do myringoplasty for repair of perforation d) Avoid loud noise immediately e) never do myringoplasty USE: Female presented with bleeding from ear, pain, tinnitus and increasing deafness, Examination revealed red swelling/mass behind the intact tympanic membrane that blanches on pressure with pneumatic speculum. What is diagnosis? a) Acute otitis media d) Otosclerosis b) Glomus tumour e) facial nerve palsy ©) Secretory otitis media QH67: Which of the following Is the most beneficial technique of using chemotherapy with a course of radiotherapy in head and neck malignancies? a) Neo adjuvant chemotherapy a) Alternating chemotherapy and radiotherapy b) Adjuvant chemotherapy ©) Chemotherapy before radiotherapy ©) Concurrent chemotherapy (QH6B: Which implant is used in nasopharyngeal carcinoma? a) Caesium d) Iridium, b) 1-132 e) gold 99 ©) Gold (QH69: A male aged 60 years has foul breath; he regurgitates food that is eaten 3 days ago. Likely diagnosis is? a) Zenker’s diverticulum d) Achalasia cardia b) Mecke'’s diverticulum e) esophageal carcinoma ©) Sclerodermaabdomina! pressure creasing av #70: Lower esophageal sphincter? ey Ranes on meron me ataltic wave 8) Has no tonic activity 4) elaxes ahead . b) Mas a tone which Is provided by the ce) is always Felner se first investigation you tiquids than soll sympathetic system ore to Q#72: A young patient presents with history of dysphagla mor sel manag a) cTchest 2). Barium swallow Mal b) Esophagoscopy 2 ¢} laryngoscopy a in? W72: “Rat-tail” appearance on barlum swallow examination is seen rageal spasm a) Achalasia cardia b) Carcinoma esophagus ¢) Hiatus hernia Regarding vocal cord nodule all are true except? 8) Occurs at posterior 1/3rd b) Occurs at junction of ant 1/3" and post 2/3" Dysphagia lusoria is due to? a) Esophageal diverticulum b) Aneurysm of aorta ©) Esophageal web Barrett's oesophagus is? 2) Lower oesophagus lined by columnar epithelium. 'b) Upper oesophagus lined by columnar epithelium €) Lower esophagus lined by ciliated epithelium 4d) Lower esophagus lined by pseudostratified epithel fe) means esophagitis ‘The toughest layer of the esophagus is the? a) Mucosa b) Submucosa c) Muscularis qu73: qn7s: aw76: Qu77: a) Upper third b) Middle third ¢) Lower third ‘d) Diffuse esoP! e) esophagitis «é and an 1/3 occurs at junction of ant 2/3 and always premalignant always observe ¢) 4) e) rant compression of esophagus by abe blood vessel ‘esophagitis a) e) ium 4) Adventitia e) allof the above ‘Most common site for squamous cell Carcinoma esophagus is? d) Gastro esophageal junction e) Whole of esophagus #78: A male aged 60 years has foul breath; He regurgitates food that is eaten 3 days ago a gurgling sound often heard on swallowing: Likely diagnosis is? a) Zenkers diverticulum b) Meckels diverticulum ©) Scleroderma d) Achalasia cardia e) esophagitis Q#79: All are true regarding Plummer Vinson syndrome, except? a) Oesophageal web b) Predisposes to malignancy ©) Koilonychia Q#80: The following are predisposing factors for Esophageal a) Plummer-Vinson syndrome b) Tylosis palmaris d) Common in elderly males e) seen in esophagitis carcinoma except? ©) Chronic Achalasia d) Benzene therapy e( alcohol QH#81: The commonest side effect of cisplatinum in a patient using it for esophageal carcinoma is? a) Acute tubular necrosis b) Thrombocytopenia c) Hepatic failure are: a) 10cm from the incisor teeth b) 15cm from the incisor teeth ¢)_ 25cm from the incisor teeth (Q#83: The hypopharynx includes all the following EXCEPT? a) Pyriform fossa b) Epigiottis ¢)_ Post cricoid region Merciful anosmia is seen in? a) Atrophic rhinitis b) Allergic rhinitis ¢)_ Ethmoidal polyposis nga: d) Cardiomyopathy e) esophagi Constrictions normally present in esophagus are all EXCEPT? 4) 40cm from the incisor teeth e) 39-40 cm from the incisor teeth d) POSTERIOR Pharyngeal wall e) tip of epiglottis d) Wegener's granulomatosis €) chronic rhinitis* Acoustic neuroma most commonly arises from? a) Nervous intermedius d) facial nerve b) vestibular nerve e) cranial nerve seven ¢) mandibular nerve Q#86: The surgical procedure ci urrently recommended fo a) Functional endoscopic sinus surgery b) Caldwel-tucs procedure ©) Sinoscopy QH87: Which surgery is com a) Myringotomy 5) Myringoplasty ©) Modified radical mastoidectomy QH8B: Staphylococcus causes? aad a) Acute otitis media : b) Acute sinusitis eeow ¢) Nasal vestibulitis QuH89: ee not indicated in?. @) Bilateral vocal cord paralysis b) Foreign body in respiratory tract 8) tracheoma c) Laryngeal cancer producing stridor | Q#90: The most frequent congenital laryngeal lesion is? a) laryngomalacia b) subglottic hemangioma c) congenital subglottic stenosis d) laryngeal web e) tracheomalacia F ethmoidal polyposis is? d) Antral lavage e) septoplasty monly performed for unsafe CSOM? 4d) None of the above e) tympanoplasty