Block M KGMC

1. Stridor of child which increases on crying, epiglottis is omega shapes, short aryepiglottic folds:
a. Laryngeal web
b. Laryngeal stenosis
c. Laryngomalacia

2. A 24 years old female presented with short episode of vertigo, aural fullness:
a. Benign paroxysmal positional vertigo
b. Meniere’s disease
c. Labrynthitis

3. Painful swallowing fever not opening mouth edema of uvula and palate, the uvula is pushed to
one side:
a. Quinsy
b. Parapharyngeal abscess
c. Retropharyngeal abscess

4. Common site of tb in larynx:

a. Anterior part of vocal cord
b. Posterior part of vocal cord
c. Anterior commissure

5. A child present with sudden onset of distress cyanosis and now he is using accessory muscles of
respiration:
a. Foreign body
b. Croup
c. Epiglottitis

6. Fever, sore throat, saliva dribbling from mouth, trismus, uvula pushed medially no response to
antibiotics next what will you do
a. Radiotherapy
b. Incision and drainage
c. Anti diptheric toxin
d. Broad spectrum antibiotics

7. A patient presented with intense itching and discomfort in external ear, a white mass is seen in
external canal like filter paper:
 a. Cholestetoma
b. Malignancy
c. Otomycosis
d. Foreign body

8. Rt ear discharge severe earache for the last 8 days, cannot close right eye mouth deviated to left
on smiling it is due to complication of:
a. Malignant otitis externa

9. Which one of the following is not complication of malignant otitis externa:

a. Facial nerve paralysis
b. Metastasize to adjacent structures
c. Intracranial complications
d. External auditory canal stenosis
e. Extracranial absecess

10. A 60 years old man presented with right sides nasal obstruction and fullness, on examination
lymph node in posterior triangle of the are palpable, the tumor which metastize to these lymph
nodes:
a. Palate
b. Buccal mucosa
c. Paranasal sinuses
d. Nasopharynx
e. Glottis

11. A man presented with severe itching and blockage in left ear, has history of swimming:
a. Fungal infection
b. Otitis media
c. Malignant otitis externa

12. A child presented with stridor but no stridor, he is febrile and his cry is muffled. The most likely
diagnosis is:
a. Acute epiglottitis
13. A young man who is trumpet blower presented with a sweeling in the neck which is reducible
increase on coughing and Valsalva:
a. Thyroglossal cyst
b. Laryngocele
c. Thyroid nodule
d. Laryngeal papilloma
e. Vocal cord palsy

14. a patient presented with the painful and intermittent swelling in the left submandibular slivary
gland especially with food:
a. sialometaplasia
b. sialoadenosis
c. sialolithiasis
d. sialoectasis

15. a person who is presented with severe excruciating pain in left ear he is diagnosed with
malignant otitis externa. The most common treatment is;
a. analgesics and antibiotics
b. antibiotics and aural toilet
c. antibiotics only
d. analgesics only

16. A patient presented with the vesicle on right tympanic membrane and right sided facial palsy
the most likely diagnosis:
a. Herpes zoster oticus
b. Otitis externa hemorhgica
c. Bells pals

17. A patient presented with the bilateral mild conductive hearing loss, pta shows a dip at 2000 Hz:
a. Otosclerosis
b. Presbycusis
c. Meniere disease

18. A patient presented severe attack of pain in right ear with blockage for 8 weeks, the most
common organism for causing this:
 a. Staphylococcus aureus

19. A patient presented with painful swelling at the tip of nose and fever for the last 2 days nasal
vestibule is tender and erythematous. He is diagnosed with frunculosis. The organism causing:
a. Staphylococcus aureus

20. A patient presented with unilateral discharge from the nose for the last 6 months that increases
on bending the head forward. He has a history of trauma to rule out csf rhinorrhea which
investigation you will perform among following:
a. Lumbar puncture
b. MRI
c. CT scan
d. Blood pressure

21. Right vocal cord in cadaveric position, which nerve is involved:

a. Right recurrent laryngeal nerve

22. The most common sinus for osteoma:

Frontal sinus

23. A patient presented with painful swelling in submental and submandibular area after tooth
extraction:
a. Ludwigs angina

24. Most common thyroid tumor in children is:

a. Papillary carcinoma

25. A 40 years old presented with left side facial weakness and vesicles for the last 2 days, he is
diagnosed with Ramsay hunt syndrome, which ganglion is involved:
a. Scarpas
b. Geniculate
c. Spiral
d. cervical
e. stellate

26. a 20 years old is suffering from rhinitis and nasal obstruction for which he is using nasal sprays
which causes rhinitis medicomentosa:
xylometazoline

27. a 4 years old boy presented with bleeding and foul smelling discharge from right side of nose
and purulent nasal discharge for the last 2 days:
a. foreign body
 b. rhinolith
c. right maxillary sinusitis
d. septal deviation
e. hematoma
28. superior laryngeal nerve innervates:
a. posterior cricoaretynoid
b. cricothyroid
c. lateral cricoaretenoid

29. a 60 years old male presented with recurrent epistaxis for the last 1 month. A reddish mass was
found on examination. He was diagnosed with squamous cell carcinoma the most common sinus
that is involved by this:
a. maxillary
b. frontal
c. sphenoid
30. a patient presented with pain in left ear associated with fever hearing loss in affected ear and
tympanic membrane shows pulsatile otorrhea:
a. acute mastoditis
b. csf otorrhea
c. glomus tumor
d. fistula

31. a 60 years old diagnosed with squamous cell carcinoma T4N0M0 best treatment:
a. radiotherapy
b. chemotherapy
c. total laryngectomy

32. an adult man presented with nasal obstruction and conductive hearing loss of same side, swabs
were positive for EBV the ,most likely diagnosis is;
a. angiofibroam
b. nasopharyngeal carcinoma

33. a 25 years old presented with bleeding from oral cavity on examination a soft smooth reddish to
purple mass on anterior dorsum of tongue that bleeds on touch:
a. hemangioma
b. pyogenic granuloma
c. papilloma
d. granular cell neuroblastoma
e. fibroepithelial polyp
34. In fluorescein angiography blue light the wavelength is:
a. 430nm
35. A diabetic patient who has proliferative retinopathy which laser is used for treatment:
a. Argon based photocoagulation

36. IOP is measured by:

Tonometry

37. Lens power is measured by:

a. Keratometry
b. B scan
c. Biometry
d. A scan

38. A 4 months old boy presented with watering of eye since birth he is diagnosed with congenital
nasolacrimal duct obstruction the best treatment is
a. Massage
b. DCR
c. probing
39. a person is presented with dryness of eye scrimmer test is performed. The value which shows
dryness:
a. <5 mm of wetting
40. A person diagnosed with anterior blephritis the common organism for this
a. Staphylococcus aureus
41. Hypermetropia is corrected by:
a. Concave lens
b. Convex lens
c. Cylindrical lens

42. A state of the eye in which image is formed on the eye while the accommodation is relaxed is
called
a. Emmetropia
b. Hypermetropia
c. Astigmatism
d. myopia

43. a diebetic patient should be referred to the ophthalmologists:

a. after 5 years of diagnosis
b. immediately after diagnosis
c. after 1 year
d. after 2 years
44. a 50 years old female having anorexia nervosa. She is vitamin a deficient presented with dry eye.
Which layer of tear film is affectedin this condition:
a mucous layer
b. aqueous
c. lipid

45. a 3 years old child came to eye department with deviation of right eye upon examination no
abnormal head posture. Extraocular movemnts were normal his eyes were deviated inwards this
condition is called as:
a. esotropia
b. b exotropia
c. esophoria
d. exophoria

46. a 58 years old female presented to eye opd with sudden loss of vision in right eye and has jaw
claudication, her vision in right eye is 5/60 and RAPD present in right eye, on funduscopic disc
was swollen, her ESR was raised, and pulsations of temporal artery were absent:
giant cell arteritis

47. a 40 years old lady came with diplois and ptosis that gers worsed in the evening what is the
diagnosis
a. myasthenia gravis

48. 80 years old male presented with defective central vision for the last 5 years he is hypertensive
diabetic for the last 3 years. On fundal examination bilateral pseudo drusens and sub retinal
exudates were present, chorioretinal scarring centered at the fovea hios vision is 3/60 in both
eyes Dx is
a. Age related macular degenration

49. 72 years male who is smoker hypertensive for the last 5 years presented with sudden painless
loss visison having visison of light perception only in right eye since yesterday. Left eye is normal
 with 6/6 visiosn. Fundus shows attenuation of arteries and veins with segmentation of blood
and ground glass retina with cherry red spot what is the diagnosis
a. Cental retinal atery occlusion
50. A 65 years old hypertensive lady decrease vision in left eye for the 10 days visual acuity in right
eye is 6/6 and in left eye is 6/36. Fundus examination shows scattered hemorrhages tortous
vessels and retinal edema. She is diagnosed with CRVO. Which of the following investigation you
will perform before treatment:
a. OCT
b. FFa
51. A 65 years old lady hypertensive with decrease vision in left eye having 6/36 vision in left eye
and 6/6 in right eye. Fundus examination shows diffuse hemorrahges , tortourous vessels,
retinal edema, cup/disc ratio 0.8 diagnosis is CRVO best treatment for edema is:
a. Anti VEGF (avastin)

52. A 65 years old lady had cataract surgery 3 days back. Now she has decreased visual acuity with
counting finger, conjunctive congested, hypopyon in anterior chamber. Dx is
a. endophthlamitis

53. a person undergone trauma to the eye, after some days which he has hypopyon in the anterior
segment this hupopyon is due to:
a. pus in anterior chamber
b. blood in anterior chamber
c. foreign body

54. a 77 yeas old lady presented with pin, redness and decreased vision in left eye deteriotaion of
vision for several years. Her conjunctiva is congested, corneal edema, shallow anterior chamber
having flare and red cells and dense cataract her IOP was raised and 60 mm hg in left eye and 18
mmhg in right eye. What is the diagnosis:
a. phacomorphic glaucoma
b. phacolytic glaucoma
c. phacoantigenic glaucoam
55. a 70 years diabetic hypertensive presented with acute loss of vision for the last 20 dayes. She
has non proliferative diabetic retinoapathy in right eye. RAPD positive in left eye. Left eye shows
diffuse scattered retinal hemorrhages involving all the 4 quadrtants, cotton wool spots at
posteriorpole retinal vessels torturous and engorged with diffue retinal edema and blurring of
disc margin Dx is:
a. Dibteic retinpathy
b. CRVO
 c. CRAO
d. BRVO
56. A person was presented with hearing loss tinnitus difficulty is walking and noticed voice change,
he is unabke to close the left eye:
a. Acoustic neuroma
b. Meningioma
c. labrinthistis
57. central oil droplet cataract is preent in:
a. glactosemia
58. best treatment for postoperative enophthlamitis:
a. local antibiotics
b. systemic antibiotics
c. intravitreal antibiotics
d. subconjunctival
59. most adopted procedure for the cataract extraction in the developed countries is;
a. phacoemulsification
b. femto

60. a person was presented to opd, b scan shows a dome shaped mass on the uvea diagnosis is:
a. melanoma
b. retinoblastoma
c. choroid hematoma
61. a person presented with trauma to the eye due to wood (tree branch), hi seye shows hypopyon
white discoloration. DX is
a. endophthalmitis
b. fungal keratitis
c. corneal ulcer
62. mutton fat KPs were present in the cornea, granulomatous inflammation, QuantiFERON-Gold
test was positive no other remarkable finding on examination. DX
a. tuberculous uveitis
b. syphilitic uvetitis
c. sarcodiaiosis

63. a person was presented having Fine keratic precipitates, mild color changes in iris and posterior
synachea and sub capsular lens oapcities:
a. Bechet disease
b. Anlylosing spondylitis
c. Fuschs uveitis
64. A 3 month baby presented with capillary hemangioma near eye what is the best treatment:
a. oral propanalol
 b. Steroid injection in the hemangioma
c. Surgical excission

65. A tear films has how many layers:

a. 3 layers
66. A person was presented with preseptal cellulitis which antibiotics will be given:
(ans not remisbered)

67. Location of chronic dacrocystitis

a. Anterior to medial palpebral ligament
b. Medial to medial palpebral lihgament
c. Lateral to medial palpebral ligament
d. Inferior to medial palpebral ligament
68. A 6 month old child presented with congenital NLD obstruction what is the best treatment:
a. Probing
b. DCR
c. message
69. a 5o years old presented with decrease in vision in left eye, with raised IOP of 60mm Hg. Hpow
we can look to the anterior chamber angle:
a. gonioscopy
b. OCT
c. Pachymetry
70. Whole glaucoma scnerio ………. How we will look for the structural damage to peripapillary optic
nerve best:
OCT
71. Glaucoma scnerio………………………….functional status of the optic nerve is checked by:
a. perimetry
72. first line anti glaucoma drug is:
a. prostaglandins

74. retinoscopy is done for:

a. retinal examination

b. refractive errors

c. retina and vitrous

75. 3 month old child presented with watering in left eye which test you will perfrom first:

a. lacrimal regurghitation
76. a patient was asthmatic he is now diagnosed with glaucoma which drug is containdictaed in this
case:

A. Beta Blockers

77. a person was presented with bilateral anterior uveitis and has limping in the morning and also knee
joint pain. The diagnosis is:

Juvenile idiopathic arthritis

78. a person presented has a history of migraine, now presented with loss of vision angle is open his IOP
is normal:

Normal tension Glaucoama

79. a person presented with decrease vision in left eye he is not having any significant past history of
systemic illness his IPO is raised in left eye;

a. primary open angle glaucoma

80. a person has undergone thyroid surgery now presented with hoarsness of voice which nerve is most
likely to be damsged during this:

a. superior laryngeal nerve’

b. recurrent laryngeal nerve

81. a person has tonsillitis he is feeling earache also this pain is due to:

a. glossophyngeal nerve

b. vagus

c. trigemminal

82. criteria for blindeness is:

a. visual acuity of 30/60 and 20 degree loss of central vision

83. most common site for tumor of tongue is:

Lateral side

84. the pharyngeal space extends from skull base upto:

a. cricoid

b. hyoid bone
angle of jaw

85. a bus driver presented with sudden vertigo last for very little time:

BPPV

86. in diabetic retinopathy the most common cause of new vessel formation is:

a. retinal ischemia

87. the causative agent for laryngotarcheobronchitis si:

A para influenza virus type 1 and 2

88. the most common agent for acute epiglottitis is:

a. H influenza

89. a child presented with history of sore throat he is unalble to lay down has muffled voice diagnosis is:

a. acute laryngitis

b. tracheobronchitis

c. acute epiglottitis

90. a person is taking a drug which causes optic disc temporal pallor mass which drug is responsible for
it:

a. ethambutal

91. a person is presented with acute suparative parotitis the common route of infection is:

A. stensons duct

92. the most common organism for acute follicular tonsillitis is:

a. group a hemolytic streptococcus

93. a person presented with recurrent nose bleeding deptal perforation and crusting whichof the
following is not the cause of septal perforation

a. SMR

b. Upper respiratory tract infection

‘c. septal necrosisis

94. a person presented with sudden painless loss of vision retina is not visible investigation of choice is
a. B scan

b. fundoscopy

c. OCT

95. a 15 year old boy presented with subluxation of lens he has long stature and also suffering from
cardiac anamolies:

a. Marfan syndrome

96. a 25 years old female presented with foul smell discharge hearing loss and marginal perforation
what radiological examination you would advise:

A. CT temporal bone

B MRI

C X ray

D CT angiography

97. treatment of choice for the antrochoanl polyp:

a. culdwell luc operation

b. transmaxillary approach

c. endoscopic sinus surgery

98. a 7 years old boy came to ENT opd with recurrent epistaxis which investigation you will do to exclude
angiofibroma:

a. CT of PNS

99. which test is used to diagnose BPPV:

a. dix hall pike maneuver

100. a person was presented with whitish discharge from nose that increased on n=bending forward
which test you will perfrom to exclude CSF rhionorrhea:

a. B transferrin

b. Glucose test

101. wax is composed of:

a. secretion of pilosceabcoeos ceruminous glands, desquamated epithelial cells, dust particles

102. a person presented with tympanic membrane perforation in the posteriosuoperior quadrant, with
mucopurulent discharge and hearing loss:

a. CSOM squamosal type

b. csom mucosal type

103. a child presented with dcrease hearing in left ear a white mass can be seen with intact tympanic
membrane dx is;

a. congental cholestotoma

b. glomus tumor

c. otomycosis

104. the lymphatic drainage of tonsil is

a. level 2 lymph nodes

105. a person presented with mobile superficial mass in right parotid gland, pleomorphic adenoma
treatment is:

a. superficial parotidectomy

b. deep parotidectomy

107. vocal cords in paramedian position which nerve is involved:

a. recurrent laryngeal nerve

107. a person was presented with astigmatism and has scissor reflex on retinoscopy:

a. keratoconus

108. a child was presented with leukocoria and b scan shows retinal detachment and calcification dx is

a. retinoblastoma

109. treatmentof posterior capsular opacification:

A . Nd:Yag laser

110. dendritic ulcer is caused by

a. HSV
111. a person was presented with mouth ulcers and has KPS what is diagnosis

a. bachet disease

Rheumatoid arthritis

Ankylosing spondulyisis

112 the most common cause of endophthalmitis is:

a. Gram Positive
b. B Gram Negative

114. a child presented with snoring at night sleep apnea m,ost common cause of this condition is

a. Hypertrophy of adenoids

115. a teacher was presented with hoarseness of voice and fatigue:

Vocal cord nodules

Vocal cord polyps

Vocal cord cancer

116. Juvenile papillomatosis is associated with:

HPV 2

117. a person has undergone a nasal surgery after which his nasal tip is depressed this is due to:

a. SMR

b. Septoplast

c. Turbinectomy

118. A person presented with a mass in front of ear which is mobile firm not involved the facial nerve:

a. Pleomorphic adenoma