Professional Documents
Culture Documents
2. A 55 year old man is diagnosed with carcinoma limited to the hypopharynx. Which of
the following sites will not be involved?
A] Posterior pharyngeal wall
B] Epiglottis
C] Pyriform sinus
D ] Post-cricoid region
3. Which of the following is not a part of MALT [mucosal associated lymphoid tissue]
structure?
A] Tonsil
B] Adenoids
C] Retropharyngeal lymph nodes
D] Posterior pharyngeal nodules
4. You are performing posterior rhinoscopy procedure on a patient. Where will you
locate the pharyngeal opening of the eustachian tube?
A] 2.25cm behind posterior end of the inferior turbinate
B] 1.25cm behind posterior end of the inferior turbinate
C] 2.25cm behind posterior end of the middle turbinate
D] 1.25cm behind posterior end of the middle turbinate
5. You are observing a tissue sample from the nasopharynx through an electon
microscope. Which of the following epithelium will you see?
A] Squamous epithelium
B] Cuboidal epithelium
C] Pseudostratified ciliated columnar epithelium
D] Transitional epithelium
6. Which of the following is the most common site for nasopharyngeal carcinoma?
A] Sinus of Morgagni
B] Passavant’s ridge
C] Fossa of Rosenmuller
D] Rathke’s pouch
10. An 8 year old boy diagnosed with adenoid hypertrophy has undergone an
adenoidectomy procedure. following the procedure. He developed grisel syndrome.
What is the reason for this condition?
A] Damage to upper incisors
B] Temporomandibular joint dislocation
C] Atlantoaxial joint subluxation
D] Damage to lower incisors
11. A school going child presents with a history of recurrent upper respiratory tract
infection, mouth breathing and impaired hearing. On examination ,a high arched palate
is noted. What is the management of this condition?
A] Tonsillectomy
B]Adenoidectomy
C] Adenoidectomy with grommet insertion
D] Myringotomy with grommet insertion
12. A 6 year old child has been posted for an adenoidectomy procedure. Which of the
following conditions if present in this child will be a contraindication to perform the
surgery?
A] Large adenoids
B] Large tonsils
C] Cleft lip
D] Cleft palate
14. A 5 year old child is brought by his mother to the ent opd with frequent upper
respiratory tract infections. His mother gives a history of loud snoring at night and
posterior rhinoscopy examination shows enlarged adenoids. Which of the following will
you not advise in the management of this patient?
A] Decongestants
B] Antihistaminics
C] Adenoidectomy
D] Beta 2 agonists
17. Which of the following is the main arterial supply of palatine tonsils?
A] Tonsillar branch of the facial artery
B] Descending palatine branch of maxillary artery
C] Buccal branch of maxillary artery
D] Ascending palatine branch of facial artery
18. Which of the following nerve is responsible for referred otalgia from tonsillitis?
A] Glossopharyngeal nerve
B] Facial nerve
C] Trigeminal nerve
D] Vagus nerve
20. Which of the following complication would you not expect to see in a patient
diagnosed with diphtheria?
A] Myocarditis
B] Arrhythmias
C]Airway obstruction
D] Hard palate paralysis
21. Which of the following cases cannot be posted for an elective tonsillectomy?
A] A 7 year old child with acute tonsillitis
B] A young adult with chronic tonsillitis refractory to treatment
C] A patient with unilateral enlargement of tonsil with suspected malignancy
D] A middle aged man with recurrent quinsy
23. A patient develops bleeding from the surgical site five hours after an elective
tonsillectomy. Which among the following would best describe the condition?
A] Primary haemorrhage
B] Secondary haemorrhage
C] Reactionary haemorrhage
D] Tertiary haemorrhage
24. Which of the following disorders is unlikely to cause chronic laryngitis (Laryngitis
that lasts longer than 3 weeks)?
A] Chronic bronchitis
B] Frequent vomiting
C] Bacterial infection of the larynx
D] Gastroesophageal reflux disease [GERD]
SECTION – B
25. The common surgical procedure done for snoring and OSA is ____
Ans - uvulopalatoplasty (UPP)
SECTION-C
1. Mucous cyst is most commonly seen in
A] Tonsillar fossa
B] Epiglottis
C] Base of tongue
D] Vallecula
25. Killian’s dehiscence is a weak area between two parts of ________ muscle
Ans - Inferior constrictor muscle
SECTION-D
2. Which of the following does not come under the management of contact granuloma ?
A] Antireflux therapy
B] Speech therapy
C] Microlayngeal surgery
D] Radiotherapy
8. Which of the following factors are considered in the treatment options for cancer
larynx ?
A] Status of cervical lymph node
B] Mobility of the cord
C] Age of patient
D] All of the above
10. In TNM staging of ca larynx – glottis, tumor involving both vocal cords comes under
-----
Ans - Stage – T1b
11. All muscles that move the vocal cord are supplied by recurrent laryngeal nerve
except
A] Posterior cricoaretynoid
B] Lateral cricoaretynoid
C] Cricothyroid
D] Thyroaretynoid
12. What is/are the causes of laryngeal paralysis ?
A] Supranuclear
B] Nuclear
C] High vagal lesions
D] All of the above
15. In bilateral abductor paralysis , the vocal cord lies in which position ?
A] Cadaveric
B] Paramedian
C] Gentle abduction
D] Full abduction
19. The left recurrent laryngeal nerve arises from vagus and loops around ------- then
ascends into tracheo – esophageal groove
Ans – Arch of aorta
20. For the production of normal voice, vocal cords should be able to
A] Approximate properly with each other
B] Have proper size and stiffness
C] Have the ability to vibrate regularly in response to air column
D] All of the above
21. Which of the following is not true regarding evaluation of hoarsensss of voice?
A] Many local laryngeal causes can be diagnosed by indirect laryngoscopy
B] Many hoarseness persisting more than 4 weeks deserves examination of larynx
C] Loss of approximation of cord may be seen in vocal cord paralysis or fixation
D] Size of the cord may increase in edema of the cord.
24. All of the following are true regarding abductor dysphonia except :
A] It is due to spasm of cricothyroid muscle
B] Patient has a breathy voice
C] Symptoms aggravated during periods of stress
D] Treatment consists of injection of botulinum toxin
27. The muscles that act as tensor of vocal cord are ----- and ------
Ans - Cricothyroid, Vocalis
29. In phonoasthenia , elliptical space is formed between the cords due to weakness of
------ muscle
Ans – Thyroarytenoid
SECTION-E
25. Laryngeal fractures are common after ……. yrs of age because of ………… of laryngeal
framework
Ans - 40, calcification
SECTION-F
2. What is the most common age group for patients undergoing tonsillectomy ?
A] Infants
B] School- age children
C] Teenagers
D] Adults
8. Most common incision on nasal mucosa , done cephalis to caudal end of septum
………..
Ans - Killian’s incision
11. HIV can lead to compromised immune function, which may make individuals more
susceptible to ent infections, including
A] Improved resistance to bacterial infections
B] Chronic ear infections
C] Enhance the sense of smell
D] Decreased risk of tonsillitis
13. Which age group is more prone for laryngeal foreign bodies?
A] Infants and young children
B] Adolescents
C] Adults
D] Elderly individuals
16. What is the diagnostic tool often used to visualize and locate a foreign body in the
esophagus?
A] echocardiogram
B] Chest X-ray
C] X-ray barium swallow
D] Ultrasound
19. Monoclonal antibody which is used as targeted chemotherapy along with radiation?
A] Eculizumab
B] Trastuzumab
C] Cetuximab
D] Iinfliximab
20. Antioxidants used as radioprotectors except …….
A] Ascorbic acid
B] Retinol
C] Tocopherol
D] Calciferol