Clinical Qs

1. A 25 yr female who is 10 wks pregnant presents with clear rhinorrhea & nasal congestion for the
last 2 wks , after thorough history & examination a diagnosis of rhinitis of pregnancy is made,
she is interested in a topical nasal spray but is concerned about the side effects and harm to
developing fetus, which of the following intranasal steroids is only class B & can be offered to
this patient
a. Beclomethasone
b. Budesonide
c. Fluticasone
d. Mometasone
e. Triamcinolone
2. A 53 yr lady presents with several months history of non-tender slowly enlarging neck mass, she
doesn’t report other symptoms, imaging revels suspected carotid paraganglioma what would
expect to see
a. Displacement of ICA anteriorly & medially
b. Displacement of ICA & ECA anteriorly
c. Displacement of ICA & ECA posteriorly
d. Displacement of ICA & ECA medially
e. Displacement of ICA & ECA laterally
3. Most non-syndromic hearing loss is
a. X-linked recessive
b. X-linked dominant
c. Autosomal recessive
d. Autosomal dominant
e. Mitochondrial
4. Facial nerve dysfunction characterized by an obvious, but not disfiguring, difference between
the two sides, complete eye closure with effort, and normal tone at rest is classified as a House-
Brackmann:
a. Grade II
b. Grade III
c. Grade IV
d. Grade V
5. On magnetic resonance imaging (MRI) the patient was found to have a lesion in the petrous
apex. The lesion was found to be hyperintense on T1- and T2-weighted images. No post-contrast
enhancement of the lesion was seen. What is the most likely diagnosis?
a. Acoustic neuroma
b. Cholesteatoma
c. Cholesterol granuloma
d. Meningioma
6. A 40-year old woman had complete transaction of her facial nerve from a transverse temporal
fracture 2 years previously. What test would be most helpful to determine the best treatment
for facial reanimation?
a. Temporal bone computed tomography scan with contrast
b. Electroneuromyography
c. Electromyography (EMG)
d. Hilger stimulation test
e. Schirmer’s test
7. Which lesion of the oral cavity has the highest rate of malignant transformation?
a. Leukoplakia
b. Erythroplakia
c. Aphthous ulcer
d. Hyperkeratosis
e. Lichen planus
8. Nasopharyngeal carcinoma may present with all of the following except:
a. Blood-stained nasal discharge and unilateral nasal obstruction
b. Unilateral or bilateral cervical lymphadenopathy
c. Unilateral sensorineural hearing loss
d. Lower cranial nerve paralysis (XI, X, XI, and XII)
e. Distant metastasis to the bone, lung, or liver
9. Which of the following is not a risk factor for carotid artery rupture?
a. Pharyngocutaneous fistula
b. Local wound infection
c. Previous radiation therapy
d. Tracheostomy
e. Neck dissection
10. A patient consults you for a suspected pleomorphic adenoma. What is the imaging modality of
choice to evaluate the extent of disease and condition of the parotid gland?
a. MRI
b. CT
c. Nuclear medicine study
d. Ultrasound
e. Positron emission tomography
Basic Qs

1. Post-tonsillectomy otalgia is mediated through:

a. Vagus
b. Glossopharyngeal
c. Trigeminal
d. C2,C3
2. Moure's sign is:
a. Presence of laryngeal click
b. Absence of laryngeal click
c. External neck swelling
d. Internal neck swelling
3. Developmental origin of epiglottis
a. 3rd branchial arch mesoderm
b. 4th branchial arch mesoderm
c. Hypobronchial eminence
d. Cupula
e. Neural crest cells
4. Becks triad is seen in
a. Peritonsillar abscess
b. Parapharyngeal abscess
c. Retropharyngeal abscess
d. Ludwig’s angina
e. Danger space abscess
5. Crypta magna is persistent part from
a. 1st ventral pouch
b. 1st dorsal pouch
c. 2nd ventral pouch
d. 2nd dorsal pouch
e. None of the above
6. Crista ethmoidalis is a landmark for
a. Anterior ethmoid artery
b. Posterior ethmoid artery
c. Internal maxillary artery
d. Sphenopalatine artery
e. Greater palatine artery
7. The approximate air-bone gap to give negative Rinne while using 1024 Hz tuning fork is
a. 15 dB
b. 20 dB
c. 25 dB
d. 30 dB
e. 35 dB
8. Rollover is ------- and seen in ------
a. Decreased speech discrimination with increased intensity, cochlear pathology
b. Increased speech discrimination with decreased intensity, retrocochlear pathology
c. Decreased speech discrimination with increased intensity, retrocochlear pathology
d. Decreased speech discrimination with decreased intensity, retrocochlear pathology
e. Increased speech discrimination with increased intensity, retrocochlear pathology

9. Which of the following inner ear structures is the 1st to appear & last to stop growing
a. Cochlea
b. Superior semicircular canal
c. Posterior semicircular canal
d. Endolymphatic sac
e. Cochlear duct
10. All extraocular muscles receive their nerve supply on their optic side except
a. Superior oblique
b. Superior rectus
c. Inferior oblique
d. Inferior rectus
e. All receive their nerve supply on optic side