Mca DESSE) TES rss cih ieee INescaes Wulnels Prana SS UELS TEIN1000 MCQs in ENT by Professor Dr. Hassan Wahba Professor of Ear, Nose & Throat Faculty of Medicine Ain-Shams UniversityM&Q ENT 1) The commonest cause for bilateral nasal obstruction in a child a) Nasal polypi b) Deviated septum ©) _Nasal foreign body Ng Adenoid hypertrophy 2) Unilateral offensive nasal discharge in an adult is commonly eaused by: a) Malignancy b} Foreign body Sinusitis ‘Scleroma 3) Referred carache along the glossopharyngeal nexve is eaused by: 3)_Cervical spondyfosis OF Tonsillitis ©) _ Post rioaid carcinoma Sinusitis 4) Offensive purulent ear discharge that is scanty and continuous is: a) Foreign body ear BF Cholesteatoma ©) Tubotympanic otitis media @® Furuncle 5) The commonest cause for sensorineural deafness in a child is: a) Post meningitic 6) Heredofamilial ©) Mumps Measles 6) The following are tests for hearing except: 8) Rinne tunning fork test 7) The main function of the laryns is: a) Voice b) Sphinctoric protection of the airway Staining Q_Breathing i 8) The pathology behind Bell’s palsy is: a) Acutinthe facial neve 1b) A tumour of the facial nerve actene of the facial nerve Haemorthage in the facial nerve nucleus in the pons 9) Bilateral nasal obstruction at birth that might lead to the death of an infant is: ‘Adenoid hypertrophy em Congenital choanal atresia c) Congenital meatal atresia ) Birth trauma leading to a deviated septum 10) All of the following are required in a child with airway obstruction except: ‘@) Endotracheal intubation 'b) Tracheostomy ©) Control of heart failure @) Vasoconstrictor nasal drops11) The following are causes for pediatric airway obstruction except: 8) Acute epiglottitis 'b) , Acute laryngotrachoobronchitis ©) »Cancer larynx d asa rater yall 12) Dysphagia may be due to: @) Painful swallowit b) Mechanical obstruction of the food passage ©) Neurological causes @ Allofthenbove ©) None of the above: 43) The first measure to be carried out 2) Anterior nasal pack b) Posterior nasal pack ©) Antishock measures, ) _Anterial ligation 14) The commonest cause for severe epistaxis in an adult ist a) Hypertension &) Angiofibroma ©) Anticoagulant therapy @) Renal failure case of severe epistaxis is: 15) Unilateral offensive nasal discharge in a five year old is commonly caused by: a) Neglected foreign body ‘b) Malignancy ©) Scleroma @) trophic rhinitis 16) Headache is a symptom caused by: a) Systemiccauses 'b) Psychogenic causes ©) © Occular causes @) Allof the above ¢) None of the above 17) Awatery fluid that drains from the car and increases by straining li: a) Otitis modia 'b) Serous extemal otitis ©) Posttraumatic CSF otorhea @) Blocding froma glomus jugulaire tumor 18) The following are causes of nasal regurge except: 19) The commonest cause for conductive hearing loss in a child Is: a) ital ear atresia ‘b) Otitis modia with effusion ©) Otoscterosis @ Acute olitis media * en fs: Disturbance of the singing voice 3 Disturbance in the production of specclt ©) Disturbance in anguaye development ) Disturbance in the production of basic tones of voice21) The following are silent areas of the hei & meck except: a) Nasopharynx b) The glottic larynx (the truc vocal fol?) ©) Pyriform fossa of the larynx @) The maxillary sinus 22) ‘An weray is required after a fracture of the nasal bones 7 To delineate te fracture line fr further surgical interference b) For medico-logal importance ©) For healing of the fracture @)_Todetermine CSF rhinorhea 25) Fever, sore throat & congested tonsils with pus om thelr surface is: a) Acute tonsillitis b) Diphtcria ©) Vincent's angina @) Candidiasis 24) The most important characteristic of a diphterific pscudomembrane is: 8) Greyish whitc in colour i 1b) Bloods when removed 6) Extends outside the tonsil surface: @) Accompanied by lymph node enlargement 25) Commonest disease causing rhinolalia clausa (closed nasality) in a child is: 2) Cleft palate b) Nasal polypi ©) Adenoid Iyypertrophy d) Deviated septum 26) Delayed language development is caused by the following except: ‘a) Sensorincural deafness 'b) Visual disturbances ©) Brain damage @) Child autism 27) The following are organic causes for dysphonia (boarseness) except: ‘a) Cancer Tarynx b) Hysteria ©) Acute laryngitis = d) Foreign body in the Farynx 28) Death after laryngeal trauma is caused by: 'a) Airway obstruction ~ 'b)_Neurogenic vagal shock ©) Bothof the above d) None of the above 29) Unilateral sensorineural hearing tos and tinnitus i suspicious oft ‘a) Otitis media with effusion b) Cholesteatoma ©) Acoustic neuroma @) Otosclerosis: 30) Attacks of vertigo, Ginnitus, hearing Toss & aural fullness is: 8) Otosclerosis 1b) Menicre’s disease ) Vestibular neuritis d) Cholesteatoma31) Am audiogeam (air bone gap bilaterally of 30d) & type As tympanogram is: 2) Otitis media with effusion 1B) Otosclerasis ©) Ossicular disruption @) Otitic barotrauma 32) The following are minor associated pathological lesio a) Laryngeal polyp’ b) Cancer Larynx ©) Vocal nodule @) Reineck’s edema of the larynx except: 33) The therapy for minor associated pathological lesions causing dysphonia is mainly: 2) Voice therapy b) Microlaryngosurgery ©) Corticosteroids @ Tracheosiomy 34) The following are causes of sore throat except: a) Acute tonsillitis b) Vincent's angina ©) Candidiasis d) Adenoid inflammation 35) The following are causes of dysphagia at the upper end of the oesophagus except: a) Post-cricoid carcinoma b) Cardiac achalasia ©) Pharyngeal pouch d) Plummer Vinson’s disease 36) Vertigo means: a) Dizziness b) Drowsiness ©) Bothof above @) None of the above 37) The following share in the nerve supply of the ear regarding the sense of pain except: a) Vagus nerve (Amold's nerve) b) Facial neve ©) Glossopharyngeal nerve (Jackobson’s nerve) @) Vestibulocochlear nerve 38) Odynophagia means: : a) Painful swallowing b) Obstructed swallowing, ©) Regurge d) Swallowing airway obstruction 39) Rhinolalia aperta is due to: a) Nasal obstruction b) _ Velopharyngcal valve insutliciency ¢) Phonasthenia @) Tongue paralysis 40) The following share in the production of voice except: a) Palate b) Lungs <) Larynx Respiratory muscles41) Inability to close the eye firmly with deviation. ‘of the angle of the mouth to the opposite side is: a) LMN 7 paralysis b) UMN 7 paralysis ©) LMN5™ paralysis d) UMN 5" paralysis 42) The investigations for facial nerve paralysis aim at: a) Finding a causs ‘b) Determining the level of the lesion ©) Studying the state of the nerve and muscle @) Allofthe above ©) None of the above 43) Attacks of sneezing, watery nasal discharge & alternate nasal obstruction is: a) Nasal allergy b) Rhinoscleroma ©) Nasal forcign body d) «Sinusitis 44) A swallowed foreign body is removed by: a) Tracheostomy b) Tracheoscopy ©) Cesophagoscopy 4) Bronchoscopy 45) The commonest cause for sensorineural hearing loss in old age is: 2) Acoustic neuroma 1b) Presbyacusis ¢) © Acoustic trauma d) Meniere's discase 46) The following are causes of conductive hearing loss except: a) Otosclerosis ) Acoustic trauma ©) Otitis media @) Myringitis 47) Dyslalig is a disturbance of: a) Voice production b) Speech c) Language d) Singing 48) Mixed hearing loss is caused by: a) Ear wax 1b) Otosclerosis ©) Menicre’s disease d) Acoustic neuroma: 49) Referred carache following tonsilectomy is along the: a) Glossopharyngeal nerve b) Vagus nerve ©) Trigeminal nerve d) Hypoglossal nerve 30) Bilateral nasal obstruction in ant adult is caused by the following except: 2) Allergic nasal polypi bv) Congenital choanal atresia ©) Deviated septum Chronic hypertrophic rhinitis51) The following are anatomic struct-sres in the auricle except: a) Helix b) Trages ¢) Concha dd) Mallous $2) The tympanic membrane is: '2) Made up of {wo pats (pars flaccida & pars tensa) B) Angled at 35 degrees with the Moor of the external auditory canal ©) Both of the above None of the above 453) The foliowing are complications of traumatic rupture of the tympanic membrane exeeptt 2) Otitis media 'b) Residual perforation ©) Facial nerve paralysis Conductive hearing loss. '54) Haematoma auris may be complicated by: a) Perichondritis ‘b) Facial nerve paralysis ©) Bleeding from the ear (otorhagia) Acute mastoiditis 55) Vegetable forcign body in the external auditory canal is removed by: a) Ear wash using tap water b) Suction by high pressure ©) Crocodile car forceps @) Allof the above ©) Nano of the above 56) Congenital meatal atresia is an abnormality in the development of: a) 1° & 2™ pharyngeal arches b) 2! & 3" pharyngeal arches ce) 1%, 2" arches & inner car @) 2 arch & inner car 157) The most important diagnostic criterion in a traumatic perforation of the drum, is: a) Otorbayia : ®) Otalgia (©) Irregular edge of the perforation @) The rest of the tympanic membrane is healthy 58) Vertigo during an ear wash is due to: ‘a) Rupture of the tympanic membrane b) Vagal siinulation 6) Very hot water d) Associated otitis media 50) The commonest cause for the formation of a wax ping in the external auditory canal is: a) Narrow canal b) Defective way of cleaning the car ©) Excessive coruminous secretions d@) Too many car washes. 60) The best management fora receat traumatic perforation ofthe tympanic membrane i: 2). Conserve with no interference and otoscopic follow-up b) Myringoplasty ©) Eararops d) Regular suction of the ear:641) Pain in the ear with speech and mastication is diagnostic of: a) Herpes Zoster oticus b) Otitic barotrauma ©) Furuncle Foreign body in the external canal 62) Pain is a cardinal symptom of: a) Acute exudative extemal otitis, b) Chronic exfoliative external otitis, ©) Bothof the above 4d) Noncof the above 63) The management of a diabetic malignant otitis externa depends on: a) Strict control of diabotes 'b) Antibiotics in large doses ©) Local gentle debridement of any necrotic tissue in the external canal Ail of the above ©) None of the above 64) Lower motor neuron facial paralysis, ear pain and a vesicular eruption on the auricles: a) Ranisay-Hunt syndrome b) Bullous myringitis ©) Bell's palsy’ 4) Acute otitis media 65) The treatment of otomycosis is best carried out in the following order: ' 2) Antifungal drops, alcohol salicylic acid drops, cleaning of the eat, drying of the car ) Cleaning the ear, drying the ear, alcohol salicylic acid drops, antifungal drops ©) Drying the ear, cleaning, the car, antifungal drops, aleoho saticylic acid drops 4) Antifungal drops, cleaning the car, alcohol salicylic acid drops, drying the car 66) The mést important content of the middle car without which it eax not faetion is: a) Air 1b) The car ossicles ) The middle car muscles d) “Mucus 67) The tensor tympani muscle is sup} a) The facial nerve 1b) The glossopharyngeal nerve ) The trigeminal nerve d) The vagusnerve 68) CSF otorhea after fracture of the temporal bone is managed by: a) Antibiotics that crass the blood tbrain barrier b) Avoid straining to decrease CSF icak ©) Coverage of the car by sicrile dressing @ Allof the above ©) None of the above 68) Conductive hearing loss, LMN facial paralysis and otorhagia after trauma to the head a) Longitudinal fracture of the temporal bone b) Transverse fracture of the temporal bone ©) Traumatic rupture of the tympanic membrane only d) Otitic barotrauma 70) The cause for otitic barotrauma is; a) An obstrucied Eustachian tube b) A patent Eustachian tube ©) Ahypermobilc tympanic membrane @) Rapid ascent during aie Night71) Pain Is a symptom in the Following stages of neute otitln media except: a) Hyperomic stage 6) Suppuration stage ©) Perforation stage @) Congestion stage 72) The commonest causative organism in acute necrotizing otitis media ix: @) Moraxella catarrhalis: 73) The earliest Wiagnostic otoscopic finding in pediatric acute otitis media Is: a) Bulging tympani¢ membrane b) Throbbing pain ©) Retracted tympanic membrane d) Loss of lusicr of the tympanic membrane 74) Non-resolved acute otitis media may present as the following except: a) Otitis media with effusion bd) Cholestcatoma ©) Chronic suppurative otitis media Adhesive otitis media 75) The following are symptoms of acute suppurative otitis media except: a) Conductive hearing loss b) Punulent car discharge ©) Earache @) Vertigo 16) Myringotomy is indicated for: a) Complicated acute suppurative otitis media b) Inadequate car discharge duc to small or high perforation ©) Bulging tympanic membrane with throbbing pain @) Allofthe above ©) None of the above my nr eosin is indicated in a child because: Patent cranial sutures 3 ‘Thin tympanic membrane ©) Bothof the above None of the above 78) A.continuously draining car after acute suppurative otitis media is: 8) Otitis media with effusion b) Otitis extorna ©) Cholesteatoma @) Mastoiditis 79) Acute otitis media is common in an infant (one year old): Wide Eustachian tube b) Flatposition of the head during breast feeding, ©) Recurrent upper respiratory tract infection 4) All of the above ©) None of the above 80) The commonest route of infection leading to acute suppurative otitis media is: a) Eustachian tube b) Previous tympanic membrane perforation ©) Hematogenous route @) After grommet tubes insertion81) A cholesteatoma is: a) Atumor of the middle car b) Aminfected keratin containing sac of the middle car ©) Abony lesion that invades the micidle ear @) All of the above ©) None of the above £82) Cholesteatoma is characterized by: a) Acontinuous mucopurulcnt car discharge b) A foul smelling car discharge ) An intermittent car discharge d) Hearing loss 83) Chronic tubotympanic otitis media is: a) Adiscase of the middle car mucosa b) Assafe type of otitis media in which complications arc rare c) Anon-resolved acute otitis media @) Allof the above ©) None of the above £84) Conductive hearing loss, a retracted drum membrane after acute otitis media in achild ist 'a) Otitis media with effusio &) Chronic tubotympanie otitis media ©) Chronic alticoantral otitis media @) Adhesive otitis media 85) Myringoplasty is indicated inz a) Marginal perforation of a cholesteatoria b) A central dry perforation ©) Accentral wet perforation d) Otitis media with effusion £86) The beat ine of treatment for recurrent otitis media with effusion & type B tympanogram is a) Grommet tube insertion b) Corticosteroids ce) Antibiotics @) No treatment and follow up tympanometry 57) Investigation of choice in-a patient with hearing loss and a retracted drum membrane is: a) Audiometry & tympanometry b) Culture and antibiotic sensitivity ) X-ray mastoid CT scan of the temporal bone £8) Adhesive otitis mediais a sequel oft ‘a) Chronic inbotymipanic otitis media 6) Chronic atticoantal otitis media 6) Chronic secretory otitis media @) Chronic specific otitis media 49) The common perforation in tubotympanic otitis media fs central Kidney-shaped ecauss: ‘a) The tympanic momibranc is kidney-shaped >) Thehandle of malleus indents the perforation 3) Blood supply ofthe dram membrane i from the periphery & along the handle of the malleus The pars tensa is kidney shaped and located inferior 90) TThe degree of hearing loss in tubotympanic otitis media is greater with: a) Amedium sized central perforation b) A posterior perforation exposing the round window ©) Adischarging infected car @ Allofthe above ©) None of the above10 $91) In viral labyrinths the direction of aystt mus ist '8) Towards the diseasod cat 'b) vay from the diseased car ) Has no specific direction @) May be towards any car 92) Tue radiological finding in x patient with # mastoid abscess may be: A). Destroyed inter cellular bony partitions ) An irregular non-anatomical cavity ©) Asclcrosed mastoid @) Allof the gbove fe) None of the abave 93) The most diagnostic for petrositis is: 3) Acontinuously discharging cor 'b)_Retro-orbitat pain ©) Diplopia 9 adiammatory lesion in the petrous apex seen PY Tr soan 94) The following are diagnostic for mastoidtis excents aoesegging of tie poxtero-superior extemal auditory canal wall $) _ Obliteration of the rero-suricular sulcus ©) Continvous cat discharge €) Tender tip of mastoid 95) A false negative fistula test may be cicited im the presence of a cholesteatoma if: fa) There is no fistula 'b) Addead non-pereeptive car ¢) _Animmobile foot plate of the stapes €) A somi-comatosed patient 96) Fever 40° following vertigo, nausea & vomiting ia a child with a marginal atic perforation ist ‘a) Ologenic meningiti ) Otogenic labyrinthitis ©) Meningiogenic labyrinihitis ‘ d)-Meningjococcal meningitis 977) EMIN7® nerve paralysis in a patient with purwlent offensive otorhea for five years is due to: 1 MN pisconoe of the facial nerve canal with pressure from ous b) Edema on the facial nerve within its canal ©) Frosion ofthe facial nerve canal and inflammation of the nerve 4) schapmic necrosis ofthe facial nerve inside its canal 98) The first linc of treatment in a chile swith acute otitis media and LMN 7" nerve paralysis is: 'a) Exploration of the facial nerve b) Decompression of the facial nerve ©) Mytingotomy @ Antibiotics and corticosteroids 99) Gradeni go's triade of petrositis iss Pri gerous olortica, heiniacial spasm, divergent Seki B) Bilateral convergent squint, face pain, purulent olor ©) Medial convergent paralytic squint face edema. ‘continuous purulent otorhea 9B Convergent paratyti squint, orbital pain, purulent otorhea 4400) A mastoid abscess occurring as a complic a) Reiro-auricular b) Pre-auricular ©) Infra-auricular @) All of the above c) None of the above ation of a cholesteatoma is:u 101) Fever, heatlache & neck rigidity in ¢ child with an offensive car discharge requires: a) Diagnostic jumbar puncture b) CT scan with contrast of the brain ¢) Blood culture d) Culture & antibiotic sensitivity of the ear discharge 102) Right lower limb muscle weakness in a child with right chronic suppurative otitis media is: a) Left cerebellar abscess 1b) Right cerebellar abseess ©) Left cerebral abscess @) Right ccrebral abscces 103) The benefit of a CT scam with contrast in a case of brain abscess is a) Diagnose the presence of an associated meningitis 1B) Locate the exact sitc of the abscess ©) Diagnose lateral sinus thrombophlebitis @) Allof the above ©) None of the above 104) Recurrent ever, rigors & healache of hours duration in a patient with a cholesteatoma i: a) Lateral sinus thrombophlebitis 1B) Otogenic meningitis, 6) Otogenic brain abscess @)_ Exira-dural abscess 105) In case of an extra-dural abscess, the surgical technique requires: a) Excision of the affected dura 'b) Removal of the infected granulation tissue ©) Exposure of healthy dura by removal of discasod bone d) All of tic above ©) None of the above 106) Subuormal temperature in a brain abscess is due to: 2) Less of consciousness b) Affection of the heat regulating comer ©) Muscle weakness 4) Vagal stimulation with a slow heart rate 107) Headache in case of any intracranial complication of otitis media is due to: a) Increased intracranial tension with dural stretch b) Inflammation of brain tissue ©) Blurring of vision due to papilledema d) Allofthe above ©) None of the above 108) The treatsnent of a case of otogenie me a) Anubiotics, analgesics & anticoagulants b) Antibiotics, ncurosurgical intervention & treatment of otitis media ©) Anlibiotis, repeated fumbae puncture & myringotomy 4) Anticoagulants, repeated lumbar puncture & treatment of underlying olitis media 109) Left- sided body weakness & in-coordination in a patient with bilateral cholesteatoma a) Right temporal lobe abscess b) Right cerebotlar abscess ©) Left temporal lobe abscoss @) Lefl wcrebellar abscess. 110) Praptosis, ophthaimoptegia following fever and rigors in a patient with a cholesteatoma is: a) Jugulaz vein thrombesis extending to the facial vein b) Jugular vein thrombosis extending through the inferior petrosal sinus to the cavernous sinus ©) Lateral sinus thrombophlebitis extending through the superior petrosal to the cavernous sinus 4) Lateral sinus thrombophlebitis cxiending to the confluence of sinuses2 111) In a. case of acute coalescent mastoiditia she surgical treatment is: 8) Radical mastoidectomy ') Modificd radical mastoidectomy’ ©) Cortical mastoidectomy & myringotomy @) Tympanoplasty 112) A.toog,stanuing car discharge that is recently sanguinous in an old patient is suapicions of: a), Carcinoma in the car }) © Glomus jugulaire tumor ©) Cholesteatoma 8) Acute otitis media 113) Am aural polyp with facial paralysi dysphagia & dysartheria is suspi a) Cholesteatoma b) Glomus jugulairc tumor . c) Acute olitis media d) Acoustic neuroma 114) The value of myringotomy in acute suppurative otitis media is: a) Drain the middlc car 'b) Avoid complications ©) Promote beiter healing of the drum membrane d) Alllof the above ©) None of the above 115) The following are complications of myringotomy except: a) Condustive hearing, loss b) Sensorincural hearing toss ©) Residual perforation d) Severe blocding from the jugular bulb 116) The following arc complications of mastoidectomy except: a) Conductive hearing loss b) _Sensorineural hearing toss ©) Face paralysis @) Hoarseness of voice 117) The indication for canal-wall down tympanomastoidlectomy is: a) Aculc otitis media b) Tubotymponic otitis media ©) Cholesicatoma d) Sceretory otitis media 148) Unitaterat tinnitus, red mass behind the drum membrane in a hypertensive patient requires: a) CT scan with contrast of the temporal bone 1B) Urine VMA & HVMA analysis ©) Abdominal ultrasound ) Allofthc above ©) None of the above 119) Glomus tumors are best treated in a 30-year old patient by: a) Angiographic embolization followed by surgical excision b) Surgical excision followed by radiotherapy ©) Radiotherapy followed by surgical excision Surgical excision only 120) Tympanoplasty is the operation that aims at: a) Reconstruction of the middie car sound conducting system b) Clearance of any middle car pathology ©) Removal of iniddie car tumors 4) Elimination of middle car infection, myringoplasty and/or ossiculoplasty121) The following are conditions that increase the severity of eymptoms in otosclerosis except a) Pregnancy 1b) Contraceptive pill therapy ‘©) Oestrogen therapy €) Corticosteroid thorapy 122) The pathology suapected in Meniere's discase depends on the following except: a) Increase formation of endolymph 1b) Decreased excretion of endolymplt ©) Allergy 4) Increased perilymphatic pressure 125) Unilateral tinnitus followed by progressive or sudden sensorineural hearing loss is: 2) Acoustic neuroma b)-Menicre’s disease ¢) Otosclerosis @) Vestibular neuritis 424) The iden! first ine surgical treatment in a case of Meniere's disease I ‘a) Selective vestibular neurectomy 18) Endolymphatic sac decompression and shunt to Use mastoid ©) Labyrinthectomy d) Cryosurgery 125) The patient with otosclerosis may present withthe fllowing symptoms except: 'a) Sensorincural hearing loss b) Conductive hearing loss ©) Vertigo d) Earache 126) Tinnitus may be due to: 1) A local ear condition b)Asystcmic disease affecting the cardiovascular system ©) Avvascalar pathology in the proximity of the ear @ Allofthe above ©) Nongof the above 127) Vertigo is: ‘a) A sense of loss of consciousness b) _Asense of body rotation in the environment ©) Assense of disorientation to the i dQ) Allof the above ) Noncof the above 4128) A cochlear otosclerosis patient suffering from sensorincural hearing loss is treated by: a) Bonc conducting hearing aid b) Stapedoctomy c) Amplifying hearing aid 4) Cochicar implant 129) The following are methods to stimulate the vestibular system exept: a) Rolation chair b) Electronystagmography ‘¢) Caloric stimulation d) Gplokinetic stimulation 130) ‘The most diagnostic investigation in a case of acoustic neurom: ‘a) CT scan with contrast by Magnetic resonance imaging ©) Audiological evaluation Vestibular investigations131) The following are causes of conductive hearing toss except: a) Otitis media with cffusion >) Bullous myringitis ©) Cochlear otosclerosis 4) Tympanosclerosis 132) The commonest two causes for sudden sensorineural hearing loss is: i a) Viral and vascular 'b) Vascular and acoustic ncuroma, ©) Viral and perilymph fistula 4) Acoustic neuroma and meningitis 133) Noise trauma that is commonly irreversible is: 2) Machine noisc of long exposure 1) Machine noise of short exposure ©) Sudden loud explosion Loud machine noise of long exposure 134) Mondini’s dysplasia of the inner ear is: a) Hypoplasia ) Hyperplasia } Aplasia 4d) Allof the above é ©) None of the above 435) False Rinne negative tuning fork (est is misleading in the diagnosis of hearing loss in: a) Acoustic neuroma 5 b) Otosclerasis ©) Post mumps total hearing loss d) Allof the above ©) None of the above, 136) An audiogram showing bone curve at 35 dB & air-bone gap of 30 dB in the right ear is: a) Right conductive hearing loss b) Right sensorincural hearing Foss °) it mixed hearing loss d) Right dead car 137) A speech discrimination score of 70% ix: a) Normal (exccilent) ) Slight difficulty (very good) ©) Moderate difficulty (good) 4) Poor (bad) 138) A type C tympanogram is an indication oft a) Stapes fixation b) Eustachian tube dysfunction ©) Fluid in the middie car d)_ Auditory ossicle disruption 139) The diagnostic value of the auditory brain stem response (ABR) is best shown with: a) Otosclerosis b) Post meningitis hearing loss o) Acoustic neuroma 4) ‘Meniere's discase 140) Cochlear inapants are effective in the resto 2) Total unilaicral post lingual deafness b) ‘Total bilateral pre lingual deafness before the age of 5 years ©) Total bilaters! pre lingual deafness alter the age of 20 years @ Allof the above ©) None of the above ion of hearing for: 415 141) Inregular attacks of fever and rigorsis a clinical manifestation of: ‘a) Lateral sinus thrombophlebitis 'b) Mastoiditis ©) Labyrinthitis @) Brain abscess 142) The commonest cause of conductive hearing loss is: '@) Foreign body in the car Bb): Ototoxicity ©) Presbyacusis @) Earwax 143) The following axe causes of facial nerve paralysis except: a) Acoustic neuroma 1) Herpes zoster oticus- ©) Facial nerve neuroma d) Diffuse external otitis 144) A deaf person is a person that: a) Can not hear at af b) Can hear only with one ear ©) Camhear with both ears fess than normal persons @) All of the above ©) None of the above 145) The first measure to be carried out in a child with fever, right earache and deviation of the angle of the mouth ¢o the left and inability to close the right eye: a) Intravenous antibiotics b) Lumbar puncture <) Myringotomy 4) Corticosteroids 146) Rinne testis used to detect: a) Conductive hearing loss b) Sonsorincural hearing toss ©) Mixed hearing loss d) Malingerer 147) Of the following the most important in the management of Bell's palsy is: a) Cate of the eye 1b) Facial nerve decompression ©) Corticosteroids d) Psychotherapy 148) The following antibiotics may be used in Labyrinthitis except: a) Metronidazol ‘b) Sulphonamide ¢) Gentamycin Chloramphenicol 149) Systemic antibiotic therapy is preferred im: a) Acute suppurative otitis media %) Chronic suppurative otitis media ©) Cholesteatoma d) Herpes zoster oticus 150) The investigation required in a patient with a left offer weakness on (he left side of the body with imbalance is: a) Leucocyti¢ count b)- Blood culture ) X-ray mastoid @) CT scan with contrast ive otorhea who suddenly fecls a151) Offensive purulent car discharge is an indication oft a) Cholestcatoma b) Furunculosis ¢)_Tubotympanie otitis media @) Otitis media with effusion 182) Weakness of the right arm and leg is ant indication oft a) A right corcbotlar abscess bv) Aright temporal lobe abscess ©) Meningitis @) A left extra dural abscess 153) During the snort of diving otitie barotrauma oceurs during a) Descent b) Ascent ¢) After diving is over immediately @) Two hours after diving is over 154) Gastroenteritis is a manifestation of: a) Acute mastoiditis ‘b) Acute suppurative otitis media ina child ©) Chronic suppurative otitis media @) Otitis media with effusion in a child 4155) Fever, headache, vomiting and neck rigidity in a patient with an offensive otorhea is an indication for: a) Lumbar puncture ) Fundus examination ¢) Both of the above d) None of the above 156) Grommet tubes arc used in: ‘a) All cases of acute suppurative olitis media 'b) Otitis media with effusion 6) Cholestcatoma with attic retraction @) Bullous myringitis 157) The most diagnostic in the cli a) Fever b) Vomiting ©) Muscle weakness d) Neck rigidity 1 picture of otogenic meningitis is: 158) ‘The best way to avoid otitic barotrauma during air Might ist ‘a) Regular swallowing b) Regular opening and closing of the mouth ©) Tossing the head sideways 4) Placing the hands over the cars 159) A patient with otosclerosis may complain of; a) Conductive hearing loss b) _Sensorincural hearing loss 6) Mixed hearing loss d) AlLof the above e) None of the above 160) Puisating aural purutent discharge from a marginal attic perforation surrounded Dy gramulation is aa indication oft ‘a) Glomus jugulaire tumor b) Extradural abscess c) Acute suppurative otitis media @)_Dillfuse extemal otitis,w7 461) The objective method in the diagnosis of sensorineural hearing loss is: a) Pure tonc audiometry ) Speech discrimination scores ©) Tuning fork tests 6) Auditory brainstem response 162) Am aural polyp is: 2) Hypertrophic middie ear mucosa due to chronic inflanmation b) Granulation from the edge of a marginal attic perforation ) Both of the above d@) Nonc of the above 163) Itching in the ear is a diagnostic symptom of: a) Cholesteatoma b) Acute suppurative otitis media ©} Otosclerosis, @ Otomycosis 164) The complication most feared in a one-year-old infant with acute suppurative otitis media ‘a Labyrindhiis b) Mastoid abscess ©) Meningitis @) Gastroenteritis 165) A 15 year old with right offensive otorinea, temperature of 38C, left body weakness, severe headache, vomi and visual field defects has a: a) Left corebellar abscess: b) Right cerebellar abscoss 6) Right tomporopariotal absecss @) Brainstem infarction 166) A. three-year-old with right lawer motor meuron facial paralysis and a right bulging, tympanic membrane; but with intact lacrimation is suffering from: a) A congenital cholesteatoma 1b) Acute suppurative otitis media with a dehiscence of the ympanomastoid part of facial nerve ©) Tuberculous otitis media @) Boll's palsy 167) The management of a mastoid abscess is: a) Systemic antibiotics only b) Drainage of the abscess undercover of systemic: antibiotics ©) Local antibiotic car drops 4) Drzinage, mastoidectomy and myringotomy 168) Right tinnitus with change of voice and nasal regurge of food and drink is suspicious of: a) Right glomus jugulaire b) Left glomus jugulaire c) Right cholesteatoma @) Left cholesteatoma 169) Cholesteatoma presenting as a marginal perforation is best managed by: 8) Local anlibiotic ear drops ») Surgical removal ©) Systemic and local antibiotics 4) Regular follow up every six months 170) Cholesteatoma commonly causes a fistula in the: a) Promontory 1b) Lateral semicircular canal ©) Stapes footplate d) Posterior semicireular canal171) Diagnostic for lateral sinus hrombophebit ) Fever b) Occipital headache ©) losis, proptosis and extornal and internal ophthalmoplegia 4) Greissenger’s sign (bluish edematous skin behind the auricle) 172) The Eustachian tube in adults at rest 8) Open b) Closed ©) . Partially open @) Conmugated 173) Bell’s palsy is due to: a) Edema of the facial nerve 1b) Necrosis of the facial nerve ©) Edema of the middle ear mucosa 4) Suppuration in the middle ear 174) "The best diagnostic tuning fork test to detect hearing loss in a case of mixed bearing loss is: a) Rinne test 1b) Webor test 6) Schwabach test @) Absolute bone conduction test 175) The most feared condition in an old diabetic patient who is suffering from purulent otorhea of a long duration that became recently eanguineous is: a) Cholesteatoma 'b) Diabetic external otitis ©) Squamous cell carcinoma of the extemal and midlle car Acute necrotizing otitis media 176) Acute brain abscess is managed by: a) Systemic antibiotics only b) Abscess excision only ©) Drainage of the abscess and treatment of middle ear infection if present @)_ Drainage of the abscess, treatment of middle car infection if present and systemic antibiotics 177) Medial convergent paralytic squint is a clinical manifestation of: a) Labyrinthitis bd) Pachymeningitis ©) Petrositis d) Temporal lobe abscess with occipital extension 178) A bedside test for a case of otogenic meningi a) Brudzinskis sign b)Schinmer’s test ©) Schvabach’s test @) Sowarve's sign 179) Before tympanoplasty in a 30-year-old the following is required: 8) Audiograin b) _Ensureadry perforation (©) Treatment of any underlying nasal and paranasal sinus infection @ Allofthe above ©) None of the above 180) Acute suppurative otitis media is common ‘a a five-year-old because of: ‘a) Improper position of breast feeding 6) Eustachian tube is wide short and horizontal in position ©) Adenoid entargement qd) Immunedeficiency19 181) Diagnostic for suppurative meningitis is a lumbar puncture specimen that shows: + a) Increased tension b) Lymphocytosis ©) Neutrophils d) Decreased chloride level 182) A labyrinthine fistula test may be carried out by: a) Tragal pressure b) _Sicgle pneumatic otoscopy © Manipulation of an aural polyp @ Allof the-above ®) None of the above 183) Bezold’s abscess is a swelling: a) Behind the car b) In front of the car ©) Below the car in the nock d) Above the car 4184) The medical treatment of lateral sinus thrombophlebitis involves: a) Antibiotics only b) Antibiotics and anticoagulants ©} Antibiotics, anticoagulants and thrombolytics 4) Anticoagulants only 185) The expected otologie finding in a case of acyte suppurative otitis media with high fever and throbbing ear ache is a: : a) Retracted tympanic membrane b) Bulging tympanic membrane ©) Congested tympanic membrane ) Normal tympanic membrane 186} Diagnostic for a temporal lobe abscess: a) ‘Temporal headache b) Hemipiegia ©) Slow pulse } Uncinate fits 187) Reservoir sign in acute mastoiditis means: a) Continuous aural discharge b) Continuous ear ache ©) Continuous deafness Continuous vertigo 188) The easiest way to diagnose the side of lateral sinus thrombophlebitis in a casc of bilateral cholesteatoma is: 8) Queckenstedt’s (CSF pressure) test b) _Lillic-crew's (fundus examination) test ©) Xray mastoid 4) Greissengor's sign 189) Vertigo is a symptom of: a) Animate foreign body in the ear b) Meniere's disease ©) Furunculosis Otitis media with effusion 190) An irregular sinall perforation in an otherwise healthy tympanic membrane occurs in: a) Cholestcatoma ») Tubotympanic otitis media ©) Traumatic perforation of the tympanic membrane 4) Bullous myringitis191) Diagnoatle for all clinical forms of taterat slnus thrombophlebitis i ) Ceelpital headache b) Bar discharge € ¢) , Homifacial pain | Anemia 192) The nerve fibers that are not present in the factal nerve aret a) Parasympathetic b) Sympathetic ©) Sensory Taste 193) The commonest’presenting symptoms of an acoustic neuroma are: a) Unilaicral tinnitus with progressive sensorincural hearing. Joss b) Vertigo and loss of balance ©} Facial and trigeminal nerve paralysis: @) Sudden sensorineural hearing loss with tinnitus 194) Immediate relief of paim in a severe case with ofitic barotrauma is carried out by: a) Swallowing b) Valsalva mancuver )Paracentesis of the tympanic membrane d) Analgesics 195) In a case of lower motor neuron facial paralysis following ear surgery with intact taste: sensation of the anterior two thirds of the tongue indicates that the level of the trauma is atz a) The internal auditory canal b) Tympanic portion of the facial nerve ) Above the stapes d) The stylomastoid foramen 196) In a case of bilateral chronic suppurative otitis media, the right ear shows an attic perforation with offensive car discharge and ait-bone gap of 20dB, the left ear shows a large Kidney-shaped perforation and am air-bone gap of 45dB the ear to be operated om first is: a) Rightcar b) Leftear ) Both cars at the same time @) Nosurgery is required 197) Otorrbagia (bleeding from the ear) is a symptom of: a) Longitudinal temporal bone fracture b) Transverse temporal bore fracture ¢) Otitis media with cffusion & Forunculosis 198) Ear ache accompanying acute tonsillitis is referred along the: a) Vagus nerve b) Glossopharyngeal nerve ©) Trigeminal nerve @) Facial nerve 199) Failure to close the eye voluntarily is a symptom of: ‘8) Upper motor neuron facial nerve paralysis ») Lower motor neuron facial nerve paralysis ©) Upper motor neuron trigeminal paralysis d) Lower motor neuron trigeminal paralysis 200) Electroncuronogeaphy in a case of facial nerve paralysis is a: 8) Good prognostic test for recovery 1) Good indicator of nerve degeneration and thus the time for surgical nerve decompression ©) Good indicator of muscle wasting @) Test with no valuea 201) Squeezing of an external ear furuncl: may be complicated by: a) Lateral sinus thrombophie! b) Meningitis ©) Perichondhitis of the auricle @) Facial nerve paralysis 202) The expected otologic finding in a case of viral labyrinthitis is: a) Anormal tympanic membrane 1b) Mild retraction of the tympanic membrane ©) A bulging tympanic membrane @) A perforated tympanic membrane 203) The commonest cause of a congenital hearing loss is: a) Heredofamilial b) Birth trauma ©) Rubella syndrome ) Congenital syphilis ia is usually associated with: a) Middle car anomal 'b) Inner car anomalies ©) Vestibulocochlear nerve anomalies @) Temporal lobe anomatics 205) Tuning fork tests in the right ear of a patient showed: Rinne test negative, Weber lateralized to the right ear, normal Schwabach {est and normal absolute bone conduction test. The right ear has: 2) Conductive hearing loss 1b) Scnsorincural hearing loss ©) Mixod hearing loss @) No hearing toss 206) Perforations in tubotympanic otitis media are commonly kidney-shaped becausc of: a) The tympanic membrane is kidney-shaped b) The middle car cavity is kidney-shaped '¢) Dependent pus in the middle ear creates such a perforation +4) Blood supply of the tympanic membrane is from the periphery and along the handle of malleus 207) In a case of otosclerosis with stapes fixation by: a) Bone conducting hearing aid b) Amplifying hearing aid © Cochlear implant @) Nohiearing aid if the patient refuses surgery he is best helped 208) Chronic exfoliative external otitis is best managed by: a) Corticosteroid and antibiotic cream b) Corticosteroid and antibiotic ointment ©) Systemic steroids and antibiotics @) Surgery 209) Diabetes mellitus predisposes to: a) External car canal ostcomnata b) Cholesteaioma ©) Extemal car canal furuneulosis @) Excessive ceramen production 240) Labyrinthitis as a complication of acute suppurative otitis media is duc to: a) A labyrinthine fistula b) Extension through tie round window ¢) Addchiscent faciai nerve canal @ Blood borne infection2 213) Grommet tubes are usd In eases of ofits media with effesion vecause of a) Fequalizalion o air pressure on both sid's ofthe tympanic $b) Drainage of middle ear fusion only ) Prevention of wex formation @) Conduction of sound into the middle car 1282) Tympancscterosis (chalky patches of the tympanic membrane) occurs im: a) Adhesive otitis media by Otosclerasis picture of achotesteatoma shows a cavity that is: 2) Anatomical, regular and clean b) Non-anaiomical, regular and clean o ‘Non-anatomical, irregular and clean ® ‘Non-anatomical, irregular and conlains areas ‘of bone sequestra 214) A large near total perforation following acute necrotizing otitis media must be followed up for fear of: ‘s) Recurrent middie car infection 1b) Secondary acquired cholesteatoma ¢) Otomycosis Attic retraction cholesteatonta 215) The value of topognostic tests (Shirmer's teat, stapedtal reflex gustatory tests) in ease of Tower motor neuron facial paralysis is to diagnose: a) The type of paralysis: b) _Associaicd cranial nerve paralysis ©) The lovel of facial nerve paralysis. @) Recovery of facial nerve function 246) Torticols, fender cervical iymph nodes in a cholesteatoma patient are suggestive off a) Lateral sinus thrombophlebitis b) Cavernous sinus: thrombosis ©) Brain abscess 4) Meningitis 2177) The most diagnostic of the criteria of mastoiditis of he following ist '2) Small high tympanic membrane perforation 'b) Painful and tender mastoid ©) Sagging of the postero- superior extemal auitony meatal wall ‘d) Marked conductive hearing loss 248) Tympanoplasty means: 8) Clearance of middle eat infection £) Reconstruction of the sound conducting middle ca sructures ©) | Both of the above @) None of the above 219) Labyrinthitis as a complication of cholesteatoma is Guc (0 spread of infection through the: a) Eustachian tube by Labyrinthinc fistula. 6) Tympanic membrane @) Hypotympanum 220) A five-year old patient with adenoid hypertrophy and bilaterally retracted tympanic mocrabranes is suffering from: 1a) Cholcsteatoma b) Otitis media with effusion c) Otosclerosis d) Otomycosis:23 221) The X-ray description of the mastoid in a case of mastoiditis ia: a) Hazy mastoid pneumatization b) Cholesteatoma cavity ©) Both of the above . None of the above m ‘Dizziness (vertigo) during. an car wash is duc to: Using water at a temperature of 37C > Caloric stimulation of the lateral semicircular canal ©) Stimulation of Amold’s nerve (auricular branch of the vagus) @) Traumatic perforation of the tympanic membrane 223) ‘The facial nerve provitics the motor supply to the muscles of: a) Facial expression only ‘b) Mastication ©) The first pharyngeal arch @) The second pharyngeal arch. 224) The expected otologic finding im a case of mastoid abscess a) Normal tympanic membrane ') Retracted tympanic membrane ©) A marginal attic perforation. qd) Earwax 225) Coutionees fever, rigor ood wacked anenta i «palent with = chelescatome is suggestive <5 ‘Meningitis 1) Septicemic type of lateral sinus thrombophlebitis, ©) Pyemic type of laterat sinus thrombophicbitis 4) Brain abscess 226) Myringotomay is indicated im: : a) Asmall high tympanic membrane perforation in a case of acute suppurative otitis media b) A marginal attic perforation of a cholesteatoma ©) A traumatic pars tensa perforation 4) Hemotympanum 227) Hematoma auris may be complicated by: a) Furunoulosis ) Exiemal otitis ©) Perichondritis, 4) Nocomplication 228) A mastoid abscess may occur in a six-month-old infant as a: a) Pre auricular zygomatic abscess b) Retro auricular abscess ©) Infra auricular abscess @) Allof the above ©) None of the above 229) The pathogenesis of an otogenic brain abscess is: a) Retrograde thrombophicbitis b) CSF spread ©) Both of the above @) None of the above 230) A false negative fistula test is due to: a) Absence of a labyrinthine fistula 1b) Adead labyrinth ©) No cholesteatoma @) Abypermobile footplate of the stapes231) A mucopurulesit atorhea is most probeJly due to: a) Cholesteatoma db) Otomycosis ¢) Acute suppurative otitis media @) Acute necrotizing otitis media 232) Cholesteatoma grows by: a) Pressure necrosis b) Enzymatic activity ©) Pressure necrosis and enzymatic activity @) Neoplastic spread 234) The symptom always prescat in bullous myringitis is: a) Facial nerve paralysis b) Fever c) Earache @) Purulent car discharge 235) A case of ear infection associated with headache, vomiting and blurring of vision is b) _Labyrinthitis ©) Cavernous sinus thrombosis ¢) Brain abscess 236) In a case of otogenic meningitis a turbid CSF sample is duc to increased: ‘a) Protein conteat ‘b) Sugar content ©) Cellular content d) Tension 237) Acute necrotizing otitis media is a complication oft a) Cholesteatoma, 'b) Acute suppurative otitis media ©) Measles @) Extemat otitis 238) Adenoid enlargement in a child predisposes to: a) Labyrinthitis b) Facial nerve paralysis ©) Otitis media with effusion 4) Extemal otitis 239) In suppurative labyrinthitis the nystagmus is: a) Towards the discsised car b) Away from the diseased car ¢) Away from the healthy car 4) With no specific direction 240) Hearing loss is suspected to be nreal | a) Acute suppurative otitis media b) Small externa canal furuncle ©) Acule neerctuaang citts media 6) Armosquito in the external car case of:241) The chorda tympani nerve receives taste sensation from: a) Anterior two thirds of the tongue 'b) Posterior two thirds of the tongue ¢) Anterior one third of the tongue ) Posterior one third of the tongue 242) The nervus intermedius contains the following nerve fibers except: a) Parasympatheic b) Motor c) Sensory dd) Taste: 243) The following are (opognostic tests except a) Shirmer’s test 1B) Stapedial reflex ©) Electroneuronography * @) Gustatory tests 244) Nearopraxia means: 2) Physiological block of noural transmission 1b) Degeneration of the axons ©) Loss of nerve continuity 4) Devascularization of the nerve 245) The edema of the facial nerve in Bell’s palsy commonly affects the: a) Labyrinthine part of the fa nerve: b)Tympanic part of the facial nerve ©) Mastoid part of the facial nerve d) Facial nerve in the region of the stylomasteid foramen 246) Deviation of the angle of the mouth, intact eye lid movement and normal emotional face movement a) Upper motor neuron facial paralysis, b) Parkinsonism 6) Lower motor ncuron facial paralysis @)_ Paralysis of the mandibular branch of the factal nerve after parotid surgery 247) The following are symptoms of lower motor facial nerve paralysis except: a) Buring sensation of the eye due to inability 10 close the eye lids b) Phonophobia 6) Accumulation of food in the vestibule of the mouth @) Dysphagia 248) The following are face reanimation procedures except: a) Faciohypoglossal nerve anastomosis b) Fascial sling to raise tae ¢) Temporatis muscle slings Nerve muscle transfer 249) Otodynia means: a) Local car pain 'b) Referred car pain ©) Both of the above @) None of the above 250) Earache, high fever followed by the ay discharge, sulisidence of earache and towering of the fever is most probably due to: a) Furuncte b) Exicrnal otitis ©) Acute suppur a) Otitis m: ive otitis media ia with effusion251) The following paranasal sinuses open ino the | ‘ostiomeatal complex excepts 4) Frontal sinus by Anterior cthmoid sinuses c) Sphonoid sinus @) Maxillary sinus 252) The following arteries supply the nasal cavity except: 8) Anterior ethmold artery 'B) Sphenopalatine artery ©) Superficial temporal artery d) Facial artery 253) SofTocation at birth that relieved by opening ofthe mouth and difficult suckling is suspicious of: ‘a) _ Bilatcral congenital choanal atresia b) Adenoid enargement ©) Birth trauma to the nose leading to a deviated nasal septum d) Allofthe above 8) None of the above 254) The investigation required in a case of spontaneous CSF ritinorhea ist a) CT scan brain b) Sins X-ray ) Lumbar puncture @ Glucose level of the CSF specimen 255) A patient received at the emergency ofa hospital with a deviated nose afler a car accident ‘with no edema or hacmatoma of the face requires: jj '2) Immediate reduction of the fractured nasal bone b) Delayed reduction of the nasal bones ©) Septorhinoplasty 4) Anterior nasal pack 256) A rhinolith dae to a neglected foreign body in the nose is commonly removed by: a) Suction b) Maxilloctomy ) Lateral rhinotomy d) Forceps 257) The main function of the rise is: ‘3) Warming of the nasal cavity 'b) Airconditioning of respired air ©) Voice resonance 4) Tasting of food 1258) ‘The quadrangular cartilage of the nasal septum is attached fo the following except: a) Vomer b) Perpendicular plate of ethmoid ©) Sphenoid Nasal bones, 259) The olfactory epithelium in humans is present in the nose at the: a) Roof 1b) Floor ©) Turbinates 4) Paranasal-simuses 260) Unilateral choanal atresia commonly presents: a} At birth b) Later oninlife ¢) Bothofthe above @ Nonoof the above261) A paticnt with a left nasal furuncle thit develops fever and rigors has the following complication: -a) Lateral sinus throrabophtbitis b) Cavernous sinus thrombosis, 9) Meningitis 4) Facial cellulitis 262) The following are possible complications of common cold except: a) Sinusitis b) Otitis modia ©) Cavernous sinus thrombosis d) Pharyngitis 263) Fetor naris, merciful anosmia, a sense of nasal obstruction is diagnostic of: a) Primary atrophic rhinitis 6) Rhinoscleroma ©) Nasal syphilis @) Nasal tuberculosis 264) The following are nasal granuloma except: 2) Rhinoséleroma b) Tuborculosis ©) Hypertrophic 1 4) Congenital syphilis 268) The clinical stages of scleroma are: ‘a) Invasive, atrophic and fibrotic b) _Atrophic:and hypertrophic €) Invasive, active and fibrotic @)_Atrophic, hypertrophic and fibrotic 266) The ideal a) Rifampicine 'b) Streptomycine c) Ampicillin sutrim d) Local terramycine erobial therapy for rhinoscleroma 267) The histop atholoyieal picture of scleroma includes the following except: a) Mickulicz.ccll and Russet body b) Fibroblasts ¢) Endarteritis obliterans d) Neutrophils. 268) Hutchinson's triade is: 8) Pegged incisors, interstitit keratitis and bilateral sensorincural hearing loss &) Notched tccth, corneal ulceration and bilateral conductive hearing loss ©) Saddle shaped nose, palatal perforation and bony septal perforation, 4) Ulecrs of the mouth, skin rash and generalized lymphadenopallly 269) Tuberculosis affection of the nose is in the form of; a) Nasal masses b) Cartilaginous septal perforation ©) Apple jelly nodules on the nasal bridge d) Allofthe above ©) None of the above 270) The organism involved in the pathogenesis of primary atrophic rhinitis is: a) Klebsiella rhinoscleromatous b) Kicbsiclla oxynac ©) Bothof the above None of the above 228 271) The contmonest canse for recurrent acute sim sitis affecting the frontal, maxillary and ‘ethanaidia on the samme vide fs: a) Dental infection 6) Ostlomeatal consplex abnormalities as conch toullosa or concha paradoxica Low goneral imamity as AIDS or diabetes mollitus @ Malignancy 37a CT scan of the paranasa sinngcs in a cave of chronte sinusitis is required to: a) Locate: the diseased sinuses be) Study ostiomeatal complex abnorinalitics ©) Diagnose a deviated septum @ Allof the above ‘e) None of the above” 273) The treatment of acute sinusitis without complications is: a) Medical; antibiotics, analgesics, ‘anti-inflammatory drugs anc. jocal nasal vasoconstrictors ‘6) Surgical; operative drainage of the sinus ©) Bothof the above @) Noncof the above 2174) The commonest paranasal sinus to cause a9 intracranial complication in a 2year old chitd ist a) Frontal : b) Maxillary ) d) Sphenoid 275) The best surgical means to treat non-resalving ethmoiditis is: fa) - Intranasal ethmoidectotty b) Transantral ethmoidectomy °) : cthmoidectomy ~ G)_ Ethmoidestomy by functional endoscopic sinus Surge” 2776) Acate frontal sinusitis followed by orbital pain proptosin id edema and decreased visual acuity is: complicated by: ecal orbita acess, orbital ccltulitis and optic neuritis 777) Decreased visual acaity in the left eye & blurring of ison the right eye is a: 7) an chronic fronialobeabsoess complicating front sineeeis b) Left acute frontal lobe abscess complicating, frontal sinusitis ¢) Right chronic: ‘frontal Ibe abscess complicating | frontal sinusitis @) Right acute frontal tobe abscess complicating, frontal. sinusitis 718) Morning headache that disappears by moan in a chronic frontal simusitis patient is due (0: ‘a) Congestion of sinus mucost ib) _ Negative pressure (vacuum) in the sinus lumen ©) Neuralgia ‘@) Hypoxia duc to nasal obstruction 279) Radical antrostomy (Caldwell-Lee) isthe operation done tor '8) Excise the maxillary bone b) Open, clean and remove maxillary sinus mucosa ©) Wash the maxillary sinus Create an opening in the redial wo ofthe maxilary situs to the inferior nasal meatus 280) The following is a possible complication of fanctional endoscopic sinus surgery (FESS): a) Aspiration pcumonia vy Fracture nasal bones ©) Injury of the optic nerve and Blindness d) Palatal perforation