Candidate's Name: Candidate's Number lease tick the most appropriate answer: Normal fequency range of sounds audible othe ears from % 0-10.00 He >. 20-20,000 Hz & — 10-10,000 He 20-30/000 Hz © None ofthe above 2 Which of the following antibiotics is maximally oxi to coches & Streptomycin b.Dihydrostreptomycin © Neonyeine Kenamyein © Framyectin 3. Nasal mucosal mas ells -alltrue excep i Ate different typeof cell to those found in connective sue fA inhibited trom degracuatng by disodium cromagheae § Orchestrate the erly evens seen in allergic rhinitis é ‘Ace stimulated to divide by interleukin. 3 ‘Bind IgE by its Fe portion‘Which ofthe following tests for predicting visbility of reconstructive skin flaps is most nearly an ideal method eee ‘Thermography Fluorescein dye test Percutaneous pH measurement ‘Microangiography Clearance of intradermal radioactive sodium Which ofthe following isnot a feature of osteogenesis imperfecta? peece Wormian tones ‘Multiple old facture Blue sclerae Hearing oss Osteoporosis ‘Uveo:parotits is a manifestation of b 4 Sarcoidosis Syphilis ‘Tuberculosis Lupus erythematosis Mumps ‘About 90% of tacheo-oesophageal fistula have: b é A blind upper pouch with lower segment of oesophages from stomach fo trachea or left mai Drones. Bott upper and lower spent of oesonhass ene the ache. ‘Upper sepmen of ssopheps enter th traces wit lind lower seinen of oxophague ‘sn intct oesophags, aid from the communication Noneaf the above Undifferentiated carcinoma ofthe thyroid: 1s mest common in females Ts mstcommon ines {Smet common above the age of > Is often thyroid stimulating hormone (TSH) dependent Often exis independent yet ormoneprofuction2 i Inthe development ofthe human ear: a. The middle ear reaches fll size by birth 1b. Inner ear reaches fullsize by birth © Bothofthe above are true & None ofthe above are true fe The pinaa is developed from entoderm ‘Chonda tympani nerve: Carries taste fom vallate papillae , Carries preganglionic fibres to the parotid fe — Iea pretrematicnerve of firs arch 4 Isabranch of enteior division of mandibular nerve fe Isabranch of posterior division of mandibular nerve Inthe temporal bone, cil sinus eels are located: ppepe ‘Medial to the facia nerve Lateral to the facial nerve Caudal tothe short process of incus Ceplaland tothe short process of incus Both Band C are correct “The inner ear structure most commonly affected by otosclerosis isthe: Hair cells Spiral ligament Stra vaseularis| Spiral ganglion Saceale In addition to Meniere's disease, endolymphatic hydrops may also be associated with: epee Rubella Otoscierosis ‘Congenital syphilis All ofthe above "None ofthe above Malleus ossiies fom: One ossification center ‘Two ossification enters Does not ossfy Any ofthe above [None ofthe above1s. 19. {In the principle of electro-aystagmography, the electric potential diflerenc vllzed is between: ® is Cornea and retina Sclera and comes Comes and choroid ‘Cores and optic nerve Iris and choroid ‘Which is tue about blood trnsfsion: b. a Its not idea to transfuse recipient with blood of his ov srcup ‘The important components to be tested are recipient ed cells an¢ donor's serum CCress-matching isnot necessary ifthe blood groups of donor and recipient are identical [None ofthe above Allof the shove The most serious adverse effet of bloold transfusion: Rigors Fever ‘Nausea & vomiting Otigurea ‘Sensation of heat and pain along the vein Sterilization i process Which destroys vegetative organism ‘Where all iving organism including spores aredestroyed Hotairis very efficient physical agent Most heat is nota valuable agent Allare tue except (2) ‘The autocive is used in he sterilization of Dressings Solutions used parenterally ‘Rubber material ‘Met instruments Allof the above20, a 2 B. m4, Each unt of whole blood for transfusion contains: 450 mlof blood BL 67.S mio ACD (anticoagulant cc. 10Gof Albumin and 2 G of a-lobulin @.— Allofthe above fe. Noneoftbe above Capilery fragility testis positive in a. Hereditary telengectsis b. a ‘Tympanoseleoss is a. Dystrphic calcification b. Heterotopic calcification & — Metasatceaeification &— Hyalinisation fe Akind of periosteal inflammation ‘in the immediate post-operative period after major Head & Neck surgery: a. Almost complete retention of Na and K occurs . Urinary volume returns to normal with 48 hours ©. Increased excretion of chloride fons Urinary specific gravity of 1010 is ominous fe ADHsecretion is less ‘Submanditular salivary flow test: a. Monitor the severity of Bell's Palsy . Consistency of saliva on the affected sie is more cc. Oneofthe best prognostic indicators of facial nerve palsy 4. Noneof the above Allof the above25, 26. 1, 29, ‘Acoustic reflex test Is an all or none phenomenon Is not limited by ipsilateral middle ear pathology Ts not limited by contralateral middle ear disease Ts unatle to loalise lesion in tacit palsy All aretrue. ‘The Pendeed syndrome: ‘An autosomal dominant syndrome Deef-mutism is common association ‘Sensory neral hearing loss occurs in all frequencies Compensatory hyperplasia of tuyroid gland vewurs fe, Treatment with thyroxine improves the hearing aos ‘Which i not te in Waardenburgh Syndrome: Heterochronmia ofthe ides ‘White forelock ‘Broad and prominent roof ofthe nose ‘Dystopia canthi medialis lateroversa Retinitis pigmentosa In which ofthe following aze there total absence of the labyrinths ‘Michel dysplasia, b.— Mondinidysplasi. c.— Scheibe dysplasia. 4. Bing-Siebenmann dysplsie Allofthe above In Histiocytoss x, which ofthe following presents with diabetes insipidus, ‘cxophthalmos and ostolytc lesion of eranium: Eosinophilic granuloma Hand-Schuller-Christian disease Letterer-swe disease All ofthe above ‘None afthe above epper30, 31 2 3. 3 ‘Congenital disorders is associated with conductive hearing loss Persistent stapedial atomy Rhabdomyosarcoma Goldenber's syndrome Allof the above ‘None ofthe above Perilymph fistula in children: ‘Not associated with Pendred’s syndrome Fistula tet uewally correlates with operative findings ‘TullioPhenomena is strongly suggestive History of Menigitis isnot relevant None of the above is tue capes Inthe management of retropharyngeelabces: in children a. CT-scanis of value to assess the extet and to decide ‘which route to use for drainage. b,Chest x-ray is essential © Extemal spprosch is appropriate if extension has occurred to parapharyngeal space 4. Intravenous antibiotic is the first line of treatment © Allaretrue Intrigeminal newalgia a. Painis blunt and throbbing b, — Mastication movement is restricted © Facial sensation is diminished Tongue movement may tigger the attack fe Movement of the face may trigger the attacle Post stapedectomy vertigo is due to Blood inthe vestibule b, Excessive exertion of prosthesis inthe vestibule © Perilymphati fistula Excessive use of suction during the procedure © Allareture35. 36. ” 38 paere ‘The most common sinus involved in infecion in 7 year old child is: Mexiliary sinus Sphenoid sinus Ethmoid sinus Ethmoid, frontal and sphenoid Maxillary, frontal and eshmoid “The cuff pressure after tracheostomy should not exceed more than a 3SmmofHg b 3SemofH0 © 2Semofl0 4 10mmofHg & 20mmofH. Inthe geminal centre of the tonsil the following activity occurs 2, Nom expansion of memory clones Migration ofT cells to precapllary venules ¢. Destruction of foreign antigen 4. Immunoglobulin production ©. Delayed cellular hypersensitivity In carcinoma ofthe larynx the vocal cord fixation occurs due to 2. Recurini laryngeal nerve involvement b, Invasion of thyroid cartilage © Extension of disease in thyroarytenoid muscle 4. None ofthe above © Allofthe above. “Which ofthe following is/are signs and symptoms of fracture of zygoma? a Epistaxis ‘b. —Subeutanecus emphyseme Trismus 4. Allofthesbove 2 (and ()40. 4 45, ‘The greater petrosal nerve 4. Contains preganglionic secremotor fibers fom ers intermedius after passing through geniculate ganglion 7 +b, _Iespost gengionie bers arse from sphenopalatine ganglion ©. Ttsupplies lacrimal, nasal and palatine alands 4d. Allofthe above Band In CSOM the following aze indications for immediate surgery except Pefsistent ear pain Persistent discharge ‘Continuous vertigo as presenting symptoms Facial paralysis ‘Threatened intranasal complications “The Buccopharyngeal membrane separates ‘Amniotic sae from yolk sae [Nasal cavity from oral esvity Proctodeum from hindgut Larynx from pharynx ‘Stomodeum from foregut Structure directly anterior to the jugulr foramen: Stylo process (Cecipital condyle Foremen magnum Spenoidal spine Carotid canal peer “The superior orbital fissure is bounded by the: a Maxilla and greater wing of sptenoid '. Manilla an lesser wing of sphenoid Lesser wing of sphenoid and ethmoid 4. Lesser wing and greater wing of sphenoid fe. Lesser wing of sphenoid and fontal ‘Thyroid cartilage developed from a. First branchial arch 1B, Second branchial arch © Third branchial arch ‘@. Fourth branchial arch fe. Fifth branchial archa. 48 8. 30. Fracture ofthe hyofd bone is best treated by: ppese Laryngeal stoboscopy’ peso (Closed redvetion and fixation Open wiring ofthe fracture No teatment ‘Removal of the bone on either side to avert crepitus Voice rest the least likely to benefit patients who have: Spastiity ‘Nonvibrating segment - Tntracordal mass lesion Early vocal cord cancer ‘Vocal cord a different level ‘Apptient with gastroesophageal reflux has a lesion of the mile portion of ‘the trae vocal cord. This finding most likely suggests peoce Reinke's edema Glottc stenosis 4 Contact ulcer Granuloma Carcinoma Inpatients with spastic dysphonia, botulinum toxin works by pees ‘An unknown mecbanism Preventing calcium-dependent release of acetylcholine Increasing calcium dependent release of acetyetoline Increasing level of dopamine in the central nervous system ‘Decreasing level o dopamine in the central nervaus system (One stage laryngotrachooplasty for repair of subglottic stenosis in children avoids all ofthe following postoperative sequelae except perer ‘Maliple procedures ‘Ongoing tracheotomy care % [Need for prolonged antibiotic therapy Problems of prolonged indwelling laryngeal stent Pulmonary atletasis and neuromuscular weaknessEn 32 33 si 5. “Which of the following anatomic ste ofthe respiratory tract isa east risk for the development of recurrent papillomatosis? ‘Mid area ofthe laryngeal surface of the epiglotis [Nasopharyngeal surface ofthe soft palate Midthoracie tracheobronchial tree False vocal cords “True vocal cords parse Which ofthe following factors isthe most associated with «decreased ‘Hkelitood of complication with bronchoscopic removal ofa foreign body? “Type of foreign body Location of forcign body Use of telescopic forceps ‘Adainistration of halothane anesthesia ‘Bronchoscopie experience ofthe surgeon peeee ‘A patient referred fr evaluation of verge has shred speech speech ‘valuation eveals ataxic dysarthia, the diagnosis mos likely is Parkinsonism b. Cerebral palsy Brainstem stroke @. Multiple sclerosis fe Mysthenia gravis “Which ofthe following dysphonia is sometimes associated with bowed vocal folds: Conversation ephosia Payehogenie dysphonia ‘Maseular tension dysphonia ‘Adolescent transitional dysphonia ‘Surpaglotic Intra eontzaetion paper Inorder of funtional priority, from most to least important, whet are the tres basie function ofthe human layax? Respiratory, protective, phonatory ‘Phonatory, espratory, protective Protective, phonstory, respiratory ‘ Protective, respiratory, phonatory Respiratory, phonatory, protective epese n56, 30 58. 39, 60, “The most common true vocal cord abriormelity associated with ventricular crist ampullaris e.— Macula of the uticle <<. Macula ofthe saceu fe. Neurons ofthe vestibulr nev ‘An I8 year old develops 2 sudden bilsteral SN. deaness, Which ofthe following is known to be the eause ofthis condition? Sickle cell ris Guillain-Barre syndrome ‘Addises's disease odo "pus erythematosis “The characteristic histologic finding ina labial biopsy ftom a patient who bas Sjogrens syndrome is: Fibrosis b. Epithelial hyperplasia © Fatty degeneration 4. Lymphocytic siiadenitis Eosinophilic gramstoma ‘Which ofthe following does NOT contribute to presbyacsus: Genetic factors “Arthriti changes of ssicular articulations Loss of neuron in th= Cochlese nucleus ‘Atrophy ofthe stra vera ‘Auophy ofthe ore= feat repinning in the basal end mifacial microsomia ‘An aboormality of second branchial arch Ramus of mandible is well developed “Muscles of mastication may be absent “Mandible deviates tothe opposite side ‘Alveolar growth is nt affected amid p PO UMUODOUOOMMMOD ES MUD MTTOUMHOCREDUMOTOPP MESS