EAR The following are anatomic structures of the-1 : auricle except a- Helix b-Tragus c-Concha d-Antrum The antrum

is the largest air cells of the ) ( mastoid bone The auriculo temporal nerve-2 a-supplies the skin of the upper 2/3 of the lateral surface of the auricle b- is a branch of maxillary nerve c- supplies the middle ear mucosa through the tympanic plexus d- non of the above The auriculo-temporal nerve is a branch ofmandibular division of the trigeminal nerve The middle ear mucosa is supplied by the tympanic branch of Glosspharyngeal nerve called Jacobson nerve The lobule of the ear has its sensory-3 :innervation from a-great auricular nerve b- auriculotemporal nerve c-arnold branch of vagus d- facial nerve

tensor tympani muscle b-levator palati muscle c-tensor palati muscle d-Salpingopharyngeus muscle The sensory end-organ of the semicircular-7 : canal is a.:The tympanic membrane is divided into-4 a.the crista d.both 1 and 3 The Eustachian tube is opened by contraction-6 : of a.both 1 and 2 f.Two equal parts called pars tensa and pars flaccida b.non of the above The bulge seen on the medial wall of the-5 : middle ear is a.A major upper part called pars flaccida and a small lower part called pars tensa c-A small upper part called pars flaccida and a major lower part called pars tensa d.the organ of Corti b.non of the above The organ of Corti is the sensory end organ of- .formed by the bony semicirculr canal c-is formed by the basal turn of the bony cochlea d-all of the above e.the macula c.known as the promontory b.

wax b.wax b.non of the above Vegetable FB will swell if ear wash fails to get it out which will cause more impaction : It is better to avoid ear wash for removal of-10 a.hearing in the cochlea The macula is the sensory end organ in theutricle and saccule Auricular hematoma-8 a.may be complicated by otitis externa b.non of the above Don’t wash if the FB is a calculator battery asthis may lead to leak of acid and chemical burn of the skin .cauli ear is one of its complications c.animate foreign body c.animate foreign body c-calculator battery d.all of the above Auricular hematoma may be complicated byperichondritis and cauli ear evacuation of the extra-vasated blood is essential to avoid complications : It is better to avoid ear wash for removal of-9 a.impacted vegetable foreign body d.evacuation of the extra-vasated blood is not essential d.

staph.V nerve . Aeureus d.Pseudomonas c.staphylococcus aureus is the causative organism d.IV nerve b.E coli The causative organism in malignant otitis-12 : externa a.non of the above In the adult. the Eustachian tube is-14 : approximately the following lehgth a.proteus b-Pseudomonas c-staph.: The causative organism in ear fruncle is-11 a.36 mm d.is most commonly seen in elderly uncontrolled diabetics c.20 mm c.30 mm b.proteus b.morexella catarrhalis : Malignant otitis externa is-13 a. Aeureus d.45 mm In Gradenigo syndrome diplopia is due to-15 : inflammation of the following cranial nerve a.a truly malignant disease eroding the external canal b.

facial nerve paralysis is a common association with this type d.Rupture of the tympanic membrane b.Non of the above d.non of the above The following organisms are involved in acute-18 otitis media except a.Ossicular disruption c.III Nerve d.VI nerve :This syndrome is charecterized byotorrhoea -1 facial pain due to iritation of V cranial nerve-2 diplopia and squint due to iritation of VI cranial-3 nerve in Dorello canal Conductive deafness in longtudinal temporal-16 :bone fracture may be due to a.is less common than the transverse type b.prominent lateral process of malleus .c.is usually associated with sensori-neural hearing loss c.Both 1 and 2 : Longtudinal temporal bone fracture-17 a.streptococcus pneumonia b-hemophilus influenza c-Pseudomonas aeroginosa d-morexella cararrhalis All of the following are diagnostic of tympanic-19 membrane retraction except a.fore-shortened handle of malleus b.

a perforation at the central part of the drum .non of the above : Type c tympanogram is consistent with-22 a.stage of salpingitis b.small in the pars flaccida d.stage of tympanic membrane perforation The tympanic membrane perforation in acute-21 otitis media is a.stage of catarrhal otitis media c.Schwartz sign d.otosclerosis In Type C there is Normal compliance but thepeak of the tympanogram is at the negative side so it is consistent with ET dysfunction in which there is negative pressure in the middle ear : By central drum perforation we mean-23 a.stage of suppurative otitis media d.marginal in the pars tensa c.central in the pars tensa b.secretory otitis media b.otosclerosis c.distorted cone of light Schwartz sign is a flamingo red tinge of thetympanic membrane due to increased vascularity of the promontory and indicates active otosclerosis Throbbing and severe earach is present in the-20 : following stage of acute otitis media a.Eustachian tube dysfunction d.c.

A central tympanic membrane perforation d.central tympanic membrane perforation c.non of the above A child with retraced drum and conductive-26 deafness after inadequate treatment of acute : suppurative otitis media is suffering from a-chronic tubotympanic otitis media b-chronic atticoantral otitis media c.a perforation in the pars tensa which is not surrounded by a rim of tympanic membrane All of the following may be seen in the-24 tubotympanic type of chronic suppurative otitis media except a.marginal tympanic membrane perforation d.continuous mucopurulent ear discharge b-A foul smelling ear discharge c.all of the above e-non of the above The commonest cause of conductive-27 :deafness in children is a.wax b-secretory otitis media .b.mucopurulent otorrhoea b.profuse otorrhoea Cholesteatoma is characterized by-25 a.otitis media with effusion d.a perforation in the pars tensa which is surrounded by a rim of tympanic membrane c a perforation of the pars flaccida d.

non of the above The presence of foul odour otorrhoea and atticperforation is diagnostic of cholesteatoma.otosclerosis In a patient suffering from purulent otorrhoea-29 : and attic perforation a.otosclerosis The commonest cause of conductive-28 :deafness in adults is a.MRI angiography confirm the diagnosis d-biopsy is essential to verify the pathological nature Biopsy is contraindicated as it will lead toprofuse bleeding . all of the following are true except a.c-otomycosis d.myringoplasty is the only needed treatment d.treatment is essentially surgical b. Treatment of this case is essentially surgical by mastoidectomy operation ( radical or modified (radical In a 45 years old female patient presenting-30 with pulsating tinnitus and red mass behind the : drum.glomus tumour is a possible diagnosis b-more assessment is needed by CT scan or MRI c.medical treatment and follow up is sufficient c.wax b-secretory otitis media c-otomycosis d.

petrositis d.: Bezold abscess is a collection of pus-31 a.circumscribed per.above and in front of the auricle b-behind the auricle c-in the upper part of the neck deep to the sternomastoid d.acute otitis media b.postauricular mastoid abscess Sagging means bulging downwards of theposterosuperior part of the bony external canal and is due to periostitis of the bone overlying the mastoid antrum.in the peritonsillar space During ear examination the reservoir sign is-32 :diagnostic of a.reservoir sign b-sagging of the posterosuperior part of the bony canal c-perforated tympanic membrane d.labyrintserous c suppurative labyrinthitishitis d all of the above .serous labyrinthitis b.mastoiditis c.cholesteatoma An early and diagnostic sign of mastoiditis-33 : is a. It is an early and diagnostic sign of mastoiditis Vertigo and nystagmus induced by pressure-34 : on the tragus is diagnostic of a.

non of the above d.avoid rupture of the tympanic membrane c-avoid complications d-all of the above The most common complication of-37 myringotomy operation is a. myringotomy is benificial to a-drain the middle ear b.to avoid injury of dehiscent jagular bulb b.diffuse serous labyrinthitis c.In a case of cholesteatoma.residual perforation In myringotomy operation the posterosuperior-38 quadrant of the tympanic membrane must be : avoided a.-39 : severe facial pain and diplopia is known as .injury of facial nerve b-dislocation of the incus c-injury of the jagular bulb d.extradural abscess d. sever-35 spontaneous vertigo with Nausea and vomiting is suspicious of a.circumscribed peri-labyrinthitis b.petrositis In a patient having acute suppurative otitis-36 media with bulging drum.to avoid injury of the ossicles c.both 1 & 2 The combination of unilateral otorrhoea.

mastoiditis The first line of treatment in a child who-41 develops lower motor neurone facial paralysis : after acute otitis media is a.myringotomy Intermittent fever with rigors and headach in a-42 : patient with cholesteatma may be due to a-otogenic meningitis b-otogenic brain abscess c.lateral sinus thrombophlebitis d-extradural abscess A positive Kernig sign means-43 a-reflex flexion of the hips and knees when the neck is flexed .a.Ramsay Hunt sundrome A child with an attic drum perforation who-40 developed nausea.decompression of facial nerve c.otogenic meningitis b.petrositis d.Kartagner syndrome d. projrctile vomiting and fever : of 40 degree is suspicious to have got a.Gradenigo’s syndrome c.antibiotics and corticosteroids b.otogenic labyrinthitis c.Piere Robin syndrome b.exploration of facial nerve d.

inability to do rapid ulternating movement d.inability to extend the knee completely when the hip is flexed on the abdomen c. the following statements-46 :are correct except a-occurs during airplane ascent b.occurs during airplane rapid descent c.b.can cause rupture of the tympanic membrane d.non of the above A positive Brudzniski sign means-44 a-reflex flexion of the hips and knees when the neck is flexed b.non of the above A persistent profuse ear discharge after acute-45 otitis media is a.secretory otitis media c-mastoiditis d.cholesteatoma b.inability to do rapid ulternating movement d.occurs during diving The commonest cause of vertigo is-47 a.diffuse otitis externa in mastoiditis there is profuse mucopurulent orpurulent otorrhoea which recurs rapidly after (remova ( a diagnostic sign called reservoir sign In otitic barotrauma.inability to extend the knee completely when the hip is flexed on the abdomen c.meniere’s disease .

present with pulsating discharge.b-labyrinthitis c-benign paroxysmal positional vertigo d-ototoxicity Most cases of extradural abscess of the-48 temporal lobe a.cochlear otosclerosis .are asymptomatic and discovered accidentally during mastoidectomy b.sensorineural c-mixed d-all of the above In stapedial otosclerosis hearing loss isconductive In cochlear type the hearing loss issensorineural In combined otosclerosis the hearing loss ismixed The commonest cause of bilateral-50 sensorineural hearing loss in elderly individuals is a.present with vertigo d.conductive b.present with persistent ipsilateral temporal headach c.hearing loss and tinnitus The type of hearing loss in otosclerosis may-49 be a.

audiogram b.non of the above The XI.ensure dry perforation c-treatment of any underlying nasal or paranasal sinus infection d-all of the above e. hearing loss and tinnitus associated with nausea and vomiting Before tympanoplasty in a 30 years old-52 patient.b. hearing loss and tinnitus associated with nausea and vomiting has a. X and XI cranial nerves may be-53 involved in all of the following except a-acoustic neuroma .presbyacusis c.ototoxicity A 30 years old patient with recurrent attacks-51 of vertigo.diabetes milltus d.benign paroxysmal positional vertigo b-vestibular neuronitis c-Meniere’s disease [d-acoustic neuroma explanation In benign paroxysmal positional vertigo there -1 is recurrent attacks of vertigo for seconds which occurs when the patient assumes certain head position in vestibular neuronitis there is sudden severe -2 vertigo for dayes but bo hearing loss in Meniere’s disease recurrent attacks of -3 vertigo. the following is required a.

paralysis of the trigeminal nerve b.in the stylomastoid foramen Failure to close the eye voluntarily is a-55 symptom of a.squamous cell carcinoma of the middle ear in transverse temporal bone fracture theinvolved nerves are VII & VIII In lower motor neurone facial paralysis with-54 intact taste sensation at the anterior 2/3 of the : tongue.non of the above Uncontrolled diabetes in elderly patient may-56 predispose to a.lower motor neurone facial paralysis d. the level of the lesion is a.recurrent middle ear infection b.vestibular neuronitis A large near total perforation following acute-57 necrotizing otitis media must be followed up for fear of a.cholesteatoma b.removal of mastoid air cells and all middle ear .in the internal auditory canal b-in the horizontal tympanic part c.upper motor neurone facial paralysis c.b-transverse temporal bone fracture c-malignant otitis externa d.presbyacusis d.malignant otitis externa c.in the vertical part above the stapes d.secondary acquired cholesteatoma c-retraction pocket d-tympanosclerosis By modified radical mastoidectomy we mean-58 a.

non of the above By radical mastoidectomy operation we mean-59 a.removal of mastoid air cells and all middle ear contents except stapes b.contents c.radical mastoidectomy c.After the operation speech discrimination is good and lip reading is not needed Which of the following statements is wrong-62 : concerning myringotomy Operation a.removal of mastoid air cells and all middle ear contents with preservation of healthy remnants of tympanic membrane and ossicles d.non of the above Extensive cholesteatoma is best treated by-60 a.removal of diseased mastoid air cells c.it is indicated in acute suppurative otitis media with bulging drum b.removal of mastoid air cells and all middle ear contents with preservation of healthy remnants of tympanic membrane and ossicles d.it is indicated in secretory otitis media after failure of medical Treatment .myringotomy wiyh insertion of T tube Which of the following statements is false-61 concerning Cochlear implant a-postlingually deaf get far better benefit than prelingually deaf b-it is indicated in total sensory hearing loss c-the auditory nerve should be intact d.modified reducal mastoidectomy d.removal of diseased mastoid air cells c.cortical mastoidectomy b.

c-Aminoglycosides .frusemide c.d) Hyperthyroidism .a) Arteriovenous malformation of neck .a-Salicylates .c.d-Palatal myoclonus e-Middle ear effusion The following have an ototoxic effect except-66 a.d-NSAID e-All of the above Which of the following is associated with-65 objective tinnitus .b-Loop Diuretics .a-Menière's disease .c) Glomus jugulare tumors .it is better done in the postero superior quadrant of the tympanic membrane d-residual perforation of the tympanic membrane is one of its complications Etiology for pulsatile tinnitus includes the-63 :followings except .e) Atherosclerosis Which of the following drugs are known to-64 ?cause tinnitus .c-Acoustic neuroma .gentamycin b.Otosclerosis .b-Ear wax impaction .quinine ____________________________________________________________________ .streptomycin d.amoxicilline e.

Master your semester with Scribd & The New York Times

Special offer for students: Only $4.99/month.

Master your semester with Scribd & The New York Times

Cancel anytime.