ENT Examination

MCQ

Choose the best answer:


1- Otitis externa is commonly associated with
all of the following except

A- Auricle pain and redness
B- History of swimming
C- Need of oral antibiotics
D- Treatment with ear drops
E- Painful mastication
1- Otitis externa is commonly associated with
all of the following except

A- Auricle pain and redness
B- History of swimming
C- Need of oral antibiotics
D- Treatment with ear drops
E- Painful mastication
2- All of the following regarding cholestatoma
are true except

A- Removal requires mastoidectomy
B- Can cause sigmoid sinus thrombosis
C- They do not metastatize
D- Can be treated medically in mild cases
E- Can occur as a complication of
tympanostomy tube insertion

2- All of the following regarding cholestatoma
are true except

A- Removal requires mastoidectomy
B- Can cause sigmoid sinus thrombosis
C- They do not metastatize
D- Can be treated medically in mild cases
E- Can occur as a complication of
tympanostomy tube insertion
3- The Rinne test is used to assess hearing
conduction. Normally,

A- Air conduction is greater than bone
conduction
B- Bone conduction is greater than air
conduction
C- Air conduction equals bone conduction
D- Conduction depends on the age of the
patient
E- Sensorineural hearing loss leads to air- bone
gap

3- The Rinne test is used to assess hearing
conduction. Normally,

A- Air conduction is greater than bone
conduction
B- Bone conduction is greater than air
conduction
C- Air conduction equals bone conduction
D- Conduction depends on the age of the
patient
E- Sensorineural hearing loss leads to air- bone
gap

4- Peritonsillar abscesses occur in the space
between the tonsil and

A- The prevertebral fascia
B- The superior constrictor pharyngeal muscle
C- The tonsillar capsule
D- Cricopharyngeus muscle
E- The soft palate



4- Peritonsillar abscesses occur in the space
between the tonsil and

A- The prevertebral fascia
B- The superior constrictor pharyngeal muscle
C- The tonsillar capsule
D- Cricopharyngeus muscle
E- The soft palate



5- Which of the following is not found in
Meniere's disease

A- Aural fullness
B- Otalgia
C- Tinnitus
D- Fluctuating hearing loss
E- Vertigo

5- Which of the following is not found in
Meniere's disease

A- Aural fullness
B- Otalgia
C- Tinnitus
D- Fluctuating hearing loss
E- Vertigo
6- Which of the following groups constitute
speech frequencies?

A- 250, 500, 1000 Hz
B- 500, 1000, 2000 Hz
C- 1000, 2000, 4000 Hz
D- 2000, 4000, 8000 Hz
E- 20 to 20000 Hz

6- Which of the following groups constitute
speech frequencies?

A- 250, 500, 1000 Hz
B- 500, 1000, 2000 Hz
C- 1000, 2000, 4000 Hz
D- 2000, 4000, 8000 Hz
E- 20 to 20000 Hz

7- A 35 years old male patient presented with
right otalgia and hearing loss. On physical
examination he had right serous Otitis media.
The first step of management should be:

A- Myringotomy
B- Medical therapy
C- Nasopharyngeal endoscopy
D- Ventilation tube
E- Tympanogram

7- A 35 years old male patient presented with
right otalgia and hearing loss. On physical
examination he had right serous Otitis media.
The first step of management should be:

A- Myringotomy
B- Medical therapy
C- Nasopharyngeal endoscopy
D- Ventilation tube
E- Tympanogram

8- What is the treatment of choice in acute
benign paroxysmal positional vertigo (BPPV)?

A- Medical therapy
B- Bed rest & reassurance of the patient
C- Epley maneuver
D- A and B
E- B and C

8- What is the treatment of choice in acute
benign paroxysmal positional vertigo (BPPV)?

A- Medical therapy
B- Bed rest & reassurance of the patient
C- Epley maneuver
D- A and B
E- B and C

9- The most commonly identified pathogen
associated with acute otitis media

A- Staphylococcus aureus.
B- Haemophilius influenza, type B.
C- Streptococcus pneumoniae.
D- Klebsiella pneumoniae
E- Moraxella catarrhalis

9- The most commonly identified pathogen
associated with acute otitis media

A- Staphylococcus aureus.
B- Haemophilius influenza, type B.
C- Streptococcus pneumoniae.
D- Klebsiella pneumoniae
E- Moraxella catarrhalis

10- Arteries which take part in Kiesselbach's
plexus include all except:

A- Anterior ethmoid artery
B- Posterior ethmoid artery
C- Greater palatinal artery
D- Sphenopalatine artery
E- Superior labial artery

10- Arteries which take part in Kiesselbach's
plexus include all except:

A- Anterior ethmoid artery
B- Posterior ethmoid artery
C- Greater palatinal artery
D- Sphenopalatine artery
E- Superior labial artery

11- A 14 years old male patient complains of
recurrent epistaxis. He presented with a nasal
mass which is bluish in color. The most likely
diagnosis is

A- Simple nasal polyp
B- Antro-choanal polyp
C- Nasopharyngeal angiofibroma
D- Inverted papilloma
E- Rhinoscleroma

11- A 14 years old male patient complains of
recurrent epistaxis. He presented with a nasal
mass which is bluish in color. The most likely
diagnosis is

A- Simple nasal polyp
B- Antro-choanal polyp
C- Nasopharyngeal angiofibroma
D- Inverted papilloma
E- Rhinoscleroma

12- A three years child with Down syndrome
suffers from obstructive sleep apnea. The best
treatment will be

A- Tonsillectomy & adenoidectomy
B- Follow up and close observation
C- CPAP
D- Tracheostomy
E- None
12- A three years child with Down syndrome
suffers from obstructive sleep apnea. The best
treatment will be

A- Tonsillectomy & adenoidectomy
B- Follow up and close observation
C- CPAP
D- Tracheostomy
E- None
13- A four months infant was diagnosed to
have a mild form of laryngomalasia. The best
management will be:

A- Tracheostomy
B- Laser assisted epiglottoplasty
C- Observation and follow up.
D- Hyo- epiglottopexy
E- All of the above

13- A four months infant was diagnosed to
have a mild form of laryngomalasia. The best
management will be:

A- Tracheostomy
B- Laser assisted epiglottoplasty
C- Observation and follow up.
D- Hyo- epiglottopexy
E- All of the above

14- Predisposition to chronic sinusitis in the
pediatric population includes all the following
disorder except

A- Cystic fibrosis
B- Nasopharyngeal angioibroma
C- Hypogammaglobulinemia
D- Allergic aspergilliosis
E- Kartagener's syndrome

14- Predisposition to chronic sinusitis in the
pediatric population includes all the following
disorder except

A- Cystic fibrosis
B- Nasopharyngeal angioibroma
C- Hypogammaglobulinemia
D- Allergic aspergilliosis
E- Kartagener's syndrome

15- The primary function of the nose is :

A- Humidification of inspired air.
B-Filtration of inspired air.
C-Olfaction.
D-Heat exchange of inspired air .
E-All of the above .

15- The primary function of the nose is :

A- Humidification of inspired air.
B-Filtration of inspired air.
C-Olfaction.
D-Heat exchange of inspired air .
E-All of the above .

16- At what level does the normal pharynx
become continuous with the cervical
esophagus?

A- C4.
B- C5.
C- C6.
D- T1.
E- T2.

16- At what level does the normal pharynx
become continuous with the cervical
esophagus?

A- C4.
B- C5.
C- C6.
D- T1.
E- T2.

17- Ludwigs angina refers to infectious
involvement of:

A- Bilateral submandibular space.
B- Bilateral sublingual space.
C- Submental space.
D- All of the above.
E- None of the above.

17- Ludwigs angina refers to infectious
involvement of:

A- Bilateral submandibular space.
B- Bilateral sublingual space.
C- Submental space.
D- All of the above.
E- None of the above.

18- Which of the following elevates with
tongue protrusion?

A-Thyroglossal duct cyst.
B-Dermoid cyst
C- Thymic cyst
D- Laryngocele
E- None
18- Which of the following elevates with
tongue protrusion?

A-Thyroglossal duct cyst.
B-Dermoid cyst
C- Thymic cyst
D- Laryngocele
E- None
19- The most common presenting sign or
symptom of nasopharyngeal cancer is

A-Nasal obstruction..
B-Neck mass.
C-Nasal bleeding.
D-Serous otitis media.
E-Nasopharyngeal incompetence.
19- The most common presenting sign or
symptom of nasopharyngeal cancer is

A-Nasal obstruction..
B-Neck mass.
C-Nasal bleeding.
D-Serous otitis media.
E-Nasopharyngeal incompetence.
20- The oval window of the inner ear opens
into:

A- Cochlear duct
B- Vestibule
C- Saccule
D- Lateral semicircular canal
E- Endolymphatic sac

20- The oval window of the inner ear opens
into:

A- Cochlear duct
B- Vestibule
C- Saccule
D- Lateral semicircular canal
E- Endolymphatic sac

21- Which one is not a part of Waldeyers ring in
the throat?

A- Palatinal tonsils
B- Lingual tonsils
C- Pharyngeal tonsils
D- Tubal tonsils
E- Retromolar tonsils
21- Which one is not a part of Waldeyers ring in
the throat?

A- Palatinal tonsils
B- Lingual tonsils
C- Pharyngeal tonsils
D- Tubal tonsils
E- Retromolar tonsils
22. Which is wrong?

A. Otitis media may heal without treatment
B. Otitis media
C. 85% of children experience at least one
episode of OM
D. The peak incidence and prevalence is from
620 mo of age
E. The earlier in life a child experiences the 1st
episode, the lesser the degree of frequency of
recurrence, severity, and persistence of middle-
ear effusion
22. Which is wrong?

A. Otitis media may heal without treatment
B. Otitis media
C. 85% of children experience at least one
episode of OM
D. The peak incidence and prevalence is from
620 mo of age
E. The earlier in life a child experiences the 1st
episode, the lesser the degree of frequency of
recurrence, severity, and persistence of middle-
ear effusion
23. The diagnosis of acute otitis media mainly
depends on

a. History and physical examination
b. Otoscope
c. Tympanogram
d. X-ray
e. Hearing tests
23. The diagnosis of acute otitis media mainly
depends on

a. History and physical examination
b. Otoscope
c. Tympanogram
d. X-ray
e. Hearing tests
24. Which is the most important in the
treatment of acute otitis media?

a. Myringotomy
b. Anti-histaminics and steroids
c. Decongestants
d. Antimicrobials
e. Ventilation tubes

24. Which is the most important in the
treatment of acute otitis media?

a. Myringotomy
b. Anti-histaminics and steroids
c. Decongestants
d. Antimicrobials
e. Ventilation tubes

25. Which is not an indication for myringotomy
in the treatment of acute otitis media?

a. Facial nerve palsy
b. Hyperpyrexia
c. Mastoiditis
d. Labyrinthitis
e. Massive purulent discharge

25. Which is not an indication for myringotomy
in the treatment of acute otitis media?

a. Facial nerve palsy
b. Hyperpyrexia
c. Mastoiditis
d. Labyrinthitis
e. Massive purulent discharge

26. A 30 years old patient has a history of
recurrent ear discharge since 5 years. The last
week he developed facial palsy at the same side
of the infected ear. What is your management?

a. Admission, iv antibiotics and steroids.
b. Urgent mastoidectomy
c. Ventilation tubes
d. Antibiotics, steroids and close observation
e. Urgent neurology consultation

26. A 30 years old patient has a history of
recurrent ear discharge since 5 years. The last
week he developed facial palsy at the same side
of the infected ear. What is your management?

a. Admission, iv antibiotics and steroids.
b. Urgent mastoidectomy
c. Ventilation tubes
d. Antibiotics, steroids and close observation
e. Urgent neurology consultation

27. Which is not a complication of secretory
otitis media?

a. Cholestatoma
b. Sensorineural hearing loss
c. Conductive hearing loss
d. Erosion of the ossicles
e. Meningitis
27. Which is not a complication of secretory
otitis media?

a. Cholestatoma
b. Sensorineural hearing loss
c. Conductive hearing loss
d. Erosion of the ossicles
e. Meningitis
28. Which of the followings does not cause
conductive hearing loss?

a. Cerumen
b. Otitis media
c. Otosclerosis
d. Labyrinthitis
e. Temporal bone trauma

28. Which of the followings does not cause
conductive hearing loss?

a. Cerumen
b. Otitis media
c. Otosclerosis
d. Labyrinthitis
e. Temporal bone trauma

29. Which is not related to BPPV?

a. Tinnitus
b. Epley maneuver
c. Rotational nystagmus
d.Dix-Halpike maneuver
e. None

29. Which is not related to BPPV?

a. Tinnitus
b. Epley maneuver
c. Rotational nystagmus
d.Dix-Halpike maneuver
e. None

30. Which is right about the osteomeatal
complex?

a. It can be evaluated by Waters x-ray
b. It can be examined during anterior
rhinoscopy
c. It is the key of the development of sinusitis
d. It is located in the superior meatus
e. It should be untouched during endoscopic
sinus surgery

30. Which is right about the osteomeatal
complex?

a. It can be evaluated by Waters x-ray
b. It can be examined during anterior
rhinoscopy
c. It is the key of the development of sinusitis
d. It is located in the superior meatus
e. It should be untouched during endoscopic
sinus surgery

31. The nasopharynx lymphatic drainage is
through:

a. Retropharyngeal lymph nodes
b. Jugulodigastric lymph nodes
c. Jugulomohyoid lymph nodes
d. Spinal accessory lymph nodes
e. Delphian lymph node
31. The nasopharynx lymphatic drainage is
through:

a. Retropharyngeal lymph nodes
b. Jugulodigastric lymph nodes
c. Jugulomohyoid lymph nodes
d. Spinal accessory lymph nodes
e. Delphian lymph node
32. The most common cause of acute tonsillitis
is

a. Group A beta hemolytic streptococci
b. S. aureus
c. Viruses
d. H. influenza
e. Group B beta hemolytic streptococci

32. The most common cause of acute tonsillitis
is

a. Group A beta hemolytic streptococci
b. S. aureus
c. Viruses
d. H. influenza
e. Group B beta hemolytic streptococci

33. Which of the following does not help in the
diagnosis of acute tonsillitis?

a. Physical examination
b. ASOT
c. Cultures
d. CBC
e. Penicillin allergy test

33. Which of the following does not help in the
diagnosis of acute tonsillitis?

a. Physical examination
b. ASOT
c. Cultures
d. CBC
e. Penicillin allergy test

34. Which is not an indication of tonsillectomy?

a. Obstructive sleep apnea syndrome
b. Dysphagia
c. Neoplasia suspicion
d. Peri tonsillar abscess
e. Acute tonsillitis every 3 months
34. Which is not an indication of tonsillectomy?

a. Obstructive sleep apnea syndrome
b. Dysphagia
c. Neoplasia suspicion
d. Peri tonsillar abscess
e. Acute tonsillitis every 3 months
35. What is the best urgent management in a 2
days old neonate with a bilateral choanal
atresia?

a. Endotracheal intubation
b. Tracheostomy
c. Oral airway
d. Surgery
e. None

35. What is the best urgent management in a 2
days old neonate with a bilateral choanal
atresia?

a. Endotracheal intubation
b. Tracheostomy
c. Oral airway
d. Surgery
e. None

36. What is the best management of nasal
septal hematoma?

a. Nasal packing
b. IV antibiotics
c. Evacuation and packing
d. Septoplasty
e. Needle aspiration

36. What is the best management of nasal
septal hematoma?

a. Nasal packing
b. IV antibiotics
c. Evacuation and packing
d. Septoplasty
e. Needle aspiration

37. Which of the followings are the true
anatomic axes for endotracheal intubation?

a) Flexion of the head and flexion of the neck
b) Extension of the head and extension of the
neck
c) Flexion of the head and extension of the
neck
d) Extension of the head and flexion of the neck
e) None
37. Which of the followings are the true
anatomic axes for endotracheal intubation?

a) Flexion of the head and flexion of the neck
b) Extension of the head and extension of the
neck
c) Flexion of the head and extension of the
neck
d) Extension of the head and flexion of the neck
e) None
38. Which of the followings is not an indication
of tracheostomy?

a. Obstructive sleep apnea syndrome
b. Foreign body aspiration in the right bronchus
c. Bilateral vocal cord paralysis
d. Chronic aspiration
e. Severe mandible fracture and bleeding

38. Which of the followings is not an indication
of tracheostomy?

a. Obstructive sleep apnea syndrome
b. Foreign body aspiration in the right bronchus
c. Bilateral vocal cord paralysis
d. Chronic aspiration
e. Severe mandible fracture and bleeding

39. What is the best treatment in acute viral
otitis media?

a. Antibiotics and analgesics
b. Analgesics and symptomatic treatment
c. Antibiotics, analgesics and anti- histaminics
d. Myringotomy
e. Cultures and antibiotics

39. What is the best treatment in acute viral
otitis media?

a. Antibiotics and analgesics
b. Analgesics and symptomatic treatment
c. Antibiotics, analgesics and anti- histaminics
d. Myringotomy
e. Cultures and antibiotics

40. In acute bacterial otitis media pain is most
prominent in which stage?

a. Hyperemic stage
b. Exudative stage
c. Suppurative stage
d. Coalescent stage
e. Resolusion stage

40. In acute bacterial otitis media pain is most
prominent in which stage?

a. Hyperemic stage
b. Exudative stage
c. Suppurative stage
d. Coalescent stage
e. Resolusion stage

41. In an infant with bilateral profound
sensorineural hearing loss the choice of
treatment is

a. Cochlear implant
b. Brainstem implant
c. Hearing aids
d. Ventilation tubes
e. Follow up till 5 years old

41. In an infant with bilateral profound
sensorineural hearing loss the choice of
treatment is

a. Cochlear implant
b. Brainstem implant
c. Hearing aids
d. Ventilation tubes
e. Follow up till 5 years old

42. What is the best duration of treatment of
acute suppurative otitis media?

a. 5 days
b. 10 days
c. 15 days
d. one month
e. none

42. What is the best duration of treatment of
acute suppurative otitis media?

a. 5 days
b. 10 days
c. 15 days
d. one month
e. none

43. For a child with recurrent acute otitis media
attacks, the treatment is

a. Prophylactic antibiotics
b, Ventilation tubes
c. Decrease the risk factors
d. Episodic treatment and follow up
e. All
43. For a child with recurrent acute otitis media
attacks, the treatment is

a. Prophylactic antibiotics
b, Ventilation tubes
c. Decrease the risk factors
d. Episodic treatment and follow up
e. All
44. Which of the followings does not play a role
in the etiology of secretory otitis media?

a. Eustachean dysfunction
b. Allergy
c. Adenoid hypertrophy
d. Cigarette smoking
e. Brest feeding
44. Which of the followings does not play a role
in the etiology of secretory otitis media?

a. Eustachean dysfunction
b. Allergy
c. Adenoid hypertrophy
d. Cigarette smoking
e. Brest feeding
45. Which of the followings is not used for
treatment of secretory otitis media

a. Antibiotics
b. Sedatives
c. Decongestants
d. Anti histaminics
e. Mucolytics

45. Which of the followings is not used for
treatment of secretory otitis media

a. Antibiotics
b. Sedatives
c. Decongestants
d. Anti histaminics
e. Mucolytics

46. In a patient with epistaxis the first nasal
pack to be applied during urgent management
is:

a. Vaseline gauze packs
b. Gel foam packs
c. Cotton packs with adrenaline and lidocaine
d. Merocele packs
e. Posterior packs

46. In a patient with epistaxis the first nasal
pack to be applied during urgent management
is:

a. Vaseline gauze packs
b. Gel foam packs
c. Cotton packs with adrenaline and lidocaine
d. Merocele packs
e. Posterior packs

47. The posterior ethmoid sinuses drain into

a. Superior meatus
b. Middle meatus
c. Inferior meatus
d. Spheno- ethmoid recess
e. Nasolacrimal duct

47. The posterior ethmoid sinuses drain into

a. Superior meatus
b. Middle meatus
c. Inferior meatus
d. Spheno- ethmoid recess
e. Nasolacrimal duct

48. The most important diagnostic tool of acute
sinusitis is

A. History and physical examination
b. Waters x- ray
c. Cultures
d. CT
e. Blood tests

48. The most important diagnostic tool of acute
sinusitis is

A. History and physical examination
b. Waters x- ray
c. Cultures
d. CT
e. Blood tests

49. Which one of the antibiotics is not used in
the treatment of sinusitis

a. Amoxicillin
b. Amoxicillin- clavulonic acid
c. Cefuroxime
d. Clarithromycin
e. Trimethoprim- sulfamethaxazole

49. Which one of the antibiotics is not used in
the treatment of sinusitis

a. Amoxicillin
b. Amoxicillin- clavulonic acid
c. Cefuroxime
d. Clarithromycin
e. Trimethoprim- sulfamethaxazole

50. Which is not a complication of acute
sinusitis

a. Cavernous sinus thrombosis
b. Orbital cellulitis
c. Vertigo
d. Meningitis
e. Potts puffy tumor

50. Which is not a complication of acute
sinusitis

a. Cavernous sinus thrombosis
b. Orbital cellulitis
c. Vertigo
d. Meningitis
e. Potts puffy tumor

End of questions
Thank you