4 6021775789463175331

SAUDI COMMISSION
FOR
HEALTH SPECIALITIES
PROMETRIC
MCQ EXAMINATIONS
EAR , NOSE AND THROAT
2010
By Dr. Otology
drotology@gmail.com
The interaural difference in wave V of
ABR must not exceed :
1. 0.2 msec
2. 1 msec
3. 0.1 msec
4. 2.4 msec
Answer 1
2
Feb. 2010 Saudi Commission For Health Specialities -- E.N.T. -- MCQs
Korner's septum
1. Divides middle ear cavity into attic and tubal.

2. Unequally divides the nasal cavity.
3. Divides mastoid air cells into petrous and
squamous.
4. Congenital defect in external ear canal.
5. Divides ethmoid air cells into anterior and
posterior.
Answer 3
3
Anatomy of tympanic cavity
consists of :
1. Anterior wall consists of Eustachian tube and

tensor tympani muscle above it.
2. Roof is related to temporal lobe of brain.
3. Posterior wall is related to carotid artery.
4. It's 1.5 distance from T.M. to promontory.
Answer 1 or 2
4
Which of the following is MOST specific
for otosclerosis:
1. Hyperacusis Willichii
2. Normal tymponometry with lost reflexes.
3. Carhart's notch.
4. Schwart's sign.
5. None of the above
Answer 5
5
Ear compliance is measured by
tympanometry using :
1. Positive and negative pressure.

2. Positive pressure only.
3. Negative pressure only.
4. Electromechanic ridge.
5. Different types of continuous and interrupted
sounds.
Answer 1
6
About pterygomaxillary fissure :
1. Vascular compartment is anterior to neural

compartment .
2. Neural compartment is anterior to vascular
compartment.
3. Vascular compartment is lateral to neural
compartment .
4. Neural compartment is lateral to vascular
compartment. Answer 3
7
In transverse fractures of temporal bone
,all true except:
1. High incidence of ossicular discontinuity.

2. High incidence of tympanic membrane
rupture.
3. High incidence of facial nerve injury.
4. High incidence of sensorineural hearing loss.
Answer 2
8
3 years old child with sinusitis , you
expect affected sinuses are :
1. Frontal and maxillary.

2. Frontal and ethmoidal.
3. Sphenoidal and maxillary
4. Maxillary and ethmoidal.
Answer 4
9
When examining a case of functional loss
of voice , you ask the patient to :
1. Say (A)
2. Say (E)
3. Expirate air.
4. Cough
Answer 4
10
Vretical petrous part of internal carotid
artery is :
1. Lateral to middle meningeal artery.

2. Lateral to cavernous sinus.
3. Medial to optic chiasma.
4. Medial to styloid base.
Answer 4
11
Endolymphatic duct lies :
1. In middle cranial fossa.

2. Posterior to posterior S.C.C.
3. Between dura.
4. Below posterior S.C.C.
Answer 4
12
Utricle is connected to saccule via:
1. Endolymphatic duct.
2. Crus communis.
3. Cochlear aqueduct.
4. Semicircular canals.
Answer 1
13
Patient with right complete facial paralysis is working
in a noisy for 20 years,you can expect:
1. Right ear hearing loss is less at 4kHz.

2. Left ear hearing is worse than right.
3. Both ears got equal hearing.
4. Right ear hearing loss is more at 4kHz.
Answer 4
14
As landmarks in the anatomy of the
lateral nasal wall:
1. Haller cells are present at the end of the

uncinate plate.
2. Onodi cells are the most posterior ethmoidal
cells.
3. Frontonasal recess opens anteriro to the
infundibulum.
4. 2&3 are correct.
Answer 4
15
Optic foramen lies:
1. In the greater wing of sphenoid bone.

2. In the posterior part of frontal bone.
3. Between the lesser and the greater wing of
sphenoid bone.
4. In the sphenoid body.
Answer lesser wing
16
Cochlear microphonics originate from:
1. Cochlear nerve.
2. Basilar membrane.
3. Outer hair cells.
4. Inner hair cells.
Answer 3
17
Bat ear is due to under development of:
1. Helix.
2. Anti helix.
3. Postauricular muscles.
4. Ear scapha.
Answer 2
18
Compoud action potential originates
from:
1. Auditory nerve.
Answer 1
19
The endocochlear potential originates
from:
3. Stria vascularis.
Answer 3
20
About adenoids and tonsils:
1. Both have the same antomy.

2. Both have are lymphoid tissue with afferent
an efferent lymphatics.
3. Adenoids do have crypts.
4. Adenoidal mucosa is pseudostratified
columnar ciliated epitheluim.
Answer 4
21
The most specific answer about the
primary site of noise induced SNHL:

4. Rootlets that connect stereocilia to top of
outer hair cells.
5. None of the above is accurate.
Answer 4
22
Bony labyrinth develops from ossification
of :
1. 12 centres.
2. 14 centres.
3. 6 centres.
4. 3 centres.
Answer 2
23
The 4th branchial arch nerve develops
into:
1. The glossopharyngeal nerve.

2. Vagus nerve.
3. Mandibular nerve.
4. Superior laryngeal nerve.
Answer 4
24
Complete ossification of labyrinth occurs
by:
1. 12 weeks.
2. 23 weeks.
3. 28 weeks.
4. 26 weeks.
Answer 2
25
Which of the following never undergo(es)
calcification:
1. Inferior border of thyroid cartilage.

2. Superior border of thyroid catilage.
3. Epiglottis and cricoid cartilage.
4. Auricle.
5. 2&4.
Answer 5
26
A 6 months old infant with cleft palate presented to your
clinic,his parents are worried and asked you what is the
suitable time to operate the baby:
1. At one year old.

2. After eruption of the first molar.
3. 2 years old.
4. As soon as possible to prevent complications.
Answer 2
27
A new born with bilateral external canal
atresia must be operated:
1. As soon as possible for adequate intellectual

development as the baby almost can't hear.
2. At 2 years old and hearing aids are used till
that.
3. At 5 years old and hearing aids are used till
that.
4. At adult age.
Answer 2
28
In cancer larynx , vocal cord fixation is
due to:
1. Invation of internal laryngeal nerve.

2. Invation of external laryngeal nerve.
3. Invation of posterior crithyroid muscle.
4. Invation of thyroarytenoid muscle.
Answer 4
29
Fusion of intermaxillary suture forms:
1. Torus palatine.
2. Torus maxillaris.
3. Nasion.
4. Torus tuburous.
Answer 1
30
All of the following are components of
the jugular foramen except:
1. Sigmoid sinus.
2. Spinal accessory nerve.
3. Inferior petrosal sinus.
4. None of the above.
Answer 4
31
About tympanosclerosis
1. Usually due to high serum level of calcuim.

2. Affects foot plate.
3. Does not affect the inner mucosal layer of
tympanic memebrane.
4. Does not affect ossicles.
Answer 2
32
Cochlea is connected to saccule via:
1. Crus communis.
2. Endolymphatic duct.
3. Ductus reunis.
4. Lateral semicircular canal.
Answer 3
33
Osteomeatal complex is formed of all
except:
1. Concha bullosa.
2. Fovea ethmoidalis.
3. Hiatus semilunaris.
4. Bulla ethmoidalis.
5. Uncinate plate.
Answer 2
34
Number of bones froming orbital fossa:
1. 4
2. 5
3. 6
4. 7
Answer 4
35
All of the following bones share in
formation of orbit except:
1. Ethmoid bone
2. Palatine bone
3. Frontal bone.
4. Maxillary bone.
Answer 5
36
Cell bodies of sympathetic nerves of head
and neck are present in:
1. Spinal root ganglion.

2. Target organs.
3. Cerebral cortex.
4. Cervical sympathetic chain.
Answer 4
37
Following facial nerve trauma,peripheral end
can be stimulated up to:
1. 10 days.
2. 3 days.
3. 5 days.
4. 14 days.
Answer 2
38
Facial nerve is not fully developped untill
the age of:
1. 1 years.
2. 2 years.
3. 3 years.
4. 4 years.
Answer 4
39
Which of the following is used to predict facial function
return,6-12 weeks before clinical evidences of recovery:
1. Nerve excitability test.

2. Maximum stimulation test.
3. Electromyography.
4. Electroneuronography.
Answer 3
40
Which of the following is the MOST useful
test in early facial nerve injury:
1. Nerve excitability test.

2. Maximum stimulation test.
3. Electromyography.
4. Electroneuronography.
Answer 4
41
Preganglionic sympathetic mediator is:
1. Epinephrine.
2. Noradrenaline.
3. Adrenaline.
4. Acetyl choline.
Answer 4
42
The chief muscle which opens eustachian
tube:
1. Palatopahryngeus.
2. Salpingopharyngeus.
3. Tensor palati.
4. Levator palati.
Answer 3
43
The only abductor of vocal cord is:
1. Cricoarytenoid.
2. Interarytenoid.
3. Posterior cricoarytenoid.
4. Lateral cricoarytenoid.
Answer 3
44
First pharyngeal arch give rise to:
1. Stapes.
2. Incus.
3. Styloid processs.
4. Nasal bone.
Answer 2
45
Stones of salivary glands
1. Usually radiopaque.
2. May reveal underlying sialectasis.
3. Most commonly in parotid gland.
Answer 2
46
The narrowest area of infant larynx is at
level of:
1. Cricoid cartilage.
2. True vocal cord.
3. False vocal cords.
4. Subglottic area.
Answer 1
47
Tonsills develop from:
1. 1st pharyngeal pouch.

2. 2nd pharyngeal pouch.
3. 1st pharyngeal arch.
4. 2nd pharyngeal arch.
Answer 2
48
Eustachian tube is closed by the action of
1. Tensor palati.
2. Levator palati.
3. Salpingopharyngeus.
Answer 4
49
Histological characteristics of Wegner's
granulomatosis:
1. Vasculitis,non-granulomatous
polymorphonuclear infiltration.
2. Vasculitis, granulomatous polymorphonuclear
infiltration.
3. Vasculitis, granulomatous oesinophilic
infiltration.
4. Monomorphic infiltration.
Answer 2
50
The most common complication of FESS:
1. Bleeding.
2. Cranial complictions.
3. Anosmia.
4. Synaechia.
Answer 4
51
In trigeminal neuralgia:
1. Pain is throbbing.
2. Mastication is restricted.
3. Facial sensation is dimineshed.
4. Movement of the face may trigger the attack.
Answer 4
52
Sensory supply of ear lobule is carried
through:
1. Greater auricular nerve.

2. Lesser occipital nerve.
3. Auriculotemporal nerve.
4. Facial nerve.
Answer 1
53
Cribriform plate is :
1. Separate bone.
2. Part of sphenoid bone.
3. Part of frontal bone.
4. Part of ethmoid bone.
Answer 4
54
As a surgical landmark in the lateral nasal
bone :
1. Haller cells at the end of uncinate process.

2. Frontonasal recess opens anteriorly to
infundibulum.
3. Onodi cells are the most posterior ethmoid
cells.
4. 2 & 3 .
Answer 4
55
Pre-epiglottic space boundries include :
1. Lateral glosso-epiglottic lig.,thyroid cart. &

thyrohyoid membrane.
2. Lateral glosso-epiglottic lig.,thyroid cart. &
cricoid cart. .
3. Median glosso-epiglottic lig.,hyoid bone &
thyrohyoid memb. .
4. Median glosso-epiglottic lig.,thyroid cart. &
thyrohyoid membrane. Answer 3
56
The MOST common route of spread of
supraglottic carcinoma :
1. Lymphatic.
2. Blood spread.
3. Anteriroly through fenestra of cartilage to
pre-epiglottic space.
4. Inferiorly to the lung.
Answer 3or 1
57
Structures passing through superior
orbital fissure:
1. III, IV , V2 , superior orbital vein.

2. III, IV , V1 , orbital br. of middle meningeal
artery.
3. II, III ,IV ,V1.
4. II, III , IV , V2.
Answer 2
58
Functions of laryngeal saccule:
1. Tension of vocal cords.

2. Resonation of voice.
3. Secretion of lubricant mucous.
Answer 3
59
The best surgical approach for facial nerve
trauma with good hearing ability:
1. Transmastoid.
2. Retrosigmoid.
3. Translabyrinthine.
4. Middle cranial fossa.
Answer 4
60
A physiological method for evaluation of eustachian
tube function in a child with perforated T.M. is:
1. Tympanometry.
2. Valsalva's maneuvre.
3. Politzarisation.
4. Unproved.
Answer 4
61
Blood supply of the parathyroid gland:
1. Superior thyroid artery.

2. Inferior thyroid artery.
3. Inferior and superior thyroid artery.
4. Thyroida ima.
Answer 2
62
Parathyroid hormone causes all of the
following EXCEPT:
1. Increases Ca absorption from intestine.

2. Increses Ca resorption from kidney.
3. Increses calcitonin.
4. Increses bone calcification.
Answer 3
63
Acoustic reflexes are lost if the hearing
loss is more than :
1. 40 dB.
2. 50 dB.
3. 55 dB.
4. 60 dB.
Answer 4
64
Pain sensitive structures in brain include
all except:
1. Circle of willis.
2. Falx cerebri.
3. Venous sinuses and tributaries.
4. Basal dura.
All pain sensitive
65
Salivary gland oncocytoma arises from :
1. Acinar cells.
2. Excretory duct cells.
3. Striated duct cells.
4. Intercalated duct cells.
Answer 3
66
Patient with voice change,absent taste sensation from
post. 1/3 of tongue and palatal paralysis, which cranial
nerve affected:
1. VII,X.
2. VII,IX.
3. IX,X.
4. X,XI.
Answer 3
67
Point of meeting of internal laryngeal and
reccurrent nerves is called:
1. Berry's anstomosis.
2. Kissellbash's anstomosis.
3. Galen's anastomosis.
Answer 3
68
Chvostek's sign is present in:
1. Hypomagnesaemia.
2. Hypocalcaemia.
3. Hypokalaemia.
4. 1 and 2 only.
Answer 4
69
Bilateral facial palsy is present in all of
the following EXCEPT:
1. Mobuis syndrome.
2. Lyme disease.
3. Sarcoidosis.
4. Melkersson-Rosenthal syndrome.
All could be bilatral
70
The condition in which there is abberant innervation
between facial nerve fibres after trauma is called:
1. Frey's syndrome.
2. Bogarad syndrome.
3. Vernet syndrome.
4. Rolet syndrome.
Answer 2
71
The most important landmark in identification
of external laryngeal nerve:
1. Descends posterior to the sternothyroid

muscle.
2. It crosses the superior thyroid vessels to
pierce th cricothyroid muscle.
3. It descends deep to superior thyroid vessels.
4. At 1.5 cm medial to the inferior cornu of the
inferior thyroid cartilage, it inserts in the
cricothyroid muscle. Answer 4
72
Normal flora of the mouth include all of
the following except:
1. Staph. Epidermitis.
2. Bacteroids.
3. Corynobacteruim.
4. Streptococcus pneumonia.
Answer 3
73
A patient with anosmia will continue
smelling :
1. Alcohol.
2. Amonia.
3. Coffee.
4. Garlic.
5. Vanillia.
Answer 2
74
All are true about congenital syphilis
EXCEPT:
1. Perforation of the nasal septum.

2. Saddle nose.
3. Snuffles in the newborn.
4. Atrophic rhinitis.
5. Mucocutaneous lesions.
Answer 5
75
leprotic nasal septum perforation
involves:
1. Bony septum.
2. Cartilagenous septum.
3. Both bony and cartilagenous.
4. Same as syphilis.
5. 1&4.
Answer 2
76
In concern to the ear, the 1st brachial arch
contributes in the formation of:
1. Tragus.
2. Helix.
3. Scapha.
4. Lobule.
5. 1&2
6. 3&4
Answer 5
77
Which of the following sinuses is found
aerated at birth:
1. Maxillary.
2. Frontal.
3. sphenoidal.
4. 2&3.
5. None.
Answer 1
78
All of the following are derived from the
1st branchial arch except:
1. Malleus.
2. Stapes.
3. Tensor tympani muscle.
4. Incus.
Answer 2
79
About the cochlea, which of the following
is false:
1. Bony labyrinth is formed from 12 centers of

ossification.
2. Complete ossification and adult size cochlea is
reached by the 23rd weeks.
3. At the 26th weeks it starts sending auditory
informations.
4. It is formed from th auditory placode.
Answer 1
80
The nerve of the 4th branchial arch forms:
1. Geniculate ganglion.
2. Semilunar ganglion.
3. Facial nerve.
4. Glossopharyngeal nerve.
5. Superior laryngeal nerve.
Answer 5
81
The artery of the left 4th branchila arch
gives:
1. Common carotid artery.

2. Thyroida imma.
3. Aorta .
4. Ligamentum arteriosum.
Answer 3
82
The cartilage bar of the 6th branchial arch give
rise to all of the following except:
1. Cricoid cartilage.
2. Arytenoids.
3. Corniculate.
4. Thyroid cartilage.
Answer 4
83
About thyroid (ventral) diverticulum ,all
is true except:
1. It descends between the 1st and 2nd arches.

2. It starts from the foramen caecum on the
tongue between the tuberculum impar and
the copula.
3. It usually atrophies at the 6th week of
gestation,if not a thyroglossal cyst is formed.
4. It never contains thyroid tissue
Answer 4
84
The artery of the 3rd branchial arch give
rise to the :
1. Aorta.
2. Carotid artery.
3. Superior thyroid artery.
4. Inferior thyroid artery.
5. Ligamentum arteriosum.
Answer 2
85
The parathyroid glands arise from:
1. Ventral aspect of 3rd pouch.

2. Dorsal aspect of 1st and 2nd pouches.
3. Ventral aspect of 2nd arch.
Answer 4
86
Post ganglionic sympathetic fibers
mediators to smooth muscles is:
1. Acetyl choline.
2. Adrenaline.
3. Noradrenaline.
4. Prostigmine.
Answer 3
87
Post ganglionic sympathetic fibers
mediators to sweat glands is:
1. Acetyl choline.
2. Adrenaline.
3. Noradrenaline.
4. Prostigmine.
Answer 1
88
The T.M and ossicular action increase
hearing power by:
1. 10-15 dB.
2. 15-23 dB.
3. 24-29 dB.
4. 0-5 dB.
Answer 3
89
A surgical landmark in the lateral nasal
wall:
1. Haller cells at the end of the uncinate plate.

2. Fronto-nasal recess opens anterior to
infundibulum.
3. Onodi cells are the most postero-lateral
ethmoidal cells.
4. 2&3
Answer 4
90
The cribriform plate is :
1. Separate bone.
2. Part of the ethmoidal bone.
3. Part of sphenoidal bone.
4. Part of frontal bone.
Answer 2
91
A patient with complete facial trauma with good
hearing, you can best approach through :
1. Transmastoid.
2. Translabyrinthine.
3. Retrosigmoid.
4. Middle fossa aaproach.
5. Infratemporal fossa approach.
Answer 4
92
All of the following are normal
commensal of the mouth except:
1. Staphylococci epidermitis.
2. Streptococci.
3. Bacteroids.
4. Corynobacteruim.
5. Streptococcus viridans.
Answer 4
93
Patient suffering from voice changes, absent taste & sensory
sensation from posterior 1/3 of tongue and palatal paralysis. Which
of the following nerves you expect to be injured:
1. IX & X.
2. IX & XII.
3. X & XI.
4. V , IX & X.
Answer 1
94
Ear plugs can attenuate the noise
presented to the ear by:
1. 10-20 dB.
2. 20-40 dB.
3. 30-50 dB.
4. 40-60 dB.
5. 50-70 dB.
Answer 2
95
Relation between vascular and
neurological supply of the nose:
1. Anterior.
2. Lateral.
3. Medial.
4. Posterior.
?
96
Early signs of respiratory failure:
1. Cyanosis.
2. Tachypnea.
3. Subcostal retraction.
4. Biphasic stridor.
5. Irritability and gasping.
Answer 2
97
Vasodilatation of nasal mucosa can occur
after :
1. Section of greater petrosal nerve.

2. Stimulation of adrenal medulla.
3. Section of vidian nerve.
4. Stimulation of cervical sympathetic chain.
Answer 3?
98
Cavernous sinus contains all except:
1. Oculomotor nerve.
2. Trochlear nerve.
3. Abducent nerve.
4. Trigeminal nerve with it's 3 divisions.
Answer 4
99
All of the following can cause bilateral
facial palsy except:
1. Mobuis syndrome.
2. Lyme disease.
3. Sarcoidosis.
4. Melkersson Rosenthal syndrome.
All could bilateral
100
Vidian neurectomy can be used to treat:
1. Menier's disease.
2. Benign paroxysmal positional vertigo.
3. Vasomotor rhinitis.
4. Releive symptoms of trigeminal neuralgia.
Answer 3
101
After excision of malignant thyroid tumour ,
the best index in follow up is:
1. TSH
2. T3
3. T4
4. Serum thyroglobulin.
Answer 4
102
All of the following are depressors of
larynx except:
1. Sternohyoid.
2. Omohyoid.
3. thyrohyoid,.
4. Geniohyoid.
Answer 4
103
All of the following are signs of orbital
blow out except:
1. Exophtalmous.
2. Tear drop sign in X-ray.
3. Diplopia.
4. Bony step-off of orbital rim.
Answer 1
104
Alport syndrome is characterised by all
except:
1. Affects all males but not all females.

2. Renal failure.
3. Sensorineural hearing loss at birth.
4. U-shaped audiogram.
5. 3 & 4.
Answer 5
105
Osteoma is more common in :
1. Maxillary sinus.
2. Frontal sinus.
3. Ethmoid sinus.
4. Sphenoid sinus.
Answer 2
106
Exostosis is characterised by all except:
1. Multiple.
2. Bilateral.
3. Peduculated.
4. Usually in cold water divers.
5. Lamellated bone.
Answer 3
107
Reinke' space is:
1. The superficial lamina propria.

2. The intermediate lamina propria.
3. The deep lamina propria.
4. The outer squamous epitheluim.
Answer 1
108
Nerve supply of the stylopharyngeous
muscle :
1. X
2. XI
3. IX
4. XII
Answer 3
109
Stapedial fixation is confirmed in
operative room by :
1. Presence of stapedial reflex.

2. Presence of round window reflex.
3. Tympanometry.
Answer 2
110
The most common complication of
stapedectomy is :
1. Deafness.
2. Injury to facial nerve.
3. Perilymph fistula.
4. Injury to the vestibular nerve.
Answer 3
111
The mandibular nerve supplies all except:
1. Tensor palati.
2. Levator palati.
3. Lateral pterygoid.
4. Tensor tympani.
Answer 2
112
Dysphagia lusoria is the condition in
which there is:
1. Spasm of lower oesophageal sphincter with

dilatation of oesophagus.
2. Spasm of lower 1/3 oesophagus.
3. Encroachment on the oesophaagus by right
subclavian artery.
4. Encroachment on the oesophaagus by right
bronchus.
Answer 3
113
The space defect between the cricopharyngeus muscle
and circular muscles of oesophagus is called:
1. Killian' space.
2. Killian-Jamieson space.
3. Lamier-Hachman space.
4. Zenker's diverticulum.
Answer 2
114
About lymph drainage of head and
neck,which of the following is true:
1. Lymphatic content is similar to that of thoracic
duct.
2. Right side of H&N drains with right side of the
body in the right subclavian vein.
3. Left side of H&N drains in the thoracic duct.
4. The right and left side lymphatics drain in the
thoracic duct.
5. None of the above. Answer 3
115
In a patient with right paralytic labyrinth,
which of the following is correct:
1. Right beating nystagmus.

2. Left beating nystagmus.
3. Vertical nystagmus.
4. Total hearing loss
Answer 2
116
In acoustic neuroma, you can find:
1. High frequency SNHL.

2. Low frequency SNHL.
3. Flat audiogram.
4. Notch at 2 KHZ.
Answer 1
117
Patient complaining of conductive
hearing loss, may have:
1. Early otosclerosis.
2. Paget's disease.
3. Inner ear conductive hearing loss.
4. Abnormal perilymph pressure.
5. All of the above.
Answer 5
118
The muscle known as anterior pillar of
the tonsil is innervated by:
1. Same nerve supply of tongue through XII.

2. Same nerve supply of palate through X.
4. Spinal accesory nerve.
Answer 2
119
Ephedrine is not preffered locally in the
nose because:
1. Irritates nasal mucosa.

2. Causes mucocilliary paralysis.
3. May raise the blood pressure.
4. Rapidly causes atrophy of nasal mucosa.
Answer 2
120
Keratosis obturans:
1. Premalignant.
2. Needs emergent surgery.
3. Always associated with cholesteatoma.
4. Collection of desquamated epitheluim
occluding external canal.
5. 3 &4
Answer 5
121
In aminoglycoside induced deafness,
which structure is affected:

3. Tectorial membrane.
Answer 2
122
In kobrak test:
1. Patient is sitting and head tilted 30 degrees

bacwards.
2. Patient is sitting and head tilted 60 degrees
bacwards.
3. Patient is supine and head tilted 30 degrees
bacwards.
4. Patient is supine and head tilted 60 degrees
bacwards. Answer 2
123
EBV is related to all of the following
except:
1. Infectious mononucleosis.
2. Hodgkin's lymphoma.
3. Wegner' granulomatosis.
4. Burkit' lymphoma.
5. AIDS.
6. Nasopharyngeal carcinoma.
Answer 3
124
In modified radical neck dissection type I ,
which of the following will be preserved:
1. Thoracic duct.
2. Spinal accesory nerve.
3. Internal jugular vein.
4. Sternomastoid muscle.
5. 2 & 3.
Answer 2
125
The primary neuron cell body of clfactory
nerve is located in:
1. Olfactory bulb.
2. Nasal mucosa.
3. Cribriform plate.
4. Prefrontal cortex
Answer 2
126
Which one of the following will do best in
olfactory identification test:
1. 38 year old man.

2. 40 year old woman.
3. 68 year old woman.
4. 67 year old man.
5. 5 year old girl.
Answer 2
127
Layers of the scalp from out inwards:
1. Skin, connective tissue, loose areolar tissue,

aponeurosis, pericranuim.
2. Skin, connective tissue, aponeurosis, loose
areolar tissue, pericranuim.
3. Skin, aponeurosis, connective tissue, loose
areolar tissue, pericranuim.
4. Sclap proper, areolar tissue, pericranuim.
5. 2&4 Answer 5
128
Rupture of the round window is though
to cause:
1. Increase endolymphatic pressure.

2. Decrease endolymphatic pressure.
3. No change in endolymphatic pressure.
4. Bring endolymphatic pressure to zero.
Answer 3
129
Epiglottopexy is used to treat:
1. Snoring.
2. Severe cases of laryngomalacia.
3. Laryngeal web.
4. Lacalised vocal cord tumours.
Answer 2
130
A man went outdoor in a windy day, he got sneezing and
rhinorhoea which are rapidly releived when he went indoor. After
6 hours, symptoms came back. This is due to :
1. Kinines.
2. Histamines.
3. Leukotrienes.
4. Prostaglandin D2.
5. Chemotactic agents.
Answer 4?
131
Abducent palsy can be caused in all of the
following except:
1. Gradenigo's syndrome.
2. Apicitis.
3. Sphenoidal sinusitis.
Answer 4
132
Trotter' triad consisit of all of the
following except:
1. Bilateral conductive hearing loss.

2. Otalgia and facial pain.
3. Unilateral immobile soft palate.
4. Unilateral ear effusion.
Answer 1
133
All is true about Boeck's triad except:
1. Swelling below angle of mandible.

2. Trismus.
3. Tonsil is pushed medially.
?
134
Which of the following malignancies are
most highly associated with HIV:
1. Non-Hodgkin lymphoma.
2. Kaposi's sarcoma.
3. Hodgkin lymphoma.
4. Squamous cell carcinoma of the head and
neck.
Answer 1
135
Which specific nerve block will lead to the greatest
morbidity after a misplaced injection:
1. Maxillary nerve.
2. Sphenopalatine ganglion.
3. Mandibular nerve.
5. Stellate ganglion.
Answer 4
136
The relationship between the function of the upper and lower lateral
cartilage in the majority of humans is
1. Interlocked scroll.
2. Overlap.
3. End-to-end contact.
4. Opposed scroll.
Answer 1
137
The external nasal nerve is a branch of the
_____________ nerve.
1. Supratrochlear
2. Posterior ethmoid
3. Sphenopalatine
4. Anterior ethmoid
Answer 4
138
Reflex lacrimal gland secretion is mediated by
parasympathetic fibers of cranial nerve
1. V.
2. VII.
3. III.
4. IX.
Answer 2
139
The sphenopalatine ganglion is
1. a special sensory afferent.

2. sympathetic.
3. parasympathetic.
4. a somatic sensory afferent.
Answer 3
140
The nasopalatine nerve supplies sensation to the
mucosa of the
1. Anterior premaxillary palate.

2. Soft palate.
3. Lateral nasal passage.
4. Anterior cheek
Answer 1
141
The most commonly injured branch of the
facial nerve in rhytidectomy is the
1. Temporal.
2. Marginal mandibular.
3. Buccal.
4. Cervical.
5. Zygomatic.
Answer 2
142
Infection spread from the maxillary sinus intracranially
most likely travels through the
1. Angular veins.
2. Ophthalmic artery.
3. Superior labial veins.
4. Pterygoid plexus.
Answer 4
143
The frontal sinus is fully developed by _____ year(s) of
age.
1. 1
2. 4
3. 8
4. 12
5. 18
Answer 5
144
Innervation of the ethmoid air cells includes all but the
_______ nerve.
1. Ophthalmic
2. Nasociliary
3. Maxillary
4. Sphenopalatine
5. Nasopalatine.
Answer 5
145
Frostbite of the auricle is most effectively managed by
1. Radiant heat.
2. Rubbing with snow.
3. Watchful waiting.
4. Application of 40° c soaks.
5. Alternating cool and warm soaks.
Answer 4
146
The most important aspect of management of
chrondritis of the auricle is
1. Injection of gentamicin subperichondrially.

2. Systemic antibiotics.
3. Topical antibiotics introduced through
catheters.
4. Early skin grafting.
5. Protective pressure dressings.
Answer 2
147
The hallmark of allergic fungal sinusitis is
1. Allergic mucin.
2. Hyphal invasion through the epithelium.
3. Mycetoma.
4. Vascular invasion and proliferation by fungi.
Answer 1
148
The first-echelon nodal drainage for tumors of the nasal space
and maxillary sinus is the __________ node.
1. lateral retropharyngeal
2. Facial
3. Parotid
4. Jugulodigastric.
Answer 1
149
Ohngren's line is an important delineator of prognosis in the management
of carcinoma of the maxillary sinus. This imaginary line drawn between
what two structures?
1. Tip of the nose and tragus

2. Medial canthus and angle of the jaw
3. Nasal tip and angle of the jaw
Answer 2
150
What are the anatomic landmarks that
define the Frankfort horizontal line:
1. Inferior wall of external auditory canal to the

inferior orbital rim.
2. Root of the superior helical ring to the infra
orbital ring.
3. Superior tragal root to nasojugal fold.
4. Superior wall of the external auditory canal to
infra orbital rim.
Answer 4
151
Attacks of giddiness in otosclerosis occur
due to involvement of:
1. Oval window.
2. Roud window.
3. Vestibular aqueduct.
4. Cochlear aqueduct.
Answer 3
152
Perilymoh fistula should be suspected
after stapedectomy if there is:
1. Persistent conductive hearing loss.

2. Fluctuating hearing loss.
3. Absence of tinnitus.
4. Absence of vertigo.
Answer 2
153
The tympanogram of an otosclerosis
patient will show:
1. Type A curve.
2. Type Ad curve.
3. Type As curve.
4. Type B curve.
Answer 3
154
The tympanogram of an osteogenesis
imperfecta patient will show:
1. Presence of acoustic reflex with low

compliance.
2. Absence of acoustic reflex with low compliance.
3. Presence of acoustic reflex with high
compliance.
4. Absence of acoustic reflex with high
compliance.
Answer 2
155
Which of the following immunoglobulins is most
important in memory immune responses?
1. IgG
2. IgM
3. IgA
4. IgE
5. IgD
Answer 1
156
Eosinophils produce all of the following
except :
1. Peroxidases.
2. Neurotoxins.
3. Proteins.
4. Cytokines.
5. Histamine.
Answer 5
157
In testing for nasal allergy, which drug does not affect
skin test results?
1. Chlorpheniramine.
2. Fexofenadine.
3. Prednisone.
4. Doxepin.
5. Astemizole.
Answer 3
158
Which of the following are not removed
in a radical neck dissection?
1. Submental nodes
2. Jugular nodes
3. Spinal accessory nodes
4. The tail of the parotid gland.
5. All of the above are removed in radical neck
dissection.
Answer 5
159
The first salivary gland to develop is
1. Sublingual salivary gland

2. Submandibular salivary gland
3. Accessory salivary glands
4. Parotid gland
Answer 4
160
The point of bony and cartilagenous parts on
the dorsum of the nose is called:
1. Nasion.
2. Rhinion.
3. Ganion.
4. Columella.
5. Pogonion.
Answer 2
161
‫فَأ َ َّما َّ‬
‫الزبَدُ فَيَ ْذ َهبُ جفَاء‬
‫اسُ‬
‫َ‬ ‫َّ‬ ‫ن‬ ‫ال‬ ‫ع‬
‫ُ‬ ‫َ‬ ‫ف‬‫ن‬ ‫ي‬ ‫ا‬ ‫م‬ ‫ا‬ ‫م‬
‫َوأ َّ َ َ‬‫َ‬
‫ضُ‬ ‫ر‬
‫ْ ِ‬ ‫َ‬ ‫أل‬ ‫ا‬ ‫ي‬ ‫ف‬
‫ِ‬ ‫ث‬
‫ُ‬ ‫ك‬ ‫م‬ ‫َ‬
‫فَْ‬
‫ي‬
‫‪ -17‬الرعد‬
‫ُ َّ‬
‫‪.......‬يتبع‬
‫ال تنسونا من الدعاء وبالتوفيق‬
‫‪2014‬عام ‪11‬اخر تدقيق تم من قبل زمالء لكم في شهر ‪1.‬‬
‫‪163‬‬
‫‪Feb. 2010‬‬ ‫‪Saudi Commission For Health Specialities -- E.N.T. --‬‬ ‫‪MCQs‬‬

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SAUDI COMMISSION

1. Divides middle ear cavity into attic and tubal.

1. Anterior wall consists of Eustachian tube and

1. Positive and negative pressure.

1. Vascular compartment is anterior to neural

1. High incidence of ossicular discontinuity.

1. Frontal and maxillary.

1. Lateral to middle meningeal artery.

1. In middle cranial fossa.

1. Right ear hearing loss is less at 4kHz.

1. Haller cells are present at the end of the

1. In the greater wing of sphenoid bone.

1. Both have the same antomy.

1. Outer hair cells.

1. The glossopharyngeal nerve.

1. Inferior border of thyroid cartilage.

1. At one year old.

1. As soon as possible for adequate intellectual

1. Invation of internal laryngeal nerve.

1. Usually due to high serum level of calcuim.

1. Spinal root ganglion.

1. Nerve excitability test.

1. Nerve excitability test.

1. 1st pharyngeal pouch.

1. Greater auricular nerve.

1. Haller cells at the end of uncinate process.

1. Lateral glosso-epiglottic lig.,thyroid cart. &

1. III, IV , V2 , superior orbital vein.

1. Tension of vocal cords.

1. Superior thyroid artery.

1. Increases Ca absorption from intestine.

1. Descends posterior to the sternothyroid

1. Perforation of the nasal septum.

1. Bony labyrinth is formed from 12 centers of

1. Common carotid artery.

1. It descends between the 1st and 2nd arches.

1. Ventral aspect of 3rd pouch.

1. Haller cells at the end of the uncinate plate.

1. Section of greater petrosal nerve.

1. Affects all males but not all females.

1. The superficial lamina propria.

1. Presence of stapedial reflex.

1. Spasm of lower oesophageal sphincter with

1. Right beating nystagmus.

1. High frequency SNHL.

1. Same nerve supply of tongue through XII.

1. Irritates nasal mucosa.

1. Inner hair cells.

1. Patient is sitting and head tilted 30 degrees

1. 38 year old man.

1. Skin, connective tissue, loose areolar tissue,

1. Increase endolymphatic pressure.

1. Bilateral conductive hearing loss.

1. Swelling below angle of mandible.

1. a special sensory afferent.

1. Anterior premaxillary palate.

1. Injection of gentamicin subperichondrially.

1. Tip of the nose and tragus

1. Inferior wall of external auditory canal to the

1. Persistent conductive hearing loss.

1. Presence of acoustic reflex with low

1. Sublingual salivary gland

‫‪2014‬عام ‪11‬اخر تدقيق تم من قبل زمالء لكم في شهر ‪1.‬‬