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a. It is rounded in shape.

b. It is placed obliquely forming acute angle with meatus anteriorly and obtuse
one posteriorly.
c. The normal tympanic membrane is pearly white in color.
d. The light reflex is due to the concave position of the membrane.
a. It ends 1 cm behind the posterior end of the inferior turbinate.
b. The upper 1/3 is bony while the lower 2/3 is fibrocartilagenous.
c. It is normally opened at rest.
3.

:
a. Ear washing is not contraindicated in traumatic perforation of the drum.
b. Pathological perforation of the drum occurs at any site while traumatic ones
occurs in pars tensa only.
c. In ear washing, the sterile nozzle of the syringe is directed to the drum
directly.
d. Ear washing is indicated in the presence of fistula between the middle & inner
ear.
a.
b.
c.
d.

Acute mastoiditis.
Otosclerosis.
Furunculosis of the external ear.
Allergic otitis externa.

5.

:
a.
b.
c.
d.

Acute mastoiditis.
Furunculosis of the external ear.
Otitis media.
Petrositis.

a.
b.
c.
d.
e.

Aspergillus nigers & / or Candida albicans.


Streptococci.
Staphylococci.
E.coli
B. pyocyaneus.

a.
b.
c.
d.

:
Herpes-zoster affection of the geniculate ganglion of the facial nerve.
Dysphagia in middle aged female.
Dysphagia in old male.
Sensory-neural deafness in newly born.

a.
b.
c.
d.

Otosclerosis.
Otomycosis.
Otitic barotrauma.
Secretory otitis media.

7.

a.
b.
c.
d.
e.
f.

Fracture base of the skull.


Glomus jugular tumor.
Haemorrhgic otitis media.
Rupture drum.
All of the above.
None of the above.

a.
b.
c.
d.

Acute otitis media.


Secretory otitis media.
Chronic otitis media.
Cholesteatoma.

a.
b.
c.
d.

The audiogram shows 55 dB loss.


Separation of the icudo-stapedial joint is the commonest lesion.
There is bulging drum.
C.T scan is indicated.

a.
b.
c.
d.

Otomycosis.
Otosclerosis.
Secretory otitis media.
Acute otitis media.

a.
b.
c.
d.

Acute mastoid abscess.


Acute otitis media.
Chronic otitis media.
Secretory otitis media.

a.
b.
c.
d.

Acute mastoid abscess.


Acute petrositis.
Chronic otitis media.
Secretory otitis media.

a.
b.
c.
d.

Edema & tenderness over the posterior border of the mastoid process.
Unilateral pulsating otorrhoea.
Vertigo & nystagmus on increasing the pressure of the EAC.
Tenderness on the tip of mastoid bone.

a.
b.
c.
d.

Intermittent.
Remittent.
Low grade.
High grade.

a.
b.
c.
d.
e.

Brain abscess.
Lateral sinus thrombosis.
Extradural abscess.
Meningitis.
Cavernous sinus thrombosis.

a.
b.
c.
d.

The 5th nerve.


The 9th nerve.
The 10th nerve.
2nd & 3rd cervical nerve.

a.
b.
c.
d.

The 5th nerve.


The 9th nerve.
The 10th nerve.
2nd & 3rd cervical nerve.

a.
b.
c.
d.

The 5th nerve.


The 9th nerve.
th
The 10 nerve.
2nd & 3rd cervical nerve.

a.
b.
c.
d.

The 5 nerve.
th
The 9 nerve.
The 10th nerve.
2nd & 3rd cervical nerve.

a.
b.
c.
d.

The 5th nerve.


The 9th nerve.
The 10th nerve.
nd
rd
2 & 3 cervical nerve.

a.
b.
c.
d.
e.

Mucopurulent.
Serosanguinous.
Exudates.
Transudates.
Mixture of exudates & transudates.

a.
b.
c.
d.

Copious purulent.
Copious offensive.
Scanty offensive.
Thick scanty creamy.

th

a.
b.
c.
d.

Cerebro-spinal otorrhoea.
Parotid fistula.
Acute otitis media.
Endolymphatic sac surgery.

a.
b.
c.
d.

In perceptive deafness: air conduction is better than bone conduction.


In conductive deafness: air conduction is better than bone conduction.
In conductive deafness: bone conduction is better than air conduction.
In perceptive deafness: bone conduction is better than air conduction.

a.
b.
c.
d.

In conductive deafness: sound is heard better in the diseased ear.


In conductive deafness: sound is heard better in the healthy ear.
In perceptive deafness: sound is heard better in the healthy ear.
In perceptive deafness: sound is heard better in the diseased ear.

a. Comparison between air & bone conduction of the same ear.


b. Comparison of bone conduction of both ears at the same time.
c. Comparison of duration of bone conduction of the patient & the examiner.

a.
b.
c.
d.
e.
f.

It gives the amount of the hearing loss in dB.


It gives the type of deafness.
It gives the possible cause of deafness.
It helps in hearing aid selection.
It helps in follow up of the case.
It measures the sound emitted from the cochlea.

a.
b.
c.
d.

It measures the pressure changes in the middle ear.


It measures fixation and dislocation of the ossicular chain.
It measures the patency of the Eustachian tube.
It measures the sound emitted from the cochlea.

a.
b.
c.
d.
e.

L.M.N.L of the facial muscles.


No impairment of taste.
No impairment of salivation.
No impairment of lacrimation.
All of the above.

a.
b.
c.
d.

Loss of taste.
Impairment of salivation.
Impairment of lacrimation.
Hyperacusis.

a. Loss of taste.
b. Impairment of salivation.

d. Hyperacusis.
e. All of the above.
a.
b.
c.
d.
e.

Loss of taste.
Impairment of salivation.
Impairment of lacrimation.
Hyperacusis.
All of the above.

a. Paralysis of the muscles of the lower 1/2 of the face on the opposite side.
b. Paralysis involves the voluntary but spares the emotional & associative
movement.
c. Hypotonia.
d. Hyporeflexia.
a. Paralysis of the muscles of the lower 1/2 of the face on the opposite side.

b. Paralysis involves the voluntary but spares the emotional & associative
movement.
c. Hypotonia.
d. Hyporeflexia.
e. Reaction of degeneration.
:
a. Paralysis of the muscles of the lower & upper 1/2 of the face on the opposite
side.
b. Paralysis involves the voluntary, emotional & associative movement.
c. Paralysis of the muscles of the lower & upper 1/2 of the face on the same side.
a.
b.
c.
d.

Geniculate ganglion.
Internal facial auditory meatus.
Stylomastoid foramen.
Cerebellopontine angle.

a.
b.
c.
d.

Vascular ischemia.
Virus infection.
Bacterial infection.
Auto immune.

a.
b.
c.
d.

Dropping of angle of the affected side.


Obliteration of the angle of the mouth.
Pain of acute onset behind the ear.
Inability to close the eye.

a.
b.
c.
d.

Mastoiditis.
Meningitis.
Labyrinthitis.
Brain abscess.

a.
b.
c.
d.
e.

Mastoiditis.
Labyrinthitis.
Petrositis.
Facial nerve paralysis.
All of the above.

a.
b.
c.
d.

Mastoiditis.
Bezold abscess.
Lateral sinus thrombosis.
Otitis externa.

a.
b.
c.
d.
e.
f.

Protein diminished.
Sugar diminished.
Chloride diminished.
Cell count increased.
a, b & c.
b, c & d.

a.
b.
c.
d.

It is an endolymphatic hydrops.
Males are more affected than females.
The type of deafness is conductive.
Decompression of the labyrinth is indicated if the vertiginous attack is
crippling.

a.
b.
c.
d.

To give safe ear.


To preserve hearing.
Reconstruct the ossicles.
Reconstruct the tympanic membrane.

a. To give safe ear & to preserve hearing.


b. Reconstruct the ossicles.
c. Reconstruct the tympanic membrane.

a.
b.
c.
d.

Dull aching.
Throbbing.
Boring.
Burning.

a.
b.
c.
d.

Dull aching.
Throbbing.
Boring.
Burning.

a.
b.
c.
d.

Night.
Morning.
Mid-day.
All the day.

a. Bulging of the drum.


b. Perforation of the drum.
c. Congestion of the drum.

a.
b.
c.
d.

It is common in old diabetic.


There may be facial paralysis.
The commonest organism is pseudomonas.
Mainly treated surgically.

a.
b.
c.
d.

The tympanic part of the facial nerve.


Mastoid antrum.
Dome of the lateral semicircular canal.
Icudo-stapedial joint.

following EXCEPT:
a. LMNL facial palsy.
b. Traumatic perforation of the tympanic membrane.
c. Conductive hearing loss.
d. Profound hearing loss.

a.
b.
c.
d.

20 times.
22 times.
200 times.
21 times.

a.
b.
c.
d.

Rinne test.
Weber test.
Pure tone audiometry.
ABR "Auditory Brain stem Response".

a.
b.
c.
d.

Test of hearing in malingering.


Test of hearing in retrochoclear lesion.
Detection of acoustic neuroma.
All of the above.

a.
b.
c.
d.

Hemi paresis.
Aphasia.
Convulsive fits.
Vertigo.

a.
b.
c.
d.

Fever.
Ptosis.
Proptosis.
Ophthalmoplegia.

a.
b.
c.
d.

The main treatment is conservative.


Local ear drops are highly indicated.
It heals spontaneously within 3 months.
It may be caused by longitudinal fracture of the temporal bone.

a.
b.
c.
d.

Retracted tympanic membrane.


Aural fullness.
Deafness.
All of the above.

a.
b.
c.
d.

Facial nerve tumor.


Cut in the tympanic segment in the facial nerve.
Edema of the facial nerve inside its bony canal.
Hemorrhage in the facial nerve nucleus.

a.
b.
c.
d.

Nerve excitability test.


Electromyography.
Electroneurography.
Stapedial reflex.

a.
b.
c.
d.

Benign middle ear tumor.


Skin in a wrong place.
Specific middle ear granuloma.
Non of the above.

a. Behind the ear.


b. Below the ear in the neck.

d. In front of the ear.

a.
b.
c.
d.

UMNL 7th cranial nerve palsy.


UMNL 5th cranial nerve palsy.
LMNL 5th cranial nerve palsy.
LMNL 7th cranial nerve palsy.

a.
b.
c.
d.

Furunculosis of the external auditory canal.


Ear wax.
Haematoma auris.
Non of the above.

a.
b.
c.
d.

Otosclerosis.
Extradural abscess complicating CSOM.
Glomus tumor.
Acoustic neuroma.

a.
b.
c.
d.

Extradural abscess.
Lateral sinus thrombosis.
Petrositis.
Meningitis.

a.
b.
c.
d.

Acoustic neuroma.
Ototoxicity.
Meniere's disease.
Benign paroxysmal positional vertigo.

suggestive of:
a. Mastoiditis.
b. Petrositis.
c. Labyrinthitis.
d. Brain abscess.

a.
b.
c.
d.

Streptococci.
Pneumococci.
Pseudomonas aeroginosa.
Moraxella catarrhalis.

a.
b.
c.
d.

The oval window.


The promontory.
The pyramid.
The lateral semicircular canal.

a.
b.
c.
d.

Otosclerosis.
Meniere's disease.
Ear wax.
Acoustic neuroma.

a.
b.
c.
d.

Extradural abscess.
Acute exacerbation of CSOM.
Acute otitis media with small perforation.
All of the above.

a.
b.
c.
d.

Tuning fork tests.


Tympanometry.
Auditory Brain stem Response.
Pure tone audiometry.

a.
b.
c.
d.

It opens during swallowing.


It ventilates the middle ear.
It is wider & horizontal in children.
It opens in the oropharynx.

a.
b.
c.
d.

Mastoiditis.
Labyrinthitis.
Apical petrositis.
Lateral sinus thrombosis.

a.
b.
c.
d.

Medical treatment.
Labyrinthectomy.
Endolymphatic sac decompression.
Vestibular nerve section.

a.
b.
c.
d.

Presbyacusis.
Meniere's disease.
Otosclerosis.
All of the above.

b. Benign paroxysmal vertigo.


c. Vestibular neuritis.
d. Cholesteatoma only.

a.
b.
c.
d.

Lumbar puncture.
CT scan.
Fundus examination,
All of the above.

a. Acute suppurative otitis media.


b. Secretory otitis media resistant to medical treatment.
c. Chronic otitis media.

a.
b.
c.
d.

Tenderness over mastoid antrum.


Continuous ear discharge.
Sagging of postero-superior meatal wall.
Obliteration of retro-auricular sulcus.

a.
b.
c.
d.

Cerebellar abscess.
Acute mastoiditis.
Lateral sinus thrombosis.
Labyrinthitis.

a.
b.
c.
d.

Temporal lobe abscess.


Acute petrositis.
Lateral sinus thrombosis.
Labyrinthine fistula.

a.
b.
c.
d.

The utricle.
The saccule.
The cochlea.
The semicircular canal.

a.
b.
c.
d.

Persistent headache.
Facial palsy.
SNHL.
Squint.

a.
b.
c.
d.

Neoplastic.
Traumatic.
Herpetic.
Bell's palsy.

a.
b.
c.
d.

Otitis media with effusion.


Otosclerosis.
Malingering.
Tympanosclerosis.

a.
b.
c.
d.

Cholesteatoma.
Otitis media with effusion.
Both of them.
Non of them.

a.
b.
c.
d.

The parotid gland.


The internal auditory canal.
The stylomastoid foramen.
The tympanic segment.

a.
b.
c.
d.

Facial paralysis.
Occulomotor paralysis.
Trigeminal paralysis.
All of the above.

a.
b.
c.
d.

Labyrinthine fistula with dead ear.


Cholesteatoma bridging an inner ear fistula.
Hyper mobile footplate of the stapes.
All of the above.

a.
b.
c.
d.

Ramsy-Hunt syndrome.
Jugular foramen syndrome.
Horner's syndrome.
Bell's palsy.

a.
b.
c.
d.

Inadequate treatment of acute otitis media.


Nasopharyngeal neoplasm.
Allergy.
Otitic barotraumas.

a.
b.
c.
d.

Loss of lacrimation of the ipsilateral eye.


Loss of taste of the anterior 2/3 of the tongue.
Loss of stapedial reflex.
Hyperacusis.

a.
b.
c.
d.

Schirmer test.
Stapedial reflex.
Electroneurography.
Gustatory test.

a.
b.
c.
d.

Ear discharge & headache.


Ear discharge & dizziness.
Ear discharge & hearing impairment.
Ear discharge & fever.

a.
b.
c.
d.
e.

Neomycin.
Gramycin.
Saliclates.
Kanamycin.
All of the above.

a.
b.
c.
d.

Floor of the sinus.


Roof of the sinus.
Medial wall of the sinus.
Between the medial wall & floor of the orbit.

a.
b.
c.
d.

The maxillary sinus.


The anterior ethmoidal sinus.
The posterior ethmoidal sinus.
Nasolacrimal duct.

a. The ostia of the maxillary, anterior ethmoidal & frontal sinuses.


b. The ostia of the posterior ethmoidal sinuses.
c. The nasolacrimal duct.
a.
b.
c.
d.

It is endemic in Egypt.
It is a disease of low immunity & low resistance.
It runs in families due to genetic inheritance.
It is sub-epithelial inflammatory granuloma.

a.
b.
c.
d.

Rhinoscleroma.
Rhinosporodosis.
Aspergillosis.
Sarcoidosis.

a.
b.
c.
d.

Rhinoscleroma.
Rhinosporodosis.
Aspergillosis.
Sarcoidosis.

a.
b.
c.
d.

Sarcoidosis.
Rhinoscleroma.
Tuberculosis.
Syphilis.

a.
b.
c.
d.

Sarcoidosis.
Rhinoscleroma.
Tuberculosis.
Syphilis.

a.
b.
c.
d.

Rhinosporodosis.
Sarcoidosis.
Tuberculosis.
Syphilis.

a.
b.
c.
d.

Sporozoon.
Low virulent T.B bacillus.
Treponema Ballidum.
Gram ve short capsulated diplobacillus.

a.
b.
c.
d.

Chronic sub-epithelial inflammatory granuloma of upper respiratory tract.


Non caseating granuloma with histological picture similar to T.B.
Fungal infection of nasal mucosa.
Infection with sporozoon.

a.
b.
c.
d.

Sporozoon.
Low virulent T.B bacillus.
Treponema Ballidum.
Gram ve short capsulated diplobacillus.

a.
b.
c.
d.

Saroidosis.
Rhinoscleroma.
Lupus vulgaris.
Tuberculosis.

a.
b.
c.
d.

Staphylococcal infection of a pilosebaceous gland.


T.B infection of nasal mucosa.
Fungal infection of nasal skin.
H.influenza infection of the nose.

a.
b.
c.
d.

Bilateral nasal obstruction.


Unilateral nasal discharge.
Bilateral nasal epistaxis.
Unilateral nasal obstruction.

a. Repair should be done immediately.


b. Repair should be delayed for 3-10 days.
17.

:
a.
b.
c.
d.

Must not damage the cilia.


Must not be followed by rebound congestion.
Must be isotonic & faintly alkaline.
All of the above.

a.
b.
c.
d.

Type 1 hypersensitivity reaction.


Type 2 hypersensitivity reaction.
Type 3 hypersensitivity reaction.
Type 4 hypersensitivity reaction.

a.
b.
c.
d.

Atrophic rhinitis.
Chronic rhinitis.
Allergic rhinitis.
Acute rhinitis.

a. Allergic.
b. Infective.
c. Secondary to malignancy in the nose.

a.
b.
c.
d.

Soft & mobile.


Rigid & non mobile.
Reddish in color.
Grayish in color.

a.
b.
c.
d.

Atrophic rhinitis.
Chronic rhinitis.
Allergic rhinitis.
Acute rhinitis.

a.
b.
c.
d.

Atrophic rhinitis.
Allergic rhinitis.
Chronic rhinitis.
CSF rhinorrhea.

a.
b.
c.
d.

Rifampicin.
Cytotoxic drugs.
Surgery to canalize the stenosed canal.
Laser surgery.

a.
b.
c.
d.

Inverted papilloma.
Rhinoscleroma.
Allergic nasal polyp.
Antrochoanal polyp.

a.
b.
c.
d.

Bulla ethmoidalis.
Concha bullosa.
Lamina papyracea.
Haitaus semilunaris.

a.
b.
c.
d.

Maxillary sinus.
Ethmoidal sinus.
Frontal sinus.
Sphenoid sinus.

a.
b.
c.
d.

Clear color.
Sediment formation after standing in a test tube.
Containing glucose.
Accelerated flow rate with straining.

a.
b.
c.
d.

Antibiotics to avoid infection.


Nasal drops.
Treatment of the cause.
Cleaning & sterilization of the skin of the nasal vestibule.

a.
b.
c.
d.

Lupus.
Leprosy.
T.B.
Syphilis.

a.
b.
c.
d.

Lupus.
Leprosy.
T.B.
Syphilis.

a.
b.
c.
d.

Bone destruction.
Opacity of the affected sinus.
Fluid level.
Mucosal thickening.

a.
b.
c.
d.

Nasal origin.
Dental origin.
Orbital origin.
All of the above.

a.
b.
c.
d.

Attack of severe epistaxis.


Persistant nasal obstruction.
Rhinorrhea.
All of the above.

a.
b.
c.
d.

Esinophilia in nasal secretion.


Esinophilia in blood.
Elevated serum IGE.
All of the above.

a.
b.
c.
d.

Ethmoid carcinoma.
Palatal paralysis.
Advanced maxillary sinus carcinoma.
Cleft palate.

a.
b.
c.
d.

At puberty.
At pregnancy.
In diabetes.
All of the above.

a.
b.
c.
d.

Adenoid abscess.
Acute & chronic sinusitis.
Non of them.
All of them.

a.
b.
c.
d.

Antrochoanal polyp.
Allergic nasal polyp.
Choanal atresia.
Non of the above.

a.
b.
c.
d.

Unilateral sinusitis.
FB in the nose.
Non of them.
All of them.

a. Chronic frontal sinusitis.


b. Obstruction of a duct of a mucus gland.
c. All of the above.
a.
b.
c.
d.

Anemia.
Arterial hypertension.
Nasopharyngeal angiofibroma.
Renal failure.

a.
b.
c.
d.

Little's area.
Mac ewing triangle.
Pyriform fossa.
Sphenoethmoidal recess.

a.
b.
c.
d.

Hard-like nodules.
Histopathology shows Mikulicz cells.
Responses to rifampicin.
Ulceration of the surrounding tissue.

a.
b.
c.
d.

The anterior ethmoidal artery.


The sphenopalatine artery.
The maxillary artery.
The internal jugular vein.

a.
b.
c.
d.

Anterior ethmoidal artery.


Sphenopalatine artery.
Greater palatine artery.
Ascending pharyngeal artery.

a.
b.
c.
d.

3rd cranial nerve.


5th cranial nerve.
7th cranial nerve.
Cervical sympathetic chain.

a.
b.
c.
d.

Salicylates.
Anticoagulants.
Quinine.
Ampicllin.

a.
b.
c.
d.

Frontal sinusitis.
Ethmoidal sinusitis.
Maxillary sinusitis.
Non of the above.

a.
b.
c.
d.

Nasopharyngeal angiofibroma.
Nasopharyngeal carcinoma.
Adenoid hypertrophy,
Nasopharyngeal sarcoma.

a.
b.
c.
d.

Osteomylitis of the maxillary & frontal bone.


Fistula formation.
Subperiosteal abscess.
Extradural abscess.

a.
b.
c.
d.

Infective.
Malignant.
Secondary to malignancy.
Allergic.

a.
b.
c.
d.

Congenital.
Traumatic.
Infective.
Neoplastic.

a.
b.
c.
d.

Meningitis.
Orbital.
Extradural abscess.
Brain abscess.

a.
b.
c.
d.

Allergic.
Infective.
Neoplastic.
Non of them.

a.
b.
c.
d.

Bilateral choanal atresia.


Adenoids.
Acute laryngitis.
Nasal allergy.

a.
b.
c.
d.

Proptosis.
Unilateral nasal obstruction.
Headache.
Sneezing.

a.
b.
c.
d.

Hypertension.
Angiofibroma.
Allergic nasal polypi.
Antrochoanal polyp.

a.
b.
c.
d.

Septoplasty.
No treatment.
Sub-mucperichondrial resection.
Cauterization.

a.
b.
c.
d.

Septal haematoma.
Septal abscess.
Septal perforation.
All of the above.

a.
b.
c.
d.

Tension headache.
Vacuum headache.
Toxic headache.
All of the above.

a.
b.
c.
d.

All the day.


At night.
Periodic.
Non of them.

a.
b.
c.
d.

Low grade fever.


Intermittent fever.
Remittent fever.
No fever.

a.
b.
c.
d.

The inner canthus.


The supra-orbital margin.
The infra-orbital margin.
Non of them.

a.
b.
c.
d.

The inner canthus.


The supra-orbital margin.
The infra-orbital margin.
Non of them.

a.
b.
c.
d.

The inner canthus.


The supra-orbital margin.
The infra-orbital margin.
Non of them.

a.
b.
c.
d.

Choanal atresia.
Adenoids.
Nasopharyngeal carcinoma.
Non of them.

a.
b.
c.
d.

The anterior part of the middle meatus.


The posterior part of the middle meatus.
All over the middle meatus.
The inferior meatus.
:

a.
b.
c.
d.

The anterior part of the middle meatus.


The posterior part of the middle meatus.
All over the middle meatus.
The inferior meatus.

a.
b.
c.
d.

The anterior part of the middle meatus.


The posterior part of the middle meatus.
All over the middle meatus.
The inferior meatus.

a.
b.
c.
d.

Superior meatus.
Middle meatus.
Inferior meatus.
Non of them.

a.
b.
c.
d.

Suppurative inflammation with irreversible mucosal damage.


Suppurative inflammation with reversible pathology.
Allergic sinusitis.
Catarrhal inflammation.

a. Suppurative inflammation with irreversible mucosal damage.

b. Suppurative inflammation with reversible pathology.


c. Allergic sinusitis.
d. Catarrhal inflammation.

a. Suppurative inflammation with irreversible mucosal damage.

b. Suppurative inflammation with reversible pathology.


c. Allergic sinusitis.
d. Catarrhal inflammation.

a. Suppurative inflammation with irreversible mucosal damage.

b. Suppurative inflammation with reversible pathology.


c. Allergic sinusitis.
d. Catarrhal inflammation.

a.
b.
c.
d.

Eye origin.
Dental origin.
Non of them.
All of them.

a.
b.
c.
d.

Sinus origin.
Cervical origin.
Non of the above.
All of the above.

a.
b.
c.
d.

Temporal arteritis.
Neurogenic origin.
Non of them.
All of them.

Psycogenic.
b. Allergic origin.
c. Non of them.
d. All of the above.

a.
b.
c.
d.

Constipation.
Hypotension.
Non of the above.
All of the above.

a.
b.
c.
d.

Anemia.
Premenstrual.
Hypoglycemia.
All of the above.

a.
b.
c.
d.

Unilateral nasal discharge.


Unilateral obstruction.
Unilateral epistaxis.
All of the above.

a.
b.
c.
d.

Wound sepsis.
Unprepared patient.
Injury of the pharyngeal muscle.
Rising of blood pressure with slipping ligature.

a. Wound sepsis.
b. Unprepared patient.
c. Injury of the pharyngeal muscle.
d. Rising of blood pressure with slipping ligature.

a.
b.
c.
d.

Wound sepsis.
Unprepared patient.
Injury of the pharyngeal muscle.
Rising of blood pressure with slipping ligature.

a.
b.
c.
d.

High grade fever.


Low grade fever.
Remittent fever.
Intermittent fever.

a.
b.
c.
d.

Weak rapid pulse.


Full bounding pulse.
Synchronous with the temperature.
Non synchronous with the temperature.

a.
b.
c.
d.

Infectious mononucleosis.
Acute follicular tonsillitis.
Diphtheria.
Agranulocytosis.

a.
b.
c.
d.

Boreli vencenti.
Candida albicans.
Barr-epestin virus.
Streptococci.

a.
b.
c.
d.

Boreli vencenti.
Candida albicans.
Barr-epestin virus.
Streptococci.

a.
b.
c.
d.

Boreli vencenti.
Candida albicans.
Barr-epestin virus.
Streptococci.

a.
b.
c.
d.

Diphtheria.
Acute follicular tonsillitis.
Infectious mononucleosis.
All of the above.

a.
b.
c.
d.

Diphtheria.
Acute follicular tonsillitis.
Infectious mononucleosis.
Thrush stomatitis.

a.
b.
c.
d.

Herpes simplex.
Herpes zoster.
TB.
All of the above.

a.
b.
c.
d.

Syphilis.
Behcet's syndrome.
AIDS.
All of the above.

a.
b.
c.
d.

:
Blood diseases.
Skin diseases (linchen planus).
Toxic (heavy metals).
All of the above.

a.
b.
c.
d.

Malignant condition.
Precancerous condition.
Inflammatory condition.
Toxic condition.

a.
b.
c.
d.

Ampicillin.
Erythromycin.
Cephalosporin.
Non of the above.

a.
b.
c.
d.

Adenoid face.
Otitis media with effusion.
Sensory neural deafness.
Night mares.

a.
b.
c.
d.

Acute retropharyngeal abscess.


Chronic retropharyngeal abscess.
Para Pharyngeal abscess.
Quinsy.

a.
b.
c.
d.

External drainage posterior to sternomastoid.


External drainage anterior to sternomastoid.
Internal drainage via longitudinal incision.
Non of the above.

a.
b.
c.
d.

External drainage posterior to sternomastoid.


External drainage anterior to sternomastoid.
Internal drainage via longitudinal incision.
Non of the above.

a.
b.
c.
d.

TB of bodies of the cervical vertebrae.


Suppuration of the retropharyngeal gland.
Diphtheria bacilli.
Non of the above.

a.
b.
c.
d.

TB of bodies of the cervical vertebrae.


Suppuration of the retropharyngeal gland.
Diphtheria bacilli.
Non of the above.

a.
b.
c.
d.

Ludwig's angina.
Juvenile nasopharyngeal angiofibroma.
Retropharyngeal abscess.
Non of the above.

a.
b.
c.
d.

Recurrent infection.
Sever epistaxis.
Upper respiratory tract obstruction.
Non of the above.

a.
b.
c.
d.

Malignant.
Non capsulated.
Pre-malignant.
Highly vascular.

a.
b.
c.
d.

Soft friable tissue.


Non muscle coated blood vessels.
Non capsulated.
Malignancy.

a.
b.
c.
d.

Conductive deafness.
Sensory neural deafness.
Mixed deafness.
All of the above.

a.
b.
c.
d.

Cellulitis of the pyriform fossa.


Cellulitis in the parapharyngeal space.
Cellulitis in the retropharyngeal space.
Cellulitis of the floor of the mouth.

a.
b.
c.
d.

Acute laryngeal edema.


CHL.
Bleeding.
Nasal obstruction.

a.
b.
c.
d.

In the middle line.


Lateral to the middle line.
Appears from outside the neck.
Non of the above.

a.
b.
c.
d.

Superior to tonsils.
Lateral to tonsils.
Posterior to tonsils.
Inferior to the tonsils.

a.
b.
c.
d.

Malignant tumor.
Locally malignant tumor.
Benign tumor.
Non of the above.

a.
b.
c.
d.

Nasopharyngeal carcinoma.
Oropharyngeal carcinoma.
Hypopharyngeal carcinoma.
Postcricoid carcinoma.

a.
b.
c.
d.

Nasopharyngeal carcinoma.
Cavernous sinus thrombosis.
Postcricoid carcinoma.
Petrositis.

a.
b.
c.
d.

Blood diseases.
Diphtheria carrier.
Chronic tonsillitis.
Impacted FB.

a.
b.
c.
d.

During epidemic of polio.


Tumors of tonsils.
After peritonsillar abscess.
Symptoms of septic focus.

a.
b.
c.
d.

During epidemic of polio.


During acute attack.
Malignant hypertension.
Diphtheria carrier.

a.
b.
c.
d.

During menses.
Uncontrolled diabetes.
After peritonsillar abscess.
Full stomach.

a.
b.
c.
d.

5th nerve.
9th nerve.
10th nerve.
12th nerve.

a.
b.
c.
d.

Primary.
Reactionary.
Secondary.
Non of the above.

a.
b.
c.
d.

Primary.
Reactionary.
Secondary.
Non of the above.

a.
b.
c.
d.

Primary.
Reactionary.
Secondary.
Non of the above.

a.
b.
c.
d.

Secondary infection.
Rising blood pr with slipping of ligature.
Injury of the pharyngeal muscles & mucosa.
Non of the above.

a.
b.
c.
d.

Secondary infection.
Rising blood pr with slipping of ligature.
Injury of the pharyngeal muscles & mucosa.
Non of the above.

a.
b.
c.
d.

Backward of the tongue.


Inhalation of vomitus or blood clots.
Extubation spasm.
All of the above.

a.
b.
c.
d.

To prevent backward falling of tongue.


To prevent inhalation of the vomitus or blood.
To detect bleeding.
All of the above.

a.
b.
c.
d.

Occur most commonly in infants.


Involves the prevertebral space.
Usually occurs with TB of the cervical vertebra.
Is seen in lateral X-ray of neck.

a.
b.
c.
d.

Vincent angina.
Ludwig's tumor.
Submandibular sialadenitis.
Bezold's abscess.

a.
b.
c.
d.

Very sever systemic symptoms & mild local symptoms.


Very sever local symptoms & mild systemic symptoms.
Very sever local & systemic symptoms.
Very mild local & systemic symptoms.

a.
b.
c.
d.

Hemophilia.
Acute attack.
One attack of quinsy 2 months ago.
Active rheumatic arthritis.

a.
b.
c.
d.
e.

Stomatitis, herps like lesion.


Conjunctivitis, corneal opacity, irridocyclitis.
Genital ulcer.
SNHL.
Tendency to recur.

a.
b.
c.
d.

Corticosteroids locally & systemic.


Cytotoxic drugs.
Antihistaminic.
Non of them.

a.
b.
c.
d.

Pemphigus.
Linchen planus.
Lupus erthromatosis.
All of the above.

a.
b.
c.
d.

Uremia.
DM.
Liver disease.
All of the above.

a.
b.
c.
d.

Submental LN.
Plunging ranula.
Suprahyoid thyroglossal cyst.
Cystic hygroma.

a.
b.
c.
d.

Thyroglossal duct cyst.


Thyroid isthmus nodule.
Dermoid cyst.
Pharyngeal pouch.

a.
b.
c.
d.

Branchial cleft cyst.


Carotid body tumor.
Lymph gland enlargement.
Dermoid cyst.

T
a.
b.
c.
d.

Ranula.
Dermoid cyst.
Tumor of the sublingual salivary gland.
Cystic hygroma.

a.
b.
c.
d.

Pain become throbbing.


Fever may become hectic.
Softening & fluctuation can be detected.
All of them.

a.
b.
c.
d.

Tonsillar diphtheria.
Quinsy.
Acute tonsillitis.
Chronic tonsillitis.

a.
b.
c.
d.

Tonsillar diphtheria.
Quinsy.
Acute tonsillitis.
Chronic tonsillitis.

a.
b.
c.
d.

Tonsillar diphtheria.
Quinsy.
Acute tonsillitis.
Chronic tonsillitis.

a.
b.
c.
d.

Solids then to fluids.


Fluids then to solids.
Fluid & solids at the same time.
All of the above.

a.
b.
c.
d.

Solids then to fluids.


Fluids then to solids.
Fluid & solids at the same time.
All of the above.

a.
b.
c.
d.

Malignant condition.
Pre-malignant.
Locally malignant.
Non of the above.

a.
b.
c.
d.

Postcricoid carcinoma.
Cancer larynx.
Cancer oesophagus.
Non of the above.

a.
b.
c.
d.

Microcytic hypochromic.
Macrocytic.
Both.
Non of them.

a.
b.
c.
d.

Plummer Vinson syndrome.


Cardiac achalasia.
Pharyngeal pouch.
Cancer oesophagus.

a.
b.
c.
d.

Corrosive oesophagitis.
Cardiac achalasia.
Pharyngeal pouch.
Cancer oesophagus.

a.
b.
c.
d.

Plummer Vinson syndrome.


Cardiac achalasia.
Pharyngeal pouch.
Cancer oesophagus.

a.
b.
c.
d.

Progressive.
Regressive.
Stationary.
Intermittent.

a.
b.
c.
d.

Progressive.
Regressive.
Stationary.
Intermittent.

a. Compression of the oesophagus by abnormally located RT subclavian artery


or double aorta.
b. Herniation of the pharyngeal mucosa via kllian dehiscence.
c. Chronic superficial oesophagitis with web formation.
d. Failure of relaxation of cardic sphincter.

a. Compression of the oesophagus by abnormally located RT subclavian artery

or double aorta.
b. Herniation of the pharyngeal mucosa via kllian dehiscence.
c. Chronic superficial oesophagitis with web formation.
d. Failure of relaxation of cardic sphincter.
a. Compression of the oesophagus by abnormally located RT subclavian artery

or double aorta.
b. Herniation of the pharyngeal mucosa via kllian dehiscence.
c. Chronic superficial oesophagitis with web formation.
d. Failure of relaxation of cardic sphincter.
a.
b.
c.
d.

Dehydration due to electrolytes imbalance.


Stridor due to laryngeal oedema.
Both of them.
Non of them.

a.
b.
c.
d.

Chronic corrosive oesophagitis.


Cardiac achalasia.
Plummer Vinson syndrome.
Non of them.

b.
a. Plummer Vinson syndrome.

Cardiac achalasia.
c.
Pha

geal pouch.
d. Cancer oesophagus.

a.
b.
c.
d.

Old males.
Old females.
Infants.
Adult males.

a.
b.
c.
d.

Shock may occur due to electrolytes imbalance.


Normal feeding is encouraged.
Vomiting is not encouraged.
Cortisone in the acute stage is contraindicated.

a.
b.
c.
d.

Aneurysm of the aorta.


Enlarged left atrium.
Mediastinal tumor.
All of the above.

a.
b.
c.
d.

Aneurysm of the ICA.


Enlarged thyroid.
Enlarged malignant gland.
All of the above.

a.
b.
c.
d.

Pharyngeal pouch.
Cardiac achalasia.
Spontaneous rupture of the oesophagus.
Plummer Vinson syndrome.

a.
b.
c.
d.

Rise of the blood carbon dioxide level.


Rise of the blood O 2 level.
Wash of the blood carbon dioxide level.
Non of the above.

a.
b.
c.
d.

Commoner in males.
The commonest type is squamous cell carcinoma.
Is predisposed by smoking.
All of the above.

a.
b.
c.
d.

The larynx.
The trachea.
The right bronchus.
The left bronchus.

a.
b.
c.
d.

Allergic rhinitis.
Vasomotor rhinitis.
Rhino laryngo scleroma.
Acute rhinosinusitis.

a.
b.
c.
d.

Aortic arch.
Left main bronchus.
Left ventricle.
Thoracic duct.

a.
b.
c.
d.

Pneumonia.
Obstruction of the tube by secretion.
Surgical emphysema.
Pneumothorax.

a.
b.
c.
d.

CT.
MRI.
Endoscopy & biopsy.
All of the above.

a.
b.
c.
d.

Localized epithelial hyperkeratosis on the free edge of the vocal cord.


Premalignant nodules.
Chronic infectious granuloma.
Allergic nodules.

a.
b.
c.
d.

At the epiglottis.
At the junction of the anterior 1/3 with posterior 2/3 of the vocal cords.
At the arytenoids.
Non of the above.

a.
b.
c.
d.

Epithelial hyperplasia.
Epithelial hypertrophy.
Epithelial degeneration.
Non of the above.

a.
b.
c.
d.

Pneumococci.
Staphylococci.
Streptococcus haemolyticus.
Non of the above.

a.
b.
c.
d.

The posterior part.


The middle part.
The anterior part.
The subglottic part.

a.
b.
c.
d.

The posterior part.


The middle part.
The anterior part.
The subglottic part.

a.
b.
c.
d.

The posterior part.


The middle part.
The anterior part.
The subglottic part.

a.
b.
c.
d.

Syphilis of larynx.
Scleroma of the larynx.
TB of the larynx.
Lupus of the larynx.

a.
b.
c.
d.

Locally malignant lesion.


Malignant lesion.
Precancerous.
None of the above.

a.
b.
c.
d.

Adults.
Children.
Both of them.
None of them.

a.
b.
c.
d.

Adults.
Children.
Both of them.
None of them.

a.
b.
c.
d.

Laryngeal diphtheria.
Acute laryngitis in adult.
Acute laryngitis in children.
Multiple laryngeal papilloma.

a.
b.
c.
d.

Acute epiglottitis.
Bilateral abductor paralysis.
Bilateral adductor paralysis.
Laryngoscleroma.

a.
b.
c.
d.

Laryngomalacia.
Congenital laryngeal web.
Congenital subglottic stenosis.
Congenital bilateral choanal atresia.

a.
b.
c.
d.

The supraglottic area.


The subglottic area.
The pyriform fossa.
Non of the above.

a.
b.
c.
d.

Congenital bilateral choanal atresia.


Laryngeal web.
Acute laryngitis.
Non of the above.

a.
b.
c.
d.

When small tube is used and a wide opening made in the trachea.
Injury of the pleura.
Non of them.
Both of them.

a.
b.
c.
d.

When the skin is closed tightly.


Injury of the pleura.
Non of them.
Both of them.

a.
b.
c.
d.

When the pretrachial fascia is sutured tightly.


Injury of the pleura.
Non of them.
Both of them.

a.
b.
c.
d.

When the pretrachial fascia is sutured tightly.


Injury of the pleura.
Non of them.
Both of them.

a.
b.
c.
d.

Expectorants.
Analgesics.
Opiates.
Non of them.

a.
b.
c.
d.

Supine.
Semi-sitting.
Standing.
On one side.

a.
b.
c.
d.

Pneumothorax.
Acute pulmonary edema.
Mediastinal emphysema.
Non of them.

a.
b.
c.
d.

Small sized tube.


Pulled out by voilent cough.
Loosely tied tape.
All of the above.

a.
b.
c.
d.

Partial obstruction of the bronchus.


Complete obstruction of the bronchus.
When the pretrachial fascia is sutured tightly.
Injury of the pleura.

a.
b.
c.
d.

TB.
Scleroma.
Syphilis.
Sarcoidosis.

a.
b.
c.
d.

Vocal cords.
Ventricular bands.
Aryoepiglottic folds.
All of the above.

a.
b.
c.
d.

Scleroma.
TB.
High tracheostomy.
All of the above.

a.
b.
c.
d.

Scleroma.
Congenital.
Traumatic.
All of the above.

a.
b.
c.
d.

Perichondritis.
Endotracheal intubation.
Syphilis.
All of the above.

b,d

b,d

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a,c

c,d,e

a,c

b,c

a,b,d

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