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Comp #

Mark the single most appropriate answer.

1. Submucous diathermy is a treatment of a. b. c. d. e.


epistaxis deviated nasal septum nasal polypi chronic hypertrophic rhinitis * atrophic rhinitis

Cerebro-spinal rhinorrhea a. b. c. d. e. is a common complication of sphenoid sinusitis. characterized by discharge containing sugar. * treated by nasal packing. immediate closure is mandatory. usually bilateral

3. Which of the following is more likely to cause swelling of the maxillary region? a. b. c. d. e. acute maxillary sinusitis. chronic maxillary sinusitis. dental abscess. * antro-choanal polyp. allergic rhinitis.

4. Which of the following nerves supplies the nasal mucosa?

a. b. c. d. e.

2nd cranial nerve. 3rd cranial nerve. 4th cranial nerve. 5th cranial nerve. 8th cranial nerve.

5. Displaced fracture nasal bones a. b. c. d. treated as soon as possible. treated only after the age of puberty. may be treated by submucous resection. x-ray nose is mandatory for treatment.

6. Quinsy is a. b. c. d. e. abscess inside the tonsil. usually treated surgically. more common in children. accumulation of pus lateral to the superior constrictor. usually bilateral

7. Nasal polypi a. b. c. d. e.

usually arise from the maxillary sinus. are a premalignant condition. may be caused by atrophic rhinitis. are usually found in the osteomeatal complex. is a disease of childhood.

Conductive deafness is caused by all of the following EXCEPT a. b. c. d. e. otosclerosis stapes fixation Menires Disease ossicular dislocation tympanosclerosis


Cholesteatoma, all are true EXCEPT a. b. c. d. e. causes bone erosion. usually associated with attic perforation. may lead to labyrinthitis. is of neoplastic origin. may be congenital.

10. The floor of the mouth is commonly involved in a. b. c. d. Ludwigs angina Glossitis Peritonsillar abscess Infectious mononucleosis

11. The human audible frequency is between a. b. c. d. e. 20 2000 Hz / s 20 8000 Hz / s 20 20000 Hz / s 200 20000 Hz / s 500 2000 Hz / s

12. Congenital hearing loss should be treated a. b. c. d. e.


before the age of one year. at the end of one year of age. between one and two years. by the age of 4 years. at school age.

Complications of sinusitis include all of the following EXCEPT: a. b. c. d. e. orbital cellulitis. retrobulbar neuritis. dental apical abscess. cavernous sinus thrombosis. chronic pharyngitis.

14. The commonest etiological agent in otomycosis is a. Actinomyces. b. Aspergillus niger. c. Aspergillus pyocyaneus.

d. Pseudomonas aeruginosa. 15. Menires disease: a. b. c. d. e. is caused by viral infection. affects the cochlea. characterized by permanent sensorineural hearing loss. is treated by stapes mobilization. may be complicated by facial nerve palsy.

16. The main objective of management of atticoantral disease is to a. b. c. d. e.


improve hearing. reconstruct the ossicular chain. repair the perforation. prevent complications. a and b

Complications of tonsillitis include all of the following EXCEPT: a. b. c. d. e. nephritis rheumatoid arthritis tonsillolith quinsy parapharyngeal abscess

18. During the first 24 hours after tonsillectomy, the following is (are) alarming manifestation(s): a. b. c. d. frequent swallowing otalgia rising pulse rate dysphagia

e. a and c 19. The most useful radiological evaluation for the paranasal sinus is a. b. c. d. e. plain lateral view. plain occipitomental view. axial C.T. corneal C.T. sagittal C.T.

20. The audiogram showing a conductive type of hearing loss will indicate a. b. c. d. normal air conduction, impaired air condition, impaired air condition, normal air conduction, impaired bone conduction. normal bone conduction. impaired bone conduction. normal bone conduction.

21. Which is NOT correct about infectious mononucleosis? a. b. c. d. e.


It is viral in etiology. It causes lymph gland enlargement. It is confirmed by positive Paul-Bunnell test. There is an increase in the monocytes count. There is an increase in the lymphocytes count.

The followings are useful investigations for allergic rhinitis, EXCEPT a. Eosinophil count in nasal smear. b. Skin prick test. c. Radioallergosorbent test (RAST).

d. Total IgM level. e. Provocation nasal test.

23. The main function of the Eustachian tube is to a. b. c. d. allow secretion from external auditory meatus to pharynx. allow free mobility of the tympanic membrane. protect the inner ear. keep the air pressure the same on each side of the round window. e. all the above.

Manifestations of a newly born with bilateral choanal atresia consist of all of the following EXCEPT a. b. c. d. e. purulent nasal discharge. cyclic breathing. cyanosis. failure to pass a nasal catheter. b and c


Predisposing factors to otomycosis are all of the following EXCEPT a. b. c. d. e. immunosuppressive disease. frequent use of local antibiotics. diabetes mellitus. exostosis. swimming.

26. Respiratory obstruction after adenotonsillectomy could be due to a. b. c. d. laryngeal spasm falling of the tongue backward. missed piece of gauze. all of the above.

27. Which of the following is NOT an anatomical feature in the medial wall of the tympanic cavity? a. b. c. d. e. promontory. pyramid. oval window. round window. tympanic part of facial nerve.

28. Myringotomy operation may be performed for a. b. c. d. e. acute otitis media. secretory otitis media. otosclerosis chronic suppurative otitis media a and b

29. The most common presenting symptom of juvenile nasopharyngeal angiofibroma is a. b. c. d. epistaxis. anosmia. headache. hearing loss.

e. nasal speech. 30. The most frequent benign neoplasm of the frontal sinus is a. b. c. d. e. papilloma. angioma. fibroma. osteoma. polyp.

31. Which of the following drug is most effective in the treatment of malignant otitis externa? a. b. c. d. e. Cloxacillin. Metronidazole. Gentamicin. Methotrexate. Amphotericin B.

32. Fistula sign may be positive in a. b. c. d. e. acoustic neuroma. otosclerosis. cholesteatoma. secretory otitis media. otomycosis.

33. Rhinolith is a sequelae of a. b. c. d. nasal polyp foreign body allergic rhinitis rhinitis medicamentosa

34. A 40-year-old patient is having progressive unilateral sensorineural deafness. You should suspect a. b. c. d. e. acoustic neuroma. unilateral viral labyrinthitis. presbyacusis. otosclerosis. all of the above.

35. Chronic vasomotor rhinitis is treated by a. b. c. d. e. local antibiotics. systemic antibiotics. desensitization. systemic parasympathomimetic. topical glucocorticoids.

36. The most common causative bacterial organism of acute tonsillitis is a. b. c. d. e. B-hemolytic streptococcus. Streptococcus pneumoniae. Haemophilus influenzae. Staph. Aureus Strept viridans.

37. Which of the following condition is more likely to be unilateral? a. b. c. d. antrochoanal nasal polyp. otitis media with effusion otosclerosis. vasomotor rhinitis.

e. presbyacusis.

38. Unilateral nasal discharge may be caused by a. b. c. d. deviated nasal septum. foreign body. allergic rhinitis. common cold.

39. The treatment of nasopharyngeal carcinoma is mainly a. b. c. d.


surgery radiotherapy chemotherapy neck dissection

Vestibular neuritis is presented with all of the following EXCEPT a. b. c. d. decreased hearing vertigo nausea tinnitus