Name:_______________________________________Computer #:__________ 1. In an audiogram speech frequencies are: a. b. c. d. 2.

125, 250, 500 Hz 250, 500,1000 Hz 500, 1000, 2000 Hz 1000, 2000, 3000 Hz

Following are the features of acute mastoidectomy EXCEPT: a. b. c. d. Earache Post-auricular swelling Conductive deafness Painful movements of the pinna

3.

All of the following statements are correct about facial nerve EXCEPT: a. b. c. d. It crosses lateral to styloid process Lies below horizontal semicircular canal Lies behind the pyramid in the posterior wall of the middle ear Chorda tympani branch arises from its tympanic segment

4.

All of the following muscles are supplied by facial nerve EXCEPT: a. b. Masseter Buccinator

c. d. 5.

Stylohoid Orbicularis Oculi

All of the following muscles are supplied by VIIth nerve EXCEPT: a. b. c. d. Stapedius Posterior belly of digastric Platysma Tensor Tympani

6.

Ramsay Hunt syndrome includes all EXCEPT: a. b. c. d. Facial paralysis Vesicles in the external ear canal and tympanic membrane Vesicles on soft palate Pharyngeal paralysis

7.

Facial paralysis in acute otitis media is due to the following EXCEPT: a. b. c. d. Cholesteatoma Bony erosion of fallopian tube Pre-existing dehiscence of facial canal Infection of retrofacial cells

8.

All are true about otosclerosis EXCEPT: a. Onset is between 20 40 years of age

b. c. d. 9.

Causes slowly progressive hearing loss Endolymphatic pressure is raised More common in white races

Which of the following statement(s) is/are true concerning Menieres disease? a. b. Other name for the disease is Hydrops of middleear. It is characterized by attacks of vertigo, tinnitus and conductive hearing loss. It is common in females With repeated attacks of vertigo, cochlear function gets reduced.

c. d.

10. a. b. c. d. 11. a. b. c.

Main constituents of the nasal septum are: Quadrangular cartilage Vomer Perpendicular plate of ethmoid Perpendicular plate of palatine bone Which of the following is NOT true to nasal synechia Often follows intranasal surgery Epistaxis is the presenting feature Can lead to sinusitis

d. 12. a. b. c. d. 13. of: a. b. c. d. 14. a. b. c. d. 15. a.

Recurrence is common after removal Following are the features of atrophic rhinitis EXCEPT: Crusting and bleeding from nose Offensive smell Anosmia Narrow nasal chambers Purulent discharge in superior meatus is due to infection

Maxillary sinus Anterior ethmoid sinuses Posterior ethmoid sinuses Sphenoid sinus Septal performation is NOT seen in: Leprosy Wegeners granuloma Tuberculosis Rhinoscleroma Most common malignancy of paranasal sinuses is: Adenocarcinoma

b. c. d. 16. a. b. c. d. 17.

Adenoid cystic carcinoma Squamous cell carcinoma Malignant Melanoma Abduction of vocal cord is brought about by: Thyroarytenoid Vocalis Cricothyroid Posterior cricoarytenoid External laryngeal nerve supplies which of the following

muscle(s): a. b. c. d. 18. EXCEPT: a. b. c. Cricoid Thyroid Arytenoid Posterior cricoarytenoid Thyroarytenoid Oblique arytenoid Cricothyroid The following laryngeal cartilages may show calcification

d. 19. a. b. c. d. 20.

Epiglottis Contact ulcer of the larynx is caused by: Tuberculosis Syphilis Vocal abuse Fungal infection All are true about Plummer-Vinson syndrome

(Sideropenic dysphagia) EXCEPT: a. May be associated with carcinoma of hypopharynx or oesophagus. b. c. d. 21. adult is: a. b. c. d. Haemangioma Warthins tumour Pleomorphic adenoma Oxyphil adenoma Dysphagia is due to cervical oesophageal web. Associated with iron-deficiency anaemia. More common in males. Most common benign tumour of the parotid gland in an

22. glands is: a. b. c. d.

The most common malignant tumour of the salivary

Squamous cell carcinoma Muco-epidermoid carcinoma Malignant mixed tumour Cylindroma Which of the following is NOT true of Pleomorphic

23. adenoma? a. b. c.

It is slow-growing painless tumour Local recurrence is common after enucleation Most of the benign mixed tumours occur in submandibular gland

d. 24. a. b. c. d. 25.

Treatment is wide surgical excision Which of the following is NOT true of Warthins tumour? Seen more often in men Affects age group of 40 - 60 Rapidly growing Affects tail of parotid gland All are true about Thyroglossal cyst EXCEPT:

a.

Presents as smooth, cystic swelling at or just below the hoid bone.

b.

Should be removed because of danger of infection and malignant change.

c.

Requires excision of mid-portion of hoid bone if recurrence is to be avoided.d. Originates from the 2nd brachial cleft.

26. A cystic midline swelling in the neck can be result of the following EXCEPT: a. b. c. d. Branchial cyst Dermoid cyst Thyroglossal cyst Sebaceous cyst

OSCE
Name:__________________________________________________________________ Computer #:___________________________ Date:_____________________________ 1. 9 year old girl prevail with history of sleep apnea attacks associated with soar throat. A. What is the radiological test called. ______________________ B. Mention two absolute indication of tonsillectomy ______________________ ______________________ ANSWER: A. Lateral soft tissue of the neck Post nasal space tomy B. Sleep apnea (obstructive) Suspicious of mahfancy 2. 35 year old man came to OPD with since headache, nasal obstruction and loss of A. Mention two obvious findings of the above radiological film. ______________________ ______________________ B. What is this film view called? ______________________ ANSWER A. Air fluid level of left maxillary opacification of the right maxillary. smell.

B.

Waters view (occepito mental) to 3

3. This is oral cavity picture of young lady carry to emergency room, unable to shallow days with failure of medical treatment to relieve her condition. A. What is this condition called? ______________________ B. What is proper management of such condition?

ANSWER A. Peritonsillar abscess B. Incision & drainage 4. 4 year old man presented in the clinic with history of complete right nasal obstrauction revert right epistaxis and neck mass for. A. What is most appropriate diagnosis? ______________________ B. What is your next step of management? ______________________ ANSWER A. B. Nasal Tumor (cancer) Biopsy of the mass

5. This topographical picture of nasal septum anatomy. A. Mention two bony components of septum. ______________________ ______________________ B. Mention two indication of septoplasty. ______________________

______________________ ANSWER A. Septum bony components tanodal, maxillary / vomer , palatine B. DNS bleeding, deformity etc. 6. 63 years old man presented with this picture post total paracidectomy 1 year back. A. What is the most appropriate cause of his case? ______________________ B. Apart from motor function mention two natural function of facial nerve. ______________________ ______________________ ANSWER A. Eugenic facial palsy B. Sensory to concha of the auricle --- function to auteus 2/8 of tongue. Secretonotomy of lacrimal gland 7. A. What is this audiological test called ______________________ B. Mention two conditions which might show in the above findings. ______________________ ______________________ ANSWER A. B. Pun tone audiogram Pnesbycum

Noise induced Hl Ototoxicity 8. 17 year old man presented two days post facial trauma with nasal obstruction. A. What is the condition ______________________ B. Mention two major complications ______________________ ______________________ ANSWER A. B. Septal hematoma Septal abscess, septal perforation Spread of infection to brain Cavernour sinus, etc. 9. This is anatomical draw of the lateral nasal wall. A. What is the structure 3, 4? ______________________ B. Mention two sinus astia drawn in the middle meatus. ______________________ ______________________ ANSWER A. Superior turbinate (3) Agar Nose (4) B. Ethmoidal, maxillary, frontal sinus

10.

A.

Mention 2 indications from this procedure? ______________________ ______________________

B.

Mention two complications. ______________________ ______________________

ANSWER

A.

Airway obstruction Major head & neck surgery Decrease dead space Elongated ventilation

B.

Airway obstruction Bleeding Trauma to major structure

11. 29 year old man presented to ENT clinic with this nasal findings.

A.

Mention two presenting symptoms. ______________________ ______________________

B.

Mention two optional treatment ______________________ ______________________

ANSWER

A.

Bleeding - csentations Obstruction - badsmell

B.

Nasal wash (conservative) Septal batton Surgical closure

12. 57 year old lady presented with history of right progressive hearing loss, right ear tinnitus and dizziness attacks.

A.

What is the most appropriate diagnosis? ______________________

B.

What is the usual anatomical area affected? ______________________

ANSWER

A.

Acoustic neuroma (right)

B.

Cerebellopontime angle

13. This is laryngeal picture of 19 year old man presented with sudden aphonia after involved in verbal fighting.

he got

A.

What is the most appropriate diagnosis? ______________________

B.

What is your management?

ANSWER

A.

Angiomaton polyp (L)

B.

Ommation of --Drainage

14. 17 year old lady presented with history of recurrent preauricular swelling.

C.

What is your diagnosis? ______________________

D.

What is the best management? ______________________

ANSWER

A.

Preauricular sinus

B.

Surgical excision

15. 13 year old boy presented to ENT clinic with neck swelling for 3 months.

A.

Mention two different diagnoses. ______________________ ______________________

B.

Mention two most appropriate investigations ______________________ ______________________

ANSWER

A.

Neoplasm of L.N., parotid Persistent lymphanoplasty

B.

CT scan with contract Fine needle aspiration

16. 11 year old boy complaining of sleep disturbance. This is his oral cavity examination picture. A. Define sleep apnea ______________________

B.

Mention another two major expected presentation in this case.

ANSWER

A.

Cessation of breathing at upper airway level (supraglottic) for 10 seconds.

B.

Swallowing disturbance, recurrent Ts, speech difficulty.

17. 2 years old boy was brought to emergency room with history of choking few hours ago. This is his two respiration phases ---.

A.

Mention your finding. ______________________

B.

Where is common site of foreign body in laryngotracheal tree. ______________________

ANSWER

A.

Hyper inflation of right lung shifted menistinum to left side

B.

Right main bronchus

18. Diagrammatic draw of facial nerve course.

A.

Mention two branches of facial nerve while it passes to intra temporal course. ______________________

______________________

B.

What is the narrowest segment (part) of fallopian canal (facial nerve canal) ______________________

ANSWER

A.

Stupedia brach, chorda tympany Greater perposal new

B.

Labyrithin segment

19. 33 year old lady presented with neck mass noticed to have for more than 20 years, it is recurrently swollen. She was diagnosed to have thyglosial cyst

A.

If surgically planned to be managed, what is the most important step to be done prospectively? ______________________

B.

What is the ideal surgical management (type of surgery) ______________________

ANSWER

A.

N/S neck to know the status of thymoid gland.

B.

Sistrunk operation

20.

A.

What is this radiological test? ______________________

B.

Mention two abnormalities that could be detected by this test. ______________________ ______________________

ANSWER

A.

Sialogram / sialography

B.

Sialolithiaris filling defect

Chronic sialodenit, meucocele, sialosis

21. 27 years old teacher came to speech clinic complaining of dysphonic for few months.

A.

What is your diagnosis? ______________________

B.

What is first line of management? ______________________

22. 3 year old girl born with this picture on one side

A.

Describe your findings (name the deformity) ______________________

B.

What is appropriate non-surgical option for hearing management on that side. ______________________

ANSWER

A.

Miastia

B.

Bone Anchored Hearing Aid (BAHA)

23.

Otological view of left ear.

A.

Mention two indications of the procedure. ______________________ ______________________

B.

Mention two possible long term complications of this procedure. ______________________ ______________________

ANSWER

A.

Recurrent otitis media Otitis media with effusion

B.

Resistent perforation Failure to come out

Tympanosclerosis

24.

46 year old man has a history of motor vehicle accident 3 years ago, was brought to ER unconscious.

A.

Mention two possible laryngeal presentations. ______________________ ______________________

B.

What is the radiological finding? ______________________

ANSWER

A.

Dysphonia stridor

B. 25.

Displaced fracture of thyroid cartillage

Audiology test A. What decibel indication ______________________

B.

Mention two objectives of audiological test to assess the hearing. ______________________ ______________________

ANSWER

A.

Sound intensity

B.

ABR OAE Stapedial reflex

26. 32 year old man with the history of recent flu presented with severe earache after flight trip.

long

A.

What is your diagnosis? ______________________

B.

What is the possible surgical procedure to be done to relieve patients symptoms?

ANSWER

A.

Barotrauma (+/- OME)

B.

Myringotomy +/- ventilation tube

27. 5 years old boy came to E.R. with drooling of saliva for few hours but no complaint.

A.

What is radiological finding? ______________________

B.

What is your surgical management? ______________________

ANSWER

A.

F.B. in esophagus

B.

Rigid esophagoscopy + removal of foreign body

28. 4 year old girl came to the clinic complaining of severe earache, for the last two days. The parents mentioned that she used to get more than 6 attacks annually in both ears.

A.

What is the diagnosis? ______________________

B.

What is the appropriate surgical procedure? ______________________

ANSWER

A.

Acute Otitis Media

B.

Bilateral Ventilation Tubes

29.

7 years old boy was brought to ER with history of high fever, drooling saliva and stridor. This is his lateral neck x-ray.

A. What is your diagnosis? ______________________

B. What is your first step of management? ______________________

ANSWER

A. Acute epiglotitis

B.

Airway --- intubcation tracheostomy.

30. 39 year old lady came to the clinic with history of recurrent ear discharge.

A.

Mention two possible complications of surgery could be done. ______________________ ______________________

B.

What types of lining mucosa of middle ear? ______________________

ANSWER

A.

Bleeding, ossicular disruption SIVHC

B.

Pseudostratified ciliated colluman epithelium