426 C1 ENT MCQs The right answer is $ dolar symbol(; 1- pt has nasal fracture with deformity come after

7 wk what will u do? A/ immidiate close reduction$ B/ close reduction after 2 wk C/ immidiate rhinoplasty

2- where do we do the incision of tracheotomy? A/ between 2nd and 3rd tracheal rings$ B/ cricothyroid membrane C/ thyrohyoid membrane

3- best treatment of cholestetoma is: A/ surgical removal$ B/ follow up C/ medical treatment

-4- fluctating hearing loss, episodec vertigo, tinnitus, r most likely characterestic of: A/ miniere's dx$ B/

5- most common cause of bilateral SNHL in elderly people: A/ presbicusis$ B/ otosclerosis

6- all will cause Hyposmia except: A/Smoking$

B/Adenoid enlargement C/Nasal polyp D/Allergic rhinitis

7- all of the following are midline swelling in the neck EXCEPT: A/ thyroglossal cyst B/ sebaceous cyst C/ brachial cyst$ D/ dermoid

8- which one is objective test for SNHL A/ pure tone audiometry B/ speech audiometry C/ tympanometry D/ auditory brain stem response$

9- ME: A/ intact membrane, -ve Rinne, air bone gap$

10- which one is not associated with hearing loss: A/ tympanosclerosis B/ otosclerosis C/ vistibular neuritis$ D/ labrynthitis

11- which of these do not require the use of corticosteroids: A/ bell's palsy B/ allergic rhinitis

C/ chronic retropharyngeal abscess$ D/ angioneuritic edema E/ sjorgan's syndrome

12- what is the commonest organism to cause chronic retropharyngeal abscess: A/ TB$ B/ staph aureus C/ pseudomonas D/ H. Influenza E/ anerobes

13- sensory innervation of palatine tonsils is: A/ glossopharyngeal$ B/ facial C/ vagus D/ deep petrosal nerve E/ great palatine nerve

14- asopharyngeal carcinoma most common presentation is: epistaxis Neck mass$ Earache Headache

15- during exicion of the submandibular gland, most likely drug to be injured is: Mandibular branch of facial nerve$ Mandibular branch of trigeminal

16A. B. C. D.

ligation of the artery in severe epistaxis can be done to all except: External carotid artery Internal carotid artery$ Posterior ethmoid Anterior ethmoid

17A. B. C. D.

x-Ray finding of acute sinusitis include all except Air fluid level Opacity Mucosal thickening Bone erosion$

18A. B. C.

all r complication of ethmoid sinusitis except: Orbital cellulitis Lacrimal gland obstruction$ ( I can't remember the question was asking about lacrimal gland, duct, or sac

The gland is very far away; the duct has very thick wall and it's very far away from ethmoidal sinus, about the sac ( dacrocystitis ) dr. Yasser al-Faky said as far as I know it's not reported( Mucocele

19A. B. C. D.

Acute suppurative parotitis characterized by all except: Fever Induration Pain Facial nerve paralysis@

20- all these infection r caused by virus except: A. Epiglottitis$ B. Infectious mononucleosis

21- after 1 hr of tracheostomy the pt has increase defficulty in breathing, on examination the tubes was well placed, clear secretion what is the most likely cause ???: A. Reflex apnea

B. C. D. E.

Tracheomalacia Tracheoesophageal fistula Pneumothorax Bilateral Paralysis recurrent laryngeal nerves

22A. B. C.

best imaging of thyroid gland is: CT US$ X-Ray

23A. B. C. D.

pt wih chronic tonsillitis; the lymph nodes which drain it is: Retropharyngeal Jugolodigastric$ Submental Submandibular

24- old man, smoker; with mass what is the first line of management: A. FNA$

25A. B. C.

what is the 1st line of treatment of mild epistaxis: Exisional biopsy FNA Nasal pressure$

26- inspiratory stirdor is caused by: A. Supraglottis and glottis$ B. Subglottis

27- rhinolalia closa is caused by all of the following except: A. Common cold B. Cleft palate$

28- Post auriculalar swelling, pushing the auricle forward, sagging of meatal opening, retroauricular sulcus deminish, r signs of: A. Acute mastoiditis$ B. Chronic mastoiditis

29- Submucous diathermy is used for treatment of A. Turbinate hypertrophy$ B. Epistaxis

30- best prognosis among the following neck tumor: A. Vocal cord carcinoma$ B. Nasopharyngeal ca

31- Septal abscess is caused by A. Traumatic hematoma$ B. Sinusitis

32A. B. C. D. E.

inhaled forign body, what is true: We exclude it If the x-Ray is normal Unilateral wheezing is alwayse present Unilateral atelectasis is alwayse present Do bronchoscopy immidiately$ Send the pt home

33- the forign body is most likely to dislodge in the right bronchus because: A. Right bronchus is more in alignment wih trachea$ B. It's narrower

34- Mastoid abscess is treated by: A. Cortical mastoidectomy@ B. Radical matoidectomy

35A. B. C. D. E.

unilateral choanal atresia, what is true: The infant breath normally The infant fed normally Unilateral purulent nasal discharge Can be diagnosed by trying to pass nasal catheter All of the above$

36- where is the most common site of stenosis after tracheostomy:

A. B. C.

Subglottic area$ Supraglottis Vocal cord

37- Vocal cord mobility is measured by: A. Stroboscopy

38- Most common organism to cause malignant otitis externa is: Pseudomonas

39- sinusitis headache increase with D. Leaning forward

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