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ENT MCQ (All Team).

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Exam of 40 pages for the course med111 at A university (ENT MCQ (All Team).)

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All team "One vision … One Mission" 0

, The Ear
1. The Following is true about the tympanic membrane EXCEPT:
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.
2. The following is true about the Eustachian tube EXCEPT:
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. Choose the correct answer:
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.
4. Pain on mastication is present in:
a. Acute mastoiditis.
b. Otosclerosis.
c. Furunculosis of the external ear.
d. Allergic otitis externa.
5. Sagging of the postero-superior wall of the EAC occurs in:
a. Acute mastoiditis.
b. Furunculosis of the external ear.
c. Otitis media.
d. Petrositis.
6. The causative agent in otomycosis is:
a. Aspergillus nigers & / or Candida albicans.
b. Streptococci.
c. Staphylococci.
d. E.coli
e. B. pyocyaneus.
7. Ramsy-Hunt syndrome is:
a. Herpes-zoster affection of the geniculate ganglion of the facial nerve.
b. Dysphagia in middle aged female.
c. Dysphagia in old male.
d. Sensory-neural deafness in newly born.
8. Stapedectomy is one line for treatment of:
a. Otosclerosis.
b. Otomycosis.
c. Otitic barotrauma.
d. Secretory otitis media.


All team "One vision … One Mission" 1

,9. Bloody discharge from the ear occurs in:
a. Fracture base of the skull.
b. Glomus jugular tumor.
c. Haemorrhgic otitis media.
d. Rupture drum.
e. All of the above.
f. Non of the above.

10. The most common cause of deafness in children:
a. Acute otitis media.
b. Secretory otitis media.
c. Chronic otitis media.
d. Cholesteatoma.

11. In traumatic ossicular disruption, all is true EXCEPT:
a. The audiogram shows 55 dB loss.
b. Separation of the icudo-stapedial joint is the commonest lesion.
c. There is bulging drum.
d. C.T scan is indicated.

12. Crescentic hairline is an otoscopic finding in:
a. Otomycosis.
b. Otosclerosis.
c. Secretory otitis media.
d. Acute otitis media.

13. Reservoir is a characteristic sign in:
a. Acute mastoid abscess.
b. Acute otitis media.
c. Chronic otitis media.
d. Secretory otitis media.

14. Gradinigo syndrome occurs in:
a. Acute mastoid abscess.
b. Acute petrositis.
c. Chronic otitis media.
d. Secretory otitis media.

15. Griesinger's sign is:
a. Edema & tenderness over the posterior border of the mastoid process.
b. Unilateral pulsating otorrhoea.
c. Vertigo & nystagmus on increasing the pressure of the EAC.
d. Tenderness on the tip of mastoid bone.

16. Fever in lateral sinus thrombosis is:
a. Intermittent.
b. Remittent.
c. Low grade.
d. High grade.




All team "One vision … One Mission" 2

, 17. Tobey-Ayer's test is a characteristic sign in:
a. Brain abscess.
b. Lateral sinus thrombosis.
c. Extradural abscess.
d. Meningitis.
e. Cavernous sinus thrombosis.

18. Pain in acute tonsillitis is referred to the ear through:
a. The 5th nerve.
b. The 9th nerve.
c. The 10th nerve.
d. 2nd & 3rd cervical nerve.

19. Pain in acute sinusitis is referred to the ear through:
a. The 5th nerve.
b. The 9th nerve.
c. The 10th nerve.
d. 2nd & 3rd cervical nerve.

20. Pain in tempro-mandibular joint is referred to the ear through:
a. The 5th nerve.
b. The 9th nerve.
c. The 10th nerve.
d. 2nd & 3rd cervical nerve.

21. Pain in cancer larynx is referred to the ear through:
a. The 5th nerve.
b. The 9th nerve.
c. The 10th nerve.
d. 2nd & 3rd cervical nerve.

22. Pain in salivary calculi is referred to the ear through:
a. The 5th nerve.
b. The 9th nerve.
c. The 10th nerve.
d. 2nd & 3rd cervical nerve.

23. The fluids presents in secretory otitis media is:
a. Mucopurulent.
b. Serosanguinous.
c. Exudates.
d. Transudates.
e. Mixture of exudates & transudates.

24. The discharge in case of cholesteatoma is:
a. Copious purulent.
b. Copious offensive.
c. Scanty offensive.
d. Thick scanty creamy.




All team "One vision … One Mission" 3

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