Ent Test Lumhs

8/2/2019 Ent Test Lumhs

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Q1: In paranasal sinuses, osteoma commonly involves:

A. Frontal sinus

B. Maxillary sinus

C. Sphenoid sinus

D. Ethmoid sinus

Q2: In Caldwell-Luc operation, entry into maxil lary sinus is made through:

A. Trans ethmoid approach

B. Canine fossa

C. Maxillary alveolus

D. Middle meatal antrostomy

Q3.Which one of the following signs can be seen in herpangina?

A. Splenomegaly and Hepatitis

B. White-yellow nodules

C. Vesicular Eruption

D. Conjunctivitis

Q4. About tympanic membrane which 1 is correct:

A. It is yellowish in color

B. Middle fibrous layer is absent in pars flaccida

C. Pars tensa is also called sharpnel’s membrane

D. It is circular in shape

E. The annulus is deficient inferiorly in pars tensa and is called notch of rivinus

Q5. Causes of chronic hoarseness include all except:

A. Laryngeal Web.

B. Congenital Cyst

C. L.Tuberculosis

D. L.Diphtheria



Q6. Most common symptoms of laryngeal diseases are:

A. Hoarseness and Dyspnea

B. Stridor and Dyspnea

C. Hoarseness and Stridor

D. Pain and bleeding from larynx

Q7.Select the correct statement regarding tonsils:

A. Crypta Magna is derived from 1st pharyngeal pouch

B. Fibrous bands between its capsule and bed enable easy dissection during tonsillectomy

C. Tonsillar nodes are located at the supraclavicular region

D. Paul-Bunnell Test is done to differentiate between tonsil l it is and infectiousmononucleiosis

Q8.Regarding external ear:

A. Incisura Terminalis is usually approached for surgery of external auditory canal

B. Temperomandibular joint lies inferior to external auditory meatus

C. Tragus is supplied by the greater auricular nerve

D. Bony part forms inner 1/3rd of the external auditory canal

E. Outer part of external auditory canal is directed upwards,forwards and medially.

Q9.Regarding antrochoanal polyp:

A. It is due to allergy

B. Usually unilateral

C. Multiple in number

D. Probe test is -ve

E. Cutting snare is used for its removal

Q10.Regarding nasal polyp:

A. Non-pedunculated swelling of nasal or sinus mucosa

B. Caldwell-Luc's operations is indicated for ethmoidal polyp

C. Ethmoidal polyps are usually solitary

D. Antrochoanal polyps respond to conservative treatment only



E. Usually insensitive to touch

1)All are true regarding otomycosis except:

a. is the fungal infection of external auditory canal.

b. is predisposed by swimming in water.

c. is treated by suction clearance.

d. granulation tissue in external auditory canal is a clinical feature.

2) regarding otit is externa:

a. localized otitis externa is a chronic infection of hair follicles (cartilaginous part).

b. is more common in hypertensive patiants.

c. may cause mastoiditis.

d. in diffuse otit is externa deafness may be due to occlusion of canal by accumulation ofdischarge.

e. diffuse otitis externa can cause perforation of tympanic membrane.

3) the wrong statement regarding boil of the ear is:

a. it is the infection of hair follicles.

b. found only in cartilaginous part of EAC.

c. is mostly painless.

d. needs incision and drainage in late cases.

4) regarding fungal sinusitis:

a. aspergillus infection presents with black eschar.

b. to treat chronic invasive sinusitis itraconzole therapy is given for 12 months.

c. patients of allergic fungal sinusitis presents with chronic rhinosinusitis.

d. mycetoma causes bone erosion or expansion.

5) ethmoid sinus malignancy can be treated by following except:



a. lateral rhinotomy.

b. total ethmoidectomy.

c. craniofacial resection.

d. caldwell luc's operation.

6) maxil lary sinus is commonly involved in all of the following conditions except:

a. adamantinoma.

b. fibrous dysplasia.

c. osteoma.

d. fungal ball.

7) all the following clinical features are associated with laryngeal diphtheria exept:

a. hoarsness of voice.

b. sick looking patiant.

c. tachycardia.

d. high grade fever.

8) the dose of Anti-diphtheric serum given to patiant of laryngeal diphtheria is :

a. 2000-100000 International units I\V * 6 hrs.

b. 20000-120000 International units I\V * 3 hrs.

c. 20000-120000 International units I\V * 6hrs.

d. 30000-200000 International units I\V * 6hrs.



9) The most common marked symptoms of intratonsil lar abscess include:

a. Pain and swelling.

b. Swelling and dysphagia.

c. Pain and dysphagia.

d. Dysphagia and local discomfort.

10) Complications of acute tonsil l it is include all except:

a. Chronic tonsillitis.

b. Rheumatic fever.

c. Acute otitis media.

d. Cervical abscess.

e. Tonsiloliths

1) Regarding Cauil if lower Ear Which Statement Is Most Appropriate :

A. is the adrenocarcinoma of pinna.

B. suction clearance is indicated for it.

C. is a consequence of serious effusion.

D. is a congenital deformity.

2) Perichondritis Is Related To The Following Exept :

A. may follow a surgical procedure .

B. may result from extension of otomycosis.

C. plastic surgery is suggested in late stages.

D. pseudomonas is the common causative agent.

3)Regarding Wax :



A. during its removal fits of cough may occur.

B. liquid paraffin can be used for softening of hard wax.

C. long standing impacted wax may result in granuloma formation.

D. topical antibiotics are helpful.

4) During Antral Irrigation if trocar and canula entered into the pterygopalatine fossaand damaged the maxil lary artery, it can be surgically treated by:

A. repeating antral irrigation.

B. intranasal antrostomy.

C. caldwell luc operation

D. SMR operation.

5) a 25 years old swimmer (male) having persistant frontal headache and swell ing ofthe upper eyelids, inspite of medical treatment for 48 hours, sign & symptoms persists. x-rayshows opacity of frontal sinus. which surgical procedure is most l ikely to be performed :

A. antral lavage.

B. trephination.

C. frontosphenoethmoidectomy.

D. intranasal antrostomy.

6) a 17 years old patient suffering from chronic maxil lary sinusitis with prulent & foulsmelling nasal discharge, sinus irrigation didn’t resolve the infection. surgery is performed



by perforating nasolateral wall of inferior meatus and pus is removed by suction, thissurgical managment is:

A. intranasal antrostomy.

B. FESS.

C. proof puncture.

D. caldwell luc operation.

7) The position of vocal cords in case of unilateral abductor paralysis is :

A. Median.

B. Paramedian.

C. Cadaveric.

D. Full Abduction.

8) In Right Recurrent laryngeal nerve palsy , Patiant wil l complain of :

A. Respiratory Distress and Hoarsness of Voice.

B. Respiratory Distress.

C. Hoarsness of Voice.

D. Non of Them.

9) Wrong statement regarding clinical features of Infectious Mono Nucleosis is :

A. Malaise.



B. Spleenomegaly.

C. Rubell i form rashes if Amoxicil l in is mistakenly used.

D. High grade fever.

10) Incorrect statement regarding Faucial Diphtheria :

A. Oropharynx , Larynx and Nasal cavity are involved.

B. Complications include Myocarditis.

C. Diphtheric Membrane may cause airway Obstruction.

D. It is Chronic specific infection.

1) Regarding tonsillitis :

A. chronic tonsillitis is a complication of acute tonsillitis.

B. ear-ache and difficulty in swallowing are the symptoms of tonsillitis.

C. jugulodigastric lymph nodes are enlarged.

D. tonsil lectomy is indicated for acute tonsil l it is. e:is associated with high grade fever.

2) Chronic tonsillitis is not related to :

A. difficulty in speech.

B. foul breath.

C. affects patient above 50 yrs of age.

D. intratonsillar abcess is its complication.

E. dental infection is not a pre-disposing factor.

3) True statement regarding otitis externa :



A. otomycosis is treated by suction clearence.

B. diffuse otitis externa is also called as furuncle.

C. malignant otitis externa is a viral condition.

D. otitis externa is favoured by cold climate.

E. radiotherapy is done for malignant otitis externa.

4) Boil of the ear :

A. found in bony part of the ear.

B.causes mastoiditis.

C. common in hypertensive patients.

D. causes perforation of tympanic memberane.

E. needs incision and drainage in late case.

5) Following are the symptoms of hard wax except:

A. deafness.

B. tinitis.

C. giddiness.

D. fever.

E. pain.

6) Inappropriate statement regarding maxillary sinusitis:

A. nasal discharge is a clinical feature.

B. trephination is indicated in acute maxil lary sinusitis.

C. orbital cellulitis is one of the complications of acute maxillary sinusitis.

D. transillumination test can be done for its confirmation.



7) which is correct regarding clinical feature of oropharyngeal diphtheria :

A. it's membrane is yellowish in color.

B. faster in onset.

C. it is adherent and when it is removed, leaves a bleeding surface.

D. it is a fungal infection.

8) All of the following are causes of chronic hoarsness of voice exept :

A. TB of larynx.

B. vocal cord nodule.

C. laryngeal tumours.

D. Direct Laryngosopy.

9) Position of the vocal cords in case of unilateral adductor paralysis is :

A. Median.

B. Paramedian.

C. Intermediate.

D. Full Abduction.

10) Most helping diagnostic clinical feature of acute laryngotracheobronchitis is :

A. High grade fever.

B. Hoarsness of voice.

C. fatigue.



D. Paroxysmal severe attacks of cough.

1.Following are the indications of tonsil lectomy except:

a)Quinsy

b)Glossopharyngeal neuralgia

c)Chronic tonsillitis

d)Acute tonsil l it is

2.An adult patient is considered unfit for tonsil lectomy when:

a)Hemoglobin level in the range of 12 - 18gm/dl

b)Raised bleeding time

c)Suspected of malignancy of tonsils

d)Enlarged styloid process

3. The medial wall of the middle ear shows all the following anatomical features except:

a) Eustachian tube orif ice

b) Horizontal part of facial nerve

c) Promontory

d) Oval & round windows

e) Processus cochleaformis

4. Regarding middle ear, all of the following are true except:

a) Six arteries supply it

b) It is a six walled chamber

c) Pyramid lies in it 's anterior wall

d) Aditus and antrum are parts of it

e) Lymphatics drain into retropharngeal and parotid nodes

5. Concerning laryngeal tumors, the correct answer is:

a) Stridor is the most common presenting symptom

b) Adult papillomas are usually multiple

c) They frequently metastasize to distant sites

d) Majority of them occur on the glottis



e) They are invariably inoperable by the time of diagnosis

6.Hasner’s valve is present in:

a)Inferior turbinate

b)Middle turbinate

c)Superior turbinate

d)None of the above

7.Nerve(s) of common sensation include:

a)Anterior ethmoidal nerve

b)Branches of sphenopalatine ganglion

c)Branches of infra-orbital nerve

d)All of the above

8.Respiratory epithelium of nose is:

a)Stratified squamous epithelium

b)Pseudostratified squamous epithelium

c)Pseudostratified columnar epithielium

d)Pseudostratif ied cil iated columnar epithelium

9.If a tumor of the larynx is classif ied as “Supraglottic”,it may be seen on any of theseanatomical locations except:

a)Vallecula

b) Cricoid carti lage

c)False cords

d) Infrahyoid epiglottis

10.If a laryngeal tumor is found to be limited to one subsite of supraglottis,normal vocalcord mobility,lymph node metastasis in multiple ipsilateral lymph nodes(5cm in greatestdimension) and no distant metastasis,its TNM classification will be:

a)T1N0Mx

b)T1NxM0

c)T1N2M0

d)T2N3M1



1.Correct statement regarding Secretory Otitis Media:

(a)Commonly occurs in age group of 20-25 years

(b)Accumulated fluid is non-purulent in nature

(c)Culture of fluid indicates infection with Streptococcus pneumonie

(d)Surgical treatment is the only option

2.Symptoms of deviated nasal septum do not include

(a)Nasal obstruction

(b)Crusting

(c)Epistaxis

(d)Cosmetic deformity

(e)Headache

3.Regarding pathogenesis of Secretory Otitis Media:

(a)Malfunctioning eustachian tube plays major role

(b)Obstruction of Eustachian tube creates positive pressure in middle ear cleft

(c) Middle ear mucosa shows hypersecretory activity

(d)Secreted fluid may be of mucoid consistency

4.Which of the following is an indication of septoplasty?

(a)Deviated nasal septum with nasal obstruction

(b)Chronic sinusitis

(c) Sluder’s neuralgia

(d)Nasal polyp

(e)Nasopharyngeal tonsils

5.Choose the incorrect statement regarding tracheostomy procedure:

(a)Usual incision is made above the level of the thyroid isthmus

(b)Tracheoesophagal fistula can occur as a consequence of a deep incision

(c)If a cuffed tube is used,it should be periodically deflated after procedure

(d)Skin incision should not be sutured tightly after the procedure



6.A 19 year old patient comes to you with an ulcer on the tongue and lips,which suddenlyappeared 2 days ago and upon inspection are covered with pseudomembrane.You suspect :

(a)Apthous ulcer

(b)Erythema Multiformes

(c)Ranula

(d)Erythroplakia

7.Which one of the following is an indication to perform tracheostomy:

(a)Ludwig’s Angina

(b)Cut throat injury

(c)Bilateral choanal atresia

(d)Complications from rheumatoid arthritis

(e)All of the above

8.Select the incorrect statement regarding hairy tongue:

(a)Occurs in filiform papillae

(b)Can be treated with hydrogen peroxide

(c)Vitamin deficiency is one of the causes

(d)It is so named due to the abnormal presence of minute hair foll icles on dorsum of tongue

(e)Chromogenic bacteria are involved

9.All of the following are Intermediate complication of tracheostomy except :

(a) Displacement of tracheostomy tube

(b)Tracheosophageal fistula

(c) Respiratory apnea

(d) Tracheal stenosis

(e) Blockage of tube by secretions

10.The causative organism of the hand,foot and mouth disease is:

(a)Aspergillus flavus

(b)Histoplasma capsulatum



(c) Stachybotrys chartarum

(d)Candida Albicans

(e)Coxsackie A virus

1.Correct statement regarding acute suppurative otit is media:

(a)Blood borne infection of middle ear cleft

(b)More common in adults

(c)Ear discharge is sterile

(d)Abnormal physiology of Eustachian tube leads to it

2.Clinical features of acute suppurative otit is media:

(a)High grade fever

(b)Deafness

(c)Ear bleeding

(d)Pain

3.Regarding treatment of acute suppurative otit is media:

(a) Mastoidectomy only

(b) Start with antibiotics

(c) Myringotomy followed by antibiotics

(d) Repeated myringotomy for recurrent fluid collection

4.Little’s area possesses following arteries except:

(a)Anterior ethmoidal

(b)Septal branch of superior labial

(c)Septal branch of sphenopalatine

(d)Greater palatine

(e)Posterior ethmoidal

5.Sites of epistaxis include all except:

(a)Little’s area

(b)Above level of middle turbinate



(c)Post:part of nasal cavity

(d)Nasopharynx

(e)Oropharynx

6.Coffee-colored vomitus occurs in:

(a)Anterior epistaxis

(b)Posterior epistaxis

(c)Both a and b

(d)None of the above

7.Retrocolumellar vein is a common site of venous bleeding in :

(a)Young people

(b)Infants

(c)Old age

(d)Childhood

8.Regarding trachea,it starts at level of cervical vertebra:

(a)3rd

(b)4th

(c)6th

(d)5th

9.Trachealis is a :

(a)Smooth muscle

(b)Cartilage

(c)Striated muscle


10.Approximate length of trachea in adults is :



(a)10 cm

(b) 5 cm

(c)8 cm

(d) 6 cm

1.Congenital causes of airway obstruction are:

(a)Bilateral choanal atresia

(b)Macroglossia

(c)Adenoiditis

(d)Laryngeal web

2.A 6 years old child presents with unilateral nasal obstruction and foul smelling nasaldischarge,possible diagnosis is:

(a)Antrochoanal polyp

(b)Unilateral choanal atresia

(c)Carcinoma of nasopharynx

(d)Foreign body nose

3.Regarding angiofibroma,all are correct except:

(a)Mostly occurs in adolescent males

(b)Epstein-Barr virus commonly predisposes to it

(c)Epistaxis is the most common clinical presentation

(d)Lateral rhinotomy is the surgery of choice

(e)Holmman-Miller sign is pathognomic of it

4.Ossicular necrosis occurs in :

(a)Tubotympanic chronic suppurative otitis media (CSOM)

(b)Atticoantral CSOM

(c)Both a and b

(d)Tubercular OM

5.Regarding atticoantral CSOM,all are correct except :

(a)Perforation in attic



(b)Granulations are common

(c)Complications are very rare

(d)Discharge is scanty and purulent

6.Regarding tubotympanic CSOM:

(a)Discharge is profuse and odorless

(b)Perforation is marginal

(c)Polyp is red and fleshy

(d)Cholesteatoma is present

7.Theories about origin of cholesteatoma include:

(a)Wittmaack’s theory

(b)Ruedi’s theory

(c)Habermann’s theory

(d)Sade’s theory

(e)All of the above

8.Cholesteatoma consists of :

(a)Matrix and central white mass

(b)Matrix and central gray mass

(c)Parenchyma and central mass


9.A 7 years old child initially normal develops sudden dyspnea and cough.On x-ray chest aradio-opaque foreign body was detected in right bronchus.The management in this casewould be:

(a)Tracheostomy

(b)Thoracotomy

(c)Bronchoscopy

(d)Foreign body would be eventually coughed out within 24hours

10.Regarding nasopharyngeal carcinoma:



(a)More common in females,with M:F ratio being 1:2

(b)Fossa of Rossen Muller is the most common site

(c)Anterior rhinoscopy is contraindicated

(d)There is no link between drugs and occurrence of the tumor

1) regarding atticoantral or unsafe type of CSOM , all are true except :

A. cholesteatoma are present.

B. polyp are pale.

C. perforation is marginal.

D. granulations are common.

2) a history of gradual onset of dysphagia indicates :

A. esophageal spasm.

B. malignancy.

C. foreign body.

D. ulcers.

3) dysphagia lusoria occurs in :

A. esophageal dysphagia.

B. pharyngeal dysphagia.

C. oral dysphagia.

D. all of the above.

4) the causes of oral dysphagia includes all except:

A. stomatitis.



B. ulcers of tongue.

C. cleft palate.

D. acute retropharyngeal abcess.

5) regarding enlarged adenoids , all are true except :

A. it is one of the space occupying lesions of nasopharynx.

B. common in children.

C. nasal obstruction is the most common symptom.

D. adenoidectomy is only treatment option.

6) biopsy is contraindicated in which of the following nasal neoplasms:

A. haemangioma.

B. olfactory neuroblastoma.

C. intranasal meningoencephalocele.

D. inverted papilloma.

7) a 60 yrs old man comes to you with growth in his left nasal cavity , upon preliminary exam: it is reddishgrey mass arising from lateral nasal wall , most probable diagnosis from above facts might be :

A. glioma.

B. ringertz tumor.

C. chondroma.

D. angiofibroma.

8) incorrect statement regarding adenoids :



A. acapsulated structure.

B. forms waldeyer's ring.

C. can be seen in anterior rhinoscopy.

D. tends to atrophy at puberty.

9) a 4 yrs old boy with bilateral nasal obstruction , nasal discharge and decreased hearing is suspectedenlarged adenoids , how will you confirm it :

A. anterior rhinoscopy.

B. lateral soft tissue neck X-ray.

C. CT scan.

D. MRI.

10) all of the following are benign tumors of nasal cavity except :

A. schwannoma.

B. solitary plasmacytoma.

C. encephalocele.

D. meningioma.

1.Commonest variety of tumor of hypopharynx is:

(a)Fibro-lipoma

(b)Squamous cell carcinoma

(c)Pleomorphic adenoma

(d)Cystadenoma

2.Which tumor has predilection to occur in iron deficiency?

(a)CA pyriform fossa

(b)CA posterior-pharyngeal wall



(c)CA postcricoid area

(d)No association with iron deficiency

3.The commonest site for malignant tumor of hypopharynx is:

(a)Postcricoid area

(b)Pyriform fossa

(c)Posterior pharyngeal wall

(d)Occurs with equal frequency at all sites

4.Incorrect statement regarding CA postcricoid region:

(a)Commoner in females

(b)Ulcerative type of lesion mostly

(c)Progressive dysphagia is the presenting complaint

(d)Ipsilateral earache is the most common presenting complaint

5.Risk factors for tumor of hypopharynx are all except:

(a)Tobacco chewing

(b)Smoking

(c)Oral contraceptives use

(d)Diet having low content of iron and vitamins

6.Rhinitis medicamentosa is a side effect of which anti- allergic rhinitis drug group ?

(a)Corticosteroids

(b)Antihistamines

(c)Sympathomimetics

(d)Mast cell stabilizers





10.Clinical features of carcinoma esophagus are all except:

(a)Substernal discomfort

(b)Dysphagia(c)Pain

(d)Aspiration

(e)Effusion

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Ent Test Lumhs