ent interaction on 29.02.2012.docx

8/10/2019 ent interaction on 29.02.2012.docx

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1. Pinna is supplied by all, EXCEPT:a. Greater auricular Nb. Auriculotemporal Nc. Jacobson's Nerved. Vagus Nerve

2. The area of middle ear cleft around the tympanicorifice of the eustachian tube is also called as :

a. Epitympanumb. Mesotympanumc. Hypotympanumd. Protympanum

3. Site of predilection for stapedial type ofotospongiosis is from:

a. Fissula Ante fenestramb. Fissula Post fenestramc. Foramen of Huschked. Fissures of Santorini

4. Suprameatal triangle is landmark for:a. Middle earb. Facial nervec. Mastoid antrumd. Mastoid tip

5. Narrowest part of middle ear is :a. Hypotympanumb. Epitympanumc. Mesotympanumd. Attic

6. The impedance matching mechanism of themiddle ear is accomplished by all, EXCEPT:

a. Curved membrane effectb. Lever action of ossiclesc. Hydraulic action of tympanic membraned. Phase difference between oval & round

window7. Tuning fork test used to detect malingering is:

a. Rinneb. Weberc. Modified schwabach's testd. Chimani Moo's test

8. Oto acoustic em issions are :a. Sounds generated by the cochleab. Due to activity of outer hair cellsc. Of two typesd. All of the above

9. Flat tympanogram is a feature of:a. Otosclerosisb. Serous otitis mediac. Eustachian tube dysfunctiond. Normal ear

10. Hematoma of the auricle can lead to :a. Bat earb. Singapore ear

c. Cauliflower eard. Swiimmer's ear

11. Ram, a 50 year old male is admitted with right eardischarge, lower cranial nerve palsies anduncontrolled blood sugar, Most probablediagnosis:

a. Tropical earb. Unsafe CSOMc. Malignantd. Glomus jugulare tumour

12. Muscles related to eustachian tube are all,EXCEPT:

a. Tensor veli palatinib. Levator veli palatinic. Cricopharyngeusd. Salpingopharyngeus

13. Ostmann's pad of fat is related to:a. Middle earb. Eustachian tubec. Oropharynxd. Maxillary sinus

14. Eustachian tube patency can be checked by:a. Toynbee's manouvreb. Apley's manouvrec. Cottle's manouvred. Particle repositioning manouvre

15. The causative agent in acute necrotising otitis

media is:a. Staph. aureusb. - hemolytic streptococcic. Pseudomonasd. Candida

16. Tuberculous otitis media, all are true, EXCEPT:a. Painless ear dischargeb. Multiple perforationsc. Severe hearing loss out of proportion to

symptomsd. Pink granulations

17. During mastoidectomy an ENT surgeon found a

cholesteatoma sac which was engulfing theossicles. Malleus & incus found to be necrosedonly stapes footplate along with superstructurepresnt. Which type of tympanoplasty can beplanned?

a. Type IVb. Type IIIc. Type VId. Type II

18. Which of the following is not a complication ofCSOM?

a. Citelli's abcessb. Luc's abscess


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c. Otitic hydrocephalusd. BPPV

19. Not seen in Gradenigo's syndrome:a. Facial palsyb. Aural dischargec. Diplopiad. Facial pain

20. Hennebert's sign is seen in all. EXCEPT:a. Syphilisb. Meniere's diseasec. Congenitally lax food plate ofd. Otosclerosis

21. Cerebellar abscess develops as a direct extensionthrough:

a. Solid triangleb. Trautmann's triangc. Mac Ewen's triangled. Endolymphatic

22. Delta sign is seen in :a. Mastoiditisb. Extradural abscessc. Lateral sinus thrombophlebitisd. Meningitis

23. Schwartze operation is :a. Simple mastoidectomyb. Radical mastoidectomyc. Modified radical mastoidectomy

d. Ossiculoplasty24. Cortical mastoidectomy was first described by:

a. Stakeb. Schwartzc. Bondyd. Lempert

25. A child comes with chronic foul smelling eardischarge & facial paresis since few days. Onexamination external auditory canal shows apolyp. Treatment of choice is:

a. Antibiotic to dry ear & thenmastoidectomy

b.

Antibiotic dropsc. Steroid dropsd. Immediate mastoidectomy

26. Reddish hue seen on promontory through the TMis seen in:

a. ASOMb. CSOMc. Otosclerosisd. Meniere's disease

27. NOT seen in otosclerosis:a. Hearing lossb. Paracusis willissiic. Hitselbergers sign

d. Tinnitus28. Otosclerosis best treatment is:

a. Sodium fluorideb. Stapedectomy with pistonc. Stapedotomy with pistond. Observation

29. In mastoid surgery, the important landmark forlowering the facial ridge is:

a. Facial recessb. Chorda tympanic. Processus cochleariform isd. Lateral semicircular canal

30. Not seen in Rosenthal Melkersson's syndrome is:a. Facial paralysisb. Hearing lossc. Lip swellingd. Fissured tongue

31. Not a topodiagnostic tests for facial nerve is:a. Schirmer's testb. Stapedial reflexc. Parotid salivary flow testd. Submandibular salivary flow test

32. Frey's syndrome follows damage to:a. Facial nerveb. Auriculotemporal nervec. Trigeminal nerved. Glossopharyngeal

33. Not a Variant of Meniere's disease:a. Benign paroxysmal positional vertigo

(BPPV)b. Vestibular hydropsc. Tumarkins otolithic crisisd. Lermoyez syndrome

34. Donaldson's line is landmark for:a. Lateral semicircular canalb. Superior semicircular canalc. Endolymphatic sacd. Petrous apex.

35. Brown's sign is positive in :

a.

Glomus jugulare tumorsb. Acoustic neuromac. Cholesteatomad. Malignancy

36. Phelp's sign is seen in :a. Carcinoma of external earb. Glomus tumourc. Hyrtle's fistulad. Branchial fistula

37. NOT an early sign of acoustic neuroma is:a. Hypo aesthesia of posterior meatal wallb. Dysdiadochokinesiac. Loss of taste


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d. Greater palatine A54. Eddie air currents in the nose are seen during

which phase of respiration?a. Inspirationb. Expirationc. Bothd. None

55. Best view for evaluating sphenoid sinus is:a. Water's view with open mouthb. Schuller's viewc. Towne's viewd. Lateral view

56. Nasal mucosa is supplied by :a. Only external carotid arteryb. Only internal carotid arteryc. Mainly external carotid arteryd. Mainly internal carotid artery

57. Structure that divides ethmoidal air cells into theanterior & posterior ethmiodal air cells is:

a. Aggar nasib. Haller cellsc. Ground lamellad. Onodi cells

58. A patient with complete anosmia on smell testingwould respond to:

a. Soapb. Coffee

c. Ammoniad. Tobacco

59. NOT True for furuncle of nasal vestibule is:a. Caused by Staph. Aureusb. Due to trauma from plucking the nasal

vibrissaec. Can cause cavernous sinus

thrombophlebitisd. Treatment is wait & watch

60. Saddle nose is not seen after:a. Submucous resectionb. Septoplasty

c.

Septal abscessd. Granulomatous diseases of nose61. About meningoencephalocele, what is false:

a. It is herniation of brain tissue withmeninges throught a congenital bonydefect

b. Subcutaneous pulsatile swelling in themidline at the roof of nose

c. Cough impulse presentd. Irreducible

62. About "potato tumour" what is false?a. Tumour due to hypertrophy of sebaceous

glands

b. Acne rosaceac. Malignantd. Treatment is debu!king followlnq by re-

epithelialization or complete excision withskin grafting

63. Jarjaway fracture of nasal septum: all are true,EXCEPT:

a. Due to blows from frontb. Causes deviation of nosec. Starts from above the anterior nasal spine

of maxilla & runs horizontally backwards just above the junction of septal cartilagewith vomer

d. Runs vertically from anterior nasal spineupwards to junction of bony &

cartilaginous dorsum of nose.64. Cottle's test is used to detect obstruction due to:

a. Rhinitis medicamentosab. Deviated nasal septumc. Hypertrophied inferior turbinatesd. Rhinosporidiosis

65. The preferred age for doing septal surgery is:a. 12 yearsb. 17 yearsc. 22 yearsd. 8 years

66. Septal hematoma: all are true, EXCEPT:

a. Caused by nasal trauma or septal surgeryb. Fluctuation test positivec. Treatment is aspiration occasionallyd. Treatment is antibiotics only

67. Perforation in cartilaginous part is not caused by:a. Lupusb. Tuberculosisc. Syphilisd. Leprosy

68. Atrophic rhinitis is caused by all, EXCEPT:a. Klebsiella ozaenaeb. Diphtheroids

c.

Frisch bacillusd. Staphylococci69. Medical management for atrophic rhinitis includes

all, EXCEPT:a. Injection of placentalb. 25% glucose in glycerinc. Kemicetined. Oestradlol lnjections

70. Atrophic rhinitis: surgical management includesall, EXCEPT:

a. Young's surgeryb. Whit Mack's surgeryc. Ragav Saran's surgery


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d. Schwartz surgery71. False regarding rhinoscleroma is:

a. It is a granulomatous diseaseb. It is fungal in originc. Mukulicz cells are seen on biopsyd. Starts in the nose

72. Best line of treatment for patients suffering fromrhinosporidiosis is:

a. Dapsoneb. Avulsion of the polypic. Young's surgeryd. Surgical excision with base cauterization

73. Treatment for Wegener's granulomatosis is all,EXCEPT:

a. Systemic steroidsb. Radiotherapyc. Cyclophosphamided. Azathioprine

74. Chronic foul smelling & occasionally blood stainedunilateral nasal discharge in a child is highlysuspicious of:

a. Adenoidsb. DNSc. Meningoceled. Foreign body

75. Emergency treatment for bilateral choanal atresiais:

a. Cottle's manoeuvreb. McGovern's techniquec. Apley's manoeuvred. Transnasal correction

76. CSF rhinorrhoea is seen in which of the followingtypes of fractures?

a. Le Fort I maxillary fractureb. Le Fort II maxillary fracturec. Tripod fractured. Both Le Fort II & III

77. Best modality to detect site of CSF rhinorrhoea is:a. MRI

b.

CT angiographyc. CT cisternographyd. CSF examination

78. Steroids sprays used in treatment of allergicrhinitis are all, EXCEPT:

a. Beclomethasoneb. Fluticasonec. Dexamethasoned. Mometasone

79. Vidian neurectomy is done for treatment of :a. Allergic rhinitisb. Vasomotor rhinitisc. Rhinitis sicca

d. Rhinitis caseosa80. Symptoms associated with nasal polypi are all,

EXCEPT:a. Sampter's triadb. Trotter's triadc. NARESd. Kartagener's syndrome

81. False for Antrochoanal polyp is: a. Common is adultb. Infectionc. Solitaryd. Unilateral

82. Most common cause of epistaxis in an adult is: a. Traumab. Infectionc. Hypertensiond. Asthma

83. False for nasal bone fracture is:a. Most common fracture of faceb. Periorbital ecchymosis may be presentc. Crepitus presentd. Treatment is closed or open reduction

84. Oro-antral fistula can be caused by all, EXCEPT:a. Dental extractionb. Caldwell Luc operationc. Antrochoanal polypd. Ca maxilla

85. All are true regarding fracture zygoma (tripodfracture), EXCEPT:

a. It is second most commonly fracturedbone

b. Step deformity helps in clinical diagnosisc. Trismus is seend. Open reduction & internal fixation is

treatment for all zygomatic fractures86. "Office headache" is seen in:

a. Frontal sinusitisb. Ethmoid sinusitisc. Sphenoid sinusitis

d.

Maxillary sinusitis87. Nerve not involved in superior orbital fissure" areall, EXCEPT:

a. VIb. IIIc. IVd. V2

88. Synonymous with inverted papilloma are all,EXCEPT:

a. Transitional cell papillomab. Schneiderian tumourc. Ringertz tumourd. Hemangiopericytoma


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89. Raghu, a 50 year old male has carcinoma ofmaxilla involving the orbital periosteum, (best)line of treatment would be:

a. Maxillectomyb. Maxillectomy with radiotherapyc. Maxillectomy with eyeball exentrationd. Maxillectomy with eyeball exentration

and radiotherapy90. Paranasal sinus malignancy: all are true EXCEPT:

a. Predisposing factors are leather work andmustard gas

b. Workers of furniture industry developadenocarcinoma of ethmoids & nasalcavity

c. Nickel refining leads to anaplastic &squamous cell carcinoma

d. 20% are squamous cell variety91. Regarding ethmoid infundibulum situated in

lateral wall of nose, which of the followingstatements are true?

a. It is situated medial to uncinate processb. It communicates with nasal cavity

through hiatus semilunarisc. Opening of sphenoid is situated near its

floord. It cannot be localized even CT scan

92. A 35 year old woman comes with nasal discharge,

crusting & woody nose, the diagnosis is:a. Rhinosporidiosisb. Rhinoscleromac. Atrophic rhinitisd. Ethmoidal polyps

93. Features associated with DNS includes all of thefollowing, EXCEPT:

a. Epistaxisb. Atrophy of turbinatec. Hypertrophy of turbinated. Recurrent sinusitis

94. For DNS, surgery is required for all, EXCEPT:

a.

Septal spur with epistaxisb. Prolonged DNSc. Persistent rhinorrhoead. Recurrent sinusitis

95. Percentage of newborns with deviation of nasalseptum :

a. 2%b. 10%c. 20%d. 50%

96. A 4 year old child presents with bleeding fromright side of nose. He also gets purulent dischargefrom the same side. The likely diagnosis is:

a. DNS with right maxillary sinusitisb. Unilateral choanal atresiac. AC polypd. Foreign body

97. In paranasal sinuses, osteoma commonly involves:a. Frontal sinusb. Maxillary sinusc. Ethmoid sinusd. Sphenoid sinus

98. Antral (Holman-Miller) sign is a feature of:a. Acoustic Neuromab. Glomus Jugularec. Nasopharyngeal angiofibromad. Coalescent mastoiditis

99. The current treatment of choice for large ACpolyp in 30 year old man is:

a. Intranasal polypectomyb. Caldwell-Luc operationc. Endoscopic sinus surgeryd. Lateral rhinotomy & excision

100. Most definitive diagnosis of sinusitis is :a. X-ray DNSb. Proof puncturec. Sinoscopyd. Transillumination test

101. Pharyngeal wall does not consists of:a. Mucous membrane

b. Pharyngobasilar fasciac. Adventitiad. Buccopharyngeal fascia

102. The external layer of the muscular coat of pharynxconsists of:

a. Superior constrictorb. Stylopharyngeusc. Salpingopharyngeusd. Palatopharyngeus

103. Not true for nasopharyngeal bursa is :a. Epithelial lined median recess found in

tonsil mass

b.

Extends from pharyngeal mucosa toperiosteum of basi-occiputc. May cause persistent post nasal discharged. Can lead to Thornwald's disease

104. Levator palati and eustachian tube pass through:a. Sinus of Hisb. Killian dehiscencec. Sphenopalatine foramend. Sinus of Morgagni

105. Passavant's ridge is formed by:a. Salpingopharyngeusb. Palatopharyngeusc. Stylopharyngeus


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d. Uvula106. Hypopharynx does not consist of:

a. Pyriform fossab. Post cricoid regionc. Epiglottisd. Posterior pharyngeal wall

107. Structures seen lateral to tonsil are all, EXCEPT:a. Superior constrictorb. Styloglossusc. Medial pterygoidd. Anterior belly of digastric

108. Blood supply to tonsil is not given by :a. Dorsal lingual arteryb. Ascending pharyngeal arteryc. Descending pharyngeal arteryd. Descending palatine artery

109. The only abductors of vocal cords are:a. Posterior crico arytenoidsb. Lateral crico arytenoidsc. Inter arytenoidsd. Thyro arytenoids

110. Mucous glands are absent in :a. Epiglottisb. Aryepiglottic foldc. Rima glottidisd. Vocal folds

111. Most important function of larynx is:

a. Protection of lower airwaysb. Respirationc. Phonationd. Fixation of chest

112. Killians dehiscence -false statement is:a. Exists between thyropharyngeus &

salpingopharyngeusb. Exits between thyropharyngeus &

cricopharyngeusc. Called as "gateway of tears"d. Site for pharyngeal pouch

113. Viral parotitis (mumps) all are true, EXCEPT:

a.

Gives life long immunityb. Can cause epididymo-orchitis,pancreatitis, and thyroiditis

c. Causes bilateral SN lossd. Serum amylase is raised

114. Acute suppurative parotitis-false statement is:a. Commonly seen in elderly, debilitated &

dehydrated patientsb. Dry mouth is a predisposing factorc. Pseudomonas is the causative organismd. Stenson's duct is swollen

115. Type of epithelium lining the vocal cord is:a. Keratinising stratified squamous

b. Non-keratinising stratified squamousc. Pseudostratified ciliated columnard. Cuboidal

116. Regarding sialoliths false is:a. 90% of stones are seen in submandibular

glandsb. Formed by deposition of calcium

phosphatec. Submandibular stones are radiolucentd. Marsupialisation is the treatment of

choice117. Investigation of choice for diagnosis of Sjogren's

syndrome is :a. ESRb. Rheumatoid factorc. ANAd. Labial biopsy

118. What is true regarding Warth in's Tumour:a. It is more common in femalesb. It is invariably benign tumourc. It occurs commonly in minor salivary

glandsd. It occurs in early childhood

119. Frey's syndrome follows damage to:a. Facial nerveb. Auriculotemporal nervec. Trigeminal nerve

d. Glossopharyngeal120. Ludwigs angina false statement is:

a. H. influenza & E. coli are the causativeorganism

b. Premolar infection leads to sublingualspace infection

c. Molar infection leads to submaxillaryspace infection

d. Can cause laryngeal edema121. In Diphtheria tonsillitis patient presents with all

these symptoms, EXCEPT:a. Toxemia

b.

Markedly enlarged lymph nodes (bullneck)c. High grade feverd. Membrane over tonsil which separates

with difficulty and bleeds on removal122. True for quinsy are all, EXCEPT:

a. Mostly affects adultsb. Can cause Quinke's edemac. Parapharyngeal abscess is a complicationd. Hot tonsillectomy is treatment of choice

123. Persistent bucconasal membrane results in :a. Cleft lipb. Choanal atresia


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c. Cleft palated. T. O. fistula

124. Which of the following statements is incorrect?a. Parapharyngeal abscess produces lateral

pharyngeal swellingb. Parapharyngeal abscess is drained

transorallyc. Marked trismus mandates tracheostomyd. Acute laryngeal oedema is a

complication of para pharyngeal abscess125. Behcet's syndrome does not consist of :

a. Aphthous ulcerb. Uveitisc. Genital ulcerationsd. Ca esophagus

126. Commonest site for Ca tongue is:a. Lateral borderb. Tip & undersurfacec. Dorsumd. Frenulum

127. Commando operation is done for:a. Ca tongueb. Ca tonsilc. Ca gingivad. Ca lip

128. Dohlman's surgery is done for:a. Laryngocele

b. Pharyngeal pouchc. Puberphoniad. Spastic dysphonia

129. True for epiglottitis are all, EXCEPT:a. H. influenza B. is the commonest

causative organismb. Dyspnoea / stridor is the presenting

symptomc. Thumb sign seen on XR neck (lateral view)d. Treatment is tracheostomy

130. True about styloid are all, EXCEPT:a. Due to elongated styloid process

b.

Due to calcification of stylohyoid ligamentc. Towne's view on XR preferredd. Treatment is conservative

131. True for Paterson Brown Kelly syndrome are all,EXCEPT:

a. Hypochromic microcytic anemiab. Common in malesc. Associated with post cricoid Cad. Laryngeal crepitus is lost

132. All are true for Laryngomalacia, EXCEPT:a. Commonest congenital abnormality of

larynx

b. Stridor increases on crying & decreases inprone position

c. Omega shaped epiglottisd. Treatment is tracheostomy

133. True for bilateral abductor paralysis are all,EXCEPT:

a. Neuritis or surgical traumas are the mostimportant cause

b. Vocal cords are in median/Paramedianposition

c. Voice is goodd. Respiration is normal

134. Treatment for bilateral abductor paralysis are all,EXCEPT:

a. Arytenoidectomyb. Cordectomyc. Fat injectiond. Thyroplasty

135. About vocal Nodules- all are true, EXCEPT:a. Voice abuse is common causeb. Junction of anterior 1/3rd & posteriorc. Junction of anterior 2/3rd & posterior

1/3rd of vocal cordd. Long standing cases require surgery

136. Juvenile laryngeal papillomas, false is:a. Viral originb. Patient presents with hoarseness &

stridorc. Excision by laryngo fissured. Interferon therapy is used to prevent

recurrence.137. Treatment of choice for Ca glottis T1NoMo is:

a. Surgeryb. Radiotherapyc. Surgery + Radiotherapyd. Radiotherapy + chemotherapy

138. Supraglottic larynx drains into:a. Pretracheal nodesb. Upper deep cervical nodes

c.

Lower deep cervical nodesd. Prelaryngeal nodes139. Structures removed in radical neck dissection are

all, EXCEPT:a. Lymph nodesb. Internal jugular veinc. Submandibular glandd. Phrenic nerve

140. All of the following about Ca esophagus are true,EXCEPT:

a. Risk factors are smoking & alcoholb. Barrets esophagus is premalignantc. Most common is adenocarcinoma


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d. Plummer Vinson syndrome ispredisposing factor

141. Pharyngeal diverticula occur through:a. Oblique & transverse fibres of superior

constrictorb. Fibers of stylopharyngeusc. Oblique & transverse fibres of inferior

constrictord. None of above

142. Radiation of pain to ear in tonsillitis is :a. Along X nerveb. Along XI nervec. Along XII nerved. Along IX nerve

143. Glossopharyngeal neuralgia is characterized by allEXCEPT:

a. Carbamazepine is of helpb. Pain is bilateralc. Intermittent paroxysms of paind. Areas of pain are base of tongue, ear &

fauces144. All following are true about adenoids, EXCEPT:

a. Present at birthb. Covered by ciliated epitheliumc. Bounded by capsuled. Does not contain crypt

145. Treatment of choice for nasopharyngeal

carcinoma is :a. Radiotherapyb. Surgeryc. Immunotherapyd. Chemotherapy

146. A hard swelling in tonsillar bed after tonsillectomysuggest:

a. Elongated styloid processb. Tonsillar Tagc. Tonsillolithd. Peritonsillar abscess

147. Fatal complication of epiglottitis is :

a.

Asphyxiab. Tonsillitisc. Otitis mediad. Haemorrhage

148. On examination, vocal cords do not approximateon phonation but comes together when patientcoughs Diagnosis is:

a. Functional aphoniab. Syphilisc. Diabetic neuropathyd. Myasthenia gravis

149. Laryngo tracheo bronchitis is most often due to:a. Para influenza virus

b. H. influenzac. Herpes virusd. Coxsackie virus

150. Treatment of Laryngocele is :a. Excisionb. Laryngoplastyc. Medical treatmentd. Mastery inactivity


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Ans ENT 1

1. 32. 43. 14. 35. 36. 47. 48. 49. 210. 311. 312. 313. 214. 115. 2

16. 417. 218. 419. 120. 421. 222. 323. 124. 225. 426. 327. 328. 329. 430. 231. 332. 233. 134. 3

35. 1

36. 237. 2

38. 339. 440. 341. 242. 143. 444. 245. 446. 147. 448. 349. 450. 4

Ans ENT 2

1. 42. 33. 24. 25. 16. 37. 38. 39. 410. 211. 412. 3

13. 414. 215. 216. 417. 318. 319. 420. 421. 222. 4


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23. 224. 4

25. 226. 427. 328. 329. 230. 231. 132. 333. 434. 335. 436. 137. 438. 439. 440. 441. 242. 243. 244. 245. 346. 447. 148. 349. 350. 3

Ans ENT 3

1. 32. 13. 14. 45. 26. 37. 48. 39. 110. 4

11. 1

12. 113. 3

14. 315. 216. 317. 418. 219. 220. 121. 322. 423. 224. 225. 426. 127. 228. 229. 430. 431. 232. 433. 434. 335. 336. 337. 238. 239. 440. 341. 342. 4

43. 244. 345. 146. 147. 148. 149. 150. 1

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