mcq exams ent 3rd edition الهيئة السعودية

SAUDI COMMISSIONFOR

HEALTH SPECIALITIESPROMETRIC

MCQ EXAMINATIONSEAR , NOSE AND THROAT

2010By Dr. Otology

[email protected]

S a u d i C o m m i s s i o n F o r H e a l t h S p e c i a l i ti e s - - E . N . T . - - M C Q s 2

The interaural difference in wave V of ABR must not exceed :

1. 0.2 msec2. 1 msec3. 0.1 msec4. 2.4 msec

Answer 1

Feb. 2010


Korner's septum

1. Divides middle ear cavity into attic and tubal.2. Unequally divides the nasal cavity.3. Divides mastoid air cells into petrous and

squamous.4. Congenital defect in external ear canal.5. Divides ethmoid air cells into anterior and

posterior.Answer 3

Feb. 2010


Anatomy of tympanic cavity consists of :

1. Anterior wall consists of Eustachian tube and tensor tympani muscle above it.

2. Roof is related to temporal lobe of brain.3. Posterior wall is related to carotid artery.4. It's 1.5 distance from T.M. to promontory.

Answer 2

Feb. 2010


Which of the following is MOST specific for otosclerosis:

1. Hyperacusis Willichii2. Normal tymponometry with lost reflexes.3. Carhart's notch.4. Schwart's sign.5. None of the above

Answer 4

Feb. 2010


Ear compliance is measured by tympanometry using :

1. Positive and negative pressure.2. Positive pressure only.3. Negative pressure only.4. Electromechanic ridge.5. Different types of continuous and interrupted

sounds.

Feb. 2010


About pterygomaxillary fissure :

1. Vascular compartment is anterior to neural compartment .

2. Neural compartment is anterior to vascular compartment.

3. Vascular compartment is lateral to neural compartment .

4. Neural compartment is lateral to vascular compartment.

Feb. 2010


In transverse fractures of temporal bone ,all true except:

1. High incidence of ossicular discontinuity.2. High incidence of tympanic membrane

rupture.3. High incidence of facial nerve injury.4. High incidence of sensorineural hearing loss.

Answer 2

Feb. 2010


3 years old child with sinusitis , you expect affected sinuses are :

1. Frontal and maxillary.2. Frontal and ethmoidal.3. Sphenoidal and maxillary4. Maxillary and ethmoidal.

Answer 4

Feb. 2010


When examining a case of functional loss of voice , you ask the patient to :

1. Say (A)2. Say (E)3. Expirate air.4. Cough

Answer 4

Feb. 2010


Vretical petrous part of internal carotid artery is :

1. Lateral to middle meningeal artery.2. Lateral to cavernous sinus.3. Medial to optic chiasma.4. Medial to styloid base.

Feb. 2010


Endolymphatic duct lies :

1. In middle cranial fossa.2. Posterior to posterior S.C.C.3. Between dura.4. Below posterior S.C.C.

Feb. 2010


Utricle is connected to saccule via:

1. Endolymphatic duct.2. Crus communis.3. Cochlear aqueduct.4. Semicircular canals.

Answer 1

Feb. 2010


Patient with right complete facial paralysis is working in a noisy for 20 years,you can expect:1. Right ear hearing loss is less at 4kHz.2. Left ear hearing is worse than right.3. Both ears got equal hearing.4. Right ear hearing loss is more at 4kHz.

Answer 4

Feb. 2010


As landmarks in the anatomy of the lateral nasal wall:

1. Haller cells are present at the end of the uncinate plate.

2. Onodi cells are the most posterior ethmoidal cells.

3. Frontonasal recess opens anteriro to the infundibulum.

4. 2&3 are correct. Answer 4

Feb. 2010


Optic foramen lies:

1. In the greater wing of sphenoid bone.2. In the posterior part of frontal bone.3. Between the lesser and the greater wing of

sphenoid bone.4. In the sphenoid body.

Answer 1

Feb. 2010


Cochlear microphonics originate from:

1. Cochlear nerve.2. Basilar membrane.3. Outer hair cells.4. Inner hair cells.

Answer 3

Feb. 2010


Bat ear is due to under development of:

1. Helix.2. Anti helix.3. Postauricular muscles.4. Ear scapha.

Answer 2

Feb. 2010


Compoud action potential originates from:

1. Auditory nerve.2. Basilar membrane.3. Outer hair cells.4. Inner hair cells.

Answer 1

Feb. 2010


The endocochlear potential originates from:

1. Basilar membrane.2. Outer hair cells.3. Stria vascularis.4. Inner hair cells.

Answer 3

Feb. 2010


About adenoids and tonsils:

1. Both have the same antomy.2. Both have are lymphoid tissue with afferent

an efferent lymphatics.3. Adenoids do have crypts.4. Adenoidal mucosa is pseudostratified

columnar ciliated epitheluim.Answer 4

Feb. 2010


The most specific answer about the primary site of noise induced SNHL:1. Outer hair cells.2. Inner hair cells.3. Stria vascularis.4. Rootlets that connect stereocilia to top of

outer hair cells.5. None of the above is accurate.

Answer 4

Feb. 2010


Bony labyrinth develops from ossification of :

1. 12 centres.2. 14 centres.3. 6 centres.4. 3 centres.

Answer 2

Feb. 2010


The 4th branchial arch nerve develops into:

1. The glossopharyngeal nerve.2. Vagus nerve.3. Mandibular nerve.4. Superior laryngeal nerve.

Answer 4

Feb. 2010


Complete ossification of labyrinth occurs by:

1. 12 weeks.2. 23 weeks.3. 28 weeks.4. 26 weeks.

Answer 2

Feb. 2010


Which of the following never undergo(es) calcification:1. Inferior border of thyroid cartilage.2. Superior border of thyroid catilage.3. Epiglottis and cricoid cartilage.4. Auricle.5. 2&4.

Answer 5

Feb. 2010


A 6 months old infant with cleft palate presented to your clinic,his parents are worried and asked you what is the suitable time to operate the baby:

1. At one year old.2. After eruption of the first molar.3. 2 years old.4. As soon as possible to prevent complications.

Answer 2

Feb. 2010


A new born with bilateral external canal atresia must be operated:1. As soon as possible for adequate intellectual

development as the baby almost can't hear.2. At 2 years old and hearing aids are used till

that.3. At 5 years old and hearing aids are used till

that.4. At adult age.

Feb. 2010


In cancer larynx , vocal cord fixation is due to:

1. Invation of internal laryngeal nerve.2. Invation of external laryngeal nerve.3. Invation of posterior crithyroid muscle.4. Invation of thyroarytenoid muscle.

Answer 4

Feb. 2010


Fusion of intermaxillary suture forms:

1. Torus palatine.2. Torus maxillaris.3. Nasion.4. Torus tuburous.

Answer 1

Feb. 2010


All of the following are components of the jugular foramen except:

1. Sigmoid sinus.2. Spinal accessory nerve.3. Inferior petrosal sinus.4. None of the above.

Answer 4

Feb. 2010


About tympanosclerosis

1. Usually due to high serum level of calcuim.2. Affects foot plate.3. Does not affect the inner mucosal layer of

tympanic memebrane.4. Does not affect ossicles.

Answer 2

Feb. 2010


Cochlea is connected to saccule via:

1. Crus communis.2. Endolymphatic duct.3. Ductus reunis.4. Lateral semicircular canal.

Answer 3

Feb. 2010


Osteomeatal complex is formed of all except:

1. Concha bullosa.2. Fovea ethmoidalis.3. Hiatus semilunaris.4. Bulla ethmoidalis.5. Uncinate plate.

Answer 2

Feb. 2010


Number of bones froming orbital fossa:

1. 42. 53. 64. 7

Answer 4

Feb. 2010


All of the following bones share in formation of orbit except:

1. Ethmoid bone2. Palatine bone3. Frontal bone.4. Maxillary bone.5. None of the above.

Answer 5

Feb. 2010


Cell bodies of sympathetic nerves of head and neck are present in:

1. Spinal root ganglion.2. Target organs.3. Cerebral cortex.4. Cervical sympathetic chain.

Answer 1

Feb. 2010


Following facial nerve trauma,peripheral end can be stimulated up to:

1. 10 days.2. 3 days.3. 5 days.4. 14 days.

Answer 2

Feb. 2010


Facial nerve is not fully developped untill the age of:

1. 1 years.2. 2 years.3. 3 years.4. 4 years.

Answer 4

Feb. 2010


Which of the following is used to predict facial function return,6-12 weeks before clinical evidences of recovery:

1. Nerve excitability test.2. Maximum stimulation test.3. Electromyography.4. Electroneuronography.

Answer 3

Feb. 2010


Which of the following is the MOST useful test in early facial nerve injury:

1. Nerve excitability test.2. Maximum stimulation test.3. Electromyography.4. Electroneuronography.

Answer 4

Feb. 2010


Preganglionic sympathetic mediator is:

1. Epinephrine.2. Noradrenaline.3. Adrenaline.4. Acetyl choline.

Answer 4

Feb. 2010


The chief muscle which opens eustachian tube:

1. Palatopahryngeus.2. Salpingopharyngeus.3. Tensor palati.4. Levator palati.

Answer 3

Feb. 2010


The only abductor of vocal cord is:

1. Cricoarytenoid.2. Interarytenoid.3. Posterior cricoarytenoid.4. Lateral cricoarytenoid.

Answer 3

Feb. 2010


First pharyngeal arch give rise to:

1. Stapes.2. Incus.3. Styloid processs.4. Nasal bone.

Answer 2

Feb. 2010


Stones of salivary glands

1. Usually radiopaque.2. May reveal underlying sialectasis.3. Most commonly in parotid gland.

Feb. 2010


The narrowest area of infant larynx is at level of:

1. Cricoid cartilage.2. True vocal cord.3. False vocal cords.4. Subglottic area.

Answer 1

Feb. 2010


Tonsills develop from:

1. 1st pharyngeal pouch.2. 2nd pharyngeal pouch.3. 1st pharyngeal arch.4. 2nd pharyngeal arch.

Answer 2

Feb. 2010


Eustachian tube is closed by the action of

1. Tensor palati.2. Levator palati.3. Salpingopharyngeus.4. None of the above.

Answer 4

Feb. 2010


Histological characteristics of Wegner's granulomatosis:

1. Vasculitis,non-granulomatous polymorphonuclear infiltration.

2. Vasculitis, granulomatous polymorphonuclear infiltration.

3. Vasculitis, granulomatous oesinophilic infiltration.

4. Monomorphic infiltration. Answer 2

Feb. 2010


The most common complication of FESS:

1. Bleeding.2. Cranial complictions.3. Anosmia.4. Synaechia.

Answer 4

Feb. 2010


In trigeminal neuralgia:

1. Pain is throbbing.2. Mastication is restricted.3. Facial sensation is dimineshed.4. Movement of the face may trigger the attack.

Answer 4

Feb. 2010


Sensory supply of ear lobule is carried through:

1. Greater occipital nerve.2. Lesser occipital nerve.3. Auriculotemporal nerve.4. Facial nerve.

Answer 2

Feb. 2010


Cribriform plate is :

1. Separate bone.2. Part of sphenoid bone.3. Part of frontal bone.4. Part of ethmoid bone.

Answer 4

Feb. 2010


As a surgical landmark in the lateral nasal bone :

1. Haller cells at the end of uncinate process.2. Frontonasal recess opens anteriorly to

infundibulum.3. Onodi cells are the most posterior ethmoid

cells.4. 2 & 3 .

Feb. 2010


Pre-epiglottic space boundries include :1. Lateral glosso-epiglottic lig.,thyroid cart. &

thyrohyoid membrane.2. Lateral glosso-epiglottic lig.,thyroid cart. &

cricoid cart. .3. Median glosso-epiglottic lig.,hyoid bone &

thyrohyoid memb. .4. Median glosso-epiglottic lig.,thyroid cart. &

thyrohyoid membrane.

Feb. 2010


The MOST common route of spread of supraglottic carcinoma :

1. Lymphatic.2. Blood spread.3. Anteriroly through fenestra of cartilage to

pre-epiglottic space.4. Inferiorly to the lung.

Answe 3

Feb. 2010


Structures passing through superior orbital fissure:

1. III, IV , V2 , superior orbital vein.2. III, IV , V1 , orbital br. of middle meningeal

artery.3. II, III ,IV ,V1.4. II, III , IV , V2.

Answer 2

Feb. 2010


Functions of laryngeal saccule:

1. Tension of vocal cords.2. Resonation of voice.3. Secretion of lubricant mucous.4. None of the above.

Answer 3

Feb. 2010


The best surgical approach for facial nerve trauma with good hearing ability:

1. Transmastoid.2. Retrosigmoid.3. Translabyrinthine.4. Middle cranial fossa.

Answer 4

Feb. 2010


A physiological method for evaluation of eustachian tube function in a child with perforated T.M. is:

1. Tympanometry.2. Valsalva's maneuvre.3. Politzarisation.4. Unproved.

Answer 2 ?

Feb. 2010


Blood supply of the parathyroid gland:

1. Superior thyroid artery.2. Inferior thyroid artery.3. Inferior and superior thyroid artery.4. Thyroida ima.

Answer 2

Feb. 2010


Parathyroid hormone causes all of the following EXCEPT:

1. Increases Ca absorption from intestine.2. Increses Ca resorption from kidney.3. Increses calcitonin.4. Increses bone calcification.

Feb. 2010


Acoustic reflexes are lost if the hearing loss is more than :

1. 40 dB.2. 50 dB.3. 55 dB.4. 60 dB.

Answer 60

Feb. 2010


Pain sensitive structures in brain include all except:

1. Circle of willis.2. Falx cerebri.3. Venous sinuses and tributaries.4. Basal dura.

Answer 2

Feb. 2010


Salivary gland oncocytoma arises from :

1. Acinar cells.2. Excretory duct cells.3. Striated duct cells.4. Intercalated duct cells.

Answer 3

Feb. 2010


Patient with voice change,absent taste sensation from post. 1/3 of tongue and palatal paralysis, which cranial nerve affected:

1. VII,X.2. VII,IX.3. IX,X.4. X,XI.

Answer 3

Feb. 2010


Point of meeting of internal laryngeal and reccurrent nerves is called:

1. Berry's anstomosis.2. Kissellbash's anstomosis.3. Galen's anastomosis.

Feb. 2010


Chvostek's sign is present in:

1. Hypomagnesaemia.2. Hypocalcaemia.3. Hypokalaemia.4. 1 and 2 only.

Answer 4

Feb. 2010


Bilateral facial palsy is present in all of the following EXCEPT:

1. Mobuis syndrome.2. Lyme disease.3. Sarcoidosis.4. Melkersson-Rosenthal syndrome.

Answer 2

Feb. 2010


The condition in which there is abberant innervation between facial nerve fibres after trauma is called:

1. Frey's syndrome.2. Bogarad syndrome.3. Vernet syndrome.4. Rolet syndrome.

Answer 2

Feb. 2010


The most important landmark in identification of external laryngeal nerve:1. Descends posterior to the sternothyroid

muscle.2. It crosses the superior thyroid vessels to

pierce th cricothyroid muscle.3. It descends deep to superior thyroid vessels.4. At 1.5 cm medial to the inferior cornu of the

inferior thyroid cartilage, it inserts in the cricothyroid muscle. Answer 4

Feb. 2010


Normal flora of the mouth include all of the following except:

1. Staph. Epidermitis.2. Bacteroids.3. Corynobacteruim.4. Streptococcus pneumonia.

Answer 3

Feb. 2010


A patient with anosmia will continue smelling :

1. Alcohol.2. Amonia.3. Coffee.4. Garlic.5. Vanillia.

Answer 2

Feb. 2010


All are true about congenital syphilis EXCEPT:

1. Perforation of the nasal septum.2. Saddle nose.3. Snuffles in the newborn.4. Atrophic rhinitis.5. Mucocutaneous lesions.

Answer 5

Feb. 2010


leprotic nasal septum perforation involves:

1. Bony septum.2. Cartilagenous septum.3. Both bony and cartilagenous.4. Same as syphilis.5. 1&4.

Answer 3

Feb. 2010


In concern to the ear, the 1st brachial arch contributes in the formation of:

1. Tragus.2. Helix.3. Scapha.4. Lobule.5. 1&26. 3&4 Answer 5

Feb. 2010


Which of the following sinuses is found aerated at birth:

1. Maxillary.2. Frontal.3. sphenoidal.4. 2&3.5. None.

Answer 1

Feb. 2010


All of the following are derived from the 1st branchial arch except:

1. Malleus.2. Stapes.3. Tensor tympani muscle.4. Incus.

Answer 2

Feb. 2010


About the cochlea, which of the following is false:1. Bony labyrinth is formed from 12 centers of

ossification.2. Complete ossification and adult size cochlea

is reached by the 23rd weeks.3. At the 26th weeks it starts sending auditory

informations.4. It is formed from th auditory placode.

Answer 1

Feb. 2010


The nerve of the 4th branchial arch forms:

1. Geniculate ganglion.2. Semilunar ganglion.3. Facial nerve.4. Glossopharyngeal nerve.5. Superior laryngeal nerve.

Answer 5

Feb. 2010


The artery of the left 4th branchila arch gives:

1. Common carotid artery.2. Thyroida imma.3. Aorta .4. Ligamentum arteriosum.

Answer 3

Feb. 2010


The cartilage bar of the 6th branchial arch give rise to all of the following except:

1. Cricoid cartilage.2. Arytenoids.3. Corniculate.4. Thyroid cartilage.

Answer 4

Feb. 2010


About thyroid (ventral) diverticulum ,all is true except:

1. It descends between the 1st and 2nd arches.2. It starts from the foramen caecum on the

tongue between the tuberculum impar and the copula.

3. It usually atrophies at the 6th week of gestation,if not a thyroglossal cyst is formed.

4. It never contains thyroid tissue Answer 4

Feb. 2010


The artery of the 3rd branchial arch give rise to the :

1. Aorta.2. Carotid artery.3. Superior thyroid artery.4. Inferior thyroid artery.5. Ligamentum arteriosum.

Answer 2

Feb. 2010


The parathyroid glands arise from:

1. Ventral aspect of 3rd pouch.2. Dorsal aspect of 1st and 2nd pouches.3. Ventral aspect of 2nd arch.4. None of the above.

Answer 2

Feb. 2010


Post ganglionic sympathetic fibers mediators to smooth muscles is:

1. Acetyl choline.2. Adrenaline.3. Noradrenaline.4. Prostigmine.

Answer 3

Feb. 2010


Post ganglionic sympathetic fibers mediators to sweat glands is:

1. Acetyl choline.2. Adrenaline.3. Noradrenaline.4. Prostigmine.

Answer 1

Feb. 2010


The T.M and ossicular action increase hearing power by:

1. 10-15 dB.2. 15-23 dB.3. 24-29 dB.4. 0-5 dB.

Answer 3

Feb. 2010


A surgical landmark in the lateral nasal wall:

1. Haller cells at the end of the uncinate plate.2. Fronto-nasal recess opens anterior to

infundibulum.3. Onodi cells are the most postero-lateral

ethmoidal cells.4. 2&3

Feb. 2010


The cribriform plate is :

1. Separate bone.2. Part of the ethmoidal bone.3. Part of sphenoidal bone.4. Part of frontal bone.

Answer 2

Feb. 2010


A patient with complete facial trauma with good hearing, you can best approach through :

1. Transmastoid.2. Translabyrinthine.3. Retrosigmoid.4. Middle fossa aaproach.5. Infratemporal fossa approach.

Answer 4?

Feb. 2010


All of the following are normal commensal of the mouth except:

1. Staphylococci epidermitis.2. Streptococci.3. Bacteroids.4. Corynobacteruim.5. Streptococcus viridans.

Answer 4

Feb. 2010


Patient suffering from voice changes, absent taste & sensory sensation from posterior 1/3 of tongue and palatal paralysis. Which of the following nerves you expect to be injured:1. IX & X.2. IX & XII.3. X & XI.4. V , IX & X.

Answer 1

Feb. 2010


Ear plugs can attenuate the noise presented to the ear by:

1. 10-20 dB. 2. 20-40 dB.3. 30-50 dB.4. 40-60 dB.5. 50-70 dB.

Answer 2

Feb. 2010


Relation between vascular and neurological supply of the nose:

1. Anterior.2. Lateral.3. Medial.4. Posterior.

?

Feb. 2010


Early signs of respiratory failure:

1. Cyanosis.2. Tachypnea.3. Subcostal retraction.4. Biphasic stridor.5. Irritability and gasping.

Answer 2

Feb. 2010


Vasodilatation of nasal mucosa can occur after :

1. Section of greater petrosal nerve.2. Stimulation of adrenal medulla.3. Section of vidian nerve.4. Stimulation of cervical sympathetic chain.

Feb. 2010


Cavernous sinus contains all except:

1. Oculomotor nerve.2. Trochlear nerve.3. Abducent nerve.4. Trigeminal nerve with it's 3 divisions.

Answer 4

Feb. 2010


All of the following can cause bilateral facial palsy except:

1. Mobuis syndrome.2. Lyme disease.3. Sarcoidosis.4. Melkersson Rosenthal syndrome.

Answer 2

Feb. 2010


Vidian neurectomy can be used to treat:

1. Menier's disease.2. Benign paroxysmal positional vertigo.3. Vasomotor rhinitis.4. Releive symptoms of trigeminal neuralgia.

Answer 3

Feb. 2010


After excision of malignant thyroid tumour , the best index in follow up is:

1. TSH2. T33. T44. Serum thyroglobulin.

Answer 4

Feb. 2010


All of the following are depressors of larynx except:

1. Sternohyoid.2. Omohyoid.3. thyrohyoid,.4. Geniohyoid.

Answer 4

Feb. 2010


All of the following are signs of orbital blow out except:

1. Exophtalmous.2. Tear drop sign in X-ray.3. Diplopia.4. Bony step-off of orbital rim.

Answer 1

Feb. 2010


Alport syndrome is characterised by all except:

1. Affects all males but not all females.2. Renal failure.3. Sensorineural hearing loss at birth.4. U-shaped audiogram.5. 3 & 4.

Answer 5

Feb. 2010


Osteoma is more common in :

1. Maxillary sinus.2. Frontal sinus.3. Ethmoid sinus.4. Sphenoid sinus.

Answer 2

Feb. 2010


Exostosis is characterised by all except:

1. Multiple.2. Bilateral.3. Peduculated.4. Usually in cold water divers.5. Lamellated bone.

Answer 3

Feb. 2010


Reinke' space is:

1. The superficial lamina propria.2. The intermediate lamina propria.3. The deep lamina propria.4. The outer squamous epitheluim.

Answer 1

Feb. 2010


Nerve supply of the stylopharyngeous muscle :

1. X2. XI3. IX4. XII

Answer 3

Feb. 2010


Stapedial fixation is confirmed in operative room by :

1. Presence of stapedial reflex.2. Presence of round window reflex.3. Tympanometry.4. None of the above.

Answer 2

Feb. 2010


The most common complication of stapedectomy is :

1. Deafness.2. Injury to facial nerve.3. Perilymph fistula.4. Injury to the vestibular nerve.

Answer 3

Feb. 2010


The mandibular nerve supplies all except:

1. Tensor palati.2. Levator palati.3. Lateral pterygoid.4. Tensor tympani.

Answer 2

Feb. 2010


Dysphagia lusoria is the condition in which there is:1. Spasm of lower oesophageal sphincter with

dilatation of oesophagus.2. Spasm of lower 1/3 oesophagus.3. Encroachment on the oesophaagus by right

subclavian artery.4. Encroachment on the oesophaagus by right

bronchus.Answer 3

Feb. 2010


The space defect between the cricopharyngeus muscle and circular muscles of oesophagus is called:

1. Killian' space.2. Killian-Jamieson space.3. Lamier-Hachman space.4. Zenker's diverticulum.

Answer 2

Feb. 2010


About lymph drainage of head and neck,which of the following is true:1. Lymphatic content is similar to that of

thoracic duct.2. Right side of H&N drains with right side of

the body in the right subclavian vein.3. Left side of H&N drains in the thoracic duct.4. The right and left side lymphatics drain in the

thoracic duct.5. None of the above. Answer 5

Feb. 2010


In a patient with right paralytic labyrinth, which of the following is correct:

1. Right beating nystagmus.2. Left beating nystagmus.3. Vertical nystagmus.4. Total hearing loss

Answer 2

Feb. 2010


In acoustic neuroma, you can find:

1. High frequency SNHL.2. Low frequency SNHL.3. Flat audiogram.4. Notch at 2 KHZ.

Answer 1

Feb. 2010


Patient complaining of conductive hearing loss, may have:

1. Early otosclerosis.2. Paget's disease.3. Inner ear conductive hearing loss.4. Abnormal perilymph pressure.5. All of the above.

Answer 5

Feb. 2010


The muscle known as anterior pillar of the tonsil is innervated by:

1. Same nerve supply of tongue through XII.2. Same nerve supply of palate through X.3. Glossopharyngeal nerve.4. Spinal accesory nerve.

Answer 4

Feb. 2010


Ephedrine is not preffered locally in the nose because:

1. Irritates nasal mucosa.2. Causes mucocilliary paralysis.3. May raise the blood pressure.4. Rapidly causes atrophy of nasal mucosa.

Answer 2

Feb. 2010


Keratosis obturans:

1. Premalignant.2. Needs emergent surgery.3. Always associated with cholesteatoma.4. Collection of desquamated epitheluim

occluding external canal.5. 3 &4

Answer 4

Feb. 2010


In aminoglycoside induced deafness, which structure is affected:

1. Inner hair cells.2. Outer hair cells.3. Tectorial membrane.4. Stria vascularis.

Answer 2

Feb. 2010


In kobrak test:

1. Patient is sitting and head tilted 30 degrees bacwards.

2. Patient is sitting and head tilted 60 degrees bacwards.

3. Patient is supine and head tilted 30 degrees bacwards.

4. Patient is supine and head tilted 60 degrees bacwards. Answer 2

Feb. 2010


EBV is related to all of the following except:

1. Infectious mononucleosis.2. Hodgkin's lymphoma.3. Wegner' granulomatosis.4. Burkit' lymphoma.5. AIDS.6. Nasopharyngeal carcinoma. Answer 5

Feb. 2010


In modified radical neck dissection type I , which of the following will be preserved:

1. Thoracic duct.2. Spinal accesory nerve.3. Internal jugular vein.4. Sternomastoid muscle.5. 2 & 3.

Answer 2

Feb. 2010


The primary neuron cell body of clfactory nerve is located in:

1. Olfactory bulb.2. Nasal mucosa.3. Cribriform plate.4. Prefrontal cortex

Answer 2

Feb. 2010


Which one of the following will do best in olfactory identification test:

1. 38 year old man.2. 40 year old woman.3. 68 year old woman.4. 67 year old man.5. 5 year old girl.

Answer 2

Feb. 2010


Layers of the scalp from out inwards:1. Skin, connective tissue, loose areolar tissue,

aponeurosis, pericranuim.2. Skin, connective tissue, aponeurosis, loose

areolar tissue, pericranuim.3. Skin, aponeurosis, connective tissue, loose

areolar tissue, pericranuim.4. Sclap proper, areolar tissue, pericranuim.5. 2 & 4 Answer 5

Feb. 2010


Rupture of the round window is though to cause:

1. Increase endolymphatic pressure.2. Decrease endolymphatic pressure.3. No change in endolymphatic pressure.4. Bring endolymphatic pressure to zero.

Answer 3

Feb. 2010


Epiglottopexy is used to treat:

1. Snoring.2. Severe cases of laryngomalacia.3. Laryngeal web.4. Lacalised vocal cord tumours.

Answer 2

Feb. 2010


A man went outdoor in a windy day, he got sneezing and rhinorhoea which are rapidly releived when he went indoor. After 6 hours, symptoms came back. This is due to :1. Kinines.2. Histamines.3. Leukotrienes.4. Prostaglandin D2.5. Chemotactic agents.

Answer 4

Feb. 2010


Abducent palsy can be caused in all of the following except:

1. Gradenigo's syndrome.2. Apicitis.3. Sphenoidal sinusitis.4. None of the above.

Answer 4

Feb. 2010


Trotter' triad consisit of all of the following except:

1. Bilateral conductive hearing loss.2. Otalgia and facial pain.3. Unilateral immobile soft palate.4. Unilateral ear effusion.

Answer 1

Feb. 2010


All is true about Boeck's triad except:

1. Swelling below angle of mandible.2. Trismus.3. Tonsil is pushed medially.

Feb. 2010


Which of the following malignancies are most highly associated with HIV:

1. Non-Hodgkin lymphoma.2. Kaposi's sarcoma.3. Hodgkin lymphoma.4. Squamous cell carcinoma of the head and

neck.

Answer 1

Feb. 2010


Which specific nerve block will lead to the greatest morbidity after a misplaced injection:

1. Maxillary nerve.2. Sphenopalatine ganglion.3. Mandibular nerve.4. Glossopharyngeal nerve.5. Stellate ganglion.

Answer 4

Feb. 2010


The relationship between the function of the upper and lower lateral cartilage in the majority of humans is

1. Interlocked scroll. 2. Overlap. 3. End-to-end contact. 4. Opposed scroll.

Answer 1

Feb. 2010


The external nasal nerve is a branch of the _____________ nerve.

1. Supratrochlear 2. Posterior ethmoid 3. Sphenopalatine 4. Anterior ethmoid

Answer 4

Feb. 2010


Reflex lacrimal gland secretion is mediated by parasympathetic fibers of cranial nerve

1. V. 2. VII. 3. III. 4. IX.

Answer 2

Feb. 2010


The sphenopalatine ganglion is

1. a special sensory afferent. 2. sympathetic. 3. parasympathetic. 4. a somatic sensory afferent.

Answer 3

Feb. 2010


The nasopalatine nerve supplies sensation to the mucosa of the

1. Anterior premaxillary palate. 2. Soft palate. 3. Lateral nasal passage. 4. Anterior cheek

Answer 1

Feb. 2010


The most commonly injured branch of the facial nerve in rhytidectomy is the

1. Temporal.2. Marginal mandibular.3. Buccal.4. Cervical.5. Zygomatic.

Answe r 2

Feb. 2010


Infection spread from the maxillary sinus intracranially most likely travels through the

1. Angular veins.2. Ophthalmic artery.3. Superior labial veins.4. Pterygoid plexus.

Answer 4

Feb. 2010


The frontal sinus is fully developed by _____ year(s) of age.

1. 12. 43. 84. 125. 18

Answer 5

Feb. 2010


Innervation of the ethmoid air cells includes all but the _______ nerve.

1. Ophthalmic2. Nasociliary3. Maxillary4. Sphenopalatine5. Nasopalatine.

Answer 5

Feb. 2010


Frostbite of the auricle is most effectively managed by

1. Radiant heat. 2. Rubbing with snow. 3. Watchful waiting. 4. Application of 40° c soaks. 5. Alternating cool and warm soaks.

Answer 4

Feb. 2010


The most important aspect of management of chrondritis of the auricle is

1. Injection of gentamicin subperichondrially. 2. Systemic antibiotics. 3. Topical antibiotics introduced through

catheters. 4. Early skin grafting. 5. Protective pressure dressings.

Answer 3

Feb. 2010


The hallmark of allergic fungal sinusitis is

1. Allergic mucin. 2. Hyphal invasion through the epithelium. 3. Mycetoma. 4. Vascular invasion and proliferation by fungi.

Answer 1

Feb. 2010


The first-echelon nodal drainage for tumors of the nasal space and maxillary sinus is the __________ node.

1. lateral retropharyngeal2. Facial3. Parotid4. Jugulodigastric.

Answer 1

Feb. 2010

150

Ohngren's line is an important delineator of prognosis in the management of carcinoma of the maxillary sinus. This imaginary line drawn between what two structures?

1. Tip of the nose and tragus 2. Medial canthus and angle of the jaw 3. Nasal tip and angle of the jaw

Answer 2

Feb. 2010 S a u d i C o m m i s s i o n F o r H e a l t h S p e c i a l i ti e s - - E . N . T . - - M C Q s


What are the anatomic landmarks that define the Frankfort horizontal line:

1. Inferior wall of external auditory canal to the inferior orbital rim.

2. Root of the superior helical ring to the infra orbital ring.

3. Superior tragal root to nasojugal fold.4. Superior wall of the external auditory canal

to infra orbital rim. Answer 4

Feb. 2010


Attacks of giddiness in otosclerosis occur due to involvement of:

1. Oval window.2. Roud window.3. Vestibular aqueduct.4. Cochlear aqueduct.

Answer 3

Feb. 2010


Perilymoh fistula should be suspected after stapedectomy if there is:

1. Persistent conductive hearing loss.2. Fluctuating hearing loss.3. Absence of tinnitus.4. Absence of vertigo.

Answer 2

Feb. 2010


The tympanogram of an otosclerosis patient will show:

1. Type A curve.2. Type Ad curve.3. Type As curve.4. Type B curve.

Answer 3

Feb. 2010


The tympanogram of an osteogenesis imperfecta patient will show:

1. Presence of acoustic reflex with low compliance.

2. Absence of acoustic reflex with high compliance.

3. Presence of acoustic reflex with high compliance.

4. Absence of acoustic reflex with high compliance.

Answer 2

Feb. 2010


Which of the following immunoglobulins is most important in memory immune responses?

1. IgG 2. IgM 3. IgA 4. IgE 5. IgD

Answer 1

Feb. 2010


Eosinophils produce all of the following except :

1. Peroxidases.2. Neurotoxins.3. Proteins.4. Cytokines.5. Histamine.

Answer 5

Feb. 2010


In testing for nasal allergy, which drug does not affect skin test results?

1. Chlorpheniramine.2. Fexofenadine.3. Prednisone.4. Doxepin.5. Astemizole.

Answer 3

Feb. 2010


Which of the following are not removed in a radical neck dissection?

1. Submental nodes2. Jugular nodes3. Spinal accessory nodes4. The tail of the parotid gland.5. All of the above are removed in radical neck

dissection.Answer 5

Feb. 2010


The first salivary gland to develop is

1. Sublingual salivary gland2. Submandibular salivary gland3. Accessory salivary glands4. Parotid gland

Answer 4

Feb. 2010


The point of bony and cartilagenous parts on the dorsum of the nose is called:

1. Nasion.2. Rhinion.3. Ganion.4. Columella.5. Pogonion.

Answer 2

Feb. 2010

ي�ذ�ه�ب� ف� ب�د� الز� ا م�أ� ف�

اء ف� ج�

الن�اس� ع� ي�نف� ا م� ا م�أ� و�

ض� ر�األ� ف�ي ك�ث� ي�م� ف�

17لرعد-ا

�بع �ت .......ي

mcq exams ent 3rd edition الهيئة السعودية

Documents