60 MCQs FOR THE DEPARTMENT OF ENT

1. A 20 year old female presented with unilateral nasal obstruction for the last 6months on
examination a fleshy mass can be seen in right nostril and also a mass can be seen hanging
down in oropharynx .
What is the most likely diagnosis?
(A) Ethmoidal polyp (B) Antrochoanal polyp (C) Inverted papilloma (D) Squamous
cell carcinoma,
2. A 6year child presented with recurrent sinusitis and decreased hearing for the last 4days; He
also complains of pain in ears, on examination, tympanic membrane is red and bulging. What
is the most likely diagnosis?
(A) Otitis media with effusion (B) CSOM (C) Acute otits media (D) Otitis externa

3. A 15 year old female presented with complaints of pain in throat and difficulty in swallowing
for the last 3 days. On examination, tonsils are congested with multiple white dots On tonsils.
What is the most likely diagnosis?
(A) Acute membranous tonsillitis, (B) Acute catarrhal tonsillitis, (C) Acute follicular
tonsillitis,
(D) Acute parenchymatous tonsillitis,
4. A 35 year old female presented with difficulty in swallowing for the last one month. She
looks pale and has brittle nails; she has no history of weight loss doctor advised peripheral
smear which shows microcytic hypochromicic anemia . What is the most likely diagnosis?
(A) Thalessemia (B) Plummer Vinson syndrome (C) fanconi anemia (D) hypopharyngeal
carcinoma,

5. A 27year old male patient comes with a compliant of Rhinorhoea, sneezing, watering of eyes,
itching of nose. What is your most appropriate diagnosis?

a. Allergic Rhinitis b. Wegner granolomatosis c. CSF Rhinorhoea d. Rhinosileroma

6. A 30year old female patient has history of trauma to head for last 01 day. Since then she has
clear watery discharge from nose. What is the most appropriate test to confirm your diagnose?

a. Protein analysis b. Full blood count c. X.ray skull d.Beta 2 Transferin

7. A 07 year old child has a history of nasal trauma since 01 day. Now on examination there is
deviation of nasal bone towards right. After how many days we should do manipulation of nasal
bones

A.20 days b. 07days c. 40days d. 30 days

8. On CT Scan Antral (holman-miller sign is a feature of

A. Acoustic neuroma b. Glomustumour c. Angiofibroma d. Coalescent mastoiditis

B. 20. Treatment of choice for an antrochoanal polyp in a child is:
C. A. Polypectomy B. Polypectomy with caldwell-luc operation C.Polypectomy with
intranasal antrostomy D. Horgan’s operation
60 MCQs FOR THE DEPARTMENT OF ENT

9. . Characteristics of cholesteatoma is?

a. Very painful b. causes metastatic emboli c. Erodes Bone d. rapidly progressive

condition

3. Treatment of 7th N palsy in pt with cholesteatoma is. Medical management b. Cordical

mastiodectomy d. Modified redical mastiodectomy with Facial nerve decompression

E. Facial nerve section and grafting

10 . Type A typanogrem is seen in

a. Secretory otitis media b healed central perforation c Chronic otitis media

d. adhesive otitis media e. normal tympanogram

11. – Picket fence fever is Characteristics of

A.Bezold abscess B. brain abscess c. meningitis D. lateral sinus thrombosis E. extra

dural abscess

12.. In Malignant otitis externa causative organisms is

a. strepto cucos arues b. H influenza c. strepto cucos pneumonia

d. Psedomonas aeroginosia

13 . A 30years old female presented with bilateral conductive hearing loss, which is gradual,
progressive and persistent. On examination both tympanic membranes are intact what is the
most appropriate diagnosis?

a. Otosclerosis b. Meniers disease c. Presbycusi s d. chronic supperative otitis media

14. A 45years old male patient presented to ENT OPD with vertigo, fluctuating hearing loss,
tinnitus and aural fullness what is your most appropriate diagnosis?

a. otoclerosis b. acute suppurative otitis media c. Seous otitis media d. Meniers disease

15. A 6 year old child came to ENT OPD with bilateral decreased hearing, bilateral nasal
obstruction and snoring at night. what is your most approtriate diagnosis?

A.Acute supportive otitis media B.chronic suppurative otitis media

C.serous otitis media D.presbycusis

60 MCQs FOR THE DEPARTMENT OF ENT

16. In otosclerosis on pure tone audiometry there will be a carhart notch at

A.1000 Hz B.2000 Hz C.3000 Hz D.4000 Hz

17. A 25 year old male patient, presented to ENT OPD with vertigo which is sudden in onset &
lasts for 20 to 30 seconds. Vertigo is position related. What is your diagnosis?

A. benign paroxysmal position vertigo B.perilymph fistula C.menier’s disease

D.vertebrobasilarinsufficiency

18. A 19 year old female patient presented with right sided facial palsy.on examination there
were vesicular rashes on the right pinna.what is the most definitive diagnosis?
A.herpes zoster B.bell’s palsy C.neurofibroma D.facial nerve tumor

19. .A 20 year old male patient presented with B/L foul smelling discharge which is scanty &
purulent .What is the most appropriate diagnosis?
A.atticoantral disease B.tubotympanic disease C.serous otitis medis D.otitis externa

20. The pathogen responsible for localized otitis externa is

A.staph aureus B.strep pneumonia C.klebsiella D.proteus mirabillus

21. A 4 year old child came to ENT emergency with sudden onset of disphysia fever and stridor
on examination the epiglottis is red and swollen what is your diagnosis?

A. acute laryngitis B. acute epiglottitis. C. acute laryngotracheobronchitis D.chronic laryngitis

22. A 40 year old female patient came to ENT opd with swelling in front of right ear for last 06
months which is painless on examination the facial nerve is intact, what is your most probable
diagnosis?

A. pleomorphic adenoma B. mucoepidermoid carcinoma C. acute parotitis D. warthins tumour

23. A 40 year old female patient underwent parotid surgery 4 months back now she complaint
of sweating and flushing of preauricular region. What is your diagnosis?

A. frey”s syndrome B. hematoma C. wound infection D.injury to facial nerve

24. A 60 year old male nalornourished patient present with regurgitation of undigested food at
night. Gurgling sound is produce on swallowing. What is your most probable diagnosis?

A. Achalasia B.pharyngeal pouch C. acute oesophagitis D.plummer vinson syndrome

25. plummer Vinson syndrome is a predisposing factor for?

A. esophageal tumors B. hypopharyngel tumors C. pharyngeal pouch D. Achalasia

60 MCQs FOR THE DEPARTMENT OF ENT

26. A 50 year old male patient present with progressive unilateral sensorineural hearing loss on
examination there is hypoaesthesia of posterior meatal wall, what is your diagnosis?

A. noise induced hearing loss B.acoustic neuroma C.menieres disease D. presby cusis

27. A 35 year old male patient came to ENT OPD with chief complains of episodic vertigo,
fluctuating haring loss and tinnitus. On examination both tympanic membrane are normal.
What is your diagnosis?

A.otosclerosis B. acute otitis media C. menieres disease D. CP angle tumors

28. A 50 year old male patient present with right side neck swelling along with conductive
deafness on the same side. He also have nasal obstruction. What is your diagnosis?

A.sino nasal tumors B. naso pharyngeal carcinoma C.deviated nasal septum D. ethmiodal
polyps

29. What is the most common benign sino nasal tumors?

A. haemangioma B.inverted papilloma C.lymphoma D.malignant melanoma

30. rhinolath formation in the nasal cavity is due to deposition of ,,?

A. calcium and magnecium salts B.potassium C.chloride D. iron

31. A patient present with intermittent swelling and pain in upper part of the neck after eating
and it subsite after some time.there is no swelling in the oral cavity.what will be yours most
probable diagnosis?

A. sialadenitis B.submandibular duct stone C. sjogrens syndrome D.actinomycosis

32. A 10 year old boy present in emergency to ENT department with history of sore throat and
fever on examination there is dirty grey membrain on both tonsil which extend to soft palate
and its removal cause bleeding. what could be yours diagnosis?

A. membranous tonsillitis B.infectious mononucleosis C.diphtheria D.lieukaemia

33. A 4 year old boy present with history of nasal trauma 24hours ago now he has bilateral
nasal obstruction on examination there is smooth swelling of the nasal septum which is
fluctuant how could you treat this patient?

A. incision and drainage B.antibiotics C. incision and drainage and antibiotic D. Analgesic
60 MCQs FOR THE DEPARTMENT OF ENT

34. A 40 year old male patient came with chief compliance of a right side nasal obstruction on
examination there is mass in right nasal cavity CT scan show homogenious opacity involving
right nasal cavity and maxillary sinus if it is inverted papilloma what will be the treatment of
choice?

A. radiotheraphy B.chemotharaphy C.medial maxillectomy D.intra nasal polypectomy

35. A 40 year old female patient present with bilateral hearing loss on examination both
tympanic membrane are normal. How you will investigate this patient?

A. CT scan B.MRI C.PTA D.ERA

36. A patient is diagnosed with menieres disease. what will be investigation of choice.

A.tympanometry B.electrocochleography C.caloric test D.CT Scan

37. A 40 years female patient comes to ENT OPD with history of nasal discharge on bending
forward for last 10 days. The discharge is clear and watery. What is your diagnosis?

A. allergic rhinitis B.csf rhinorhea C. acute Sinusitis D. atrophic rhinitis

38. A 20 years male patient had bilateral nasal obstruction for last one year. On Examination of
nose there are bilateral smooth, glistening multiple masses. What is your diagnosis?

A. Acpolyp B.ethmoidal polyp C.fungul sinusitis D.malignant tumour

39. A 08 year old boy presented to ENT OPD with 3 days history of pain in throat and high grade
fever on examination there is whitsh membrane over the both tonsil.what is the most probable
diagnosis?

A.diphitheria B. acute membranous tonsillitis C.oral condidasis D.infectious monouleiosis

40. A 50 year old diabetic female patient had history of severe pain in right ear on examination
there are granulation tissues in the external auditeory meatus. What is your diagnosis?

A. acute otitis media B.maligmant otitis external C.secretory otitis media D.furuncle

41. a 5 year old child present with decrease hearing and delayed speech for the last 3 months,
she is dignosed as case of otitis media with effusion.what will be the findings on tympanogram?

A. type A B.type B C. type AD D.type AS

60 MCQs FOR THE DEPARTMENT OF ENT

42. A 50 year old diabetic patient present with right ear blockage and itching sensation on
autoscopic examination there is wet paper appearance in external auditory meatus. What is
yours diagnosis?

A.diffuse otitus externa

B otomycosis
C furuncle
D malignat otitus externa

43 a 35 year old school teacher present with change of voice for the last 2 months he is non
smoker and on indirect lyrngoscopy there is polypoidal growth on right vocal cord what will be
your treatment of choice in this patient?

A cordectomy
B speech therapy
C DIRECT lyrngoscopy and excision
D radiotheraphy

44.A 30 year old male patient presented with nasal blockage on and off for the last 1 month on
examination there is nasal crusting and septal perforation there is hematuria and derange urea
and creatinine what is your most probable diagnosis
A SLE
B WEGNER GRANULAMATOSIS
C leshminiasis
D Good posture syndrome

45 A 3 year old child presented with 3 days hx of sudden onset of shortness of breath and
cyanotic spells on auscultation of the chest there is decrease breath sound on right side of
chest. Parents also give history that the child was playing on floor after which these symptoms
was devoleped, what is your diagnosis
A acute epiglottis
B acute lyrngitus
C Foreign body in broncheal tree
D acute bronchitis

46 A 12 year old girl presented to ENT opd with complaints of pain and swelling behind the right
ear having high grade fever, toxic look and lethargy o/e there is right side postural tenderness.
Otoscopic finding show sagging of posterior metal wall. What is your diagnosis?

A temporal abscess
B bezold abscess
C acute mastoiditus
D Petrositus
60 MCQs FOR THE DEPARTMENT OF ENT

47 A 50 YEAR old diabetic female patient present with difficulty in swallowing for last 10 days
O/E there is ulceration over the buccal mucosa, soft palate and uvlua what is your diagnosis
A -diphtheria B -Aphthous ulcer C- Stomatitus D- erythroplakia

48. A 45 YEAR old female patient present with difficulty for liquid diet more than solid and
regurgitation of food particle at night time what is your diagnosis

A GERD
B Scleroderma
C Cardiac achlasia
D esophageal CA

49. A 40 year old patient present to your opd with history of sticking sensation and pooling of
saliva. X ray lateral view of neck show increase preverteberal shadow what is your diagnosis
A Esophageal CA
B Laryngeal Carcinoma
C Hypophyrngeal carcinoma
D Nasopharyngeal carcinoma

50. a 3 year old boy was brought to ENT OPD by his father with complaints of foul smelling
discharge from nose for last 14 days… what is your probable diagnosis?
A hemingioma
B inverted papilloma
C foregn body nose
D schwanoma

51. What is the most specific treatment for peritoniller abscess?

A IV antibiotics
B tonsillectomy
C Incision and drainage of abscess along with antibiotics
D. Analgesic
60 MCQs FOR THE DEPARTMENT OF ENT

52. A 55 year old tubercular laryngitis patient presented to us with horsiness of voice. in such
condition which part of the larynx is mostly involved

A Subglottic
B anterior part of larynx
C Glottis
D posterior part of larynx

53. A 50 old banker present to you in OPD with left sided unilateral headache associated with
lacrimation and discharge from nose on same side.CT scan parnasal Sinuses is normal, what is
your diagnosis
A clustere headache
B migraine
C sinusitis
D temporal lobe abscess

54. A 9 year old child present to you with nasal obstruction and discharge from last 2 year O/E
there is upper side crowded teeth, high arch palate. He is diagnosed as case of hypertrophied
adenoids which investigation should be performed
A. U/S NECK
B. x ray lateral view of neck
C. CBC
D. x ray neck AP view

55. A 55 year old chain smoker for last 20 years present to you in OPD with hoarseness of voice
O/E there is cervical lymphdenopathy..What is your diagnosis?
A. Hypophyrngeal CA
B. Laryngeal CA
C. Nasopharyngeal CA
D. lung CA

56. A 25 year old patient present to you with sore throat and difficulty in swallowing O/E there
are granules on posterior pharyngeal wall
A. Acute tonsillitis
B. Acute phyngitus
C. Orophyrngeal Ca
D. Nasopharyngeal ca
60 MCQs FOR THE DEPARTMENT OF ENT

57. A 50 year old patient present to you with right side parotid swelling and facial paralysis for
the last 3 months what is your diagnosis?

A. Pleomorphic adenoma
B. Mucoepidermoid CA
C. warthin tumor
D. squmous cell carcinoma of neck

58. A 7 year old child present with foul smell ear discharge from last 3 years. Now he is having
high grade fever, neck stiffness and projectile vomiting. What is your diagnosis?
A. Subdural abscess
B. Lateral sinus thrombosis
C. meningitus
D. brain abcess

59. A 15 year old male patient with HX of bleeding from the nose on/off for the last 2 months .if
he is a case of angiofibroma which investigation should be done?
A.U/S neck B.CT scan nose PNS with contrast C. Xray PNS D.angiography

60. A 60 year old DM patient present with nasal obstruction on/off on anterior rihnoscopy
there is blackish Ulceration on interior turbinate. What is your most probable diagnosis?

A.angiofibruma B.nasopharyngeal carcinoma C.acute invasive fungal sinusitis D.acute bacterial

rhinosnusitus
60 MCQs FOR THE DEPARTMENT OF ENT