A2 ENT MCQ EXAM 425

1
Join Dr.WhO Mailing List
www.wowho.net/mail

Name: _____________________________________ Number: ______________________________

1) Obstruction of Stenson's duct may affect the :
a. parotid gland
b. submandibular gland
c. sublingual gland
d. fossa of Rosenmuller
e. middle ear

2) The advised initial procedure in a 50 year old paent with a neck swelling is:
a. block neck dissection
b. fine needle aspiration
c. incisional biopsy.
d. excisional biopsy.
e. do nothing.

3) The most common thyroid cancer has lymph node metastasis
a. Papillary thyroid carcinoma (PTC)
b. Follicular thyroid carcinoma (FTC)
c. Hurtle cell carcinoma (HCC)
d. Mudilliary thyroid carcinoma (MTC)
e. Anaplastic thyroid carcinoma (ATC)

4) The most common location of salivary gland obstruction is a stone in:
a. Stenson's duct
b. Wharten's duct
c. Ducts of Rivinus
d. Collecting ducts
e. None of the above

5) The treatment of pleomorphic adenoma is:
a. observation
b. excisional biopsy
c. superficial parotidectomy
d. total parotidectomy
e. radiotherapy

A2 ENT MCQ EXAM 425

2
Join Dr.WhO Mailing List
www.wowho.net/mail

6) A family was enjoying A family was enjoying watermelon, one of the kids had a sudden bust of sever
coughing and strider that continued for few minutes afterwards. Repeatiouns caught bust was
noticed. Chest x-ray shows no atelectasis, no radio opaque foreign body and normal broncho-
tracheal. What do you think?
a. The most probable diagnosis is swallowed foreign body
b. the most probable diagnosis is inhaled foreign body
c. Bronchoscopy is a must
d. B and C
e. ... hypersensitivity asthmatic after watermelon

7) All the following are absolute indications for tonsillectomy EXCEPT:
a. Unilateral enlargement with suspension of malignancy
b. Cervical lymphadenopathy not responding to antibiotics
c. Obstructive sleep apnea with right side heart failure
d. Recurrent acute tonsillitis, Three or more tonsil infections per year despite adequate medical
therapy<<<<something like that, BUT please note that this is a "RELATIVE INDICATION
FOR TONSILLECTOMY"
e. Spontaneous ...

8) Foetid unilateral nasal discharge in childhood is commonly caused by:
a. Atrophic rhinitis
b. Adenoids
c. Foreign body
d. Choanal atresia
e. None of the above

9) The middle meatus of the nose drains all of the following EXCEPT:
a. Maxillary sinus
b. Posterior ethmoidal sinus
c. Frontal sinus
d. Anterior ethmoidal sinus
e. Nono of the above





A2 ENT MCQ EXAM 425

3
Join Dr.WhO Mailing List
www.wowho.net/mail

10) The best first aid of epistaxis from Little's area is by:
a. Adrenaline
b. Cauterization
c. Cold application
d. ...
e. ...

11) The water's view best shows:
a. Anterior ethmoids
b. Frontal sinus
c. Maxillary sinus
d. posterior ethmoids
e. Spenoidal sinus

12) Nasal polyp - which of the following is NOT TRUE:
a. Has association with asthma
b. Has association aspirin hypersensitivity
c. Is associated more with adults
d. ...
e. Is seen in children with cleft palate

13) The most common complication associated with acute ethmoid sinusitis is:
a. Osteomylitis
b. Subdural abscess
c. Orbital complications
d. Mucocele
e. Brain abscess

14) The most common complication associated with endoscopic sinus surgery is:
a. Transient
b. epiphora
c. synechea
d. ..
e. Orbital pneumatosis



A2 ENT MCQ EXAM 425

4
Join Dr.WhO Mailing List
www.wowho.net/mail

15) During swallowing Eustachian tube opens by the construction of:
a. Medical pterygoid
b. Lateral pterygoid
c. Tensor tympani
d. ..
e. ..

16) Otogenic facial paralysis is usually LMNL, with the following features:
a. Paralysis of upper and lower half of the muscle of the facial expression
b. Abscent stapedal reflex.
c. Emotinal expression of the face is preserved. <<very clever, its true because this is mediated
by thalamic nuclei
d. Associated tearing
e. All of the above
17) A normal tympanogram will show:
a. A pressure compliance peak at +50 mm H2O...
b. A pressure compliance peak at +50 mm Hg
c. A flat curve
d. ..
e. A steady

18) The most prominent symptom of acute OM is:
a. Pain
b. Hearing loss
c. Tinnitus
d. ..
e. None of the above

19) The atico-antral Chronic Suppurative Otitis Media ...
a. associated with necrosis and croisan
b. ..
c. ..
d. ..
e. ..



A2 ENT MCQ EXAM 425

5
Join Dr.WhO Mailing List
www.wowho.net/mail

20) The following are indications for adenoidectomy, EXCEPT:
a. Enuresis
b. Persistent with effusion
c. Persistent breathing and snoring
d. ..
e. ..

21) Secretory Otitis Media is charactrized by all of the following EXCEPT:
a. Retracted tympanic membrane
b. Flat tympanic membrane
c. ..
d. Professed
e. All of the above

22) What is the best indication of the anatomical level of airway obstruction:
a. posturing
b. respiratory
c. respiratory ...
d. ..
e. ..

23) The following are unilateral nasal obstruction EXCEPT:
a. ..
b. Deviated nasal septum
c. ..
d. ..
e. ..

24) The most common site of epistaxis is:
a. Roof of the nose
b. Lateral wall of the nose
c. ..
d. ..
e. ..



A2 ENT MCQ EXAM 425

6
Join Dr.WhO Mailing List
www.wowho.net/mail

25) All the following are caused by viruses EXCEPT:
a. Ramsay hunt syndrome
b. mumps
c. .. (common cold)
d. ..
e. ..

26) Otalgia "earache" may be refferred from the following, EXCEPT:
a. oral cavity
b. pharynx and larynx
c. temporomandibular joint
d. ..
e. ..

27) All the following are complications of suppurative otitis media EXCEPT:
a. Brain abscess
b. Otitic hydrocephalus
c. epidural hematoma
d. lateral sinus thrombosis
e. facial nerve palsy

28) The diagnosis of unilateral choanal atreisia:
a. Incompatible with life
b. Often missed until adulthood
c. Suggested by unilateral purulent
d. An in...


29) Which are the most bacteria that are responsible for acute sinusitis in adults:
a. Rhizobacterium, Bacteroides, Staphylococcus aureus.
b. Branhamella catarrhalis, and Haemophilus influenza.
c. Streptococcus pneumonia, Staphylococcus aureus, Streptococcus pyogenes and Haemophilus
influenza.
d. Haemophilus influenza, Bacteroides ...
e. Streptococcus viridans, ...


A2 ENT MCQ EXAM 425

7
Join Dr.WhO Mailing List
www.wowho.net/mail

30) The following are causes of facial nerve paralysis EXCEPT:
a. Steroids
b. Surgical ...
c. tarsorrhaphy
d. ..
e. ..

31) Functional endoscopic sinus surgery is indicated in:
a. deviated nasal septum
b. atrophic rhinitis
c. Chronic pansinusitis
d. acute rhinitis
e. All of the above

32) Which of the following epithelium lines the walls of the nasal sinus?
a. Cuboidal epithelium
b. transitional epithelium
c. ciliated columnar epithelium
d. stratified squamous epithelium
e. olfactory epithelium

33) Which of the following non -labyrinthine cause of vertigo :
a. acoustic neuroma
b. Meniere's disease
c. transverse fracture to the temporal bone
d. aminoglycoside ...


34) Indications of tonsillectomy include all of the following EXCEPT:
a. Six to seven attacks in one year
b. second attack of ...
c. suspicion of malignancy
d. chronic pharyngitis
e. obstructive sleep apnea



A2 ENT MCQ EXAM 425

8
Join Dr.WhO Mailing List
www.wowho.net/mail

35) Most patients with tympanosclerosis is because of :
a. history of trauma
b. history of discharge
c. retracted tympanic membrane
d. normal appearing with age
e. poorly functioning Eustachian tube

36) Meniere's disease has the following feature:
a. Conductive hear loss
b. otorrhea
c. episodic vertigo
d. otalgia
e. severe frontal pain

37) A 3-year old boy ... after ingestion ordered an x-ray ... of such foreign body _'- ,- .-= --'
, -' .-=- '- ` , ,'= ' '--'= "
a. Midesophagus
b. At the level of cricothyroid
c. Oropharynx
d. Nasopharynx
e. Stomach

38) Movement on swallowing and tong protrusion, the most likely neck swelling will be:
a. Thyroid masses
b. Branchial cyst
c. Dermiod cyst
d. Lymph nodes
e. Lipoma

39) 18 year old paent had an accident 3 months ago with ... to the nose. He .. one month. He was seen
... external nasal deviated septum. ... him is: " --' ,, - ` -,== -,-,= .= '= ' '- -= 3
'+-- ' _-= +- -=' - '=' ' '- . -'' '-`'- ---= ' - ,- '- ,,-,' - ' '- --
-,, ,- .-,-- --,- - . -' - _''- -, "
a. Septoplasty first then rhinoplasty
b. One stage septorhinoplasty
c. Septoplasty alone
d. inferior turbinectomy
A2 ENT MCQ EXAM 425

9
Join Dr.WhO Mailing List
www.wowho.net/mail

40) All of the following are complication of tracheotomy EXCEPT:
a. Bleeding
b. Surgical emphysema
c. Infections
d. Tracheoesophageal fistula