Professional Documents
Culture Documents
Ent Mcqs Correct Final
Ent Mcqs Correct Final
EAR :
1. The best treatment of traumatic perforation of tympanic membrane is: (HBS)
Mastoidectomy
Wait & see*
Myringoplasty
Antibiotic ear drops
2. A 50-year-old diabetic has presented to the ENT OPD with severe pain in the right ear for the last
2 days. The pain increased during chewing & eating meals. There is no complaint of ear
discharge or itching. On palpation there is tenderness over the right tragus. The most likely
diagnosis is: (HBS)
Malignant otitis externa
Impacted wax
Acute suppurative otitis media
otomycosis
Boil ear * ( furuncles )
3. A 30-year-old female has presented to the ENT Outpatients with severe right sided earache for
the last two days and right sided facial palsy for the last 1 day. There is no history of ear
discharge or trauma to the ears. Currently there are no complaints of fever, ear, or nasal
discharge. On examination there are vesicles on the tympanic membrane, deep meatus, concha,
and retro auricular sulcus. The appropriate management in this condition is: (HBS)
Corticosteroids*
bed rest and reassurance
antibiotics
nerve decompression
a+ntiviral therapy lij
4. A 35-year-old female patient with history of right chronic ear discharge. developed severe pain in
right side of head, fever, and neck stiffness two days back. When presented in emergency
department, she had an altered conscious level. Most appropriate diagnosis in this case will be:
(HBS)
Meningitis*
Subdural abscess
Otogenic brain abscess
Lateral sinus thrombophlebitic
5. A 40-year-old factory worker has presented with progressively decreased hearing in both the ears
for the last 3 years. His pure tone audiometry was done which revealed sensorineural hearing
loss in both the ears with dip in air & bone conduction at 4k. this type of graph is typically seen
in: (HBS)
Presbycusis
Acoustic tumour
Noise trauma*
Otosclerosis
Meniere's disease
6. Which statement is true regarding external auditory meatus? (HBS)
Straight in adults
Its outer one third is bony
It is 2.5 cm long*
Its deeper part contains hair
It is 2.5 inches long
7. A 24 years old male soldier by profession has reported with history of deafness and intermittent
discharge from left ear for the last 03 years. At present he has medium sized central perforation
in left ear, dry for the last 03 months. Audiogram shows 30 dB conductive hearing loss in left
ear. What should be the choice of treatment? (HBS/RIHS)
Conservative treatment
Radical Mastoidectomy with tympanoplasty
Myringoplasty*
Hearing aid
8. A 22-year-old female has presented to the ENT OPD with intense itching & pain in the left ear for
the last 1 week along with watery discharge. On otoscopy there are blackish spores in the left
ear. The 1st step in management would be: (HBS)
Topical steroids
Oral antifungal
Topical antibiotics
Aural toilet*
Topical antifungal
9. The best treatment for traumatic perforation of drum is (HBS)
Myringoplasty
Put a piece of gel foam on perforation
Suction toilet and local antibiotic drops
Observe for spontaneous healing and consider myringoplasty in case of failure*
Local antibiotic drops
10. A 45-year-old female presented with the complaint of attacks of severe vertigo at night
especially when she turned to the left side in bed for last four days. It lasted for 1 to 2 minutes &
was associated with nausea, vomiting & sweating. There is unidirectional nystagmus. This was
not accompanied by any hearing loss or tinnitus. The most likely diagnosis in this patient is:
(HBS)
Meniere's disease
Benign paroxysmal positional vertigo*
Vestibular neuronitis
Basilar migraine
Labyrinthitis
11. BELL'S palsy is characterized by (HBS)
ipsilateral lower motor neuron lesion with sparing of forehead
contralateral upper motor neuron lesion with sparing of forehead
ipsilateral upper motor neuron lesion with involvement of forehead
ipsilateral upper motor neuron lesion with sparing of forehead
ipsilateral lower motor neuron lesion with involvement of forehead*
12. A 58-year-old man who has 30 years of Diabetes Mellitus developed sudden pain in the right ear
with fever. On examination there was severe inflammation with small red swelling in the right
external auditory canal. The tympanic membrane was intact. He is most likely suffering from.
(HBS)
CSOM with Cholesteatoma
Squamous cell carcinoma of the ear
Boil ear*
Malignant otitis externa
13. A patient presents with severe pain in the right ear. On examination shows vesicles on the right
pinna along with tenderness of right pinna and right facial palsy. What is the diagnosis? (HBS)
Myringitis bullosa
Ramsay Hunt syndrome*
Bell's palsy
Malignant otitis externa
14. The patient complains of reduced hearing. The tuning fork test show positive Rinne test on right
side and Weber test lateralizing to opposite side. This means: (HBS)
Conductive deafness on right side
Perceptive deafness on right side
Cochlear hydrops on right side
Sensorineural deafness on right side*
15. Middle ear cleft consists of: (HBS)
Eustachian tube, internal auditory and external auditory meatus
Eustachian tube and tympanic cavity
Eustachian Tube
Eustachian tube, middle ear cavity and mastoid air cell system*
Eustachian tube and internal auditory meatus
16. Carhart's notch is dip in bone conduction seen in patients with otosclerosis. It is usually present
at: (HBS)
3 KH2
1 KH2
6 KH2
2 KH2*
5 KH2
17. Benign paroxysmal positional vertigo is vertigo provoked by change in head position and is
relieved after some seconds or minutes. Which clinical test helps its diagnosis? (HBS)
Dix Hallpike Test*
HINTS test
Fistula test
Caloric test
18. A known case of CSOM presented to the emergency with the complaint of headache, nausea &
vomiting for the last 1 day. Her attendant told that the ear discharge used to be scanty & foul
smelling and sometimes blood stained. The most appropriate investigation in this case would
be: (HBS)
Pure tone audiogram
Otomicroscopy
X ray mastoid
CT scan*
Culture and sensitivity of ear discharge
19. A 25-year-old lady presents in ENT OPD with progressive bilateral hearing loss accompanied with
attacks of tinnitus. On otoscopy bilateral tympanic membranes are normal looking. Family
history is positive. Audiogram shows a dip at 2 KHz. What is the best possible diagnosis? (HBS)
Meniere's disease
Acoustic neuroma
Vestibular neuronitis
Otosclerosis*
20. Furunculosis is caused by. (HBS)
Proteus
Pneumococcus
Pseudomonas
Staphylococcus*
E. coli
21. An old man is having long standing ear discharge. Recently has started having severe pain the
same ear. On examination there is granulation tissue along with ear discharge in the external
auditory meatus and middle ear cavity. The investigation of choice in this case is (HBS)
Biopsy of granulations
X-ray mastoids
ESR
CT scan*
MRI
22. A 30-year-old male smoker has presented to the ENT OPD with episodic attacks of vertigo for the
last 2 months, fluctuating hearing loss & tinnitus. On otoscopy both the tympanic membranes
are normal. The patient's pure tone audiogram shows sensorineural hearing loss mainly in the
low frequencies. The most likely diagnosis is: (HBS)
Benign paroxysmal positional vertigo
Vestibular neuronitis
Meniere's disease*
Acoustic neuroma
Labyrinthitis
23. A 55-year-old lady presented with deafness. Her pure tone audiogram showed average
threshold of 67dB. You will classify her hearing loss into which category? (HBS)
Moderately severe*
Mild
Moderate
Severe
24. A 20-year-old boy presented in OPD with swelling behind the right ear for five days. The swelling
was preceded by discharge from the same ear for 3 weeks along with occasional pain behind the
ear. ON examination there was erythema behind Right pinna with protrusion of right pinna. The
likely diagnosis in this patient is: (HBS)
Bezold Abscess
mastoid Abscess*
Pharyngeal Abscess
Boil in the ear canal
25. Patient came to ENT emergency with severe pain in right ear and hearing loss when he came
from Karachi by air. On otoscopic examination tympanic membrane is congested and patient is
afebrile. What is diagnosis (HBS)
Barotrauma*
Haemotympanum
Dislocation of ossicles
Otitis media with effusion
26. A young girl was being syringed for removal of wax. Suddenly she developed severe vertigo. The
reason for her vertigo is (HBS)
Too cold water has been used for syringing*
There was healed perforation in the ear drum
Deep auricular branch of vagus has been stimulated
There was perforation in the ear drum
The patient was already suffering from labyrinthitis
27. A 22-year-old female has presented to the ENT outdoor with the complaint of right sided
earache for the last 4 days. There is no history of ear discharge, fever, or hearing loss. On
examination the tympanic membrane is normal. However, she has impacted carious right lower
third molar. The most likely cause of earache in this patient is. (HBS)
Referred pain via the 10'th cranial nerve
Referred pain via the 9'th cranial nerve
Idiopathic
Referred pain via the 5'th cranial nerve*
Referred pain via the cervical spinal nerves C2 & C3
28. A 60-year-old diabetic has presented to the ENT OPD with severe right sided earache & facial
paralysis for the last two days. On otoscopy granulations are present in the external auditory
canal. The appropriate drug of choice in such patient would be: (HBS)
Metronidazole
Corticosteroids
Penicillin
Clotrimazole
Ciprofloxacin*
29. A 5-year-old child is brought to the ENT OPD with the complaint of decreased hearing. At home,
the child tends to increase the volume of TV and does not respond when called from behind. He
also snores a lot during sleep. His tympanometry is done. Which curve is expected? (HBS)
Type A
Type C
Type As
Type B*
Type Ad
30. A fifty-year-old lady sustained head injury and had bleeding from her left ear. She also had
perforation in the ear drum which healed in two weeks’ time. However, she kept complaining of
hearing loss in the same ear. Audiogram showed 60dB conductive hearing loss with high
compliance depicted on tympanogram. The diagnosis is (HBS)
Scarred ear drum
Stapedius tendon disruption
Fracture temporal bone
Ossicular chain disruption*
31. A 35-year-old female presented to the ENT OPD with the complaint of severe dizziness on lying
down. especially when she turns to the left side in bed. The dizziness is associated with nausea.
vomiting & sweating. This is not accompanied by hearing loss or tinnitus. The most important
step in the management of this patient is (HBS)
Antiemetics
Bedrest
Particle repositioning maneuver/Epleys maneuver*
Reassurance
32. In a patient with severe itching and pain in right ear in hot humid weather, otoscopic
examination revealed bloating paper like material in right ear. The best treatment is (HBS)
Analgesics and soda glycerin drops
Oral antifungal drugs
Suction and antifungal drops*
Antifungal drops
33. Bezold's abscess is collection of pus. (HBS)
Over zygoma
Along stylopharyngeus
Along posterior belly of digastric*
In sheath of sternomastoid muscle
34. A 45-year-old male patient has presented with the complaint of progressively decreasing hearing
in the left ear for the last one year. There are no complaints of ear pain, blocking sensation &
discharge from ears. On otoscopy both the tympanic membranes are normal. On tuning fork
tests. Rinne's is +ve on the right side and -ve on the left. Weber is lateralized towards the left
ear. The diagnosis on the basis of tuning fork tests is (HBS)
Right sensorineural hearing loss
Left sensorineural hearing loss
Left conductive hearing loss*
Mixed hearing loss in both ear
Right conductive hearing loss
35. A 45-year-old male patient has presented with the complaint of progressively decreasing hearing
in the left ear for the last one year. There are no complaints of ear pain, blocking sensation &
discharge from ears. On otoscopy both the tympanic membranes are normal. On tuning fork
tests. Rinne's is +ve on the right side and -ve on the left. Weber is lateralized towards the Right
ear. The diagnosis on the basis of tuning fork tests is (HBS)
Right sensorineural hearing loss*
Left sensorineural hearing loss
Left conductive hearing loss
Mixed hearing loss in both ear
Right conductive hearing loss
36. The posterior meatal wall is left infact in. (HBS)
Mastoidectomy
Fenestration Operation
Modified Radical Mastoidectomy
Cortical Mastoidectomy*
Radical Mastoidectomy
37. A 20 year old male patient has presented to the ENT OPD with bilateral ear discharge for the last
3 years. The discharge is profuse and not foul smelling or blood stained. On otoscopy there is a
central perforation in the pars tensa in both ears. The best treatment option in this patient is
(HBS)
Topical ear drops*
Myringotomy with Gromet insertion
Mastoid exploration
Anti allergics & nasal decongestants
Oral antibiotics
38. A patient presented with severe pain in the ear and facial nerve palsy. Examination shows
vesicles on pinna, retro auricular sulcus and in the ear canal. Which of the following cranial
nerve is involving in this condition: (HBS)
VII cranial nerve*
IX cranial nerve
XI cranial nerve
X cranial nerve
39. A boy is suffering from Acute Otitis Media. His symptoms are not settling in spite of adequate
medical treatment, T.M is bulging. Treatment is: (HBS)
Myringotomy*
Aspiration
Analgesics
Mastoidectomy
Topical lignocaine drops
40. A 22-year-old male presented to the ENT outdoor with sudden onset of right sided earache for
the last 4 days. Earache was preceded by upper respiratory tract infection. On examination the
right tympanic membrane is congested with leash of blood vessels along the handle of the
malleus. Tuning fork tests reveal conductive hearing loss in the right ear. The organism most
commonly implicated in this condition is (HBS)
Staphylococcus aureus
Pseudomonas aeroginosa
Bacteroides fragilis
E soli
Streptococcus pneumoniae*
41. A 20-year-old male patient presented to the ENT OPD with the complaints of ear discharge &
deafness in the right ear for the last 12 years. On inquiring further about the complaints. he told
that the discharge is persistent. scanty, foul smelling & occasionally blood stained. On otoscopy,
there is pearly white keratin collection in the pars flaccida. The best treatment option in this
patient is (HBS)
Tympanoplasty
Myringotomy
Oral antibiotics
Mastoid exploration*
Topical antibiotic drops
42. A 50-year-old male presented with unilateral progressive hearing loss that is sensory neural
type. He also complains tinnitus and facial numbness. CT scan brain shows a homogenous mass
on Cerebello-pontine angle. What is your most likely diagnosis? (HBS)
Vestibular schawanoma*
Meningioma
Brain cyst
Cavernous sinus thrombosis
43. A young boy was involved in road traffic accident. He developed vertigo when he tried to move
about. On examination he had blue ear drum. Audiogram done two weeks later confirmed
sensorineural hearing loss. The likely diagnosis is (HBS)
Longitudinal fracture of temporal bone
Transverse fracture of temporal bone*
Ossicural chain disruption
Disruption of spiral ganglion
44. A 2-year-old child was referred by pediatrician to ENT department for hearing evaluation, with
history of neonatal meningitis. Most appropriate audiological investigation in this case will be
(HBS)
Auditory brain stem evoked response Audiometry*
Tympanometry
Speech reflex test
Pure tone Audiometry
45. A 14-year-old girl had her right ear pierced 3 weeks ago which was followed by severe earache &
swelling. She is not responding well to the usual treatment. If this condition is not treated
aggressively which of the following cosmetic deformity is likely to develop. (HBS)
Microtia
Cauliflower ear
Keloid*
Bat ear
Macrota
46. A 65-year-old patient presented to the ENT OPD with the complaints of progressively decreased
hearing in both the ears for the last 5 years. He often has to ask others to repeat what they have
said. He often complains that he can hear the sound but cannot understand what is being said.
The most appropriate investigation in this patient would be. (HBS)
Pure tone audiometry
Brainstem evoked response audiometry
Bekesy audiometry
Otoacoustic emissions
Tympanometry*
47. Bony facial canal is narrowest at which segment. (HBS)
Labyrinthine*
Mastoid
Tympanic
Q Meatal
48. A 23-year-old female has developed dizziness after a mild head injury. The spinning sensation
during dizziness lasts for two to five seconds. The best treatment in her case will be: (HBS)
Dix hallpike test
Reassurance*
Epley's maneuver
Anti emetic drugs
49. A 22-year-old female has presented to the ENT OPD with blockage and decreased hearing in the
right ear for the last two days. On otoscopy. there is hard impacted wax in the right ear. The
first step in the management of this patient is (HBS)
Wax softening agents*
Antibiotic drops
Suction
Corticosteroid ear drops
Syringing
50. Otitis Media with effusion (OME) is common problem encountered in children. Which one is the
objective test that helps in diagnosis? (HBS)
Brainstem evoked response audiometry
Pure tone audiometry
Otoacoustic emission
Otoscopy
Tympanometry*
51. A 30-year-old male presented with headache and intermittent high-grade fever with rigors. He
also gives history of right ear discharge for last 15 years. Tenderness can be elicited on palpation
of right side of upper neck. He is markedly pale, and HB is 7.8g/dl. The most likely diagnosis is
Bezold's abscess
Mastoiditis
Lateral sinus thrombosis*
Meningitis
52. A 40-year-old diabetic patient is complaining of severe itching for 10 days. He also has
conductive hearing loss. Examination with Otoscope showed black-headed Hyphae. The most
likely diagnosis is (IMDC)
Foreign body in ear
Aspergillus Niger*
Aspergillus fumigatus
Candida infection
Mucormycosis
53. Tympanometry showed decrease compliance, Audiometry showed mixed hearing loss with
Carhart’s notch seen on (IMDC/FMDC)
In bone conduction
In air conduction
In Bone conduction at 1000Hz
In Bone conduction at 2000Hz*
Air conduction at 2000 Hz
54. A 25 years' male presented red swollen pinna, tender to touch. What is the treatment? (IMDC)
Analgesic and ciprofloxacin
Co-amoxiclave is drug of choice
Analgesic and Co-amoxiclave
Analgesic and I&D
Third generation cephalosporin’s and I&D *
55. A 30 years' male got ear trauma, post traumatic profound hearing loss occurs in (IMDC)
Longitudinal fractures of temporal bone
Le forte type III fracture
Rupture of tympanic membrane
Transverse fracture of temporal bone*
Fracture squamous temporal bone.
56. A 35 years' male presented with combination of fluctuating SNHL, roaring tinnitus-, episodic
vertigo and fullness of the ear is most likely to be associated. (IMDC)
Otosclerosis
Chronic SOM
Meniere's Disease*
Acoustic Neuroma
Perilymph fistula
57. Severe headache, vomiting, dysphasia & visual field defects in a patient with Cholesteatoma
indicate: (IMDC)
Cerebellar Abscess
Otogenic facial paralysis
Mastoid abscess
Temporal lobe abscess*
Meningitis
58. A patient suffered from right sided hearing loss after having bath. He is also complaining of aural
fullness. Otoscopic examination shows external auditory canal full of brownish material. What is
the best treatment? (IMDC)
Syringing
Dry mopping
Soda glycerin drops followed by syringing
Soda glycine drops followed by suctioning*
suction
59. A 40-year-old patient is complaining of severe earache for 2 days. He also has conductive hearing
loss. Examination with Otoscope was painful showed swollen external auditory meatus.
Commonest organism responsible for it is? (IMDC)
Staph aureus *
Beta hemolytic streptococcus
Candida
Pseudomonas
Haemophilus influenza
60. During middle ear surgery, medial wall of middle ear was examined. It includes all except (IMDC)
Oval window
Processus cochleariformis
Round window
Pyramid*
First genu of facial nerve
61. Myringotomy with grommet insertion is the ideal surgical treatment for (IMDC)
Acute otitis media
Serous otitis media*
Adhesive otitis media
Retracted tympanic membrane
Cholesteatoma
62. Audiogram showed hearing loss both in AC and BC with no air bone gap. Following are the
causes except (IMDC)
Ototoxic drugs
Torch Infections*
Noise
Otosclerosis
Meniere’s disease
63. A 35 years' male presented with vertigo lasts for few seconds by putting head on pillow, while
Tuning Fork tests are normal. The Diagnosis is? (IMDC)
Meniere's disease
Acoustic Neuroma
Benign paroxysmal positional vertigo *
Labyrinthitis
Vestibular neuronitis
64. Diagnosis in above case is made by: (IMDC)
Fistula test
Romberg test
Caloric test
Hall pike’s maneuver*
Epley's maneuver
65. Commonest indication for Myringotomy is (IMDC)
Myringitis bullosa
Serous otitis media*
Middle ear defect
Mastoiditis
Otosclerosis
66. Flat Tympanogram is a feature of (IMDC)
Ossicular discontinuity
Serous otitis media *
Perforation of eardrum
Otosclerosis
CSOM
67. Treatment of choice in deafness associated with Attico antral perforation is (IMDC)
Simple mastoidectomy
Modified radical mastoidectomy*
Watch and wait
Instillation of antibiotic drops
Myringoplasty
68. In a classic case of Meniere’s disease which one of the following statements is TRUE? (IMDC)
Carhart’s Notch is a characteristic feature in pure tone audiogram
Schwartz’s sign is usually present in the Tympanic membrane
Low frequency sensory neural deafness is often seen in pure tone audiogram *
Decompression of Fallopian Canal is the treatment of choice.
Antibiotics and steroids play an important role in the recovery
69. The normal length of external auditory meatus is (IMDC)
7mm
10mm
24mm *
36mm
46mm
70. The commonest extra cranial complication following mastoidectomy includes (IMDC)
Facial nerve palsy *
Dislocation of incus
Post-operative hematoma
Cochlear injury
Trigeminal nerve injury
71. A 3years old child presents with fever and (Rt) earache from last 48 Hrs, which is not relieving
with medications. On otoscopic examination, there is congested tympanic membrane with slight
bulge with” cartwheel appearance”. What is the treatment of choice in this patient? (IMDC)
Myringotomy with broad spectrum antibiotics *
Myringotomy with grommet with antibiotics
Only antibiotics and analgesics
Wait and observe the patient.
Self-limited. No treatment required
72. Common cause of Eustachian tube disease is due to (IMDC)
Adenoids
Sinusitis
Otitis media
Pharyngitis*
Tonsillitis
73. A patient of CSOM with Cholesteatoma present with acute onset of vertigo treatment is (IMDC)
Immediate exploration *
Antibiotics + Steroids
Labyrinthine sedatives + Bed Rest
Labyrinthine sedatives only
Conservative treatment / No surgical intervention required
74. Condition where a pulsatile tumour is found in external auditory meatus which bleeds to touch
is (IMDC)
Cholesteatoma
Polyp
Glomus tumour *
Malignancy middle ear
Acoustic neuroma
75. All of the following are Ototoxic drugs except (IMDC)
Kanamycin
Streptomycin
Gentamicin
Ampicillin
Metronidazole *
76. Hypoesthesia of the posterior aspect of the external auditory canal may be an early sign of
(IMDC)
Trigeminal neuralgia
Facial paralysis
Lateral sinus thrombosis
Multiple sclerosis
Acoustic neuroma*
77. A 20 years old male patient presents with history of left ear blockage and reduced hearing from
some weeks. On examination, brownish material was found in the external auditory canal. The
best solution for softening the wax is (IMDC)
Gentacin ear drops
Normal saline
Warm oil
Liquid paraffin
5 % soda glycerin*
78. A patient comes to ENT OPD with severe pain in right ear and hearing loss from 2dayst. On
exam, blood and air bubbles were seen behind tympanic membrane. Tympanic membrane was
intact. He also has history of travelling by air. The Probable diagnosis is (IMDC)
ASOM
CSOM
Secretory OM
Barotrauma*
Ossicular Chain disruption
79. The most common tumor of external auditory canal following long standing blood stained
mucopurulant discharge with severe earache is (IMDC)
Squamous cell carcinoma *
Basal cell adenoma
Adenocarcinoma
Malignant otitis externa
Malignant melanoma
80. A 6 years old child brought to ENT OPD for the evaluation of hearing problem. There is suspicion
of Otitis media with effusion. What is the best investigation to confirm the diagnosis? (IMDC)
Pure tone audiometry
Tympanometry *
Tuning fork tests
Speech audiometry
Brain stem evoked response audiometry
81. A young female patient came to ENT OPD with complaints of ringing of ears from last some
months. she also gave history of CSOM for which using gentamycin ear drops. Most probable
cause is (IMDC)
BPPV
Ototoxicity *
Salicylates level
Complication of Cholesteatoma
Fracture petrous temporal bone
82. A28 years male patient gives history of chronic suppurative otitis media from last 3 years. What
can be the Most common complication if untreated? (IMDC)
Meningitis*
Extra Dural abscess
Petrositis
Acute Mastoiditis
Facial paralysis
83. Best treatment for Attic antral type CSOM is (IMDC)
Cortical mastoidectomy
Canal wall down procedure *
Atticotomy
Myringotomy
Tympanoplasty
84. A Patient presented with mucoid, odorless, profuse ear discharge from last 1 year. What
otoscopic findings are expected in this case? (IMDC)
Attic perforation
Retraction pockets
Marginal perforation
Congested tympanic membrane
Central perforation *
85. Which of the following is a cause of sensorineural hearing loss? (IMDC)
Presbycusis *
Tympanosclerosis.
Otosclerosis
Longitudinal fracture of the temporal bone.
Cholesteatoma.
86. A child aged 3 years presented with severe sensorineural deafness, he was prescribed hearing
aids but showed no improvement. What is the next line of management? (IMDC/YMDC)
Myringotomy
Stapedectomy
Cochlear implant*
Conservative. No treatment required
Mastoidectomy.
87. A 50 years old diabetic male patient has developed severer itching in his ears. On Otoscopy,
there is debris with black specks in external auditory canal. The treatment of choice in this case
is:- (IMDC)
Otosporin ear drops
Gentamicin ear drops.
Salicylic acid in spirit drops.
Repeated suction toilet with antifungal drops *
Oral anti-fungal drugs.
88. A 2 years old baby has put a plastic bead in his ear. On Otoscopy, it is present in deeper portion
of meatus and totally occluding the meatus. The best way to remove this bead is: (IMDC)
Remove it with foreign body hook.
Remove it with crocodile forceps.
Remove it with suction
Remove it with ear syringing.
Remove it under general anesthesia using microscope *
89. A complication of common cold:
Otitis externa
Quinsy.
Facial palsy.
Maxillary sinusitis*
Inverted papilloma.
90. Cartilaginous part of Eustachian tube is (IMDC)
1/3
2/3 *
1/2
3/4
None of the above
91. A16 year’s old boy presents with acute pain in his right ear and a little bleeding from the ear. He
had been in a boxing competition and had sustained blow to the ear. There is a little blood in
the auditory canal and small perforation of the eardrum. What should be treatment plan?
(IMDC/RIHS)
Leave it alone and prophylactic antibiotics*
Ear drops
Tympanoplasty
Fracture petrous bone
Oral antibiotics
OR
Precautions to keep ear dry*
Ear drops
Tympanoplasty
Suction of blood in ear canal
Topical antibiotics
92. 55-year-old female Known diabetic suffering from severe right sided ear ache with right sided
facial palsy. Ear examination showed granulation tissue in the floor of external auditory canal
(right). The most likely diagnosis is (RIHS/FMDC)
Bell’s palsy
Squamous cell carcinoma
Malignant otitis externa*
CSOM
Histiocytosis multiplex
93. A 5-Year-old boy complains of sudden pain in the ear high grade fever. The drum is so congested
Choice of TM (RIHS)
Gentamycin
Acyclovir
Mastoid exploration
Amoxicillin oral and analgesics *
Myringotomy
94. A 45 years old man presents with deafness in his right ear which came on after swimming. He
has no previous history of ear problems and examination shows no evidence of inflammation
but some wax. (RIHS/FMDC)
Surgical intervention
5% sodaglycerine and suction*
Syringing
Suction
Removal with hook
95. You are suspecting otitis media with effusion in a child of 3years of age. What is the best
investigation to confirm the diagnosis? (IMDC/RIHS/FMDC)
Brain stem evoked response audiometery
Pure tone audiometry
Tuning fork tests
Tympanometry*
Speech audiometry
96. Patient on gentamycin comes with ringing of ears (RIHS)
Ototoxicity*
BPPV
Salicylates level
Fracture petrous temporal bone
Complications of colesteotoma
97. Meniere’s disease is characterized by all except (RIHS/FMDC)
Fluctuating hearing loss
Increase perilymphatic pressure *
Attacks of vertigo
SNHL
98. In Acoustic Neuroma all are true except (RIHS/FMDC)
Is commonest tumor of cerebellopontine angle
There is always bilateral sensory neural hearing loss*.
Unilateral tinnitus
May cause facial paralysis.
There is usually unilateral sensory neural hearing loss
99. Patient after travelling from America suddenly developed severe pain in right ear and hearing
loss on examination, blood and air bubbles were seen behind tympanic membrane, Tympanic
membrane was intact, patient is afebrile (IMDC/RIHS/FMDC)
Barotrauma*
Acute suppurative Otitis media
Secretary Otitis media
ossicular chain disruption
Fracture petrous bone
100. Best solution used for softening wax is (RIHS/FMDC)
Hydrogen per oxide
Water
Oil
2 to 5% soda glycerin*
Liquid paraffin
101. Most common intra cranial complication of chronic Suppurative Otitis media (RIHS/FMDC)
Meningitis *
Extra Dural abscess
Subdural abscess
Raised intra cranial pressure
Cerebellar abscess
102. A patient with history of CSOM developed vertigo and severe hearing loss, diagnosis? (RIHS)
Menier’s disease
Vestibular neuronitis
Acoustic neuroma
Labyrinthitis*
Meningitis
103. A 40 year’ male has developed marked hearing loss in both ears following viral infection. He is
a busy rich businessman. With medical treat What is the best choice for communication? (IMDC)
Lip reading
Hearing aids*
Sign Language
Cochlear implant
Bone Anchored hearing Aid
104. A 60 year’ man with diabetes has returned from a holiday from West Indies. He has severe pain
in both ears with swelling and redness of pinna, and pain on pulling the pinna. What is the
treatment? (IMDC)
Ciprofloxacin, control of diabetes, analgesics*
Acyclovir
Mastoid exploration, control of diabetes
Amoxicillin oral and analgesics
Control of diabetes, analgesics, antifungal medicines
105. An 18 year’ boy with previous history of chronic Suppurative Otitis media developed vertigo
and Severe hearing loss. Diagnosis is? (IMDC)
Menier’s disease
Vestibular neuronitis
Acoustic Neuroma
Labyrinthitis*
Meningitis
106. A 5 year’ boy complains of sudden pain in the ear high grade fever. The drum is congested.
Choice of TM is (IMDC)
Gentamycin
Acyclovir
Mastoid exploration
Amoxicillin oral and analgesics*
Myringotomy
107. A 21 year’ male presented with history of hearing loss in right ear of 09 months duration. Right
Ear drum is intact but mobility is restricted. Left Ear drum is normal looking Rhinne’s test is
negative on right side and positive on left side. Weber is lateralized towards right side. Mention
the type of deafness in right ear. (IMDC)
Conductive deafness*
Sensory deafness
Neural deafness
Mixed deafness
Psychogenic deafness
108. A 44 year’ known diabetic female suffering from severe right sided earache with right side
facial palsy. Ear examination showed granulation tissue in the floor of external auditory canal
(right). The most likely treatment is (IMDC)
Control of diabetes
Control of diabetes, Ciprofloxacillin, Debridement*
Ciprofloxacillin for six weeks
Cortical mastoidectomy
Removal of granulations and control of diabetes
109. Speech frequency is between (IMDC/FMDC)
20 to 20000Hz*
400 to 20000Hz
20 to 10000Hz
1000 to 20000Hz
500 to 8000Hz
110. A 32 year male presented with dryness of eyes, dry mouth, facial paralysis of right side. His
hearing is normal. Stepedial reflex is absent. Lesion is at what level. (IMDC)
Parotid gland
Vertical part of facial nerve
Facial nerve nucleus in Pons
Geniculate ganglion*
CP angle
111. Most common bacteria causing chronic supperative Otitis media (IMDC)
Pseudomonas and streptococcus
Haemophilis influenzae and staph aureus
Pseudomonas and staph aureus*
Streptococcus pneumonia and anaerobes
Anaerobes and streptococcus
112. During hot humid weather, a 25 year’ male developed pain and severe itching in his right ear.
On otoscopy, white curdy discharge is seen in right External Auditory Canal (IMDC/RIHS)
Otomycosis with Candida infection*
Aspergillosis
Exostosis
Otitis media with effusion
Acute Otitis externa
113. Best indication of cochlear implant is (IMDC)
Bilateral sensory neural hearing loss
Bilateral Conductive hearing loss
Bilateral profound hearing loss in children*
Bilateral hearing loss in children
Bilateral mixed hearing loss in children
114. A 23 years old patient presented in ENT OPD with complaint of pulsatile tinnitus. Otoscopy
shows “Rising sun” appearance. What is the most likely diagnosis? (IMDC)
Otosclerosis
Vestibular schwannoma
Glomus Tumour *
Acute SOM
Meniere’s disease
115. What is the average length of external auditory canal in an adult?
15 mm
25 mm*
35 mm
40 mm
45 cm
116. Which of the following perforation is typically associated with Attico-antral type of chronic
suppurative otitis media
Anteroinferior central perforation
Central Kidney shaped perforation
Pin hole perforation in pars tensa
Posterosuperior marginal perforation*
Posterior central perforation
117. Preauricular sinus results from failure of complete fusion between branchial arches: which of
the branchial arches are responsible for this condition (YMDC/FMDC)
1st & 2nd branchial arches*
2nd & 3rd branchial arches
3rd & 4th branchial arches
1st & 3rd branchial arches
3rd & 6th branchial arches
118. A5 Yr girl was diagnosed as a case of Preauricular cyst. What is the cause of this disease
Infection of the hair follicle
Congenital anomaly*
Sebaceous cyst
Lymhadenitis
Neoplasm
119. A 30 year female came with H/o insect in her Rt ear She is disturbed with its movements ,
which Ear drops should be used to make the insect unconscious before removal (YMDC)
Chloroform ear drops*
Halothane drops
Ketamine drops
Xylocaine drops
Lignocaine drops
120. What is the usual location of boil in the ear (YMDC)
Outer half of the external auditory canal
Outer 1/3 of the external auditory canal*
Outer 2/3 of the external auditory canal
Inner 1/3 of the external auditory canal
Any part of the external auditory canal
121. A 5 yr boy was brought with severe Rt earache & fever since last night On examination his Rt
tympanic membrane was bulging & congested What are the common organisms responsible for
this condition (YMDC)
Staph, E coli & Proteus
Staph, Morexella & E coli
Strep pneumonae, H influenzae & M catarrhalis*
Streptococci, Staph & Pseudomonas
Staph, Bacteroides & Fungus
122. Which of the following investigation is used to confirm OME (otitis media with effusion)
(YMDC)
Tuning fork test
Pure tone audiometry
Tympanometry *
Caloric test
Evoked response audiometry
123. Mother of a 5 Yr child gives H/o impaired hearing in her child for about a month There was no
pain or ear discharge but there was H/o mouth breathing O/E tympanic membranes of both ears
were dull & show air bubbles What is the cause of hearing loss in this child
CSOM
Acute Otitis media
OME (otitis media with effusion) *
Wax in the ears
Otosclerosis
124. A young student traveled from Karachi to Islamabad by air while suffering from Upper
respiratory infection. He felt severe earache during landing & blockage of Rt ear What is the
cause of his symptoms
Acute suppurative otitis media
OME (otitis media with effusion)
Aero otitis*
Herpes Zoster
Otitis Externa
125. A 19 yr boxer with H/o blunt trauma was diagnosed as a case of Hematoma Left Pinna. What is
the usual location of blood collection?
Between the perichondrium & cartilage*
Between the skin & perichondrium
Between the skin & subcutaneous tissue
Within the layers of the skin
Within the cartilage
126. A 4 Yr boy was brought with H/o round & smooth foreign body insertion Lt ear What is the
most suitable instrument to remove this foreign body
Croccodile force
Ring probe
Tilley’s forceps
Syringing *
Suction
127. Why the boil (furuncle) ear is very painful
Hair follicles are close to each other
Skin of the external ear is more vascular
Skin of the external ear is thin & delicate
Skin of the external ear is tightly adherent to underlying cartilage*
Nerve supply of external ear is mainly pain fibers
128. A young lady was diagnosed as a case of Boil ear What is the most common site to elicit
tenderness
Mastoid process
Mastoid tip
Parotid region
Tragus*
Angle of mandible
129. What is the most common Fungus responsible for Otomycosis?
Aspergillus*
Candida
Mucormycosis
Rhizopus
Alternaria
130. A 22 Yr lady was diagnosed as a case of Wax Rt ear She also gives H/o perforation Rt ear drum
What is the best method to remove the wax
Syringing
Ring probe / Jobson horne probe *
Croccodile forceps
Normal saline at room temperature
Suction clearance
131. A patient was diagnosed as a case of Otomycosis What is the most common symptom by which
patient commonly presents
Blood-stained ear discharge
Itching*
Purulent ear discharge
Severe earache
Tinnitus
132. Bullous Myringitis is also known as
Herpes Zoster oticus
Malignant otitis externa
Otitis externa Hemorrhagica*
Diffuse otitis externa
Furunculosis
133. Syringing was advised in a 25 yr male patient Which of the following material will be used for
this purpose
Distilled water at room temperature
Normal saline at body temperature*
Tap water at room teprature
Alcohol
Methylated spirit
134. What is the most common finding on clinical examination of the ear in a patient of
Otomycosis?
Soggy blotting paper like material filling the external auditory canal*
Ear is dry with external ear canal filled with spores
Inflammed external ear canal with flakes of epithelium sticking to its walls
Squamous debris filling the external ear canal
External ear filled with wax
135. In which of the following patient’s Malignant otitis externa is most commonly seen
Patients who have completed Anti-tuberculosis therapy
Patients with Osteomyelitis of the mandible
Patients with poorly controlled Diabetes mellitus*
Patients with Squamous cell carcinoma of external auditory canal
Patient with chronic ear discharge
136. A 18 Yr female patient came in OPD with hard & impacted wax in her both ears Which of the
following agents is used to soften the wax (YMDC)
2% Carbolic acid in glycerin
2% Potassium chloride in glycerin
2% Sodium bicarbonate in glycerin*
2% Sodium chloride in glycerin
2% Silver nitrate in glycerin
137. Syringing was advised in a 20 Yr female patient for removal of wax What is the least likely
complication
Facial nerve paralysis*
Otitis Externa
Perforation of the tympanic membrane
Trauma to External ear canal
Vertigo
138. A 8 Yr boy suffering from Acute otitis media presented with bulging tympanic membrane
despite receiving adequate medical therapy What is the most appropriate treatment option at
this stage
Continue antibiotics for another 5 days
Perform immediate cortical mastoidectomy
Perform myringotomy*
Perform radical mastoidectomy
Perform tympanoplasty
139. Following is Not the sign of retracted Tympanic membrane
Dull Tympanic membrane
Loss of landmarks
Loss of cone of light
Pearly grey shiny tympanic membrane*
Prominent lateral process of malleus
140. What is the most common age group for Acute suppurative otitis media
Newborn
Early childhood *
Teen aged persons
Old aged people
Middle aged people
141. In diagnosis of Tubotympanic type of CSOM What is the main symptom in these patients
Blood-stained ear discharge
Mucopurulent ear discharge*
Scanty ear discharge
Foul smelling ear discharge
Vertigo
142. Which of the following diseases if not treated properly can lead to Tubotympanic type of
CSOM?
Acute otitis media*
Cholesteatoma
Mastoiditis
Otitis externa
Myringitis bullosa
143. A 6 years girl was diagnosed as a case of Acute Otitis media What is the common early
symptom with which patient comes to the doctor
Hearing loss
Ear discharge
Pain*
Tinnitus
Vertigo
144. What is the commonest route of infection in Acute otitis media
Arterial spread
Venous spread
Eustachian tube*
Grommets (ventilation tubes)
Lymphatic spread
145. Average length of Eustachian tube in an adult is
45 mm
36mm*
20 mm
10 mm
50 mm
146. Cartilaginous part of the Eustachian tube in an adult is:
½ of the total length
1/3 of the total length
2/3 0f the total length*
¼ of the total length
1/5 of the total length
147. Blockage of the Eustachian tube will lead to (YMDC)
Positive middle ear pressure
Negative middle ear pressure*
No change in middle ear pressure
Sensorineural hearing loss
Bleeding from the ear
148. On examination of a 30 Yr female patient showed Attic perforation & granulations in her Rt ear
Which type of discharge is expected in this patient
Mucopurulent & blood stained
Mucopurulent & non foul smelling
Profuse & blood stained
Scanty, foul smelling & blood stained*
No ear discharge at all
149. A CT scan of a patient suffering from CSOM showed extensive cholesteatoma & erosion of the
ossicular chain Which surgery is required in this patient. (HBS)
Atticotomy
Radical or Modified radical Mastoidectomy*
Cortical Mastoidectomy
Tympanoplasty
Ossiculoplasty
150. Myringotomy was planned in a 7 Yr boy suffering from OME (otitis media with effusion) What is
the best site on ear drum to give incision
Antroinferior quadrant*
Antrosuperior quadrant
Postrosuperior quadrant
Postroinferior quadrant
Pars flaccida
151. Which of the following Ear disease complications are most common
Acute otitis media
Tubotympanic type of CSOM
Atticoantral type of CSOM*
OME (otitis media with effusion)
Otosclerosis
152. A 10 Yr child was diagnosed as a case of Bezold’s Abscess What is the location of pus collection
in this child
Mastoid tip
Petrous apex
Posterior apex
Sternoceidomastoid muscle*
Digastric muscle
153. What is the most common Intracranial complication in CSOM
Brain abscess
Extradural abscess
Meningitis *
Subdural abscess
Lateral sinus thrombosis
154. A 25 Yr male has foul smelling ear discharge Rt ear for 4 Yrs He developed severe headache, Lt
sided body weakness, hemianopia & aphasia What is the most likely reason for this
presentation
Acute Labyrinthitis
Cerebellar abscess
Temporal lobe Abscess*
Extradural abscess
Meningitis
155. Kerning’s sign is positive in following complication of CSOM
Cerebellar Abscess
Lateral sinus thrombosis
Meningitis*
Mastoiditis
Extradural abscess
156. In following ear diseases myringotomy is indicated
CSOM
Otitis media with effusion*
Tympanosclerosis
Otitis externa
Otosclerosis
157. A 40 Yr male underwent ear surgery for extensive cholesteatoma middle ear & mastoid What
type of surgery you think was done in this patient
Myringoplasty
Myringotomy
Radical mastoidectomy*
Cortical mastoidectomy
Stapedotomy
158. Cortical Mastoidectomy is also called as (IMDC)
Canal wall up mastoidectomy*
Canal wall down mastoidectomy
Atticotomy
Modified radical mastoidectomy
Ossiculoplasty
159. In tubotympanic type of CSOM which has become dry with conservative management the
surgical treatment of choice is (RIHS)
Cortical mastoidectomy
Myringotomy
Modified radical mastoidectomy
Stapedotomy
Myringoplasty*
160. A 25 Yr female C/O progressive hearing loss both ears for about 10 Yrs No H/O ear disharge or
earache No H/O trauma either O/ E Ear drum is intact both ears, Rinne’s negative both ears
Tympanogram is also within normal limits both ears What is most likely diagnosis in this lady
Otitis media with effusion
CSOM
Ossicular disruption
Otosclerosis*
Adhessive otitis media
161. Which part of the ear is diseased in otosclerosis
Membranous labyrinth
Otic capsule*
Saccule
Utricle
Semicircular canals
162. A lady who is a diagnosed case of Otosclerosis got pregnant. What will be the effect of
pregnancy on her ear symptoms?
Symptoms will remain the same
Symptoms will reduce
Symptoms will disappear altogether
Symptoms will increase*
Symptoms will increase on one side
163. A male patient met a road traffic accident 6 months back He C/O hearing loss in his left ear O/E
both tympanic membranes are intact Rinne’s negative on Lt side & Weber’s lateralized to Lt ear
Most probable diagnosis is
Otosclerosis Lt ear
OME (otitis media with effusion)
Ossicular disruption Lt ear*
CSOM Lt
Foreign body Lt ear
164. Phenomenon of Paracusis Willisiiis noted in
OME
CSOM atticoantral type
CSOM tubotympanic type
Ossicular disruption
Otosclerosis*
165. Clinical features of Meniere’s disease include
Episodic vertigo remaining for few seconds
Vertigo lasting for about a week
Episodic vertigo lasting for more than 20 minutes*
Ataxia
Unconsciousness
166. Which of the following part is involved in Vestibular neuronitis
Membranous labyrinth
Scala Vestibuli
Scala tympani
Vestibular Nerve*
Vestibular artery
167. Which of the following disease is characterized by Vertigo with hearing loss
Benign Paroxysmal Positional Vertigo
Meniere’s disease*
Vestibular Neuronitis
Psychogenic vertigo
Vertigo after taking Alcohol
168. A 55 Yr male patient was diagnosed as a case of Meniere’s disease What are the main
symptoms by which such patients present
Ear discharge, Earace & Tinnitus
Tinnitus , hearing loss & itching
Vertigo, Hearing loss & Tinnitus*
Hearing loss & vomiting
Ataxia, 7th N paralysis & tinnitus
169. A 70 Yr retired bank manager C/O difficulty in understanding speech for about 2 Yrs which is
increasing gradually.O/E Tympanic membranes are intact & Rinne’s is positive both ears. What
is the most likely cause for it (RIHS)
OR
170. A 70 Year male bank manager Came with difficulty in understanding speech which is
progressive for last few years. What is the most likely cause for it (RIHS)
Meniere’s disease
Noise induced hearing loss
Presbyacusis*
Otosclerosis
CSOM
171. What is the type of Facial nerve
Mixed motor & Secretomotor nerve
Mixed motor & Sensory nerve
Mixed motor, sensory & Secretomotor nerve*
Only Motor nerve
Mixed Sensory & Secretomotor nerve
172. Which of the following disease is most commonly associated with otogenic Facial nerve
paralysis
Otitis media with effusion
Cholesteatoma*
Otosclerosis
Meniere’s disease
Tympanosclerosis
173. A 30 Yr lady was diagnosed as a case of Bell’s palsy on Rt side What will be the site of muscle
paralysis of face
Lower half of Rt side of face
Upper half of Rt side of face
Whole Left side of face
Whole Rt side of face*
Upper half of Lt face
174. Which of the following is topographic (site of lesion) test for facial nerve
Brain stem evoked response audiometry
Electrocochleography
Schirmer test*
Electroneuronography
Pure tone audiometry
175. Which part of the tongue is supplied by Chorda tympani nerve
Anterior one third of tongue
Anterior two third of tongue*
Middle third of tongue
Posterior two third of tongue
e. Whole of tongue
176. What is the commonest cause of Facial nerve paralysis
Bell’s palsy*
Cholesteatoma
Mastoid surgery
Parotid surgery
Hepes Zoster oticus
177. Most common cause of congenital hearing loss in Pakistan is
Ototoxic drugs during pregnancy
CSOM
Consanguinity (cousin marriage)*
Ossicular fixation
Microtia
178. Objective test for hearing evaluation in children is
Pure tone Audiometry
Distraction test
Brain stem Evoked Response audiometry*
Caloric Test
Tuning fork tests
179. Treatment of choice in a hearing-impaired child with sensorineural hearing loss is
To do tympanoplasty
To do mastoidectomy
To give a Hearing Aid*
To do Ossiculoplasty
To give Vitamins
180. Rinne’s test positive means that: (FMDC)
Air conduction is better than bone conduction*
Bone conduction is better than air conduction
Bone is equal to air conduction
Cholesteatoma
181. Retracted drum is characterized by all the following except:
Disturbed cone of light
Prominent malleolar folds
Decreased drum mobility
Central drum perforation*
182. Fistula sign may be positive in:
Central drum perforation
Atelactatic drum
Cholesteatoma *
Otosclerosis
183. The best treatment of otosclerosis:
Grommet’s tube
Stapedectomy*
Myringoplasty
Mastoidectomy
184. The middle ear cleft includes all of the following except:
Mastoid air cells
Middle ear cavity
Eustachian tube
Vestibular aqueduct*
185. Safe type of chronic suppurative otitis media is characterized by:
Scantly offensive ear discharge
Profuse mucopurulent ear discharge*
Marginal perforation
All of the above
186. The semicircular canals and vestibule are responsible for:
Hearing
Conduction of sound waves
Balance*
Taste
187. In unilateral conductive hearing loss, Webber's test will lateralize to:
The diseased ear*
The normal ear
Both ear
None of the above
188. Myringotomy is indicated in:
Secretory otitis media
Acute otitis media with bulging drum
Otitic barotrauma
All of the above*
189. Stapedectomy is the operation of the choice in:
Atelactatic middle ear
Meniere's disease
Otosclerosis*
Secretory otitis media
190. Ear wash is indicated in all of the following except:
Dry central perforation*
Wax
Otomycosis
Caloric test
191. Positive Rinne’s test means: (FMDC)
Bone conduction is better than air conduction
Air conduction is better than bone conduction*
Air conduction is equal to bone conduction
Dead ear
192. One of the signs of otogenic cerebellar abscess is:
Hemiplegia
Hemianesthesia
Aphasia
Dysdiadochokinesia*
193. Radical mastoidectomy is indicated in:
Adhesive otitis media
Unsafe type of otitis media with dead ear *
Secretory otitis media
Central dry perforation
194. Surgical treatment of Meniere’s disease may include:
Myringoplasty
Ossiculoplasty
Radical mastoidectomy
Vestibular nerve section*
195. Hump nose is managed by:
Reduction rhinoplasty*
Augmentation rhinoplasty
Nasal tip reconstruction
All of the above
196. Schwartz’s sign may be positive in:
Atelactatic ear
Otitic barotrauma
Secretory otitis media
Otosclerosis*
197. Radical antrum operation is indicated in:
Acute sinusitis
Chronic frontal sinusitis
Oroantral fistula*
Chronic sphenoiditis
198. In unilateral conductive deafness, Rinne’s test will be:
Positive
Negative*
Reduced positive
False negative
199. During flying otitis barotrauma occurs:
During ascent
During descent*
During both
None of the above
200. Ear wash contraindicated in:
Wax
Central drum perforation*
Otomycosis
Caloric test
201. The main site of ossicular necrosis in chronic suppurative otitis media is:
Incudomalleolar joint
Long process of incus*
Stapedial arches
Handle of malleus
202. Radical mastoidectomy is indicated in all the following except:
Cholesteatoma with dead ear
Chronic specific otitis media*
Cholesteatoma with brain abscess
Acute mastoiditis
203. Meniere’s disease is characterized by:
Fluctuating hearing loss
Tinnitus
Vertigo
All of the above*
204. Weber’s test in unilateral conductive deafness is lateralized to:
The sound ear
The diseased ear*
Both ears
Zygoma
205. Otitis media with effusion is caused by.
Obstruction of the Eustachian tube*
Ascending infection from upper respiratory tract
Passage of water through a perforated ear drum
Blood-born infection
Spread of infection through fractures
206. The fluid in otitis media with effusion is: (IMDC)
An inflammatory exudate.
Secreted by minor salivary glands.
Produced by the bacteria present in the middle ear
A transudate from dilated blood vessels due to negative intratympanic pressure*
Entered from the external auditory canal while bathing
207. What is the surgical treatment of Otitis media with effusion? (IMDC)
Myringoplasty
Myringotomy with grommets insertion *
Cortical mastoidectomy
Atticotomy
Atticoantrostomy
208. Which of the following nerves are primarily involved in Gradenigo syndrome? (IMDC)
Trigeminal and facial nerves
Trigeminal and abducent nerves*
Abducent and facial neves
Facial and vestibulocochlear nerves
Last four cranial nerves
209. Gradenigo syndrome results from spread of infection to: (IMDC)
Sigmoid sinus
Mastoid antrum
Cerebellum
Petrous apex*
Extradural space
210. Facial paralysis in Acute suppurative otitis media results from: (IMDC)
Pressure due to inflammatory edema*
Destruction by a cholesteatoma
Compression due to encroachment by granulation tissue
Pathological temporal bone fractures
Toxic metabolites of inflammation
211. A patients with ear discharge presents with picket-fence fever (high grade swinging pyrexia)
and severe headache but no neck stiffness, what is the diagnosis? (IMDC)
Brain abscess
Lateral (sigmoid) sinus thrombophlebitis*
Subdural empyema
Cerebellar abscess
Petrositis
212. Cholesteatoma of the middle ear is: (IMDC)
A sac of keratin debris with keratinizing squamous epithelium*
A benign tumor fat and cholesterol cells.
Contain cholesterol crystals
A granuloma formed around cholesterol crystals
A benign growth of middle ear mucosa
213. A patient presents with longstanding foul smelling ear discharge and fever, headache,
vomiting, fits and neck stiffness. What is the most likely diagnosis? (IMDC)
Subperiosteal abscess
Meningitis*
Citelli’s Abscess
Bezold’s abscess
Lucs abscess
214. Eustachian tube obstruction leads to: (IMDC)
Tympanic membrane perforation
Facial palsy
Gradinego syndrome
Negative middle ear pressure*
Acute labyrinthitis
215. A red bulging tympanic membrane in the absence of pain and fever is characteristic of: (IMDC)
High jugular bulb
Acute otitis media
Glomus tumor*
Carotid artery aneurysm
Sigmoid sinus thrombophlebitis
216. Which of the following theory is not proposed in the formation of a middle ear cholesteatoma?
(IMDC)
Negative pressure & retraction pocket
Basal cells hyperplasia
Epithelial invasion along margins of perforation
Congenital rest cells
Long standing otosclerosis*
217. Which of the following route is not implicated in intracranial spread of a middle ear infection?
(IMDC)
Direct bone erosion
Fracture lines
Congenital dehiscence
Eustachian tube*
Blood born
218. Otitis media with effusion is caused by. (IMDC)
Obstruction of the Eustachian tube*
Ascending infection from upper respiratory tract
Passage of water through a perforated ear drum
Blood-born infection
Spread of infection through fractures
219. Which of the following is the choice treatment for an otogenic extradural abscess? (IMDC)
Radical Mastoidectomy by an ENT surgeon*
Craniotomy by a neurosurgeon
Burr hole aspiration by a neurosurgeon
Jointly managed by ENT and neurosurgeon
Intravenous antibiotics alone
220. A 5 years old boy is brought to you with 3 days history of fever, pain and hearing loss in right
ear. One day back there was some bleeding and discharge from the same ear after which the
pain and fever subsided. On examination there is no tenderness or edema in the external
auditory canal. There is mucopurulent discharge in the External auditory canal with a small
perforation in the tympanic membrane. What is your diagnosis. (IMDC)
Boil of the ear
Acute suppurative otitis media*
Subperiosteal abscess
Bezold’s abscess.
CSF otorrhea
221. Multiple exostosis of external auditory canal commonly occurs in (IMDC)
Outer third of the bony canal
Inner third of the bony canal *
Mastoid tip
Cartilagenous portion of the auditory canal
Hypotympanum.
222. The most common pathogen in boil (furuncle) of the ear is. (IMDC)
Proteus mirabilis
Staphylococcus aureus*
Streptococcus pneumonia
Anaerobes
Haemophylus influenzae
223. A young boy of 14 years comes to you with a two days history of fever, severe pain and
tenderness right ear with mild hearing loss. On examination the tragus was swollen,
erythematous and very tender. The child did not allow examination of the ear because of pain.
What is your diagnosis? (IMDC)
Acute mastoiditis
Otomycosis
Furunculosis (Boil) of the ear*
Traumatic perforation of tympanic membrane
Perichondritis
224. A cauliflower ear results from: (IMDC)
Pseudomonasaeroginosa infection in diabetics
Blunt trauma to the pinna*
Congenital anomaly due to maternal use of methotrexate
Frost bite
Mastoidectomy operation
225. Which of the following treatment is not recommended in otomycosis? (IMDC)
Aural toilet
Topical nystatine
Topical Nystatine
Topical salicylic acid in alcohol
Systemic amphotericin B*
226. A 65 years old diabetic woman presented with severe excruciating pain in her left ear, more
during night time. On examination there were granulations in the bony-cartilaginous junction of
the external auditory canal and facial paralysis. What is the most likely diagnosis? (IMDC)
Acute mastoiditis
Malignant otitis externa*
Otomycosis
Cholesteatoma of external canal
Keratosis obturans
227. Which of the following conditions is not associated with otomycosis? (IMDC)
Hot and humid climate
Prolonged use of topical antibiotics-steroids preparations
Open mastoidectomy cavities
Wax impacted in the external auditory canal*
Prolong use of hearing aids
228. Which of the following is NOT the treatment option for otosclerosis? (IMDC)
Hearing aids
Stapedectomy
Stapedotomy
Chemical labyrinthectomy*
Sodium Fluoride
229. Audiogram of a patient with otosclerosis shows a characteristic (IMDC)
Roll-over phenomenon
Carhart’s notch*
Low frequency mixed hearing loss
High frequency sensorineural hearing loss
Poor speech discrimination score
230. In Paracusis Willisii a patient: (IMDC)
Feels pain with loud sounds
Feels disequilibrium with loud sounds
Hears better in quite environment
Hears better in noisy environment*
Listens loud sounds but cannot understand
231. Which of the following is not a contraindication for Stapedectomy? (IMDC)
Meniere’s disease
Young children under 10 years
Individuals working in airlines
Sea divers
Patients with good speech discrimination score*
232. In a Stapedectomy operation: (IMDC)
Prosthesis is not used
Footplate of stapes is removed*
Footplate is left intact
Tendon of stapedius muscle is left intact
Lateral semicircular canal is fenestrated
233. What is the average capacity of an adult maxillary sinus? (IMDC)
10 ml
15 ml*
20 ml
30 ml
50 ml
234. Mucus drainage of maxillary sinus is: (IMDC)
Gravity dependent
Transported by the cilia*
Flushed by the natural air current
Sucked by the negative intranasal pressure
Mechanically removed by blowing the nose
235. Which of the following pathology is responsible for benign paroxysmal positional vertigo?
(IMDC)
Vestibular neuronitis
Acute serous labyrinthitis
Acute purulent labyrinthitis
Loose calcium carbonate crystals floating in endolymph*
Vestibulotoxic drugs
236. A post-stapedectomy patient complains of intermittent vertigo and sensorineural hearing loss
specially after sneezing. According to the patient he did not have the problem before surgery.
What is the most probable diagnosis? (IMDC)
Meniere’s disease
Labyrinthine concussion
Perilymph fistula*
Acute labyrinthitis
Vestibular nerve damage
237. A 30 years old male presented of hemoptysis, blood stained nasal discharge, crusting, saddle
deformity and septal perforation. He denied any trauma or surgery of his nose. ESR was raised,
X-ray chest showed multiple lung cavities and urine examination revealed red cells, cast and
albumin. What is the most likely diagnosis? (IMDC)
Tuberculosis
Syphilis
Bronchogenic carcinoma
Wegener’s granuloma*
Atrophic rhinitis
238. The most consistent histological finding of Meniere's disease is: (YMDC)
Dilatation of peri lymphatic compartment
Dilatation of endolymphatic compartment
Shrinkage of endolymphatic compartment
Shrinkage of peri lymphatic compartment
Dilatation of cochlea*
239. Characteristic feature of traumatic tympanic membrane perforation is: (YMDC)
Multiple perforations
Perforation in pars flaccid
Postero-superior marginal perforation
Central perforation with regular margins
Irregular and congested margins *
240. Regarding myringotomy choose the best answer: (YMDC)
it is done in the antero superior portion of tympanic membrane
It is done in the postero superior portion of tympanic membrane
It is done in the postero inferior portion of tympanic membrane
It is done in the antero inferior portion of tympanic membrane *
It is done in the pars flaccid
241. Choose the ototoxic drug among below: (YMDC/RIHS)
Cephradine
Cefixime
Sulphonamides
Cetrizine
Streptomycin*
242. ASOM is more common in children as: (YMDC)
They have Short, wide and more horizontal Eustachian tube*
They have low immunity
They live in a close community
They are more prone to infection
They put their finger in ear
243. Which of the following is true regarding otalgia? (YMDC)
Only ear is examined carefully to rule out cause Otalgia
Not only ear but oral cavity, pharynx, larynx and cervical spine should be examined *
Otalgia is examined on the basis of only investigation
To treat otalgia pain only painkillers should or given
Otalgia is always accompanied by ear discharge
244. In which of the following statement is true regarding otosclerosis? (YMDC)
It is a disease of infants
It is a disease of children
It is a disease of 20 to 10 years old
It is a disease of 30 to 40 years old*
It is a disease of 40 to 50 years old
245. A 30-year female came with H/O insect in her Rt ear She is disturbed with its movements,
which Ear drops should be used to make the insect unconscious before removal:
Chloroform ear drops*
Halothane drops
Ketamine drops
Xylocaine drops
Lignocaine drops
246. What is the usual location of boil in the ear
Outer half of the external auditory canal
Outer 1/3 of the external auditory canal*
Outer 2/3 of the external auditory canal
Inner 1/3 of the external auditory canal
Any part of the external auditory canal
247. A 5 yr. boy was brought with severe Rt earache & fever since last night. On examination his Rt
tympanic membrane was bulging & congested What are the common organisms responsible for
this condition? (YMDC/RIHS)
Staph, E coli & Proteus
Staph, Morexella & E coli
Strep pneumonia, H influenzas & M catarrhalis*
Streptococci, Staph & Pseudomonas
Staph, Bacteroides & Fungus
248. Which of the following investigation is used to confirm OME (otitis media with effusion)?
(YMDC)
Tuning fork test
Pure tone audiometry
Tympanometry *
Caloric test
Evoked response audiometry
249. A 4 Yr. boy was brought with H/O round & smooth foreign body insertion LA ear What is the
most suitable instrument to remove this foreign body? (YMDC)
Crocodile forcer
Ring probe
Tilley's forceps
Syringing *
Suction
250. Blockage of the Eustachian tube will lead to: (YMDC)
Positive middle ear pressure
Negative middle car pressure*
No change in middle cur pressure
Sensorineural hearing loss
Weeding from the ear
251. A CT scan of a patient with CSOM shows extensive cholesteatoma with erosion of ossicular
chain. which surgery should be planned? (HBS/YMDC)
Cortical mastoidectomy
Atticotomy
Tympanoplasty
Radical or modified radical Mastoidectomy*
Posterior tympanotomy
252. A 2 years old child has put a piece of plastic in his ear. The child is quite irritable. What is the
best option? (YMDC)
Remove foreign body under LA
Remove with metallic foreign body hook
Leave and remove after a week
Remove with help of suction
Remove with use of microscope under GA *
253. A patient presented with pain Rt ear and let fascia) nerve palsy. Examination showed vesicle on
pinna and the external auditory canal. what is the diagnosis? (YMDC)
Bell’s palsy
Malignant otitis externa
ketosis obturans
Herpes Zoster oticus*
Myringitis bullosa
254. The syndrome of sensorineural hearing loss associated with hereditary nephritis is called
(YMDC)
Alports syndrome*
Fabry's syndrome
Nail patella syndrome
Edward syndrome
Down syndrome
255. An 18 years old girl is a diagnosed case of Bell's palsy that is not responding to steroids. What
will be the further line of management? (YMDC)
Increase dose of steroids
Vasodilators
Antihistamines
Electric nerve stimulation
Surgical decompression *
256. Most common cause of congenital hearing loss in Pakistan is: (YMDC)
Ototoxic drugs during pregnancy
Consanguinity ( cousin marriage ) *
Ossicular fixation
Microtia
CSOM
257. Objective test for hearing evaluation in children is (YMDC)
Pure tone Audiometry
Distraction test
Brain stern Evoked Response audiometry*
Caloric Test
Tuning fork tests
258. A 18 Yr. female patient came in OPD with hard & impacted was in her both can Which of the
following agents is used to soften the wax
Carbolic acid in glycerine
Potassium chloride in glycerine
Sodium bicarbonate in glycerine *
Silver nitrate in glycerine
259. Treatment of long-standing case of hematoma Auris is: (YMDC)
Aspiration by a wide bore needle *
Incision and evacuation of clot
Incision and evacuation of clot under aseptic measures
Dressing of the ear
Intravenous antibiotic
260. A 21 years old man presented with history of hearing loss in right ear of 9 months duration. Ear
drum is intact but mobility is restricted Rinne’s test is negative on right side and positive left
side. Weber is lateralized towards right side, Mention the type of deafness in right ear (FMDC)
Conductive*
Sensory
Neural
Mixed
261. Rinne’s test positive means that (FMDC)
Air conduction is better than bone conduction*
Bone conduction is better than air conduction
Bone conduction is equal ta air conduction
Cholesteatoma
262. Tympanic membrane is normal in appearance in all except (FMDC)
Presbycusis
Otosclerosis
Secretory otitis media*
Meniere's discase
263. The disease associated with sever Otalgia is (FMDC)
Acute Suppurative otitis media*
Otosclerosis
Labyrinthitis
Secretary otitis media
264. One best way of treatment of living insect in external auditory canal is (FMDC)
OR
OR
21. It is an IgE mediated hypersensitivity disease of the mucous membrane of the nasal air way:
(HBS)
OR
22. An IgE mediated immunological response of body to the airborne allergens is termed as
(HBS)
Chronic rhinitis.
Vasomotor rhinitis.
Acute rhinitis.
Atrophic rhinitis
Allergic rhinitis*
23. Saddling of nose can be corrected by (HBS)
Collumella plasty
Augmentation rhinoplasty*
Reduction Rhinoplasty
Tip plasty
SMR
24. A healthy 15 years male patient presented to the ENT department with right sided nasal
obstruction, foul-smelling and blood-stained discharge. The most likely diagnosis is: (HBS)
Foreign body.
Rhinolith*
Angiofibroma
Simple nasal polyp.
Antrochoanal polyp.
25. 45-year-old male presented to ENT outpatient department with history of clear fluid coming
from the nose, the discharge is continuous and cannot be sniffed back, there is a history of
head injury 2 weeks back. Which of the following is the most appropriate diagnosis? (HBS)
acute sinusitis
chronic granulomatous disease
allergic rhinitis
cerebrospinal fluid rhinorrhea*
nasal polyps
26. Treatment of choice for recurrent antrochoanal polyp is. (HBS)
antrostomy
Ethmoidectomy
Intra nasal Polypectomy
Cald well luc*
Proof puncture
27. A 40-year-old man who is on steroids developed boil in the nose. Two days later he
developed swelling in eye lids on one side with chemosis and opthalmoplegia of
extraoccular muscles. He also has fever. Which investigation will clinch the diagnosis? (HBS)
X-ray para Nasal Sinuses
ESR
CT scan*
Random blood sugar
Total leukocyte count
28. 17-year-old male patient presented to emergency with history of trauma to face, there is
evidence of fracture to the nasal bone, what is the best time for manipulation and reduction
of nasal bone trauma (HBS)
between 7-21 days
between 14-21 days
between 3-7 days*
between 7-10 days
after 21 days
29. Orbital complications usually arise from (HBS)
Acute ethmoiditis*
Acute frontal sinusitis
nasal furunculosis
Acute maxillary sinusitis
Acute sphenoiditis
30. An 18 years old male was hit on his nose by fist during quarrel last night. He developed
bilateral nasal obstruction by morning time. The only and significant finding is bilateral dark
red, fluctuant swelling occupying anterior part of nasal cavity. Which one is the best line of
treatment? (HBS)
Aseptic aspiration, antibiotics and analgesic
Analgesic, oral and topical decongestant drugs
Aseptic aspiration, nasal packing and antibiotic*
watchful waiting
Incision and drainage and antibiotics
31. A young boy of ten years age went for swimming. Next day he developed nasal congestion,
fever and headache. He deteriorated over next 24 hours and developed redness and edema
of both eyelids on left side. His likely diagnosis is (HBS/IMDC)
Preseptal cellulitis
Acute maxillary sinusitis
Erysipelas
Cavernous sinus thrombosis*
Acute Ethmoiditis
32. A young patient has severe nosebleed. On examination he has multiple bleeding spots on
nasal septum. He also has multiple telangectasia on tongue. His father also had similar
problem. His bleeding is due to; (HBS)
Hypertension
Idiopathic varicosities
endu-Ostler-Weber syndrome*
nasopharyngeal angiofibroma
Nasal picking
33. The poorly treated septal hematoma can lead to which complication in long run (HBS)
Retracted columella
Deflected nasal septum
Septal abscess*
Nasal tip deformity
Nasal saddling
OR
THROAT :
1. A 66-year-old Chinese man presents with a two-month history of neck swelling in the right
posterior triangle. He also has conductive hearing loss in right ear with blocked nose and
significant weight loss. What is the likely diagnosis? (HBS)
Lymphoma.
Nasopharyngeal carcinoma*
Parotid tumor
Lipoma
Nasopharyngeal angiofibroma
2. A 21-year woman presents with two days history of sore throat and dysphagia. On
examination she is pyrexial with whitish membrane over left tonsil & pharynx. there is
cervical lymphadenopathy. What is the likely causative organism for her condition? (HBS)
Epstein-Barr virus
Haemophilus influenzae
Corynebacterium diphtheriae*
Neisseria gonorrhea
Streptococcus pyogenes
3. A 55-year-old man presents with gradually enlarging right sided neck swelling with severe
ipsilateral otalgia for last 3 months. There is history of 10kg weight loss. He smokes 10
cigarettes per day and drinks 15 units of alcohol per week. Examination of the neck reveals
a 4 cm x 4 cm firm, mobile, non-fluctuant, and non-pulsatile swelling on the right side of
the neck. Rest of ENT examination is normal. Likely diagnosis in this case is (HBS)
Branchial cyst.
Malignant node containing squamous cell carcinoma*
Infective lymph node.
Submandibular gland stone.
Non-Hodgkin lymphoma.
4. A 4-year-old child presented with ingestion of coin 30 minutes back, patient is
asymptomatic. The first step of management should be (HBS)
Shift to operation theatre and esophagoscopy
Shift to operation theatre and bronchoscopy
Xray neck and chest*
Heimlich maneouvre
Encourage oral feed for spontaneous passage
5. The most common and earliest manifestation of carcinoma of the glottis is: (HBS)
Hoarseness*
Haemoptysis
Palpable Cervical lymph nodes
Stridor
Dysphagia
6. What virus is associated with nasopharyngeal carcinoma? (HBS)
Human Papilloma Virus
Herpes Simplex Virus
Epstein-Barr Virus*
Coxsakie Virus
Varicella-Zoster Virus
7. The most common cause of bilateral recurrent laryngeal nerve paralysis is: (HBS)
Laryngeal trauma,
Iatrogenic damage in total thyroidectomy*
A tumor mass expanding in upper part of mediastinum,
Toxic polyneuropathy of recurrent laryngeal nerves,
Acute subglottic laryngitis.
8. 62-year-old patient has presented with non-healing ulcer on right lateral border of tongue
for last 4 months, there is history of significant weight loss. On examination right sided
cervical lymph nodes are palpable and painless, patient is known smoker for last 30 years.
the likely diagnosis is: (HBS)
Aphthous ulcers
Behcet syndrome
Squamous cell carcinoma*
Lichen planus
Chemical burn due to cigarette smoking
9. 15-year-old boy with left nasal blockage and swelling of cheek is suspected of Juvenile
angiofibroma. The main feature in this disease is: (HBS)
Recurrent epistaxis*
It is a tumor of young girls
Bone erosion of the greater wing of the sphenoid does not occur
Sensorineural hearing loss
External beam radiotherapy is first line treatment
10. A 2-month-old child presented with noisy breathing more during inspiration with supine
position and disappears on prone position. The appropriate diagnosis would be: (HBS)
Acute epiglottitis
Croup
Choanal atresia
Laryngomalacia*
Sub glottis stenosis
11. A 77-year-old lady presented with dysphagia. There is history of 8kg weight loss over a
period of 3 months. On indirect laryngoscopy, there is pooling of saliva in right pyriform
sinus with swollen right arytenoid, the most likely diagnosis is: (HBS)
Adenocarcinoma of pyriform sinus.
Squamous cell carcinoma of pyriform sinus*
Squamous cell carcinoma of posterior pharyngeal wall.
Squamous cell carcinoma of larynx.
Squamous cell carcinoma of Postcricoid.
12. 15-year-old male presented with history of odynophagia, fever and sore throat for last 3
days. On examination there is a membrane over tonsils. There is no history of dyspnea or
cervical lymphadenopathy. Which of the following tests will help to make final diagnosis?
(HBS)
Throat swab Gram staining*
Monospot test
CRP (c reactive protein)
Complete blood count
Urine examination
13. A newborn baby presented with weak cry and hoarseness, There is inspiratory stridor that
disappears on prone position. The appropriate management would be (HBS)
Give corticosteroids
Tracheostomy
Wait and watch for spontaneous resolution of condition*
Give 1-week course of antibiotics
Nebulize with epinephrine solution
14. Which is the most common aetiological agent of epiglottitis (HBS)
Staphylococcus aureus
Haemophilus influenza (type B)*
Rhinovirus
Adenovirus
Moraxella catarrhalis
15. A 42-year-old female presented with lump in left preauricular region that is gradually
progressively increasing for last 4 years, there is no pain, facial weakness or trismus. The
appropriate diagnosis will be (HBS)
Adenoid cystic carcinoma
Acinic cell carcinoma
Pleomorphic adenoma*
Mucoepidermoid carcinoma
Sialolithiasis
16. Recurrent multiple aphthous ulcers of oral cavity are best treated by: (HBS)
NSAIDS
Multivitamins
Topical Corticosteroids*
Tricyclic Antidepressants
Warm Saline gargles
17. Sialolithiasis is a disease of salivary glands characterized by formation of stone. The most
commonly affected salivary gland is (HBS)
Sublingual salivary gland
Submandibular salivary gland*
Parotid gland
Minor salivary glands
Accessory parotid duct
18. 65-year-old male patient presented with dysphagia, regurgitation of food and halitosis,
barium swallow show blind pouch just below the level of cricopharynx. The appropriate
diagnosis in this case is (HBS)
Carcinoma of hypopharynx
Zenker's diverticulum*
Foriegn body in esophagus
Cardiac achalasia
Esophageal stricture
19. A 15-year-old mạle has unilateral nasal obstruction, mass in the cheek and recurrent
epistaxis, the diagnosis is: (HBS)
Cancer of nasopharynx.
Inverted papilloma nose.
Maxillary sinusitis.
Bleeding tendency.
Angiofibroma*
20. Easiest way to diagnose Group A streptococcal pharyngitis in clinic is; (HBS)
Complete blood count.
Throat swab for Gram staining
Rapid antigen detection test*
Throat swab for culture
Procalcitonin levels
21. 45-year-old female complains of dysphagia, angular stomatitis, koilonychia and tongue
inflammation. Her complete blood picture reveals hemoglobin level 8mg/dl with increase
total iron binding capacity suggesting iron deficiency anemia. The likely diagnosis is (HBS)
Cardiac Achalasia
Plummer vinson syndrome*
Esophageal stricture
Diffuse esophagitis
Diffuse esophageal spasms
22. A three-month-old boy get low grade fever, continuous cough with biphasic stridor, the
resident pediatrician sent for lateral neck x-ray and anteroposterior cervical spine X-ray
that shows steeple sign. The likely diagnosis is: (HBS)
Acute pharyngitis.
Acute simple laryngitis.
Laryngo-tracheo-bronchitis*
Acute epiglottitis.
Adenoids hypertrophy
23. Lymphoid tissue aggregate that is midline and located in nasopharynx is: (HBS)
Palatine tosils
Lingual tonsils
Adenoids*
Pharyngeal bands
Tubal tonsils
24. 32-years-old male presented with history of diffuse swelling in submental region for last 2
days, on palpation, swelling is tender and having woody hard feel, patient is having marked
trismus and fever, the likely diagnosis is (HBS)
Sublingual sialadenitis
Submental lymphadenitis
Ludwig's angina*
Plunging ranula
Infected dermoid cyst
25. 32-year-old male presented with history of diffuse long standing obstruction due to
enlarged tonsils and adenoid can cause (HBS)
Left ventricular hypertrophy
Bundle branch block
Cor pulmonale*
Cardiac ischemia
Rheumatic heart disease
26. A 35-year-old male presented with fever, trismus, odynophagia. On examination left sided
neck swelling and tonsil is pushed medially, there is a history of 3d molar tooth extraction 1
week back. The diagnosis is (HBS)
Retropharyngeal abscess
Peritonsillar abscess
Parapharyngeal abscess*
Ludwig's angina
Parotid abscess
27. Earache following tonsillectomy is referred through which nerve: (HBS)
Vagus nerve
Glossopharyngeal nerve*
Accessory nerve
Trigeminal nerve
Facial nerve
28. 40-year-old patient underwent esophagoscopy for obstructed meal bolus. 6 hours after
surgery patient develop severe pain in interscapular region. The most likely diagnosis is
(HBS)
Retained foreign body
Esophageal perforation*
Mediastinal abscess
Major vessel injury
Diffuse esophagitis
29. which of the following is the narrowest part of airway? (HBS)
Supraglottis
Subglottis
Glottis*
Trachea
Cricopharynx
30. Which of the following is the abductor of larynx? (HBS)
Lateral cricoarytenoid
Posterior cricoarytenoid*
Cricothyroid
Transverse arytenoid
Vocalis
31. 1-month old child is suspected for laryngomalacia, his fibreoptic laryngoscopy is planned,
which of the following best describe the shape of epiglottis in this patient (HBS)
"C" shaped
Omega shaped*
Elongated
Delta shaped
Flat
32. A three-year-old child presented to emergency department with complaint of high grade
fever, dyspnea and lethargy, condition is somewhat relieved by sitting position with
bending forward. The likely diagnosis in this case would be (HBS)
Acute laryngotracheobronchitis
Acute epiglottis*
Acute peritonsillar abscess
Acute tonsillitis
Parapharyngeal abscess
33. A boy, 6 years of age present with a mass in the midline of neck just below the hyoid bone
noted 6 months back. It moves with protrusion of tongue. The most probable diagnosis is:
(HBS)
Cystic hygroma
Thyroglossal duct cyst*
Hemangioma.
Branchial cleft cyst
Dermoid
34. 6-year-old child complaints of mouth breathing. snoring and recurrent apneic spells during
sleep. Her x-ray nasopharynx was done showing marked adenoid hypertrophy, she also
complaints of decreased hearing and her tympanometry shows type B flat curve showing
conductive hearing loss, the appropriate management will be (HBS)
Wait and watch
Give nasal decongestants with antibiotics
Adenoidectomy
Adenoidectomy, myringotomy with insertion of grommets*
Myringotomy with grommet insertion
35. Six-month-old child present with barking seal type cough, there is low grade fever with mild
respiratory distress, the main causative organism for this condition is: (HBS)
Hemophilus influenza
Streptococcus pneumonia
Influenza virus*
Moraxella catarrhis
Staphylococcus aureus
36. One of the main indication of tracheostomy is: (HBS)
Lower airway obstruction
Cardiac ischemia
Prolong ventilatory support*
Bronchiectasis
Pneumothorax
37. Most common cause of stridor in infant is: (HBS)
Vocal cord paralysis
Laryngeal web
Subglottic stenosis
Laryngomalacia*
Subglottic hemangioma
38. Post streptococcal glomerulonephritis is a rare complication that is associated with
streptococcal (HBS)
Acute pharyngitis
Acute tonsillitis*
Acute adenoiditis
Acute laryngitis
Acute rhinosinusitis
39. Koplik's spots are pathognomonic of; (HBS)
Diphtheria
Streptococcal sore throat
Mumps
Measles*
Glandular fever
40. Demonstration of an air containing sac in the neck after Valsalva maneuver suggests: (HBS)
Bronchial cleft cyst
Thyroglossal duct cyst
Laryngocele*
Zenker's diverticulum
Cricoaryteroid muscle
41. A 25 year old male presents with 5 days history of progressive right sided odynophagia
along with drooling. patient cannot take per oral. There is history of fever, tachycardia, and
trismus. On examination there is a bulge in right oropharynx with shift of uvula to opposite
side. The appropriate diagnosis is (HBS)
Acute epiglottitis
Aeritonsillar abscess*
Bezold Abcess
Acute tonsillitis
Retropharyngeal abscess
42. A 7-year-old male patient is brought in OPD with history of mouth breathing, recurrent
chest infection and disturbed sleep. On examination this child has prominent incisors. He is
breathing through the mouth with high arched palate and on ear examination, he has
bilateral conductive hearing loss. The child has (HBS)
Chronic rhino sinusitis
Adenoids hypertrophy*
Angiofibroma
Chordoma
Bilateral intra nasal polyp
43. When an emergency opening into the airway is required, the cricothyroid membrane
should be pierced immediately (HBS)
Superior to thyroid cartilage
Between 2d and 3d tracheal ring
Inferior to cricoid cartilage
Superior to cricoid cartilage*
Superior to thyroid isthmus
44. 20-year-old male patient underwent tonsillectomy. 1 week later patient presented with
bleeding from mouth with hematemesis, the most common cause of secondary
hemorrhage after tonsillectomy is (HBS)
Slippage of ligature
Damage to blood vessels
Infection*
Bleeding disorders
Trauma to soft palate
45. which nerve is at risk while performing total parotidectomy for parotid carcinoma (HBS)
Ophthalmic branch of Trigeminal nerve
Maxillary branch of trigeminal nerve
Facial nerve*
Vagus nerve
Mandibular branch of trigeminal nerve
46. Airway obstruction in case of Ludwig's angina results due to (HBS)
Swelling in submaxillary space
Cellulitis in floor of mouth
Pus formation in submental space
Pushing back of tongue*
Infection spreading to parapharyngeal space
47. Peritonsillar abscess mostly affects (HBS)
Children
Adults*
Males
Females
Elderly
48. First step in treatment of peritonsillar abscess is; (HBS)
Oral antibiotics
Intramuscular analgesic
Incision and drainage*
Hot tonsillectomy
Tracheostomy
49. Which head and neck space runs from base of skull to соссух? (HBS)
Retropharyngeal space
Parapharyngeal space
Prevertebral space*
Submaxillary space
Parotid space
50. Chronic retropharyngeal abscess is caused by. (HBS)
Staphylococcus aureus
Streptococcus pyogenes
Pseudomonas aeruginosa
Mycobacterium tuberculosis*
Hemophilus influenzae
51. 45-year-old patient, teacher by profession develops roughness of voice for last 3 month, on
examination there is bilateral round swellings over vocal cords, the appropriate diagnosis is
Vocal polyp
Vocal nodules
Rienke‘s edema*
Vocal papillomatosis
Carcinoma of larynx
52. Cause of hoarseness after total thyroidectomy is due to the iatrogenic damage to
Superficial laryngeal nerve
Vagus nerve
External laryngeal nerve
Internal laryngeal nerve
Recurrent laryngeal nerve*
53. Omega shaped epiglottis is seen in:
Sub glottis stenosis
Acute epiglottitis
Vocal cord paralysis
Laryngomalacia*
Acute laryngotracheobronchitis
54. A 2 year old child presented with noisy breathing more during inspiration along with stridor
and high grade fever. Condition gets improved on leaning forward and worse on lying
down. The appropriate diagnosis would be:
Choanal atresia
Laryngomalacia
Croup
acute epiglottitis*
Sub glottis stenosis
55. Ludwig's angina is the infection of following space:
Paritonsillar
Parapharyngeal
Parotid
Retropharyngeal
Submandibular*
56. 5 year old child presented with midline neck swelling that moves with deglutition and
tongue protrusion. The likely diagnosis is
Goiter
Lingual thyroid
Lymphadenitis
Thyroglossal duct cyst*
Dermoid cyst
57. 15 year old patient presented with bilateral parotid swelling for last 5 days, associated with
fever, mild flue and lethargy, 2 week later patient developed bilateral scrotal swelling with
pain. The likely diagnosis is
Parotid tumor with metastasis
Sialoadenosis
Bacterial parotitis
Sjogren 1 s syndrome
Mumps *
58. On CT scan of PNS, the uncinate process of ethmoid bone articulates with: (IMDC)
Superior turbinate
Middle turbinate
Inferior turbinate *
Ethmoid bone
Palatine bone
59. On IDL examination, Unilateral vocal cord is immobile. The most common cause of
unilateral vocal cord paralysis is (IMDC)
Thyroid surgery*
Thoracic surgery
Stroke
Idiopathic
Tuberculosis
60. A 25 years' patient presented with permanent hoarseness of voice, two nodular swellings
seen on both vocal cords. Which of the following is true? (IMDC)
They are often seen in men
They are mostly bilateral*
They are mostly treated surgically
They are rarely associated with vocal abuse
CO2 LASER is rarely helpful
61. A 25 years old women with a turbulent married life is brought to emergency with 3 hours
history of inability to speak. She is otherwise conscious. IDL shows normal-appearing vocal
cords that fail to adduct on attempted phonation. Her cough is normal. Choose the most
likely pathology from the following? (IMDC)
Bilateral abductor palsy
Vocal cords nodules
Myasthenia gravis
Functional aphonia *
Fixation of cricoarytenoid joint
62. After Thyroid surgery, patient presented with hoarseness of voice, respiratory distress on
exertion. IDL examination will be (IMDC)
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position*
Unilateral cord is in lateral position
Loss of tension in one cord
one cord was normal, other close to midline and immobile
63. In a patient tracheostomy was planned, will help the patient in all except (IMDC)
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cords away from the midline in cadaveric position
Laryngomalacia*
Left Unilateral vocal cord paralysis
Acute epiglottitis
64. In 35 years' patient Voice is good with severe dyspnea (IMDC)
Bilateral recurrent nerve paralysis*
Bilateral superior laryngeal nerve paralysis
unilateral recurrent nerve paralysis
unilateral vagus nerve paralysis
Bilateral Vagus nerve paralysis
65. In 35 years' patient, slight dysphonia without dyspnea (IMDC)
Bilateral recurrent nerve paralysis
Unilateral superior laryngeal nerve paralysis
unilateral recurrent nerve paralysis*
unilateral vagus nerve paralysis
Bilateral Vagus nerve paralysis
66. A 25 years' hawker presented with hoarseness of voice, all are caused by voice abuse
except (IMDC)
Vocal nodules
Reinke’s Edema
Vocal cord polyp
Papilloma larynx*
Chronic hypertrophic laryngitis
67. Internal branch of superior laryngeal nerve pierce (IMDC)
Cricothyroid membrane
Thyrohyoid membrane *
Cricovocal membrane
Aryepiglottic membrane (Fold)
Quadrangular membrane
68. Examination of larynx by palpation includes (IMDC)
Indirect laryngoscopy (IDL)
Fibre-optic laryngoscopy
Laryngeal crepitus *
Direct laryngoscopy
Laryngopharyngoscopy
69. Bell’s palsy not responding to steroid what will be the further line of management? (IMDC)
Increase the dose of steroid
Vasodilators and ACTH
Surgical decompression*
Electrical nerve stimulation
Facial physiotherapy
70. A 20 years old girl presented to ENT OPD with odynophagia and trismus for the last 2 days.
One examination, floor of mouth is swollen & tongue seems to pushed upward &
backward. she has Hx of tooth extraction some days ago. The probable diagnose is (IMDC)
Retropharyngeal abscess
Parapharyngeal abscess
Ludwig’s angina *
Parotid abbess
Dental abscess
71. A 65 years old male presented to ENT OPD with dysphagia to solids from last 2
months .patient is malnourished and gives Hx of gurgling sound is produced on swallowing
. He also complains of undigested food and regurgitation at night. Which investigation will
you carry out to confirm diagnosis? (IMDC)
MRI
CT Scan
Barium swallow *
Blood CP
X ray lateral neck soft tissue
72. “Rat ail “’ appearance is the diagnostic feature of (IMDC)
Hiatus hernia
Pre-vertebral space abscess
Achalasia Cardia *
Plummer Vinson syndrome
Pharyngeal pouch
73. Most common cause of facial nerve paralysis is? (IMDC)
Bell’s palsy*
Cholesteatoma
Mastoidectomy
Parotid surgery
Herpes zoster otitis
74. Slow growing tumor involving the facial nerve is (IMDC)
Warthin tumour
Lipoma
Oncocytoma
Mucoepidermoid carcinoma *
Pleomorphic adenoma
75. Tip of tongue drains into (IMDC)
Sub mandibular node
Deep cervical nodes
Jugulodiagestric nodes
Superficial cervical node
Sub mental lymph node*
76. Chances of Post cricoid CA in patients of Plummer Vinson syndrome IS (IMDC)
30%
10% *
80%
90%
25%
77. Cortical mastoidectomy is also called (IMDC)
Canal wall up mastoidectomy*
Atticotomy
Canal will down mastoidectomy
Modified radical mastoidectomy
Tympanoplasty
78. Adenoidectomy is indicated in all of the following conditions except: (IMDC)
Otitis media with effusion.
Nasal obstruction due to adenoidal hyperplasia.
Allergic rhinitis in children. *
Recurrent otitis media in children.
Sleep apnea syndrome
79. Which statement is CORRECT regarding Juvenile Angiofibroma: (IMDC)
Patients have often had repeated episodes of epistaxis. *
It is a tumour of young girls with a mean age of 14 at presentation.
Bone erosion of the greater wing of the sphenoid does not occur.
Cervical lymphadenopathy is present
External beam radiotherapy is first line treatment.
80. All are causes of congenital STRIDOR except: (IMDC)
Acute epiglottitis *
Laryngeal web.
Subglottic stenosis
Laryngomalacia.
Vascular anomaly.
81. Absolute indication of tonsillectomy is: (IMDC)
Chronic tonsillitis.
Diphtheria carrier.
Obstructive sleep apnea *
Glossopharyngeal neurectomy
Rheumatic fever.
82. Which of the following is not a complication of acute tonsillitis? (IMDC)
Peritonsillar abscess
Bezold’s abscess *
Acute rheumatism
Acute nephritis
Acute infection of middle ear cleft
83. Trismus accompanying Quinsy is due to spasm of which muscle? (IMDC/YMDC)
Masseter
Pharyngeal constrictors
Medial pterygoid *
Temporalis
Palatopharyngeus
84. Indication of tracheostomy: (IMDC)
In all cases of acute laryngitis
In any intubated patient within 3 days
Unilateral Choanal atresia
Bilateral vocal cord paralysis *
If there is suspicion of Laryngomalacia
85. Lymphatic drainage of palatine Tonsil is (IMDC)
Jugulodiagestric *
Prelaryngeal
Jugulo-omohyoid
Sub mental
Para tracheal
86. Commonest causative organism leading to Acute Laryngo-tracheo-bronchitis is (IMDC)
Staphylococcus aureus
Streptococcus
Para influenza *
Corynebacterium diphtheria
H.Influenza
87. A boy 9 years of age presents with a mass in the midline of neck just below the hyoid bone
noted 6 months back. It moves with protrusion of tongue. The most probable diagnosis is:
(IMDC)
Cystic Hygroma.
Thyroglossal duct cyst*
Haemangioma.
Branchial cleft cyst.
Dermoid cyst.
88. Nasal perforation in bony part is caused by (IMDC)
Syphilis *
Atrophic rhinitis
Systemic lupus erythematosis
Tuberculosis
Wagner granulomatosis
89. Regarding bell’s palsy all are true except (RIHS/FMDC)
Chorda tympani may be involved
Idiopathic in nature
Upper motor neurone type paralysis*
Lesion is at Geniculate ganglion
Family history may be important
90. Best treatment for attico antral type of disease is (RIHS/FMDC)
Cortical mastoidectomy
Canal wall down surgery*
atticortomy
myringotomy
Tympnaoplasty
91. The most common malignancy of Oral Cavity is (RIHS)
Adenocarcinoma
Basal cell carcinoma
Squamous cell carcinoma*
Lymphoma
Leiomyosarcoma
92. All are true about Rannula except (RIHS/FMDC)
Swelling of sublingual gland
Retention cyst
Blue in color
Punjent type seen in neck
Is a tumour*
93. Adult male having swelling and pain in left submandibular region aggravates on chewing
especially sore foods for the last 2 years. On bimanual examination, left Submandibular
gland is enlarged and tender. What is the single most probable diagnosis? (RIHS)
Malignant growth left Submandibular gland
Benign growth left Submandibular gland
Stone in left submandibular duct*
Acute Submandibular abscess
Acute sialadenitis
94. Trismus accompanying Peritonsillar abscess is due to spasm of which muscle? (RIHS)
Masseter
Pharyngeal constrictors
Medial Pterygoid*
Temporalis
Lateral Pterygoid
95. A 4 years old male child is suffering from low grade fever and sore throat. On examination,
he has toxic look &has membrane adherent to tonsils and adjoining pharynx which is
difficult to be removed. His pulse is fast and thready. Multiple lymph nodes in neck are also
enlarged. What is the one most probable clinical diagnosis? (RIHS)
Acute follicular tonsillitis
Pharyngeal diphtheria*
Ludwig’s angina
Infectious mononucleosis
Peritonsillar abscess
96. A 48 years old male complains of persistent sore throat more on right side for the last 2
months. It is not responding to antibiotics. On examination of throat an ulcer is seen on
right tonsil. Neck examination reveals enlarged right jugulodigastric lymph node, firm in
consistency but non-tender. Which one is the best investigation to confirm the diagnosis?
(RIHS)
Throat swab for smear examination and culture
Blood CP & ESR
Biopsy and histopathology of lesion *
Bone marrow biopsy
CT Scan
97. Most common pre-operative investigation for Angiofibroma (RIHS/FMDC)
MRI
CT Scan *
Angiography
X-ray nasopharynx
Biopsy
98. A 7 years child who underwent tonsillectomy 5 days ago has reported in Emergency room
with history of high grade fever and bleeding from the throat. The best option regarding
the treatment is (RIHS)
Cautery of bleeding point
Control of bleeding with tight gauze packing
Ligation of the bleeding vessel
Admission + antibiotics
Admission + antibiotics + blood transfusion if required *
99. A young patient presents with history of Dysphagia more to solids than liquids. The First
investigation you will do is (RIHS)
Barium swallow
Esophagoscopy*
Laryngoscopy
CT scan chest
Lateral neck soft tissue x ray
100. Fossa of Rosenmullar is common site for (RIHS)
Angiofibroma
Adenoids
Nasopharyngeal carcinoma*
Nasal polyps
Hypopharyngeal carcinoma
101. A 4 years old child is suffering from dyspnea, stridor & dysphagia. Clinical diagnosis is
Acute Epiglottitis. Which is first and most important step to be taken in this patient? (RIHS)
Start broad spectrum I/V antibiotics
Carry out clinical ENT examination to confirm the diagnosis
Ask for throat swab C/S
Secure airway by intubation/tracheostomy*
Lateral neck soft tissue x ray
102. A 50 year old man who smokes 20 cigarettes a day presents with a 2 month history of
hoarseness and dyspnea. A mass is palpable in neck on right side at level III. What is the
diagnosis? (RIHS)
Carcinoma of larynx*
Intubation granuloma
Thyrotoxicosis
Vocal cord nodules
Vocal cord polyp
103. Early glottis carcinoma is best treated with (RIHS)
Radiotherapy*
Antibiotics
Total laryngectomy
Cryosurgery
Chemotherapy
104. year old boy suddenly developed stridor, difficulty in breathing & Cyanosis while playing
(RIHS)
Acute epiglottitis
Tumour Larynx
Laryngeal Web
Foreign body airway*
Laryngomalcia
105. Commonly used laser in ENT (RIHS)
Carbon dioxide*
ARGON
YAG
KAPT
CRYO
106. A picnic party is going on a riverbank about 35kms away from the town. Suddenly a 35
years old male became severely dysphonic due to impaction of bolus of food in larynx. All
non-provocative procedures have failed to relive dyspnea. The person is becoming
increasingly cyanosed. Which one is the only choice to overcome this problem? (RIHS)
Elective tracheostomy
Cricothyrotomy*
Intubation
Direct Laryngoscopy and removal of foreign body
Laryngeal mask
107. A 17 years old female presents in ENT OPD with complain of a swelling in front of her
neck. On examination, there was a single, non-tender swelling which was moving on
swallowing and on tongue protrusion. What is the most likely diagnosis? (RIHS)
Branchial cyst
Dermoid cyst
Thyroglossal cyst*
Thyroid nodule
Cystic Hygroma
108. A 55 years old female patient has developed hoarseness of voice immediately following
thyroidectomy operation for follicular carcinoma. On indirect Laryngoscopy, left vocal cord
is immobile and lying in cadaveric position. What is one most probable cause? (RIHS)
OR
109. A 55 years old female patient has developed respiratory distress immediately following
thyroidectomy operation for follicular carcinoma. On indirect Laryngoscopy, left vocal cord
is immobile and lying in midline. What is one most probable cause? (RIHS)
Injury to superior laryngeal nerve left side
Infiltration of vocal cord by thyroid carcinoma
Injury to left recurrent nerve*
Injury to both recurrent laryngeal nerves
Injury to superior laryngeal nerve right
110. A 35 years old female patient complains of persistent lump in throat and sticking of food
during swallowing for the last 2 years, X-rays lateral view soft tissue neck, barium swallow,
endoscopy, blood picture, electrolytes, PH and manometery studies have been normal.
What is the possible cause? (IMDC/RIHS)
Severe esophagitis
Gastro esophageal reflux
Globus hystericuspharyngeous*
Hiatus hernia
Plummer Vinson syndrome
111. A 25 years old lady is suffering from progressive dysphagia for solids, of one year duration.
Now she developed hoarseness of voice for few days. On examination she looks anemic,
neck examination NAD. One most probable diagnosis (IMDC/RIHS)
Reflux stricture
Malignant growth oesophagus
Plummer Vinson’s syndrome*
Achlasiacardia
CA hypo pharynx
112. A 28 year’ male presents with recurrent pain in the sore throat and swelling
submandibular region of left side which exaggerates on chewing and especially with soar
food for the last 2 years. On bimanual examination, left submandibular gland is enlarged
and tender.What is the single most probable diagnosis? (IMDC/RIHS)
Malignant growth left submandibular gland
Benign growth left submandibular gland
Calculus left submandibular gland*
Acute submandibular abscess
Ludwig angina
113. Commonly used laser in ENT and in diseases of esophagus and larynx (IMDC)
Carbon dioxide*
Argon
Yag
Kapt
Cryo
114. A 5 year’ old male presented with severe pain in chest during meal and dysphagia for last
5 years. On barium swallow rat tail appearance was seen. Most probable diagnosis. (IMDC)
Carcinoma lower end of esophagus
Plummer winson’ syndrome
Gastro esophageal reflux
Cardiac achalasia*
Foreign body esophagus
115. A 50 year’ old male presented with swelling of right parotid region, facial nerve is intact.
Most common tumour of this gland at this age is. (IMDC)
Pleomorphic adenoma*
Mucoepidermoid
Monomorphic adenoma
Squamous cell carcinoma
Adeno carcinoma
116. A 5 year’ old boy suddenly developed strider and severe odynophagia after sore throat
and had difficulty in lying on bed. How will you confirm the diagnosis? (IMDC)
X-ray soft tissue neck lateral view*
Nasopharyngeal endoscopy
CT scan
MRI
Culture sensitivity with throat swab
117. A 25 year’ old female, talkative in nature, developed permanent hoarseness of voice for
last 3 months. On IDL there was nodular swelling on vocal cords at junction of anterior 1/3 rd
post 2/3rd. Treatment is (IMDC)
Total laryngectomy
Steam inhalation and antibiotics
Steam inhalation and speech therapy
Speech therapy and use of laser*
Speech therapy and micro laryngeal surgery
118. 2nd year MBBS student examining larynx specimen in anatomy lab, he found only one
complete ring. (IMDC)
Which one is that?
Thyroid cartilage
Cricoid cartilage*
Arytenoid
Epiglottis
Corniculate
119. A 25 years old woman with a turbulent married life is brought to emergency with 3 hour
history of inability to speak. She is otherwise conscious. IDL shows normal-appearing vocal
cords that fail to adduct on attempted phonation. Her cough is normal. Choose the most
likely pathology from the following (IMDC)
Bilateral abductor palsy
Vocal cords nodules
Myasthenia gravis
Functional aphonia*
Fixation of cricoarytenoid joint
120. Post thyroidectomy patient presents with hoarseness of voice and severe respiratory
distress, on IDL vocal cords in paramedian position. Which important muscle is for
abduction is paralyzed? (IMDC)
External Cricothyroid
Posterior crico arytenoid*
Vocalis
Inter arytenoid
Thyro arytenoids
121. A 40 year’ old known smoker developed Permanent hoarseness of voice, growth seen on
the right vocal cord. Diagnosis is (IMDC)
Vocal cord nodule
Vocal cord polyp
CA larynx*
Papilloma larynx
Leukoplakia
122. A 50-year-old furniture maker presents with proptosis, swelling over frontoethmoidal
region and repeated left sided episodes of epistaxis for 6 months. What is diagnosis?
(IMDC)
Maxillary sinus carcinoma *
Mucormycosis
Bleeding polypus
Adenoid cystic carcinoma of ethmoid
Maxillary sinusitis
123. A 40 year’ female presents in ENT OPD with severe pain in throat (Right side), On
examination there were red swollen tonsils with yellow spots. Patient also had pain in
right ear. Blood examination revealed the 18000/cm, Neutrophils are 84% What is your
diagnosis? (IMDC)
Acute tonsillitis *
Acute Retropharyngeal abscess
Peritonsillar abscess
Diphtheria
Ludwig’s angina
124. A 14 year’ boy with longstanding discharge from the ear presents with earache, fever,
anorexia, nausea and rigors. He has tenderness and swelling over the left mastoid area.
Mastoid abscess*
Septicemia
Brain abscess
Meningitis
Labyrinthitis
125. Keratosis obturan’ is (IMDC)
Fungal infection
Accumulation of wax over a foreign body
Accumulation of soft cerumen
Faulty migration of squamous epithelial cells *
Hard wax
126. A 7 years child who underwent tonsillectomy 5 days ago has reported in Emergency room
with history of high-grade fever and bleeding from the throat. The best option regarding
the treatment is
Cautery of bleeding point
Control of bleeding with tight gauze packing
Ligation of the bleeding vessel
Admission + antibiotics
Admission + antibiotics + blood transfusion if required *
127. Where are the palatine tonsils located
Oral cavity
Nasopharynx
Hypopharynx
Oropharynx*
Base of tongue
128. Regarding Ranula which is the most appropriate answer
It is a salivery gland cyst
Needs FNA for diagnosis
Most commonly arises from sublingual gland*
Should not be excised surgically
Arises in posterior part of floor of mouth
129. A 22 Yr old girl presented with a progressively increasing swelling in the floor of mouth.
O/E there was smooth, rounded, cystic bluish mass on Lt side of floor of mouth What is
most likely diagnosis
Sebaceous cyst
Squamous cell carcinoma
Ranula*
Dermoid cyst
Periodotal cyst
130. Regarding oral cavity respond to the most appropriate one
Oral thrush is a viral infection
Parotid duct opens into the frenulum
Retention cyst should be excised surgically*
Antibiotics should be given for oral thrush
Common cause of Ludwig’s angina is acute tonsillitis
131. Following is the part of oral cavity (RIHS)
Base of tongue
Lingual tonsils
Vellecula
Soft palate
Retromolar trigone*
132. Oral cavity extends
From lips to posterior of soft palate
b. From base of skull to hard palate
c. From lips to posterior border of hard palate*
d. From hard palate to hyoid bone
e. From lips to posterior faucial pillars
133. A patient was planned for tonsillectomy to approach a cranial nerve in the tonsillar bed.
Which of the following nerve can be approached through this operation?
Hypoglossal nerve
Vagus nerve
Facial nerve
Lingual nerve
Glossopharyngeal nerve*
134. In which of the following conditions “Hot potato” voice is typically seen
Vocal nodules
Cleft palate
Peritonsillar abscess*
Nasal polyps
Growth larynx
135. Following is Not the part of Waldeyer’s Ring
Adenoids
Palatine tonsils
Tubal tonsils
Jugulodigastric lymph nodes*
Lateral pharyngeal bands
136. Anterior faucial pillar is formed by
Palatoglossus muscle*
Palatopharyngeus muscle
Salpingopharyngeus muscle
Superior constrictor muscle
Glossopharyngeus muscle
137. Posterior faucial pillar is formed by (RIHS)
Palatoglossus muscle
Palatopharyngeal muscle*
Salpingopharyngeus muscle
Superior constrictor muscle
Glossopharyngeal muscle
138. Regarding palatine tonsils respond to most appropriate one
Located in nasopharynx
Have no capsule
Crypta megna is located near upper pole*
Have no lymphoid follicles
One in number
139. A 7 Yr child was planned for tonsillectomy. In which of the following plane dissection
should be done
Within the tonsillar tissue
Within superior constrictor muscle
Within loose areolar tissue between capsule & muscle*
Within capsule of the tonsil
Lateral to the superior constrictor muscle
140. The tonsilar bed is formed by
Palatoglossus muscle.
Palatopharyngeus muscle
Tensor palate muscle
Styloglossus muscle.
Superior constrictor muscle*
141. Oropharynx extends
From base of skull to hard palate
From base of skull to soft palate
From base of skull to hyoid bone
From base of skull to lower border of cricoid
From hard palate to hyoid bone*
142. Typical location of Adenoids is
Lateral & posterior wall of oropharynx
Lateral wall of nasopharynx
Posterior & lateral wall of nasopharynx
Roof & posterior wall of nasopharynx*
Lateral wall of hypopharynx
143. Most common presenting symptom of enlarged adenoids is
Hyposmia
Earache
Mouth breathing*
Hearing loss
Prominent upper incisors
144. Inferior constrictor muscle of the pharynx takes origin from
Hyoid bone
Mandible
Maxilla
Thyroid and cricoid cartilage*
Arytenoid Cartilage
145. Regarding Quinsy what is the most appropriate
Pus collects outside superior constrictor muscles.
Trismus is its characteristic feature*
There is swelling in the neck
Incision is made in the middle of the tonsil for incision/drainage.
It is bilateral
146. A 7 Yr boy was diagnosed as a case of Acute tonsillitis Which bacterial organisms are most
common cause of this condition
H influenza
β hemolytic streptococcus*
Morexella catarrhalis
Staph aureus
Pseudomonas.
147. In Acute Tonsillitis, there is
Low grade gradual onset fever
Membrane covering the tonsil and extending to soft palate
Leucopoenia
Indication for Tonsillectomy if two attacks in a year
Odynophagia*
148. A 20 Yr male patient presented with severe left sided pain throat, fever, odynophagia,
trismus & dribbling of saliva for 3 days. What is the most likely diagnosis
Acute Epiglottitis
Acute tonsillitis
Peritonsillar abscess*
Acute retropharyngeal abscess
Acute pharyngitis
149. Peritonsillar abscess is differentiated from acute tonsillitis by:
Pain Throat
Trismus*
Leukocytosis
High grade fever
Odynophagia
150. A 14 Yr girl reported in ENT OPD with H/O severe pain throat, high grade fever & chills O/E
both tonsils were congested & covered with pus spots What is the most likely diagnosis
Ac Catarrhal tonsillitis
Ac Follicular tonsillitis*
Ac Membranous tonsillitis
Pharyngeal Diphtheria
Agranulocytosis
151. Tonsillectomy is a very common but nonetheless controversial operation. Which of the
following are accepted criteria which would justify tonsillectomy?
Peritonsillar abscess*
Crypts over the tonsils
Bilateral non-obstructing hypertrophy
Cleft palate
Recurrent tonsillitis 3 episodes in last one and a half year
152. Regarding tonsillectomy what is the most appropriate
Is almost completely painless with modern technique.
Is indicated in children with two episodes of acute tonsillitis
Can be complicated by fatal bleeding*
Is helpful in the management of poor general health e.g. Low weight/height
Should now be reserved for children with immunodeficiency
153. The most common cause for pharyngeal and oral ulceration is
Behcet disease.
Aphthous ulcers*
Tuberculous ulcers.
Syphilitic ulcer
Carcinomatous Ulcer
154. The earliest and commonest complication of diphtheria is
Cardiac failure
Palatal paralysis.
Laryngeal obstruction*
Acute nephritis
Diplopia
155. In diphtheria, the antitoxic serum is given
To neutralize the circulating titoxin*
To neutralize the fixed antitoxin
To kill the diphtheria bacilli.
To prevent further attack
To prevent Laryngeal Obstruction
156. The site of incision for drainage of Quinsy is :
On Posterior pharyngeal wall
At inferior pole of tonsil..
Through the crypta magna of the tonsil.
Along the horizontal line drawn at base of Uvula and Vertical line along anterior pillar*
Along the horizontal line drawn at base of Uvula and Vertical line along posterior pillar
157. A 20 year-old man with poor dentition is found to have an acute onset of a swollen,
tender, boardlike mass in the submental and submandibular spaces. His anterior floor of
mouth rises above the level of his mandibular incisors. His airway is tenuous. What is most
likely diagnosis?
Vincent's angina
Ludwig's angina*
Prinzmetal's angina
Parapharygeal space abscess
Angina Pectoris
158. Chronic Retropharyngeal Abscess
Is secondary to peritonsillar abscess.
Penicilline is the drug of choice
Is disease of children.
Causes dysphonia
Is associated with caries spine*
159. A 60 Yr male patient presented with a malignant tumour of the oral cavity What is the
most likely histology of the tumour at this site
Adenoid cystic carcinoma
Lymphoma
Squamous cell carcinoma*
Mucoepidermoid carcinoma
Sarcoma
160. Most important contraindication to tonsillectomy is
H/O peritonsillar abscess
Hemoglobin 11 Gm%
Acute upper respiratory infection*
Age less than 6 yrs
Fibrotic tonsils
161. Which of the following condition predominantly occurs in children below three years of
age?
Acute retropharyngeal abscess*
Chronic retropharyngeal abscess
Parapharyngeal abscess
Peritonsillar Abscess
Apical tooth abscess
162. The nasopharynx lies below the
Base of skull*
Nose
Hard palate
Hyoid bone
Hypopharynx
163. Following laryngeal cartilage never calcifies
Thyroid cartilage
Epiglottis*
Cricoid cartilage
Cuneiform cartilage
Arytenoid cartilage
164. The only intrinsic laryngeal muscle innervated by the superior laryngeal nerve is the:
Cricothyroid*
Thyroarytenoid
Lateral cricoarytenoid
Posterior cricoarytenoid
Interarytenoid
165. Following intrinsic muscle of larynx is Not supplied by recurrent laryngeal nerve
Cricothyroid*
Thyroarytenoid
Lateral cricoarytenoid
Posterior cricoarytenoid
Interarytenoid
166. Normal colour of the true vocal cords is
Pink
Velvety
White
Pearly white*
Red
167. Sensory supply of larynx above the vocal cords is
External branch of superior laryngeal nerve
External branch of recurrent laryngeal nerve
Internal branch of superior laryngeal nerve*
Vagus nerve
Hypoglossal nerve
168. Following muscle is the only abductor of the larynx
Posterior cricoarytnoid*
Lateral cricoarytnoid
Thyroarytnoid
Cricothyroid
Interarytnoids
169. Most common site for impaction of a foreign body in airway is
Trachea
Larynx
Right main bronchus*
Left main bronchus
Carina
170. Following is quite significant sign of foreign body airway
Pooling of saliva in pyriform fossae
Wheeze
Laryngeal crepitus
Decreased air entry*
Increased air entry
171. Some foreign body got impacted in Rt main bronchus of a 6 Yr old boy Which of the
following foreign body is most harmful for the patient
Plastic whistle
Metallic screw
Peanut*
Piece of spongston
Plastic bead
172. Symptoms of larynx Do Not include.
Difficulty in breathing
Difficulty in swallowing*
Stridor
Wheezing
Hoarseness
173. Regarding larynx which of the following is most appropriate
All Laryngeal diseases typically presents with hoarseness.
Voice is produced by vibration of the Aryepiglottic fold
The vocal cords abduct from the midline to prevent aspiration of fluids into the lungs.
Laryngeal obstruction is quickly fatal unless an alternative airway is established.*
Indirect laryngoscopy requires the use of a rigid endoscope.
174. The following laryngeal cartilage has complete ring
Corniculate
Cunieform
Thyroid
Epiglottis
Cricoid*
175. Adam’s apple is formed by
Corniculate Cartilage
Cricoid Cartilage
Cunieform Cartilage
Epiglottis Cartilage
Thyroid Cartilage*
176. Both Vocal cords are near midline during
Expiration*
Speaking
Sleeping
Running
At rest
177. After a road traffic accident, a 20 Yr boy sustained severe injury on his neck. While being
shifted to hospital he died What is the most common cause of his death
Spinal cord injury
Respiratory obstruction*
Injury to the vagus nerve
Heamorrhage
Injury to carotid vessels
178. A professional wrestler comes to the ER after receiving a kick on the larynx at the hands of
another wrestler. The patient is experiencing progressively worsening stridor and air-
hunger. He has subcutaneous emphysema from his mandible to his nipples. He coughs up
some blood and begins to look worse. What is your next step in management?
Depends on the result of blood gas measurements
Barium swallow
CT scan of the larynx
X-Ray Chest
Tracheostomy*
179. Initial Signs of Laryngeal injury in mass trauma are
Obvious*
Rare to find
Most common
Subtle
Not important.
180. Most important sign in laryngeal injury diagnosis
Gross bleeding
Massive Trauma
Pain Neck
Discoloration of Skin Neck
Surgical Emphysema*
181. Common Cause of death on the spot in RTA is
Cervical Spine Injury
Foreign Body Tracheobronchial Tree.
Vascular Injury Neck
Epistaxis
Laryngeal Injury*
182. Monitoring in Laryngeal Injury includes
Serial laryngoscopy
Repeated CT Scan
Close observation of increase in Emphysema
Any Increase in Pain Neck
Signs of dyspnea (Pulse Rate / Stridor / Dyspnoea / Blood de oxygenation)*
183. Vocal nodules are formed at Extended Matching
Middle of true vocal cords
Junction of anterior 1/3 & posterior 2/3 of false vocal cords
Junction of anterior 1/3 & posterior 2/3 of true vocal cords*
Junction of anterior 2/3 & posterior 1/3 of true vocal cords
Junction of anterior 2/3 & posterior 1/3 of false vocal cords
184. In a 20 years old female, Voice is good with dyspnoae, in.
Bilateral vocal cord paralysis with vocal cords near the midline*
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
Laryngomalacia
Unilateral vocal cord paralysis
Carcinoma Hypopharynx
185. Voice is hoarse in the beginning but recovers with passage of time.
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
Laryngomalacia
Unilateral vocal cord paralysis*
Carcinoma Hypopharynx
186. Stridor but tracheostomy has no role to play in
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
Laryngomalacia*
Unilateral vocal cord paralysis
Carcinoma Hypopharynx
187. There is hoarseness of voice in
Bilateral recurrent laryngeal nerve paralysis
Papiloma Epiglottis
Carcinoma Pharynx
Carcinoma Glottis*
Carcinoma false vocal cords
188. In one of the following Voice may be good without dyspnoe.
Bilateral vocal cord paralysis with vocal cords near the midline. (Bil. Recurrent Nerve
Paralysis)
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
(Bil. Combined Paralysis of laryngeal nerves)
Laryngomalacia
Left unilateral vocal cord paralysis*
Reinke’s oedema
189. Voice is good with dyspnoae in
Bilateral vocal cord paralysis with vocal cords near the midline. ( Bil. Recurrent Nerve
Paralysis)*
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
(Bil Combined Paralysis of laryngeal nerves)
Left unilateral vocal cord paralysis
Reinke’s oedema
Superior Laryngeal nerve paralysis.
190. Voice abuse has no role to play in;
Reinkes Oedema
Vocal cord Polyp
Papilloma larynx*
Singer’s node.
Laryngitis
191. Hoarseness occurs in
Tumour of epiglottis
Swelling of vestibular fold
Haemangioma of subglottis
Vocal nodules*
Bronchitis
192. Voice is hoarse in the beginning but recovers with passage of time
Bilateral vocal cord paralysis with vocal cords near the midline. ( Bil. Recurrent Nerve
Paralysis)
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
(Bil Combined Paralysis of laryngeal nerves)
Laryngomalacia
Left unilateral vocal cord paralysis*
Vocal Cord Polyp
193. Unilateral vocal cord paralysis causes
Aspiration
Stridor
Dyspnoea
Dysphagia
Hoarseness*
194. A 50 years old singer who smokes 30 cigarette a day has hoarseness for last 20 days.
Which one of the following will you rule out first?
Singer’s node
CA Larynx*
Vocal cord Papilloma
Reinke’s Oedema
Laryngitis
195. Regarding carcinoma Larynx respond to most appropriate
Is commoner in women
May present with airway obstruction*
Histopathology is usually adenocarcinoma
Is cured by chemotherapy
Prognosis is poor for glottis carcinoma
196. The commonest malignant tumour of ENT is
Squamous Cell carcinoma*
Basal Cell Carcinoma
Adenoid cystic Carcinoma
Adenocarcinoma
Sarcoma
197. 211-212-213 Select the three characteristics of T2 N0 M1 Squamous Cell Carcinoma Larynx
Medium size tumour
Curative treatment is available for the tumour.
Symptoms of malignancy are present
Metastases to lymph nodes are present
Tumour extend to two site of larynx*
Hoarseness is present
Systemic metastases are present
Patient is weak cachectic emaciated
Tumor has spread locally beyond the Larynx*
198. The presentation for Squamous cell carcinoma Larynx includes.
Non healing ulcer*
Laryngeal spasm
Stridor
Dysphagia
Wheezing
199. Pre-malignant condition in head and Neck includes.
Chronic Tonsillitis
Papilloma oropharynx
Atrophic Rhinitis
Plummer Vinson Syndrome*
Oroantral fistula
200. A patient with Foreign body trachea will have
Inspiratory stridor
Expiratory stridor*
Biphasic stridor
Hoarseness of voice
Dysphagia
201. A 3 Yr boy was brought with H/O swallowing a 5-rupee coin two hours back He c/o
difficulty in swallowing What is the most likely site of impaction of the coin (RIHS)
Larynx
Lower (cardiac) end of oesophagus
Rt main bronchus
Upper end (cricopharyngeus) of oesophagus*
Vellecula
202. The most common cause of a neck mass in males over 60 years of age is:
Metastatic carcinoma*
Brachial cleft cyst
Laryngocoele
Bacterial lymphadenitis
Carotid aneurysm
203. You have been promoted to Otolaryngology resident. Your call night begins with a page to
the pediatric intensive care unit. They have a 2-month-old with stridor. The PICU staff
suspect laryngomalacia. If so, laryngoscopy would reveal:
Vocal cord paralysis
No visible lesion as laryngomalacia is a neuromuscular disorder
Aryepiglottic fold flaccidity and an "omega" shaped epiglottis*
Pinhole airway at the subglottis
A thin, perforate epiglottis
204. In trying to determine which patients will have bleeding problems associated with
tonsillectomy, the most complete and cost-effective method is:
CBC, platelet count, and bleeding time*
Platelet count
Bleeding time
Prothrombin time and partial thromboplastin time
Careful history
205. You escort your patient to the recovery room after total thyroidectomy. Removal of the
endotracheal tube is followed by severe airway obstruction and stridor. The drain is
functional, and the wound looks fine. The most likely diagnosis is:
Subglottic edema*
Subglottic spread of cancer
Laryngospasm
Arytenoid dislocation
Bilateral vocal cord paralysis
206. A 3-year-old female recovering from a URI develops mild airway compromise, fever, and a
muffled cry. Her exam is notable for a stiff neck and a bulging mass just off the midline of
the posterior pharynx visible through the mouth. You treat her with:
Antibiotics
Ice water pharyngeal irrigation and antibiotics
"Hot" tonsillectomy
Decompressive laminectomy for spiral osteomyelitis
Drainage of her retropharyngeal abscess *
207. A boisterous (Loud, noisy, and lacking in discipline) 5 year-old male with a 3 month history
of hoarseness is found to have bilateral tiny swellings at the junction of the anterior and
middle third of the vocal cords bilaterally. Both his parents are smokers. He has:
Granulomatous laryngitis
Vocal nodules*
Vocal polyps
Respiratory papillomas
Chondosarcoma of the larynx
208. There is hoarseness of voice in
Bilateral recurrent laryngeal nerve paralysis
Papiloma epiglottis
Carcinoma pharynx
Carcinoma glottis *
Tracheostomy
209. Examination of Larynx by palpation includes. (IMDC)
Indirect Laryngoscopy.
Fibre-optic Laryngoscopy.
Laryngeal Crepitus *
Direct Laryngoscopy
Examination by tongue depressor.
210. In Injuries of Larynx priority is
Laryngeal repair of mucosa
Reduction of fractured cartilages
Tracheostomy*
Correction of hoarseness of voice
prevention of hoarseness of voice
211. An elective Tracheostomy was planned in a 40 Yr male before surgery on oral cavity. What
is the most ideal site to open the trachea?
Immediately below the cricoid cartilage
Between 1st & 2nd tracheal rings
Between thyroid & cricoid cartilage
Between 3rd & 4th tracheal rings*
Any visible tracheal ring
212. After tracheostomy a 23 Yr female developed perichondritis of cricoid cartilage What
could be the most common reason for this complication
Antibiotics had not been prescribed
Regular suction was not done
High tracheostomy was performed*
Patient was weak & anaemic
Trachostomy tube was made of irritant material
213. A young male met a road traffic accident & developed respiratory distress & cyanosis. A
doctor in BHU immediately performed Mini tracheostomy. In which part incision is made
for this procedure
Cricoid cartilage
Thyroid cartilage
Cricothyroid membrane*
Thyrohyoid membrane
Cricotracheal membrane
214. Recurrent laryngeal nerve is motor to all of the intrinsic muscles of the larynx except:
Vocalis muscle
Posterior cricoarytenoid muscle
Lateral cricoarytenoid muscle
Cricothyroid muscle*
215. The only abductor muscle in the larynx is:
Sternothyroid muscle
Lateral cricoarynoid muscle
Cricothyroid muscle
Posterior cricoarynoid muscle*
216. Secondary post-tonsillectomy bleeding is due to:
Incomplete removal
Foreign body aspiration
Sepsis*
Posterior nasal packing
217. Pharyngeal diverticulum occurs through:
The superior constrictor muscle
The middle constrictor muscle
The inferior constrictor muscle*
Palatopharyngus muscle
218. Unilateral vocal cords paralysis may occur due to:
Viral infection
Thyroidectomy
Mediastinal lesion
All of the above*
219. Cortical mastoidectomy is indicated in:
Acute mastoiditis not responding to medical treatment*
Bezold’s abscess
Mastoid abscess
All of the above
220. Stapedectomy is the operation of the choice in:
Atelactatic middle ear
Meniere's disease
Otosclerosis*
Secretory otitis media
221. Acute pulmonary edema occurring on opening of the trachea during tracheostomy is due
to:
Sudden drop of pressure in the tracheobronchial tree and lungs*
Sudden wash of carbon dioxide
Injury of the esophagus
None of the above
222. The commonest cause of esophageal stenosis in children is:
Corrosive intake*
Carcinoma
Achalasia of the cardia
Diphtheria
223. The inferior constrictor muscle of the pharynx takes origin from:
Hyoid bone
Mandible
Maxilla
Thyroid and cricoid cartilages*
224. Apnea immediately after tracheostomy is treated by:
Multiple skin incisions
Inhalation of oxygen *
Temporary closure of the tracheostomy opening
Intubation
225. Multiple papillomata of the larynx is characterized by the following except:
Occurs in children
Affect only the glottic area *
Recurrence is common
Best treated by laser
226. The main arterial supply of the tonsil is derived from:
Sphenopalatine arterytoward
Maxillary artery
Facial artery *
Internal carotid artery
227. The constrictor muscles of the pharynx are responsible for:
Deglutition*
Aspiration
Glottic closure
Reflux disease
228. Tonsillectomy is contraindicated in:
Cervical lymphadenopathy
Meniere’s disease
Enlarged adenoid
Blood diseases*
229. Enlarged adenoids causes all the following:
Adenoid facies*
Sleep apnea
Secretory otitis media
Plummer Vinson syndrome
230. Early glottic carcinoma is best treated by:
Radiotherapy*
Total laryngectomy
Antibiotics
Cryosurgery
231. On tracheostomy, apnea developed after incising the trachea is due to:
Sudden wash of CO2 in the trachea*
Sudden release of the pressure in the trachea
Reflex vagal stimulation
Non of the above
232. The most common cause of esophageal stricture in children is:
Esophageal carcinoma
Diphtheria
Achalasia of the cardia
Corrosive intake*
233. Stridor means:
Difficult expiration
Difficult inspiration
Both*
Dyspnea
234. Tonsillectomy is absolutely contraindicated in:
Menstruation
Upper respiratory tract infection*
Quinsy
Bleeding disorders
235. The following are signs of chronic tonsillitis except:
Enlarged cervical lymph nodes
Inequality of the size of the tonsils
Pus in the tonsillar crypts
Edema of the uvula *
236. In multiple laryngeal papillomata, all of the following are true Except:
Occurs in children
Affects only the glottic area*
Recurrence is common
Best treated by laser surgery
237. T.B of the larynx mostly affects:
Posterior part of the larynx*
Supraglottis
Anterior part of the larynx
Subglottis
238. Reactionary hemorrhage after tonsillectomy is caused by:
Incomplete removal
Slipped ligature *
Extubation spasm
Nasal obstruction
239. The most serious complication following adenotonsillectomy is:
Reactionary hemorrhage*
Respiratory obstruction
Respiratory infection
Non of the above
240. All the following are signs of chronic tonsillitis except:
Inequality of size
Congested anterior pillars
Presence of crypts over the medial tonsillar surface*
Enlarged cervical lymph nodes
241. Laryngoscleroma is characterized by:
Subglottic stenosis *
Vocal cord paralysis
Mouth ulceration
Cervical lymph node
242. Stridor in children can be caused by:
Chronic tonsillitis
Acute rhinitis
Deviated nasal septum
Inhaled foreign body*
243. Tonsillar artery is a branch from
Lingual artery
Maxillary artery
Facial artery*
Occipital artery
244. Inferior constrictor muscle of the pharynx takes origin from:
Hyoid bone
Mandible
Maxilla
Thyroid and cricoid cartilages*
245. The pharyngeal pouch passes through:
Superior constrictor muscle
Killian dehiscence*
Middle constrictor muscle
Hyoid bone
246. The usual cause of reactionary post-tonsillectomy bleeding is:
Slipped ligature *
Wound infection
Tonsillar remnant
Early extubation
247. Which of the following arteries does not contribute to Keisselbach’s plexus? (IMDC)
Greater palatine artery
Ascending palatine artery*
Sphenopalatine artery
Anterior ethmoidal artery
Superior labial artery
248. Which of the following pathogen is most commonly involved in acute epiglottitis? (IMDC)
Streptococcus pneumoniae
Pseudomona Aeroginosa
Haemophillus Influenzae*
Parainfluenza virus A and B
Staphylococcus aureus
249. Which of the following is not an option for maintaining airway in case of acute epiglottitis?
(IMDC)
Propped up position
Endotracheal intubation
Tracheostomy
Oropharyngeal airway*
Intravenous corticosteroids
250. A child suffering from fever and sore throat developed hoarseness, cough, inspiratory
stridor and dyspnea. Examination revealed an adherent grayish white membrane over
pharynx and soft palate. What is the most likely diagnosis? (IMDC)
Laryngeal diphtheria*
Infectious mononucleosis
Acute membranous tonsillitis
Laryngomalacia
Acute laryngo-tracheo-bronchitis
Old age
251. Which of the following conditions is not an indication for tracheostomy? (IMDC)
Airway obstruction
Retained secretion
Dead space reduction
Foreign body esophagus*
Foreign body trachea
252. A patient with prolonged airway obstruction underwent tracheostomy under local
anaesthesia. Just after insertion of tracheostomy tube he developed apnea. Which of the
following explanation is correct about this condition? (IMDC)
Compression of trachea
Tracheo-esophageal fistula
Sudden washing out of carbon dioxide*
Vaso-vagal shock
Hypovalemia due to hemorrhage
253. Which of the following arteries do not supply palatine tonsils? (IMDC)
Tonsillar branch of facial artery
Ascending pharyngeal artery
Descending palatine artery
Sphenopalatine artery*
Dorsal lingual artery
254. Which of the following bacteria is most commonly involved in acute tonsillitis? (IMDC)
Haemolytic streptococcus*
Pseudomonas aeroginosa
Proteus mirabilis
Staphylococcus aureus
Corynebacteria diphtheria
255. What is the mechanism of myocardial and neurological complication of faucial diphtheria?
(IMDC)
Exotoxin*
Endotoxin
Bacterial endocarditis
Rheumatic carditis
Autoimmune carditis
256. What is the space between the tonsil capsule and tonsillar bed called? (IMDC)
Parapharyngeal space
Retropharyngeal space
Submandibular space
Peritonsillar space*
Submental space
257. Another name for a peritonsillar space abscess is: (IMDC)
Retrotonsillar abscess
Post-tonsillar abscess
Quinsy*
Ludwig’s angina
Vincent’s angina
258. Which cranial nerve supply sensory fibers to the palatine tonsils? (IMDC)
Vagus nerve (CN-X)
Glossopharyngear nerve (CN-IX)*
Maxillary division of trigeminal nerve (CN-V2)
Hypoglossal nerve (CN-XII)
Facial nerve (CN-VII)
259. Which of the following is the absolute indication for tonsillectomy? (IMDC)
Chronic tonsillitis
Acute tonsillitis
Suspicion of malignancy*
Diphtheria
Glossopharyngeal neurectomy
260. A post-tonsillectomy patient complains of pain in the ear after surgery. What is the most
appropriate explanation? (IMDC)
Tympanic membrane perforation
Trauma to the temporomandibular joint
Acute otitis media
Referred pain from glossopharyngeal nerve*
Trauma to maxillary teeth
261. The organisms involved in Vincent’s angina are a fusiform bacillus and a spyrochaete
named: (IMDC)
Borrelia Bergdorfery
Borrelia Vincentii*
Chlamydia Psitasii
Mycoplasma pneumonia
Chlamydia vincentii
262. What is the etiology or oral thrush? (IMDC)
Herpes zoster virus
Herpes simplex virus
Fusiform bacillus
Candida albican fungus*
Staphyllococcus aureus
263. A child suffers from sore throat with odynophagia, fever and malaise. On examination
there are clusters of vesicles and ulcers on the hard palate. What is the most likely
diagnosis? (IMDC)
Herpes Simplex infection*
Herpes zoster infection
Oral candidiasis
Aphthous ulcers
Pemphigus vulgaris
264. What is ranula? (IMDC)
Benign neoplasm of sublingual salivary gland
Malignant neoplasm of sublingual salivary gland
Calculus od submandibular salivary gland
Retention cyst of sublingual salivary gland*
Dermoid cyst of floor of the mouth
265. A 35 years old trumpet blower complains of hoarseness, cough and occasional respiratory
obstruction. On examination there is a reducible swelling on the left side of the neck at the
level of thyroid cartilage which increases in size with cough and Valsalva. What is the most
likely diagnosis? (IMDC)
Saccular cyst
Laryngocele*
Metastatic lymph node
Solitary thyroid nodule
Cricothyroid bursitis
266. Which of the following is the commonest site of involvement in squamous cell carcinoma
of the larynx? (IMDC)
Epiglottis
Supraglottis
Glottis*
Subglottis
Aryepiglottic folds
267. Which of the following factor is not incriminated in the causation of laryngeal carcinoma?
(IMDC)
Cigarette smoking
Alcohol
Asbestos
Radiations exposure
Professional voice users*
268. A malignant tumor with vocal cord fixation is staged as: (IMDC)
Stage T1
Stage T2
Stage T3*
Stage N2
Stage T4
269. Lymphatic metastasis of a squamous cell carcinoma of larynx primarily involves which
group of lymph nodes? (IMDC)
Pretracheal and paratracheal nodes*
Submental and Submandibular nodes
Mediastinal group of lymph nodes
Posterior triangle lympoh nodes
Parotid and preauricular nodes
270. Which of the following carcinoma of larynx does not metastasize? (IMDC)
Squamous cell carcinoma
Verrucus carcinoma*
Transitional cells carcinoma
Large cells tumor
Small cells tumor
271. Which of the following glands is predominantly involved in the formation of salivary
stones? (IMDC)
Parotid glands
Submandibular glands*
Minor salivary glands
Weber glands
Palatine glands
272. What is the most common etiology of acute supporative parotitis? (IMDC)
Paramyxovirus (Mumps virus)
Staphylococcus aureus*
Mycobacterium tuberculosis
Actinomyccosis
Aspergillus nigra
273. Which of the following is the most common benign tumor of salivary glands? (IMDC)
Warthin tumor
Oncocytoma
Pleomorphic adenoma*
Cystic hygroma
Haemangioma
274. A patient undergoing parotidectomy for a pleomorphic adenoma complained of severe
distress due to sweating and flushing of the preauricular skin while eating food. What is the
diagnosis? (IMDC)
Crocodile tears
Frey’s syndrome*
Drugs induced sweating
Hyperthyroidism
Facial nerve impairment
275. A child was choked by a large foreign body stuck in the throat, was unable to cry and
asphyxiating. What immediate measure you need to take? (IMDC)
Pass an Endotracheal tube.
Perform emergency tracheostomy
Perform Heimlich maneuver*
Perform cricothyrotomy
Perform Laryngo-tracheo-bronchoscopy
276. What is the surgical treatment of a squamous cell carcinoma of palatine tonsil? (IMDC)
Tonsillectomy
Tonsillectomy with excision of uvula and anterior pillar
Tonsillectomy with excision of base of tongue
Commando operation*
Laser evaporation
277. What is the indication of Dohlman’s procedure? (IMDC)
Pharyngeal pouch*
Post-cricoid tumor
Tumor of pyriform sinus
Laryngocele
Branchial fistula
278. Which of the following conditions is an important etiological factor in post-cricoid
carcinoma? (IMDC)
Corrosive burns
Chronic gastro-esophageal reflux
Iron deficiency anemia*
Chronic obstructive pulmonary disease
Cystic fibrosis
279. Subepithelial space of the membranous vocal cords is called? (IMDC)
Rima Glottis
Glottic space
Paraglolttic space
Reinke’s space*
Pre-tracheal space
280. Which age group is most commonly effected by Acute layngo-tracheo-bronchitis? (IMDC)
6 month to 3 years*
3 years to 5 years
5 to 10 years
10 years and above
281. Greisinger’s sign means:
Pain over the tempromandibular joint
Pain in the eye
Pain and tenderness over the mastoid*
Pain and tenderness over the auricle
282. An adult presented with acute onset dysphagia, edema of the uvula and palate, medially
pushed tonsil and trismus is most likely to have:
Parapharyngeal abscess
Acute retropharyngeal
Quinsy*
Chronic retropharyngeal abscess
283. Absent laryngeal click may suspect:
Supraglottic carcinoma*
Pyriform fossa tumor
Subglottic cancer
Post-cricoid carcinoma
284. Quinsy is suppuration in:
Parapharyngeal space
Peritonsillar space*
Retropharyngeal space
Submandibular space
285. Griesinger’s sign is positive in:
Acute petrositis
Acute sinusitis
Acute labyrinthitis
Lateral sinus thrombophlebitis*
286. Kernig’s sign is present in:
Otitic meningitis*
Otitic brain abscess
Otitic hydrocephalus
All of the above
287. What is the origin of antrochoanal polyp? (YMDC)
Ethmoidal sinus
Uvulal sinus
Maxillary sinus*
Sphenoid sinus
All of the above
288. What is the most common site for origin of nasopharyngeal angiofibroma? (YMDC)
foramen ovate
posterior wall of the nasopharynx
roof of the nasopharynx
sphenopalatine foramen*
pterygopalatine fossa
289. In which of the following demographic groups nasopharyngeal angiofibroma is most
commonly seen? (YMDC)
middle age female
middle age male
teenage female
teenage male*
female child
290. What is the level for the lower limit of the pharynx in adults? (YMDC)
5th cervical vertebra
6th cervical vertebra*
1st thoracic vertebra
2nd thoracic vertebra
3rd thoracic vertebra.
291. Which of the following lymph nodes receives lymphatic drainage from the palatine
tonsils? (YMDC)
jugulo-omohyoid lymph node
jugulodigastric lymph node*
supra-digastric lymph node
supra-clavicular lymph node
sub-omohyoid lymph node
292. Some surgery was performed on a patient and post-operatively he complained of loss of
taste sensation on the anterior two third of the tongue. Which of the following surgery was
most likely done on this patient? (YMDC)
adenoidectomy
mastoidectomy *
parotidectomy
tonsillectomy
rhinoplasty
293. 'Hot potato voice' is typically seen in cases of (YMDC)
cleft palate
hypertrophied adenoids
vocal nodules
vocal cord paralysis
peritonsillar abscess*
294. On examination of n 35-year-old lady, laryngeal crepitus was found to be present. What is
the most likely possibility in this patient? (YMDC)
foreign body in the hypopharynx
fracture of the laryngeal cartilages
normal larynx and hypopharynx*
post-cricoid tumor
laryngeal carcinoma
295. A 4-year-old girl came in ER and was clinically suspected to be suffering from pharyngeal
diphtheria. What complications can occur if diphtheria antitoxin is not given immediately?
(YMDC)
myocarditis and muscle paralysis*
nephritis and electrolyte imbalance
peripheral neuronitis is and deafness
pleural effusion and pneumonia
all oldie above
296. A 17-year-old female patient presented with acute tonsillitis for last 3 days. What is the
most common bacterial organism for this condition? (YMDC)
pneumococcus
haemophilus influenza
Moraxella catarrhalis
haemolytic streptococcus*
staphylococcus
297. Characteristic spotted appearance of the tonsil is seen in (YMDC)
acute catarrhal tonsillitis
acute parenchymatous tonsillitis
acute follicular tonsillitis *
acute membranous tonsillitis
tuberculous tonsillitis
298. A 39-year-old male patient was planned for tonsillectomy to approach a cranial nerve in
the tonsillar bed. Which of the following nerves can be approached by tonsillectomy
operation? (YMDC)
lingual nerve
hypoglossal nerve
vagus nerve
glossopharyngeal nerve*
accessory nerve
299. A 9-year old boy presented with grossly enlarged adenoids. On examination he also had
adenoid facies. Which of the following is a typical feature of such condition? (YMDC)
open mouth *
pooling of saliva
prominent molars
wide open nostrils
frontal bossing
300. Plain X-ray nasopharynx lateral view was done in a 8-year-old girl which showed grossly
enlarged adenoids. What will be the typical voice of this patient? (YMDC)
buccal voice*
nasal voice
hoarse voice
oesophageal voice
hot potato voice
301. The treatment of chronic retropharyngeal abscess is (YMDC)
incision and drainage through oral cavity
incision and drainage through neck *
intra-venous antibiotics
abscess tonsillectomy
adenoidectomy
302. The most common complication of Ludwig's angina Is (YMDC)
lower respiratory tract infection
retropharyngeal abscess
laryngeal oedema
parapharyngeal abscess *
mediastinitis
303. A 20-year-old girl presented with a progressively increasing swelling in the flour of the
mouth for last 6 months. On examination there was a large, smooth, rounded and bluish
swelling seen on the right side of the floor of the mouth. What is the treatment of choice in
this patient? (YMDC)
medical or conservative
incision and drainage
partial glossectomy
excision of submandibular gland
marsupialization *
304. A 40-year-old male patient presented with a lesion in the oral cavity for which surgery was
advised. Patient refused surgery but later presented with malignant change in the lesion.
What is the most likely possibility for the primary lesion? (YMDC)
leukoplakia
oral sub-mucous fibrosis
erythroplakia*
lichen planus
ranula
305. A 52-year-old male patient presented with a malignant tumor of the oral cavity. What is
the most likely pathology at this site? (YMDC)
adenoid cystic carcinoma
lymphoma
melanoma
muco-epidermoid carcinoma
squamous cell carcinoma*
306. what is the most common site for origin of squamous cell carcinoma of the tongue?
(YMDC)
tip of the tongue
dorsum of the tongue
lateral margin of the tongue*
anterior half of the tongue
posterior one third of the tongue
307. A 38-year-old male patient was diagnosed as a case of salivary calculus. What is the most
common site of stone formation in salivary gland? (YMDC)
deep lobe of parotid
superficial lobe of parotid and its duct
submandibular gland and its duct*
sublingual gland
minor salivary glands
308. A 30-year-old female patient presented with xerophthalmia, xerostomia and connective
tissue disorder. What is the most likely diagnosis? (YMDC)
primary Sjogren's syndrome
secondary Sjogren's syndrome *
viral parotitis
all of the above
none of the above
309. Which of the following antibiotic is secreted in salivary secretions? (YMDC)
ofloxacin
erythromycin
clindamycin
amoxicillin
cephradine *
310. The commonest benign tumour of salivary gland is (YMDC)
oncocytoma
Warthin stumour
lymphangioma
neurofibroma
pleomorphic adenoma*
311. Squamous cell carcinoma of larynx can spread in regional lymph nodes causing nodal
metastasis. In which of the following carcinoma, nodal metastasis is usually late? (YMDC)
supra-glottic carcinoma
glottic carcinoma*
sub-glottic carcinoma
trans glottic carcinoma
hypopharyngeal carcinoma
312. Total laryngectomy was performed in n 55-year-old patient for extensive carcinoma of
larynx. What are the activities during which this patient can experience problem because of
removal of larynx? (YMDC)
deep breathing, weight lifting and micturition
expiration, defecation and deglutition
inspiration, deep breathing and micturition
micturition, defecation and weight lilting *
deglutition, defecation and quick breathing
313. A female primary teacher of 35-year age, comes with complaint or hoarseness for last few
months which is usually worst after returning from the school with no other significant
complaint. What is the most probable diagnosis in this case? (YMDC)
laryngeal diphtheria
vocal nodules *
laryngomalacia
vocal cord paralysis
intubation granuloma
314. A 18-year-old male patient had a road traffic accident and presented with supraglottic
haematoma. He has noisy breathing. What is the likely character of stridor in this patient?
(YMDC)
biphasic
inspiratory *
expiratory
sometimes inspiratory ans sometimes expiratory
on deep expiration only
315. A 42-year-old male patient came with the complaint of hoarseness of voice. What is the
best method for assessing movements of the vocal cords among the following available
tools? (YMDC)
micro-laryngoscopy
flexible laryngoscopy *
laryngoscopy with anterior commissure type laryngoscope
laryngoscopy with sliding panel laryngoscope
indirect laryngoscopy
316. A father brought his 4-year-old son with the complaint that he had ingested a coin two
hours back and after the incident he is complaining of difficulty in swallowing. What is the
most likely site of impaction of foreign body in this case? (YMDC)
larynx
cricopharyngeus*
trachea
oropharynx
middle third of the esophagus
317. An 8-year-old boy was brought with the complaint that he had ingested some foreign
body which has impacted in his throat. Which of the following sign on clinical examination
is most important for diagnosis of impacted foreign body? (YMDC)
severe trismus
pooling of saliva on indirect laryngoscopy*
congested larynx and pharynx *
immobility of the tongue
increased pulse rate
318. To dislodge foreign body from the larynx in emergency, following method is used (YMDC)
Valsalva man oeuvre
Troller man oeuvre
Heimhch man oeuvre*
Hallpike mano oeuvre
319. Laryngoscopy of a 45-year-otil patient shows bilateral nodular thickenings on the true
vocal cords. What is the most likely location of vocal nodules on true vocal cords? (YMDC)
Junction of anterior one third and posterior two third *
junction of anterior two third and posterior one third
junction of middle one third and posterior one third
close to anterior commissure
close to posterior commissure
320. Thumb signor plain X-ray lateral view is diagnostic of (YMDC)
laryngeal diphtheria
laryngeal tuberculosis
acute epiglottitis *
chronic laryngitis
early laryngeal carcinoma
321. The commonest organism responsible for acute laryngo-tracheo-bronchitis is (YMDC)
Staphylococcus aureus
Streptococcus pyogenes
Haemophilus inflenzae
parainfluenza virus*
Coxsackie Virus
322. A 4-year-old boy presented with gradually progressing hoarseness of voice and dyspnea.
Direct laryngoscopy was done Which showed multiple papillomata in the larynx. Which of
the following virus is considered as aetilogical factor of this condition? (YMDC)
HIV
EBV
HPV *
ECHO virus
Influenza virus
323. CO2 laser therapy was advised in a 54-year-old male patient who was diagnosed as a case
of squamous cell carcinoma of the larynx. In which of the following tumour this modality of
treatment is most effective? (YMDC)
early glottis carcinoma *
all stages of sub-glottic carcinoma
late supra-glottic carcinoma
trans-glottic carcinoma
all advanced stage carcinoma
324. A 60-year-old male patient was diagnosed as a case of bronchogenic carcinoma. He
presented with vocal cord paralysis. Which of the following nerve is most likely involved in
this case? (YMDC)
left recurrent laryngeal nerve *
left superior laryngeal nerve
right recurrent laryngeal nerve
right superior laryngeal nerve
right main trunk or vagus nerve
325. After tracheostomy operation, it 35-year-old female patient developed perichondritis of
the cricoid cartilage. What could be the most common reason for this? (YMDC)
Anti-inflammatory drug is not prescribed alter surgery
antibiotic is not prescribed after surgery
high tracheostomy is performed*
regular suction cleaning or Ilk tube is not done
the tube is displaced accidently
326. A 40-year-old male patient is planned for a major oral cancer surgery and a preoperative
elective tracheostomy. Which of these following incision is made in this patient for
tracheostomy? (YMDC)
horizontal incision two fingers above the suprasternal notch
horizonal incision just at suprasternal notch
horizontal incision at the level of cricothyroid membrane
vertical incision from cricoid cartilage to suprasternal notch *
vertical incision from hyoid bone to first tracheal ring
327. Which of the following type of laser is most commonly used in ENT practice? (YMDC)
argon
Nd-YAG
CO2*
KIP
Erb-YAG
328. The importance of the Fossa of Rosen muller is (YMDC)
angiofibroma arises from it
carcinoma of nasopharynx usually wises from it*
antrochoanal polyps arise from ii
nasopharyngeal cysts arise from it
adenoid arises from it
329. Following is true regarding Peritonsillar abscess (YMDC)
is usually bilateral
collection of pus is near upper pole of tonsil *
collection of pus is near lower pole of tonsil
is due to mycobacterium tuberculous
is due to Pseudomonas infection
330. A 55-year-old male was diagnosed as a case of carcinoma nasopharynx. The treatment of
choice is (YMDC)
surgery
Radiotherapy*
Chemotherapy
Reassurance
Medical treatment
331. Most associated injuries in cases of maxillofacial trauma are to the: (FMDC)
Brain*
cervical spine
chest
abdomen
332. All of the following are true about children with maxillo facial trauma except (FMDC)
greater risk of lower cervical spine injury*
intracrainial injury is higher
mid-face fracture higher as childgrows
non-accidental trauma should be Considered
333. Followings are the features of Nasopharyngeal Angiofibroma except (IMDC/FMDC)
Usually age less than 20years
Recurrent epistaxis
Nasal obstruction
Spread to surrounding areas
Enlarged regional lymph nodes *
334. A 20-year-old male is diagnosed as having nasopharyngeal angiofibroma. The surgical
excision is planned under GA. The best method to reduce per operative bleeding is: (FMDC)
Pre-operative radiotherapy
Preoperative hormonal therapy
Preoperative chemotherapy
Preoperative Angiography to identify reeding vessels
Preoperative Angiography with embolization *
335. Absolute indication for thyroid scan is (FMDC)
Solitary thyroid nodule*
Infrahyoid thyroglossal duct cyst
Thyroiditis
Toxic multinodular goiter
Suspicion of malignancy
336. In the head and neck rhabdomyosarcomas are found most commonly in the (FMDC)
Orbit*
The ear
Oral cavity
Larynx
Neck
337. Peritonsillar abscess is also known as (FMDC)
Retropharyngeal absce
Tonsillar abscess
Quinsy*
Thornwaldt abscess
Parapharyngeal Abscess
338. Infrastapedial lesion of facial nerve causes (FMDC)
Loss of lacrimation
Loss of stapedial reflex
Loss of taste*
None of the above
339. Most important indication for tonsillectomy is (FMDC)
Eagle's syndrome
Halitosis
Obstructive sleep apnea*
Peritonsillar abscess
340. Bed of the tonsil is formed by (FMDC)
Superior constrictor*
Superior oblique
Stylopharyngeus
Palatopharyngeus
341. Commonest site for origin of nasopharyngeal carcinoma (FMDC)
Adenoids
Torus tubaris
Fossa of Rosenmiuller*
Rathke's pouch
342. Post-cricoid area is the subsite of (FMDC)
Subglottis
Hypopharynx*
Nasopharynx
Supraglottic
343. Membrane over the tonsil is seen in (FMDC)
Leukemia
Agranulocytosis
Diphtheria
All of the above*
344. All of the following conditions are associated with snoring except (FMDC)
Angiofibroma
Laryngeal papillomatosis*
Antrochoanal polyp
Adenoids
345. Laryngeal crepitus is seen in (FMDC)
Normal persons*
Fracture of thyroid cartilage
Post-cricoid carcinoma
Prevertebral abscess
346. Cricothyroid is supplied by (FMDC)
Recurrent laryngeal nerve
External laryngeal nerve*
Glossopharyngeal nerve
Hypoglossal nerve
347. All of the following laryngeal muscles are adductors of vocal cords except (FMDC)
Lateral cricoarytenoid
Posterior cricoarytenoid *
Thyroarytenoid,
Oblique arytenoid
348. The most common and earliest manifestation of carcinoma of glottis is (FMDC)
Hemoptysis
Stridor
Cervical lymphadenopathy
Hoarseness*
349. Xerostomia can be caused by al of the following except (FMDC)
Antihistamines
Sjogren's syndrome
Cerebral palsy*
Uraemia
350. Most important cause of SCC of buccal mucosa (FMDC)
Dust pollution
Arsenic poisoning
Naswar addiction
Cigarette smoking*
351. IDL shows left vocal cord immobile, the cause is (FMDC)
Bronchogenic carcinoma *
Vocal nodule
Vocal polyp
Laryngocele
352. Length of Oesophagus in adults is (FMDC)
40cm
25cm*
50cm
353. Newborn having stridor which increased on crying but subsides on placing the child in
prone position, the possible diagnosis is (FMDC)
Laryngeal web
Laryngomalacia*
Congenital subglottic stenosis
Congenital vocal cord paralysis
354. Child of 4 year presented with hoarseness and croupy c Fever was 103 F. Thumb sign seen
on X-Ray neck later (FMDC)
Whooping cough
Diphtheria
Acute LTB
Acute epiglottitis*
355. Retromolartrigone is a subsite of (FMDC)
Supraglottic
Нуроpharyпх
Oral cavity*
Glottis
356. A 2Yrs old child presented in ER with Respiratory distress/stridor, change of voice, low
grade fever & barking cough. Child's parents also giving history of Upper respiratory tract
infection. What is ur diagnosis? (FMDC)
Acute epiglottitis
Croup *
Acute laryngitis
Acute tonsillitis
both a & c
357. Which of the following is not the pan of oral cavity (FMDC)
Lip
Buccal mucosa
Anterior 2/3 of tongue
Retromolar trigone
Posterior 1/3 of tongue*
358. 30 yrs old female patient who is a teacher by profession presented in ENT OPD is
complaining of change of voice for the last 06 months. She is also complaining of vocal
fatigue & pain in neck on prolonged phonation. O/E Her tonsils & posterior pharyngeal wall
are congested. IDL shows reddish, edemntous Ewelling at the junction of ant 1/3rd & post
2/3rd of right vocal cord. What is ur diagnosis? (FMDC)
Vocal cord polyp *
Carcinoma larynx
Contact ulcer
359. Which of the following is most suitable regarding laryngocele (FMDC)
It is the most common benign neoplasm of larynx
It presents in neck as hard fixed non reducible swelling
It is a retention cyst due to blockage of mucinous glands in larynx mucosa
It commonly affects children
It is an air filled cystic swelling due to dilatation of saccule *
360. The primary & single abductor of vocal cords is? (HBS/FMDC)
Lateral cricoarytenoid
Posterior cricoarytenoid*
Interarytenoid
Thyroarytenoid
Cricothyroid
361. A 4 yrs old child presented with sore throat, dysphagia, odynophagia, high grade fever &
respiratory distress for the last 04 hours. O/E Child is toxic looking, leaning forward with
stridor & drooling of saliva from mouth. What is your diagnosis & what is the causative
organism? (FMDC)
Acute epiglottitis & para influenza virus respectively*
Acute larynx tracheobronchitis & C. diphtheria respectively
362. Which is not true about Acoustic Neuroma (FMDC/YMDC)
ls commonest tumor of cerebellopontine angle
in pure tone audiometry there is conductive hearing loss*
unilateral tinnitus
may cause facial paralysis
may involve other cranial nerves
363. A 16 Yrs old male patient with insignificant history of immunization presented in ER with
sore throat, odynophagia, dysphonia & breathing difficulty with Rt sided neck swelling. OE
there is whitesh dirty membrane on Rt tonsil& soft palate what is your diagnosis? (FMDC)
Acute membranous tonsillitis
Acute epiglottitis
364. Which one of the following is incorrect regarding facial nerve (FMDC/YMDC)
Labyrinthine portion is the shortest portion of facial nerve
Vertical part of nerve runs in facial canal
It gives of greater petrosal nerve in middle ear cavity
All terminal branches arise from extra temporal/ extra cranial part*
365. Which of the following statement is not true regarding juvenile laryngeal papillomatosis?
(FMDC)
Most common benign neoplasm of larynx in children
Caused by Human papilloma virus 6 & 11
Mostly affect supraglottic & glottic region
Treatment is MLS & CO2 laser
Malignant transformation rate is very high *
366. Taste sensation from Anterior 2/3rd of tongue is carried by (FMDC)
Glossopharyngeal nerve
Vagus nerve
Hypoglossal nerve
Greater auricular nerve
Chorda tympani*
367. 45 Yrs old female patient presented in ENT OPD with history of progressive dysphagia,
Right sided neck swelling, weight loss & pain in right ear. O.E patient is anemic &
emaciated. Right sided neck node about 3cm in size is palpable, Flexible endoscopy shows
excessive pooling of saliva in both pyriform fossae & an exophytic growth visualized in right
pyriform sinus. What is your probable diagnosis? (FMDC)
CA larynx
CA Esophagus
CA Hypopharynx *
Laryngeal TB
Plummer Vinson syndrome
368. In Bilateral Abductor paralysis vocal cords lie m which position? (FMDC)
Median
Paramedian
Slight Abduction
Full abduction
Both a & b*
369. Where does Stenson’s duct opens in the oral cavity? (FMDC)
Opposite upper 2 molar*
Opposite lower 2 molar
Opposite upper 2 Premolar
370. Which of the following is not the subsite of supraglottic? (FMDC)
Epiglottis
Aryepiglottic folds
False cords
True vocal cords *
Arytenoids
371. All the muscles of the larynx are supplied by Recurrent laryngeal nerve except (FMDC)
Vocalis muscle
Posterior cricoarytenoid muscle
Lateral cricoarytenoid muscle
Cricothyroid muscle*
372. Which is supplied by external branch of superior laryngeal nerve. (FMDC)
Posterior cricoarytenoid
Lateral cricoarytenoid
373. 40 Yrs old male after history of RTA got blunt trauma to the neck by hitting against the
steering wheel presented in ER with Respiratory distress &neck-swelling. O/E patient is
vitally stable having Pulse 78 BPM, BP 110/70 mmHg, his neck size girth is increasing &
patient is in stridor what immediate step Will you take in emergency? (FMDC)
Pass endotracheal tube
Emergency tracheostomy & neck exploration *
Transfuse blood
Start on IV fluids
Wait & monitor vitals
374. Neutral position of vocal cords from which adduction & abduction take place? (FMDC)
Median
Paramedian
Cadaveric *
Slight abducted position
Both a & b
375. A child 5 years of age presented with difficulty in speech O/E The child cannot protrude his
tongue past his lower incisors. What is your diagnosis? (FMDC)
Ranula
Tongue tie *
Erythroplakia
Leukoplakia
Tonsillitis
376. Preferred tracheal rings at which tracheostomy is done? (FMDC)
1st tracheal ring
2nd & 3rd tracheal ring *
4th & 5th tracheal ring
6th tracheal ring
Both b & c
377. Stone formation is common in which of the following salivary gland duct? (FMDC)
Stenson duct
Sublingual duct
Submandibular gland duct*
Minor salivary gland duct
All of the above
378. 25 yrs old female presented in ENT OPD with progressive dysphagia for solids for last 06
months on examination signs & symptoms of iron deficiency anemia are also present, what
is your probable diagnosis? (FMDC)
Pharyngeal pouch
Plummer Vinson syndrome*
Achalasia cardia
Carcinoma esophagus
GERD
379. 70 yrs old male who is a known smoker & alcohol addict for the last 13 years presented in
ENT opd with Respiratory distress stridor for the last 2 days &change of voice for the last 03
Months There are no neck nodes palpable On indirect laryngoscopy left vocal cord is
immobile & has fungating growth at the junction of ant 1/34 & post 2/34d what is probable
diagnosis? (FMDC)
Vocal cord nodule
Vocal cord polyp*
Carcinoma Larynx
Carcinoma hypopharynx
Laryngeal haemengionma
380. Regarding Herpangina which is true (FMDC)
It is a coxsackie viral infection mostly affecting children *
It is a benign neoplasm of oral cavity
Malignant transformation rate is very high
It is caused by candida albicans
381. Most common cause of congenital stridor is? (FMDC)
Congenital vocal cord paralysis
Subglottic haemangioma
Congenital subglottic stenosis
Laryngeal web
Laryngomalacia*
382. Which Histopathological variety of malignancy is most common in oral cavity? (FMDC)
Adenocarcinoma
Pleomorphic adenoma
Basal cell carcinoma
Squamous cell carcinoma*
Lymphoma
383. 45 yrs old male patient presented in ENT OPD with Relative dysphagia both for solids &
liquids, halitosis & regurgitation of undigested food at nighttime. Patient is also giving
history of recurrent chest infection what is your diagnosis? (FMDC)
Zenker's diverticulum *
Plummer vinson syndrome
Achalasia cardia
Carcinoma hypopharynx
Carcinoma esopliagus
384. A 50-year-old male who presented with hoarseness of voice. He has taken medicines for
more than 1-month durations. He is smoker. What will be the best option? (RIHS)
Continue medical treatment & follow up
Endoscopic laryngeal examination*
Voice rest & vocal rehabilitation
Self-limiting requiring No treatment
Total laryngectomy.is the treatment of choice
385. A 12 years girl presents with a mass in the midline of neck just below the hyoid bone. It
moves with protrusion of tongue. The most probable diagnosis is (RIHS)
Cystic Hygroma
Thyroglossal duct cyst*
Bronchial cleft cyst
Dermoid cyst
386. A 3 years old male child is suffering from low grade fever and sore throat. On examination,
he has toxic look, has membrane adherent to tonsils and adjoining pharynx which is
difficult to remove. His pulse is fast and thready. Multiple lymph nodes in neck are also
enlarged. What is the most probable clinical diagnosis? (RIHS)
Acute follicular tonsilitis
Pharyngeal diphtheria*
Ludwig's angina
infectious mononucleosis
Acute epiglottitis
387. A 65 years old male presented with dysphagia and regurgitation of food at night for the
last few months. He also co plains of weight loss and bad mouth breath. On examination,
there is a soft swelling under the left sternomastoid Muscle which gurgles on palpation.
What is your probable diagnosis? (RIHS)
Laryngocele
Zenker diverticulum*
Esophageal web
Hiatus hernia
Esophageal strictures
388. A 25-year-old schoolteacher present with a 3 month history of hoarseness. On
laryngoscopy well circumscribed lesions are seen at the junction of the anterior third and
posterior two third of both vocal cords. What is the diagnosis? (RIHS)
Carcinoma of larynx
Intubation granuloma
Thyrotoxicosis
Vocal cord nodules*
Vocal cord polyp
389. A 25 years male presented with corneal, oral & genital ulcers refractory to routine
treatment. The likely cause is (RIHS)
Leukemia
Agranulocytosis
Behecet’s disease*
Iron deficiency
Aphthus ulcers
390. The best way of management of living insect in external auditory canal is (RIHS/FMDC)
Kill insect by instilling ether and chloroform in ear
Removal under general anesthesia with microscopic control
Removal by syringing in OPD
Kill the insect by instilling water or oil in the ear & then remove it*
Removal by crocodile forceps
391. A picnic party is going on a riverbank about 35kms away from the town. Suddenly a 35
years old male became severely dyspneic due to impaction of bolus of food in throat. All
non-provocative procedures have failed to relieve dyspnea. The person is becoming
increasingly cyanosed. Which one is the only choice to overcome this problem? (RIHS)
Elective Tracheostomy
Cricothyrotomy*
Endotracheal Intubation
Direct Laryngoscopy ant removal of foreign body
Laryngeal mask
392. Regarding blow out fracture all are true except (YMDC)
There is always exophthalmos.*
Diplopia.
Tear drop sign on radiograph of maxillary sinuses
Require Caldwell luc's operation tor reduction
Open and close reductions are the options of treatment
393. In malignant tumor of tongue, which is true: (YMDC)
Pan and betel nuts are common etiological factors*
Adenoid cystic carcinoma is the most common
Dorsum of tongue is common site
More common in female
394. Patients with Peritonsillar abscess usually presents with (YMDC)
Odynophagia*
Neck swelling
Unilateral earache
Stridor
395. Sialolithiasis is common in (YMDC)
Submandibular Gland*
Sublingual Gland
Paranoid Gland
Minor Salivary Gland
396. Main Stay of treatment in Ludwig's angima is (YMDC)
Supportive therapy
Antibiotics*
Incision and drainage
Radiation
397. The most common cause for stridor in a newborn infant is (YMDC)
Laryngeal web
Subglottic Hemangioma
Laryngomalacia*
Congenital Subglottic stenosis
398. Following nerves can frequently be damaged in thyroid surgery (YMDC)
Vagus nerve and superior laryngeal nerve
External laryngeal nerve and internal laryngeal nerve
Recurrent laryngeal nerve and superior laryngeal nerves*
Superior laryngeal nerve
399. Regarding vocal cord polyp, which of the following is not correct? (YMDC)
Forms due to sub mucosal edema
Usually bilateral*
Hoarseness, choking. stridor and dyspnea are common Symptoms
Treatment is surgical remove
400. Treatment of chronic simple laryngitis include all except (YMDC)
Steam inhalation and avoidance of allergies
Voice rest and speech therapy
Treatment of URTI
Stripping of vocal cords*
401. Regarding aphthous ulcers which one is incorrect (YMDC)
Highly painful
Usually present on hard palate*
Treatment include local steroid
Related to tension or unknown etiology
402. which one is not a cause of stridor? (YMDC)
Vocal nodule*
Glottic cancer
supraglottic cancer
Laryngomalacia
FB airway
403. Which one of the following is not part of Oropharynx? (YMDC)
Tonsils
Posterior Pharyngeal wall
upper surface of soft palate*
Base of tongue
404. Regarding tracheostomy which option is incorrect (YMDC)
indicated in stridor
Indicated in advanced stage of carcinoma larynx
Hole is made in the 1st ring of trachea*
Laryngeal stenosis is an important complication
405. Which one is causative organism in 3 years child with acute epiglottitis? (YMDC)
H. Influenza type B*
Paramyxo virus
Pneumococeus
Pseudomonas
406. 25 years old female, Hb 8.5, presented with progressive dysphagia for solids for last one
year and stomatitis for 6 months Probable diagnosis is: (YMDC)
Cancer esophagus
Pharyngeal pouch
Plumer Vinson syndrome *
Cancer Larynx
407. Arnold Nerve is a branch of (YMDC)
Vagus nerve*
Glossopharyngeal nerve
Auriculotemporal nerve
Facial nerve
408. inferior Salivary Nucleus is related to (YMDC)
Hypoglossal nerve
Glossopharyngeal nerve*
facial nerve
Trigeminal nerve
409. Multiple matted cervical lymphadenopathies is feature of (YMDC)
Tuberculosis*
Lymphoma
Squamous cell carcinoma
Infectious mononuclcosis
410. 14 years old girl has developed hoarseness of voice after hearing the news of her failure in
the examination. Her cough is normal. On indirect Laryngoscopy, both vocal cords look
normal. What is one best line of treatment?
Voice rest and steam inhalation
Psychotherapy*
Speech therapy
Medializations of one cord
Antibiotic and antipyretics
411. A 4 years old child is suffering from dyspnea, stridor & dysphagia. Clinical diagnosis is
Acute Epiglottitis. Which is first and most important step to be taken in this patient?
Start broad spectrum I/V antibiotics
Carry out clinical ENT examination to confirm the diagnosis
Ask for throat swab C/S
Secure airway by intubation/tracheostomy*
Lateral neck soft tissue x ray
412. What is the common microorganism of the Acute Laryngotracheobronchitis?
Streptococcus
E coli
Haemophilus influenza
Staphylococcus
Para influenza*
413. A 60 years old male presented with a growth on true vocal cord on right side which on
histopathology showed squamous cell carcinoma. What is the most common site of origin
of this type of tumor? Anterior commissure
Anterior half of the vocal cord
At the middle part of vocal cord*
Posterior commissure
Posterior half of the vocal cord
414. A 32 years old female schoolteacher presented in ENT OPD with complaint of gradually
progressive hoarseness of voice for last 2 years. Direct laryngoscopy was performed which
showed nodular lesion on the true vocal cord. What is the most likely appearance of this
nodular lesion?
Unilateral and purplish red in color
Bilateral and purplish red in color
Unilateral and grayish white in color
Bilateral and grayish white in color*
Bilateral and bluish in color
415. A 50-year-old man who smokes 20 cigarettes a day presents with a 2 month history of
hoarseness and dyspnea, a mass is palpable in neck at right level III
Carcinoma of larynx*
Intubation granuloma
Thyrotoxicosis
Vocal cord nodules
Vocal cord polyp
416. A 25-year-old schoolteacher presents with a 3 month history of hoarseness on
laryngoscopy well circumscribed lesions are seen at the junction of the anterior third and
posterior two thirds of both vocal cord (RIHS)
Carcinoma of larynx
Intubation granuloma
Thyrotoxicosis
Vocal cord nodules*
Vocal cord polyp
417. A 40-year-old man is recovering from a life-threatening illness which required intubation
and ventilation for 3 weeks. He developed hoarseness of voice after a month. What is the
diagnosis? (RIHS)
Carcinoma of larynx
Intubation granuloma*
Thyrotoxicosis
Vocal cord nodules
Vocal cord polyp
418. A tracheostomized patient, with portex tracheostomy tube in the ward, developed sudden
Blockage of the tube. Which of the following is best next step in the management? (RIHS)
Immediate removal of the tracheostomy tube
Suction of tube with sodium bicarbonate
Suction of tube with saline
Jet ventilation
Positive pressure oxygen inhalation*
419. A 40 years old smoker, one-year HX of hoarseness, dysphagia for 2 months
Vocal Nodule
Cancer larynx*
Recurrent Laryngeal nerve palsy
Acute laryngitis
Vocal Polyp
420. A teacher presents with permanent hoarseness for 2 weeks.IDL showed nodules
Vocal Nodule*
Cancer larynx
Recurrent Laryngeal nerve palsy
Acute laryngitis
Vocal polyp
421. Hoarseness following thyroidectomy.
Vocal Nodule
Cancer larynx
Recurrent Laryngeal nerve palsy*
Acute laryngitis
Vocal polyp
422. Post thyroidectomy patient presents with hoarseness of voice and severe respiratory
distress on IDL
Recurrent laryngeal nerve
Superior laryngeal nerve
Vagus nerve
Bilateral recurrent laryngeal nerve palsy*
Vocal polyp
423. Vocal cords are lined by
Squamous epithelium*
Transitional epithelium
Ciliated columnar epithelium
Cuboidal epithelium
columnar epithelium and
424. Larynx develops during
4th week of intrauterine life*
6th week of intrauterine life
8th week of intrauterine life
14th week of intrauterine life
16th week of intrauterine life
425. Only muscle that opens the glottis is
Vocalis
Intarytenoid
Posterior Cricoarytenoid*
Mylolyoid
Throarytenoid
426. The most common congenital laryngeal Anomaly
Laryngeal web
Subglottic stenosis
Laryngomalacia*
Vocal cord paralysis
Sub glottis hemangioma
427. A 50 years old male who presented with hoarseness of voice more than 1-month duration,
have taken medications. He is smoker what will be the best option?
Continue medical treatment follow up
Endoscopic laryngeal examination*
Voice rest & vocal rehabilitation
Self-limited No treatment required
Total laryngectomy is the treatment of choice.
428. A 3-year-old boy complaint of sudden acute respiratory distress, with spasmodic cough,
cyanosis & acting necessary respiratory muscles is most probably due to
Acute epiglottitis
Vocal cord paralysis
Acute follicular tonsillitis
Laryngeal web
Foreign body Inhalation*
429. Early glottic carcinoma is best treated with
Radiotherapy*
Antibiotics
Total laryngectomy
Cryosurgery
Chemotherapy
430. Commonly used laser in ENT
Carbon dioxide*
ARGONYA
KAPT
CRYO
431. The part of larynx lined by Squamous epithelium is
Epiglottis
Vestibular fold
Vocal cords*
Subglottis
False vocal cord
432. Potentially serious clinical feature of acute laryngitis includes
Aphonia*
Dyshonia
Cough
Stridor
Wheezing
433. In tracheotomy, patient breaths through the tracheostomy hole and which of the disability
is due to loss of laryngeal function
Air is not humidified during inspiration
Air is not warmed during inspiration
Air is not cleansed during respiration
Hoarseness of voice
Inability to speak*
434. Voice is not good without dyspnoae
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cords away from the midline in cadaveric position
Left unilateral vocal cord paralysis *
Right vocal cord paralysis
Left unilateral vocal cord paralysis in cadaveric position
435. Voice may be good with dyspnoae.
Bilateral vocal cord paralysis with vocal cords near the midline*
Bilateral vocal cord paralysis with vocal cords away from the midline in cadaveric
Laryngomalacia
Left unilateral vocal cord paralysis
Left unilateral vocal cord paralysis in cadaveric position
436. Tracheostomy will help the patient in all except
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cords away from the midline in cadaveric position
Laryngomalacia*
Left Unilateral vocal cord paralysis
Stroke
437. Voice is hoarse in the beginning but recovers with passage of time
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cords away from the midline in cadaveric position
Laryngomalacia
Left unilateral vocal cord paralysis, in cadaveric position
Left unilateral vocal cord paralysis, in paramedian position*
438. Vocal cord medialization will help in
Bilateral vocal cord paralysis with vocal cords near the midline
Bilateral vocal cord paralysis with vocal cord away from the midline in cadaveric position
Laryngomalacia
Left unilateral vocal cord paralysis*
Bilateral recurrent nerve paralysis
439. The most common cause of unilateral vocal cord paralysis is
Thyroid surgery*
Thoracic surgery
Stroke
Idiopathic
Diabetes
440. A 32-year-old shopkeeper has 5 year history of hoarseness that sometimes improves.
There is no dysphagia & had never smoked. IDL Shows small nodules involving both vocal
cords in their anterior third. Treatment includes none of the following except
Voice rest & steam inhalation alone*
Coagulation diathermy of nodules
Microlaryngoscopic excision and voice rehabilitation
Radiotherapy
Antibiotics & corticosteroids orally
441. Which of the following is true regarding vocal cord nodules?
They are often seen in men
They are mostly bilateral*
They are most treated surgically
They are rarely associated with vocal abuse
Smoking is main cause
442. A 35 years old female patient complains of persistent lump in throat and sticking of food
during swallowing for the last 2 years, X-rays lateral view soft tissue neck, barium swallow,
endoscopy, blood picture, electrolytes, PH and manometry studies have been normal.
What is the possible cause?
Severe esophagitis
Gastroesophageal reflux
Globus hystericuspharyngeous*
Hiatus hernia
Plummer Vinson syndrome
443. A 28 years old male presents with recurrent pain in the throat and swelling submandibular
region of left side which exaggerates on chewing and especially with soar food for the last 2
years. Swelling in submandibular region has become persistent for the last 6 weeks. On
bimanual examination, left submandibular gland is enlarged and tender. What is the single
most probable diagnosis? (IMDC/RIHS)
Malignant growth left submandibular gland
Benign growth left submandibular gland
Calculus left submandibular gland*
Acute submandibular abscess
Left sided mumps
444. A 1 year’ female presents in ENT OPD with complaint of a swelling in front of her neck. On
examination, there was a single, non-tender swelling which was moving on swallowing and
on tongue protrusion. What is the most likely diagnosis?
Branchial cyst
Dermoid cyst
Thyroglossal cyst*
Thyroid nodule
Cystic Hygroma
445. 25 years old lady is suffering from dysphagia of one-year duration. On examination she
looks anemic has koilonychia and complete blood picture reveals hypochromic, microcytic
anaemia neck examination NAD. One most probable diagnosis
Reflux stricture
Malignant growth oesophagus
Plummer Vinson syndrome*
Achalasia cardia
CA hypopharynx
446. A 45 years thin lady presents with progressive increasing difficulty in swallowing. She is
markedly anemic and having angular stomatitis koilonychia& weight loss. What is your
diagnosis?
Growth esophagus
Plummer Vinson syndrome (Patterson prawn kelling syndrome)*
Growth larynx
Growth larynx
Growth oropharynx
447. A 68 years old male has developed Dysphagia of gradual onset and soft swelling on the left
side of neck which can be reduced with gurgling noise. He also regurgitates undigested
food. What is the first single best diagnostic method?
Endoscopy rigid
Plain X-rays neck
Barium swallow *
CT scan
MRI
448. 8 years old boy presented with dysphagia for solids for one year, stricture was seen on
barium swallow in third of esophagus. The most common cause upper one of esophageal
stricture in children is
Diphtheria
Achalasia cardia
Corrosive intake *
Coin ingestion
carcinoma
449. A 68 years old male has developed Dysphagia of gradual onset and soft swelling on the left
side of neck which can be reduced with gurgling noise. He also regurgitates undigested
food. Diagnosis is
Pharyngeal pouch*
CA hypopharynx
Laryngocele
CA esophagus
Cardiac achalasia
450. A 2 years old patient has swallowed coin. Which one of the following is most common site
for impaction of such foreign body?
Lower end of oesophagus
Cricopharyngeal (Upperend)*
Left bronchus crossing oesophagus
Arch of aorta crossing oesophagus
At level of diaphragm
451. A 40 years old lady has dysphagia for the last 6 months. Dysphagia has been progressive
and initially associated with burning sensation in chest and frequently hoarseness of voice,
she has been under treatment of gastroenterologist There is no significant weight loss.
Barium swallow shows a smooth stricture at lower part and dilatation of oesophagus in
upper2/3rd. What is one best possible diagnosis?
Carcinoma lower end of oesophagus
Achalasia cardia *
Stricture due to reflux oesophagitis
Congenital stricture lower end of oesophagus
Stricture due to corrosive ingestion
452. In a case of dysphagia suspected due to carcinoma esophagus, which one procedure is
most important to confirm diagnosis?
Barium swallow
CT scan neck and chest
PH and manometry studies
Esophagoscopy and biopsy *
453. In cadaveric dissection total length of esophagus was measured, it was
30cm
20cm
25cm*
40cm
15cm
454. 8 years old boy presented with high grade fever. trismus, bilateral swelling over parotid
region most probable diagnosis?
Tumour of parotid gland
Mumps *
Sjogren syndrome
Bacterial parotitis
Peri tonsillar abscess
455. 5 years old male presented with severe pain in chest during meal and dysphagia for last 5
years . On barium swallow rat tail appearance was seen most probable diagnosis. (IMDC)
Carcinoma lower end of esophagus
Plummer Vinson syndrome
Gastro esophageal reflux
Cardiac achalasia*
Foreign body esophagus
456. 30 years old male presented with fever, severe pain during eating on right parotid region
after having appendicectomy pain was more severe while taking spicy & sour food. On
examination opening of right parotid duct in oral cavity was swollen Common diagnosis
Mumps
Parotitis*
TM joint dislocation
Sjogren syndrome
Tumour of parotid gland
457. Adult male having painless, gradually increasing swelling in left Submandibular region
with no association of food intake for the last 2 years. On examination swelling is globular
and non tender. What is the single most probable diagnosis?
Malignant growth left Submandibular gland
Benign growth left Submandibular gland
Stone in left Submandibular duct*
Acute Submandibular abscess
Acute sialadenitis
458. 22 years old male presented with bluish swelling in the floor of mouth, soft and cystic in
consistency All are true except:
Swelling of sublingual gland
Retention cyst
Blue in color
Punjent type seen in neck
Is a tumour *
459. 22 years old male presented with bluish swelling in the floor of mouth, soft and cystic in
consistency. Diagnosis is
Calculus in submandibular gland duct
CA floor of mouth
Rannula *
Benign tumour of submandibular gland
Haemangioma
460. 10 years old boy presented with swelling of right parotid region, right facial nerve
paralysis. Most common tumour at this age
Pleomorphic adenoma
Muco epidermoid *
Monomorphic adenoma
Squamous cell carcinoma
Adeno carcinoma
461. F.B in esophagus can be impacted at anatomical constrictions in esophagus, these are all
except
At the level of diaphragm
At the level of Aortic arch
Left main bronchus
Left subclavian artery*
Crico pharyngeus
462. ENT surgeon is doing esophagoscopy, Length of esophagoscope is
30cm
25cm
15cm
40cm
45cm *
463. 40 years old female, overweight, presented with recurrent hoarseness of voice, burning
sensation in chest, recurrent sore throat and dysphagia for 2 years. On examination throat
was congested, inlet of larynx & vocal cords was congested. most probable diagnosis
CA Hypo pharynx
Gastroesophageal reflux *
CA larynx
Cardiac achalasia
Chronic laryngitis
464. patient with 60 years of age presented with pain in right ear, T-M is normal, with history
of mild Dysphagia. First important investigation is
Blood CP
C.T scan
X-ray soft tissue neck *
Barium swallow
Endoscopy
465. 8 years old boy presented with sinus along anterior border of R sternocleidomastoid just
above the level of hyoid bone. Most probable diagnosis
Thyroglossal cyst
Sinus in metastatic lymph node
Branchial sinus *
Collarstud fistula
Histo cytosis multiplex
466. On Barium swallow of 60 years old male pharyngeal pouch is seen, most common site is
Oropharynx
Nasopharynx
Hypopharynx *
Vocal cords
Nasopharynx
467. Killian's dehiscence, is seen in
Oropharynx
Nasopharynx
Cricopharynx
Hypopharynx *
Vocal cords
468. One of the following is Not a feature of chronic pharyngitis:
Pain in throat
Cough
Tiredness of voice
Foreign body sensation in throat
Fever*
469. A middle age anemic lady is having progressive dysphagia for solids and brittle nails for 2
years. Her neck examination is normal. The likely diagnosis is:
Carcinoma larynx
Carcinoma pharynx
Globus pharyngeal
Plummer Vinson syndrome*
Pharyngeal pouch
470. A middle age lady Is having anemia, difficulty swallowing and spoon shaped nails. The
diagnosis Is (RIHS)
Leukemia
Carcinoma larynx
Carcinoma pharynx
Pharyngeal pouch
Plummer Vinson syndrome*
471. Patient with high grade fever, headache, and nasal obstruction is case of (FMDC)
Bilateral ethmoidal polyps
Bilateral inferior turbinate hypertrophy
Acute sinusitis*
Atrophic sinusitis
472. Most common organism involved in acute Epiglottitis (FMDC)
Staphylococcus aureus
Streptococcus pneumonia
H. Influenzas*
Pseudomonas aeruginosa
473. All are characteristics of geographical tongue except (FMDC)
Congenital*
Adenoid of papillae
Migratory glossitis
irregular keratotic white outlines
474. The name of the cartilage formed in the aryepiglottic fold is (FMDC)
Cuneiform*
Corniculate
Arytenoid
None of the above
475. Investigation of laryngeal cancer all are correct except (FMDC)
Sputum for AFB*
Direct laryngoscopy
Biopsy
C.T scan
476. A 6 yr old child with recurrent URTI with mouth breathing and failure to grow with high
arched palate and impaired hearing, treatment option is: (HBS)
Tonsillectomy
grommet insertion
myringotomy with grommet insertion
adenoidectomy with grommet insertion*
477. Abductors of vocal cords (HBS)
Cricothyroid.
Posterior cricoarytenoid*
lateral cricothyroid.
Inter arytenoid
Non of the above
478. Bowing of vocal cords occur in (HBS)
Presbylarynx
Reinke's oedema
Vocal cords haemorrhage
Denervation of vocal cords*
Non of the above
479. All of the following may cause tonsillar ulceration except: (HBS)
Diphtheria.
Behchet's syndrome
Vincent's angina.
Agranulocytosis.
Papilloma. *
480. Thumb sign is seen in (HBS)
Acute laryngitis
Acute epiglottitis*
Acute laryngotracheo bronchitis
Acute tonsillophayngitis
Laryngeal diphtheria
481. Which statement is CORRECT regarding vocal nodules? (HBS)
Are benign lesions*
Vocal nodules tends to be larger than laryngeal polyps.
Develop at the middle of vocal cords
Seldom develop bilaterally.
Can be prevented by immunization.
482. Laryngomalacia: (HBS)
The larynx is of an exaggerated adult type.
The epiglottis is long and wide and folded backward at each lateral edge*
The epiglottis is converted into a delta shaped incomplete cylinder
The glossopharyngeal folds are approximated.
None of the above
483. All are causes of congenital strider except: (HBS)
Acute epiglottitis*
Laryngeal web.
Subglottic stenosis.
Laryngomalacia.
Vascular anomaly.
484. Which of the following is part of laryngopharynx? (HBS)
Epiglottis.
Cricoids cartilage.
Thyroid cartilage.
Postericoid*
Arytenoids.
485. Absolute indication of tonsillectomy is: (HBS)
Chronic tonsillitis
Diphtheria carrier.
Obstructive sleep apnoea *
Glossopharyngeal neurectomy.
Rheumatic fever.
486. Which of the following is not a complication of acute tonsillitis? (HBS)
Peritonsillar abscess.
Bezold's abscess*
Acute rheumatism
Acute nephritis.
Acute infection of middle ear cleft
487. Pyriform fossa lies: (HBS)
Medial to aryepiglottic fold
Lateral to aryepiglottic fold *
Inferior to aryepiglottic fold.
Superior to aryepiglottic fold.
None of the above.
488. A newborn baby presented with weak cry and hoarseness, the most probable diagnosis:
(HBS)
Laryngomalacia.
Subglotic stenosis.
Subglotic heamangioma.
Vocal cord palsy*
Tracheomalacia
489. Which of the following is not a feature of pharyngeal diphtheria?
Enlarged tender cervical lymph nodes.
Ругехiа.
True membrane*
Toxaemia.
Bull's neck.
490. A 20- year-old man presents to the ENT clinic with sudden onset high fever of one day
duration, on examination: both tonsils are congested with whitish membrane over the
right tonsil with petichae over the palate and palpable both jugulodigastric lymph nodes.
What is the most possible diagnosis? (HBS)
Acute membranous tonsillitis
Infectious mononucleosis*
Diphtheria
Quinsy
Leukaemia.
491. All are functions of the larynx except: (HBS)
To protect the lungs.
To control air flow
Phonation.
Resonator of speech*
To build positive intrathoracic pressure.
492. Stridor: (HBS)
It is an auditory manifestation of disordered respiratory function due to air
flow changes within the larynx, trachea, or bronchi.
It needs investigations in every case
It is due to turbulence of air flow within a partially obstructed respiratory tract
All the above*
493. A three year old mongol boy get high fever then associated with difficult swallowing and
strider, the child was sitting , cannot sleep and drooling saliva, the resident pediatrician
sent for lateral cervical X-ray then he asked your opinion about what was looking as a
thumb in front of the hypopharynx, your diagnosis was: (HBS)
Acute pharyngitis.
Acute simple laryngitis.
Laryngo-tracheo-bronchitis.
Acute epiglottitis*
Croup.
494. What is not correct in acute epiglottitis? (HBS)
Constant supervision in hospital is mandatory.
Dyspnea may be progressing and alarming.
It is a special form of acute laryngitis, in which the inflammatory changes affect mainly
the loosely attached mucosa of the epiglottis.
Systemic antibiotics is not a must to be started immediately*
Age incidence is between 2-6-year-old
495. What is true about lymphatic drainage of the vocal cords? (HBS)
It has poor lymphatic drainage.
It has rich lymphatic drainage
It has no lymphatic drainage*
It has a lymphatic drainage only in the anterior half.
None of the above
496. Open bite may be secondary to all except: (FMDC)
LeFort Fracture
tripod fracture
mandibular fracture
NEO fracture*
497. Cribriform plate is a part of (FMDC)
Sphenoid bone
Ethmoid bone*
Maxilla
Frontal bone
498. Opening of nasolacrimal duct is situated in (FMDC)
Superior meatus
Middle meatus
Inferior meatus*
Ethmoid infundibulum
499. Which of the following is standard surgical treatment for Ranula? (FMDC)
Excision
Cautrization
Laser ablation
Excision & marsupialization*
500. Arnold Nerve & Jacobson nerve are branches of (FMDC)
Vagus nerve & Glossopharyngeal nerve respectively*
Glossopharyngeal nerve & vagus nerve respectively
Auriculotymporal nerve & facial nerve respectively
Facial nerve and vagus nerve
Auriculotemporal nerve & vestibulocochlear nerve respectively
501. Regarding Heimlich manoeuvre which is true? (FMDC)
Manoeuvre for laryngeal foreign body removal *
Manoeuvre for tracheal & bronchial foreign body removal
Manocuvre for Eustachian tube dysfunction
Manoeuvre for diagnosis of vertigo
Both a & b
502. The sensory nerve supply of the larynx below the vocal cords is through? (FMDC)
Recurrent laryngeal nerve *
Internal laryngeal nerve
External laryngeal nerve
Superior laryngeal nerve
Both b & c
503. Immediate mastoid exploration is required in (FMDC/YMDC)
Facial nerve paralysis
Labyrinthitis
Meningitis
Brain abscess
Mastoiditis*
504. In a patient suffering, from purulent discharge & attic perforation. Which one is correct?
(RIHS)
Treatment is essentially surgical*
Medical treatment & regular follow up
Self-limited & no treatment required
Myringoplasty is the only needed treatment
Topical car drops & follow up is sufficient
505. Trismus accompanying Peritonsillar abscess is due to spasm of which muscle? (RIHS)
Masseter Pharyngeal constrictors
Medical Pterygoid*
Temporalis
506. A 25-year-old gentleman underwent Intranasal polypectomy. You received a surgical
specimen showing classic dumb bell appearance. What may be the possible disease?
(FMDC)
Antrochoanal polyp
Bilateral nasal polyp*
hypertrophied interior turbinate
Malignant growth
507. Juvenile angiofibroma is characterized by (FMDC)
Nasal obstruction
Epistaxis
Incidence in males
All of the above*
508. Cystic hygromas are found most commonly in (FMDC)
The anterior triangle
The posterior triangle*
Occipital region
Extremities
509. Arteries which takes part in "Kiesselbach's plexus" include all except
Ant Ethmoidal artery
greater palatine artery
Post. Ethmoidal artery *
sup. Labial artery
sphenopalatine artery
510. McEwen's triangle is the surface landmark of (HBS)
The tympanic part of the facial nerve
Mastoid antrum*
Dome of the lateral semicircular canal
Ieudo-stapedial joint
511. Most important investigation for Carcinoma nasopharynx is
X-Ray lateral view neck
CT scan
Angiography
Nasoendoscopic Biopsy*
MRI skull
512. The treatment of choice in Carcinoma nasopharynx is
Surgical excision
Chemotherapy
LASER ablation
Cryosurgery
Radiotherapy*
513. Nasopharynx extends from base of skull to
Hyoid bone
Base of tongue
soft palate
Hard palate*
Cricoid cartilage
514. Treatment of choice for Juvenile nasopharyngeal angiofibroma is
Reassurance
Surgical excision*
Chemotherapy
Radiotherapy
LASER
515. The most common site of origin of Juvenile nasopharyngeal angiofibroma is
Nasopharynx
Posterior end of inferior turbinate
Foramen ovale
Sphenopalatine foramen*
Roof of the nose
516. Surgery was planned in a patient with nasopharyngeal angiofibroma Which procedure is
the most appropriate one to perform before surgery
CT Scan
MRI
Endoscopy
Biopsy
Angiography & Embolization*
517. Which characteristic is Not associated with Juvenile nasopharyngeal angiofibroma
Benign
Noninvasive*
Adolscent male patient
Nasal obstruction
Severe epistaxis
518. What is the corresponding vertebra for lower limit of the pharynx
5th cervical vertebra
6th cervical vertebra*
1st thoracic vertebra
1st cervical vertebra
3rd cervical vertebra
519. Which wall of the nasopharynx Eustachian tube opens
Roof of nasopharynx
Anterior wall of nasopharynx
Lateral wall of nasopharynx*
Medial wall of nasopharynx
Posterior wall of nasopharynx
520. Juvenile nasopharyngeal angiofibroma is characterized by the following except:
Affects teenagers
Causes nasal obstructions
Very vascular tumor
Affects only females*
521. Early sign of nasopharyngeal carcinoma is:
Unilateral secretory otitis media*
Trotter’s triad
Petrositis
Nasal obstruction
522. Nasopharyngeal carcinoma is treated by:
Antibiotics
Surgery
Radiotherapy*
Non of the above
523. Nasopharyngeal angiofibroma is treated by:
Antibiotics
Nasal packing
Surgical excision*
None of the above
524. Which of the following viruses is associated with nasopharyngeal carcinoma? (IMDC)
Herpes simplex virus
Human papilloma virus
Epstein-Barr virus*
Respiratory syncytial virus
Human immunodeficiency virus (HIV)
525. Which of the following is the best treatment modality for nasopharyngeal carcinoma?
(IMDC)
Nasopharyngectomy
Radiotherapy alone
Chemotherapy alone
Combined chemoradiotherapy*
Nasopharyngectomy with post-operative radiotherapy
526. What is the earliest and most common clinical feature of nasopharyngeal carcinoma?
(IMDC)
Epistaxis
Hemoptysis
Nasal obstruction
Cervical lymph node metastasis*
Otitis media with effusion
527. Tuberculosis of larynx is almost always secondary to: (IMDC)
Pulmonary tuberculosis*
Extra-pulmonary tuberculosis
Caries spine
Cervical Lymph Nodes
Oral Cavity
528. Pneumothorax may develop following tracheostomy due to accidental injury to: (IMDC)
Injury to esophagus
Air trapped sucked from the skin incision
Injury to the apex of pleura*
Injury to recurrent laryngeal nerve
Injury to the lung parenchyma
529. A 17 years old male is suffering from pain in mouth and throat with high grade fever. On
examination. there are multiple small superficial ulcers in oral cavity and oropharynx. Neck
lymph nodes are also enlarged. Blood picture shows neutrophil count which is 1000/cm.
what is the one most probable diagnosis? (RIHS)
Oral stomatitis
Leukemia*
Agranulocytosis
Dengue fever
Candidiasis
530. A 30 years old male is having severe pain right side of throat and high grade fever. He is
unable to open his mouth Saliva is dribbling from right angle of mouth. He complains of
pain in the right eat He also gives history of sore throat for the last 3 days. Jugulodiagastric
lymph node on right side is palpale and tender Which is the single best diagnosis (RIHS)
Parapharyngeal abscess
Acute retropharyngeal abscess
Chronic retropharyngeal abscess
Cervical abscess(right)
Peritonsillar abscess*
531. A 21 years old female has recurrent painful ulcers on the buccal mucosa and tongue for
last few months. These ulcers subside spontaneously after few days to week. Throat swab
for smear examination and culture is negative. Blood CP is within normal limits. What is the
most probable diagnosis? (RIHS)
Vincent's angina
Aphthous ulcer*
Malignant oral ulcer
Infectious mononucleosis
Leukemia
532. A child was brought with 8 hours history of severe sore throat, saliva dribbling and
difficulty in lying down. He also had high grade fever. What is your diagnosis? (RIHS)
Acute Epiglottitis*
Laryngotracheal bronchitis
Peritonsillar abscess
Para pharyngeal abscess
foreign body airway
533. A 25 year old woman presents with weight loss, cough, hoarseness and swelling in front of
neck. There are several non-tender swellings on both sides of the neck. She has history of
evening rise of temperature and frequent palpitations. The probable diagnosis is? (RIHS)
Carcinoma of larynx
Intubation granuloma
Thyrotoxicosis*
Vocal cord nodules
Vocal cord polyp
534. A 10 year old girl underwent tonsillectomy in the morning Suddenly vomits blood in
afternoon She looks quite pale &her pulse is 110/minute. Her BP is 100/60mmHg. She is
most likely (RIHS)
Primary hemorrhage
Secondary hemorrhage
Tertiary hemorrhage
Reactionary hemorrhage*
Hematemesis
535. A 12 year old boy is currently suffering from acute follicular tonsillitis He has history of
recurrent tonsillitis every 2-3 months for the last 3-4 years. He has no mouth breathing or
significant symptoms. What can be done in this case? (RIHS)
Tonsillectomy is not indicated
Tonsillectomy can be done straightaway under heavy antibiotic cover
He should be managed conservatively & tonsillectomy done 4-6 weeks later*
He needs both tonsillectomy & adenoidectomy
Only broad spectrum antibiotics for 5 days
536. A 3 year old girl presented with mouth breathing recurrent upper respiratory infections
and nasal discharge, X-ray lateral view neck showed a soft tissue in the Nasopharynx. The
clinical diagnosis based on the data is (RIHS)
Chronic maxillary sinusitis
allergic rhinitis
Adenoids*
DNS
Recurrent tonsillitis
537. A 9 year old child is suffering from pain in throat and is unable to swallow due to pain he
has high grade fever accompanied by rigors for the last two days On throat examination.
palatine arch uvula. pharyngeal walls are hyperemic and swollen, tonsils are enlarged,
swollen, congested and angry looking. Medial surface of tonsils are covered by grayish
white membrane which is easily visible. Jugulodigastric lymph nodes are enlarged and
tender. Temperature is 103 F. what is the most likely diagnosis? (RIHS)
Pharyngeal diphtheria*
Acute tonsillitis
Candidiasis
Infectious mononucleosis
Retropharyngeal abscess
538. A 19 years old male is suffering from pain in throat, odynophagia, fever, lymphadenitis
neck of 2 weeks duration Tonsils are swollen, congested red. lymph node neck enlarged.
Liver and spleen are also enlarged. What is single best investigation to confirm diagnosis?
(RIHS)
Blood complete picture and ESR
LFT's and RFT's
Throat swab
Monospot test *
FNAC cervical lymph nodes
539. A 30 year old female develops dysphagia, trismus and ulceration on oral mucosa She gives
history of pan chewing for last 10 years. Diagnosis is (RIHS)
Aphthous ulcer
Candidiasis
Herpetic gingivostomatitis
Submucosal fibrosis*
Leukoplakia
540. 20 years old male presented with submental and submandibular swelling after tooth
extraction What is diagnosis? (RIHS)
Ludwig's angina*
Sialadenitis
Parapharyngeal abscess
Peritonsillar abscess
Leukemia
541. Which statement is CORRECT regarding vocal nodules
Are benign lesions*
Vocal nodules tends to be larger than laryngeal polyps
Develop at the middle of vocal cords
Seldom develop bilaterally.
Can be prevented by immunization
542. Peritonsillar abscess is also known as:
Retropharyngeal abscess
Tonsillar abscess
Quinsy*
Thornwaldts abscess
Ludwig angina
543. Third molar caries with extension of the lesion towards tonsillar fossa and shift of tonsil
reveals which of the following complication?
Parapharyngeal abscess*
Retropharyngeal abscess
Tonsillar abscess
Dental abscess
Ludwig angina
544. Peritonsillar abscess can extend posteriorly into:
Anterior triangle of neck
Parapharyngeal space*
Posterior triangle on neck
Submaxillary space
Mastoid space
545. Swelling between tonsillar area and superior constrictor muscle is know as:
Quinsy*
Dental abscess
Parapharyngeal abscess
Retropharyngeal abscess
bezold abbess
546. Killiance dehiscence is seen in
Oropharynx
Nasopharynx
Cricopharynx*
Vocal cords
Esophagus
547. Early post-tonsillectomy complications include all of the following except:
Oedema of uvula
Secondary hemorrhage*
Pneumonia
Referred otalgia
Anaesthesia complications
548. Indications of tracheostomy:
In all cases of acute laryngitis
any incubated patient within 3 days*
Unilateral choanal atresia
Ludwig's angina
If there is suspicion of laryngomalacia
549. What is wrong about the pharynx?
Extends from base of the skull to the sixth cervical vertebra at upper border of the cricoid
cartilage
It is the upper part of the respiratory tract
It is the upper part of the digestive tract
About 10 cm in length in adult
The pharyngeal cavity opens in front into the nose, mouth, and larynx*
550. Odynophagia is
Pain during swallowing*
Difficulty in swallowing
Bad odour from mouth
Psychiatric disease
difficulty in opening mouth
551. Indications for tracheostomy are all EXCEPT:
Acute epiglottitis
Maxillofacial trauma
Laryngeal malignancy
Extensive consolidation of lung*
upper airway obstruction
552. Most common complication of Tracheostomy is:
Stenosis
Infection*
Pneumonia
Respiratory failure
Granulation tissue formation
553. Collar stud abscess is seen in:
Pyogenic cervical abscess
Peritonsillar abscess
Retropharyngeal abscess
TB lymphadenitis*
Malignancy
554. Steeple sign is seen in:
Croup*
Acute epiglottitis
Laryngomalacia
Quinsy
laryngeal diphtheria
555. The antibiotic of choice in acute epiglottitis pending culture sensitivity report is:
Erythromycin
Tetracycline
Doxycycline
Ampicillin*
ciprofloxacin
556. Which of the following statement Is true for Ludwig's angina?
It is an ischemic, painful condition of Pectoralis minor muscle
It is diffuse cellulitis affecting the floor of the mouth*
Glycerin nitrate, local application is quite helpful
it is contagious disease
None of the above
557. Constrictions normally present in esophagus are all EXCEPT:
10 cm from the incisor teeth*
15 cm from the incisor teeth
25 cm from the incisor teeth
40 cm from the incisor teeth
27cm from the incisor teeth
558. The hypopharynx includes all the following EXCEPT
Pyriform fossa
Epiglottis*
Post cricoid region
Valeculae
part of posterior pharyngeal wall
559. A lesion causing compression of the facial nerve at the stylomastoid foramen will cause
ipsilateral
Paralysis of the facial muscles*
Paralysis of the facial muscles and loss of taste
Paralysis of the facial muscles, loss of taste and lacrimation.
Paralysis of the facial muscles, loss of taste, lacrimation and decreased salivation
none of the above
560. Paralysis of all facial muscles without hyperacusis and with intact taste sensation in
anterior two third of the tongue, the site of lesion in facial nerve is
cortical lesion
Lesion in the internal capsule
Lesion in stylomastoid foramen *
Lesion in fallopian canal
lesion in parotid gland
561. All of the following muscles are supplied by facial nerve except
Orbicularis oculi
Levator Palpebrae Superioris *
Posterior belly of digastric*
Orbicularis oris
Buccinator
562. Omega shaped epiglottis seen in
Laryngeal tuberculosis
Laryngomalacia*
Tracheal stenosis
Carcinoma larynx
None of the above
563. 25 year old man who is on chemotherapy has developed pain in throat and odynophagia,
Throat examination shows curd like raised patches surrounded by zone of congestion on
tonsils, pillar's and buccal mucosa. Blood picture is normal. What is one probable diagnosis.
(RIHS)
Agranulocytosis
Vincent's angina
Candiasis*
Leucoplakia
Sub mucous fibrosis
564. Following structures a part of oral cavity (RIHS)
Uvula
Soft palate
Retromolar tigon*
Epiglottis
Tonsils
565. Adenoids hypertrophy can lead Into all the following problems Except. (RIHS)
Nasal obstruction
Mouth breathing
Decreased hearing
Poor performance at school
Ear discharge*
566. Nasopharyngeal angiofibroma mostly occurs in. (RIHS)
Young males*
Young female
Elderly male
Elderly female
Any gender
567. A patient presented with dysphagia and fever. He had some history of tooth Extraction,
On Examination he had hard swelling in upper part of the neck, Diagnosis is (RIHS)
Plummer Vinton disease
Pharyngeal pouch
Peritonsillar abscess
Ludwig’s angina*
Parapharyngeal abscess
568. Reactionary hemorrhage regarding tonsillectomy occurs (RIHS)
At the time of surgery
Within 24 hour after surgery*
Alter 24 hours of surgery
At 5th day of surgery
Any time after surgery
569. A child presented with sore throat and low grade fever for 5 days Throat examination
showed membrane over the tonsils and soft palate. Diagnosis is (RIHS)
Acute membranes tonsillitis
Acute follicular tonsillitis
Faucial diphtheria *
570. Following is not the complication of Adenoidectomy (RIHS)
Trauma to Eustachian tube
Griesel syndrome
Rhinolalia clausa *
Rhinolalia Sparta
571. The most common complication of Tonsillectomy Is (RIHS)
Primary haemorrhage*
Reactionary haemorrhage
Secondary Haemorrhage
Tonsillar remnant
Decreased immunity
572. Posterior faucial pillar is formed by (RIHS)
Palatopharyngeal*
Superior constrictor
Palatoglossus
Glossopharyngeus
Middle constrictor
573. Frontal sinus opens into (RIHS)
Sphenoethmoidal recess
Superior meatus
Middle meatus*
Inferior meatus
Uncinate process
574. Regarding complications of tonsillectomy, Secondary henmorrhage occur (RIHS)
During the operation
During 24 hours alter operation
Alter 24 hours of operation*
On 2 day after operation
Any time after operation
575. One of the following is not included in Signs of a patient with chronic tonsillitis (RIHS)
Prominent tonsillar crypts*
Enlarge tonsils
Enlarge lymph nodes
Enlarge of tonsillar pillar
Choesy material in crypts
576. Nasopharyngeal carcinoma ls ideally treated with (RIHS)
Surgery
Radiotherapy*
Steroids
Chemotherapy
System Antibiotics
577. The following condition is not a causing factor for chronic pharyngitis (RIHS)
Asthma*
Smoking
GERD
Mouth breathing
DNS
578. The presence of sore-throat, fever and presence of grey membrane over the tonsil and
uvula is a child are features of (RIHS)
Quinsy.
Chronic tonsilitis
Diphtheria*
Membranous tonsillitis
follicular tonsillitis
579. A four months old male child is brought by his mother to ENT department for
consultation. Child has inspiratory stridor since birth, which exaggerates on crying and child
also becomes dyspneic but during sleep stridor is absent. What is your one possible clinical
diagnosis (RIHS)
Congenital web
Congenital vocal cord paralysis
Laryngomalacia *
Recurrent Juvenile Papilloma
Subglottic stenosis
580. A Baja Blower of six years of age who has been in profession for last 40 years. Patient
complains of swelling appears in the upper part of neck on right side on blowing Baja and
reduces on compressing with hissing noise He also feels slight hoarseness and dyspnea
What one most probable clinical diagnosis when there is no other symptoms or past history
of surgery or trauma. (RIHS)
Cold abscess
Pseudo aneurysm
Pharyngeal pouch
Laryngocele *
581. 27 year old male who had toothache in right lower tooth for last 07 days has developed
pain in throat/odynophagia change in voice, slight dyspnea, inability to open the mouth.
Early on examination it was tender, non-fluctuating, indurated swelling in submandibular
region, swelling of floor of mouth and tongue pushed back ward and fever. What is one
possible clinical diagnosis: (RIHS)
Peritonsillar abscess
Retropharyngeal abscess
Ludwig's angina *
Alveolar abscess
Parapharyngeal abscess
582. A 60 years old male who is heavy smoker presented with history of hoarseness presenting
for last 7 weeks. Indirect laryngoscopy revealed small exophytic growth of maize grain size
at the middle of night vocal cord. Both cords are freely Mobile. No neck glands. Direct
laryngoscopy and biopsy shows squamous cell carcinoma. What is one best choice of
treatment (RIHS)
Radio therapy alone *
Cordectomy
Vertical Hemi laryngectomy
Total laryngectomy
Chemotherapy
583. You are called to see at child in emergency at mid night. The child is sitting up in bed, looks
toxic is dyspneic, stridulous, has dysphagia and drooling of saliva and high grade lever.
History reveals that the child had mild cold this morning Which has dramatically progressed
to this state by mid night. What is one possible diagnosis (RIHS)
Acute laryngitis
Acute laryngo tracheo bronchitis
Acute epiglottitis *
Acute retropharyngeal abscess.
584. A 45 years old female has presented to ENT department with history of dysphagia of 1 1/2
years which was gradual in onset. There is no significant weight loss/ no lump in neck.
There is koilonychia of fingers, tongue is smooth and there are trismus at angle of mouth.
Barium swallow show a smooth stricture at the upper end of esophagus. Give one best slip
you will take in the case. (RIHS)
Endoscopy and dilatation
Endoscopy and biopsy *
MRI of Neck
X-ray chest
Complete blood picture & BSR
585. A 35 year old male who drinks alcohol, is chain smoker and nonprofessional singer is
Suffering from hoarseness for the last four month. IDL shows white particles on vocal
cords. On biopsy and histopathology report reveal carcinoma in situ. What is choice of
management (RIHS)
Total laryngectomy
Radiotherapy
Follow up for observation after complete peeling *
Nothing to be done after peeling removal
Chemotherapy
586. A 20 years male has presented with pain in throat difficulty in swallowing and fever of 5
days duration. Examination reveals multiple small, shallow ulcers on Gum's buccal mucosa,
tongue and pillars covered with dirty white membrane. Which can be easily removed.
Patient has characteristic fruity odour breath. Give one best investigation for diagnosis.
(RIHS)
Complete blood picture sod ESR
Throat swab for culture
Throat swat for staining & smear examination *
Biopsy of the ulcer
Xray chest
587. A 3 years old boy was playing with other small children that he suddenly developing
choking which settled after few minutes. Ever since he is unable to swallow anything, All
vital signs and chest auscultation is normal throat NAD. Tick one most important step to
like to take: (RIHS)
Laryngoscopy & bronchoscope under GA
Esophagoscopy under GA *
Antibiotics and steroids course
Blood ESR & CP
Plan X-ray soft tissue neck/ chest and abdomen
588. 40 years old man who underwent difficult esophagoscopy is received in the ward from
operation theatre. You suspect perforation in esophagus. Tick the best one earliest clinical
feature: (RIHS)
Surgical emphysema
Shock
Pain chest & back *
Dysphagia
Raised rate of pulse and respiration
589. Eighteen years old girl has developed hoarseness following an arranged engagement by
her parents against her liking. Hoarseness is of sudden & dramatic onset. On indirect
laryngoscopy vocal cords look normal, but adduction IS incomplete on phonation. What is
likely diagnosis (RIHS)
Chronic laryngitis
Myasthenia gravis
Functional dysphonia *
Bilateral Adduction paralysis
590. A 2 years old patient has swallowed coin. Which one of the following is most common site
for impaction of such foreign body. (RIHS)
Lower end of esophagus
Cricopharynaious (upper end) *
Left bronchus crosses oesophagus
Arch of aorta cross oesophagus
Oropharynx
591. 12 year old male child has painless, non tender cystic swelling in mid line just below the
hyoid. It moves with swallowing and is present since early childhood What may be possible
clinical diagnosis (RIHS)
Hyoid burse
Nodular Goiter of isthmus
Thyroglossal cyst *
Metastatic lymph node
Laryngocele
592. 40 year old lady who was suffering from reflux for the last fifteen years has developed
dysphagia over the last two months, which is rapidly increasing and she is loosing weight
Which of the following investigation is mandatory in confirming diagnosis (RIHS)
Barium swallow
Blood ESR &CP
Esophagoscopy & biopsy *
CT Scan abdomen
Chemotherapy
593. A young lady presented to ENT OPD with complaints of fever, difficulty opening mouth
and neck swelling. The swelling was hard and tender. She also gave history of check-up to a
Dentist a week ago. What is your clinical diagnosis? (RIHS)
Quinsy
Retropharyngeal abscess
Parapharyngeal abscess
Ludwig's angina*
Goiter
594. One of the following is Not a feature of chronic pharyngitis: (RIHS)
Pain in throat
Cough
Tiredness of voice
Foreign body sensation in throat
Fever *
595. A middle age anemic lady is having progressive dysphagia for solids and brittle nails for 2
years. Her neck examination is normal. The likely diagnosis is: (RIHS)
Carcinoma larynx
Carcinoma pharynx
Globus pharyngeus
Plummer-vinson syndrome*
Pharyngeal pouch
596. Regarding tonsillectomy, reactionary haemorrhage occurs: (RIHS)
During surgery
After surgery for up-to 24 hours*
After 24 hours of surgery
On 5 post-operative day
Any time after operation
597. A 5 years old child is having sore-throat, low-grade fever and cervical lymphadenopathy.
On examination he is having grayish membrane over the tonsils and soft palate. What is
your provisional diagnosis? (RIHS)
Diphtheria*
Follicular tonsillitis
Membranous tonsillitis
Leukemia
Aphthous ulcer
598. Which of the following muscle of larynx is not supplied by recurrent laryngeal nerve?
(RIHS)
Lateral cricoarytenoid
Posterior cricoarytenoid
Cricothyroid*
Aryepiglottic
Thyroepigiottic
599. A 17 years old patient has developed pain in throat & fever for last 3 days. On
examination there are multiple oral ulcers covered by yellow-white membrane present on
gums, tongue, tonsil and pillars. Suspected diagnosis is Vincent angina. Indicate one best
test for diagnosis. (RIHS)
Blood ESR and complete picture
Throat swab for culture
Smear examination under microscope*
Biopsy of the ulcer.
Serum IgE
600. Treatment of laryngeal carcinoma stage IV-b is: (RIHS)
Partial laryngectomy
Chemotherapy
Palliative treatment*
Chemotherapy and partial laryngectomy
Supragiottic laryngectomy
601. A mother brought her young college going son that he's not having normal masculine
voice. The boy is shy but having no any other physical problem. Your diagnosis is: (RIHS)
Vocal cord palsy
Vocal nodule
Vocal polyp
Puberphonia*
Functional aphonia
602. Which of the following structure is Not seen on X-ray lateral view skull and neck? (RIHS)
Trachea
Maxillary sinus*
Esophagus
Cervical vertebrae
Mandible
603. A Young female is having severe sore throat, difficulty swallowing and fever. On
examination tonsil is enlarged and pushing the ovule to opposite side. The likely diagnosis
is: (RIHS)
Diphtheria
Tumor of the tonsil
Acute tonsillitis
Quinsy *
Tonsillar cyst
604. Soon after thyroidectomy, the patient developed shortness of breath and strider after
examination. What immediately should be done? (RIHS)
Oxygen inhalation through mouth
Lateralization of vocal cords
Portable CT scan to knew about problem
Tracheostomy *
I/V steroids
605. A child was brought to ENT OPD with complaints of fever, enuresis end bilateral tenders
swelling in parotid region. Which of the following organism is most involved in this case?
(RIHS)
Staphylococcus aureus
Streptococcus viridians
Herpes zoster virus
Paramyxovirus *
Pentadomeuas
606. Vocal polyp is present mostly in: (RIHS)
Smokers *
Singers
Trumpet players
Teachers
Weight lifter
607. Vocal nodules are present at (RIHS)
Center of false vocal cords
Junction of anterior 1/3rd and posterior 2/3rd of true vocal cord *
Junction of anterior 2/3rd and posterior 1/3rd of true vocal cord
At the center of true vocal cord
Any area of true vocal cords
The most common site for incidence of laryngeal carcinoma is (RIHS)
Glottis *
Subglottis
Supraglottis
Epiglottis
Arytrnoids
608. Thorwald’s cyst is seen in. (YMDC)
Floor of mouth
Oropharynx.
Nasopharynx*
Hypopharynx.
Larynx
609. After a Road traffic accident 21 years old, was admitted in ICU, anticipating his prolonged
stay in ICU his tracheostomy was performed. Care of tracheotomy Patient include: (YMDC)
Humidification by wet gauze
Changing the tube
Care of the inflatable cuff
All the above*
None of the above
610. A 7 year old male presents to the ER with a two day history of worsening ear pain. and
drainage. On the day prior to presentation, his parents noted redness, behind his right ear
and that his right ear appeared to be sticking out. He had been well until 10 days ago when
he starred complaining of Cough and runny nose that progressed to include right ear pain
and fever. He was evaluated in the clinic 5 days ago and diagnosed with an acute right otitis
media. He was placed on amoxicillin and he initially appeared to improve until two days
ago when his ear pain recurred and this is How accompanied by ear drainage. redness
behind his right ear, and a prominent right pinna which is pointing up and out, The most
likely diagnosis? (YMDC)
Otitis externa
Otitis media with effusion
Mastoiditis*
Necrotizing otitis externa
611. On endoscopy of nose a patient was found fossa of Rosenmullaar. Which is a common site
for: (FMDC)
Angiofibroma
Lipoma
Adenoid
Nasopharyngeal carcinoma*
Thorwald’s cyst
612. Rhinophyma is associated with: (YMDC)
Hypertrophy of the sebaceous glands*
Hypertrophy of sweat glands
Hypertrophy of endothelial cells
Hypertrophy of epithelial cell
Hypertrophy of follicies
613. Treatment of choice in a 6 year old child with recurrent URTI with mouth breathing and
failure to grow with high arched palate and impaired hearing is: (YMDC)
Tonsillectomy
Grommet insertion
Myringotomy with grommet insertion
Adenoidectomy with grommet insertion*
Medical management
614. A patient presented to you complaint of left submandibular pain and swelling whe ning.
O/E, there enlarged submandibular gland firm What is the o likely Diagnosis? (YMDC)
Mumps
Sjogren’s syndrome
Hodgkin's lymphoma
Salivary gland calculi
Ludwig's Angina*