Quiz: Another Exams

Round, smooth, soft, translucent, yellow or pale, glistening structure which result from prolapsed lining of the ethmoid sinus and blocks the nose to variable degree depending on their size:

A A.Antro choanal polyp. B B.Ordinary nasal polyp. C C.Iinverted papilloma D D.Furuncolosis.

2. It is an IgE mediated hypersensitivity disease of the mucous membrane of the nasal air way:

A A.Acute rhinitis. B B.Chronic rhinitis. C C.Vasomotor D D.Allergic rhinitis.

3. Atopy refers to the tendency to develop an exaggerated IgE antibody response as reflected by skin prick test in response to one or more of common aeroallergens, it is extremely common affecting up to :

A A. 1/2 of population. population. B B.1/3 of population. C D.1/5 of population D E.1/6 of population.

4. Blood supply of the nose:

A A. Supplied by external carotid artery only. B B. Supplied by internal carotid artery only. C C. There is no connection with the sagittal sinus. D D. The maxillary artery is the main arterial supply to the nasal fossa.

5. Examination of the nose:-

A Only inferior turbinate can be seen by anterior rhinoscopy. B All turbinates can be seen by anterior rhinoscopy. C C. Superior turbinate cannot be seen in children by anterior rhinoscopy. D D. Olfactory epithelium can be seen in children by anterior rhinoscopy.

6. The lymphatic drainage of the nose:

A A. Go directly to the inferior deep cervical lymph nodes. B Never pass to the submental lymph nodes. C C. The tip of the nose is devoid of lymphatic drainage D D. The posterior part of the nose is drained to the retropharyngeal and upper deep cervical lymph nodes.

Allergic rhinitis:

A It is an IgG mediated. B Rarely associated with bronchial asthma. C It is associated with purulent nasal discharge. D E. It is not uncommon disease

8. Anti-cholinergic (topical ipratrobium bromide) is used in the treatment of:

A A. Allergic rhinitis. B B.Eosinophilic vasomotor rhinitis. C C.Non- eosinophilic vasomotor rhinitis. D D.Acute rhinitis.

9. Allergic rhinitis:

A A. It is type 2 allergic hypersensitivity reaction. B B. It involves IgM reaction. C C. The mast cells have a major role in pathogenesis. D Neutrophil count is essential for diagnosis.

11. The little’s area is supplied by

A A. Superior labial, anterior ethmoidal, greater palatine and spheno-ethmoidal arteries. B B. Superior labial, posterior ethmoidal, greater palatine and spheno-ethmoidal arteries. C C. Superior labial, anterior ethmoidal, lesser palatine and spheno-ethmoidal arteries. D E. None of the above

12. A ten year old girl presented with pain between the eyes, frontal headache, discharge from the nose, post nasal drip and high fever; what is the provisional diagnosis?

A A.Acute frontal sinusitis. B B.Acute ethmoidal sinusitis. C C.Acute sphenoidal sinusitis. D D.Sphenoidal tumor.

13. All about the vestibule of the nose are true except:

A A. It is the entrance to the nasal cavity B B. It is lined with skin. C C. It contains sebaceous glands and hairs. D D. It is lined by mucus membrane of respiratory type.

14. Dorsum of the nose is formed by all except:

A A. Septal cartilage. B B.Nasal bones C D.Vomer. D E.Maxillary crest.

15. Mucosa of the nasal cavity is formed by all but:

A A. Skin. B B.Columnar ciliated epithelium. C C.Olfactory epithelium. D D.Occasionally squamous epithelium

16. Vasomotor rhinitis:

A A. It is an infective process B B. It is an allergic process. C C. It is divided in to two groups: eosinophilic and non-eosinophilic. D D. It is a neoplastic process.

17. What is most true about the function of the paranasal sinuses?

A A. They protect the eye. B Help in olfaction. C C. They reduce the weight of the skull. D D. Do not appear to have a function.

18. Inflammation of the external nose:

A A. Furunolosis is due to streptococcus infection. B B. Furuncolosis cannot be complicated by cavernous sinus thrombosis. C C. Usually painless. D E. Infections should be treated with antibiotics.

19. Nasal septal hematoma

A A. It is only associated with trauma. B B. It is benign tumour. C C. It is a collection of blood between nasal mucosa and perichondrium D D. It is mostly unilateral

20. Regarding deviated nasal septum, which of the following is false?

A A. Deviated nasal septum (DNS) is a common physical disorder. B B. It is most frequently caused by impact trauma C C. Deviated septum is associated with genetic connective tissue disorders such as Marfan syndrome. D E. Mostly treated surgically

21. 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:

A A.Simple nasal polyp. B B.Rhinolith. C C.Antrochoanal polyp D D.Foreign body.

22. Fractured nose:

A A. There are four types. B B. The most common type is type 2. C C. Is the most common facial injuries. D D. Its classification depends on the velocity of trauma only.

23. Sluder’s neuralgia:

A A. Decongestants resolves the pain temporarily. B B. It is synonymous to posterior ethmoid neuralgia. C C. Pain localized on both sides of the face D D. Due to compression of deviated septum and inferior turbinate.

24. The most common three causative bacterial agents of acute sinusitis are

A a) A.Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. B b) Streptococcus pneumoniae, Staphylococcus aureus,and Moraxella catarrhalis. C c) Streptococcus pneumoniae, Haemophilus influenzae,and Staphylococcus aureus. D d) Staphylococcus aureus, Haemophilus influenzae, and Moraxella catarrhalis.

25. Pain due to acute sinusitis:

A B. It has a diurnal variation. B A. It is not related to the sinus involved. C C. It is agonizing in open type of sinusitis. D D. Not associated with otalgia.

26. All of the following are causes of bilateral nasal obstruction except:

A A. Adenoids. B B.Allergic rhinitis C C.Antrochoanal polyp. D D.Ethmoidal polyp

27. All of the following are complications of sinusitis except:

A A. Cavernous sinus septic thrombosis B B.Meningitis. C C.Toxic shock syndrome. D D.Glomerulonephritis.

28. Regarding the management of sinusitis, which of the following is false?

A a) Antibiotics are not recommended for most cases. B b) Nasal endoscopy is generally a completely painless procedure which takes between five to ten minutes to complete. C c) For sinusitis lasting more than 12 weeks a CT scan is recommended. D e) Acute sinusitis mostly treated by surgery

29. Nasal foreign body:

A A. Spherical foreign body removed by Telly nasal dressing forceps. B B. Epistaxis is the most common symptom. C C. Chargeable battery should be urgently remove. D E. Usually bilateral.

29. Nasal foreign body:

A A. Spherical foreign body removed by Telly nasal dressing forceps. B B. Epistaxis is the most common symptom. C C. Chargeable battery should be urgently remove. D E. Usually bilateral.

30. Local precipitating factor for maxillary sinusitis:

A A.Poor diet. B B.Fatigue. C C.Nasal obstruction. D D.Chilling.

31. Definite diagnosis of acute maxillary sinusitis:

A A. Facial pain. B B.Antral lavage C C.Pain in the cheek D D.Tenderness over the cheek.

32. The most common cause of epistaxis is

A A. Hypertension. B B. Idiopathic C C.Fracture nasal bone. D D.Blood diseases

32. The most common cause of epistaxis is

A A. Hypertension. B B. Idiopathic C C.Fracture nasal bone. D D.Blood diseases

33. All are true about anosmia except:

A A. It can be tested by simple objective method. B B. It must be bilateral before it is noticeable. C C. It is often described as loss of taste. D E. Trauma is not a cause of it.

34. A complication of common cold:

A A.Otitis externa. B B.Quinsy. C C.Facial palsy. D D.Maxillary sinusitis

35. Symptoms of acute staphylococcus infection of nasal vibrissae include all but:

A A.Pain. B B.Fever. C C.Swelling. D E.Headache.

36. Mast cell stabilizers:

A A. Can be used in treatment of all kinds of allergic disease. B B. Usually used as the main treatment line in allergic rhinitis patients. C C. Mostly used as prophylactic in seasonal rhinitis. D D. Used as one of the cornerstones in the treatment of allergic rhinitis.

37. The antrochoanal polyp:

A A. Is uncommon. B B. It’s mostly unilateral. C C. Extends immediately to the posterior choana. D D. All the above.

38. The main problem in using immunotherapy (hypo-sensitization) in allergic rhinitis patient is:

A a)The cost. B b)Risk of hypersensitivity reaction C c)Difficulty with identification of the antigen. D d)The technique. e)All the above.

38. The main problem in using immunotherapy (hypo-sensitization) in allergic rhinitis patient is:

A a)The cost. B b)Risk of hypersensitivity reaction C c)Difficulty with identification of the antigen. D d)The technique.

39. All structures open in the middle meatus except:

A a)Sphenoid sinus. B b)The maxillary sinus C c)The frontal sinus. D d)The anterior ethmoid air cells.

40. Stages of common cold include all but:

A A.Ischemic stage . B b.Hyperemic stage. C c.Stage of secondary D e.Febrile stage.

41. Treatment of common cold include all but:

A a)Steam inhalation. B b)Warm fluid. C c)Antibiotics. D e)Analgesia.

42. Which of the following is not a symptom of acute maxillary sinusitis?

A a) Pain in the cheek. B b) Tenderness over the cheek. C c) Edema over the cheek. D e) Dullness on trans-illumination.

43. Best radiological test for maxillary sinus is:

A A.Occipito-frontal view. B B.Occipito-mental view. C C.Lateral view. D D.CT scan.

44. Best section in CT scan for maxillary sinus is:

A a)Axial. B b)Coronal. C D.CT scan. D c)Three dimensional.

45. In seasonal rhinitis, the early symptom will be:

A A. Paroxysms of sneezing occur at frequent intervals throughout the day. B b.Watery rhinorrhea. C c.Loss of smell and loss of taste. D e.Facial pain.

46. Best treatment line in allergic rhinitis is:

A a)Local antihistamine B b)Local corticosteroid C c)Systemic corticosteroid. D d)Allergen avoidance

47. In perennial rhinitis the commonest cause is:

A A.Grass pollen. B B.Tree pollen. C C.Fungi spores. D D.House dust mites.

48. The best investigation in antrochoanal Polyp:

A a)Skin brick test. B b)Waters view X-ray. C c)Nasal endoscopy. D d)Coronal CT scan

49. The antrochoanal polyp:

A A. The patient, commonly a young adult, complains of bilateral nasal obstruction. B B. The patient, commonly a young adult, complains of unilateral nasal obstruction C C. The patient, commonly an old female, complains of unilateral nasal obstruction which is worse on expiration. D E. None of the above

50. Not a cause of acute maxillary sinusitis:

A a)Acute infective rhinitis. B b)Common cold. C c)Swimming. D e)Barotrauma.

1. Regarding the tonsil, all of the followings are true except:

A a) Palatoglossus lies anterior to the tonsil. B b) The tonsil is supplied by the tonsillar artery, a branch of the facial artery. C c) The internal carotid artery lies 2.5cm behind and lateral to the tonsil. D d) Contains 20 crypts.

2. A 66 year old Chinese man presents with a two month history of neck swelling in the right posterior triangle. On further questioning he tells you that his hearing has also declined in the right ear. He also has a blocked nose. What is the likely diagnosis?

A A.Lymphoma. B B.Metastatic lymph node from a nasopharyngeal carcinoma. C C.Parotid tumour. D D.Lipoma

3. A 21 year old woman presents with two day history of sore throat and dysphagia. On examination she is pyrexial with halitosis and cervical lymphadenopathy. What is the likely causative organism for her condition?

A A.Epstein-Barr virus. B B.Agranulocytosis. C C.Corynebacterium diphtheriae D E.Group A beta-haemolytic streptococcus (Streptococcus pyogenes).

4. Juvenile angiofibroma:

A A. Patients have often had repeated episodes of epistaxis. B B. It is a tumour of young girls with a mean age of 14 at presentation. C C. Bone erosion of the greater wing of the sphenoid does not occur. D D. Secretary otitis media does not occur.

5. The first postoperative day, tonsillectomy fossa is:

A A.Red colour B B.Black colour. C C.Yellow colour. D D.White colour

6. Stage ІІІ squamous cell carcinoma of oropharynx is:

A A. Metastatic disease. B B.Locally advanced disease. C C.Tumour present in lymph nodes. D D.Best treated by radiotherapy

7. Stridor

A A. It is only a symptom not a sign. B B. Recession of suprasternal, supraclavicular, intercostal and subcostal space indicate mild form of respiratory difficulty. C C. Cyanosis indicate early stage. D E. It is never a diagnosis nor a disease.

8. A 27 year old female patient presented with painful and difficulty swallowing, on indirect laryngoscopy, there is pooling of saliva in right pyriform sinus with swollen right arytenoid, the most likely diagnosis is:

A A. Adenocarcinoma of pyriform sinus B B. Squamous cell carcinoma of pyriform sinus C C. Squamous cell carcinoma of posterior pharyngeal wall D E. Squamous cell carcinoma of Postcricoid.

9. Palliative treatment of advanced head and neck malignant tumours involves all of the following except:

A A. Gastrostomy. B B.Tracheostomy. C C.Pain killers. D E.Antibiotics to treat infections

10. Radiotherapy is the treatment of choice for:

A A. Nasopharyngeal carcinoma. B B. Stage ІІІ squamous cell carcinoma of larynx. C C. Nasopharyngeal adenocarcinoma. D D. Oropharyngeal carcinoma.

11. Commando operation may be used for the treatment of:

A A. Nasopharyngeal carcinoma. B B. Stage ІІІ squamous cell carcinoma of larynx. C C. Nasopharyngeal adenocarcinoma. D D. Oropharyngeal carcinoma.

12. All of the following may cause tonsillar ulceration except:

A A. Diphtheria. B B.Behget’s syndrome. C C.Vincent’s angina. D E.Papilloma.

13. Early post-tonsillectomy complications include all of the following except:

A A. Oedema of uvula B B.Secondary bleeding. C C.Pneumonia. D E.Anaesthetic complications

14. All of the following are true regarding adenoids except:

A A. Produces IgM. B B.Attain maximal size between the ages 3 and 8. C C.Produces IgA. D E.Produces IgD.

15. Laryngomalacia:

A A. The larynx is of an exaggerated adult type. B B. The epiglottis is long and wide and folded backward at each lateral edge C C. The epiglottis is converted into a delta shaped incomplete cylinder. D E. None of the above.

16. All are causes of congenital strider except:

A A.Acute epiglottitis. B B.Laryngeal web. C C.Subglottic stenosis. D D.Laryngomalacia.

17. Trauma to posterior pillar during tonsillectomy causes:

A A.Trismus. B B.Bleeding. C C.Infection. D D.Nasal regurgitation.

18. During a hunting trip a bullet affect one of the hunters in his neck by accident, he developed neck swelling and hoarsed voice, what could be the cause of his voice change:

A A.Unilateral vocal cord palsy. B B.Bilateral vocal cord palsy C C.Laryngeal oedema. D D.All the above

19. Which of the following is part of laryngopharynx:

A A.Epiglottis. B B.Cricoids cartilage. C C.Thyroid cartilage D D.Postcricoid.

20. Absolute indication of tonsillectomy is:

A A. Chronic tonsillitis. B B.Diptheria carrier. C C.Obstructive sleep apnoea D D.Glassopharyngeal neurectomy.

21. Which of the following is not a complication of acute tonsillitis?

A A. Peritonsillar abscess. B B.Bezold’s abscess. C C.Acute rheumatism D D.Acute nephritis.

22. Pyriform fossa lies:

A A.Medial to aryepiglottic fold. B B.Lateral to aryepiglottic fold. C C.Inferior to aryepiglottic fold. D D.Superior to aryepiglottic fold.

23. A new born baby presented with weak cry and hoarseness, the most probable diagnosis:

A A.Laryngomalacia. B B.Subglotic stenosis C C.Subglotic heamangioma D D.Vocal cord palsy.

24. Which of the following is not a feature of pharyngeal diphtheria?

A A. Enlarged tender cervical lymph nodes. B B.Pyrexia. C C.True membrane. D D.Toxaemia.

25. Which of the following is not true regarding acute reteropharyngeal abscess:

A A. It is common in children. B B. Produces difficulty in breathing and suckling. C C. It is limited to one side of the midline D D. Incision and drainage is done from outside through carotid sheath

26. A 60- year-old man presents to the clinic with a 5 cm solitary lymph node in the upper right cervical region and an abnormal-looking right tonsil. Assuming this is a squamous cell carcinoma nodal metastasis, what is the N classification?

A A. N1 B B.N2a. C C.N2b. D D.N2c.

27. Subglottic edema can prove fatal in a child because:

A A. Mucosa is lax B B.Mucosa is poorly adherent. C C.Larynx is comparatively small. D E.All the above.

28. A 70- year-old smokers presents to the ENT clinic with a 3-month history of dysphagia and weight loss. Flexible nasoendoscopy shows pooling of saliva in the pyriform fossae, with restricted mobility of the right hemi-larynx. Malignancy is suspected. You proceed to general anaesthetic endoscopy. At surgery, you find that he has a 3 cm tumour affecting the right pyriform fossa and extending into post-cricoid region. According to the TMN staging, what T- stage is this malignancy?

A A.T1. B B.T2. C C.T2B. D D.T3.

30. The least complication of tonsillectomy is:

A A. Haemorrhage. B B.Pneumonia. C C.Lung abscess D D.Atelactesis.

31. All are functions of the larynx except:

A A. To protect the lungs. B B.To control air flow. C C.Phonation. D D.Generation of speech.

32. Stridor:

A a) A. It is an auditory manifestation of disordered respiratory function due to air flow changes within the larynx, trachea, or bronchi B b) It needs investigations in every case. C c) It is due to turbulence of air flow within a partially obstructed respiratory tract. D e) All the above.

32. Stridor:

A a) A. It is an auditory manifestation of disordered respiratory function due to air flow changes within the larynx, trachea, or bronchi B b) It needs investigations in every case. C c) It is due to turbulence of air flow within a partially obstructed respiratory tract. D e) All the above.

33. The most common site of malignant tumours of hypopharynx is:

A A.Postcricoid. B B.Cricoids cartilage. C C.Posterior pharyngeal wall. D D.Piriform sinus.

33. The most common site of malignant tumours of hypopharynx is:

A A.Postcricoid. B B.Cricoids cartilage. C C.Posterior pharyngeal wall. D D.Piriform sinus.

34. Which of the following is not true about nasopharyngeal cancer?

A a. Metastasizes to cervical lymph nodes B b. Causes unilateral serous otitis media. C d. EB virus is responsible. D e. Most common nerve involved is vagus.

35. Trismus accompanying quinsy is due to spasm of which muscle?

A A. Masseter. . B B.Pharyngeal constrictors. C C.Medial pterygoid. D D.Temporalis.

36. Lymphoid tissue called Waldeyerʼs ring is situated in:

A A. Nasopharynx. B B.Upper tow parts of the pharynx C C.Oropharynx. D D.Base of tongue.

36. Lymphoid tissue called Waldeyerʼs ring is situated in:

A A. Nasopharynx. B B.Upper tow parts of the pharynx C C.Oropharynx. D D.Base of tongue.

37. A 15-year-old has unilateral nasal obstruction, mass in the cheek and recurrent epistaxis, the diagnosis is:

A A.Cancer of nasopharynx. B B.Inverted papilloma nose C C.Maxillary sinusitis. D E. Angiofibroma.

38. 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 you opinion about what was looking as a thumb in front of the hypopharynx, your diagnosis was:

A A.Acute pharyngitis. B B.Acute simple laryngitis C C.Laryngo-tracheo-bronchitis. D D.Acute epiglottitis.

38. 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 you opinion about what was looking as a thumb in front of the hypopharynx, your diagnosis was:

A A.Acute pharyngitis. B B.Acute simple laryngitis C C.Laryngo-tracheo-bronchitis. D D.Acute epiglottitis.

38. 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 you opinion about what was looking as a thumb in front of the hypopharynx, your diagnosis was:

A A.Acute pharyngitis. B B.Acute simple laryngitis C C.Laryngo-tracheo-bronchitis. D D.Acute epiglottitis.

39. What is not correct in acute epiglottitis?

A A. Constant supervision in hospital is mandatory. B B. Dyspnea may be progressing and alarming. C C. It is a special form of acute laryngitis, in which the inflammatory changes affect mainly the loosely attached mucosa of the epiglottis. D D. Systemic antibiotics is not a must to be started immediately.

40. The mouth:

A A. Extends from the incisor teeth to the oropharynx. B B. Contain three salivary glands. C C. Separated from the oropharynx by an anatomical barrier. D D. Consists from two main parts only.

41. What is wrong about the pharynx?

A A. Extends from base of the skull to the sixth cervical vertebra at upper border of the cricoid cartilage. B B. It is the upper part of the respiratory tract. C C. It is the upper part of the digestive tract. D D. About 10 cm in length in adult.

42. The oral vestibule:

A D. About 10 cm in length in adult. B A. Located between the teeth and alveoli. C B. Located between the lips and cheek. D C. The space enclosed by the teeth and alveoli

42. The oral vestibule:

A D. It is site of drainage of salivary gland. B A. Located between the teeth and alveoli. C B. Located between the lips and cheek. D C. The space enclosed by the teeth and alveoli

43. The mylohyoid muscle:

A A. It is a depressor of the mandible. B B. It is supplied by maxillary branch of the trigeminal 5th cranial nerve. C C. It is an elevator of the mandible. D D. It is a protractor of the mandible.

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