42The chorda tympani nerve receives taste sensation from:✓ A
AAnterior two thirds of the tongue
BPosterior two thirds of the tongue
CAnterior one third of the tongue
DPosterior one third of the tongue
43The following isn't a cause of conductive hearing loss✓ C
AOtitis media with effusion
BBullo us myringitis
CCochlear otosclerosis
DTympanic membrane perforation
44The nerves supplying of the tympanic membrane do not include the✓ C
BAuriculotemporal nerve of trigerninal
CThe greater auricular nerve
DThe glossopharyngeal nerve
EThe auricular branch of vagus nerve
45The nerve supply of the tympanic cavity is✓ C
AAuriculotemporal branch of the mandibular division of trigeminal nerve
BThe auricular branch of vagus (Arnold's nerve)
CThe tympanic branch of glossopharyngeal nerve (nerve of Jackobson)
DThe facial nerve
46The fenestra vestibuli is closed in life by✓ A
AFootplate of stapes
BNeck of malleus
CSecondary tympanic membrane
DShort process of incus
47Compared to the adult Eustachian tube; the infantile Eustachian tube is✓ C
AShorter narrower and more horiz.ontal
BShorter narrower and more vertical
CShorter wider and more horirontal
DShorter wider and more vertical 15 Otolt1ry1r.golog11 MCQ.~
48The nerve Slll)l>ly of the tym1111nic cavity mucosa is✓ C
AAuriculotempornl branch of the mandibular division of trigeminal nerve
BThe auricular branch of vagus (Arnold's nerve)
Cl11e tympanic branch of glossopharyngeal nerve (nerve of Jackobson)
Dl11e facial nerve
49The fenestra vestibuli is closed in life by✓ A
AFootplate of stapes
BLong process of incus
CSecondary tympanic membrane
DShort process of incus
50The function of the middle ear muscles is✓ D
AMaintenance of balance
BMovement of the ossicles
COpening of the Eustachian tube
DProtection of the inner ear from the harmful effect of loud sounds
51The external auditory canal is lined by:✓ A
AStratified squamous epithelium
BColumnar epithelium
CC1,1boidal epithelil,lm
DTransitional epithelium
52The inner ear is filled with which fluid in the scala media?✓ B
APerilymph
BEndo lymph
CCerebrospinal fluid
DSynovial fluid
53The organ of Corti is located in which part of the cochlea?✓ B
AScala vestibuli
BScala media
CScala tympani
DVestibular membrane
54The stria vascularis in the cochlea is responsible for:✓ A
AProducing endolymph
BTransmitting sound waves
CMaintaining perilymph 16 EarMCQs
DSupporting ossicles
55The 1>rima1·y function of the semicircular canals is to detect:✓ B
ALinear acceleration
BAngular acceleration
CSound frequency
DStatic head position
56The uhicle and saccule primarily detect:✓ B
AAngular acceleration
BLinear acceleration
CSound waves
DPressure changes
57The endolymph is present in✓ C
AScala tympani
BScala vestibuli
CEndolyrnphatic sac
DMastoid air cells
58The promontory is formed by The✓ A
AFirst turn of the cochlea
BAnterior ethm9id ~r c~lls
CLateral semicircular canal
DUtricle
59The nerve supply of the medial surface of the tympanic membrane is✓ C
AThe auriculotemporal nerve of trigeminal
BThe greater auricular nerve
CThe tympanic branch glossopharyngeal nerve
DThe auricular branch ofvagus nerve
60The sensory organs of the utricle and the saccule is called the✓ B
ACrista.
BMacula.
COlfactory cleft.
DOrgan of Corti.
61The following area of the auricle is devoid of cartilage:✓ C
AAntihelix
BHelix 17 °'"'"IJ'"Kology MCQ,r,
Chlcisurn tcrminolis
DTrngus
62The bony 1mrc of Che exCemnl auditory cnnal✓ C
AForms the outer 2/3 of the exterrtal auditory canal
BHas fissures of Santorini in it
CIs 16 mm in length
DIts skin lining contains hair follicles
63The tympanic membrane direction is oblique so that the✓ B
AAnterior part of the tympanic membrane is nearer to the examiner
BAnterior wall of the external auditory canal is longer than the posterior wall
CPosterior wall of the external auditory canal is longer than the anterior wall
DRoof the external auditory canal are longer than the floor
64The general sensory nerve supply of the major part of the auricle is by the✓ A
ACervical plexus
BGlossopharyngeal nerve
CTrigeminal nerve
DVagus nerve
65The height of the tympanic membrane is✓ C
A15 mm
B22mm
CLess than the height of the tympanic cavity
DMore than the height of the tympanic cavity
66The tensor tympani muscle enters the middle ear cavity through the✓ A
AAnterior wall
BFloor
CPosterior wall
DRoof
67The vertical segment of the facial nerve is related to the✓ C
AAnterior wall of the middle ear cavity
BFloor of the middle ear cavity
CPosterior wall of the middle ear cavity
DRoof of the middle ear cavity
68Hair follicles are present in external auditory canal in✓ B
AIts bony part lR Er,rMCQ.v
Blts cartilaginous part
CEntire length
DIsthmus
69The scnttnn is t.he✓ B
ABone over the basu.1 turn of the cochlea
BLateral epitympani c wali
CRoof of the mastoid antrum
DRoof of the tympanic cavity
70An area in the aul'icle devoid of cartilage is✓ C
AThe antihelix
BThe helix
CThe incisura terminalis
DThe tragus
71Fissures of Santol'ini are present in the✓ B
ACricoid cartilage
BExternal auditory canal cartilage
CSeptal cartilage
DThyroid cartilage 7'l,, St~pes footpl;1te . .:overs:
ARound window
BOval window
CSinus tympani
DPyramid
73Citelli's angle is:✓ C
ASolid angle
BCerebellopontine angle
CSinodural angle
DGenu of facial nerve
74Endolymph is found in:✓ C
AUtricle
BMiddle ear
CScala media
DScala tympani
75The Eustachian Tube 19 n) Connects tho middle cnr cnvity with the nasopharynx h) 1~ 24 mm in lc11g1h✓ A
Cls di,cctcd downwnrd forwnnls und laterally
DOpens 1H.tivcly by the tensor tympani muscle
76Thr lrnver rntlo Is 1-es1wnsible for amplification of sound by✓ A
Al .3 times
B2 times
C17 times
D22 times ..:WWW . WI .
77Equilibrium during angular "rotational" movement is the function of:✓ D
ATI1e utricle.
BThe saccule.
CThe cochlea.
DThe semicircular canals.
78The range of hearing in normal ears is✓ D
A20-200 Hz
B20-200 KHz
C20-2000 Hz
D20-20000 Hz
79Rinne test✓ C
AIs negative in moderate sensorineural hearing loss
BIs negative in normal hearing
CIs negative in stapes fixation
DIs positive in tympanic membrane perforation
80Decibel is the unit of✓ C
ACompliance
BFrequency
CIntensity
DVolume
81Rinne test in sensorineural hearing loss shows:✓ A
AAir conduction> bone conduction
BBone conduction > air conduction
CNo response
DEqual conduction 20 EllrMCQ ...
82A pRtient with unilaten,1 hr1uin~ loss and tlnnitwi has a negRtive Rinne test on the affected side. What type of hesuing loss is present?✓ B
ASensorineural
BConductive
CMixed
DCentral
83Webet·'s test in unilateral sensoaineural deafness is lateralized to:✓ B
ATI1e diseased ear
BTI1e sow1d ear
CBoth ears
DZygoma
84Rinne test is used to detect:✓ A
AConductive hearing loss
BCentral hearing loss
CMixed hearing loss
DMalingering
85Rinne's test positive means that:✓ A
AAir conduction is better than bone conduction
BB9n~ G<:>nc:h.1GtiQn is b~tt~r than ;rir c<;mdµGtion
CBone is equal to air conduction
DCholesteatoma
86Fistula sign may be positive in:✓ C
ACentral drum perforation
BAtelectatic drum
CCholesteatoma
DOtosclerosis
87Weber's test in unilateral conductive deafness is lateralized to:✓ B
AThe sound ear
BThe diseased ear
CBoth ears
DZygoma
88In unilateral conductive deafness, Rinne's test will be:✓ B
APositive
BNegative ,21 (>tt1/ary11gology MCQ.'i
CReduced positive
DFalse negative
89ln Rinnr's trst:✓ C
AIn total hearing loss nir conduction is better than bone conduction.
Bln conductive he1uing loss: air conduction is better than bone conduction.
CIn condudive hearing loss bone conduction is better than air conduction.
DIn sensorineural hearing loss: bone conduction is better than air conduction.
90In Weber's test:✓ A
AIn conductive hearing loss, sound is heard better in the diseased ear.
BIn conductive hearing loss, sound is heard better in the healthy ear.
CIn sensorineural hearing loss, sound is central.
DIn sensorineural hearing loss, sound is heard better in the diseased ear.
91Schwabach's test is:✓ C
AComparison between air & bone conduction of the same ear.
BComparison of bone conduction of both ears at the same time.
CComparison of duration of bone conduction of the patient & the examiner.
DComparison of air conduction of both ears at a time.
92In right middle ear pathology, Weber's test will be:✓ C
AN<;>rm!tl
BCentralized
CLateralized to right side
DLateralized to left side
93In Weber test sound is lateralized to the right ear in:✓ A
AConductive hearing loss on the right and normal left ear
BMixed hearing loss in left ear but sensorineural hearing loss on the right
CConductive hearing loss on the left with normal right ear
DBoth (a) and (b)
94In which condition would you expect to find reduced positive Rinne test result?✓ A
ASensorineural hearing loss
BConductive hearing loss
CMixed hearing loss
DNormal hearing
95The following is true about pure tone audiometry except:✓ C
AIt gives the amount of the hearing loss in dB. 22 Et1rMCQs
BIt gives the type of hearing loss.
CIt gives the cause of hearing loss.
DIt helps in follow up of the case.
96The following is h11e nbout impedance audiometry except:✓ D
AIt measures the pressure changes in the mi<l<lle ear.
BIt measures fixation and dislocation of the ossicular chain.
CIt measures the patency of the Eustachian tube.
DIt measures the sound emitted from the cochlea.
97Type B tympnogram is an indication of:✓ C
AStapes fixation
BEustachian tube dysfunction
CFluid in the middle ear
DAuditory ossicle disruption
98Anesthesia of the face may be caused by:✓ C
AFacial paralysis.
BOculomotor paralysis.
CTrigeminal paralysis.
DAll of the above.
99A false +ve fistula test is due tQ:✓ C
ALabyrinthine fistula with dead ear.
BCholesteatoma bridging an inner ear fistula.
CHyper mobile footplate of the stapes.
DAll of the above.
100The commonest cause of conductive deafness in adults is:✓ A
AWax
BSecretory otitis media
COtomycosis
DGlomus tympanicum
101The commonest cause of conductive deafness in children is:✓ B
AWax
BSecretory otitis media
COtomycosis
DOtosclerosis
102Which of the following is associated with objective tinnitus nn Otolary11goh>gy MCQ.v✓ C
AMeniere's disease.
BAcoustic neuroma.
CP1~ntal myoclonus.
DMiddle ear effusion
103The commonest cause of conductive hearing loss is:✓ D
AForeign body in the car
BOtotoxicity
CPresbyacusis
DEar wax
104The commonest cause for sensorineural hearing loss in old age is:✓ B
AAcoustic neuroma
BPresbycusis
CAcoustic-trauma
DMeniere's disease
105The function of the middle ear muscles is✓ D
AMaintenance of balance
BMovement of the ossi cles
COpening of the Eustachian tube
DPr9tection of the inner ear from the harmful effect of loud sounds
106Maintenance of balance isn't a function of the following systems✓ A
AHearing
BProprioception of muscles, joints, and tendons
CThe vestibular part of the inner ear
DVision
107The basic function of the Eustachian tube is✓ D
ABalance
BDrainage of middle ear secretions
CTransmission of sound waves
DTympanic cavity pressure adjustment
108The external auditory canal is straightened in adults by✓ D
APulling the auricle back
BPulling the auricle forwards
CPulling the auricle up
DPulling the auricle up and back 24 EarMCQ.-.
109Positive fistula sign can be seen in✓ A
ACholesteatoma
BMeniere's disease
CPreauricular sinus
DVestibulaJ neuronitis
110Pain in acute tonsillitis is referred to the ear through:✓ B
AThe 5th nerve.
B111e 9th nerve.
CThe 10thnerve.
D2nd & 3rd cervical nerve.
111Pain in acute sinusitis is referred to the ear through:✓ A
AThe 5th nerve.
BThe 9th nerve.
CThe 10th nerve.
D2nd& 3n1cervical nerve.
112Pain in tempromandibular joint is referred to the ear through:✓ A
AThe 5th nerve.
BThe 9th nerve.
CThe 10th n~rve.
D2nd & 3rd cervical nerve.
113Pain in cancer larynx is referred to the ear through:✓ C
AThe 5th nerve.
B• The 9th nerve.
CThe 10th nerve.
D2nd & 3rd cervical nerve.
114Pain in su bmandibular salivary calculi is ref erred to the ear through:✓ A
AThe 5th nerve.
BThe 9th nerve.
CThe 10th nerve.
D2nd & 3rd cervical nerve.
115Referred otalgia may be due to the following except:✓ A
AAcute suppurative otitis media
BQuinsy
CDental infection 25
Dl'v1nxillnry sinu~itis I 16. The mrdinl wnll of tl1r 111iddll' t'Rr dors not show the following anatomical fr1thll'\'S: n) Eustnchi:m tube orifice
Bllorizontol pm t of l'ncinl 1101 ve
COval & round \\~ndows
DPromontory I l 7. Mc Ewen's tti,mglc is the surface landmark of:
A17te tympanic part of the facial nerve.
BMastoid antrum.
CDome of the lateral semicircular canal.
Dlcudo-stapedial joint.
118The best test for heating in infants is:✓ D
ARinne test.
BWeber test.
CPure tone audiometry.
DABR "Auditory Brain stem Response"
119Pain and discomfort on mastication is a manifestation of✓ D
AAcute mastoid.iris
BAcute suppurative otitis media
CBullous myringitis
DLocalized bacterial infective otitis extema
120Conductive hearing loss may be caused by✓ C
AOtotoxicity
BNoise induced hearing loss
COtosclerosis
DVestibular schwannoma
121Conductive hearing loss may be caused by✓ C
AOtotoxicity
BNoise induced hearing loss
CSecretory otitis media
DVestibular schwannoma
122Which of the following isn't true about the appearance of tympanic membrane?✓ D
AA red tympanic membrane may be normal in a crying child 26 EarMCQs
BA retracted tympanic membrane shows prominent lateral process of malleus and foreshortened handle of malleus
CA bulging tympanic membrane loses all landmarks
DCreation of positive or negative pressure with Siegel's speculum or pneumatic otoscope has no effect on movement of normal tympanic membrane
123The most common cause of conductive deafness in adults is:✓ D
AOtosclerosis
BSecretory otitis media
CCongenital ossicular fixation
DCollection of wax External ear
124It is better to avoid ear wash for removal of:✓ C
AWax
BInanimate foreign body
CImpacted vegetable foreign body
DDead animate foreign body
125It is better to avoid ear wash for removal of:✓ C
AWax
BInanimate foreif,>n body
CCalculator battery
DDead animate foreign body
126The causative organism in ear f urunde is:✓ C
AProteus
BPseudomonas
CStaph. Aureus
DE coli
127The following are possible complications of ear wash except:✓ B
ACaloric reaction
BParalysis of facial nerve
CPerforation of the tympanic membrane
DSyncope
128ln malignant otitis extema the following isn't true: 27 Or,,lt,r., 1,,l(olo,:y MCQ.r. _____________________ _✓ D
A 11 is common in old diabetic patients.
B·nicrc mny be facial paralysis.
C·111e co1111noncst organism is pscu<lomonas. d} Mninly treated surgically. 12:9. 'l'h,.- in m»li~ru-.nt otitls externa: o) ls a huly n111ligt11ml disease eroding the external canal
Bls most seen in elderly uncontrolled diabetics
CStaphylococcus aureus is the causative organism
DCannot lead to cranial nerve affection
130Auricular hematoma✓ B
AMay be complicated by otitis media
BCauliflower ear is one of its complications
CEvacuation of the hematoma blood isn't essential
DAspiration of the hematoma is sufficient in most of the cases
131Uncontrolled diabetes in elderly patient may predispose to:✓ B
ACholesteatoma
BMalignant otitis extema
CNasal polyps
DVestibular n~uronitis
132The concept that the facial nerve supplies the auricle is related to:✓ A
ARamsy-Hunt syndrome.
BJugular foramen syndrome.
CHomer's syndrome.
DBell's palsy.
133Ear wash isn't indicated in the following condition:✓ B
ACaloric test
BImpacted FB in the ear
CDead animate foreign bodies in the ear
DWax
134Vertigo during an ear wash is due to:✓ C
AAuriculotemporal nerve stimulation
BVagal nerve stimulation
CToo cold water
DAssociated otitis media 28 EarMCQs
135Treatment of traumatic rupture of tympanic membrane is✓ D
ALocal antibiotics and suction of blood clots
BMyringoplasty as soon as possible
CSteroids
DReassurance and keep the ear dry
136The basic treatment of au1·icular· hematoma is✓ C
AAntibiotics
BCold fomentations
CEvacuation and application of pressure
DSimple needle aspiration and antibiotic
137Tenderness on pressure on the tragus is a sign for✓ C
AAcute mastoiditis
BAcute otitis media
CInfective bacterial otitis externa
DLateral sinus thrombophlebitis
138Furuncles of the external ear occurs in✓ B
AThe whole length of external auditory canal
BThe outer 1/3 of external auditory canal
CThe inner 1/3 of external auditory canal
DThe outer 2/3 of the external auditory canal
139The most common pathogen in perichondritis of the auricle is✓ B
AHemophilus influenza
BPseudomonas
CStaphylococci
DStreptococci
140Bullous myringitis does not cause the following symptom✓ D
AEar pain
BSero-sanguinous otorrhea
CMild hearing loss
DVertigo
141The commonest organism in otomycosis is✓ B
AActinomycosis
BAspergillus nigar and candida albicans
CPseudomonas aeroginosa 29 r !!_Ot~o,!!_la~ry~n':R_g~ol~ogy~M~C~Q~s~------------------
DStaphylococci
142The following statement isn't correct for malignant otitis externa✓ B
AExamination shows granulation tissues in the floor of the EAC
BSurgical debridement is frequently needed
Cl11e causative organism is usually pseudomonas species
DRadioactive isotope scanning is an important investigation
143The single most important step in obtaining resolution of all forms of otitis extern a is✓ C
AAcidifying antiseptic agents such as gentian violet
BLocal antibiotic drops
CSuction debridement under an operating microscope and drying of the ear canal
DSystemic antibiotics
144Before ear washing hard wax is to be softened by✓ A
AGlycerin-sodium bicarbonate solution
BGlycerin ichthyol solution
CGlycerin phenol solution
DSaline
145Ear wash is contraindicated in✓ A
APerfon1ted tympaniG membrane
BNon-impacted foreign bodies in the external canal
CWax
Dotosclerosis
146The commonest causative organism of malignant otitis extema is✓ B
AHemophil us influenza
BPseudomonas species
CStaphylococci
DStreptococci
147The following statement isn't true for malignant otitis externa✓ B
AExamination of external auditory canal shows granulation tissue in its floor
BIt is locally malignant
CMay spread to involve the parotid region or the skull base
DUsually occurs in old diabetics
148The following isn't a symptom of Ramsay Hunt syndrome✓ B
AFacial nerve paralysis EarMCQs
BMucopurulent otorrhea
CSensorineural hearing loss
DVertigo
149Choose the correct statement:✓ C
AEar washing isn't contraindicated in traumatic perforation of the drum.
BPathological perforation of the drum occurs at any site while traumatic ones occurs in pars tensa only.
CIn ear washing, vasovagal attack may happen.
DEar washing is indicated in the presence of fistula between the middle & inner ear.
150Pain on mastication is present in:✓ C
AAcute mastoiditis.
BOtogenic extradural abscess
CFurunculosis of the external ear.
DPetrositis
151Ramsay-Hunt syndrome is:✓ A
AHerpes-zoster affection of the genicuJate ganglion of the facial nerve.
BDysphagia in middle aged female.
CDysphagia in old male.
DSensory-neural deafness in newly born.
152The following statement is wrong rt>gamling furunculosis of the external auditory canal✓ D
ABony canal isn't involved
BInfection of the hair follicle
CSeen in the cartilaginous part of the canal
DIn infants may cause facial nerve paresis
153The following statement is false about treatment of otomycosis:✓ A
ABed rest
BRemoval of fungal mass by forceps
CRemoval of fungal mass by suction
DTropical antifungal drugs as nystatin, clotrimazole or gentian violet
154Symptoms of traumatic rupture of tympanic membrane does not include:✓ D
ABleeding at the onset
BHearing loss 31 Ornlm·:r"Rnlt~}.'J' MOJ~
CPmn fll t11ne ohup1t11c
Dl)crrenscd ~peed, disc11111ination 1 ~~. Mnttiptr MMto~i~ of Mtrt1111I ,mdltoty rAnnl is common in
AAthlcll~ h) l'cr~nn!l rnvolVt.'ti in conlocl sports
Cr,10,~
DS111fcr'!l 1 ~6. In funmrnlosis of EAC with J>Ostauricula1· lymJ)hadenitis the pinna iri di<Jpfacff,rf
ABackwards
BDownwards
CForwards
DUpwards
157Multiple exostosis of external auditory canal commonly occurs in✓ B
ACartilaginous portion of the auditory canal
BOuter third of the bony canal
CInner third of the bony canal
DMastoid tip
158The following is not a possible complications ofearwash:✓ B
ACaloric reaction
BParalysis of facial nerve
CPerforation of the tympanic membrane
DSyncope
159The commonest organism in otomycosis is✓ B
AActinomycosis
BAspergillus nigar and candida albicans
CPseudomonas aeroginosa
DStaphylococci
160Tenderness on pressure on the tragus is a sign for✓ C
AAcute mastoiditis
BAcute otitis media
CInfective bacterial otitis extema
DLateral sinus thrombophlebitis
161Ear wash is contraindicated in✓ B
AWax 32 , EarMCQs
BImpacted foreign bodies
COtomycosis
DDead animate foreign bodies
162In traumatic l'IIJ)ture of the drum, which statement is false:✓ B
ATI1e main treatment is conservative.
BLocal ear drops are highly indicated.
CIt heals spontaneously within 3 months ..
DIt may be caused by longitudinal fracture of the temporal bone.
163Traumatic rupture of the tympanic membrane✓ D
ACannot be caused by fracture of the temporal bone
BHas thick, regular edges
CShould be inanaged with myringoplasty if not healed within two weeks
DIf there is a persistent perforation after six months, myringoplasty will be indicated
164Ramsay Hunt syndrome is✓ A
AHerps Zoster affection of the VII and VIII cranial nerves causing LMN facial paralysis, SNIIl., and vertigo.
BPharyngeal swelling, cervical swelling and trismus diagnostic of para-pharyngeal abscess,
CTender edematous swelling over the mastoid process present in lateral sinus thrombophlebitis.
DTriad of symptoms; vertigo, hearing loss and tinnitus; diagnostic of endolymphatic hydrops ..
165Furuncles of the external ear occur in✓ B
AThe whole length of external auditory canal.
BThe outer 1/3 of external auditory canal.
CThe inner 1/3 of external auditory canal.
DThe outer 2/3 of the external auditory canal.
166Conductive deafness is the main presentation of:✓ B
AFurunculosis of the external auditory canal.
BEarwax.
CHaematoma auris.
DNone of the above.
167Which drug is more effective in treatment of malignant otitis extema 33 Otolary11,:olo~11 MC(!_:i;✓ B
AA111photc1 icin 13.
BCiprnfloxncin.
CCrystilllino penicillin. <l) l\fotronidn7.olo. l(,8. Pumlt'nt oforrhen oc,·m·s in
AAcute suppurative otitis media
BHerpes zoster ot:icus
CDiffuse bacterial infective otitis extema
DOtomycosis
169Malignant otitis extema✓ C
AIs a neoplastic condition
BIs caused by strept. pyogens
COn examination you can see granulation tissues in the floor of external auditory canal
DSurgical treatment is usually needed
170Syringing the ear canal with a saline at 30° temperature leads to✓ D
AEar canal infection
BEar pain
CTraurnati<:: rupture of the tympanic m~mbrane
DVertigo
171Which nerve is responsible for vasovagal attack during ear washing?✓ D
AGreater auricular nerve
BLesser occipital nerve
CAuriculotemporal nerve
DArnold's nerve
172In ear wash to remove foreign body water temperature used is✓ A
173Furunculosis of the external auditory canal is✓ B
ASeen in the bony part of the canal
BSeen in the cartilaginous part of the canal
CCaused by Aspergillus nigar organism 34 ' EllrMCQ.5
DManifested by conduct.ive hearing loss in most cases
174The cough 1-es1lonse cnuscd while cleaning the ear canal is mediated by stimulation of:✓ C
A111e V cranial nerve
BInnervation of external ear canaJ by C2 and C3
CTI1e X cranial nerve
DBranches of the Vil cranial nerve
175The symptom always present in bullous myringitis is:✓ C
AFacial nerve paralysis
BFever
CEarache
DPurulent car discharge
176What does the presence of blood-tinged discharge from the ear suggest?✓ B
AOtitis media
BBullous myringitis
CCholesteatoma
DSwimmer's ear
177A 30-year-old male presents with unilateral ear pain and facial weakness on the same side. What condition should be considered?✓ A
ARamsay Hunt syndrome
BBell's palsy
CVestibular schwannoma
DMeniere's disease
178A swimmer develops pain and discharge from the ear after swimming. What is the likely diagnosis?✓ D
AChronic suppurative otitis media
BEustachian tube dysfunction
CMastoiditis
DOtitis extema
179What is a common risk factor for developing otitis extema?✓ B
AAllergies
BSwimming
CSmoking
DAge over60 35 Otolt1ry11,:11logy MCQ.v
180The 1n-esrnce of 1mrnlent discharge from an external auditory canal suggests:✓ C
AAcute 01i1is media
B01omycosis
COtitis cxtcma
DEustnchian tube dysfunction
181A 65-ye,u·-old diabetic patient presents with severe left ear pain, fever, and pumlent discharge. Examination reveals granulation tissue in the external auditory canal. What is the most likely diagnosis?✓ B
AAcute otitis media
BMalignant otitis extema
COtitis extema
DChronic suppurative otitis media
182Which of the following is a risk factor for developing otitis externa?✓ A
AFrequent swimming
BPatients with otosclerosis
CPatients with tuberculosis
DPatients with Meniere's disease
183Malignant otitis externa is most commonly associated with which condition?✓ C
AYoung age
BImmunocompetence
CDiabetes mellitus
DRecent ear surgery
184Exostoses of the external auditory canal are often seen in individuals who:✓ A
ASwim in cold water frequently
BHave chronic otitis media
CUse cotton swabs regularly
DHave otosclerosis
185In external ear trauma, hematoma of the pinna if untreated can lead to:✓ A
ACauliflower ear
BSensorineural deafness
CCholesteatoma
DMastoiditis
186Ramsay Hunt syndrome involves the external ear and is caused by:✓ A
AVaricella-zoster virus 36 EarMCQ.i
BEpstein-Barr virus
CCytomegalovirus
DHuman papillomavirus
187A 25-year-old swimmer complains of intense right ear pain, discharge, and swelling that worsens when the tt'agus is pressed. Otoscopy shows canal edema. What is the most likely diagnosis?✓ B
AAcute otitis media
BOtitis extema
CCerumen impaction
DCholesteatoma
188An elderly diabetic patient presents with severe ear pain, granulation tissue at the ear canal, and cranial nerve involvement. What is the probable condition?✓ B
ASimple otitis extema
BMalignant otitis extema
CPerichondritis
DForeign body
189In otitis externa, avoidance of which activity is advised during treatment?✓ A
ASwimming
BChewing gum
CYawning
DSleeping on the affected side
190Eczematous otitis externa is often associated with:✓ B
ABacterial infection
BAllergic dermatitis
CFungal infection
DViral reactivation
191Otitis externa malignans means:✓ D
ALocally malignant tumor occurring in the external canal
BInfection in the external canal on top of malignant tumor
CSevere type of otitis extema occurring in immunocompetent patient
DSevere type of otitis extema occurring in elderly diabetic
192A surfer presents with bilateral hearing loss and narrow ear canals on examination. What ~s the likely cause?✓ B
AOtosclerosis 37 •
BExostoses
CCholesteotoma
DCerumen impaction
193What is the hallmark sign of otitis ederna on physical examination?✓ A
ATenderness on tragal pressure
BBulging eardrum
CWeber test lateralizing to affected ear
DRinne test positive
194In extemal ear malignancies, the most common type is:✓ A
ASquamous cell carcinoma
BBasal cell carcinoma
CMelanoma
DAdenocarcinoma
195What is the pH of the external ear canal that prevents infections?✓ A
AAcidic ( around 5)
BNeutral (7)
CAlkaline (8-9)
DVariable Middle ear
196In Gradenigo syndrome diplopia is due to inflammation of the following cranial nerve:✓ D
AIII Nerve
BIV nerve
CV nerve
DVI nerve
197Conductive deafness in longitudinal temporal bone fracture may be due to:✓ B
ABrain injury
BOssicular disruption
CInjury of the eighth cranial nerve
DInner ear concussion
198Longitudinal temporal bone fracture:✓ C
AIs less common than the transverse type 1R EarMCQs
BIs usually associated with sensorineural hearing loss
CFacial nerve paralysis is less common association with this type of temporal bone fracture than transverse type
DHemotympanum isn't a feature with this type of temporal bone fracture
199Which of the following isn't feature of ~mpanic membrane retraction?✓ C
AFore-shortened handle of malleus
BProminent lateral process of malleus
CSchwartz sign
DDistorted cone of light
200Throbbing and severe earache is present in the following stage of acute otitis media:✓ C
AStage of salpingitis
BStage of catarrhal otitis media
CStage of suppurative otitis media
DStage of tympanic membrane perforation
201The tympanic membrane perforation in acute otitis media is✓ A
ACentral in the pars tensa
BMarginal in the pars tensa
CSmall in the pars flaccida
DIn the attic region
202Type C tympanogram is consistent with:✓ C
ASecretory otitis media
BGlomus tumors
CEustachian tube dysfunction
DOtosclerosis
203By central drum perforation we mean:✓ B
AA perforation at the central part of the drum
BA perforation in the pars tensa which is surrounded by a rim of tympanic membrane
CA perforation of the pars flaccida
DA perforation in the pars tensa which isn't surrounded in part by a rim of tympanic membrane
204Which of the following isn't seen in the tubotympanic type of chronic suppurative otitis media? 39 I !_:0t~o~l~ary~n~g~o~lo~gy~M~C2Q::::s~--------------------..✓ B
ACentral tympanic membrane perforation
BMarginal tympanic membrane perforation
CMucopurulent ear discharge
DProfuse otorrhea
205Cholesteatoma is characterized by✓ B
AContinuous mucopurulent ear discharge
BA foul-smelling ear discharge
CA central tympanic membrane perforation
DCommon with tubotympanic infection
206In a patient suffering from purulent otorrhea and attic perforation:✓ A
ATreatment is essentially surgical
BMedical treatment and follow up is sufficient
CMyringoplasty is the needed treatment
DComplications are not expected
207Bezold's abscess is a collection of pus:✓ C
AAbove and in front of the auricle
BBehind the auricle
CIn the upper part of the neck deep to the stemomastoid
DIn the peritonsillar space
208During ear examination the reservoir sign is diagnostic of:✓ B
AAcute otitis media
BMastoid abscess
CPetrositis
DCholesteatoma
209Serious complications of cholesteatoma are due to:✓ C
APresence of infection
BPresence of suture lines in the middle ear cleft
CBone erosion
DVascular communication with intracranial structures
210An early and diagnostic sign of mastoiditis is:✓ B
AReservoir sign
BSagging of the posterosuperior part of the bony canal
CPerforated tympanic membrane
DPostauricular mastoid abscess EarMCQs
211Vertigo and nystagmus induced by pressure on the tragus is diagnostic of:✓ B
ASerous labyrinthitis
BCircumscribed labyrinthitis
CSuppurative labyrinthitis
DDead ear
212In a case of cholesteatoma, severe spontaneous vertigo with nausea and vomiting is suspicious of✓ B
ACircumscribed peri-labyrinthitis
BDi £fuse serous labyrinthitis
CExtradural abscess
DPetrositis
213In a patient having acute suppurative otitis media with bulging drum, myringotomy isn't meant to✓ D
ADrain the middle ear
BAvoid rupture of the tympanic membrane
CAvoid complications
DAllow local antibiotic drops to be applied locally
214The most common complication of myringotomy operation is✓ D
AInjury of facial nerve
BDislocation ofthe inc us
CInjuryofthejugularbulb
DResidual perforation
215Postauricular abscess in infants and young children is drained by✓ C
AOrdinary postauricular incision
BDependent incision in the lower part
CHigh up and transverse incision
DAspiration with wide pore needle
216ln myringotomy operation the posterosuperior quadrant of the tympanic membrane must be avoided:✓ B
ATo avoid injury of dehiscent jugular bulb
BTo avoid injury of the ossicles
CTo avoid injury to the internal carotid artery
DBotha&b 41 Otolaryngology MCQs
217The combination of unilateral otorrhea, severe facial pain and diplopia is known as:✓ B
APierre Robin syndrome
BGradenigo' s syndrome
CKartagner syndrome
DRamsay Hunt syndrome
218The first line of treatment in a child who develops lower motor neuron facial paralysis after acute otitis media is:✓ D
AAntibiotics and corticosteroids
BDecompression of facial nerve
CExploration of facial nerve
DMyringotomy
219Intermittent fever with rigors and headache in a patient with cholesteatoma is mostly due to:✓ C
AOtogenic meningitis
BOtogenic brain abscess
CLateral sinus thrombophlebiris
DExtradural abscess
220In lateral sinus thrombophltbitis positive Tobey-Ayer test indicates✓ B
AStarting resolurion
BOcclusion of sinus lumen
COccurrence of meningiris
DHealthy sinus
221Positive Kemig sign means✓ B
AReflex fle.xion of the hips and knees when the neck is flexed
BInability to extend the knee completely when the hip is flexed on the abdomen
CInability to do rapid alternating movement
DCombination of unilateral otorrhea, severe facial pain and diplopia
222Positive Brudzniski sign means✓ A
AReflex fle.xion of the hips and knees when the neck is flexed
BInability to extend the knee completely when the hip is flexed on the abdomen
CInability to do rapid alternating movement
DCombination of unilateral otorrhea, severe facial pain and diplopia
223A persistent profuse ear discharge after acute otitis media is 42 Et1rMCQs✓ C
ACholesteatoma
BSecretory otitis media
CMastoiditis
DDiffuse otitis extema
224ln otitic barotrauma, the following statement isn't correct:✓ A
AOccurs during airplane rapid ascent
BOccurs during airplane rapid descent
CCan cause rupture of the tympanic membrane
DOccurs during diving
225Most cases of extradural abscess of the temporal lobe✓ A
AAre asymptomatic and discovered accidentally during mastoidectomy
BPresent with persistent ipsilateral temporal headache
CPresent with vertigo
DPresent with severe ear pain, hearing loss and tinnitus
226The type of hearing loss in otosclerosis isn't✓ D
AConductive
BSensorineural
CMixed
227Before tympanoplasty in a 30-year-old patient, the following isn't required routinely✓ D
AAudiogram
BEnsure dry perforation
CTreatment of any underlying nasal or paranasal sinus infection
DCT scanning of temporal bone
228The XI, X and XI cranial nerves may be involved in all the following except:✓ B
AAcoustic neuroma
BTransverse temporal bone fracture
CMalignant otitis extema
DSquamous cell carcinoma of the middle ear
229In lower motor neuron facial paralysis with intact taste sensation at the anterior 2/3 of the tongue, the level of the lesion is:✓ D
AIn the internal auditory canal
BIn the horizontal tympanic part 43 Otolaryngology MCQs
CIn the vertical part above the stapes
DIn the stylomastoid foramen
230Failure to close the eye voluntarily is a symptom of✓ C
AParalysis of the trigeminal nerve
BUpper motor neuron facial paralysis
CLower motor neuron facial paralysis
DParalysis of the oculomotor nerve
231A large near total perforation following acute necrotizing otitis media must be followed up for fear of:✓ B
ARecurrent middle ear infection
BSecondary acquired cholesteatoma
CRetraction pocket
DTympanosclerosis
232By modified radical mastoidectomy we mean✓ C
ARemoval of mastoid air cells and all middle ear contents
BRemoval of diseased mastoid air cells
CRemoval of mastoid air cells and all middle ear contents with preservation of healthy remnants of tympanic membrane and ossicles
DEndoscopic excision of cholcstcatoma
233By radical mastoidectomy operation we mean✓ A
ARemoval of mastoid air cells and all middle ear contents except stapes
BRemoval of diseased mastoid air cells
CRemoval of mastoid air cells and all middle ear contents with preservation of healthy remnants of tympanic membrane and ossicles
DEndoscopic excision of cholesteatoma
234Extensive cholesteatoma is best treated by✓ B
ACortical mastoidectomy
BRadical mastoidectomy
CModified radical mastoidectomy
DMyringotomy with insertion of T tube
235Which of the following statements is wrong concerning myringotomy operatioar '.✓ C
AIt is indicated in acute suppurative otitis media with bulging drum
BIt is indicated in secretory otitis media after failure of medical treatment
CIt may be done as a method of treatment of otosclerosis EarMCQs
DResidual perforation of the tympanic membrane is one of its complications
236Acute mastoiditis isn't manifested by:✓ D
ATenderness over mastoid antrum.
BContinuous ear discharge.
CSagging of posterosuperior meatal wall.
DObliteration of retro-auricular sulcus.
237Fever & rigor developing in a case of cholesteatoma is suggestive of:✓ C
ACerebellar abscess.
BAcute mastoiditis.
CLateral sinus thrombosis.
DLabyrinthitis.
238Vertigo is a case of cholesteatoma is a suggestive of:✓ D
ATemporal lobe abscess.
BAcute petrositis.
CLateral sinus thrombosis.
DLabyrinthine fistula
239The earliest symptom in a case with cholesteatoma that indicates intracranial complication is:✓ A
APersistent headache.
BFacial palsy.
CSNHL.
DSquint.
240Etiology for pulsatile tinnitus includes the followings except:✓ B
AArteriovenous malformation of neck.
BOtosclerosis.
CGlomus jugulare tumors.
DAtherosclerosis.
241Retracted drum isn't characterized by:✓ D
ADisturbed cone of light
BProminent malleolar folds
CDecreased drum mobility
DCentral drum perforation
242The best treatment of otosclerosis:✓ B
AGrommet's tube 45 Otol"rJ'lllfOlogy MCQs
BStapedectomy
CMyringoplasty
DMastoidectomy
243Safe type of chronic suppurative otitis media is characterized by:✓ B
AScantly offensive ear discharge
BProfuse mucopurulent ear discharge
CMarginal perforation
DAttic perforation
244Schwartz's sign may be positive in:✓ D
AChronic suppurative otitis media
BAtelectatic middle ear
CMeniere's disease
DOtosclerosis
245Griessinger's sign is positive in:✓ D
AAcute petrositis
BAcute sinusitis
CAcute labyrinthitis
DLateral sinus thrombophlebitis l46. One of the signs of otogenic cerebellar abscess is:
AHemiplegia
BHemianesthesia
CAphasia
DDysdiadokokinesia
247Facial palsy is most commonly:✓ D
ANeoplastic.
BTraumatic.
CHerpetic.
DBell's palsy.
248Adhesive otitis media is a complication of:✓ B
ACholesteatoma.
BOtitis media with effusion.
CBoth of them.
DNone of them.
249The most common cause of otitis media with effusion is: 46 .JJ EarMCQs✓ C
AInadequate treatment of chronic otitis media.
BNasopharyngeal neoplasm.
CAdenoids
DOtitic barotraumas.
250The most common cause of Bell's palsy is:✓ D
ATrauma to the temporal bone
BCholesteatoma
CGlomus tympanicum
DIdiopathic
251Kernig's sign is present in:✓ B
AOtitic meningitis
BOtitic brain abscess
COtitic hydrocephalus
ELateral sinus thrombophlebitis
252The main site of ossicular necrosis in chronic suppurative otitis media is:✓ B
AIncudomalleolar joint
BLong process of incus
CStapedial arches
DBandle of malleus
253Complete LMNL facial paralysis due to excision of big acoustic neuroma isn't associated with:✓ D
ALoss of lacrimation of the ipsilateral eye.
BLoss of taste of the anterior 2/3 of the tongue.
CLoss of stapedial reflex.
DHyperacusis.
254A patient with uncomplicated CSOM has:✓ C
AEar discharge & headache.
BEar discharge & dizziness.
CEar discharge & hearing impairment.
DEar discharge & fever.
255Radical mastoidectomy is not indicated in:✓ D
ACholesteatoma with dead ear
BChronic specific otitis media
CCholesteatoma with brain abscess 47 !_._Ot~o~l~ary~11g~o~lo~,gy~M~C9Q~s~------------------~
DAcute mastoiditis
256Myringotomy isn't indicated in:✓ D
ASecretory otitis media
BAcute otitis media with bulging drum
COtitic barotrauma
DAttic cholesteatoma
257Of the following the most impor·tant in the management of Bell's palsy is:✓ A
ACare of the eye
BFacial nerve decompression
CCorticosteroids
DPsychotherapy
258Irregular attacks of fever and rigors is a clinical manifestation of:✓ A
ALateral sinus thrombophlebitis
BMastoiditis
CLabyrinthitis
DBrain abscess
259Offensive purulent ear discharge is an indication of:✓ A
ACholesteatoma
BFuruncuJosis in external ear
CTubotympanic chronic otitis media
DOtitis media with effusion
260Medial convergent paralytic squint is a clinical manifestation of:✓ C
ALabyrinthitis
BPachyrneningitis
CPetrositis
DTemporal lobe abscess with occipital extension
261Bezold's abscess is a swelling:✓ C
ABehind the ear
BIn front of the ear
CBelow the ear in the neck
DAbove the ear
262An irregular small perforation in an otherwise healthy tympanit membrane occurs in:✓ C
ACholesteatoma 48 EarMCQ.f
BTubotympanic otitis media
CTraumatic perforation of the tympanic membrane
DBullous myringitis
263Manifestations of otogenic facial nerve paralysis may include the following except:✓ A
ADeviation of the mouth to the same side of lesion
BInability to show the teeth on whistle
CInability to close the eye
DInability to raise the eyebrow
264Severe headache, vomiting, dysphagia &visual field defects in a patient with cholesteatoma indicate:✓ D
ASecretory otitis media
BOtogenic facial paralysis
CDistant metastasis
DTemporal lobe abscess
265Improper treatment of diffuse suppurative labyrinthitis results in✓ A
AMeningitis
BCholesteatoma
CFacial nerve paralysis
DParapharyngeal abscess
266Adenoid enlargement in a child predisposes to:✓ C
ALabyrinthitis
BFacial nerve paralysis
COtitis media with effusion
DExternal otitis
267Deviation of the angle of the mouth, intact eye lid movement and normal emotional movements:✓ A
AUpper motor neuron facial paralysis
BParkinsonism
CLower motor neuron facial paralysis
DParalysis of the mandibular branch of the facial nerve during parotid surgery
268The commonest route for infection leading to acute suppurative otitis media is:✓ A
AEustachian tube
BPrevious tympanic membrane perforation
CHematogenous route 49 Oto/aryngology MCQs
DAfter grommet tubes insertion
269Myringoplasty is indicated in:✓ B
AMarginal perforations with cholesteatoma
BCentral dry perforations
CCentral wet perforations
DOtitis media with effusion
270Fever, headache& neck rigidity in a child with an offensive car discharge requires✓ A
ADiagnostic lumbar puncture
BCT scan with contrast of the brain
CBlood culture
DCulture& and sensitivity of the ear discharge
271A continuously discharging ear after acute suppurative otitis media is mostly due to:✓ D
AOtitis media with effusion
BOtitis extema
CCholesteatoma
DMastoiditis
272Conductive hearing loss, LMN facial paralysis and otorrhagia after trauma to the head is:✓ A
ALongitudinaJ fracture of tempornl bone
BTransverse fracture of the temporrJ bone
CTraumatic rupture of the tymparnc membrane only
DOtitic barotrauma
273Acute otitis media is less common in adults than in children because adults have:✓ A
ABetter function of the Eustachian tube
BInecreased incidence of upper respiratory tract infection
CPresence of adenoids
DDental caries
274The following isn't an indication of myringotomy in acute suppurative otitis media✓ C
ABulged tympanic membrane
BFacial nerve paralysis
CFailure of medical treatment for one week
DNon-anatomical tympanic membrane perforation
275Acute suppurative otitis media after perforation isn't charaderized by 50 J E"rMCQs✓ A
AHigh grade fever
BOtoll'hea
CEarache decreases
DHearing loss and tinnitus
276The conmmnest cimsc of henring loss in children is✓ B
AWax
BSecretory otitis media
COtosclerosis
DOtitis extema 2 77. The main symptom of secreto1-y otitis media is
AEar pain
BHearing loss
COtorrhea
DVertigo
278In unilateral secretory otitis media in adults raise the suspicion of✓ C
AAIDS
BInfectious mononucleosis
CNasopharyngeal tumor c;l) J;>arapharyngeal tumor
279The basic function of Grommet's tube is✓ B
AMiddle ear drainage
BMiddle ear ventilation
CSound transmission
Db&c
280The following statement is false for cholesteatoma✓ B
AIt can lead to attic perforation
BIt is neoplastic
CIt may be complicated by facial nerve paralysis
DIt may be congenital in origin
281The following isn't part of Gradenigo's triad✓ D
ADiplopia
BPain in and around the eye
CPersistent otorrhea
DVertigo 51 , ___ [l ____ Oto/aryngology MCQs
282The main objective of sm·gicnl treatment of atticoantral chronic suppurative otitis media is✓ C
AHearing preservation
BOssicular reconstruction
CPrevent complications
DStop ear discharge
283Mastoid abscess is treated by✓ B
AAntibiotics
BCortical mastoidectomy
CIncision and drainage
DMyringotomy
284Facial nerve paralysis below the nerve to stapedius leads to✓ B
ALoss of lacrimation
BLower motor neuron paralysis of facial muscles
CHyperacusis
DSquint
285Bell's palsy is✓ A
AIdiopathic facial nerve paralysis
BInflammatory facial nerve paralysis
CNeoplastic facial nerve paralysis
DTraumatic facial nerve paralysis
286Sagging of the posterosuperior wall of the external auditory canal occurs in:✓ A
AAcute mastoiditis.
BFurunculosis of the external ear.
COtitis media.
DPetrositis.
287Sagging of the posterosuperior wall of the external auditory canal occurs in the:✓ A
ABony external auditory canal
BCartilaginous external auditory canal
CWhole length of external auditory canal
DAuricle
288In traumatic ossicular disruption, the following statement is false:✓ C
AThe tympanogram shows type Ad.
BSeparation of the icudostapedial joint is the commonest lesion. 52 E"rMCQs
C111ere is bulging drum.
DC.T scan is indicated.
289Cl'escentic hnil'line is an otosco1>ic finding in:✓ C
AOtomycosis.
BOt:osclerosis.
CSecretory otitis media.
DAcute suppurative otitis media.
290Grndenigo syndl'Ome occm·s in:✓ B
AAcute mastoid abscess.
BAcute petrositis.
CChronic otitis media.
DSecretory otitis media.
291Griesinger's sign is:✓ A
AEdema & tenderness over the posterior border of the mastoid process.
BUnilateral pulsating otorrhea.
CVertigo & nystagmus on increasing the pressure of the EAC.
DTenderness on the tip of mastoid bone.
292Which operation isn't used in management of chronic otitis media✓ D
AModified radical mastoidectomy
BMyringotomy and Grommet's tube insertion
CRadical mastoidectomy
DStapedectomy
293Cranial complications of chronic suppurative otitis media do not✓ C
ALabyrinthitis
BMastoiditis
COtitic hydrocephalus
DPetrositis
294Sagging of the posterosuperior deep meatal wall is a manifestation of✓ A
AMastoid abscess
BOtitis extema
COtitis media
DNone of the above
295Tobey-Ayer's test is a characteristic sign in:✓ B
ABrain abscess. 53 Otolaryngology MCQs
BLateraJ sinus thrombosis.
CExtraduraJ abscess.
DCavernous sinus thrombosis.
296The predisposing factors of acute otitis media in infants do not include:✓ D
AAdenoiditis tonsillitis and exanthemata are frequent in children
BContaminated milk may enter the Eustachian tube because of feeding in supine position
CDuring teething with it associated rhinitis, gastroenteritis and artificial feeding
DThe longer, narrower, and vertical Eustachian tube predisposes to infection
297The fluids present in secretory otitis media is:✓ D
AMucopurulent.
BSerosanguinous.
CPurulent.
DTransudates.
298The discharge in case of cholesteatoma is:✓ C
ACopious purulent.
BCopious offensive.
CScanty offensive.
DThick scanty creamy.
299Management of acute suppurative otitis mtdia without tympanic membrane perforation but with bulged tymp1mic mtmbnme about to rupture is✓ C
AParenteral antibiotics
BMyringotomy
CMyringotomy and medical treatment
DCortical mastoidectomy
300Sagging i.e., bulging downwards of the postrosuperior wall of the bony part of the external auditory canal is diagnostic of✓ B
APetrositis
BMastoid abscess
CLabyrinthitis
DOtitis extema
301Improper treatment of diffuse suppurative labyrinthitis results in✓ A
AMeningitis
BDead ear 54 EarMCQs
CFacial nerve paralysis
DParapharyngeal abscess
302ln lesion of the facial nerve at the stylomastoid foramen, there is:✓ A
AParalysis of the facial muscles.
BThere is impairment of taste.
CThere is impairment of salivation . . d) There is impairment of lacrimation.
303In lesion of facial nerve at vertical part below the nerve of stapedius there is:✓ A
ALoss of taste of the anterior 2/3 of the tongue ipsilaterally.
BTotal loss of salivation.
CImpairment of lacrimation.
DHyperacusis.
304In lesion of the facial nerve at horizontal part, the following isn't one of the characteristics:✓ D
ALoss of taste.
BFacial muscle paralysis
CHyperacusis.
DHearing loss
305In lesion of t"he farial nerve at the gtnirulatt ganglion, there is no:✓ D
ALoss of taste.
BImpairment of lacrimation.
CHypera.cusis.
DDiplopia
306In UMNL of the f adal nerve, there is:✓ B
AParalysis of the muscles of the upper l/2 of the face on the opposite side.
BParalysis involves the voluntary but spares the emotional & associative movement.
CHypotonia.
DHyporeflexia
307In LMNL of the facial nerve, there is:✓ C
AParalysis of the muscles only of the lower 1/2 of the face on the opposite side.
BParalysis involves the voluntary but spares the emotional & associative movement.
CHypotonia 55 jP Otolary1igo/ogy MCQs
DHyperretlexia.
308In unilateral LMNL of the facial nerve, there is:✓ C
AParalysis of the muscles of the lower & upper 1/2 of the face on the opposite side.
BParalysis involves the voluntary but spares the emotional & associative movement.
CParalysis of the muscles of the lower & upper 1/2 of the face on the same side.
DAssociated usually with hemiplegia
309In otosclerosis✓ D
ACommoner in children
BCommonly unilateral
COnly lead to conductive hearing loss
DPositive family history is common
310Unusual bleeding in removing aural polyp is seen in✓ B
ACholesteatoma
BGlomus jugular tumor
COsteoma
DOtosclerosis
311Tympanoplasty is an operation aimed at:✓ B
ACorrection of hearing in perceptivt d~afness
BEradication of infection & corrtction of hearing
CDrainage of mastoid abscess
DCorrection of hearing in otosclerosis
312Stapedectomy is the operation of choice for:✓ A
AOtosclerosis
BBell 1s palsy
CMeniere's disease
DCholesteatoma
313CS F examination in case of meningitis shows:✓ C
ASugar increased
BIntracranial pressure diminished.
CProtein increased.
DCell count diminished.
314The aim of radical mastoidedomy is: 56 1 --lJlAll:;a1• E"r MCQ.~ o) T(, give ~nfo cAr.✓ A
BTo preserve hoo, ing.
CRcconstn1c11ho ossiclos.
DReconslruct the tympanic membnmc.
315Otoscopic mnnifestntions or se<Tdory otlth, medir. do not include:✓ A
APerforntion At pars tlnccidn
BTransverse hnndle of malleus
CAbsent cone of light
DAir bubbles behind the tympanic membrane
316Manifestations of otogenic facial nerve paralysis do not include:✓ A
ADeviation of the mouth to the same side of lesion
BInability to show the teeth or whistle
CInability to close the eye
DInability to raise the eyebrow
317Otitic barotraumas may be characterized by:✓ C
AAttic perforation
BCentral drum perforation
CMiddle ear effusion
DMucopurulent discharge
318Otosclerosis means:✓ D
ACongenital fixation of incus
BFixation of stapes by fibrous tissue
COssicular disruption
DReplacement of compact bone with spongy bone fixing the stapes
319Retracted tympanic membrane isn't characterized by the following:✓ C
AAccentuation of malleolar folds
BFragmentation of cone of light
CHypermobility oftympanic membrane
DProminent lateral process of malleus
320In Longitudinal fracture of the temporal bone the following isn't true:✓ D
ALMNL facial palsy.
BTraumatic perforation of the tympanic membrane.
CConductive hearing loss.
DProfound sensorineural hearing loss. 57 M Otolaryttgology MCQs
321Suppurative labyrinthitis may complicate:✓ A
ACholesteatoma
BOtomycosis
CSalicylate toxicity
DStreptomycin toxicity
322Management of acute suppurative otitis media without tympanic membrallt perforation but with bulged tympanic membrane about to rupture is✓ C
AParenteral antibiotics
BMyringotomy
CMyringotomy and medical treatment
DCortical mastoidectomy
323Facial nerve injury at its tympanic (horizontal) segment leads to✓ D
AIpsilateral facial anesthesia
BLoss of salivation from the parorid saJivruy gland.
CLoss of taste on the posterior I /3 of the IOll£llC.
DHyperacusis (intolerance of loud ~ound~)
324Characteristic sun-rising ap1>untnct or iht •~ mp11nic n.«·mhrane is diagnostic of✓ B
ACholesteatoma
BGlomus tumor
COtosclerosis
DPetrositis
325Which of the following isn't a f) pical ounifl'3t~tion of a temporal lobe abscess?✓ A
ATotal Blindness.
BAphasia.
CConvulsive fits.
DVertigo.
326The pathology in case of Bell's palsy is:✓ C
AFacial nerve tumor.
BCut in the tympanic segment in the facial nerve.
CEdema of the facial nerve inside irs bony canal.
DHemorrhage in the facial nerve nucleus.
327Cholesteatoma is:✓ B
ABenign middle ear tumor.
BSkin in a \\Tong place. EarMCQs
CSpecific middle ear granuloma.
DNone of the above.
328Bezold's abscess is a swelling:✓ B
ABehind the ear.
BBelow the ear in the neck.
CAbove the ear.
DIn front of the ear.
329Inability to raise the eyebrow & close the same eye with deviation of the angle of the mouth to the opposite side is:✓ D
AUMNL 7th cranial nerve palsy.
BUMNL 5th cranial nerve palsy.
CLMNL 5th cranial nerve palsy.
DLMNL 7th cranial nerve palsy.
330Unilater~ hearing loss with pulsating tinnitus is suggestive of:✓ C
AOtosclerosis.
BExtradural abscess complicating CSOM.
CGlomus tumor.
DAcoustic neuroma
331The intracranial complications of cholesteatoma do not include:✓ C
AExtradural abscess.
BLateral sinus thrombosis.
CPetrositis.
DMeningitis.
332Myringotomy in acute suppurative otitis media is indicated in the presence of✓ B
ACongested tympanic membrane.
BFacial nerve paralysis.
CFailure of medical treatment for one week.
DBig kidney shaped tympanic membrane perforation.
333The basic function of Grommet's tube is✓ B
AMiddle ear drainage.
BMiddle ear ventilation.
CSound transmission.
DImproves middle ear muscles mobility.
334Positive fistula sign can be seen in 59 Otolary11gology MCQs ~~l!!l~~~'.2:::.------------------~✓ A
ACircumscribed labyrinthitis.
BMeniere's disease.
CPreauricular sinus.
DVestibular neuronitis.
335Marginal tympanic membrane perforation is a manifestation of✓ B
AAcute suppurative otitis media
BAtticoantral chronic suppurative otitis media
CTraumatic tympanic membrane perforation
DTubotympanic chronic suppurative otitis media
336Mucopurulent otorrhea occurs in✓ A
ATubotympanic chronic suppurative otitis media
BHerpes zoster oticus
CDiffuse bacterial infective otitis extema
DOtomycosis
337Secretory otitis media is✓ B
AA common cause of sensorineural hearing loss
BA common finding in cleft palate patients
CCharacterized by type A tympanogram
DCommoner in adults
338Invagination theory explains the development of✓ C
ACongenital cholesteatoma
BOtosclerosis
CPrimary acquired cholesteatoma
DSecondary acquired cholesteatoma
339Migration theory explains the development of✓ D
ACongenital cholesteatoma
Botosclerosis
CPrimary acquired cholesteatoma
DSecondary acquired cholesteatoma
340The character of otorrhea in atticoantral infection is✓ B
AMucoid
BOffensive
CProfuse
DWatery EarMCQs
341Cortical mastoidectomy operation is indicated in mastoiditis with✓ A
AFailure of medical treatment and myringotomy for 2 days
BFailure of medical treatment and myringotomy for one week
CFailure of medical treatment for 2 days
DFailure of medical treatment for one week
342Sagging of the postrosuperiorwall of the bony part of the of the external auditory meatus is diagnostic for✓ D
AAcute suppurative otitis media with tympanic membrane perforation
BAcute suppurative otitis media without tympanic membrane perforation
CLateral sinus thrombophlebitis
DMastoid abscess
343The commonest site for the perilymphatic fistula (circumscribed labyrinthitis) is✓ B
AAttic
BLateral semicircular
CMastoid process
DPromontory
344The type of hearing loss in diffuse serous labyrinthitis secondary to atticoantral CSOM is✓ C
ACentral
BConductive
CMixed
DSensorineural
345Facial nerve paralysis that may develop with acute otitis media is✓ C
AGradual and progressive
BTreated with mastoidectomy operation
CTreated with myringotomy and medical treatment
DUpper motor neuron
346Griesinger's sign is diagnostic for✓ C
AAcute suppurative otitis media with tympanic membrane perforation
BAcute suppurative otitis media without tympanic membrane perforation
CLateral sinus thrombophlebitis
DMastoid abscess
347The commonest site for otosderosis foci is✓ C
AThe incus 61
B·n1e malleus
C11te promontory, near the oval window
D·n,e promontory, near the round window
348Grndcnigo's syndl'Ome docs not include✓ D
APersistent otorrhea
BPain in and arow1d the eye
CDiplopia
DVertigo
349Which of the following is tme regarding facial nerve palsy associated with temporal bone fracture?✓ B
ACommon with longitudinal fracture
BCommon with transverse fracture
CAlways associated with CSF otorrhea
DFacial nerve injury is always complete
350The expected otologic finding in a patient with acute suppurative otitis media with high fever and throbbing ear pain is:✓ B
ARetracted tympanic membrane
BBulging tympanic membrane
CCongested tympanic membrane
DNormal tympanic membrane
351Destmction of right labyrinth causes nystagmus to✓ B
ARight side
BLeft side
Crotatory nystagmus
DNo nystagmus
352Management of otogenic cerebral abscess is✓ A
ARadical mastoidectomy
BDrainage of abscess followed by mastoidectomy
CConservative treatment with antibiotics
DDrainage of abscess only
353Treatment of recent dry traumatic rupture of tympanic membrane is:✓ C
AAntibiotic ear drops
BMyringoplasty
CProtection of ear against water 62 E"rMCQs
DEar pack soaked with antibiotic
354Pe1•foa·n1ion commonly nssocinted with cholestentormt is:✓ A
AAttic
BKidney-shaped central perforation
CPerforation of pars tensa posterior to handle of maJ leus
DPerforation anterior to handle of malleus
355Which of the following is true about cholesteatoma?✓ C
AIt is a benign tumour
BMetastasizes to lymph node
CErodes bone
DMalignant potential
356Which of the following isn't the site of paraganglioma?✓ D
ACarotid bifurcation
BJugular forarnen
CPromontory of middle ear
DGeniculate ganglion
357Most common cause for bilateral conductive deafness in a child is:✓ B
AOtosclerosis
BOtitis media with effusion
CAcute otitis media
DCongenital cholesteatoma
358A child with retraced drum and conductive deafness after inadequate treatment of acute suppurative otitis media is suffering from:✓ C
AChronic tubotympanic otitis media
BChronic atticoantral otitis media
COtitis media with effusion
DAdhesive otitis media
359Cholesteatoma is characterized by which type of ear discharge?✓ D
ACopious purulent
BThi ck creamy
CClear watery
DScanty offensive
360Which of the following isn't a common symptom of ear infections in children?✓ C
ATugging at ears 63 (>tol"ry,igology MCQ.~
BFever
CRash
DTrouble sleeping
361Whfrh l)'flC of cn1· infrction Is clum1cterized by fluid buildup without infection? fl) Arnto otitis mediH✓ B
BOtitis media with effusion
COtitis extema
DChronic suppurative otitis media
362Which imaging technique is commonly used to evaluate chronic ear disease?✓ C
AX-ray
BMRI
CCT scan
DUltrasound
363A 45-year-old male presents with unilateral hearing loss and pulsatile tinnitus. A. CT scan reveals a vascular mass in the middle ear. What is the most likely diagnosis?✓ C
AVestibular schwannoma
BCholesteatoma
CGlomus tumor
DOtosclerosis
364What type of hearing loss isn't caused by otosclerosis?✓ D
AConductive
BSensorineural
CMixed
DCentral
365Which of the following is most common cause of conductive hearing loss in adults?✓ A
AOtosclerosis
BSecretory otitis media
CCholesteatoma
DTraumatic rupture oftympanic membrane
366A 25-year-old male presents with unilateral ear fullness and hearing loss after scuba diving. What is the likely diagnosis?✓ A
ABarotrauma
BEustachian tube dysfunction 64 EarMCQ.'i
CAcute otitis medin
DCholestefttonm
367WhRt is thr tHimat·y trcnf'm('nt for otosch•ro~is?✓ C
AHearing aids
BAntibiotics
CStapedectomy
DCorticosteroids
368In whirh condition would you expect to find "Schwartz sign" on examination?✓ D
ACholesteatoma
BVestibular schwannoma
CMeniere's disease
DOtosclerosis
369A patient has persistent ear discharge and a perforated tympanic membrane. What is the likely diagnosis?✓ B
AAcute otitis media
BChronic suppurative otitis media
COtitis extema
DEustachian tube dysfunction J7(). What is the main goal of tympanostomy tube placement in children?
ATo cure infections permanently
BTo improve tinnitus
CTo prevent fluid accumulation
DTo relieve pain
371ln chronic suppurative otitis media, which bacterium is often responsible for persistent infections?✓ D
AStreptococcus pneumoniae
BStaphylococcus aureus
CHaemophilus influenzae
DPseudomonas aeruginosa
372What is a common symptom of Eustachian tube dysfunction?✓ B
ASevere headache. ~) Ear popping or fullness.
CTinnitus.
DNausea. 65 Otolnr1111gology MCQs ~~J~'.:M..:.~::::.__ _______________ _
373Abducent nerve paralysis can occur in✓ D
APetrositis
BCavernous sinus thrombophlebitis
CDiphtheria
DAll of the above
374In which scenario would myringotomy be indicated for a child with recurrent ea.- infections?✓ B
AAfter one episode of acute otitis media.
BIf there are recurring episodes despite follow up.
COnly if there is associated mastoiditis.
DWhen there suspected cholesteatoma.
375Which symptom would most likely indicate mastoiditis as a complication of acute otitis media?✓ A
ASwelling behind the ear and fever.
BEar pain only during swallowing.
CPersistent cough without fever.
DItching in the ear canal only.
376When evaluating a child presenting with recurrent ear infections, which anatomical structure should be assessed?✓ B
AAuditory nerve
BEustachian tube
CCochlea
DSemicircular canals
377A patient has persistent ear discharge and a perforated tympanic membrane. What is the likely diagnosis?✓ A
AChronic suppurative otitis media
BAcute catarrhal otitis media
COtitis extema
DEustachian tube dysfunction
378An adult patient presents with unilateral hearing loss and a feeling of fullness in the ear after a recent upper respiratory infection. Which diagnostic test would be most appropriate?✓ C
ACT scan of the temporal bone
BMRI of the brain 66 EarMCQ.~
CAudiometry
DCulture and sensitivity
379A 7-yeiw-old girl presents with severe left em· pain, fever, imd a history of recent upper res1>ira1'ory infection. Exnmination reveals an inflamed tympanic membrane with bulging. What is the most likely diagnosis?✓ D
AOtitis extema
BOtitis media with effusion
CCholesteatoma
DAcute otitis media
380A child presents with persistent ear discharge for several weeks following an episode of acute otitis media. The tympanic membrane is perforated, and there is granulation tissue noted in the canal. What is the best treatment option?✓ B
AOral antibiotics only
BTympanomastoid surgery
CMyringoplasty
DTopical antibiotic drops only
381A child diagnosed with OME has difficulty hearing in school but no signs of infection; what should be the next step in management if symptoms persist?✓ B
AImmediate surgery.
BRefer to an audiologist for hearing evaluation.
CWatchful waiting for 3 months.
DStart antibiotics. Inner ear
382The commonest cause of bilateral sensorineural hearing loss in elderly individuals is:✓ B
ACochlear otosclerosis
BPresbycusis
CDiabetes mellitus
DOtotoxicity
383Surgical treatment of Meniere's disease may include:✓ D
AMyringoplasty
BOssiculoplasty 67
CR.i:1dical mastoidectorny
DVestibular nerve section
384The following drug isn't ototoxic:✓ D
AGramycin.
BSalidates.
CKammiycin.
DCiprofloxacin
385Meniere's disease isn't characterized by:✓ D
AFluctuating hearing loss
BTi1mitus
CVe1tigo
DOtalgia
386The following drug isn't ototoxic:✓ C
AGentamycin
BStreptomycin
CAmox:icillin
DQuinine
387The commonest presenting symptoms of vestibular schwannoma are✓ A
Al)nilateral tinnitus with progressive sensorineural hearing loss
BVertigo and loss of balance
CFacial and trigeminal nerve paralysis
DSudden sensorineural hearing loss with tinnitus
388The commonest cause of vertigo is:✓ C
AMeniere's disease
BLabyrinthitis
CBenign paroxysmal positional vertigo
DOtotoxicity
389The most diagnostic investigation in a case of acoustic neuroma is:✓ B
ACT with contrast
BMRI
CAudiological evaluation
DVestibular investigations
390The following drug isn't ototoxic:✓ B
AChloroquine 68 EarMCQs
BCotrimoxazole
CCisplatin
DFurosemide
391Sudden longstanding vertigo without hearing loss is caused by✓ C
ABenign paroxysmal positional vertigo
BMeniere's disease
CVestibular neuronitis
DVestibular schwannoma
392Brief attacks of vertigo lasting for less than one minute are due to✓ A
ABenign paroxysmal positional vertigo
BMeniere's disease
CVestibular neuronitis
DVestibular schwannoma
393Which of the following symptoms isn't common for vestibular schwannoma✓ A
AEar pain
BUnilateral hearing loss
CUnilateral tinnitus
DVertigo
394The following statement isn't true regarding Meniere's disease:✓ C
AIt is an endolymphatic hydrops.
BIt is always unilateral
CThe type of deafness is conductive.
DSalt restriction is crucial in management
395The following statement isn't true regarding Meniere's disease:✓ B
AVertigo
BPositive reservoir sign
CSensory hearing loss
DTinnitus
396Single attack of vertigo in Meniere's disease lasts for✓ D
ASeconds to minute
BHours to days
CWeeks
DMinutes to hours
397Attack of vertigo lasting for more than one day is due to 69 OtolaFJ'"XOlagy ft!.!:_'(J,'o✓ A
AVcstihuhir ncmonitis
BBenign pnmxysnrnl positio,rnl vertigo
CMcnicrc·s discflSl'
DVcstilmln, srhw:mnonw
398D1it'f 11tt11rks of Vl'rti!!o histing for less tlum one minute Me due to✓ A
ABenign pllt'oxysmnl positionnl vcrtieo
Blabyrinth it is l:) Mcnicrc ·s disease
DPosterior cranial fossa. tumours
399The attack of vertigo in vestibular neuronitis lasts for✓ A
ADays.
BHours.
CMinutes.
DSeconds.
400In Meniere's disease✓ B
AEach vertigo attack lasts for seconds to few minutes
BHearing loss is characteristically low frequency sensorineural hearing loss
CIn between the vertigo attacks the patient feels dizzy
DThe condition is commonly bilateral
401Hearing loss in Meniere's disease✓ B
AInitially affects the low tones and is irreversible.
BStarts a.s fluctuant hearing loss
CStarts a.s reversible high frequency sensorineural hearing loss
DThe patients hear better in noisy environment (Paracusis Willisii)
402Benign paroxysmal positional nystagmus in Dix-Hallpike test is✓ D
AAgeotropic
BMaintains the same direction on sitting up
CNot fatigable
DOccurs when the offending ear is the undermost
403Which disease may cause vertigo without heal'ing loss✓ A
ABenign paroxysmal positional vertigo
BLabyrinthitis
CMeniere's disease
DVestibular schwannoma 7() l. Et1rMCQN
404Whirh of lht followln~ i~n 1t A typlrnl ftAl111r o( Mroirr-t', di~«':.-rt?✓ B
AScnsntincurnl dcnfhc!-s
BPulsRttlo tinnitus
CVc11igo
DFluctunting dc11fnc!-.S '40~. Whkh of the following slAtrmrnls i, lruorrtrt 11bo11t 11c01,,ti<- nttiroma?
AVe11igo is st.were ond oflcn prct~cdcs hearing IO'l<i
BDifliculty in undc,standing speech is out of proportion t<1 hc::iring IM-;
CF:1cial palsy is a late feature
DUnilateral tinnitus and sensorineural hearing loss is the earliest symptom
406What is the classic ttiad of symptoms associated with Meniere's disease?✓ D
AEarache, fever, discharge
BHearing loss, fullness, pain
CTinnitus, fullness, headache
DHearing loss, tinnitus, vertigo
407The following drugs do not cause ototoxicity✓ D
AAminoglycoside antibiotics
BLoop diuretics
CSalicylates
DPenicillin group antibiotics
408Which test is most useful for diagnosing Vestibular schwannoma?✓ C
AAudiometry
BCT scan
CMRI
DTympanometry
409Which type of hearing loss is characterized by damage to the cochlea or auditory nerve?✓ D
AConductive hearing loss
BMixed hearing loss
CFunctional hearing loss
DSensorineural hearing loss
410Which of the following symptoms would most likely indicate labyrinthitis?✓ A
AHearing loss and vertigo
BEarache and fever 71 ,uu,_......,.i ■,u•,u• 0111,.-½f_J.Jt~.~1 ~~}. Otolaryngology MCQs
CTinnitus and fullness
DNasal congestion and headache
411A patient JH-esents with severe dizziness that worsens when turning their head quickly in bed but has normal audiometric findings; what should be suspected?✓ B
AMeniere's disease
BBenign paroxysmal positional vertigo (BPPV)
CVestibular neuritis
DLabyrinthitis
412An elderly patient presents with gradual hearing loss and difficulty understanding speech in noisy environments~ What condition does this suggest?✓ B
ANoise-induced hearing loss
BPresbycusis
COtosclerosis
DSudden sensorineural hearing loss
413An adult presents with unilateral hearing loss, tinnitus and unsteadiness. Which condition should be considered?✓ A
AVestibular schwannoma
BOtosclerosis.
CMeniere's disease.
DEustachian tube dysfunction.
414In patients with suspected Meniere's disease, which symptom is typically present during an attack?✓ D
AContinuous headache.
BGradual hearing loss over years without episodes of dizziness.
CConstant tinnitus without episodes of vertigo or hearing changes.
DSudden onset vertigo lasting from minutes to hours.
415For patients experiencing tinnitus due to noise exposure, what preventive measure is recommended?✓ C
ARegular audiometric testing only when symptoms occur.
BAvoiding all forms of music or sound exposure permanently.
CUse of protective earplugs in noisy environments consistently.
DSurgical intervention if symptoms persist for more than a year.
416An 18-year-old patient presents with tinnitus and sudden hearing loss after attending a loud concert; what condition should be suspected? 72 r EarMCQs✓ C
APresbycusis
BMeniere's disease
CNoise-induced hearing loss
DVestibular schwannoma
417The most common cause of sensorineural hearing loss in adults over 60 years old is:✓ D
ANoise exposure
BOtotoxic medications
CViral infections
DPresbycusis
418An adult patient presents with sudden vertigo, without hearing loss; what condition should be suspected?✓ A
AVestibular neuritis
BBenign paroxysmal positional vertigo
CMeniere's disease
DVestibular schwannoma
419An elderly patient presents "''ith unilateral tinnitus and progressive hea1ing loss; what. diagnostic fest should bf 1~rfornlt'd first?✓ C
ACT scan
BMRI scan
CAudiometry tests
DTympanometry
420A 50-yeu-old ft male prestnts "'illt fluctuating hearing loss, tinnitus, and episodes of vertigo lasting for Sf'vnal hours. What is the most appropriate management option for her rondition?✓ A
ADieta1y modifications and diuretics
BSurgical decompression
CSystemic steroids
DAntihistamines
421A 70-year-old man presents with sudden onset vertigo, nausea, and unilateral hearing loss and tinnitus after a cold. What is the most likely diagnosis?✓ A
ALabyrinthitis
BMeniere's disease
CVestibular neuritis 73 1 111U.111111-U11J.1,\JIJIPirl•!LJr.!'J.!IU:HMtlff'!l_..ll .... 11•n1,111.:,.,,~,••~• uu1.10 11 1u1i .. 1111Ho.J,.01 Otolaryngology MCQ,'I
DBenign paroxysmal positional vertigo
422An elderly patient 1>resents with bilateral tinnih1s and progressive hearing loss over several months; what diagnostic test should be performed first?✓ B
AMRI scan.
BAudiometry tests.
CCT scan of the head.
DTympanometry.
423For patients diagnosed with Meniere's disease experiencing an attack, which medication may provide relief from vertigo?✓ C
ASteroids
BAntihistamines
CMeclizine
DCotrimoxazole
424What is the primary cause of Meniere's disease?✓ B
AViral infection
BEndolymphatic hydrops
COssicular fixation
DCerumen impaction
425The type of hearing loss typically seen in Meniere's disease is:✓ B
AConductive
BSensorineural
CMixed
DCentral
426What is a common trigger for Meniere's disease attacks?✓ B
AHigh salt intake
BCold exposure
CEar trauma
DCerumen impaction
427First-line treatment for sudden sensorineural hearing loss includes:✓ A
AOral corticosteroids
BAntibiotics
CAntihistamines
DSurgery
428Vestibular neuritis is most commonly associated with: 74 EarMCQ.i;✓ B
ABacterial infection
BViral infection
CAutoimmune disease
DMetabolic disorder
429What distinguishes labyrinthitis from vestibular neuritis?✓ A
APresence of hearing loss
BDuration of vertigo
CPresence of fever
DFacial paralysis
430Benign paroxysmal positional vertigo (BPPV) is caused by:✓ A
AOtoconia displacement in semicircular canals
BEndolymphatic hydrops
COssicular chain disruption
DCochlear inflammation
431The most common canal affected in BPPV is:✓ B
AAnterior semicircular canal
BPosterior semicircular canal
CLateral semicircular canal
DCochlea
432Treatment for posterior canal BPPV includes:✓ A
AEpley maneuver
BStapedectomy
CAntibiotics
DDiuretics
433Acoustic neuroma (vestibular schwannoma) commonly presents with:✓ A
AUnilateral hearing loss
BBilateral tinnitus
CConductive hearing loss
DVertigo lasting hours
434The imaging of choice for diagnosing acoustic neuroma is:✓ B
ACT scan
B:MRI with gadolinium
CX-ray
DUltrasound 75 Otolary11.gology MCQs
435Presbycusis is characte1ized by:✓ A
AHigh-frequency sensorineural hearing loss
BConductive hearing loss
CLow-frequency hearing loss
DMixed hearing loss
436The primary cause of presbycusis is:✓ A
AAging
BInfection
CTrauma
DAutoimmune disease
437Noise-induced hearing loss typically affects which frequency range first?✓ C
A500 Hz
B2 kHz
C4 kHz
D8 kHz
438A 35-year-old factory worker reports difficulty hearing conversations and a bilateral 4 kHz notch on audiogram. What is the likely cause?✓ A
ANoise-induced hearing loss
BPresbycusis
COtosclerosis
DMeniere's disease
439Ototoxicity is most commonly associated with which class of drugs?✓ A
AArninoglycosides
BPenicillins
CAntihistamines
DBeta-blockers
440Which structure in the inner ear is most susceptible to ototoxic drugs?✓ A
AHair cells in cochlea
BSemicircular canals
CEndolymphatic sac
DVestibular nerve
441The treatment for severe Meniere's disease unresponsive to medical therapy may include:✓ A
AGentarnicin ablation 76 EarMCQs
BStapedectomy
CMyringotomy
DMastoidectomy
442The hallmark symptom of pe1ilymph fistula is:✓ A
AVertigo with pressure changes
BConstant tinnitus
CConductive hearing loss
DFacial paralysis
443The cochlear implant is indicated for:✓ A
ASevere to profound sensorineural hearing loss
BConductive hearing loss
CMild hearing loss
DVertigo
444The treatment for vestibular neuritis includes:✓ A
ALabyrinthine sedatives
BAntibiotics
CSurgery
DDiuretics
445The most common tumor of the inner ear is:✓ A
AAcoustic neuroma
BCholesteatoma
CGlomus tumor
DMeningioma
446Benign paroxysmal positional vertigo is a disease characterized by✓ A
AShort lived vertigo
BVertigo lasting for several hours
CVertigo associated with deafness and tinnitus
DVertigo and tinnitus
447The audiometric pattern in Meniere's disease typically shows:✓ A
ALow-frequency sensorineural loss
BHigh-frequency sensorineural loss
CConductive loss
DFlat loss 77 '"• 1~1 •-Hlll • .U.ll.J.&Ul1.l11.l~Mll,l.,IJ 11-AIIUL-.&.IIULLUII• ■ l<Uol- I I l n,,.,,,.,111J:;,,,7-1 [!ll}}lllJ}llflJJJJ? /!7-J,I llT[. '•../jf) •, ''t~ ,.. Otolaryngology MCQs
448A patient reports ve11igo, hearing loss, and tinnitus after a head in.jury. CT i~ no1111al. What is tl1e likely diagnosis?✓ A
APerilymph fistula
BMeniere's disease
CAcoustic neuroma
DBPPV
449The endolymphatic sac sm·gery is considered for:✓ A
AMeniere's disease
BBPPV
CVestibular neuritis
DAcoustic neuroma
450The primary site of pathology in otosclerosis is:✓ A
AStapes footplate
BCochlear hair cells
CSemicircular canals
DEndolymphatic sac
451A patient with unilateral hearing loss and facial numbness has a cerebellopontine angle mass on MRI. What is the likely diagnosis? ~) Meniere's disease✓ B
BAcoustic neuroma
CCholesteatoma
DPerilymph fistula
452The most common type of nystagmus in BPPV is:✓ A
AGeotropic, torsional
BHorizontal, persistent
CVertical, constant
DPendular
453The most common cause of vertigo in children is:✓ A
AVestibular migraine
BBPPV
CMeniere's disease
DLabyrinthitis
454The most common site of origin for acoustic neuroma is:✓ B
ASuperior vestibular nerve 78 Ear ft1CQ.'i
BInferior vestibular nerve
CCochlear ne,ve
DFacial ne1ve
455A patient with sudden hearing loss, tinnitus, nnd vertigo after chemotherapy with cisplatin. Whnt is the likely cmase?✓ B
AMeniere's disease
BOtotoxicity
CAcoustic neuroma
DVestibular neuritis
456A 45-year-old patient presents with recurrent episodes of vertigo, fluctuating hearing loss, tinnitus, and ear fullness. Which is the most likely diagnosis?✓ A
AMeniere's disease
BVestibular neuritis
COtosclerosis
DAcoustic neuroma
457A patient develops sudden unilateral sensorineural hearing loss with no identifiable cause. What is the recommended initial treatment?✓ A
AOral corticosteroids
BAntibiotics
CSurgical decompression
DHearing aids
458A patient presents with acute onset of intense vertigo lasting days, nausea, and gait instability, without hearing loss. What is the probable diagnosis?✓ A
AVestibular neuritis
BMeniere's disease
CLabyrinthitis
DConductive hearing loss
459An elderly patient complains of gradual bilateral hearing loss predominantly affecting low frequencies with a normal tympanic membrane and no vestibular symptoms. What is the likely diagnosis?✓ A
AOtosclerosis
BPresbycusis
CMeniere's disease
DSudden sensorineural hearing loss 79 I llllllllrllJIT,rrl1'Tf'll!I f~I.JUC "IIJ1l.1t1u Otolaryngology MCQ.i;
460A young adult complains of e11isodic vertigo triggered by positional changes, lasting seconds to minutes. What test can confirm this diagnosis?✓ A
ADix-Hallpike
BAudiomehy
CMRI brain
DTympanometry
461A patient with history of chronic otitis media develops a progressive sensorineural hea1ing loss and facial nerve weakness. What is the suspect diagnosis?✓ A
ACholesteatoma with labyrinthine fistula
BMeniere's disease
CAutoimmune inner ear disease
DVestibular neuritis
462A patient undergoing chemotherapy presents with bilateral high-frequency sensorineural hearing loss. What is the most likely cause?✓ A
AOtotoxicity
BPresbycusis
CMeniere's disease
DAcoustic trauma 4(i3.A patient complains of sudden onset hearing loss and tinnitus after acute viral illness. What is the likely pathological process?
AViral-induced inflammation ·of cochlea (labyrinthitis)
BOtosclerosis
CVestibular schwannoma
DMeniere's disease
464A young patient has recurrent vertigo episodes associated with aural fullness but audiogram remains normal. What is the best next diagnostic step?✓ A
AEl ectrocochleography
BMRI brain
CTympanometry
DVestibular evoked myogenic potential 80 NQse NICQs I
1IIJIPITIJWl---a:Jllll lll:I ••1 I Otolaryngology MCQ,f Anatomy, Physiology, symptomatology and examination✓ B
465A patient with epistaxis showing a bleeding point in tittle's area is best managed by:✓ A
ACaute,y
BAnterior nasal pack
CPosterior nasal pack
DCoagulants
466The following paranasal sinuses does not open in the middle meatus:✓ A
ASphenoid sinus
BMaxillary sinus
CFrontal sinus
DAnterior ethmoid air cells
467Recurrent severe unilateral epistaxis in adolescent boy is most likely to be due to:✓ A
ANasopharyngeal angiofibroma
BAntro-choanal polyp
CNaso pharyngeal carcinoma
DChronic sinusitis
468Epistaxis from above the middle turbinate may need ligation of the:✓ D
AMaxillary artery
BExternal carotid artery
CInternal carotid artery
DAnterior ethmoid artery
469The blood supply of the nasal cavity is derived from✓ D
AExternal carotid artery
BInternal carotid artery
CBoth carotid arteries, mainly the internal carotid artery
DBoth carotid arteries, mainly the external carotid artery
470Bilateral cautery of Little's area if carried out at the same time may be complicated by:✓ C
ASept al hematoma
BSepta! abscess
CSepta! perforation
DDeviated septum 82 O..JJ 'iJ