MCQs of EAr PDF
MCQs of EAr PDF
MCQs of EAR
By | Mustafa Fikrat
barotraum
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>
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1. The surgical curative treatment of a patient presented with fulness,
discomfort in the ear, tinnitus, and deafness during descent of the airplane is:
A-Cortical mastoidectomy
>
>
-
B- Valsalva maneuver
Non-surgical option
C-Topical otrivin drops
D-Myringotomy (paracentesis of tympanic membrane)
E-Septoplasty.
Ans/D
Done by : Ibraheem Barzengi
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2. A young male presented to the emergency department with bleeding per ear after direct
trauma to the temporal area and otoscopy showed tear in the ear drum and external
auditory canal what is the most important investigation for your management:
-
-
A-Magnetic resonance image.
&
B-Computed tomographic scan because I
rauma
C-ultrasound
⑳
D-Pure tone audiogram
E-Tympanometry. T
IM for 10 Years
ruptured
= com
& Med-Learn
3. A 60 years old patient presented with otorrhea of 10 years duration ,by the time became
-
blood stained, foul smelling and more profuse, deep seated earache and developed Facial
= malignant
nerve paralysis before 2 months, the most correct diagnosis is:
A-Glomus jugulari
B-Basal cell carcinoma of the auricle
C-Squamous cell carcinoma of middle ear
transformatio
D-Malignant otitis
E-Herpes Zoster Oticus
* if com became malignant
= SCC
Done by : Ibraheem Barzengi
consitent with with otitis Malin
The Clinical Picture
but because of affection of the labrynth
and death - Malignant transformation
Med-Learn
⑳ -
4. A 10-year-old child presented with right mucopurulentear discharge for the last 4 years. A week ago he
became dizzy with a whirling sensation, nausea vomiting, and nystagmus to the opposite side. His deafness
I
became complete and his temperature was normal. Three days later he became feverish, irritable, and
continuously cried due to persistent headaches. Also, he had some head retraction. The child was not
managed properly and died at the end of the week, what is the diagnosis:
⑭
A-Acute otitis media
B-Otitis
- Severnes
-
media with effusion
C-Middle ear tumor
nation
D-Chronic otitis media.
E-Acoustic neuroma
X death labymith
Done by : Ibraheem Barzengi -
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5. A child of 7 years age presented with deafness of 3 months duration and difficulty in school, on examination
there was an amber colour intact ear drum. Pure tone audiometry shows Conductive deafness, the diagnosis
is? -
A-Chronic suppurative otitis media
B-Otosclerosis
C-Vestibular schwannoma
D- Secretory otitis media
E-Menieres disease
- &
6. The objective test of hearing for newborns in the hospital is;
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-
=
screeding
A-Tympanometry. T
B-Otoacoustic emission testing
C-pure tone audiometry
D-Speech audiometry
E-Bekesy audiometry
E
7. young man presents with an accident leading to loss of hearing in the right ear. On otoscopic examination,
the tympanic membrane was intact, pure tone audiometry shows anu air-bone gap of 55 dB in the right ear
(conduc tire
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with normal cochlear reserve. Which of the following will be like the tympanometry finding:
A- As type tympanogram
B- Ad type tympanogram -
C- B type tympanogram
D- C type tympanogram -
Hearing
E- A type tympanogram loss
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8. A middle-aged male presented with Rt. ear pulsatile tinnitus and Rt.
-
Sided slowly progressive deafness. Most probable the correct diagnosis?
&
9. A 60 years age male patient presented with deafness, and tinnitus of 3 years duration, examination
revealed a retracted intact eardrum and siegalization showed absent mobility of TM, and x- of the mastoid is
- - -
poorly pneumatized, diagnosis is mostly:
-
-
A- Atelectatic otitis media.
X
B- Acute suppurative otitis media.
-
C- chronic
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otitis media without cholesteatoma.
D- chronic otitis media with cholesteatoma.
X
E- otosclerosis.
X
N
Aus/A
Done by : Ibraheem Barzengi
X
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10. Fascia of pharynx attached to the base of the skull internally called:
.
Done by : Ibraheem Barzengi
Ofe
case of safe type coM
because there is Cholystering
E
no
>
CS om unserte
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Xi
C-Insects in the ear are best removed by syringing
D-Is more common in adults
E-Wax is the most common F.B
2- In the nose
lower
Y
A-Nasal dorsum cartilage forms the upper 2/3 of the nose
minimal
B-Most cases of epistaxis need blood transfusion X
- in septum
C-The nasal spine bone is part of the lateral wall
D-Septal deviation is mostly not acquired
X
E- Middle turbinate is smaller than the superior turbinate
3- Regarding the anatomy of the nose and sinuses all of the following are true except
B-The crest of the palatine bone lies behind the crest of the maxillary bone
Nasopulative
C-Nasociliary nerve supplies the bulk of the bony septum
D-greater palatine artery supplies the lower part of the nasal septum
eX
D- CT-scan is of no value.
E- Epistaxis is mild.
A-inferior meatus
B-caudal septal end
C-middle turbinate
D-superior meatus
E-inferior turbinate
turbinat
Ans/riddle
Done by : Ibraheem Barzengi
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-
6- In acute nonspecific sinusitis
bone
and air- cT
A-Ultrasound is better than CT in diagnosis
"Matillars
B-Antral washout done mainly for ethmoidal sinusitis
C-Nasal obstruction is a common finding -
front
D-Potts- puffy tumor is a complication of ethmoid sinusitis
E-T.B. infection is the main cause. ↓
-
specific
Aus/c
Done by : Ibraheem Barzengi
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7- Trauma to nose:
8- In allergic rhinitis
Xvoodilation
A-Histologically there is more vasoconstriction of blood vessels of nasal mucosa
B-Rhinochoea is more common than intrinsic rhinitis
C-Flixonase is a potent antihistamine treatmentx corticostrad the New
D-Perennial rhinitis occurs at special times of year due to pollen exposure + all
E-More in childhood
Ans /B
Done by : Ibraheem Barzengi
Suf .
turbinate Med-Learn
&
10- which is true about mentor tacoate consisteny
A-Mucosa only
B-Mucosa and cartilage
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C-Mucosa and bone
D-Mucosa and muscle
E-Bone and muscle
A-Should be unilateral
B- Due to infections
C-Treated mainly surgically
D-Treated medically and surgically
E-Has no complications
AnsID
Done by : Ibraheem Barzengi
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Ans)e
Done by : Ibraheem Barzengi
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Ans (
A-Epistaxis is severeX
B- The x-ray is so conclusiveX
C-Treated under local or general anesthesia -
D-Treatment should be postponed 3 weeks X
E- More common in female T
Ans/C
Done by : Ibraheem Barzengi
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B-Due to infections
C-Mostly bilateral
D-Treatment is medical
E-It is a common condition
Ans/
Done by : Ibraheem Barzengi
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Ans) E
Done by : Ibraheem Barzengi
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A-2 groups
B-4 groups
C-6 groups
D-8 groups
E-10 groups
Ans)6
Done by : Ibraheem Barzengi
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18-Epistaxis
An) e
a
C-Middle meatus receives part of the nasolacrimal duct
c
internal aroti d
D-Has no muscles T
at
E-Supplied by external carotid artery only X also
Ans/B
Done by : Ibraheem Barzengi
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20-Antrochoanal polyp
A- Not so common
*
B-Caused by allergy
C-Treated medically
D-Mostly from ethmoid sinuses
E-More in female
Ans) A
Done by : Ibraheem Barzengi
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infective
21-Vasomoter rhinitis is:
allergic Non
B- Infective rhinitis
C- allergie
- non-infective rhinitis now
D-Allergic rhinitis
E-Tumor of nose
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22-Phenylephrine is:
A - Analgesic
B-Anti-biotic
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C-Decongestant
D-Steroid
E-Anti-histamine
А -6 сc
~
B-7 cc
C-8 cc
D-9 cc
E-10 cc
Performation
A- The medial wal of the nasal cavity
B-Lateral wal of the nasal cavity
Injury
C-Nostrils
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>
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D-Mucosa of nasal sepium
landmark
E-Inferior turbinate
want the
* he
doesn't
Done by : Ibraheem Barzengi
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27-In Epistaxis:
AnB/E
Done by : Ibraheem Barzengi
naverglaub Med-Learn
xyxx
C-Ethmoid sinuses are cells divided by inferior turbinate
D-Size of maxillary sinuses about 44cc for each one
E-Sinuses increase wait of the head X
decreases
-
29- Mass in the nose:
Materia
B-Rhinolith is a benign tumour X
C-More in sphenoid sinuses than maxillary sinuses
D-In most cases no role of surgical treatment
E-Itching is the main complaint
struction Ans/X
Done by : Ibraheem Barzengi
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* antrel without
B-Cause mainly idiopathic
C-No pain *
D-Treal nent is medical only
E-More in adults
Ansl
Done by : Ibraheem Barzengi
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31-Endaural incision is done in the area where there is no cartilage located in:
Ans/
Done by : Ibraheem Barzengi
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A-Incus- ME
B- Stapes
e
C- Stapedius muscle
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D-Chorda tympani nerve.
E-Endolymphatic sac. inner zar
Ans/6
Done by : Ibraheem Barzengi
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A- Temporalis fascia
B- Perichondrium.
C- Cartilage.
D- vein graft.
E- Periosteum of mastoid bone.
An3/A
Done by : Ibraheem Barzengi
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35-The 5 motor branches of facial nerve arise from which segment of the nerve.
CNSOM
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A-Furunculosis
B- Diffuse otitis externa.
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C-Otomycosis
D-Malignant otitis externa
E-Herpes zoster oticus.
&
39-The clinical picture of malignant otitis externa includes the following except:
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-
A-Progressive or persistent severe pain which is deep seated or boring, and worsens by night.
B-Persistent granulations in the external canal at the bony-cartilaginous junction.
C-Facial nerve paralysis (due to involvement of the stylomastoid foramen).-
D-a. Facial nerve paralysis (due to involvement of the stylomastoid foramen). -
-
Ans/E
Done by : Ibraheem Barzengi
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40-The following micro-organisms are the causative factor of acute otitis media except:
A-Streptococcus pneumoniae.
B-Group A beta haemolytic streptococci.
C-Haemophilus influenza.
D-Pseudomonas acruginosa.
E-Branhamella catarrhalis.
Ans/D
Done by : Ibraheem Barzengi
hil
Pulling of infant
-
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41- A child or 18 months age has been brought to the clinic by parents with symptoms of
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frequent puling of the ear and crying preceded by upper respiratory infection:
ET
- - -
42-About
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tympanometry curves, all are true except:
S Middle
A- Type A curve indicates normal middle ear compliance and pressure.
~
B- Type B curve is diagnostic for eustachian tube obstruction.
C- Type C curve indicates normal compliance with negative pressure.
D- Type AD curve indicates normal pressure and increased compliance. nation
E- Type As curve indicates normal pressure and decreased compliance.
43- A middle age male presented with Rt. ear pulsatile tinnitus and Rt. Sided slowly
progressive deafness. what is the correct diagnosis?
~
44-About surgical treatment of otitis media with effusion, all are true except:
A- if Chronic middle ear effusion lasting more than 3 months despite medical treatment.
B- The incision in the drum wil be in postero-superior or postero-inferior quadrant.
-
mem
7
C- Grommet's tubes (temporary tubes) have spontaneous extrusion within 6 months.
D- Of the ventilation tubes types like permanent T-tubes.
correct
E-include adenoidectomy if there is adenoid hypertrophy.
the
antero-superior
antero-inferi
Ans/B Done by : Ibraheem Barzengi
or
155 Med-Learn
45-60 years age male patient presented with deafness, tinnitus of 3 years duration,
examination revealed retracted intact eardrum and siegalization showed absent mobility
of TM and x- of mastoid is poorly pneumatized is.
Ans) A
Done by : Ibraheem Barzengi
/5
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46-55 years age female presented with left purulent profuse adorless otorrhea, deafness,
tinnitus, otoscopic finding is central perforated ear drum, the treatment is:
47-A young age patient presented with sudden tinnitys after slap on the car, otoscopic
with blood lans a che peripher orated harp irgular edges tympanic membrace
Sharpiegals
-
with blood clots at the periphery is:
edges
A-Unsafe perforation
B-Congenital cholesteatoma with
C-Healed perforation
D-Traumatic perforation
-
Blood clots
E-Marginal perforation.
at they
Ans/D Periphery
Done by : Ibraheem Barzengi
195 Med-Learn
A-Cortical mastoidectomy
B-Valsalva manoeuvre
C-Topical otrivin drops
D-myringotomy (paracentesis of tympanic membrane)
-
E-Septoplasty.
49-A young male presented to the emergency department with bleeding from ear after
Direct trauma to the temporal area and otoscopy showed tear in the ear drum and external
auditory canal what is the most important investigation for your management:
A - Glomus jugulari
B- Basal cell carcinoma of the auricle
C- Squamous cell carcinoma of middle ear
D - Malignant otitis externa
E- Herpes zoster oticus
Ans/C
Done by : Ibraheem Barzengi
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--
A-Arachnoid cyst
B- Meningioma
C- Congenital cholesteatoma
D-Squamous cell carcinoma X
F- Vascular loop.-
Any D
Done by : Ibraheem Barzengi
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A-Wax accumulation
B-Otosclerosis
C-Acute otitis media
D-Foreign body
E-Ear drum perforation
Ans) A
Done by : Ibraheem Barzengi
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53-All of the following are the causes of conductive deafness in the middle ear except:
Anl/C
Done by : Ibraheem Barzengi
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EToETO
A-Cleft palate
B-Otitic barotrauma
- ETO
C-Adenoid in children
D-Facial palsy
-veTo
E-Nasopharyngeal cancer
Ans/D
Done by : Ibraheem Barzengi
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A-Treatment o f vestibular schwannoma
B-Treatment of otosclerosis
C- As investigation for Meniere's disease.
D- Treatment of Malignant otitis externa
E-Rehabilitation for paralysed facial nerve.
An/) A
Done by : Ibraheem Barzengi
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A -Wax
B-Presbycusis
C-Cochlear otosclerosis
D-Meniere's disease
E-Noise induced.
Aus/B
Done by : Ibraheem Barzengi
12
-it
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57-The infant can look for and respond to a source of sound which is eg. a bell or a quiet sound e.g. a spoon
and a cup.is:
sal
A-Play audiometry
B-Pure tone audiometry
C-Tuning fork test
D-Stapedial reflex
- X screening
E-Otoacoustic emission ~
Newborn DIS
Done by : Ibraheem Barzengi
-
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58-The following are treatments for sudden sensorineural hearing loss except:
[ --
A-Hyperbaric oxygen therapy
B-Acyclovir tablet 5 times daily
C-Prednisolone tablet (60 mg) and tapering over 2 weeks.
D-Vasodilators as histamine (betaserc)
*
E-Antibiotics
-
59-The prelingual candidate for a cochlear implant is:
A-Cinnarizine tablet
B- Cortical mastoidectomy
C- Eply Manoeuver
D-Myringotomy and grommet
E-Betasere tablet 16 mg
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An C
Done by : Ibraheem Barzengi
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