MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er er Marks 01. 01 .
45
Time 45 minutes
Treatment of Antrochoanal polyp is: A. Topical steroids. B. Systemic steroids. C. Anti Histamine. D. Immunotherapy E. Surgery Key: E
02. A 30 years old female develops dysphagia and trismus. She gives history of pan chewing for last 10 years. Diagnosis is: A. Aphthous ulcer. B. Herpengina infection. C. Submucous fibrosis. D. Candidiasis E. Herpetic gingivostomatitis Key: C
03. 03 .
A patient presents nasal obstruction and blood stained crusts. Septal perforation is seen on examination. Common cause of Septal perforation is: A. Septal abscess. abscess . B. Chronic granulomatous lesion. C. Septal surgery. D. Rhinolith. E. Nasal trauma Key: C
04. 04 .
A 20 years old boy had had running nose followed by severe ear ache. One day later he had mucopuralent discharge from ear. Diagnosis is: A. Malignant otitis externa. B. Acute suppurative otitis media. C. Eustachean catarrh. D. Barotrauma E. Myringitis Bullosa. Key: B
05. 05 .
A patient is diagnosed case of squamous cell carcinoma larynx with involvement of thyroid cartilage. Stage is T4NoMo treatment is: A. Radiotherapy. B. Chemoradiation. C. Total laryngectomy. D. Total laryngectomy & radiotherapy E. Neck dissection dissect ion Key: D
Page 2 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er 06.
For recurrent Antrochoanal polyp CWL procedure is done to clear the disease from maxillary antrum. It is avoided in children because: A. Chance of fistula. B. Bone is thick. C. Incomplete dentit ion. D. Chances of recurrence. E. Canine fossa is not formed. Key: C
07.
Commonest congenital cause of stridor in children is: A. Subqloltic stenosis. B. Laryngeal cyst. C. Laryngeal web. D. Laryngomalacia. E. Laryngeal papilloma Key: D
08.
Absolute contraindication of tonsillectomy is: A. Age below 04 years. B. Age above 60 years. C. Cleft palate. D. Acute infection and bleeding disorder. E. Fibrosed tonsils. Key: D
09.
Which one of these is a premalignant condition. A. Metaplasia. B. Anaplasia. C. Hyperplasia. D. Erythroplasia. E. Hyperkeratosis Key: D
10.
A child with laryngeal diphtheria presents in emergency with severe stridor. What is the immediate treatment plan: A. Start I.V. antibiotics. B. Throat swab for C/S & microscopy. C. Removal of membrane. D. Starting antitoxin. E. Securing airway (Tracheostomy). Key: E
11.
A 19 years old girl developed saddling of nose after traumasix month ago. Which one is the best treatment: A. Septoplasty. B. SMR. C. Augmentation Rhinoplasty. D. Colusmelloplasty. E. Septo rhinoplasty. Key: C
Page 3 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er 12.
C.T. scan of a patient of CSOM shows extensive cholesteatomo with erosion of ossicular chain. Which surgery should be planned: A. Cortical Mastoidectomy. B. Atticotomy. C. Tympanoplasty. D. Radical mastoidectomy. E. Posterior tympanotomy. Key: D
13.
A patient is unable to depress corner of lower lip after submandibular gland excision. Which nerve is damage during surgery? A. Lingual nerve. B. Hypoglossal. C. Marginal mandibular. D. Chonda tymponis. E. Anriculotemporal. Key: C
14.
Which salivary gland tumor is more common among children: A. Pleomorphic adenoma. B. Adenoid cystic. C. Mucoepidermoid. D. Acinic cell. E. Adenocarcinoma. Key: C
15.
A boy suffering from Acute Otitis Media. His symptoms are not settled inspite of adequate medical treatment, T.M is bulging. Tretment is: A. Mastoidectomy. B. Topical lignocaine drops. C. Analgesics. D. Myringotomy E. Aspiration. Key: D
16.
A 02 years old child has put a piece of plastic in his ear. Child is quite irritable. What should be done? A. Removal under L/A. B. Removed with metallic F/B hook. C. It should be removed after a week. D. Suction is used for removal. E. Removal with the use of microscope under G/A. Key: E
17.
A 25 years old man is a teacher by profession. He complains of persistent hoarseness for 03 months. Most likely diagnosis is: A. Vocal cord growth. B. Recurrent laryngeal nerve paralysis. C. Vocal nodule. D. Hypothyroidism. E. Laryngeal tuberculosis. Key: C
Page 4 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er 18.
A patient is having ear discharge for 10 years. Now he has developed severe pain. There is suspicious of intra cranial complication, investigation of choice is: A. Blood CIP. B. X-ray mastoid. C. C.T. scan. D. PTA. E. Lumbar puncture. Key: C
19.
Epstein bar virus is related to which tumor: A. Carcinoma tongue. B. Nasopharyngeal carcinoma. C. Postcricoid growth. D. Parotid tumor. E. Supraglottic tumor Key: B
20.
Commonest cause of vocal cord paralysis is: A. Malignant disease. B. Surgical trauma. C. Non-surgical trauma. D. Neurological lesion. E. Inflammatory conditions. Key: A
21.
Inverted papilloma is an intermediate tumor of the nasal cavity. It is best treated by: A. I/N polypectomy. B. CWL. C. Topical steroids. D. Medial maxillectomy. E. External ethmoidectomy. Key: D
22.
A patient is diagnosed as a case of squamous cell carcinoma ® vocal cord. Stage is T2 NoM o. Treatment is: A. Monthly follow up. B. Surgery. C. Surgery followed by radiotherapy. D. Radiotherapy and follow up. E. Chemotherapy. Key: D
23.
“Thumb Sign” is a radiological finding seen in patients of: A. Retsopharyngeal abscess. B. Acute laryngotracheobronchitis. C. Acute epiglottitis . D. Parapharyngeal abscess. E. Ludwing angina. Key: C
Page 5 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er 24.
Which foreign body if inhaled in bronchus initiates intense inflammatory reaction resulting in mucosal thickening and granulation A. Metallic object. B. Plastic object. C. Vegetable origin. D. Cotton. E. Paper sheet. Key: C
25.
Laryngomalacia is most common congenital abnormality resulting in stridor. In most of the cases treatment is: A. I.V. steroids. B. Nebulisation. C. Conservative management. D. Immediate surgery. E. Tracheostomy. Key: C
26.
Otitis Media with effusion (OME) is common problem encountered in children. Which one is the objective test that helps in diagnosis: A. Pure tone audiometry. B. Otoacoustic emission. C. Tympanometry. D. Otoscopy. E. EOM. Key: C
27.
A patient presented with severe pain in the ear and facial nerve palsy. Examination shows vesicles on pinna and in the ear canal. Diagnosis is: A. Bells palsy. B. Malignant otitis externa. C. Keratosis obturans. D. Herpes zoster oticus. E. Myringitis Bullosa. Key: D
28.
Carhart’s notch is dip in bone conduction seen in patients with otosclerosis. It is usually presented at: A. 1 KH2 B. 3 KH2 C. 2 KH2 D. 5 KH2 E. 6 KH2 Key: C
Page 6 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er 29.
A 6 years old child has unilateral nasal obstruction and discharge for 04 months. Common problem in this age group is: A. DNS. B. Polyp. C. Rhinolith. D. Enlarge turbinates. E. Haemangioma. Key:
30.
A 18 year old boy underwent septal surgery with nasal deformity as shown in sketel. Name it: A. Pig snout deformity. B. Saddle nose. C. Supra tip depression. D. Hump nose. E. Columellar retraction. Key:
31.
A patient has discharging ear for last 06 years. Now he developed severe headache and vomiting. What is the commonest intracranial complications of CSOM: A. Subdural abscess. B. Extradural abscess. C. Meningitis. D. Brain abscess. E. Lateral sinus thrombosis. Key: B
32.
Malignant otitis externa is an invasive infection of the external ear canal usually seen in diabetic patients. Which microorganism is responsible: A. Staph aureus. B. Pneumacoceus. C. Hemophlus influnzae. D. Pseudomonas. E. Bacteroides. Key: D
33.
Commonest cause of Septal perforation is: A. Septal abscess. B. Chronic granlomatus lesion. C. Septal surgeries. D. Rhinolith E. Nasal trauma. Key: C
Page 7 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er
34.
A 35 years old man gives history of unilateral clear discharge from nose for 06 months which increases on bending head forward. Suspecting CSF rhinnorhea which lab test is specific: A. CSF sugar. B. S/electrolytes. C. Serum Albumin. D. B2 – transferrin. E. Blood sugar. Key: D
35.
Mucormycosis is a fungal infection of nose and paranasal sinuses which may involve brain. It is usually seen in patients: A. Of chronic renal failure. B. With uncontrolled hypertension. C. With uncontrolled diabetes. D. Taking antibiotics. E. Chronic sinusitis. Key: C
36.
A female was slapped on left side of face by her husband. Ear examination shows central perforation. What instruction will you give to the patient? A. To have X-ray mastoid. B. Immediate pure tone audiometry. C. Daily cleaning of ear canal with cotton bud. D. Do not instill any drops of medicine in the effected ear. E. Take bath daily. Key: D
37.
Benign paroxysmal positional vertigo (BPPV) is a brief but violent attack of vertigo provoked by certain position of head without auditory symptoms. Which clinical test helps in diagnosis: A. Fistula test. B. Caloric test. C. Epley’s manouvere. D. Hallpike manouvere. E. Romberg test. Key: D
38.
A 20 years old air hostess develops progressive hearing loss. PTA shows conductive hearing loss with dip at 2 Kh in bone conduction. Which option is best: A. To wear hearing aid. B. No treatment. C. To use neurotonics. D. To undergo stapedectomy. E. Tympanoplasty Key: D
Page 8 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er 39.
Commonest cause of facial nerve paralysis is: A. Mastoid surgery. B. Mumps. C. Bell’s palsy. D. Parotid surgery. E. Fracture base of skull. Key: C
40.
In patients with chronic recurrent tonsillitis, which group of lymphnode are involved: A. Submandibular. B. Retropharyngeal. C. Jugulodiagastric. D. Submental. E. Paratracheal. Key: C
41.
Tonsillectomy is a common procedure done in ENT speciality. What is the commonest indication for tonsillectomy? A. Peritonsillar abscess. B. OSAS. C. Recurrent chronic tonsillitis. D. Suspicious of malignancy. E. Rheumatic heart disease. Key: C
42.
A boy developed BIL nasal obstruction one day after he had blow on nose. What is most likely diagnosis? A. Septal abscess. B. Septal hematoma. C. Deviated nasal septum. D. Acute rhinitis. E. BlL turbinate hypertrophy. Key: B
43.
Minitracheostomy is an emergency procedure to create an alternate path for breathing. It is done through: A. Thyrohoid membrane. B. Cricothyroid membrane. C. Second tracheal ring. D. Through cricoid cartilage. E. Quadrangular membrane. Key: B
Page 9 of 9
MBBS THIRD PROFESSIONAL EXAMINATION 2007 ENT (MCQs) M o d e l P a p er
44.
If an old person develops unilateral nasal obstruction associated with blood stained discharge. There is strong suspicious of: A. Antrochoanal polyp. B. Ethmoidal polyp. C. Tumor. D. Ch. Sinusitis. E. Rhinolith Key: C
45.
A patient presented with left sided cervical lymphadenopathy for 06 months. Commonest cause is: A. Infectious mononucleosis. B. Tuberculosis. C. Tumors of larynx D. Actinomycosis E. Laryngitis Key: B
