429 ENT Exam
MCQ’s Group A1 & A2
MCQs ( 15- Nov 2012 )
This the Mcqs we had in our exam, Recheck the answers to be in safe s afe side Good Luck,
Suhail Asiri Abdulmalik Alwabil
429 ENT Exam
MCQ’s Group A1 & A2
MCQs
Hi, I don't recall all of the scenarios given so make the best out of it , some answers need confirmation. 1) 11 y.o. boy complaining of hearing loss for 3 months, Rinne's test was negative and Weber was central, most likely diagnosis: - normal - bilateral CHL (need confirmation) - bilateral SNHL - bilateral Mixed 2) 70 y.o. man c/o hearing loss for several years, denies any acoustic injury, diagnosis: - Presbycusis 3) 50 y.o. man c/o facial swelling over the parotid, gentle pressure release pus from the parotid ducts, most likely Dx: - mumps - acute suppurative parotiditis (need confirmation) 4) man came to clinic c/o intermittent epistaxis (forgot the other symptom), o/ e LN enlargment on level 2, most likely Dx: - nasopharyngeal carcinoma (correct, b/c nasopharynx drains into level 2 LNs) 5) boy suffered from cerebral hemorrhage following a RTA, later he developed hemiplagia and inability to communicate freely, most likely Dx: - Aphonia - Dysodia - Dysphasia (correct) 6) a boy c/o (forgot cc, but I think it was hoarsness of voice), his family say that he dominates his environment by shouting, most likely Dx: - contact granuloma - vocal fold paralysis - vocal fold nodule (correct) - vocal fold polyp 7) after a bout of acute rhinitis, a patient complains of a swelling over his right eyebrow with fever (not sure about fever), most likely Dx: - allergic frontal rhinitis - mucocoele (need confirmation b/c of persistent fever) - osteomyelitis (could be b/c of fever)
429 ENT Exam
MCQ’s Group A1 & A2
8) 3 y.o. boy brought to clinic c/o nasal discharge with bad odor, most likely Dx: - foreign body 9) a boy was brought to ER after choking and coughing episode following playing with toys, o/e he is stable normal chest exam, next step in management?: - admit for observation - admit for bronchoscopy (need confrimation) - urgent cricothyrotomy - urgent tracheotomy 10) man c/o vertigo when using ear drops, Hx is + for previous ear infections, most likely Dx: - Labrynthine fistula 11) patient c/o sore throat? enlarged tonsils and palpable spleen, most likely Dx: - Infectious Mononucleosis 12) patient was brought to clinic c/o recurrent episodes of epistaxis, o/e there's no active bleeding the septal vessels are prominent and inferior turbinate is hypertrophied, best management: - anterior nasal pack - posterior nasal pack - cautery to septum - inferior turbinate diathermy 13) a boy came to ER c/o red tender swelling behind the ear, most likely Dx: - Acute Mastoiditis 14) patient came to clinic c/o (forgot the cc), the nasal cavity had greenish foul smelling crusts, after washing the cavity was roomy, most likely Dx: - Atrophic rhinitis 15) patient c/o (a lot of things), o/e there's a swelling in the submandibular area, most likely Dx: - Ludwig's Angina 16) a boy injured his posterior pharyngeal wall with a sharp objects, later he developed breathing difficulties, most likely Dx: - retropharyngeal abscess 17) boy c/o sore throat, drooling and inspiratory stridor, most likely Dx: - acute epiglottits (need confirmation)
429 ENT Exam
MCQ’s Group A1 & A2
18) post-subtotal-thyroidectomy developed stridor right after extubation, most likely injured nerve: - unilateral superior laryngeal n - bilateral superior laryngeal n - unilateral recurrent laryngeal n - bilateral recurrent laryngeal n (need confimration)
DDDDDDDDDDD
Q1 answer is B
DDDDDDDD
429 ENT Exam
MCQ’s Group A1 & A2
Done !
