ENT final exam 2009

1) What is the most common cause of hoarseness a. Rhinosinusitis 2) Most common cause of child stridor a. Foreign body 3) Most common foreign body in esophagus a. Fish bone b. Coin 4) Unilateral nasal discharge + foully smelling a. Foreign body 5) Treatment of early vocal cord CA a. Radiotherapy 6) Most commonly laryngeal CA is: a. Subglotic b. Supraglottic c. Paraglottic 7) Not a central neck mass a. Thyroglossal cyst b. Lymph node c. Dermoid cyst d. 8) Does not have to be referred to ENT specialist a. Large central perforation without discharge b. Small central perforation with discharge c. Small peripheral perforation with discharge d. 9) Child with stridor fever and drooling a. Epiglottitis 10) False about fibroadenoma a. Only in females

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11) Percentage of patients with reflux that suffer from larungeal symptoms a. 30% b. 50% c. 70% d. 12) False about angiofibroma a. Biopsy b. CT c. MRI d. 13) Not a symptom of adenoid a. Inspiratory stridor??? b. Adenoid face c. Epistaxis??? 14) CSF ottorhea a. Petrous fracture 15) Malignant otitis externa a. Pseudomonas 16) Weber test a. Lateralization to ear with conductive deafness 17) Wrong about minier a. Conductive hearing loss 18) Symptoms of allergic rhinitis, false: a. Antrocoanal Polyp 19) About otomicosis, false a. Painful b. Mostly DM c. Aspergellus and candida 20) Most common bone damaged by acute ottitis media a. Hand of malius b. Catitulum of stapis c. 21) .. a. Subdural abscess

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22) Most common cause of vertigo a. BPPV 23) Not a common cause of epistaxis a. Adenoid b. Foreign body c. Spontaneous from littles area 24) Not an urgent indication for bronchoscopy a. Unilateral blockage with partial air entry b. PO2 70 c. Central cyanosis 25) Pathognomonic of herpes a. Facial palsy b. vessicles 26) Not caused by EBV a. 27) Treatment of septal hematoma a. Drainage and packing 28) Location of obstruction causing stridor a. Respiratory phase at which stridor occurs 29) Signet ring Shaped cartilage a. Cricoids 30)

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ENT FINAL EXAM 2008 1. The most common cause of vertigo? BPPV 2. To differentiate between otitis externa & erysipelas? otorrhea 3. The most common cause of nasal septum perforation? (picture) iatrogenic 4. Otosclerosis conductive + sensorineural hearing loss 5. Presentation of nasopharyngeal tumor neck mass 6. 3 yrs child with drooling & fever, next step: secure airway 7. 22 yrs with 1 hour epistaxis, next step: blood pressure (shock) 8. we can postpone surgery after nasal trauma except in: septal hematoma 9. Singers nodule, commonest site? anterior and middle 1/3 of the vocal cords. (almost always symmetrical) 10. Emergency: acute vertigo + multiple cranial N deficit 11. Ramsay Hunt facial weakness + vertigo caused by varicella zoster V (by herpes zoster) 12. Tonsillectomy should be think of in all except? obstructive sleep apnea 3 attacks in 3 consecutive years peritonsillar abscess asymptomatic tonsillar hyperplasia 13. Invasive otitis externa H. influenza Strep pneumonia

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Pseudomonas aeruginosa 14. Epiglottitisbetter nowadays because? H. influenza vaccine 15. Signet ring shaped cartilage Cricoid cartilage 16. Not a criteria to diagnose chronic rhinosinusitis fever 17. Most common vocal cord paralysis: left abductor 18. Why do we use CT scan for (dunno, sorry) it delineates bone it differentiates tumor & inflammatory lesion 19. Not true about fibroma affects females only 20. Cause of CNS rhinorrhea cribriform plate fracture 21. 35 yrs male, chronic smoker, hoarseness of voice for 7 mo. On laryngoscopy, bilateral mobile swollen vocal cords (picture) laryngeal edema 22. Bilateral vocal cord paralysis will cause? stridor aphonia 23. Picture: lymphadenopathy. next step: monospot test 24. in Weber test, lateralization will be towards the: ear with conductive hearing loss 25. desensitization: to stop the production of Ig E 26. The right definition of OME 27. Not true about facial N paralysis: lower motor neuron will not affect frontalis muscle of the same side

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28. Deafness, tinnitus, vertigo, nausea & vomiting. Recurrent attacks: Menieres disease 29. Not intracranial complication of OM petrositis (extracranial compl) otitic hydrocephalus (p/s: A form of thrombotic hydrocephalus associated with otitis media and thrombosis of one or both transverse sinuses of the dura.) 30. Infected cholesteatoma predominantly aerobic bacteria (Pseudomonas aeruginosa) predominantly anaerobic mixed bacteria 31. Why disc battery is dangerous if swallowed? if it leaks, it can cause electrolyte reaction that will cause esophageal burn 32. Which is false? mastoiditis causes sensorineural hearing loss

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