Batch 27

ENT
1. trauma at right ear, pinna red and tender, what complication if left untreated?
Ans- cauliflower ear. // bat ear, lop ear, anotia, microtia
Boy came with insect in the right external canal. Killed the insect by
drowning in oil. How do you remove the insect?
A micro suction tip
B syringing with hot water
C syringing with iced water
D incision of canal
E using forceps to remove insect
ENT Question 7.
44 year old man came with right ear hearing loss. On examination
there was central perforation. What treatment will you give?
A. Radical mastoidectomy
B. Radical
C. Modified Radical mastoidectomy
D. Tympanoplasty
E. Tympanostomy
Q18 Which is TRUE about tracheostomy?
a. In emergency, give vertical incision
b.Best done at first tracheal cartilage
c.It is irreversible
d.Done only for obstructive pathologies
e.Cannot be done under LA
Which structure drains into the inferior meatus?-nasolacrimal duct
Q25. In dysphonia plica ventricularis, phonation is produced by:
A) true vocal cord
false vocal cord
C) aryepiglotic fold
D) nasal ventricle.
24) what is the muscle for abduction of vocal cord? -lateral
cricoarytenoid, posterior cricoarytenoid, vocalis, cricothyroid,
interarytenoid
2. Pure tone audiometry show 2k dip (cahart's notch)
A 56 year old man with left ear deafness. Nasopharyngeal
carcinoma was diagnosed. You suspected "glue ear". What will be
the type of wave on tympanometry? (A) A wave (B) As wave (C) Ad
wave (D) B wave (E) C wave
12. 14 year old, boy, presented with painless/profuse/spontaneous
epitaxis, examination: irregular strawberry like mass in the nasal
cavity. Diagnosis. (Inverted papilloma, NPC, rhinosporidiosis, JNA, 1
more option forgotten...)
14.patient present with recurrent sneeze,nasal obstruction,nasal
discharge for 6 years,with past history of childhood
asthma.diagnosis?(vasomotor rhinitis,allergic rhinitis,csf rhinorrhea)
15. female patient on dexamethasone... roomy nasal cavity, foul
smellng greenish yellow crust - atrophic rhinitis

11. Which is true for ethmoidal polyposis?

Bilateral, multiple
6.triad symptoms of episodic vertigo, tinnitus and sensorineural
hearing loss seen in?
a.acute labyrinthitis
b.menieres disease
c.acoustic neuroma
d.vestibular neuronitis
e.head injury
5. cones of light in a person with normal hearing - ant inf, ant sup,
post inf, post sup, pars flacida.
9. Lighthouses sign is seen in
A. ASOM
B. CSOM anticoantral type
C. CSOM tubotympanic type
D. Suppurative otitis media
E. Tubercular otitis media
23. 16 year old boy came with painless neck swelling for tha past 3
months that moves with deglutition and protrusion of the tongue.
Sis trunk procedure was planned .what is it ? ( solitary thyroid
nodule, dermoid cyst , sub hyoid bursitis , and thyroglossal cyst)
21) Which of the following is true about palatine tonsil?
A) tonsillectomy can be done in children less than 1 year old
bleeding after 24 hours of tonsillectomy is known as secondary
hemorrhage
C) tonsillectomy is done in children present with bilaterally enlarged
tonsil
D) palatine tonsil is located in the fossa between palatoglossal and
palatapharygeus
E) the best treatment for acute palatine tonsil abscess is immediate
tonsillectomy
16. patient diagnosed with nasopharyngeal carcinoma. Biopsy
should be taken from ?
A. Fossa of Rossenmuller
B. Posterior end of superior turbinate
C. Torus tobarius
D. Adenoid sth
E. Woodruff plexus
A 45 year old diabetic woman is diagnosed with"Malignant Otitis
Externa". What is the causative organism?
A. Staph Aureus
B. H. influenza
C. B. a____
D. Pseudomonas aeruginosa
E. Strep. Pyogenes
4 year old unimmunized, 2 days of high fever, cough, xray thumb
sign. Acute epiglottitis
Q22. A 32 years old college lecturer presented with intermittent
hoarseness and voice fatigue. Endoscopy shows bilateral sessile

lesion at the junction of anterior 1/3rd and posterior 2/3rd of true

vocal cord. Which of the following is the possible diagnosis?
A. Laryngeal cancer
B. Vocal polyp
C. Vocal nodules
D. Reinke edema
E. Laryngocoele
SAQ
SAQ 1)44 yrs old male,recurrent sneezing,nasal blockage,nasal discharge.on
examination: bilateral multiple pale masses..
a. diagnosis
b. investigations done for diagnosis and management
c. treatment- medical and surgical
2) A 33 yo lady has bilateral HL for 3 years. On examination there is
conductive hearing loss. On clinical examniation, there is white
flakes at pars flaccida area suggestive of cholesteatoma.
a) what's the diagnosis?
b) Write the investigation to evaluate and confirm the diagnosis.
c) outline 8 complicatios if the condition is left untreated.
3) A 55 yl man presents with 6 mo of hoarseness of voice. he is a
chronic smoker and consume alcohol regularly.
A) Write TWO diagnostic possibilities.
Mention the investigations to help you to arrive at the diagnosis.
C) Treatment for ONE of the mentioned diagnoses.
Short notes:
a) Pure tone audiometry
b) CF of otosclerosis
C) medical Rx for acute maxillary sinusitis
d) indications for tonsillectomy
e- systemic causes of epistaxis
Batch 24 P2s1 MCQ
ENT
1. Spine of Henle : mastoid antrum
2. Patient came with watery nasal discharge, O/E - nasal mass, All can be done
except : decongestants, polypectomy, antihistamines, antibiotics, prednisolone
3. tympanometry type As: Otosclerosis
4. dysphonia plica ventricularis - false cord, true cord, aryepiglottic fold
5. vocal cord - raised lesion on both vocal cord at the junction of ant 1/3 and post 2/3 :
vocal nodules, reinke edema
7. What cant be seen in anterior rhinoscopy : Middle turbinate, inf turbinate, septum,
roof, floor
8. structure that can' t be seen in otoscopy: cone of light, handle of malleus, body of
incus, malleolar fold, lateral process of mallus
9. true abductor of vocal cord - posterior cricoarytenoid, lateral cricoarytenoid,
cricothyroid

10. A man came with swelling behind the ear and it is confirmed that he has mass in
deep lobe of parotid gland. t/t of choice: nerve conserving total parotidectomy, radical
parotidectomy, excisional biopsy
11.most common stidor: Fb, laryngeal web, laryngomalacia
B23 P2s1 MCQ
ENT
1. Cottle test to diagnose obstruction at what level of nose? Nasal valve,
turbinate, sinus
2. 3 year old came with epistaxis, foul smelling discharge of nose. Most likely
cause? foreign body
3. Child with enlargement of the adenoids. Which is not likely complication to
happen? i think sensorineural hearing loss, ET obstruction, OM,CSOM, OME
4. Child with painless, bluish cystic swelling on right side of floor of mouth.
Diagnosis? ranula? others thyroglossal cyst, hemangioma
5. Landmark for mastoid antrum? Spine of Henle
6. Child with multiple nasal polyps.common cause in this age group?
answer:cystic fibrosis
7. vertigo which is not a cause? stroke,trauma,meniere's, cervical spondylosis
8. child did impedence audiometry,shown curve type b.found conductive
deafness.suitable treatment is? myringoplasty, miringotomy with grommet
insertion, hearing aid
9. most common cause of nasal perforation? trauma
10. Nasal septal deviation(spur),unilateral nasal obstruction.treatment?
options:septoplasty,submucosal resection
Batch 25 Sessional
Q166 years old woman, diabetic, ... (maglinant otitis externa symptoms). Which of
the following is the causative organism?A. S. aureusB. StrepC. PseudomonasD.E.

Q3
Muscle supplies by facial nerve, except:

a) frontalis
b) temporalis
c) buccinator
d) platysma
e) masseter

Q7
Which of the following drugs is not ototoxic
a) Gentamicin
b) High dose Aspirin
c) Cotrimoxazole
d) Loop Diuretics
e) Cisplatin

10
Which one of the following doesn't form the kiesselbach plexus
a) anterior ethmoidal
b) posterior ethmoidal
c) greater palatine
d) spenopalatine
e) superior labial

11
zafirlukast is used in allergic rhinitis....wat type of drug is it?
a. inhaled steroids

b.
c. leukotrine antagonist
d. oral steroid
e. mast cell stabilizer

15
A farmer develops bilateral strawberry like growth
A) ethmoidal polyp
B) antrochoanal polyp
C) rhinosporidiosis
D) ?
E) ?

17
significance of beta transferrin in nasal discharge
A) allergic rhinitis
B) CSF rhinorrhea
C) allergic sinusitis
D) vasomotor rhinitis
E) epistaxis from Woodruff's plexus

21) Thumb sign in lateral soft tissue x-ray of neck

Answer-due to swollen epiglottis-acute epiglottitis

Theory Paper

1. 44 year old man came with complaints of recurrent sneezing, nasal discharge,nasal
obstruction.
examination-bilateral multiple pale masses arising from middle meatus
-most probable diagnosis?
-investigations
-treatment:medical & surgery

Batch 27 P2s1

MCQ ENT
Child had fever with right ear pain. Examination:bulging and red tm. Suggest to
do myringotomy with antibiotics. What organism?
117. common histopathology of nasopharyngeal Ca
a. adenoca
b. squamous cell ca
sorry, i forgot the other options..
116.Uncinate process is part of which bone?
a.maxillary
b.palatine
c.ethmoid
d.lacrimal
e.vomer
111. when cleaning ear canal, cough reflex mediated by