ENT exam 426 C2 march/23/2010 in facial nerve paralysis, if the patient can move his forehead*1 :muscle, the

lesion will be proximal to geniculate ganglion. Extra temporal. Tympanic part.

2*a patient presented to the ER with a history of nasal trauma. The next step: Treat after a year It is mandatory to take an x-ray as early as possible. None of the above 3* child with AOM, which of these complications requires emergent diagnosis & treatment: facial nerve paralysis. adhesive otitis media. 4*In management of sever epistaxis, ligation of: posterior ethmoidal artery. Sphenopalatine artery. Maxillary artery.* I'm not sure internal carotid artery 5*neck mass, initial management is: FNA 6*the best prognosis among neck malignancies: Piriform fossa Nasopharyngeal Esophageal vocal fold carcinoma. 7*Ramsy-Hunt Syndrome include all the following ,except: Sensorineural hearing loss Nystagmus Facial paralysis

Perforation of tympanic membrane. Vesicular eruption

8*unilateral choanal atrasia, is: Diagnosed at adulthood Incompatable with life Diagnosed by unilateral purulent discharge Associated with torch syndrome Requires immediate intervention 9* The most common site of stenosis following trachoestomy: Sub glottic area glottic tracheal esophageal supraglottic 10*The frontal sinus drain into: Middle meatus. 11*The most common complication of acute ethmoidal sinusitis in children is: Osteomyelitis. Orbital cellulitis. 12*vocal cord mobility is measured by: Stroboscopy. flexible fibrooptic laryngoscope 13*laryngomalacia is evaluated by: history xray Rigid bronchoscopy. Awake flexible fibreroptic laryngoscopy. 14*trismus occur in: Peritonsillar abscess.

15* All are indication of tonsillectomy, except: Asymptomatic hyperplasia. Obstructive Sleep apnea. Peritonsillar abscess Unilateral tonsillar hyperplasia three episodes of tonsilitis per a year for three consecutive years 16*what is the best modality of treatment for a patient with bilateral SNHL, average of his hearing is about 60 db? Hearing aids. Cochlear implant Stapedosurgery Ossiculoplasty Lip reading 17*Meneire's disease is characterized by: It is viral Affects cochlea. Causes perminant bilateral SNHL Treated by stapedectomy 18* a 3 yr old boy came with unilateral purulent nasal discharge, most probable cause is: Foreign body 19* voice of a patient with cleft palate: Hypernasality. Hyponasality Hot potato voice hoarseness 20* management of uncomplicated acute supporative sinusitis: antibiotics for 24 hours, then surgery surgery then antibiotics antihistamines and steam inhalation Analgesic, antibiotic & decongestant nasal drops. 21*singer nodules:

Occurs at junction of the anterior 1/3 &posterior 2/3. Occurs at the junction of anterior 2/3 & posterior 1/3. Occurs at the anterior commisure Occurs at the posterior commisure

22* Newborn with air way obstruction, aggravated with sucking: Choanal Artesia. 23* Intracranial venous sinus thrombosis commonly occurs with: Superior sagital Sigmoid sinus Cavernous sinus Inferior petrosal sinus Superios petrosal sinus 24* Marginal perforation of tympanic membrane occurs with: Acute otitis media Acute otitis media with effusion Cholesteatoma Malignant otitis media barotrauma 25* all of the following should be avoided in child with acute glottitis, except: X-ray of air way Emergent intubation Examining with tongue depressor 26* according to nasal polyp : It comes from osteomeatal complex Most common in childhood Caused by Atrophic rhinitis Most common from Maxillary sinus 27*plemorphic adenoma, most common with: Parotid gland 28* the most common malignancies in thyroid: Follicular thyroid carcinoma Papillary thyroid carcinoma

Medullary thyroid carcinoma Anaplastic tumor

29*neck mass that moves with swallowing: Thyroid Branchial cyst Dermoid cyst Lymph node metastasis lipoma 30*which of the following muscle abduct vocal fold: lateral cricoarytenoid muscle Posterior cricoarytenoid muscle Cricothyroid Oblique interarytenoid 31* Eustachian tube in children: Wider & more horizontal.* most likely answer shorter & more vertical. 32* etiology of hemorrhagica myringitis bullosa is : trauma viral bacterial fungal allergic 33*Adult pt. with unilateral OME, we must exclude : nasopharyngeal carcinoma. 34*SCC seen in all the following except: parotid vocal fold nasopharynx oropharynx

35*the aim of cholesteatoma surgery is: safety improve hearing

save hearing

36* The most common sequela of untreated Bell's palsy: partially resolve completely resolve involves other cranial nerves involves the contralateral side no progression rhinitis medicamentosa results after*37 :prolonged use of antihistamines nasal decongestants

38*anterior epistaxis is usually from: the nasal septum Vestibule Roof Floor 39* the level of air way obstruction can be determined by: Time of stridor in the breathing process Respiratory rate. 40*Killian's dehiscence is related to: Facial nerve paralysis pharyngeal pouch laryngeocele branchial cyst none of the above *otitis media effusion occurs with all except barotrauma peritonsillar abscess cleft palate nasopharyngeal carcinoma adenoid apparently there is an extra questionI'm not sure which one, so I'm just gonna leave it..good luck

collected by: Ghaliya Al-ajaji