Medical PG ENT
1. Cholesteatoma is commonly caused by
(A) Attico-antral perforation
(B) Tubo-tympanic disease
(C) Central perforation of tympanic membrane
(D) Meniere’s disease
2. Treatment of choice in Central safe perforation is
(A) Modified mastoidectomy
(B) Radical mastoidectomy
(C) Myringoplasty
(D) Clerance and antibiotics
3. All the following are true of Antrochoanal polyp except
(A) Common in children
(B) Single & Unilateral
(C) Bleeds on touch
(D) Treatment involves Avulsion
4. Excessive hemorrhage from tonsillectomy is due to injury of the
(A) External palatine vein
(B) Ascending palatine artery
(C) Facial artery
(D) Internal carotid artery
5. Tonsillectomy is indicated in
(A) Acute tonsillitis
(B) Aphthous ulcers in the pharynx
(C) Rheumatic tonsillitis
(D) Physiological enlargement
6. All the following are true about Laryngeal carcinoma except
(A) More common in females
(B) Common in patients over 40 years of age
(C) After laryngectomy, esophageal voice can be used
(D) Poor prognosis
7. Ludwig’s angina is characterized by all the following except
(A) Cellulitis of the floor of the mouth
(B) Caused by anaerobic organisms Aphthous ulcers in the pharynx
(C) Aphthous ulcers in the pharynx
(D) Infection spreads to Retropharyngeal space
8. Otospongiosis is inherited as
(A) Autosomal dominant
(B) Autosomal recessive
(C) X-linked dominant
(D) X-linked recessive
9. The earliest symptom of acoustic nerve tumor is
(A) Hearing loss
(B) Tinnitus
(C) Vertigo
(D) Otorrhea
10. For ASOM, Myringotomy is done in which quadrant
(A) Antero-inferior
(B) Antero-superior
(C) Postero-superior
(D) Postero-inferior
11. A 4-year-old-child presents with fever and earache. One examination, there is a congested and bulging tympanic membrane. The treatment of choice is
(A) Myringotomy with penicillin
(B) Myringotomy with grommet inseration
(C) Only antibiotics
(D) Wait and watch
12. DNS may be associated with all the following except
(A) Recurrent sphenoidits
(B) Bilateral septal spur
(C) Hypertrophy of the inferior turbinate
(D) Recurrent maxillary sinusitis
13. CSF rhinorrhea is commonest in fracture of the
(A) Temporal bone
(B) Nasal bones
(C) Tempro-sphenoid
(D) Cribriform plate
14. Sensory nerve supply of Larynx below the level of vocal cord is by
(A) External branch of Superior Laryngeal nerve
(B) Internal branch of Superior Laryngeal nerve
(C) Recurrent Laryngeal nerve
(D) Inferior pharyngeal nerve
15. Abductor of vocal cord is
(A) Lateral cricoarytenoid
(B) Posterior cricoarytenoid
(C) Cricothyroid
(D) Thyroarytenoid
16. Which of the following carcinomas commonly presents with neck nodes
(A) Cricoid
(B) Glottic
(C) Epiglottis
(D) Anterior commissure
17. Treatment of choice for perforation in pars flaccid of the tympanic membrane with cholesteatoma is
(A) Myringoplasty
(B) MRM
(C) Antibiotics
(D) Radical mastoidectomy
18. Treatment of choice for CSOM with vertigo and facial nerve palsy is
(A) Antibiotics and Labyrinthine sedative
(B) Myringoplasty
(C) Immediate mastoid exploration
(D) Labyrinthe ctomy
19. Otospongiosis causes
(A) U/L conductive deafness
(B) B/L conductive deafness
(C) U/L sensorineural deafness
(D) B/L sensorineural deafness
20. Schwannoma involves the
(A) Vestibular part of VIIIth nerve
(B) Cochlear part of VIIIth nerve
(C) Vagus nerve
(D) Hypoglossal nerve
21. All of the following stand true for DNS except
(A) Recurrent sinusitis
(B) Atrophy of turbinate
(C) Epistaxis
(D) Hypertrophy of turbinate
22. Maggots in nasal cavity are most commonly treated by
(A) Ether
(B) Chloroform
(C) Turpentine oil
(D) Cocaine
23. Involvement of neck lymph nodes is seen in all the following except
(A) Hodgkin’s lymphoma
(B) Vocal cord carcinoma
(C) Tumors of the hypopharynx
(D) Nasopharyngeal carcinoma
24. Characteristic clinical features of menier’s disease include all of the following except :
(A) Vertigo
(B) Deafness
(C) Tinnitus
(D) Unconsciousness
25. All of the following steps are done in radical mastoidectomy except :
(A) Lowering of facial ridge
(B) Removal of middle ear mucosa and muscles
(C) Removal of all ossicles except stapes foot plate
(D) Maintenance of patency of eustachean tube
26. A 2 years child presents with B/L nasal pink masses. Most important investigation prior to undertaking surgery is :
(A) C.T Scan
(B) FNAC
(C) Biopsy
(D) Ultrasound
27. An old man with diabetes mellitus presents with blackish nasal discharge along with necrosed inferior turbinate. Most likely diagnosis is :
(A) Mucormycosis infection
(B) Cellular osteomyelitis
(C) Midline granuloma
(D) Syphilis
28. Most common presentation in nasopharyngeal carcinoma is with :
(A) Epistaxis
(B) Hoarseness of voice
(C) Nasal stuffiness
(D) Cervical lymphadenopathy
29. Commonest etiological agent of acute epiglottitis is :
(A) H. influenza
(B) Respiratory syncytial virus
(C) Influenza virus
(D) Parainflunza virus
30. Greyish white membrane in throat may be seen in all of the following infections except :
(A) Streptococcal tonsilitis
(B) Diptheria
(C) Adenovirus
(D) Ludwig’s angina
31. Best management of inhaled foreign body in an infant is :
(A) Bronchoscopy
(B) I.P.P.V & intubation
(C) Steroid
(D) Tracheostomy
32. A-7 years child presenting with acute ottitis media does not respond to ampicilline. The examination reveals is full and bulging tympanic membrane. The treatment of choiceis :
(A) Systemic steroid
(B) Ciprofloxacin
(C) Myringotomy
(D) Cortical mastiodectomy
33. A patient of CSOM has choleastatoma and presents vertigo with Treatment of choice would be :
(A) Antibiotics & labyrinthine sedative
(B) Myringoplasty
(C) Immediately mastoid exploration
(D) Labyrinthectomy
34. Features associated with DNS include all of the following except :
(A) Epistaxis
(B) Atrophy of turbinate
(C) Hypertrophy of turbinate
(D) Recurrent sinusitis
35. Maggots in nose are best treated by :
(A) Chloroform diluted with water
(B) Liquid parafin
(C) Systemic antibiotics
(D) Lignocaine spray
36. Most common cause of acute tonsillitis :
(A) Streptococcus pneumoniae
(B) H. infleunza
(C) β hemolytic streptococci
(D) Staphylococcus aureus
37. A-7 years old child has periotonisillar abscess present with trismus. The best treatment is :
(A) Immediate abscess drain orally
(B) Drainage externally
(C) Systemic antibiotics up to 48 hours then drainage
(D) Tracheostomy
38. Treatment of choice in stage III carcinoma larynx is :
(A) Chemotherapy
(B) Surgery + radiation
(C) surgery + chemotherapy
(D) Only radiotherapy
39. ‘In cold caloric stimulation test’, the cold water, induces movement of the eye ball in the following direction :
(A) Towards the opposite side
(B) Towards the same side
(C) Upwards
(D) Downwards
40. The statement about ASOM is :
(A) Most frequently it resolves without sequelae
(B) Commonly follows painful parotitis
(C) Radical mastoidectomy is required for treatment
(D) Most common organism is pseudomonas
41. Acoustic neuroma most commonly arise from :
(A) Superior vestibular nerve
(B) Inferior vestibular nerve
(C) Cochlear nerve
(D) Fascial nerve
42. Quinsy is synonymous with :
(A) Parapharyngeal abscess
(B) Retrophrangeal abscess
(C) Peritonsillar abscess
(D) Paratonsillar abscess
43. All are the true about tracheostomy tube except :
(A) Consist of 2 metallic tube
(B) Tubes are made of silver alloy and titaniumoxide
(C) Metallic tubes are ideally changed every 2-3 days
(D) Cuffed tubes used for IPPV
44. Monotogomery tube used in ENT procedure is a :
(A) Double barrel tube
(B) Lobster tail tube
(C) Airway tube
(D) Silicon-T-tube
45. A child was treated for H. Influenza meningitis for 6 month. Most important investigation to be done before discharging the patient is :
(A) MRI
(B) Brainstem evoked auditory response
(C) Growth screening test
(D) Psychotherapy
46. Direction of nasolacrimal duct is :
(A) Downwards, backwards and medially
(B) Downwards, backwards and laterally
(C) Downwards, forwards and medially
(D) Downwards, forwards and laterally
47. True statement about Rhinosporodiosis is :
(A) Most common organism is klebsicla rhinoscleromatis
(B) Seen only in immunocompromised patients
(C) Presents as a nasal polyp
(D) Can be diagnosed by isolation of organism
48. Alkaline nasal douche contains all of the following except :
(A) Sodium chloride
(B) Sodium bicarbonate
(C) Sodium biborate
(D) Glucose
49. Simple masotoidectomy is done for:
(A) Lateral sinus thrombophlebitis
(B) Small localized cholesteatoma
(C) ASOM
(D) Acute mastoiditis
50. Arterial supply of tonsil is mainly:
(A) Tonsillar branch of facial artery
(B) Maxillary artery
(C) Middle meningeal artery
(D) Ext. carotid artery
51. Eustachian tube de3velops from:
(A) 2nd and 3rd pharyngeal pouch
(B) 1st pharyngeal pouch
(C) 2nd pharyngeal pouch
(D) 3rd pharyngeal pouch
52. In a 5 year old child, most common cause of unilateral epistaxis is :
(A) Foreign body
(B) Polyp
(C) Atrophic rhinitis
(D) Maggot’s
53. Acoustic neuroma causes the following except:
(A) Ptosis
(B) Nystagmus
(C) Unilateral deafness
(D) Loss of corneal reflex
54. Horner’s syndrome is caused by:
(A) Nasopharyngeal carcinoma metastasis
(B) Facial bone injury
(C) Maxillary sinusitis
(D) Ethmoid polyp
55. Otitic barotraumas results due to:
(A) Ascent in air
(B) Descent in air
(C) Linear acceleration
(D) Sudden acceleration
56. Most common cause of obstruction in atrophic rhinitis is:
(A) Excessive formation of crust
(B) Polyp
(C) Synechiae
(D) Hypertrophy of turbinate
57. Most common cause of stridor in a neonate is:
(A) Foreign body
(B) Bronchiolitis
(C) Bronchial asthma
(D) Laryngomalacia
58. Most common complication of tracheostomy is:
(A) Tracheoesophageal fistula
(B) Tracheocutaenous fistula
(C) Surgical emphysema
(D) Tracheal stenosis
59. Oblique and horizontal fracture of nasal septum is called as:
(A) Jarjavay and chevallet fracture
(B) Arnold fracture
(C) Citteli fracture
(D) Thudicum fracture
60. Narrowest part of middle ear is
(A) Hypotympanum
(B) Epitymapanum
(C) Attic
(D) Mesotympanum
61. In CSOM commonest operation done is:
(A) Modified radical mastoidectomy
(B) Radical mastoidectomy
(C) Simple mastoidectomy
(D) Tympanoplasty
62. Inner ear is present in which bone
(A) Perietal bone
(B) Petrous part of temporal bone
(C) Occipital bone
(D) Petrous part of squamous bone
63. To distinguish between cochlear and post cochlear damage, test done is:
(A) Brainstem evoked response
(B) Impedence audiometry
(C) Pure tone aduiometry
(D) Auditory cochlear potential
64. Frontal sinus drain into:
(A) Superior meatus
(B) Inf.meatus
(C) Middle meatus
(D) Ethmoid recess
65. Tonsillectomy following peritonsillar abscess is done after weeks:
(A) 1-3
(B) 6-8
(C) 4-6
(D) 8-12
66. Carhart’s notch is characteristically seen at
(A) 1000 hz
(B) 4000 hz
(C) 2000 hz
(D) 6000 hz
67. Scwartz operation is also called as:
(A) Cortical mastoidectomy
(B) Modified radical mastoidectomy
(C) Radical mastoidectomy
(D) Fenestration operation
68. Which artery does not contribute to little’s area
(A) Septal branch of facial artery
(B) Anterior ethmoidal artery
(C) Sphenopalantine A
(D) Posterior ethmoidal A
69. Hyperacusis is defined as
(A) Hearing of only loud sounds
(B) Normal sounds heard as loud and painful
(C) Completely deaf
(D) Ability to hear in noisy surroundings
70. Structures opening in middle meatus are all except :
(A) Ant. ethmoidal sinus
(B) Post. ethmoidal sinus
(C) Frontal sinus
(D) Maxillary sinus
71. Promontory seen in the middle ear is :
(A) Jugular bulge
(B) Basal turn of cochlea
(C) Semicircular canal
(D) Head of incus
72. MC cause of epistaxis in 3 years old child :
(A) Nasal polyp
(B) Foreign body
(C) Upper respiratory catarrh
(D) Atropic rhinitis
73. In B/L abductor palsy of vocal cords following is done except :
(A) Teflon paste
(B) Cordectomy
(C) Nerve muscle implant
(D) Arytenoidectomy
74. Symptom of meniere’s disease are A/E :
(A) Conduction deafness
(B) Vertigo
(C) Tinnitus
(D) Fullness of ear
75. Secretomotor fibres to parotid glands is supplied by nerve :
(A) Auriculotemporal N
(B) Gr. auricular N
(C) Lesser occipital N
(D) Facial nerve
76. CSF rhinorrhoea is most commonly due to fracture of :
(A) Sphenoid bone
(B) Roof of orbit
(C) Cribiform plate
(D) Frontal sinus
77. Cochlear aqueduct :
(A) Connects internal ear with subarachnoid space
(B) Connects cochlea with vestibule
(C) Contains endolymph
(D) Same as S media
78. Secretory otitis media is diagnosed by :
(A) Secretory otitis media is diagnosed by :
(B) Pure tone audiometry
(C) X-ray
(D) Otoscopy
79. Ear infection causes throat infection through :
(A) Blood spread
(B) Eustachian tube
(C) Nasocaranial spread
(D) Simultaneous infection
80. Heamorhagic external otitis media is caused by:
(A) Influenza
(B) Proteus
(C) Staph
(D) Streptococcus
81. Main blood supply of palate:
(A) Greater palatine
(B) Lesser palatine
(C) Ascending pharyngeal
(D) Lingual
82. Otomycosis is caused by:
(A) Candida
(B) Aspergillus
(C) Both
(D) None
83. Kartagener’s syndrome: Characteristic is:
(A) Absence of cilia
(B) Cilia number
(C) Ultra structural abnormality of cilia
(D) None of the above
84. Myringotomy is indicated in:
(A) Coalescent Mastoiditis
(B) Choleastetoma
(C) ASOM
(D) External otitis media
85. Trismus in parapharyngeal abscess is due to spasm to:
(A) Masseter muscle
(B) Medial pterygoid
(C) Lateral pterygoid
(D) Temporalis
86. In infant most sensitive audiometric screening is:
(A) Electrocochleography
(B) BERA
(C) Cortical evoked response
(D) Tympanometry
87. Schwartz sign is seen in:
(A) Otosclerosis
(B) Menieries disease
(C) ASOM
(D) CSOM
88. Best view for evaluating sphenoid sinus is :
(A) Water’s with open mouth
(B) Schuller’s view
(C) Towne’s view
(D) Lateral view
89. Ramsay hunt syndrome is caused by :
(A) H. simplex
(B) H. Zoster
(C) Influenza
(D) Adenovirus
90. The part most commonly involved in Otosclerosis is :
(A) Oval window
(B) Round window
(C) Tympanic membranes
(D) Malleus
91. A case of CSOM presenting with vertigo can have any of the following except :
(A) Dural separation
(B) Cerebellar abscess
(C) Fistula with semicircular canal
(D) Any of the above
92. Mastoid reservoir phenomena is positive in :
(A) CSOM
(B) Petrous. apicitis
(C) Coalescent otitis media
(D) Coalescent masoiditis
93. The diagnosis in a patient with 6th nerve palsy, retro orbital pain and peristant ear discharge is:
(A) Gradenigo’s syndrome
(B) Sjogrens syndrome
(C) Frey’s syndrome
(D) Rendu osler weber disease
94. Korner’s septum is seen in :
(A) Petrosquamous suture
(B) Temporosquamous suture
(C) Petromastoid suture
(D) Frontozygomatic suture
95. Meniere’s disease is :
(A) Perilymphatic hydrops
(B) Endolymphatic hydrops
(C) Otospongiosis
(D) Coalescent mastoiditis
96. Acoustic neuroma causes :
(A) Cochlear deafness
(B) Retrocochlear deafness
(C) Conductive deafness
(D) Any of the above
97. In case of bilateral hearing loss, what should be done :
(A) Stapedectomy
(B) Cochlear implant
(C) Hearing aid bone implant
(D) Sodium fluoride
98. Which among the following is not a feature of retracted tympanic membrane :
(A) Loss of cone of light
(B) Shortening of handle of malleus
(C) Draping of tympanic membrane over handle of malleus
(D) Degeneration of head of malleus
99. The commonest site of aspiration of a foreign body in the supine position is into the :
(A) Right upper lobe apical
(B) Right lower lobe apical
(C) Left basal
(D) Right medial
100. After the rupture of tympanic membrane the hearing loss :
(A) 10-40 dB
(B) 5-15 dB
(C) 20 dB
(D) 300 dB
101. Malignant otitis externa is :
(A) Malignancy of external ear
(B) Caused by hemophilus influenzae
(C) Blackish mass of aspergillus
(D) Pseudomonas infection in diabetic patient
102. Most common cause of stridor shortly after birth :
(A) Laryngeal papilloma
(B) Laryngeal web
(C) Laryngolmalacia
(D) Vocal cord palsy
103. Impedance denotes:
(A) Site of perforation
(B) Disease of cochlea
(C) Ds. of ossicles
(D) Higher function disorder
104. Rhinosporidiosis is caused by :
(A) Fungus
(B) Chalmydia
(C) Bacteria
(D) Sporotrichosis
105. Rhinosclermoatis is caused by :
(A) Klebseilla
(B) Autommune
(C) Spriochatetes
(D) Rhinosporidium
106. A patient with sinus infection develops chemosis, B/L proptosis and fever, the diagnosis goes in favour of :
(A) Lateral sinus thrombosis
(B) Frontal lobe abscess
(C) Cavernous sinus thrombosis
(D) Meningitis
107. True about ludwigs angina is:
(A) Spreading cellulitis of neck
(B) Cellulitis of floor of mouth
(C) Treated by Nitroglycerine
(D) Excision is done
108. Perforation of nasal septum is seen in A/E:
(A) TB
(B) Syphilis
(C) Rhinosporodiosis
(D) Septal surgery
109. Cause of U/L secretory otitis media in an adult is:
(A) CSOM
(B) Nasopharyngeal carcinoma
(C) Mastoiditis
(D) Foreign body of external ear
110. Post head injury, the patient had conductive deafness & on examination, tympanic membrane was normal & mobile. Likely diagnosis is :
(A) Distortionof ossicular chain
(B) Hemotympanum
(C) EAC sclerosis
(D) Otosclerosis
111. Most common location of vocal nodule :
(A) Anterior 1/3 & posterior 2/3 junction
(B) Posterior 1/3 & anterior 2/3 junction
(C) Anterior commissure
(D) posterior commissure
112. Cholesteatoma commonly perforates :
(A) Lat. Semicircular canal
(B) Sup. Semicircular canal
(C) Promontory
(D) Oval window
113. Antrochoanal polyp in 10 yr. old boy. What is Rx of choice
(A) Polypectomy
(B) Antibiotics & symptomatic Rx
(C) Caldwell Luc’s operation
(D) Wait till 16 yr. of age
114. The distance between tymaparic membrane and medial wall of middle ear at the level of center is :
(A) 3 mm
(B) 4 mm
(C) 6 mm
(D) 2 mm
115. Commonest cause of brain abscess :
(A) CSOM
(B) Pyogenic meningitis
(C) Trauma
(D) Chr. sinusitis
116. Features of meniere’s disease. False is :
(A) Tinnitus
(B) Vertigo
(C) Conductive deafness
(D) Fullness in ear
117. Earliest ocular finding in acoustic neuroma :
(A) Diplopia
(B) Ptosis
(C) Loss of corneal sensation
(D) Papilloedema
118. Cause of nasal obstruction in atrophic rhinitis:
(A) Crusting
(B) Polyp
(C) Secretions
(D) DNS
119. True about carcinoma larynx :
(A) Glottis is most common site
(B) Rarely presents with metastasis
(C) Adenocarcinoma is commonest type
(D) Responds to chemotherapy very well
120. Flat tympanogram is seen in :
(A) A.S.O.M.
(B) Otosclerosis
(C) Serous otitis media
(D) Ossicular chaion disruption
121. True about bell’s palsy is/are :
(A) Most common cause of facial palsy
(B) Associated with tinnitus & virtigo
(C) Crocodile tears & symkinesis are early complications
(D) No role of steroids
122. True about C.S.O.M. :
(A) Etiology is multiple bacteria
(B) Oral antibiotics are not affected
(C) Ear drops are best
(D) Ottic hydrocephalus is a known complication
123. True about otogenic brain abscess is/are :
(A) H. influenza is most common causative organism
(B) C.S.O.M. with lat. sinus thrombosis inturn can cause brain abscess
(C) Most common complication of CSOM
(D) emporal lobe abscess is associated with personality changes
124. Which among the following is not true regarding nasopharyngeal carcinoma :
(A) Associated with EB V infection
(B) Starts in the fossa of Rosenmuller
(C) Radiotherapy is the treatment of choice
(D) Adenocarcinoma is usual
125. About Eustachian tube :
(A) 24 mm in length
(B) Outer 1/3rds cartilagenous
(C) Inner 2/3rds is bony
(D) Opens during swallowing
126. True about cholesteaotoma is/are :
(A) It is a benign tumour
(B) Metastasize to lymphnode
(C) Contains cholesterol
(D) Erodes the bone
127. About nasal syphilis true A/E :
(A) Perforation occurs in septum
(B) Saddle nose deformity may occur
(C) In newborn, it presents as snuffles
(D) Secondary syphilis is the common association
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