ENT 2017

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1- The Eustachian tube is opened by contraction of

Select one:

a. levator palati muscle

b. tensor palati muscle

c. tensor tympani muscle

d. Salpingopharyngeus muscle

2- Sensori innervation of anterior 2/3 of tongue is from

Select one:

a. Lingual branch of trigeminal nerve

b. Facial nerve

c. Lingual branch of superior laryngeal nerve.

d. Facial nerve

3- The muscle of third pharyngeal arch is

Select one:

a. Styloglossus

b. Stylopharyngeus

c. Palatopharyngeus

d. Hyoglossus

4- The only muscle which opens the glottis is

Select one:

a. Thyroarytenoid

b. Cricothyroid

c. Posterior cricoarytenoid

d. Interarytenoid
 5- Damage to the 12th cranial nerve in the hypoglossal canal causes:
Select one:

a. impaired closure of the oropharyngeal isthmus

b. atrophy of the same side of the tongue

c. paralysis of the extrinsic, but not the intrinsic muscles of the same side of the tongue

d. impaired depression fo the hyoid bone

6- Structures derived from the second pharyngeal arch include:

Select one:

a. maxillary artery

b. the incus

c. posterior third of the tongue

d. stylohyoid ligament

7- The commonest cause of vertigo is

Select one:

a. meniere’s disease

b. benign paroxysmal positional vertigo

c. ototoxicity

d. labyrinthitis

8- Which of the following is not a feature of cleft palate

Select one:

a. Rhinolalia clausa

b. Rhinolalia aperta

c. difficult suckling

d. Nasal regurgitation
 9- The commonest cause of obstructive sleep apnea in adult is
Select one:

a. allergic nasal polypi

b. allergic rhinitis

c. marked obesity

d. elongated uvula

10- The commonest site of origin of nasopharyngeal carcinoma is

Select one:

a. Eustachian tube orifice

b. the fossa of Rosenmuller

c. roof

d. superior surface of the soft palate

11- Regarding the ear are true except :

Select one:

a. the tympanic membrane is supplied by the hypoglossal nerve

b. the external ear is supplied by a sensory branch of the facial nerve

c. the auditory canal is supplied by the glossopharyngeal nerve

d. the auditory canal can be straightened by pulling the pinna upwards and backwards

e. the malleus lies medial to the tympanic membrane

12- Cricothyroid muscle is supplied by

Select one:

a. Trigeminal nerve

b. Recurrent laryngeal nerve

c. Internal branch of superior laryngeal nerve

d. External branch of superior laryngeal nerve

 13- Snoring is defined as
Select one:

a. all are right

b. all are wrong

c. difficult noisy breathing due to partial obstruction of the larynx,trachea or bronchi

d. noisy breathing during sleep due to vibration of the hypotonic dynamic walls of the
pharynx

14- A 4 years old child presented by his mother complaining of lack of attention,
mouth breathing and hyponasality
Select one:

a. secretory otitis media is suspected

b. adenoid is suspested

c. all are right

d. all are wrong

15- Stenson's duct drains

Select one:

a. Submandibular gland

b. Parotid gland

c. Minor salivary glands

d. Sublingual gland

16- The pre trematic nerve of II Pharyngeal arch is

Select one:

a. Jacobson's nerve

b. Chorda tympani nerve

c. Facial nerve

d. Mandibular nerve
 17- Oropharynx extends up to
Select one:

a. C2

b. C4

c. C6

d. C3

18- The arytenoid cartilages are shaped like a

Select one:

a. Shield

b. Cylinderical

c. Cuboidal

d. Pyramid

19- The Adam's apple is a prominence seen in

Select one:

a. Thyroid cartilage

b. Arytenoid cartilage

c. Cricoid cartilage

d. Epiglottis

20- In a child aging 3 years with Mouth breathing, hyponasality and Snoring of long
duration, you suspect
Select one:

a. non of them

b. adenoid

c. acute rhinitis

d. bilateral choanal atresia

 21- Trotter’s triad consists of all of the following except

Select one:

a. ipsilateral immobilization of the soft palate

b. ipsilateral proptosis

c. unilateral conductive hearing loss

d. ipsilateral earache and facial pain

22- Adenoids can cause school retardation as a result of

Select one:

a. recurrent infection

b. excessive daytime sleepiness

c. all of them

d. impaired hearing

23- Excessive tobacoo smoking and alcohol intake are predisposing factors to the
following except
Select one:

a. hypopharyngeal carcinoma

b. oropharyngeal carcinoma

c. nasopharyngeal carcinoma

d. oesophageal carcinoma

24- Nasopharyngeal angiofibroma occurs in

Select one:

a. Teenager males

b. Teenager females

c. elderly males

d. elderly females
 25- Tonsillectomy is not indicated in
Select one:

a. chronic tonsillitis

b. history of peritonsillar abscess

c. acute tonsilitis

d. diphtheria carrier resistant to penicilline therapy

26- middle aged female with gradually progressive dysphagia, koilonychia,

hypochromic anaemia and glazed tongue is suffering from
Select one:

a. hypopharyngeal carcinoma

b. Plummer Vinson syndrome

c. oesophageal carcinoma

d. achalasia

27- Major amount of saliva is secreted by

Select one:

a. Submandibular gland

b. Parotid gland

c. Minor salivary glands

d. Sublingual gland

28- Anterior pillar of the tonsil is formed by

Select one:

a. Lingual muscle

b. Palatopharyngeus muscle

c. Palatoglossus muscle

d. Hyoglossus muscle
 29- Main arterial supply of tonsil is from
Select one:

a. Tonsillar branch from internal maxillary artery

b. Tonsillar branch from superior thyroid artery

c. Tonsillar branch from lingual artery

d. Tonsillar branch of facial artery

30- The sensory end-organ of the semicircular canal is

Select one:

a. non of them

b. the crista

c. the organ of Corti

d. the macula

31- The Eustachian tube

Select one:

a. non of them

b. wider in the adult than in infants

c. opens in the lateral wall of the oropharynx

d. is opened by the palatoglossal muscle

e. all of them

32- The oropharynx takes its sensory nerve supply from

Select one:

a. trigeminal nerve

b. glossopharyngeal nerve

c. non of them

d. vagus nerve
 33- Concerning the paranasal sinuses
Select one:

a. the blood supply of the frontal sinus is mainly from the facial artery

b. all the sinuses are present at birth

c. all the sinuses are lines with respiratory mucous membrane

d. the lymphatic drainage of the frontal sinus is to preauricular nodes

34- True statements about the boundary of the nasal cavity include:
Select one:

a. vomer forms the lateral wall of the cavity

b. cribriform plate forms part of the roof

c. maxilla forms the posterior wall of the cavity

d. palatine forms part of the roof

35- The cricoid cartilage is shaped like a

Select one:

a. Signet ring

b. Cylinder

c. Shield

d. Cube

36- In neonates the epiglottis is

Select one:

a. Pear shaped

b. Leaf shaped

c. Omega shaped

d. Circle shaped
 37- All of the following are signs of chronic tonsillitis except
Select one:

a. persistent enlargement of jagulodigastric lymph node

b. membrane on the tonsils

c. inequality of the size of both tonsils

d. cryptic and irregular surface of the tonsils

38- The combination of unilateral otorrhoea, severe facial pain and diplopia is known
as :
Select one:

a. Gradenigo’s syndrome

b. Kartagner syndrome

c. Piere Robin syndrome

d. Ramsay Hunt sundrome

39- The first sign of cancer of the nasopharynx is often

Select one:

a. facial pain

b. nosebleed

c. diplopia

d. nasal blockage

e. unilateral serous otitis media

40- The commonest cause of conductive deafness in adults is:

Select one:

a. secretory otitis media

b. wax

c. otomycosis

d. otosclerosis