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The nasopharynx
takes its sensory
nerve supply from
1- trigeminal nerve
2- glossopharyngeal
nerve
3- vagus nerve
4- non of the above
 Answer : 1
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The oropharynx
takes its sensory
nerve supply from
1- trigeminal nerve
2- glossopharyngeal
nerve
3- vagus nerve
4- non of the above
 Answer : 2
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The hypopharynx
takes its sensory
nerve supply from
1- trigeminal nerve
2- glossopharyngeal
nerve
3- vagus nerve
4- non of the above
 Answer : 3
The Eustachian tube
 1- opens in the lateral
wall of the oropharynx
 2- is opened by the
levator palati muscle
 3- wider in the adult
than in infants
 4- non of the above
 5- all of the above
 Answer : 4
The part of the pharynx
that lies in front of the
3rd to 6th cervical
vertebra is
1- oropharynx
2- nasopharynx
3- hypopharynx
4- the whole pharynx
 Answer : 3
The part of the
pharynx that lies in
front of the 2nd and
3rd cervical vertebra
is
1- oropharynx
2- nasopharynx
3- hypopharynx
4- laryngopharynx
 Answer : 1
The voluntary stage of
swallowing is
 1- the oral phase
 2- the pharyngeal
phase
 3- the esophageal
phase
 4- both 1 and 2
 Answer : 1
Snoring is defined as
 1- difficult noisy breathing
due to partial obstruction
of the larynx,trachea or
bronchi
 2-noisy breathing during
sleep due to vibration of
the hypotonic dynamic
walls of the pharynx
 3- both 1 and 2 are right
 4- both 1 and 2 are wrong
 Answer : 2
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Dysphagia means
1- painful swallowing
2-difficult swallowing
3- sensation of the act
of swallowing
4- all of the above
 Answer : 4
A swelling may be felt
in the neck which may
gurgle on palpation,
a sign known as
1-Boyce's sign.
2-Moure’s sign
3-Greisinger’s sign
4-kernig sign
 Answer : 1
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A middle aged female with
gradually progressive
dysphagia, koilonychia,
hypochromic anaemia and
glazed tongue is suffering
from
1- Plummer Vinson
syndrome
2- hypopharyngeal
carcinoma
3- oesophageal carcinoma
4- achalasia
 Answer : 1
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The most common
cause for pharyngeal
and oral ulceration is
1- Behcet disease
2- aphthous ulcers
3- tuberculous ulcers
4- syphilitic ulcer
 Answer : 2
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In a teenager male with
recurrent severe left
epistaxis , pallor and
conductive deafness of
the left ear, you should
suspect
1- antrochoanal polyp
2- inverted papilloma
3- nasopharyngeal
angiofibroma
4- septal hemangioma
 Answer : 3
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The best investigation to
confirm the diagnosis of
nasopharyngeal
angiofibroma is
1- biosy
2-CT scan
3-carotid angiography
4- non of the above
 Answer : 3
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Trotter’s triad consists of all
of the following except
1-unilateral conductive
hearing loss
2-ipsilateral earache and
facial pain
3- ipsilateral proptosis
4- ipsilateral immobilization
of the soft palate
 Answer : 3
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The commonest site of
origin of nasopharyngeal
carcinoma is
1-roof
2- the fossa of Rosenmuller
3-superior surface of the
soft palate
4- Eustachian tube orifice
 Answer : 2
In a child aging 3 years with
Mouth breathing, hyponasality
and Snoring of long duration,
you suspect
 1- bilateral choanal atresia
 2- adenoid
 3- acute rhinitis
 4- non of the above
 Answer :2
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The commonest
cause of obstructive
sleep apnea in adult
is
1- allergic rhinitis
2-allergic nasal
polypi
3-marked obesity
4-elongated uvula
 Answer : 3
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The commonest
cause of obstructive
sleep apnea in
children is
1- bilateral choanal
atresia
2- allergic nasal
polypi
3- marked obesity
4- Adenoid
 Answer : 4
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A 4 years old child
presented by his mother
complaining of lack of
attention, mouth breathing
and hyponasality
1- secretory otitis media is
suspected
2- adenoid is suspested
3-both 1 and 2
4- non of the above
 Answer : 3
In diphtheria, the
antitoxic serum is
given
1- to neutralize the
circulating exotoxin
2- to neutralize the
fixed exotoxin
3- to kill the diphtheria
bacilli
4- all of the above
 Answer : 1
Adenoids can cause
school retardation
as a result of
1- excessive daytime
sleepiness
2-impaired hearing
3- recurrent infection
4- all of the above
 Answer : 4
True pharyngeal
membrane occurs in
1- vincent angina
2-diphtheria
3- infectious mononucleasis
4- acute membranous
tonsilitis
 Answer : 4
The following are
features consistent with
postcricoid carcinoma
except
1- dysphagia is more to
fluids
2- rapid loss of weight
3- Moure’s sign can be
detected
4- dysphagia is rapidly
progressive , first to
soilds then to solids and
fluids
 Answer : 1
Nasopharyngeal
carcinoma can cause
paralysis of the
following nerves except
1- the vagus nerve
2-the facial nerve
3-the glossopharyngeal
nerve
4-the abducent nerve
 Answer : 2
Excessive tobacoo
smoking and alcohol
intake are predisposing
factors to the following
except
1- nasopharyngeal
carcinoma
2- oropharyngeal
carcinoma
3- hypopharyngeal
carcinoma
4- oesophageal carcinoma
 Answer : 1
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The main arterial supply
of the tonsil is from
1- ascending palatine
artery
2- descending palatine
artery
3- dorsalis linguae
artery
4- tonsillar artery
5-ascending pharyngeal
artery
 Answer : 4
The commonest
causative organism in
acute tonsilitis is
1- staphylococcus aureus
2- haemophylus influenza
3- streptococcus
haemolyticus
4- Morhexella catarrhalis
 Answer : 3
Moure’s sign can be
detected in
1- nasopharyngeal
carcinoma
2- oropharyngeal
carcino,a
3-postcricoid carcinoma
4- supraglottic
carcinoma
Answer : 3
Moure;s sign means
absence of laryngeal
click which can be
detected in normal
individuals on
moving the larynx
from side to side
The diagnostic manifestation
of a Parapharyngeal abscess is
1- Trotter’s triad
2- Geisenger’s sign
3-Gradenigo triade
4- Boeck’s triade
 Answer : 4
Un ulcer with undermined
edge and yellow caseous
floor is consistent with
1- traumatic ulcer
2-tuberculous ulcer
3- syphilitic ulcer
4- malignant ulcer
 Answer : 2
Un ulcer with everted
edge , necrotic floor
and indurated base is
consistent with
1- traumatic ulcer
2-tuberculous ulcer
3- syphilitic ulcer
4- malignant ulcer
 Answer : 4
The palatine tonsil is
different from the lymph
node in that
1- the tonsil has only
efferent lymph vessels
2- the tonsil has efferent
and afferent lymph
vessels
3- the tonsil has afferent
lymphatics only
4- the tonsil is completely
capsulated
 Answer : 1
The earliest and commonest
complication of diphtheria is
1- heart failure
2- palatal paralysis
3-laryngeal obstruction
4-acute nephritis
 Answer : 4
The earliest and Commonest
neurological complication of
Diphtheria is
1- paralysis of occular
muscles
2-paralysis of the diaphragm
3-palatal paralysis
4-laryngeal paralysis
 Answer : 3
Tonsillectomy is not indicated
in
1-chronic tonsillitis
2- history of peritonsillar
abscess
3- diphtheria carrier resistant
to penicilline therapy
4- acute tonsilitis
 Answer : 4
All of the following are signs of
chronic tonsillitis except
1- inequality of the size of both
tonsils
2- irregularity of the surface of
the tonsils
3- membrane on the tonsils
4- persistent enlargement of
jagulodigastric lymph node
 Answer : 3
Concerning contraindications of
Tonsillectomy, which of the
following statements is wrong
1- tonsillectomy is
contraindicated in acute
tonsilitis
2-rheumatic fever is a
contraindication to avoid
bacterial endocarditis
3- it is contraindicated in
haemophilia
4- it is contraindicated in
tuberculous cervical
lymphadenopathy
 Answer : 4
In a 3 years old child presenting
with bleeding from the mouth 5
days after tonsillectomy
1- ligation of bleeding points should
be carried out immediately
2- the cause of bleeding in this
patient is slippage of a loose
ligature
3- if conservative measures fail to
stop bleeding consider packing
the tonsillar bed with absorbable
haemostatic material
4- non of the above
 Answer : 3
Adenoidectomy operation is
contraindicated in
1- acute upper respiratory tract
infection and the operation is
postponed for 3 weeks
2- cleft palate
3- hempophilia
4- all of the above
 Answer : 4
Which of the following is not
true concerning active
immunization against
diphtheria
1- it is compulsory and given at
the age of 2,4 and 6 month
 2-it is given to contacts of
diphtheretic patients
 3- it is given to diphtheria
patients
 4- booster doses are given
at the age of 18 months and
5 years
 Answer: 3
 One of the following is not
charecteristic of
agranulocytosis
1- Recuurent infection
2-extensive necrotic ulceration and
false membrane on the
pharyngeal mucosa
3-Marked red inflammatory
reaction around the ulcers
4-sore throat and referred otalgia
3
In a patient with bleeding
tendency, pallor, recurrent
infection, and generalized
lymphadenopathy which of the
following is false:
1- Hospitalization is essential
2- complete blood picture is
needed to help in diagnosis
3- Bone marrow aspirate should be
done
4- Agranulocytosis is the most
probable diagnosis
 Answer: 4
Pallor of the pharyngeal
mucosa and painful
shallow ulcers with
undermind edge are
suggestive of
1-Tuberculous pharyngitis
2- Syphilitic pharyngitis
3- Behcet disease
4- Pharyngoscleroma
 Answer: 1
A female adult having glazed
tongue, koilonychia,
splenomegaly and progressive
dysphagia is probably suffering
from
1-Plummer Vinson’s syndrome
2- Paterson-Brown Kellys
syndrome
3-Chronic pharyngoesophagitis
4- All of the above
 Answer: 4
Oral moniliasis may
foloow all of the
following except
1- prolonged use of
systemic antibiotics
2- Uncontrolled diabetes
mellitus
3- Vincent angina
4 prolonged use of
steroids
 Answer: 3
A true pharyngeal
membrane is
characteristic of all of
the following except
1- Acute membranous
tonsillitis
2-Moniliasis
3- Vincent angina
4-Acute simple pharyngitis
 Answer: 3
A false membrane is
characteristic of all of
the following except
1- Diphtheria
2- vincent angina
3-Inectious mononucleosis
4- Moniliasis
5- agranulocytosis
 Answer: 4
Pharyngeal foreign body
is not commonly
impacted in
1- Tonsils
2- base of the tongue
3- Nasopharynx
4- pyriform fossa
 Answer: 3
Which of the following is
not a feature of cleft
palate
1- Rhinolalia aperta
2- Rhinolalia clausa
3- Nasal regugitation
4-difficult suckling
 Answer: 2
The true pharyngeal
membrane is
accompanied by:
1-destruction of the
superficial epithelium
2-fibrinous exudate
3- intact mucosa
4- bleeding on its removal
 Answer: 3
In a 4 years old child, the
commonest cause of
snoring is:
1-Bilateral choanal atresia
2-Adenoids
3-Nasopharyngeal
angiofibroma
4-Allergic nasal polypi
 Answer:2
All of the followingmay
cause primary hemorrhage
during adenoidectomy
except:
1- Incomplete removal
2-bleeding tendency
3-Wound infection
4-Acute rhinitis
 Answer:3
Nasopharyngeal angiofibroma
occurs in
1- elderly males
2- elderly females
3-Teenager males
4- Teenager females
 Answer:3
When you suspect nasopharyngeal
angiofibroma, you should proceed to;
1- CT scan & MRI to assess tumor
extension
2- Carotid angiography to confirm
the diagnosis and show tumor
feeding vessel
3-biopsy t confirm the diagnosis
4- all of the bove
5- both 1 and 2 are true
 Answer:
5
Treatment of nasopharyngeal
carcinoma is by:
1- excision of the tumor and radical
neck dissection if there is
palpable cervical lymph nodes
2- Raiotherapy and radical neck
dissection if there is palpable
cervical lymph nodes
3- Both 1 &2 are true
4-Both 1 &2 are false
 Answer:2
Trotter’s triad is
unilateral
1- conductive deafness, nasal
regurgitation and facial pain
2-Sensorineural hearing loss,
dysphagia and headache
3-swelling below the angle of the
mndible, trismus ith the tonsil
pushed medially
4- non of the above
 Answer:1
Boek’s Triade consists of
1- conductive deafness, nasal
regurgitation and facial pain
2-Sensorineural hearing loss,
dysphagia and headache
3-swelling below the angle of the
mndible, trismus ith the tonsil
pushed medially
4- non of the above
 Answer:3
A patient with faucial diphtheria
may suffer from respiratory
distress because Of:
1- Extension of diphtheritic membrane
to the larynx
2-lung collapse due to inhalation of a
piece of the membrane
3-Parlysis of the diaphragm and
intercostal muscles
4-all of the above
 Answer:4
Agranulocytosis means
white blood cells:
1- below 2000
2- 2000-4000
3-4000-10000
4-11000-20000
 Answer: 1
The following form the
diphtheritic membrane
except;
1-Thecorynebacterium
diphtheriae organism
2-fibrin
3-eosinophils
4- necroticmucous membrane
 Answer:3
The followings are true
about Plummer Vinson’s
syndrome except:
1-It is premalignant lesion
2- more common in males
3-associated with iron deficiency
anemia
4-associated with achlorohydia
 Answer: 2
The commonest cause of
obstructive sleep apnea in
adult:
1- Adenoids
2-allergic nasal polypi
3-Marked obesity
4-elongated uvula
 Answer:3
Recurrent small painful
ulcers with whitish floor in
the throatare most
probably:
1- Herpetic ulcers
2-Aphthouos ulcers
3-Vincent angina
4-Behcet disease
 Answer:2
 The first sign of cancer
of the nasopharynx is
often
A. facial pain
B. nosebleed
C. nasal blockage
D. serous otitis media
E. diplopia
 Answer:D
 Pharyngeal or laryngeal
diphtheria is best
treated by
A. penicillin
B. penicillin plus antitoxin
C. antitoxin
D. passive immunization
 Answer:B
 The treatment of choice
for Vincent angina is
A. streptomycin
B. penicillin
C. nystatin (Mycostatin)
D. chloramphenicol
E. corticosteroids
 Answer:B
 Ludwig angina
1. is a severe form of
infection of the
sublingual space
2. is usually due to
salivary or tonsillar
infections
3. spreads by continuity
4. forms a pus-filled
abscess cavity
 Answer:
Infectious mononucleosis
 1. is viral in etiology
 2. produces lymph gland
enlargement
 3. is confirmed by
positive heterophil
(Paul-Bunnell) test
 4. may cause a reaction
from ampicillin
 Answer:
The posterior pillar of the
tonsil is formed by:
1- Palatopharyngeaus muscle
2- palatoglossus muscle
3- Lingual muscle
4- styloglossus muscle
 Answer:1
Tonsillar artery is a branch
of :
1-Lingual artery
2-facial artery
3- Palatine artery
4- maxillary artery
 Answer:2
The anterior pillar of the
tonsil is formed by:
1- Palatopharyngeaus muscle
2- palatoglossus muscle
3- Lingual muscle
4- styloglossus muscle
 Answer:2
Outer Waldayer’s ring is
formed by
1- Palatine tonsils
2-tubal tonsils
3- lingual tonsils
4- cervical lymph nodes
 Answer: 4
Absolute indication for
tonsillectomy is:
1- acute tonsillitis
2- diphtheria epidemic
3- Quinsy
4-obstructive sleep apnea
syndrome
 Answer:4
Vincent angina is caused
by:
1-streptococci
2- spirochetes denticola and
vencint’s fusiformis
3- staphylococci
4-pneumococci
 Answer:2
The surface of the
pharyngeal tonsil is lined
by:
1-cuboidal epithelium
2-columnar epithelium
3-keratinizing squamous
epithelium
4-non keratinizing squamous
epithelium
 Answer:4
The best treatment of
nasopharyngeal angiofibroma is
1- Surgical excision using the
adenoid currette
 Answer: 4
2- raditherapy
3- to leave with no treatment as it
regresses at the age of
sexualmaturity
4-surgical exicion after
preoperative embolization of the
feeding vessel
The fossa of Rosenmuller
is a common site of:
1- Naophryngeal
angiofibroma
2- Nasophayngeal carcinoma
3-antrochoanal polyp
4- allergic nasal polypi
 Answer:2
An early sign of nasopharyngeal
carcinoma is:
1- Trotter’s triade
2-Unilateral secretory otitis media
3-nasal obstruction
4-epistaxis
 Answer:2
The inferior constrictor
muscle takes origin from:
1-hyoid bone
2-mandible
3-maxilla
4-thyroid and cricoid cartilage
 Answer:4
Boek’s tridw occurs due to:
1-Quinsy
2-retropharyngeal abscess
3-parapharyngeal abscess
4-Vincent angina
 Answer:3
secondary postadenoid
bleeding is treated by:
1-Antibioticas and postnasal
pack
2-anterior nasal pack
3-external carotid ligation
4-only antibiotic is sufficient
 Answer:1
One of the following is not a
sign of chronic tonsillitis
1-bilateral hypertrophy
2-inequality of size
3-hyperaemia of the uvula
4-irregularity of the surface of the
tonsil
5-persistent enlagement of
jugulodigastric lymph nodes
 Answer:3