100 Top ENT Multiple Choice Questions and Answers pdf -------------------------------------------------------------------------------------- 1.Caloric test has a) Slow component only b) fast component only c) Slow + Fast components d) fast components occasionally Ans: c 2.Carhart’s notch is characteristically seeh at a)1000hz b)2000hz c)4000hz d)6000hz Ans: b 3.Gradenigo’s syndrome does not consist of a) abducent nerve palsy b) Retro orbital pain c) aural discharge d) Palatal palsy Ans: d 4.In Acoustic neuroma the following is not seen a) Auditory defect b) Sensory aphasia c) Motor aphasia d) Changes in audiometry Ans: c 5.Myringotomy is done on the …quadrant of the tympanic membrane a) Postero inferior b) Postero superior c) antero inferior d) antero superior Ans: a 6.In unsafe CSOM with cholesteatoma and sensorineural deafness treatment choice a) simple mastoidectomy b) modified radical mastoidectomy c)radical mastoidectomy d) tympanoplasty Ans: c 7.Organ of corti is situated in a) scala media b) ScalaTympanum c) Scala Vestibule d) Saccule Ans:a 8.Endolymphatic hydrops is associated with a) Otosclerosis b) CSOM c) wax impacted ear d) presbycusis Ans: d 9.Positive Rinnetest is seen in a) Otosclerosis b) csom c) wax impacted ear d) Presbycusis Ans: d 10.Pulsatile otorrhea seen in a) Glomus tumour b) CSF otorrhea c) ASOM d) fistula Ans: c 11.Commonest cause of deafness in childhood is a) ASOM b) CSOM c) deaf-mutism d) foreign body Ans: b 12.Otosclerosis is associated with all except a) conductive deafness b) common in males c) Mostly affects stapes d) Run in families Ans: b 13.Common cause of facial palsy is a) Bell’s palsy b) Mastoid surgery c) Guillian Barre syndrome d) Injury to facial nerve Ans: a 14.The land mark on the lateral surface of temporal bone which acts as a guide to surgeryto the antrum is the a) trauman’s triangle b) temporal line c) suprameatal spine of Henle d) notch of Rivinus e) None of the above Ans: c 15.Destruction of right labyrinth causes nystagmus to a) right side b) Left side c) rotatory nystagmus D) No nystagmus Ans: b 16.The secretomotor nerve fibres of sphenopalatine ganglion supply the a) Lacrimal gland b) Parotid gland c) submandibular gland d) sublingual gland Ans: a 17.In conductive deafness Weber test is lateralized to: a) deaf ear b) normal ear c) Both ears d) Any of the above Ans: a 18.Hyposthesia of the posterior aspect of the external auditory canal may be an early sign of a) Trigeminal neuralgia b) costens syndrome c) Lateral sinus thrombosis d) Multiple sclerosis e) acoustic neuroma Ans: e 19.Pulsatile tinnitus in ear is due to a) Malignant otitis media b) osteoma c) mastoid reservoir d) glomus jugulare tumour Ans: d 20.Impairment of hearing due to noise starts at a)1000Hz b)2000Hz c)3000Hz d)4000 Hz Ans: d 21.Management of otogenic cerebral abscess is a) radical mastoidectomy b) drainage of abscess followed by mastoidectomy c) conservative treatment with antibiotics d) drainage of abscess only Ans: b 22.Absolute bone conduction test (ABC) is shortened in a) conductive deafness b) perceptive deafness c) both a&b d) none of the above Ans: b 23.All of the following are the features of cholesteatoma except a) filled with keratinized stratified squamous epithelium b) Deafness c) erodes bone d) lymphatic permeation Ans: d 24.In majority of the cases with otosclerosis the tympanic membrane is a) normal b) flamingo pink C) blue d) yellow Ans: a 25.The syndrome of sensorineural hearing loss together with hereditary nephritis is a) alports syndrome b) fabry’s syndrome C) Nail patella syndrome d) Edward syndrome Ans: a 26.Ototoxic drugs are all except a) Kanamycin b) streptomycin c) gentamicin d) ampicillin Ans: d 27.A patient hears better in Noise the diagnosis is a) Hyperacusis b) Hypoacusis c) presbycusis d) paracusis Ans: d 28.Dryness of eyes is caused by injury to facial nerve at a) chorda tympani b) cerebellopontine angle c) tympanic canal d) geniculate ganglion Ans: a 29.The aost mobile part at the tympanic membrane a) central b) peripheral c) both d) none of the above Ans: a 30.The commonest site of otogenic brain abscess occurring due to CSOM is a) frontal lobe b) parietal lobe c) temporo petrosal lobe d) occipital lobe Ans: c 31.In blast injury most common organ affected a) eardrum b) stomach c) lungs d) all of the above Ans: a 32. Condition where a pulsatile tumour is found in external auditory meatus which bleeds to touch a) cholesteatoma b) polyp c) glomus tumour d) malignancy middle ear Ans: c 33. Organ of cortt is arranged along the inner edge of a) Reissners membrane b) Basilar membrane c) stria vascularis d) none of the above Ans: b 34.Cochlear implant used in a) sensory neural deafness b) conductive deafness c) Mixed d) None Ans: a 35.Tone decay test is done to find out a) Otosclerosis b) Cochlear lesions c) Retrocochlear lesions d) Menier’s disease Ans: c 36.Which of the following statement regarding eustachian tube dysfunction is wrong? a) Un Distorted light image on the anterior quadrant of tympanic membrane b) No movement of the tympanic membrane on Seagul’s method c) Malleus is easily visible d) Lusterless tympanic membrane Ans: a 37.Bell’s palsy not responding to steroid what will be the further line of management? a) Increase the dose of steroid b) Vasodilators and ACTH c) surgical decompression d) electrical nerve stimulation Ans: c 38. The facial nerve a) Is motor to the tensor tympani muscle b) In the internal auditory canal lies inferior to the cochlear nerve c) Is the nerve in the internal auditory meatus to the most frequently affected by a neuroma d) Medial wall of the middle ear Ans: d 39.Otosclerosis occurs in the a) Lateral wall of the middle ear b) Roof of the middle ear c) Floor of the middle ear d) Medial wall of the ear Ans: d 40.Acute suppurative otitis media is treated using a) erythromycin b) penicillin c) streptomycin d) chloramphenicol Ans: b 41.Before attempting tympanoplasty operation the surgeon must look for a) Disruption of ossicular chain b) no infection in the sinuses c) the ear has been dry d) cochlear reserve Ans: d 42.A patient of CSOM with cholesteatoma present with acute onset of vertigo treatment is a) Immediate exploration b) antibiotics steroids c) Labyrinthine sedatives d) Labyrinthine sedatives only Ans: a 43. Monoaural diplacusis is present in a lesion of a) acoustic nerve b) pontine glioma c) cochlea d) efferent auditory neurons Ans: c 44.Blue drum is seen in a) tympanosclerosis b) secretory otitis media c) otosclerosis d) myringitis bullosa Ans: b 45.Nerve supply of tympanic membrane is a) auriculo temporal b) auricular branch of vagus c) lesser occipital d) greater occipital Ans: a 46.Appreciation of sound occurs in a) organ of corti b) Basilar membranae m c) cochlear nuclei d) transverse temporal gyrus Ans: c 47.Meniers disease is associated with a) cochlear deafness b) conductive deafness c) retrocochlear deafness d) mixed Ans: d 48.Acoustic neuroma commonly affects the cranial nerve a) 5th b) 6th ‘ c) 7tb d) 8th Ans: d 49.Common cause of eustachian tube disease is due to a) adenoids b) sinusitis c) otitis media d) pharyngitis Ans: a 50. A 3year old child presents with fever and earache on examination there is congested tympanic membranae with slight bulge . the treatment of choice is a) myringotomy with penicillin b) myringotomy with grommet c) only antibiotics d) wait and watch Ans: a ENT Objective type Questions and Answers :: 51. Not a feature of acute mastoiditis a) clouding of air cells b) Deafness c) outward and downward displacement of pinna d) obliteration of retroauricular sulcus Ans: c 52. Medication which may prevent rapid progress of cochlear otosclerosis is a) steroids b) antibiotics c) Fluorides d) vitamins Ans: c 53. The commonest extra cranial complication following mastoidectomy includes a) facial nerve palsy b) dislocation of incus c) post operative haematoma d) cochlear injury Ans: a 54.At birth the following structures are of adult size except a) tympanic cavity b) Mastoid antrum c) Malleus d) tympanic ring Ans: b 55.Commonest occurrence of acoustic neuroma is in a) cochlear nerve b) superior vestibular nerve c) facial nerve d) inferior vestibular nerve Ans: b 56.Fungus causing otomycosis most commonly Is a) Aspergillus fumigatus b) Candida c) mucor d) pencillium Ans: a 57.Mastoid infection which erodes through die outer cortex of bone results in a) sub periosteal abscess b) epidural abscess c) perichrondritis d) Lateral sinus thrombosis Ans: a 58. The normal length of external auditory meatus is a) 7mm b) 10mm c) 24mm d) 36mm Ans: c 59.Meniers disease is manifested by all of the symptoms except a) Tinnitus b) vertigo c) deafness d) otorrhoea Ans: d 60.An U- shaped audiogram suggests a) otosclerosis b) Adhsive otitis media c) Mumps deafness d) Congenital deafness Ans: d 61. Mc Evans triangle is the landmark for: a) Maxillary sinus b) Mastoid antrum c) Frontal sinus d) None Ans: b 62. Macewen’s triangle (suprameatal triangle) can be felt through the a) Superior conchae b) Middle conchae C) Cymba conchae d) Posterior part of the auricle Ans: c 63. In a classical case of Meniere’s disease which one of the following statements is true: a) Carhart’s Notch is a characteristic feature in pure tone audiogram b) Schwartz” sign is usually present in the Tympanic membrane c) Low frequency sensory neural deafness is often seen in pure tone audiogram d) Decompression of Fallopian Canal is the treatment of choice Ans: c 64. Stapedial reflex is mediated by a) V and VII nerves b) V and VIII nerves c) VII and VI nerves d) VII and VII nerves Ans: d 65. In Monoaural diplacusis the lesion is in the a) Cochlea b) Auditory nerve c) Brain stem d) Cerebrum Ans: a 66. Sensory nerve supply of middle ear cavity is provided by a) Facial b) Glossopharyngeal c) Vagus d) Trigeminal Ans: b 67. The Kobrak test is used for: a) Minimal caloric stimulation b) Measuring taste c) Demonstrating recruitment d) Demonstrating mucosal area of leukoplakia Ans: a 68. Most reliable landmark in otoscopy is a) Cone of light b) Umbo c) Handle of malleus d) Lateral process of malleus Ans: b 69. The feature of Gradenigo’s triad is a) Abducent nerve palsy b) Oculomotor nerve palsy c) Facial nerve palsy d) Hypoglossal nerve palsy Ans: a 70.Treatment of choice in deafness associated with Attico antra! perforation a) Simple mastoidectomy b) Modified radical mastoidectomy c) Watch and wait d) Instillation of antibiotic drops Ans: b 71.Myringoplasty is plastic repair of a) Middle ear b) Internal ear c) Eustachian tube d) Tympanic membrane Ans: d 72.Increased threshold of air conduction and decreased direshold of bone conduction aie associate with a) Middle ear disease b) VIII Cranial nerve disease c) Cochlear disease d) External ear disease Ans: a 73.Bezolds abscess is located in a) Submandibular region b) Sternomastoid muscle c) Digastric triangle d) Infratemporal region Ans: b 74.Myringitis bullosa is caused by a) Virion b) Fungus c) Bacteria d) Virus Ans: d 75. Which of the following tests the resistance in middle ear a) Pure tone audiometry b) Impedance audiometry c) Caloric test d) BERA Ans: c 76.Unsafe otitis media in a child with high fever and convulsion, the diagnosis is a) Temporal lobe abscess b) Cerebellar abscess c) Meningitis d) Lateral sinus thrombosis Ans: a 77. In the external auditory meatus, the cartilaginous portion is a) Smaller than bony portion b) Larger than bony portion c) Both are equal d) Devoid of ceruminous glands Ans: a 78. Which is true of cholesteatoma a) Physiological b) Erodes bone c) Benign neoplasm d) contains cholesterol Ans: b 79. The prominent eminence seen over medial wall of middle ear is a) Utricle b) Cochlea (basal turn) c) Superior semicircular canal d) Posterior semicircular canal Ans: b 80.Rinne’s test negative is seen in a) Presbycusis b) CSOM c) Labyrinthitis d) Menieres disease Ans: b 81.Mastoid tip appears at the age of: a) lyear b) 2years c) 3years d) 4years Ans: b 82.Scantly, purulent offensive discharge from the ear is due to a) Tubotympanic otitis media b) Otomycosis c) Atticoantral disease d) Secretory otitis media Ans: c 83.Malignant Otitis externa is caused by a) S.aureus b) S.albus c) P.aeroginosa d) E.coil Ans: c 84.Commonest cause of suppurative otitis media is a) Streptococcus b) Pneumococcus c) Staphylococcus d) Pseudomonas Ans: b 85.In 8 year old child with bilateral conductive deafness, the diagnosis is a) Glue ear b) Otosclerosis c) Tympanosclerosis d) Bilateral atresia of auditory canal Ans: a 86.Fitzgerald’s caloric test uses temperature at a) 30″cand44°c b) 34°cand 41°c c) 330cand21°c d) 37° c and 41°c Ans: a 87.The most common cause of cerebrospinal otorrhoea is: a) Rupture of tympanic membrane b) Fracture or petrous ridge c) Fracture of mastoid air cells d) Fracture parietal bone Ans: b 88.The usual location of glomus jugulare tumour is: a) Epitympanum b) Hypotympanum c) Mastoid tip cells d) Promontory e) Internal auditory meatus Ans: b 89. Acute otitis media can be very serious in children if associate with a) Infection by pneumococcus b) Infection by H.influenza c) Perforation in pars tensa d) Very large adenoids Ans: a 90.Commonest complication in CSOM is a) Conductive deafness b) Meningitis c) Temporal lobe abscess d) Cholesteatoma Ans: a 91.Tobey Ayer test is useful for diagnosing a) Lateral sinus thrombosis b) Medial sinus thrombosis c) Serous otitis media d) Eustachian tube defects Ans: a 92.True Statement about malignant external otitis is a) Not painful b) Common in diabetics & Old age c) Caused by streptococcus d) All of the above Ans: b 93.Flat tympanogram is a feature of a) Ossicular discontinuity b) Serous otitis media c) Perforation of eardrum d) Otosclerosis e) CSOM Ans: b 94. Acute mastoiditis is characterized by all except a) Clouding of air cells b) Obliteration of retroauricular sulcus c) Deafness d) Outward & downward deviation of the pinna Ans: d 95. Following are components of epitympanum except a) Head of Malleolus b) Body of incus c) A and B d) Foot plate of stapes Ans: d 96. Fistula test is after the operation of labyrinth fenestration: a) Negative b) Positive c) No definite response d) None of the above Ans: b 97.Commonest indication for myringotomy is a) Myringitis bullosa b) Serous otitis media c) Middle ear defect d) Mastoiditis Ans: b 98.Processes cochleaformis attaches to a) Tendon of tensor tympani b) Basal turns of helix c) Handle of malleus D) incus. Ans: b 99.Early symptom of an Acoustic nerve tumor is a) Tinnitus b) Vertigo c) Unilateral hearing loss d) Headache Ans: c 100.Multiple perforations of Tympanic membrane a) TB otitis media b) Pneumococcus c) Pseudomonas d) Streptococcus Ans: c by Dr. Nigam Rashmi Dhar
