ENT BCQs

ENT BCQS (EAR)

A Gift of 100 BCQs

Dedicated to:

My Parents, my uncle, my cousin and my teachers

1. The blood supply of pinna commes from:

ENT BCQS 1 Dr. Sajid Ali Talpur

a) external carotid artery b) internal carotid arteryc) both a & b d) maxillary arterye) facial artery

2. A 60 years old man complaining of decreased hearing was found to have Rinne’s test positive in both the ears while webber’s lateralized to right ear. He is most likely suffering from:a) conductive deafness in the right earb) sensorineural deafness in the right earc) conductive deafness in the left eard) sensorineural deafness in the left eare) sensorineural deafness in both the ears

3. The disease in which patient hears well in the noisy place?a) Meniere’s disease b) acoustic neuromac) presbyacusis d) glomus tumoure) otosclerosis

4. A 45 years old man initially developed irritation in the right ear followed by decrease in hearing. He was found to have wet news paper or blotting paper like mass in the external auditory canal. The most frequent causative agent is:a) otomycosis b) staph. Aureusc) exostosis d) aspergillus e) pseudomona

5. While performing Caloric test the temperature of water should be:a) 370C b) 33-340Cc) 30-440C d) 35-420Ce) 30-400C

1 A 4 D

2 D 5 C

3 E

6. Cart wheal appearance is seen in case of:


a) serous otitis media b) ASOMc) CSOM attico antral type d) CSOM tubotympanice) aero otitis

7. Find the incorrect statement:a) auriculotemporal nerve is the branch of trigeminal nerveb) the medial surface in lower one third is innervated by lesser occipital nervec) the lateral surface in lower one third is innervated by greater auricular nerved) keloid in pinna is usually formed after ear piercinge) N.O.T

8. A 17 years old boy presents with itching and fullness in the ear with the history of swimming last day. He is found to have wax in the. The most common site for the impaction is:a) isthmus b) inferior meatal recesc) cartilaginous part d) bony parte) junction of cartilaginous and bony part

9. A 22 years young male patient presents with the itching in the ear. His scalp was found to be full of dandruff. He is most likely suffering from:a) Bullous myringitis b) diffuse otitis externac) malignant otitis externa d) seborrhoec otitis externae) eczematous otitis externa

10. It is not the part of middle ear left:a) Eustachian tube b) aditus ad antrumc) mastoid antrum d) mastoid air cellse) N.O.T

6 B 9 D

7 B 10 E

8 B

11. Regarding Eustachian tube all are true except:


a) it is 36cm longb) the bony part forms upper one thirdc) the tube is closed at restd) veins drain into pteregoid plexuse) N.O.T

12. Pulsatile tinnitus is present in:a) meniere’s disease b) acoustic neuromac) presbyacusis d) otosclerosise) glomus tumor

13. The lymphatic drainage of pinna does not go to:a) parotid lymph nodes b) jugulo digastrics lymph nodesc) infra auricular lymph nodes d) mastoid lymph nodese) superficial cervical along ex. Jugular vein

14. A 45 years old man with the history of diabetes mellitus complains of severe pain in ear which is aggravated on moving the pinna and tragus. He is most likely suffering from:a) perichondritis b) otomycosisc) boil d) malignant otitis externae) eczematous otitis externa

15. The nerve innervations of Eustachian tube comes from:a) auriculotemporal nerve b) auricular branch of vagus nervec) tympanic branch of glossopharyngeal nerve d) tubal branch of vagus nervee) nervous intermedius

11 A 14 C

12 E 15 E

13 B

16. The feature not present in the medial wall of middle ear cavity:


a) secondary T.M b) promontoryc) round window d) oval windowe) N.O.T

17. The opening for Eustachian tube lies in ______ wall of middle ear cavity.a) medial b) lateralc) inferior d) anteriore) posterior

18. It is also known as otitis externa hemorrhagica:a) bullous maryngitis b) diffuse otitis externac) seborroeic otitis externa d) malignant otitis externae) trauma to external ear

19. The tympanic branch of glossophyrngeal nerve enters middle ear cavity through:a) anterior wall b) posterior wallc) medial wall d) lateral walle) floor

20. The lenticular process is present in:a) malleus b) incusc) stapes d) pyramide) tegmen tympani

16 E 19 E

17 D 20 B

18 A

21. Find the incorrect statement:


a) the composition of endolymph is similar to intravascular fluidb) peri lymph has high sodium concentrationc) normally cochlea has 2.5 turnsd) scala media forms the cochlear duct e) the opening of scala vestibuli is called oval window

22. A 40 Years old man complains of discharging ear. He is found to have serous dischare. The most likely cause is:a) serous otitis media b) CSOM attico antral typec) CSOM tubo tympanic type d) perilymph fistulae) ruptured boil

23. The clinical feature not related to ASOMa) deep seated pain b) fever, malaise and headachec) bulging ear drum d) tinnituse) cart wheal appearance

24. The roof of scala media is formed by:a) stria vascularis b) reisner’s membranec) organ of corti d) basilar membranee) tectorial membrane

25. The auditory pathway does not includea) cochlear nuclei in pons b) olivary nucleic) lateral leminiscus d)lateral geniculate bodye) inferior colliculus

21 A 24 B

22 E 25 D

23 D

26. The conducting apparatus of ear does not include:


a) pinna b) T.Mc) ossicles d) Eustachian tubee) N.O.T

27. The normal hearing frequency range for human ear is:a) 20-2000Hz b) 10-2000Hzc) 20-20000Hz d) 20-200000Hze) 10-200000Hz

28. The blood supply of Eustachian tube comes from all of the following arteries except:a) middle meningeal arteries b) ascending pharyngeal arteryc) artery of the pterigoid canal d) deep auricular arterye) N.O.T

29. Regarding semicircular canal:a) four in numberb) responds to linear accelerationc) horizontal pair responds to rotation about vertical axis d) utricle responds to angular acceleratione) vestibule maintains positive pressure in the Tympanic cavity

30. Regarding profound/stone deafnessa) 26-40dB b) 41-55dBc) 56-70dB d) 71-91dBe) >91Db

26 E 29 C

27 C 30 E

28 D

31. The nature of secretions of parotid gland is:


a) mucous b) serousc) mixed d) high content of mineralse) N.O.T

32. A 30 years old man complaining of decreased hearing. He is found to have Rinne’s negative. All may be the causes except:a) ototoxicity b) otitis mediac) Eustachian tube dysfunction d) initial stages of otosclerosise) otomycosis

33. A 50 years old man complaining of decreased hearing in the right ear. He is found to have rinne’s negative in the right ear and webber’s lateralized to right ear. He is most likely suffering from:a) sensorineural deafness in the right earb) conductive deafness in the right earc) sensorineural deafness in the left eard) conductive deafness in the left eare) sensorineural deafness in both the ears

34. The major cause of pain in the inner ear is:a) labyrinthitis b) Meniere’s diseasec) peri lymph fistula d) traumae) N.O.T

35. Corti lymph is present in:a) scala vestibule b) scala tympanic) scala media d) tunnel of cortie) cochlea

31 B 34 E

32 A 35 D

33 B

36. All are the causes of tinnitus without deafness except:


a) hypertension b) hypotensionc) hypoglycemia d) epilepsye) presbyacusis

37. Find the incorrect statement:a) functionally T.M is considered as part of the middle earb) Attico antral type CSOM presents with perforation in the shrapnel’s membranec) the normal T.M is purely transparentd) Notch of rivinus is found in superior part of pars flaccidae) the central part of T.M is called umbo

38. The test performed to compare the bone conduction of the patient with that of the examiner while blocking Ex. Auditory canal is called:a) ABC test b) schwabach’s testc) both a&b d) bing teste) Gelle’s test

39. A 55 years old man complaining of decreased hearing along with the distortion of sound. He is found to have decrease in both the air and bone conduction. The most probable cause is:a) boil b) osteomac) serous otitis media d) acoustic neuromae) dislocation of ossicles

40. The principle of caloric test is to stimulate :a) anterior semicircular canal b) lateral semicircular canalc) posterior semicircular canal d) vestibulee) utricle

36 E 39 D

37 C 40 B

38 A

41. It involves saccule and cochlea


a) Scheibe dysplasia b) mondini dysplasiac) Bing siebenman dysplasia d) michael dysplasiae) Teachers Collin syndrome

42. Middle ear has:a) four walls b) five wallsc) six walls d) seven wallse) eight walls

43. Cauliflower ear is related to:a) frost bite b) boxer’s earc) hypersensitivity to cauliflower d) cuts & lacerations in the eare) A.O.T

44. In which type of F.B post aural incision is needed?a) animate b) hygroscopicc) non hygroscopic d) both b & ce) N.O.T

45. Chloroform or spirit is needed before ear syringing in case of:a) animate F.B b) hygroscopic F.Bc) Non hygroscopic F.B d) waxe) both b & c

41 A 44 B

42 C 45 A

43 B

46. Foreign body in the ear may produce all of the following except:


a) pain b) tinnitusc) reflex cough d) bleedinge) S.N deafness

47. Regarding transverse fracture all are true except:a) the most common type b) facial nerve paralysisc) can involve labyrinth d) S.N deafnesse) the fracture line is at right angle to long axis of petrous bone

48. A 7 years old child with the history influenza infection presents with pain and discharging ear. He is most likely suffering from:a) Bullous myringitis b) diffuse otitis externac) malignant otitis externa d) seborrhoec otitis externae) eczematous otitis externa

49. Pseudomonas is the causative agent for:a) Bullous myringitis b) diffuse otitis externac) malignant otitis externa d) seborrhoeic otitis externae) eczematous otitis externa

50. A 23 years old lady after wearing jewelry now complains of itching redness and edema of pinna and external auditory canal. She is most likely suffering from:a) Bullous myringitis b) diffuse otitis externac) malignant otitis externa d) seborrhoec otitis externae) eczematous otitis externa

46 E 49 C

47 A 50 E

48 A


51. A 58 years old man complains of severe pain and discharging ear. He was found to have granulation tissue in the external auditory canal. The discharge was found to be sero purulent foul smelling and blood stained. The underlying disease is:a) CSOM attico antral b) CSOM tubotympanic typec) malignant otitis externa d) otitis externa hemorrhagicae) ruptured boil

52. Normally the volatile substance in the wax is:a) 0.5% b) 5%c) 15% d) 20%e) 50%

53. Find the incorrect statement:a) outer one third of ex. Auditory canal is formed by cartilageb) the bony part of ex. Auditory canal does not contain any glandsc) the junction of cartilaginous and bony part is the narrowest part of the canald) auricular branch of vagus nerve innervates the posterior half of the canale) N.O.T

54. All are the stages of ASOM except:a) stage of tubotympanitisb) stage of catarhhal inflammationc) satge of suppurationd) stage of granulation tissuee) stage of resolution

55. The differential diagnosis of ASOM does not include:a) diffuse otitis externa b) conditions causing reffered otalgiac) herpes zoaster oticus d) post auricular adenitise) exostosis

51 C 54 D

52 C 55 E

53 C


56. The treatment of ASOM includesa) tympanotomy b) maryngotomyc) tympanoplasty d) maryngoplastye) 10% ecthamol in glycerine

57. Regarding malignant otitis externa all are true except:a) severe pain b) diabetic and elderly patientsc) caused by pseudomonas aerugenosa d) can cause gradenigo syndromee) N.O.T

58. It is not the character of discharge in CSOM tubo tympanic typea) thin b) profusec) blood stained d) foul smellinge) both c & d

59. All are true about tubo tympanic type except:a) central type of perforationb) mild to moderate deafnessc) it is less common than attico antral typed) audiometery shows conductive deafnesse) the discharge is mucopurulent

60. A nine years old boy complains of discharging ear. The discharge is thin profuse, mucopurulent which is neither blood stained nor foul smelling with the central type of perforation. The underlying disease is:a) glue ear b) CSOM attico antral typec) CSOM tubotympanic type d) malignant otitis externae) ASOM

56 B 59 C

57 E 60 C

58 E


61. A 19 years old young patient presents with foul smelling blood stained mucopurulent discharge with the presence of granulation tissue. He is most likely suffering from:a) malignant otitis externa b) CSOM tubo tympanic typec) CSOM attico antral type d) both a & ce) glue ear

62. Radical mastoidectomy is usually directed towards:a) malignant otitis externa b) CSOM tubo tympanic typec) CSOM attico antral type d) both a & ce) glue ear

63. Which type of tympanoplasty is called maryngoplasty:a) type 1 b) type 2c) type 3 d) type 4e) type 5

64. The commonest graft material used for maryngoplasty is:a) fat from lobule b) temporalis fasciac) tragal perichondrium d) dura mattere) cadaveric T.M

65. Facial nerve is:a) motor nerve b) sensory nervec) secretomotor nerve d) mixed nervee) 7th spinal nerve

61 C 64 B

62 C 65 D

63 A


66. Myringotomy and grommet insertion is usually the treatment of:a) ASOM b) CSOM tubo tympanicc) CSOM attico antral d) serous otitis mediae) aero otitis

67. A 40 years old man after traveling through aeroplane complains of discomfort and pain in the ear which is followed by deafness and tinnitus. What’s your probable diagnosis.a) ASOM b) serous otitis mediac) aero otitis d) otosclerosise) bullous maryngitis

68. It is not intracranial complication of CSOM attico antral type:a) thrombosis of internal jugular vein b) thrombosis of sigmoid sinusc) meningitis d) otic hydrocephaluse) sub dural abscess

69. The commonest intra cranial complication of CSOM attico antral type is:a) meningitis b) brain abscessc) sub dural abscess d) extra dural abscesse) encephalitis

70. Citelli’s abscess is present in:a) sternocleidomastoid muscle b) post. Belly of diagastric musclec) petrous apex d) zygomatic bonee) mastoid

66 D 69 B

67 C 70 B

68 A


71. A 35 years old man presents with severe persistent pain in the ear. He is found to have vesicles on pinna, external auditory canal, T.M. The vesicles do not cross the middline of the body. The underlying disease is:a) malignant otitis externa b) diffuse otitis externac) herpes zoster oticus d) myringitis granulosee) eczematous otitis externa

72. All of the following features are related to cerebellar abscess except:a) headache b) papiloedemac) high grade fever with rigors d) slow pulse ratee) nominal aphasia

73. The most common clinical presentation in acoustic neuroma is:a) S.N deafness b) vertigoc) diplopia d) headachee) tinnitus

74. Pure tone audiogram shows carhart’s notch in:a) meneire’s disease b) acoustic neuroma c) glomus tumous d) presbyacusise) otosclerosis

75. Schwartz’s sign is present in 10% of cases of:a) meniere’s disease b) otosclerosisc) glomus tumour d) presbyacusise) acoustic nuroma

71 C 74 E

72 E 75 B

73 A


76. The operation to treat otosclerosis is:a) radial mastoidectomy b) modified radical mastoidectomyc) cortical mastoidectomy d) atticotomye) N.O.T

77. The commonest site for the development of otosclerosis is:a) anterior to oval window b) anterior to round windowc) posterior to oval window d) posterior to oval windowe) N.O.T

78. All of the following factors affect otosclerosis except:a) age b) genderc) pregnancy d) lactatione) race

79. It is not the cause of peripheral vertigo:a) meneire’s disease b) labyrinthitisc) acoustic neuroma d) multiple sclerosise) vestibulotoxic drugs

80. Meniere’s disease is the disorder of:a) scala vestibule b) scala tympanic) scala media d) semicircular canale) saccule

76 E 79 D

77 A 80 C

78 D


81. Which structure is likely to be ruptured in meniere’s disease?a) tectorial membrane b) Reissner’s membranec) basilar membrane d) stria vascularise) tunnel of corti

82. Axontomesis means:a) axon sheath is intact b) axon is intactc) axon sheath is divided d) whole nerve is dissectede) distal degeneration occurs

83. A 45 years old men presents with episodic vertigo, fluctuating hearing loss and tinnitus. He is suffering from:a) meniere’s disease b) acoustic neuromac) presbyacusis d) otosclerosise) glomus tumor

84. Brown sign is present ina) meniere’s disease b) acoustic neuromac) presbyacusis d) otosclerosise) glomus tumor

85. Carhart’s notch is present at the frequency:a) 1000Hz b) 1500Hzc) 2000Hz d) 2500Hze) 4000Hz

81 B 84 E

82 A 85 C

83 A


86. The disease which is treated by the restriction of salt and water:a) meniere’s disease b) acoustic neuromac) presbyacusis d) otosclerosise) glomus tumor

87. At the end of which disease the destruction of labyrinth is carried out as the treatment:a) meniere’s disease b) acoustic neuromac) presbyacusis d) otosclerosise) glomus tumor

88. All are the ototoxic drugs except:a) gentamycin b) chloroquinec) furosemide d) ethosuxemidee) cephalosporins & sulphonamides

89. The safe level of hearing is:a) 85dB b) 90c) 95 d) 100e)105

90. Schrimmer’s test is performed to check the ______ fibers of facial nervea) motor b) sensoryc) secretomotor d) both a & be) both a & c

86 A 89 A

87 A 90 B

88 E


91. Commonest cause of facial nerve paralysis is:a) otitis media b) traumac) bell’s palsy d) brainstem tumoure) parotid tumours

92. The surgery for the recovery of facial nerve paralysis is:a) radical mastoidectomy b) modified radical mastoidectomyc) tympanotomy d) mastoidectomye) surgical decompression

93. All are intracranial causes of facial nerve paralysis except:a) Bell’s palsy b) poliomyelitisc) multiple sclerosis d) primary cholesteatomae) acoustic neuroma

94. The principle feature present in otitis media with effusion is:a) conductive type of deafness b) tinnitusc) dull and retracted T.M d) blocked Eustachian tubee) presence of fluid in the middle ear

95. Paralysis of upper half of face occurs in:a) supra nuclear paralysisb) nuclear paralysisc) infra nuclear paralysisd) both b & ce) N.O.T

91 C 94 A

92 E 95 E

93 A


96. Rising sun appearance is present in:a) meniere’s disease b) acoustic neuromac) glomus tumour d) osteomae) otosclerosis

97. It is also known as rodent ulcera) peptic ulcer b) apthous ulcerc) squamous cell carcinoma d) basal cell carcinomae) N.O.T

98. Which of the following perforation is more dangerous:a) central b) irregularc) marginal d) multiplee) kidney shaped

99. Bezold’s abscess is present in the sheath of:a) sternocleidomastoid muscle b) post. Belly of diagastric musclec) petrous apex d) zygomatic bonee) mastoid

100.A 55 years old man diagnosed to have pleomorphic adenoma. he is most likely to suffer the paralysis of:a) glossophyrangeal nerve b) facial nervec) vagus nerve d) hypoglossal nervee) trigeminal nerve

96 C 99 A

97 D 100 B

98 C


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