Otolaryngology Multiple Choice Questions
1. Blue Mantles of Manasse is seen in
A. Cholesterol granuloma
B. Haemotympanum
C. Otosclerosis
D. Glomus tympanicum
Answer: C
2. All are causes for conductive hearing loss with intact tympanic membrane except
A. Otosclerosis
B. OME
C. Glomus tympanicum
D. Meniere’s disease
Answer: D
3. Stenger’s test is used for diagnosis of
A. Otosclerosis
B. Non organic hearing loss
C. Unilateral severe sensorineural hearing loss
D. Presbyacusis
Answer: B
4. All are true about Ludwig’s angina except
A. Steroid is the mainstay of treatment
B. Dental caries accounts for 80% of cases
C. Trismus and odynophagia are common
D. Tracheostomy may be needed in some cases
Answer: A
5. Kashima surgery is done in
A. Laryngotracheal stenosis
B. Atrophic rhinitis
C. Meniere’s disease
D. Bilateral vocal cord paralysis
Answer: D
6. All are indications for cochlear implantation except
A. Presbyacusis
B. Congenital bilateral profound SNHL in young child
C. Acquired bilateral profound SNHL with good speech
D. Bilateral severe CHL with good speech in an adult
Answer: D
7. Gold standard for objective measurement of nasal obstruction
A. Nasal endoscopy
B. Acoustic rhinometry
C. Coronal CT scan
D. Rhinomanometry
Answer: D
8. Candidate not suitable for allergen immunotherapy
A. Strongly positive skin prick test
B. Multiple allergens
C. Unresponsiveness to intranasal corticosteroids
D. Severe allergic symptoms
Answer: B
9. Biopsy of nasal lesion on histopathology showing non-caseating granuloma with epithelioid cells surrounded by lymphocytes, fibroblasts and calcified inclusion bodies. There was diffuse violaceous discoloration of nasal skin, expansion of nasal bridge and granular appearance of nasal mucosa. Probable diagnosis
A. Wegener’s granulomatosis
B. Stewart’s granuloma
C. Rhinoscleroma
D. Sarcoidosis
Answer: D
10. Following is NOT a treatment option in malignant otitis externa
A. Hyperbaric oxygen
B. Parenteral ceftazidime
C. Subtotal petrosectomy
D. Oral Rifampicin
Answer: C
11. Management of Allergic Fungal Sinusitis include all except
A. FESS
B. Antifungal medication
C. Steroid
D. Saline nasal douche
Answer: B
12. Hennebert sign is seen in
A. Acoustic neuroma
B. Glomus jugulare
C. Congenital syphilis
D. Carotid body tumour
Answer: C
13. All are true of Quinsy except
A. Unilateral
B. Trismus and drooling of saliva is common
C. Common in children
D. Incision and drainage is the treatment
Answer: C
14. Correct statement about rhinosporidiosis
A. Rare in Kerala and Tamil Nadu
B. Caused by Klebsiella Seeberi
C. Malignant rhinosporidiosis is malignant transformation of rhinosporidiosis
D. Treated by surgery
Answer: D
15. All are hyaline cartilage except
A. Thyroid
B. Epiglottis
C. Cricoid
D. Arytenoid
Answer: B
16. Healed otitis media refers to all EXCEPT
A. Hyaline degeneration of middle ear submucosa
B. Dimeric tympanic membrane
C. Cholesterol granuloma
D. Bony sclerosis
Answer: C
17. All are etiological factors implicated in Otosclerosis except
A. Persistent viral infection
B. Autosomal recessive inheritance with variable penetrance
C. Autoimmunity to collagen
D. Defect in genetic expression
Answer: B
18. Following is not classified as respiratory sleep disorder
A. Obstructive sleep apnoea
B. Cheyne stokes breathing
C. Narcolepsy
D. Central sleep apnoea
Answer: C
19. Bruning’s syringe is used for
A. Injection of Botox in spasmodic dysphonia
B. Injection Augmentation of vocal cord in unilateral paralysis
C. Application of Mitomycin C after laryngotracheal surgery
D. Intratympanic injection of gentamycin/steroid
Answer: B
20. A reflux episode in esophagus is defined as a fall in pH
A. Less than 2
B. Less than 4
C. Less than 6
D. Less than 8
Answer: B
21. Risk of squamous cell carcinoma esophagus is more in all except
A. Caustic injury
B. Achalasia cardia
C. Tylosis
D. Whites than Black race
Answer: D
22. Bakamjian flap is
A. Pectoralis major flap
B. Lattissimus Dorsi flap
C. Deltopectoral flap
D. Sternomastoid flap
Answer: C
23. True about Spasmodic Dysphonia
A. Is a psychological disorder of larynx
B. Speech therapy is the treatment
C. Botox injection is beneficial in attaining voice
D. Antispasmodics improve the condition
Answer: C
24. Lower esophageal sphincter is high in
A. Achalasia Cardia
B. Diffuse Esophageal Spasm
C. Nut Cracker Esophagus
D. Ineffective Esophageal motility
Answer: A
25. Risk of adenocarcinoma in Barret’s esophagus is
A. 0.5%
B. 5%
C. 10%
D. 15%
Answer: A
26. Los Angel’s classification is applied for
A. Carcinoma Esophagus
B. Erosive Esophagitis
C. Non erosive esophagitis
D. Zenker’s Diverticulum
Answer: B
27. Pharyngeal isthmus refers to
A. The space between the skull base and the superior border of superior constrictor muscle
B. Communication between the nasopharynx and oropharynx
C. The space between the thyropharyngeus and cricopharyngeus
D. The space between the inferior constrictor muscle and oesophageal musculature
Answer: B
28. Jongkee’s formula is used to calculate
A. Percentage of hearing disability from PTA
B. Interaural latency in ABR
C. Percentage of canal paresis in caloric testing
D. SP/AP ratio in electrocochleography
Answer: C
29. A viral vector well characterised in intracochlear gene therapy
A. Coxsackie virus
B. Myxovirus
C. Paramyxovirus
D. Adeno virus
Answer: D
30. Mikes dot is the landmark for
A. Ampulla of superior semicircular canal
B. Ampulla of posterior semicircular canal
C. Ampulla of lateral semicircular canal
D. Internal acoustic meatus
Answer: D
31. In radical neck dissection, all are removed except
A. IJV
B. Thyroid gland
C. Sternomastoid muscle
D. Accessory N
Answer: B
32. Orphan-Annie nuclei are seen in
A. Follicular carcinoma thyroid
B. Papillary carcinoma thyroid
C. Medullary carcinoma thyroid
D. Anaplastic carcinoma thyroid
Answer: B
33. For defects more than two thirds of upper lip, which of the following is the best option of reconstruction
A. Wedge excision
B. Abbe Estlander flap
C. Peri Alar Crescentic flap
D. Burrow-Differ bach flap
Answer: D
34. The most sensitive investigation for mandibular involvement in oral cavity malignancy is
A. Bone scintigraphy
B. CT scan
C. Orthopantomogram
D. MRI scan
Answer: A
35. Which of the following types of oral candidiasis has got malignant potential?
A. Thrush
B. Chronic Atrophic candidiasis
C. Chronic hyperplastic candidiasis
D. Acute atrophic candidiasis
Answer: C
36. Layers of vocal cord was proposed by
A. Isshiki
B. Hirano
C. Messerklinger
D. Shambaugh
Answer: B
37. Role of steroids in infectious Mononucleosis include
A. Upper airway obstruction secondary to IMN
B. Immune mediated anemia
C. Thrombocytopenia
D. All the above
Answer: C
38. Screw driver shaped teeth are seen in
A. Congenital syphilis
B. Dentinogenesis imperfecta
C. Amelogenesis imperfecta
D. Ehler Danlos syndrome
Answer: A
39. Malignant transformation in submucous fibrosis is
A. 5-10%
B. 10-15%
C. 20-25%
D. 25-30%
Answer: A
40. Which of the following is not a major diagnostic criteria in Behcet’s syndrome?
A. Oral aphthae
B. Genital ulcers
C. Retinal vasculitis
D. Thrombophlebitis
Answer: D
41. Which of the following is not in relation to Retro molar trigone?
A. Last mandibular molar
B. Tuberosity of maxilla
C. Condylar process of mandible
D. Ascending ramus of mandible
Answer: C
42. Paranasal sinus not present at birth is
A. Maxillary
B. Ethmoid
C. Frontal
D. Sphenod
Answer: C
43. Most posterior ethmoidal air cell extending to sphenoid is
A. Aggar nasi cell
B. Haller cell
C. Onodi cell
D. Kero’s cell
Answer: C
44. Cyst arising from unerrupted tooth is
A. Dental cyst
B. Nasolabial cyst
C. Lateral cyst
D. Dentigerous cyst
Answer: D
45. Mucocele of paranasal sinus commonly occur in
A. Frontal sinus
B. Maxillary sinus
C. Ethmoidal sinus
D. Sphenoid sinus
Answer: A
46. Lynch-Howarth operation is
A. Intranasal ethmoidectomy
B. Transantral ethmoidectomy
C. External ethmoidectomy
D. External Frontoethmoidectomy
Answer: D
47. Facial pain, temperomandibular joint dysfunction is characteristic of
A. Eagle’s syndrome
B. Trigeminal neuralgia
C. Mobious syndrome
D. Costen’s syndrome
Answer: D
48. Ringertz tumor treated by
A. Caldwal Luc operation
B. Jansen Horgan operation
C. Lateral rhinotomy and Medial Maxillectomy
D. Total Maxillectomy
Answer: C
49. Commonest malignancy of maxillary sinus is
A. Squmous cell carcinoma
B. Adeno carcinoma
C. Adenoid cystic carcinoma
D. Rhabdomyosarcoma
Answer: A
50. Peripheral sinonasal T-cell lymphoma is known as
A. Stewart’s granuloma
B. Wegners granuloma
C. Ringerts tumor
D. None of the above
Answer: A
51. Most common site of laryngeal involvement in Wegener’s granulomatosis
A. Sub glottis
B. Epiglottis
C. Arytenoids
D. Vocal cords
Answer: A
52. Basal lower esophageal sphincter pressure
A. 10-45 mm of Hg
B. 40-60 mm of Hg
C. 70-90 mm of Hg
D. 60-80 mm of Hg
Answer: A
53. Cork Screw appearance in esophagogram is a feature of
A. Achalasia Cardia
B. Diffuse esophageal spasm
C. Nut cracker esophagus
D. Zenker’s diverticulum
Answer: B
54. Facial nerve is not supplied by
A. Labyrinthine A
B. Stylomastoid A
C. Superior petrosal A
D. Anterior tympanic A
Answer: D
55. False regarding treatment of nasopharyngeal angiofibroma
A. DSA and embolisation prior to surgery is useful
B. Coblator assisted endoscopic surgery is currently used
C. Intracranial extension needs radiotherapy
D. Partial encasement of tumour to carotid is not a contraindication for surgery
Answer: C
56. Investigation of choice for CSF Rhinorrhoea
A. CT Scan
B. Beta 2 transferrin assay
C. CT Cisternography
D. Lumbar puncture
Answer: C
57. Ortner’s syndrome is associated with
A. Facial N paralysis
B. Recurrent laryngeal N paralysis
C. Abducent N paralysis
D. Hypoglossal N paralysis
Answer: B
58. Indications for early cochlear implantation
A. Head trauma
B. Ototoxicity
C. Presbyacusis
D. Meningitis
Answer: D
59. “Father of Laryngology”
A. Messerklinger
B. Heinz Stammberger
C. Manuel Garcia
D. Isshiki
Answer: C
60. Commonest cause for acute bilateral simultaneous facial nerve paralysis
A. Guillian Barre syndrome
B. Chronic otitis media
C. Trauma
D. Multiple sclerosis
Answer: A
61. Which is not a content of posterior triangle of neck?
A. Subclavian artery
B. Trunks of brachial plexus
C. Internal jugular vein
D. Accessory nerve
Answer: C
62. Wagner and Grossman theory is associated with
A. Vocal cord paralysis
B. Aetiology of nasopharyngeal angiofibroma
C. Cholesteatoma
D. Atrophic rhinitis
Answer: A
63. Valvassori criteria are associated with
A. Glomus tumour
B. Acoustic neuroma
C. Meniere’s disease
D. Bell’s palsy
Answer: B
64. Which of the following is not associated with candidiasis?
A. Median rhomboid glossits
B. Angular cheilitis
C. Geographical tongue
D. Denture associated stomatitis
Answer: C
65. In majority of cases of Otosclerosis, tympanic membrane appear
A. Normal
B. Retracted
C. Flamingo pink colour (Schwartz sign)
D. Tympanosclerosis
Answer: A
66. Fistula in labyrinth is common in
A. Superior semicircular canal
B. Posterior semicircular canal
C. Lateral semicircular canal
D. Promontory
Answer: C
67. Common type of cholesteatoma
A. Congenital
B. Primary acquired
C. Secondary acquired
D. Any of the above
Answer: B
68. All are true of inverted papilloma except
A. Common in males
B. Pink fleshy lobulated mass
C. Malignant transformation to transitional cell carcinoma in 5% cases
D. Transitional cell papilloma is a synonym
Answer: C
69. Regarding nasopharyngeal angiofibroma, true statement
A. Common in young males 20-30 years
B. Presents with painful, profuse, paroxysmal epistaxis
C. Treatment of choice is surgery
D. Radiation is the best mode of treatment for large tumour
Answer: C
70. Treatment of choice for Killian’s polyp
A. Lateral rhinotomy
B. Caldwel Luc surgery
C. Endoscopic sinus surgery
D. Steroid spray
Answer: C
71. Structure traversing petrotympanic fissure
A. Chorda tympani N
B. Arnold’s N
C. Jacobson’s N
D. Posterior tympanic A
Answer: A
72. Type C defect in Austin’s classification
A. M+S+
B. M-S+
C. M+S-
D. M-S-
Answer: B
73. Thayer-Martin plate is used for screening pharyngitis caused by
A. Neisseria gonorrhoea
B. Group C Streptococcus
C. Epstein Barr Virus
D. Chlamydia pneumoneae
Answer: A
74. Lemierre syndrome is most commonly caused by
A. Acinetobacter haemolyticus
B. Corynebacterium haemolyticus
C. Bacteroids fragilis
D. Fusobacterium necrophorum
Answer: D
75. Risk of malignancy in asymmetrical adult tonsil with normal mucosa in the absence of cervical lymphadenopathy is
A. 0%
B. 0.35%
C. 7%
D. 14%
Answer: C
76. Regarding Ramsay Hunt syndrome, false statement
A. LMN facial nerve paralysis
B. Vesicles around ear
C. Acyclovir and steroids is the treatment
D. SNHL usually present
Answer: D
77. Hyperacusis in Bell’s palsy is due to paralysis of
A. Tensor tympani
B. Levator veli palatini
C. Tensor veli palatini
D. Stapedius
Answer: D
78. Most common site of otosclerosis
A. Round window
B. Fissula ante fenestrum
C. Fissula post fenestrum
D. Eustachian tube orifice
Answer: B
79. Atrophic rhinitis treatment includes all except
A. Young’s operation
B. Alkaline nasal douche
C. Vidian neurectomy
D. 25% glucose in glycerine nasal drops
Answer: C
80. Thickness of human tympanic membrane
A. 0.1 mm
B. 1 mm
C. 5 mm
D. 10 mm
Answer: A