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:
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Dr. Sajid Ali Talpur

a) external carotid artery

c) both a & b
e) facial artery

b) internal carotid artery

d) maxillary artery

2. A 60 years old man complaining of decreased hearing was found to have Rinnes test positive
in both the ears while webbers lateralized to right ear. He is most likely suffering from:
a) conductive deafness in the right ear
b) sensorineural deafness in the right ear
c) conductive deafness in the left ear
d) sensorineural deafness in the left ear
e) sensorineural deafness in both the ears
3. The disease in which patient hears well in the noisy place?
a) Menieres disease
b) acoustic neuroma
c) presbyacusis
d) glomus tumour
e) 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. Aureus
c) exostosis
d) aspergillus
e) pseudomona
5. While performing Caloric test the temperature of water should be:
a) 370C
b) 33-340C
0
c) 30-44 C
d) 35-420C
e) 30-400C
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6. Cart wheal appearance is seen in case of:

a) serous otitis media
c) CSOM attico antral type
e) aero otitis

b) ASOM
d) CSOM tubotympanic

7. Find the incorrect statement:

a) auriculotemporal nerve is the branch of trigeminal nerve
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Dr. Sajid Ali Talpur

b) the medial surface in lower one third is innervated by lesser occipital nerve
c) the lateral surface in lower one third is innervated by greater auricular nerve
d) keloid in pinna is usually formed after ear piercing
e) 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 reces
c) cartilaginous part
d) bony part
e) 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 externa
c) malignant otitis externa
d) seborrhoec otitis externa
e) eczematous otitis externa
10. It is not the part of middle ear left:
a) Eustachian tube
c) mastoid antrum
e) N.O.T

b) aditus ad antrum
d) mastoid air cells

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11. Regarding Eustachian tube all are true except:

a) it is 36cm long
b) the bony part forms upper one third
c) the tube is closed at rest
d) veins drain into pteregoid plexus
e) N.O.T
12. Pulsatile tinnitus is present in:
a) menieres disease
c) presbyacusis
e) glomus tumor
13. The lymphatic drainage of pinna does not go to:
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b) acoustic neuroma
d) otosclerosis

Dr. Sajid Ali Talpur

a) parotid lymph nodes

c) infra auricular lymph nodes
e) superficial cervical along ex. Jugular vein

b) jugulo digastrics lymph nodes

d) mastoid lymph nodes

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) otomycosis
c) boil
d) malignant otitis externa
e) eczematous otitis externa
15. The nerve innervations of Eustachian tube comes from:
a) auriculotemporal nerve
b) auricular branch of vagus nerve
c) tympanic branch of glossopharyngeal nerve
d) tubal branch of vagus nerve
e) nervous intermedius

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16. The feature not present in the medial wall of middle ear cavity:
a) secondary T.M
b) promontory
c) round window
d) oval window
e) N.O.T
17. The opening for Eustachian tube lies in ______ wall of middle ear cavity.
a) medial
b) lateral
c) inferior
d) anterior
e) posterior
18. It is also known as otitis externa hemorrhagica:
a) bullous maryngitis
c) seborroeic otitis externa
e) trauma to external ear

b) diffuse otitis externa

d) malignant otitis externa

19. The tympanic branch of glossophyrngeal nerve enters middle ear cavity through:
a) anterior wall
b) posterior wall
c) medial wall
d) lateral wall
e) floor
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Dr. Sajid Ali Talpur

20. The lenticular process is present in:

a) malleus
c) stapes
e) tegmen tympani

b) incus
d) pyramid

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21. Find the incorrect statement:

a) the composition of endolymph is similar to intravascular fluid
b) peri lymph has high sodium concentration
c) normally cochlea has 2.5 turns
d) 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 type
c) CSOM tubo tympanic type
d) perilymph fistula
e) ruptured boil
23. The clinical feature not related to ASOM
a) deep seated pain
c) bulging ear drum
e) cart wheal appearance

b) fever, malaise and headache

d) tinnitus

24. The roof of scala media is formed by:

a) stria vascularis
c) organ of corti
e) tectorial membrane

b) reisners membrane
d) basilar membrane

25. The auditory pathway does not include

a) cochlear nuclei in pons
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b) olivary nuclei
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c) lateral leminiscus
e) inferior colliculus

d)lateral geniculate body

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26. The conducting apparatus of ear does not include:

a) pinna
c) ossicles
e) N.O.T

b) T.M
d) Eustachian tube

27. The normal hearing frequency range for human ear is:
a) 20-2000Hz
b) 10-2000Hz
c) 20-20000Hz
d) 20-200000Hz
e) 10-200000Hz
28. The blood supply of Eustachian tube comes from all of the following arteries except:
a) middle meningeal arteries
b) ascending pharyngeal artery
c) artery of the pterigoid canal
d) deep auricular artery
e) N.O.T
29. Regarding semicircular canal:
a) four in number
b) responds to linear acceleration
c) horizontal pair responds to rotation about vertical axis
d) utricle responds to angular acceleration
e) vestibule maintains positive pressure in the Tympanic cavity
30. Regarding profound/stone deafness
a) 26-40dB
c) 56-70dB
e) >91Db

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b) 41-55dB
d) 71-91dB

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31. The nature of secretions of parotid gland is:

a) mucous
c) mixed
e) N.O.T

b) serous
d) high content of minerals

32. A 30 years old man complaining of decreased hearing. He is found to have Rinnes negative.
All may be the causes except:
a) ototoxicity
b) otitis media
c) Eustachian tube dysfunction
d) initial stages of otosclerosis
e) otomycosis
33. A 50 years old man complaining of decreased hearing in the right ear. He is found to have
rinnes negative in the right ear and webbers lateralized to right ear. He is most likely
suffering from:
a) sensorineural deafness in the right ear
b) conductive deafness in the right ear
c) sensorineural deafness in the left ear
d) conductive deafness in the left ear
e) sensorineural deafness in both the ears
34. The major cause of pain in the inner ear is:
a) labyrinthitis
c) peri lymph fistula
e) N.O.T

b) Menieres disease
d) trauma

35. Corti lymph is present in:

a) scala vestibule
c) scala media
e) cochlea

b) scala tympani
d) tunnel of corti

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

a) hypertension
b) hypotension
c) hypoglycemia
d) epilepsy
e) presbyacusis
37. Find the incorrect statement:
a) functionally T.M is considered as part of the middle ear
b) Attico antral type CSOM presents with perforation in the shrapnels membrane
c) the normal T.M is purely transparent
d) Notch of rivinus is found in superior part of pars flaccida
e) 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) schwabachs test
c) both a&b
d) bing test
e) Gelles 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) osteoma
c) serous otitis media
d) acoustic neuroma
e) dislocation of ossicles
40. The principle of caloric test is to stimulate :
a) anterior semicircular canal
c) posterior semicircular canal
e) utricle

b) lateral semicircular canal

d) vestibule

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41. It involves saccule and cochlea

a) Scheibe dysplasia
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b) mondini dysplasia
Dr. Sajid Ali Talpur

c) Bing siebenman dysplasia

e) Teachers Collin syndrome

d) michael dysplasia

42. Middle ear has:

a) four walls
c) six walls
e) eight walls

b) five walls
d) seven walls

43. Cauliflower ear is related to:

a) frost bite
c) hypersensitivity to cauliflower
e) A.O.T

b) boxers ear
d) cuts & lacerations in the ear

44. In which type of F.B post aural incision is needed?

a) animate
b) hygroscopic
c) non hygroscopic
d) both b & c
e) N.O.T
45. Chloroform or spirit is needed before ear syringing in case of:
a) animate F.B
b) hygroscopic F.B
c) Non hygroscopic F.B
d) wax
e) both b & c

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46. Foreign body in the ear may produce all of the following except:
a) pain
b) tinnitus
c) reflex cough
d) bleeding
e) S.N deafness
47. Regarding transverse fracture all are true except:
a) the most common type
c) can involve labyrinth
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b) facial nerve paralysis

d) S.N deafness
Dr. Sajid Ali Talpur

e) 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 externa
c) malignant otitis externa
d) seborrhoec otitis externa
e) eczematous otitis externa
49. Pseudomonas is the causative agent for:
a) Bullous myringitis
c) malignant otitis externa
e) eczematous otitis externa

b) diffuse otitis externa

d) seborrhoeic 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 externa
c) malignant otitis externa
d) seborrhoec otitis externa
e) eczematous otitis externa

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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 type
c) malignant otitis externa
d) otitis externa hemorrhagica
e) ruptured boil
52. Normally the volatile substance in the wax is:
a) 0.5%
c) 15%
e) 50%

b) 5%
d) 20%

53. Find the incorrect statement:

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a) outer one third of ex. Auditory canal is formed by cartilage

b) the bony part of ex. Auditory canal does not contain any glands
c) the junction of cartilaginous and bony part is the narrowest part of the canal
d) auricular branch of vagus nerve innervates the posterior half of the canal
e) N.O.T
54. All are the stages of ASOM except:
a) stage of tubotympanitis
b) stage of catarhhal inflammation
c) satge of suppuration
d) stage of granulation tissue
e) stage of resolution
55. The differential diagnosis of ASOM does not include:
a) diffuse otitis externa
b) conditions causing reffered otalgia
c) herpes zoaster oticus
d) post auricular adenitis
e) exostosis
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56. The treatment of ASOM includes

a) tympanotomy
c) tympanoplasty
e) 10% ecthamol in glycerine

b) maryngotomy
d) maryngoplasty

57. Regarding malignant otitis externa all are true except:

a) severe pain
b) diabetic and elderly patients
c) caused by pseudomonas aerugenosa
d) can cause gradenigo syndrome
e) N.O.T
58. It is not the character of discharge in CSOM tubo tympanic type
a) thin
b) profuse
c) blood stained
d) foul smelling
e) both c & d
59. All are true about tubo tympanic type except:
a) central type of perforation
b) mild to moderate deafness
c) it is less common than attico antral type
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d) audiometery shows conductive deafness

e) 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 type
c) CSOM tubotympanic type
d) malignant otitis externa
e) ASOM

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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 type
c) CSOM attico antral type
d) both a & c
e) glue ear
62. Radical mastoidectomy is usually directed towards:
a) malignant otitis externa
b) CSOM tubo tympanic type
c) CSOM attico antral type
d) both a & c
e) glue ear
63. Which type of tympanoplasty is called maryngoplasty:
a) type 1
b) type 2
c) type 3
d) type 4
e) type 5
64. The commonest graft material used for maryngoplasty is:
a) fat from lobule
b) temporalis fascia
c) tragal perichondrium
d) dura matter
e) cadaveric T.M
65. Facial nerve is:
a) motor nerve
c) secretomotor nerve
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b) sensory nerve
d) mixed nerve
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e) 7th spinal nerve

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66. Myringotomy and grommet insertion is usually the treatment of:

a) ASOM
b) CSOM tubo tympanic
c) CSOM attico antral
d) serous otitis media
e) 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. Whats your probable diagnosis.
a) ASOM
b) serous otitis media
c) aero otitis
d) otosclerosis
e) bullous maryngitis
68. It is not intracranial complication of CSOM attico antral type:
a) thrombosis of internal jugular vein
b) thrombosis of sigmoid sinus
c) meningitis
d) otic hydrocephalus
e) sub dural abscess
69. The commonest intra cranial complication of CSOM attico antral type is:
a) meningitis
b) brain abscess
c) sub dural abscess
d) extra dural abscess
e) encephalitis
70. Citellis abscess is present in:
a) sternocleidomastoid muscle
c) petrous apex
e) mastoid

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b) post. Belly of diagastric muscle

d) zygomatic bone

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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 externa
c) herpes zoster oticus
d) myringitis granulose
e) eczematous otitis externa
72. All of the following features are related to cerebellar abscess except:
a) headache
b) papiloedema
c) high grade fever with rigors
d) slow pulse rate
e) nominal aphasia
73. The most common clinical presentation in acoustic neuroma is:
a) S.N deafness
b) vertigo
c) diplopia
d) headache
e) tinnitus
74. Pure tone audiogram shows carharts notch in:
a) meneires disease
c) glomus tumous
e) otosclerosis

b) acoustic neuroma
d) presbyacusis

75. Schwartzs sign is present in 10% of cases of:

a) menieres disease
c) glomus tumour
e) acoustic nuroma

b) otosclerosis
d) presbyacusis

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76. The operation to treat otosclerosis is:

a) radial mastoidectomy
c) cortical mastoidectomy
e) N.O.T

b) modified radical mastoidectomy

d) atticotomy

77. The commonest site for the development of otosclerosis is:

a) anterior to oval window
b) anterior to round window
c) posterior to oval window
d) posterior to oval window
e) N.O.T
78. All of the following factors affect otosclerosis except:
a) age
b) gender
c) pregnancy
d) lactation
e) race
79. It is not the cause of peripheral vertigo:
a) meneires disease
c) acoustic neuroma
e) vestibulotoxic drugs

b) labyrinthitis
d) multiple sclerosis

80. Menieres disease is the disorder of:

a) scala vestibule
c) scala media
e) saccule

b) scala tympani
d) semicircular canal

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81. Which structure is likely to be ruptured in menieres disease?

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a) tectorial membrane
c) basilar membrane
e) tunnel of corti

b) Reissners membrane
d) stria vascularis

82. Axontomesis means:

a) axon sheath is intact
c) axon sheath is divided
e) distal degeneration occurs

b) axon is intact
d) whole nerve is dissected

83. A 45 years old men presents with episodic vertigo, fluctuating hearing loss and tinnitus. He is
suffering from:
a) menieres disease
b) acoustic neuroma
c) presbyacusis
d) otosclerosis
e) glomus tumor
84. Brown sign is present in
a) menieres disease
c) presbyacusis
e) glomus tumor

b) acoustic neuroma
d) otosclerosis

85. Carharts notch is present at the frequency:

a) 1000Hz
c) 2000Hz
e) 4000Hz

b) 1500Hz
d) 2500Hz

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86. The disease which is treated by the restriction of salt and water:
a) menieres disease
b) acoustic neuroma
c) presbyacusis
d) otosclerosis
e) glomus tumor
87. At the end of which disease the destruction of labyrinth is carried out as the treatment:
a) menieres disease
b) acoustic neuroma
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c) presbyacusis
e) glomus tumor

d) otosclerosis

88. All are the ototoxic drugs except:

a) gentamycin
c) furosemide
e) cephalosporins & sulphonamides

b) chloroquine
d) ethosuxemide

89. The safe level of hearing is:

a) 85dB
c) 95
e)105

b) 90
d) 100

90. Schrimmers test is performed to check the ______ fibers of facial nerve
a) motor
b) sensory
c) secretomotor
d) both a & b
e) both a & c

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91. Commonest cause of facial nerve paralysis is:

a) otitis media
c) bells palsy
e) parotid tumours

b) trauma
d) brainstem tumour

92. The surgery for the recovery of facial nerve paralysis is:
a) radical mastoidectomy
b) modified radical mastoidectomy
c) tympanotomy
d) mastoidectomy
e) surgical decompression
93. All are intracranial causes of facial nerve paralysis except:
a) Bells palsy
b) poliomyelitis
c) multiple sclerosis
d) primary cholesteatoma
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e) acoustic neuroma
94. The principle feature present in otitis media with effusion is:
a) conductive type of deafness
b) tinnitus
c) dull and retracted T.M
d) blocked Eustachian tube
e) presence of fluid in the middle ear
95. Paralysis of upper half of face occurs in:
a) supra nuclear paralysis
b) nuclear paralysis
c) infra nuclear paralysis
d) both b & c
e) N.O.T

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96. Rising sun appearance is present in:

a) menieres disease
c) glomus tumour
e) otosclerosis

b) acoustic neuroma
d) osteoma

97. It is also known as rodent ulcer

a) peptic ulcer
c) squamous cell carcinoma
e) N.O.T

b) apthous ulcer
d) basal cell carcinoma

98. Which of the following perforation is more dangerous:

a) central
b) irregular
c) marginal
d) multiple
e) kidney shaped
99. Bezolds abscess is present in the sheath of:
a) sternocleidomastoid muscle
c) petrous apex
e) mastoid
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b) post. Belly of diagastric muscle

d) zygomatic bone
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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 nerve
c) vagus nerve
d) hypoglossal nerve
e) trigeminal nerve

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