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OTOLOGY:

ANATOMY and PHYSIOLOGY OF THE EAR 7. Epithelial lining of the tympanic membrane:
a. Transitional epithelium
MCQ: b. Non-keratinizing squamous epithelium
1. TRUE of the external auditory canal, EXCEPT: c. Keratinizing squamous epithelium
a. Average length of 2.5cm in adults d. Otologic epithelium with hair cells
b. Outer third is bony, the inner third is cartilaginous
c. Infection can spread to the parotid gland through the fissure of Santorini 8. Surface landmark useful in locating the most prominent and largest of air
d. Impaction may occur at the isthmus as the bony part of the canal is cells
narrower a. Mac Ewen’s Triangle
b. Mac Ewan’s Triangle
2. Arterial blood supply of the external ear all arise from the: c. Macewan’s Ttriangle
a. Occipital artery d. NOTA
b. Carotid artery
c. Facial artery 9. Maintains the atmospheric pressure in the middle ear and serves to equalize
d. Temporal artery air pressure
a. Mastoid antrum
3. Arnold’s nerve comes from: b. Air cells
a. CN V c. Middle ear tube
b. CN VI d. Auditory canal
c. CN IX
d. CN X 10. Lymphoid tissue surrounding pharyngeal end of auditory tube
a. Waldeyer’s ring
4. Jacobson’s Nerve arise from: b. Tonsils of gerlach
a. CN V c. Palatine tonsils
b. CN VI d. Paracervical lymph nodes
c. CN IX
d. CN X 11. Main muscle responsible for opening of the auditory tube
a. Tensor veli palatini
5. Common site of retraction pockets in the tympanic membrane? b. Tegmen veli palatine
a. Pars flaccid c. Tensor tympani
b. Pars tensa d. Tegmen tympani
c. Shrapnell’s membrane
d. A & C are correct 12. Nearest ossicle to the oval window
e. A & B are correct a. Stapes—footplate
b. Stapes—head
6. Fibrocartilaginous ring which supports the tympanic membrane: c. Incus—long process
a. Malleolar ligament d. Incus—short process
b. Annular fibrosus
c. Shrapnell’s membrane 13. Bony semicircular canal, EXCEPT:
d. Tegmen tympani a. Anterior
b. Posterior
c. Lateral
d. Superior
14. Coiled tube with snail-shape appearance a. Roof
a. Bony labyrinth b. Anterior wall
b. Cochlea c. Posterior wall
c. Utricle d. Floor
d. Semicircular canals e. Medial wall
22. Hypotympanium D. Floor
15. Frequency of normal speech: 23. Opening to tympanic membrane C. Posterior Wall
a. 100-4000Hz 24. Eustachian tube opening B. Anterior Wall
b. 500-4000Hz 25. Canal for tensor tympani muscle B. Anterior Wall
c. 100-10,000Hz 26. Epitympanum A. Roof
d. 500-10,000Hz 27. Ossicles A. Roof
28. Lateral semicircular canal E. Medial Wall
16. Range of human hearing: 29. Aditus C. Posterior Wall
a. 0-140 dB
b. 70-140 dB
c. 140-150 dB a. Crista ampullaris
d. 140-210 dB b. Hair cells for hearing
c. Otoliths
17. Vestibular receptor organ of the ear, which is sensitive to or monitors angular
motion 30. Ampulla A. Crista ampullaris
a. Cochlea 31. Macula C. Otoliths
b. Saccule 32. Organ of Corti B. Hair cells for hearing
c. Utricle
d. Crista Ampullaris TRUE OR FALSE:
33. Foramen of Huschke is normally seen in adults FALSE
34. To visualize the tympanic membrane of a 12 y/o patient, the auricle is pulled
downwards and backwards FALSE
35. Tragus infection is most likely to spread to the parotid lymph nodes TRUE
MATCHING TYPE: 36. The triangular part above the anterior and posterior malleolar folds is called
the pars flaccid TRUE
a. CN V 37. Air cells that appear honeycombed are said to be well-pneumatized TRUE
b. CN VI 38. The fibrous layer of the tympanic membrane is ectoderm-derived FALSE
c. CN VII 39. The Eustachian tube closes during swallowing FALSE
d. CN VIII 40. The oval window is large than the tympanic membrane FALSE
e. CN IX 41. The space outside the membranous labyrinth is called the endolymphatic
space FALSE
18. Chorda tympani C 42. The base of auditory hair cells are more sensitive to low frequency sounds
19. Tensor tympani A FALSE
20. Tympanic plexus E 43. Stimulation of the semicircular canal causes eye to deviate slowly towards the
21. Stapedius C stimulated ear FALSE
44. The macula of the utricle and saccule are important for linear acceleration
TRUE
45. The conductive system of the middle ear may be bypassed TRUE

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