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) of abscess fodrainage llowed 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