1.) Which of the following is true regarding the External Auditory Canal?

A. It is approximately 3.5 cm in length

B. It comprises a lateral cartilaginous (membranous) portion and a medial bony portion.

C. The skin that lines the membranous canal is lined by thin, immobile skin that lacks hair and glands.

D. The bony portion of the canal is endowed with sebaceous and apocrine glands and hair follicles.

E. The bonycartilaginous junction is the widest point of the EAC

2.) The following are embryologically distinct components of the temporal bone except:

A. Squamous

B. Mastoid

C. Petrous

D. Tympanic

E. none of the above

3.) Patient KB, complained of otalgia and otorrhea on the left ear. He reported of recently swimming in a
pool. He decided to seek consult at an ent. Upon physical examination, noted a positive Tug Test, and
noted diffuse erythematous swelling of the ear canal. What is the best management?

A. Give Ofloxacin Otic Drops

B. Give Polymyxin B Neomycin Dexamethasone Otic Drops

C. Warm compress

D. None of the above

4.) In relation to #3, what is the likely causative microorganism?

A. S. aureus C. S. pneumoniae

B. P. aeruginosa D. M. catarrhalis

5.) Stage of Otitis Media where there is Outpouring of fluid from the dilated permeable capillaries. All
Symptoms Are Aggravated especially pain and fever. On Otoscopy a Bulging ear drum with loss of light
reflex is seen

A. Exudation C. Suppuration
B. Hyperemia D. Coalescence

6.) Stage of Otitis Media Characterized by Generalized Hyperemia of the Mucoperiosteum. Symptoms
include Otalgia, Ear Fullness, Fever

A. Exudation C. Suppuration

B. Hyperemia D. Coalescence

7.) This test allows for visualization of the movement of the ear drum in response to a change in pressure
within the ear canal.

A. Tympanometry C. Henebert’s Test

B. Pneumatic otoscopy D. Binocular microscopy

8.) The diagnosis of patulous eustachian tube dysfunction can be made by

A. observing medial and lateral excursions of the patient’s tympanic membrane coincident with
ipsilateral nasal breathing, when the patient’s autophony is active.

B. Observing excursions of the tympanic membrane in the antero-inferior quadrant.

C. Observing the anterior movements of the tympanic membrane as the patient inhales.

D. Observing the lateral excursions of the tympanic membrane as the patient inhales and exhales orally.

9.) Which of the following is correctly paired?

A. Parotid gland - Stensen duct

B. Submandibular gland - Wharton duct

C. Sublingual gland - ducts of Rivinus

E. All of the above

10.) This is the modality of choice for patients with a palpable lesion or expected neoplasm of the
salivary glands.

A. Ultrasound

B. CT- Scan

C. Magnetic Resonance Imaging

D. PET scan

11.) What is the most common benign neoplasm of the parotid gland?

A. Warthins Tumor C. Oncocytoma

B. Benign Mixed Tumor D. Basal Cell Adenoma

12.) What is the most common malignant neoplasm of the parotid gland?

A. Mucoepidermoid Carcinoma C. Acinic Cell Carcinoma

B. Adenoid Cystic Carcinoma D. Carcinoma Ex Pleomorphic Adenoma

13.) An erythematous and edematous epiglottis may signify?

A. Epiglottitis

B. Croup

C. Peritonsillar Abscess

D. Acute Tonsillopharyngitis

14.) Which of the following levels encompass the jugulodigastric chain?

A. Level IA and IB

B. Level I, II, and III

C. Level II, III, and IV

D. Level VA and VB

15.) Patient SC, a known smoker, was diagnosed with SCCA in the Palatine Tonsils. Which cervical nodes
would you expect to be affected first?

A. Nodes of Rouviere

B. Upper jugulo digastric nodes

C. Level IB Node

D. Level VI Node
16.) Which artery is not part of the Kiesselbach plexus?

A. Greater palatine artery

B. Anterior ethmoidal artery

C. Sphenopalatine artery

D. Posterior ethmoidal artery

E. Superior labial artery

17.) An ultrasound result showed the thyroid gland showing an enlarged left lobe, normal sized right
lobe and parenchymal echogenicity. Two nodules are noted.

Right lobe: 2.7 x. 2.8 × 3 cm, solid, isoechoic, wider than tall, smooth margins, no calcifications.

Left lobe: 0.8 × 0.7 x 0.5 cm, mixed cystic/solid, isoechoic, wider than tall, smooth margins, no
calcifications.

What is the next best step?

A. Do Fine Needle Aspiration Biopsy

B. For observation
C. Total Thyroidectomy
D. Do Core Needle Biopsy

18.) Patient MM, noted onset of non-tender, mobile neck mass. He sought consult at the nearest ENT,
where work up was done. Biopy showed Atypia of Undetermined significance. What is the estimated risk
for malignancy with this finding?

A. 1-4 % C. 0-3%

B. 5-15 % D. 15-30%

19.) Patient EC, was diagnosed with Nodular- Nontoxic Goiter, Left. He underwent Thyroid Lobectomy
with Isthmusectomy. Upon follow up, patient showed his post op biopsy result, noted Papillary Thyroid
Carcinoma. What is the next best thing to do?

A. Reassure patient that the procedure is already sufficient

B. Do RAI

C. Do Completion Thyroidectomy on the contralateral lobe

D. None of the above

20.) Patient JJ, was diagnosed with Multinodular Non-Toxic Goiter and underwent Total Thyroidectomy.
Upon follow up, post op biopsy revealed Papillary Thyroid Carcinoma, T3, with lymphatic invasion and
tall cell variant. What is the next best thing to do?

A. Do Prophylactic Neck Dissection

B. Reassure and advise patient that Total Thyroidectomy is already sufficed

C. Do Radioactive Iodine Therapy

D. Do External Beam Radiation Therapy

Answer Key

1.) B
2.) E
3.) B
4.) B
5.) A
6.) B
7.) B
8.) B
9.) E
10.)C
11.)B
12.)A
13.)A
14.)C
15.)B
16.)D
17.)A
18.)B
19.)C