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1. Which of the below muscles is not an intrinsic muscle of the larynx?

A. Interarytenoid
B. Thyrohyoid….
C. Lateral cricoarytenoid
D. Thyroarytenoid.

2. Which is the incorrect choice regarding vocal fold nodules?

A. They are bilateral.


B. They cause minimal disruption to the mucosal wave.
C. They are symmetric.
D. They resolve with voice rest/voice therapy.
E. They require surgical excision…..

3. In a patient with prior history of chronic otorrhea unresponsive to topical


antibiotics, the new onset of headache, lethargy, and high fever, without
meningeal symptoms, is most worrisome for which of the following pathologic
processes?

A. Epidural abscess
B. Subdural empyema
C. Gradenigo’s syndrome
D. Meningitis
E. Sigmoid sinus thrombophlebitis …..

4. The draining ostia for the anterior sinuses (frontal, maxillary, anterior ethmoids)
and the draining ostia for the posterior sinuses (posterior ethmoids, sphenoid) are
separated from one another by:

A. Uncinate process
B. ethmoid bulla
C. inferior turbinate
D. middle turbinate ……
E. superior turbinate

5. The most reliable landmark for the identification of the extracranial main trunk of
the facial nerve is the

A. styloid process
B. auditory canal
C. mastoid process
D. tympanomastoid suture …..
E. stylomastoid suture
6. The facial nerve is the nerve of which branchial arch:
A. first
B. second …..
C. third
D. fourth
E. sixth

7. A 2-year old child presents with fever, nasal discharge and puffy upper and lower
eyelids, the likely diagnosis is:
A. Acute maxillary sinusitis.
B. Acute frontal sinusitis.
C. Acute ethmoid sinusitis……
D. Pansinusitis.

8. Functions of oropharynx include all except:


A. Deglutition.
B. Resonance to speech.
C. Appreciation of taste.
D. Protection to lower airways……

9. Clinical features of Laryngomalacia include all except:


A. Onset of stridor soon after birth.
B. Hoarse cry….
C. Stridor getting worse on crying.
D. Tendency to disappear by 2 years of age.

10. Watery nasal discharge rich in glucose is due to:

A. Viral rhinitis.
B. Allergic rhinitis.
C. Vasomotor rhinitis.
D. CSF rhinorrhea……

11. Trismus can occur in all of the following except :

A. Nasopharyngeal carcinoma.
B. Submucous cleft palate….
C. Fracture zygoma.
D. Carcinoma maxillary sinus.
12. Serous otitis may occur in any of the following conditions except:
A. Inadequately treated otitis media.
B. Carcinoma nasopharynx.
C. Cleft palate.
D. Cancer bas of tongue….

13. Loss of the bone conduction in an audiogram indicates:


A. Damage to tympanic membrane.
B. Fixation of stapes footplate.
C. Dislocation of ossicular chain….
D. Damage to cochlea.

14. Orbital complications most commonly follow infection of which of the following
sinuses? :
A. Maxillary.
B. Frontal.
C. Ethmoid…..
D. Sphenoid.

15. Steroids are indicated in all of the following Laryngeal conditions except:
A. Angioneurotic oedema.
B. Acute epiglottitis.
C. Post-radiational oedema.
D. Laryngeal tuberculosis……

16. Epstein-Barr virus is thought to be responsible for all except:


A. Laryngeal cancer…..
B. Nasopharyngeal cancer.
C. Burkitt’s lymphoma.
D. Infectious mononucleosis.

17. All are true about malignant otitis externa except:


A. Occurs in elderly diabetics.
B. Is caused by Staph. Aureus infection……
C. Presents with intractable pain.
D. Can cause cranial nerve palsies.

18. Tympanic membrane is normal in all except:


A. Ménière's disease.
B. Otosclerosis.
C. Eustachian tube blockage…..
D. Presbycusis.

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