Mcq Exams Ent 3rd Edition الهيئة السعودية

SAUDI COMMISSION
FOR
HEALTH
SPECIALITIES
PROMETRIC
MCQ EXAMINATIONS
EAR , NOSE AND THROAT
2010
By Dr. Otology
drotology@gmail.com
The interaural difference in

wave V of ABR must not
exceed :
1. 0.2 msec
2. 1
msec
3. 0.1 msec
4. 2.4 msec
Answer 1
Feb. 2010
S a u d i C o m m i s s i o n F o r H e a l t h S p e c i a l i t i e s - - E . N . T.
-- MCQs
Korner's
septum
1. Divides middle ear cavity into attic
and tubal.
2. Unequally divides the nasal cavity.
3. Divides mastoid air cells into
petrous and squamous.

4. Congenital defect in external ear
canal.
5. Divides ethmoid air cells into
anterior and posterior.
Feb. 2010
Answer 3
-- MCQs
Anatomy of tympanic cavity

1. Anterior wall consists of Eustachian
consists
of
:
tube and tensor tympani muscle
above it.
2. Roof is related to temporal lobe of
brain.
3. Posterior wall is related to carotid
artery.
4. It's 1.5 distance from T.M. to
promontory.
Feb. 2010
Answer 2
-- MCQs
Which of the following is

MOST specific for
otosclerosis:
1.
Hyperacusis Willichii
2. Normal tymponometry with lost
reflexes.
3. Carhart's notch.
4. Schwart's sign.
5. None of the above
Answer 4
Feb. 2010
-- MCQs
Ear compliance is measured

by tympanometry using :
1. Positive and negative pressure.
2. Positive pressure only.
3. Negative pressure only.
4. Electromechanic ridge.
5. Different types of continuous and
interrupted sounds.
Feb. 2010
-- MCQs
About pterygomaxillary
fissure
:
1. Vascular compartment is anterior to
neural compartment .
2. Neural compartment is anterior to
vascular compartment.
3. Vascular compartment is lateral to
neural compartment .
4. Neural compartment is lateral to
vascular compartment.
Feb. 2010
-- MCQs
In transverse fractures of
temporal bone ,all true
1.
High incidence of ossicular
except:
discontinuity.
2. High incidence of tympanic
membrane rupture.
3. High incidence of facial nerve injury.
4. High incidence of sensorineural
hearing loss.
Feb. 2010
Answer 2
-- MCQs
3 years old child with sinusitis

, you expect affected sinuses
are :
1. Frontal and maxillary.
2. Frontal and ethmoidal.
3. Sphenoidal and maxillary
4. Maxillary and ethmoidal.
Answer 4
Feb. 2010
-- MCQs
When examining a case of

functional loss of voice , you
ask the patient to :
1. Say (A)
2. Say (E)
3. Expirate air.
4. Cough
Answer 4
Feb. 2010
-- MCQs
10
Vretical petrous part of

internal carotid artery is :
1. Lateral to middle meningeal artery.
2. Lateral to cavernous sinus.
3. Medial to optic chiasma.
4. Medial to styloid base.
4
Feb. 2010
-- MCQs
11
Endolymphatic duct lies :

1. In middle cranial fossa.
2. Posterior to posterior S.C.C.
3. Between dura.
4. Below posterior S.C.C.
4
Feb. 2010
-- MCQs
12
Utricle is connected to saccule

via:
1. Endolymphatic duct.
2. Crus communis.
3. Cochlear aqueduct.
4. Semicircular canals.
Answer 1
Feb. 2010
-- MCQs
13
Patient with right complete

facial paralysis is working in a
noisy
for
20
years,
you
can
1. Right ear hearing loss is less at
expect:
4kHz.
2. Left ear hearing is worse than right.
3. Both ears got equal hearing.
4. Right ear hearing loss is more at
4kHz.
Answer 4
Feb. 2010
-- MCQs
14
As landmarks in the anatomy

of the lateral nasal wall:
1. Haller cells are present at the end of
the uncinate plate.

2. Onodi cells are the most posterior
ethmoidal cells.
3. Frontonasal recess opens anteriro to
the infundibulum.
4. 2&3 are correct.
Feb. 2010
Answer 4
-- MCQs
15
Optic foramen lies:

1. In the greater wing of sphenoid
bone.
2. In the posterior part of frontal bone.
3. Between the lesser and the greater
wing of sphenoid bone.

4. In the sphenoid body.
Answer 1
Feb. 2010
-- MCQs
16
Cochlear microphonics
originate from:
1. Cochlear nerve.
2. Basilar membrane.
3. Outer hair cells.
4. Inner hair cells.
Answer 3
Feb. 2010
-- MCQs
17
Bat ear is due to under

development of:
1. Helix.
2. Anti helix.
3. Postauricular muscles.
4. Ear scapha.
Answer 2
Feb. 2010
-- MCQs
18
Compoud action potential

originates from:
1. Auditory nerve.
Answer 1
Feb. 2010
-- MCQs
19
The endocochlear potential

originates from:
3. Stria vascularis.
Answer 3
Feb. 2010
-- MCQs
20
About adenoids and tonsils:

1. Both have the same anatomy.
2. Both have are lymphoid tissue with
afferent an efferent lymphatics.

3. Adenoids do have crypts.
4. Adenoidal mucosa is
pseudostratified columnar ciliated

Answer 4
epitheluim.
Feb. 2010
-- MCQs
21
The most specific answer

about the primary site of
noise
1.
Outerinduced
hair cells. SNHL:
4. Rootlets that connect stereocilia to
top of outer hair cells.

5. None of the above is accurate.
Answer 4
Feb. 2010
-- MCQs
22
Bony labyrinth develops from

ossification of :
1. 12 centres.
2. 14 centres.
3. 6
centres.
4. 3
centres.
Answer 2
Feb. 2010
-- MCQs
23
The 4th branchial arch nerve

develops into:
1. The glossopharyngeal nerve.
2. Vagus nerve.
3. Mandibular nerve.
4. Superior laryngeal nerve.
Answer 4
Feb. 2010
-- MCQs
24
Complete ossification of
labyrinth occurs by:
1. 12 weeks.
2. 23 weeks.
3. 28 weeks.
4. 26 weeks.
Answer 2
Feb. 2010
-- MCQs
25
Which of the following never

undergo(es) calcification:
1. Inferior border of thyroid cartilage.

2. Superior border of thyroid catilage.
3. Epiglottis and cricoid cartilage.
4. Auricle.
5. 2&4.
Answer 5
Feb. 2010
-- MCQs
26
A 6 months old infant with

cleft palate presented to your
clinic,his parents are worried
and asked you what is the
suitable time to operate the
1.
At one year old.
baby:
2. After eruption of the first molar.
3. 2 years old.
4. As soon as possible to prevent
complications.
Answer 2
Feb. 2010
-- MCQs
27
A new born with bilateral

external
canal
atresia
must
be
1. As soon as possible for adequate
operated:
intellectual development as the
baby almost can't hear.
2. At 2 years old and hearing aids are
used till that.

3. At 5 years old and hearing aids are
used till that.

4. At adult age.
Feb. 2010
-- MCQs
28
In cancer larynx , vocal cord

fixation is due to:
1. Invation of internal laryngeal nerve.
2. Invation of external laryngeal nerve.
3. Invation of posterior crithyroid
muscle.
4. Invation of thyroarytenoid muscle.
Answer 4
Feb. 2010
-- MCQs
29
Fusion of intermaxillary suture

forms:
1. Torus palatine.
2. Torus maxillaris.
3. Nasion.
4. Torus tuburous.
Answer 1
Feb. 2010
-- MCQs
30
All of the following are

components of the jugular
foramen except:
1. Sigmoid sinus.
2. Spinal accessory nerve.
3. Inferior petrosal sinus.
4. None of the above.
Answer 4
Feb. 2010
-- MCQs
31
About tympanosclerosis
1. Usually due to high serum level of
calcuim.
2. Affects foot plate.
3. Does not affect the inner mucosal
layer of tympanic memebrane.

4. Does not affect ossicles.
Feb. 2010
Answer 2
-- MCQs
32
Cochlea is connected to
saccule via:
1. Crus communis.
2. Endolymphatic duct.
3. Ductus reunis.
4. Lateral semicircular canal.
Answer 3
Feb. 2010
-- MCQs
33
Osteomeatal complex is
formed of all except:
1. Concha bullosa.
2. Fovea ethmoidalis.
3. Hiatus semilunaris.
4. Bulla ethmoidalis.
5. Uncinate plate.
Answer 2
Feb. 2010
-- MCQs
34
Number of bones froming

orbital fossa:
1. 4
2. 5
3. 6
4. 7
Answer 4
Feb. 2010
-- MCQs
35
All of the following bones

share in formation of orbit
except:
1. Ethmoid bone
2. Palatine bone
3. Frontal bone.
4. Maxillary bone.
Answer 5
Feb. 2010
-- MCQs
36
Cell bodies of sympathetic

nerves of head and neck are
present in:
1. Spinal root ganglion.
2. Target organs.
3. Cerebral cortex.
4. Cervical sympathetic chain.
Answer 1
Feb. 2010
-- MCQs
37
Following facial nerve

trauma,peripheral end can be
stimulated up to:
1. 10 days.
2. 3 days.
3. 5 days.
4. 14 days.
Answer 2
Feb. 2010
-- MCQs
38
Facial nerve is not fully

developped untill the age of:
1. 1 years.
2. 2 years.
3. 3 years.
4. 4 years.
Answer 4
Feb. 2010
-- MCQs
39
Which of the following is used

to predict facial function
return,6-12 weeks before
clinical evidences of recovery:
1. Nerve excitability test.
2. Maximum stimulation test.
3. Electromyography.
4. Electroneuronography.
Answer 3
Feb. 2010
-- MCQs
40
Which of the following is the

MOST useful test in early
facial nerve injury:
1. Nerve excitability test.
2. Maximum stimulation test.
3. Electromyography.
4. Electroneuronography.
Answer 4
Feb. 2010
-- MCQs
41
Preganglionic sympathetic
mediator is:
1. Epinephrine.
2. Noradrenaline.
3. Adrenaline.
4. Acetyl choline.
Answer 4
Feb. 2010
-- MCQs
42
The chief muscle which opens

eustachian tube:
1. Palatopahryngeus.
2. Salpingopharyngeus.
3. Tensor palati.
4. Levator palati.
Answer 3
Feb. 2010
-- MCQs
43
The only abductor of vocal

cord is:
1. Cricoarytenoid.
2. Interarytenoid.
3. Posterior cricoarytenoid.
4. Lateral cricoarytenoid.
Answer 3
Feb. 2010
-- MCQs
44
First pharyngeal arch give rise

to:
1. Stapes.
2. Incus.
3. Styloid processs.
4. Nasal bone.
Answer 2
Feb. 2010
-- MCQs
45
Stones of salivary glands

1. Usually radiopaque.
2. May reveal underlying sialectasis.
3. Most commonly in parotid gland.
1
Feb. 2010
-- MCQs
46
The narrowest area of infant

larynx is at level of:
1. Cricoid cartilage.
2. True vocal cord.
3. False vocal cords.
4. Subglottic area.
Answer 1
Feb. 2010
-- MCQs
47
Tonsills develop from:

1. 1st pharyngeal pouch.
2. 2nd pharyngeal pouch.
3. 1st pharyngeal arch.
4. 2nd pharyngeal arch.
Answer 2
Feb. 2010
-- MCQs
48
Eustachian tube is closed by

the action of
1. Tensor palati.
2. Levator palati.
3. Salpingopharyngeus.
Answer 4
Feb. 2010
-- MCQs
49
Histological characteristics of
Wegner's granulomatosis:
1. Vasculitis,non-granulomatous
polymorphonuclear infiltration.
2. Vasculitis, granulomatous
polymorphonuclear infiltration.
3. Vasculitis, granulomatous
oesinophilic infiltration.
4. Monomorphic infiltration.
Feb. 2010
Answer 2
-- MCQs
50
The most common

complication of FESS:
1. Bleeding.
2. Cranial complictions.
3. Anosmia.
4. Synaechia.
Answer 4
Feb. 2010
-- MCQs
51
In trigeminal neuralgia:
1. Pain is throbbing.
2. Mastication is restricted.
3. Facial sensation is dimineshed.
4. Movement of the face may trigger
the attack.
Answer 4
Feb. 2010
-- MCQs
52
Sensory supply of ear lobule is

carried through:
1. Greater occipital nerve.
2. Lesser occipital nerve.
3. Auriculotemporal nerve.
4. Facial nerve.
Answer 2
Feb. 2010
-- MCQs
53
Cribriform plate is :
1. Separate bone.
2. Part of sphenoid bone.
3. Part of frontal bone.
4. Part of ethmoid bone.
Answer 4
Feb. 2010
-- MCQs
54
As a surgical landmark in the

lateral nasal bone :
1. Haller cells at the end of uncinate
process.
2. Frontonasal recess opens anteriorly
to infundibulum.
3. Onodi cells are the most posterior
ethmoid cells.
4. 2 & 3 .
Feb. 2010
-- MCQs
55
Pre-epiglottic space boundries

1.
Lateral glosso-epiglottic
lig.,thyroid
include
:
cart. & thyrohyoid membrane.
2. Lateral glosso-epiglottic lig.,thyroid
cart. & cricoid cart. .

3. Median glosso-epiglottic lig.,hyoid
bone & thyrohyoid memb. .

4. Median glosso-epiglottic lig.,thyroid
cart. & thyrohyoid membrane. 4

Feb. 2010
-- MCQs
56
The MOST common route of

spread of supraglottic
carcinoma :
1. Lymphatic.
2. Blood spread.
3. Anteriroly through fenestra of
cartilage to pre-epiglottic space.

4. Inferiorly to the lung.
Answe 3
Feb. 2010
-- MCQs
57
Structures passing through

superior orbital fissure:
1. III, IV , V2 , superior orbital vein.
2. III, IV , V1 , orbital br. of middle
meningeal artery.
3. II, III ,IV ,V1.
4. II, III , IV , V2.
Answer 2
Feb. 2010
-- MCQs
58
Functions of laryngeal
saccule:
1. Tension of vocal cords.
2. Resonation of voice.
3. Secretion of lubricant mucous.
Answer 3
Feb. 2010
-- MCQs
59
The best surgical approach for

facial nerve trauma with good
hearing ability:
1. Transmastoid.
2. Retrosigmoid.
3. Translabyrinthine.
4. Middle cranial fossa.
Answer 4
Feb. 2010
-- MCQs
60
A physiological method for

evaluation of eustachian tube
function in a child with
perforated T.M. is:
1. Tympanometry.
2. Valsalva's maneuvre.
3. Politzarisation.
4. Unproved.
? Answer 2
Feb. 2010
-- MCQs
61
Blood supply of the

parathyroid gland:
1. Superior thyroid artery.
2. Inferior thyroid artery.
3. Inferior and superior thyroid artery.
4. Thyroida ima.
Answer 2
Feb. 2010
-- MCQs
62
Parathyroid hormone causes

all of the following EXCEPT :
1. Increases Ca absorption from
intestine.
2. Increses Ca resorption from kidney.
3. Increses calcitonin.
4. Increses bone calcification.
3
Feb. 2010
-- MCQs
63
Acoustic reflexes are lost if

the hearing loss is more than :
1. 40 dB.
2. 50 dB.
3. 55 dB.
4. 60 dB.
Answer 60
Feb. 2010
-- MCQs
64
Pain sensitive structures in

brain include all except:
1. Circle of willis.
2. Falx cerebri.
3. Venous sinuses and tributaries.
4. Basal dura.
Answer 2
Feb. 2010
-- MCQs
65
Salivary gland oncocytoma

arises from :
1. Acinar cells.
2. Excretory duct cells.
3. Striated duct cells.
4. Intercalated duct cells.
Answer 3
Feb. 2010
-- MCQs
66
Patient with voice

change,absent taste sensation
from post. 1/3 of tongue and
palatal paralysis, which
cranial nerve affected:
1. VII,X.
2. VII,IX.
3. IX,X.
4. X,XI.
Answer 3
Feb. 2010
-- MCQs
67
Point of meeting of internal

laryngeal and reccurrent
nerves is called:
1. Berry's anstomosis.
2. Kissellbash's anstomosis.
3. Galen's anastomosis.
3
Feb. 2010
-- MCQs
68
Chvostek's sign is present in:

1. Hypomagnesaemia.
2. Hypocalcaemia.
3. Hypokalaemia.
4. 1 and 2 only.
Answer 4
Feb. 2010
-- MCQs
69
Bilateral facial palsy is

present in all of the following
EXCEPT:
1. Mobuis syndrome.
2. Lyme disease.
3. Sarcoidosis.
4. Melkersson-Rosenthal syndrome.
Answer 2
Feb. 2010
-- MCQs
70
The condition in which there is

abberant innervation between
facial nerve fibres after
trauma is called:
1. Frey's syndrome.
2. Bogarad syndrome.
3. Vernet syndrome.
4. Rolet syndrome.
Answer 2
Feb. 2010
-- MCQs
71
The most important landmark

1. Descends posterior to the
in identification of external
sternothyroid muscle.
laryngeal nerve:
2. It crosses the superior thyroid
vessels to pierce th cricothyroid

muscle.
3. It descends deep to superior thyroid
vessels.
4. At 1.5 cm medial to the inferior
cornu of the inferior thyroid

Feb. 2010
Answer 4
-- MCQs
72
Normal flora of the mouth

include all of the following
except:
1. Staph. Epidermitis.
2. Bacteroids.
3. Corynobacteruim.
4. Streptococcus pneumonia.
Answer 3
Feb. 2010
-- MCQs
73
A patient with anosmia will

continue smelling :
1. Alcohol.
2. Amonia.
3. Coffee.
4. Garlic.
5. Vanillia.
Answer 2
Feb. 2010
-- MCQs
74
All are true about congenital

syphilis EXCEPT:
1. Perforation of the nasal septum.
2. Saddle nose.
3. Snuffles in the newborn.
4. Atrophic rhinitis.
5. Mucocutaneous lesions.
Answer 5
Feb. 2010
-- MCQs
75
leprotic nasal septum

perforation involves:
1. Bony septum.
2. Cartilagenous septum.
3. Both bony and cartilagenous.
4. Same as syphilis.
5. 1&4.
Answer 3
Feb. 2010
-- MCQs
76
In concern to the ear, the 1st

brachial arch contributes in
the formation of:
1. Tragus.
2. Helix.
3. Scapha.
4. Lobule.
5. 1&2
6. 3&4
Feb. 2010
Answer 5
-- MCQs
77
Which of the following sinuses

is found aerated at birth:
1. Maxillary.
2. Frontal.
3. sphenoidal.
4. 2&3.
5. None.
Answer 1
Feb. 2010
-- MCQs
78

derived from the 1st branchial
arch except:
1. Malleus.
2. Stapes.
3. Tensor tympani muscle.
4. Incus.
Answer 2
Feb. 2010
-- MCQs
79
About the cochlea, which of

1. Bony labyrinth is formed from 12
the
following
is
false:
centers of ossification.
2. Complete ossification and adult size
cochlea is reached by the 23rd

weeks.
3. At the 26th weeks it starts sending
auditory informations.
4. It is formed from th auditory
placode.
Feb. 2010
Answer 1
-- MCQs
80
The nerve of the 4th branchial

arch forms:
1. Geniculate ganglion.
2. Semilunar ganglion.
3. Facial nerve.
4. Glossopharyngeal nerve.
5. Superior laryngeal nerve.
Answer 5
Feb. 2010
-- MCQs
81
The artery of the left 4th

branchila arch gives:
1. Common carotid artery.
2. Thyroida imma.
3. Aorta .
4. Ligamentum arteriosum.
Answer 3
Feb. 2010
-- MCQs
82
The cartilage bar of the 6th

branchial arch give rise to all
of the following except:
1. Cricoid cartilage.
2. Arytenoids.
3. Corniculate.
4. Thyroid cartilage.
Answer 4
Feb. 2010
-- MCQs
83
About thyroid (ventral)

diverticulum ,all is truest
1. It descends between the 1 and 2nd
except:
arches.
2. It starts from the foramen caecum
on the tongue between the

tuberculum impar and the copula.
3. It usually atrophies at the 6th week
of gestation,if not a thyroglossal

cyst is formed.
Answer 4
Feb. 2010
-- MCQs
84
The artery of the 3rd branchial

arch give rise to the :
1. Aorta.
2. Carotid artery.
3. Superior thyroid artery.
4. Inferior thyroid artery.
5. Ligamentum arteriosum.
Answer 2
Feb. 2010
-- MCQs
85
The parathyroid glands arise

from:
1. Ventral aspect of 3rd pouch.
2. Dorsal aspect of 1st and 2nd pouches.
3. Ventral aspect of 2nd arch.
Answer 2
Feb. 2010
-- MCQs
86
Post ganglionic sympathetic

fibers mediators to smooth
muscles is:
1. Acetyl choline.
2. Adrenaline.
3. Noradrenaline.
4. Prostigmine.
Answer 3
Feb. 2010
-- MCQs
87
Post ganglionic sympathetic

fibers mediators to sweat
glands is:
1. Acetyl choline.
2. Adrenaline.
3. Noradrenaline.
4. Prostigmine.
Answer 1
Feb. 2010
-- MCQs
88
The T.M and ossicular action

increase hearing power by:
1. 10-15 dB.
2. 15-23 dB.
3. 24-29 dB.
4. 0-5 dB.
Answer 3
Feb. 2010
-- MCQs
89
A surgical landmark in the

lateral nasal wall:
1. Haller cells at the end of the
uncinate plate.
2. Fronto-nasal recess opens anterior
to infundibulum.
3. Onodi cells are the most postero-
lateral ethmoidal cells.

4. 2&3
Feb. 2010
-- MCQs
90
The cribriform plate is :

1. Separate bone.
2. Part of the ethmoidal bone.
3. Part of sphenoidal bone.
4. Part of frontal bone.
Answer 2
Feb. 2010
-- MCQs
91
A patient with complete facial

trauma with good hearing,
you can best approach
through :
1. Transmastoid.
2. Translabyrinthine.
3. Retrosigmoid.
4. Middle fossa aaproach.
5. Infratemporal fossa approach.
?Answer 4
Feb. 2010
-- MCQs
92
All of the following are normal

commensal of the mouth
except:
1. Staphylococci epidermitis.
2. Streptococci.
3. Bacteroids.
4. Corynobacteruim.
5. Streptococcus viridans.
Answer 4
Feb. 2010
-- MCQs
93
changes, absent taste &

sensory sensation from
posterior 1/3 of tongue and
palatal paralysis. Which of the
following nerves you expect to
1.
& X.
beIXinjured:
2. IX & XII.
3. X & XI.
4. V , IX & X.
Answer 1
Feb. 2010
-- MCQs
94
Ear plugs can attenuate the

noise presented to the ear by:
1. 10-20 dB.
2. 20-40 dB.
3. 30-50 dB.
4. 40-60 dB.
5. 50-70 dB.
Answer 2
Feb. 2010
-- MCQs
95
Relation between vascular and

neurological supply of the
nose:
1. Anterior.
2. Lateral.
3. Medial.
4. Posterior.
?
Feb. 2010
-- MCQs
96
Early signs of respiratory

failure:
1. Cyanosis.
2. Tachypnea.
3. Subcostal retraction.
4. Biphasic stridor.
5. Irritability and gasping.
Answer 2
Feb. 2010
-- MCQs
97
Vasodilatation of nasal
mucosa can occur after :
1. Section of greater petrosal nerve.
2. Stimulation of adrenal medulla.
3. Section of vidian nerve.
4. Stimulation of cervical sympathetic
chain.
3
Feb. 2010
-- MCQs
98
Cavernous sinus contains all

except:
1. Oculomotor nerve.
2. Trochlear nerve.
3. Abducent nerve.
4. Trigeminal nerve with it's 3
divisions.
Answer 4
Feb. 2010
-- MCQs
99
All of the following can cause

bilateral facial palsy except:
1. Mobuis syndrome.
2. Lyme disease.
3. Sarcoidosis.
4. Melkersson Rosenthal syndrome.
Answer 4
Feb. 2010
-- MCQs
100
Vidian neurectomy can be

used to treat:
1. Menier's disease.
2. Benign paroxysmal positional
vertigo.
3. Vasomotor rhinitis.
4. Releive symptoms of trigeminal
neuralgia.
Feb. 2010
Answer 3
-- MCQs
101
After excision of malignant

thyroid tumour , the best
index in follow up is:
1. TSH
2. T3
3. T4
4. Serum thyroglobulin.
Answer 4
Feb. 2010
-- MCQs
102

depressors of larynx except:
1. Sternohyoid.
2. Omohyoid.
3. thyrohyoid,.
4. Geniohyoid.
Answer 4
Feb. 2010
-- MCQs
103
All of the following are signs

of orbital blow out except:
1. Exophtalmous.
2. Tear drop sign in X-ray.
3. Diplopia.
4. Bony step-off of orbital rim.
Answer 1
Feb. 2010
-- MCQs
104
Alport syndrome is
characterised by all except:
1. Affects all males but not all females.
2. Renal failure.
3. Sensorineural hearing loss at birth.
4. U-shaped audiogram.
5. 3 & 4.
Answer 5
Feb. 2010
-- MCQs
105
Osteoma is more common in :

1. Maxillary sinus.
2. Frontal sinus.
3. Ethmoid sinus.
4. Sphenoid sinus.
Answer 2
Feb. 2010
-- MCQs
106
Exostosis is characterised by
all except:
1. Multiple.
2. Bilateral.
3. Peduculated.
4. Usually in cold water divers.
5. Lamellated bone.
Answer 3
Feb. 2010
-- MCQs
107
Reinke' space is:

1. The superficial lamina propria.
2. The intermediate lamina propria.
3. The deep lamina propria.
4. The outer squamous epitheluim.
Answer 1
Feb. 2010
-- MCQs
108
Nerve supply of the

stylopharyngeous muscle :
1. X
2. XI
3. IX
4. XII
Answer 3
Feb. 2010
-- MCQs
109
Stapedial fixation is confirmed

in operative room by :
1. Presence of stapedial reflex.
2. Presence of round window reflex.
3. Tympanometry.
Answer 2
Feb. 2010
-- MCQs
110
The most common

complication of stapedectomy
is :
1. Deafness.
2. Injury to facial nerve.
3. Perilymph fistula.
4. Injury to the vestibular nerve.
Answer 3
Feb. 2010
-- MCQs
111
The mandibular nerve supplies

all except:
1. Tensor palati.
2. Levator palati.
3. Lateral pterygoid.
4. Tensor tympani.
Answer 2
Feb. 2010
-- MCQs
112
Dysphagia lusoria is the

condition
in
which
there
1. Spasm of lower oesophageal
is:7elwa
sphincter with dilatation of
oesophagus.
2. Spasm of lower 1/3 oesophagus.
3. Encroachment on the oesophaagus
by right subclavian artery.

4. Encroachment on the oesophaagus
by right bronchus.
Feb. 2010
Answer 3
-- MCQs
113
The space defect between the

cricopharyngeus muscle and
circular muscles of
oesophagus is called:
1. Killian' space.
2. Killian-Jamieson space.
3. Lamier-Hachman space.cummings
4. Zenker's diverticulum.
answer3
Feb. 2010
-- MCQs
114
About lymph drainage of head

1.
Lymphatic
contentof
is similar
and
neck,which
the to that
of thoracicis
duct.
following
true:
2. Right side of H&N drains with right
side of the body in the right

subclavian vein.
3. Left side of H&N drains in the
thoracic duct.
4. The right and left side lymphatics
drain in the thoracic duct.

Feb. 2010
Answer 5
-- MCQs
115
In a patient with right

paralytic labyrinth, which of
the following is correct:
1. Right beating nystagmus.
2. Left beating nystagmus.
3. Vertical nystagmus.
4. Total hearing loss
Answer 2
Feb. 2010
-- MCQs
116
In acoustic neuroma, you can

find:
1. High frequency SNHL.
2. Low frequency SNHL.
3. Flat audiogram.
4. Notch at 2 KHZ.
Answer 1
Feb. 2010
-- MCQs
117
Patient complaining of
conductive hearing loss, may
have:
1. Early otosclerosis.
2. Paget's disease.
3. Inner ear conductive hearing loss.
4. Abnormal perilymph pressure.
5. All of the above.
Answer 5
Feb. 2010
-- MCQs
118
The muscle known as anterior

pillar of the tonsil is
innervated by:
1. Same nerve supply of tongue
through XII.
2. Same nerve supply of palate
through X.
4. Spinal accesory nerve.
Feb. 2010
-- MCQs
119
Ephedrine is not preffered

locally in the nose because:
1. Irritates nasal mucosa.
2. Causes mucocilliary paralysis.
3. May raise the blood pressure.
4. Rapidly causes atrophy of nasal
mucosa.
Answer 2
Feb. 2010
-- MCQs
120
Keratosis obturans:
1. Premalignant.
2. Needs emergent surgery.
3. Always associated with
cholesteatoma.
4. Collection of desquamated
epitheluim occluding external canal.

5. 3 &4
Saudi
Feb. 2010
Answer 4
C o m m i s s i o n F o r H e a l t h S p e c i a l i t i e s - - E . N . T.
-- MCQs
121
In aminoglycoside induced
deafness, which structure is
affected:
3. Tectorial membrane.
Answer 2
Feb. 2010
-- MCQs
122
In kobrak test:
1. Patient is sitting and head tilted 30
degrees bacwards.
2. Patient is sitting and head tilted 60
degrees bacwards.
3. Patient is supine and head tilted 30
degrees bacwards.
4. Patient is supine and head tilted 60
degrees bacwards.
Feb. 2010
Answer 2
-- MCQs
123
EBV is related to all of the

following except:
1. Infectious mononucleosis.
2. Hodgkin's lymphoma.
3. Wegner' granulomatosis.
4. Burkit' lymphoma.
5. AIDS.
6. Nasopharyngeal carcinoma.
Feb. 2010
Answer 5
-- MCQs
124
In modified radical neck

dissection type I , which of the
following will be preserved:
1. Thoracic duct.
2. Spinal accesory nerve.
3. Internal jugular vein.
4. Sternomastoid muscle.
5. 2 & 3.
Answer 2
Feb. 2010
-- MCQs
125
The primary neuron cell body

of clfactory nerve is located
in:
1. Olfactory bulb.
2. Nasal mucosa.
3. Cribriform plate.
4. Prefrontal cortex
Answer 2
Feb. 2010
-- MCQs
126
Which one of the following will

do best in olfactory
identification test:
1. 38 year old man.
2. 40 year old woman.
3. 68 year old woman.
4. 67 year old man.
5. 5 year old girl.
Answer 2
Feb. 2010
-- MCQs
127
1. Skin, connective tissue, loose
Layers
of
the
scalp
from
out
areolar tissue, aponeurosis,
inwards:
pericranuim.
2. Skin, connective tissue,
aponeurosis, loose areolar tissue,

pericranuim.
3. Skin, aponeurosis, connective
tissue, loose areolar tissue,

pericranuim.
4. Sclap proper, areolar tissue,
pericranuim.
Feb. 2010
Answer 5
-- MCQs
128
Rupture of the round window

is thought to cause:
1. Increase endolymphatic pressure.
2. Decrease endolymphatic pressure.
3. No change in endolymphatic
pressure.
4. Bring endolymphatic pressure to
zero.
Feb. 2010
Answer1
-- MCQs
129
Epiglottopexy is used to treat:

1. Snoring.
2. Severe cases of laryngomalacia.
3. Laryngeal web.
4. Lacalised vocal cord tumours.
Answer 2
Feb. 2010
-- MCQs
130
windy day, he got sneezing

and rhinorhoea which are
rapidly releived when he went
indoor. After 6 hours,
symptoms
came back. This is
1.
Kinines.
due
to
:
2. Histamines.
3. Leukotrienes.
4. Prostaglandin D2.
5. Chemotactic agents.
Answer 4
Feb. 2010
-- MCQs
131
Abducent palsy can be caused

in all of the following except:
1. Gradenigo's syndrome.
2. Apicitis.
3. Sphenoidal sinusitis.
Answer 4
Feb. 2010
-- MCQs
132
Trotter' triad consisit of all of

the following except:
1. Bilateral conductive hearing loss.
2. Otalgia and facial pain.
3. Unilateral immobile soft palate.
4. Unilateral ear effusion.
Answer 1
Feb. 2010
-- MCQs
133
All is true about Boeck's triad

except:
1. Swelling below angle of mandible.
2. Trismus.
3. Tonsil is pushed medially.
All true
Feb. 2010
-- MCQs
134
Which of the following

malignancies are most highly
associated with HIV:
1. Non-Hodgkin lymphoma.
2. Kaposi's sarcoma.
3. Hodgkin lymphoma.
4. Squamous cell carcinoma of the
head and neck.

Answer 2
Feb. 2010
-- MCQs
135
Which specific nerve block will

lead to the greatest morbidity
after a misplaced injection:
1. Maxillary nerve.
2. Sphenopalatine ganglion.
3. Mandibular nerve.
5. Stellate ganglion.
Answer 4
Feb. 2010
-- MCQs
136
The relationship between the

function of the upper and
lower lateral cartilage in the
majority of humans is
1. Interlocked scroll.
2. Overlap.
3. End-to-end contact.
4. Opposed scroll.
Answer 1
Feb. 2010
-- MCQs
137
The external nasal nerve is a

branch of the _____________
nerve.
1. Supratrochlear
2. Posterior ethmoid
3. Sphenopalatine
4. Anterior ethmoid
Answer 4
Feb. 2010
-- MCQs
138
Reflex lacrimal gland

secretion is mediated by
parasympathetic fibers of
cranial nerve
1. V.
2. VII.
3. III.
4. IX.
Answer 2
Feb. 2010
-- MCQs
139
The sphenopalatine ganglion

is
1. a special sensory afferent.
2. sympathetic.
3. parasympathetic.
4. a somatic sensory afferent.
Answer 3
Feb. 2010
-- MCQs
140
The nasopalatine nerve

supplies sensation to the
mucosa of the
1. Anterior premaxillary palate.
2. Soft palate.
3. Lateral nasal passage.
4. Anterior cheek
Answer 1
Feb. 2010
-- MCQs
141
The most commonly injured

branch of the facial nerve in
rhytidectomy is the
1. Temporal.
2. Marginal mandibular.
3. Buccal.
4. Cervical.
5. Zygomatic.
Answe r 3
Feb. 2010
-- MCQs
142
Infection spread from the

maxillary sinus intracranially
most likely travels through
the
1. Angular veins.
2. Ophthalmic artery.
3. Superior labial veins.
4. Pterygoid plexus.
Answer 4
Feb. 2010
-- MCQs
143
The frontal sinus is fully

developed by _____ year(s) of
age.
1. 1
2. 4
3. 8
4. 12
5. 18
Answer 5
Feb. 2010
-- MCQs
144
Innervation of the ethmoid air

cells includes all but the
_______ nerve.
1. Ophthalmic
2. Nasociliary
3. Maxillary
4. Sphenopalatine
5. Nasopalatine.
Answer 5
Feb. 2010
-- MCQs
145
Frostbite of the auricle is most

effectively managed by
1. Radiant heat.
2. Rubbing with snow.
3. Watchful waiting.
4. Application of 40 c soaks.
5. Alternating cool and warm soaks.
Answer 4
Feb. 2010
-- MCQs
146
The most important aspect of

management of chrondritis of
the
auricle
is
1.
Injection
of gentamicin
subperichondrially.
2. Systemic antibiotics.
3. Topical antibiotics introduced
through catheters.
4. Early skin grafting.
5. Protective pressure dressings.
Answer 3
Feb. 2010
-- MCQs
147
The hallmark of allergic fungal

sinusitis is
1. Allergic mucin.
2. Hyphal invasion through the
epithelium.
3. Mycetoma.
4. Vascular invasion and proliferation
by fungi.
Answer 1
Feb. 2010
-- MCQs
148
The first-echelon nodal

drainage for tumors of the
nasal space and maxillary
sinus is the __________ node.
1. lateral retropharyngeal
2. Facial
3. Parotid
4. Jugulodigastric.
Answer 1
Feb. 2010
-- MCQs
149
Ohngren's line is an important

delineator of prognosis in the
management of carcinoma of
the maxillary sinus. This
imaginary line drawn between
what
two
structures?
1. Tip of the nose and tragus
2. Medial canthus and angle of the jaw
3. Nasal tip and angle of the jaw
Answer 2
Feb. 2010
-- MCQs
150
What are the anatomic

landmarks that define the
1.
Inferior wall
of external line:
auditory
Frankfort
horizontal
canal to the inferior orbital rim.
2. Root of the superior helical ring to
the infra orbital ring.

3. Superior tragal root to nasojugal
fold.
4. Superior wall of the external
Answer 4
auditory canal to infra orbital rim.
Feb. 2010
-- MCQs
151
Attacks of giddiness in
otosclerosis occur due to
involvement of:
1. Oval window.
2. Roud window.
3. Vestibular aqueduct.
4. Cochlear aqueduct.
Answer 3
Feb. 2010
-- MCQs
152
Perilymoh fistula should be

suspected after stapedectomy
if there is:
1. Persistent conductive hearing loss.
2. Fluctuating hearing loss.
3. Absence of tinnitus.
4. Absence of vertigo.
Answer 2
Feb. 2010
-- MCQs
153
The tympanogram of an
otosclerosis patient will show:
1. Type A curve.
2. Type Ad curve.
3. Type As curve.
4. Type B curve.
Answer 3
Feb. 2010
-- MCQs
154
The tympanogram of an
osteogenesis imperfecta
patient
show: reflex with low
1.
Presencewill
of acoustic
compliance.
2. Absence of acoustic reflex with high
compliance.
3. Presence of acoustic reflex with high
compliance.
4. Absence of acoustic reflex with high
compliance.
Feb. 2010
Answer 2
-- MCQs
155
Which of the following

immunoglobulins is most
important in memory immune
responses?
1. IgG
2. IgM
3. IgA
4. IgE
5. IgD
Answer 1
Feb. 2010
-- MCQs
156
Eosinophils produce all of the

following except :
1. Peroxidases.
2. Neurotoxins.
3. Proteins.
4. Cytokines.
5. Histamine.
Answer 5
Feb. 2010
-- MCQs
157
In testing for nasal allergy,

which drug does not affect
skin test results?
1. Chlorpheniramine.
2. Fexofenadine.
3. Prednisone.
4. Doxepin.
5. Astemizole.
Answer 3
Feb. 2010
-- MCQs
158
Which of the following are not

removed in a radical neck
dissection?
1. Submental nodes
2. Jugular nodes
3. Spinal accessory nodes

4. The tail of the parotid gland.
5. All of the above are removed in
radical neck dissection.

Feb. 2010
Answer 5
-- MCQs
159
The first salivary gland to

develop is
1. Sublingual salivary gland
2. Submandibular salivary gland
3. Accessory salivary glands
4. Parotid gland
Answer 4
Feb. 2010
-- MCQs
160
The point of bony and

cartilagenous parts on the
dorsum of the nose is called:
1. Nasion.
2. Rhinion.
3. Ganion.
4. Columella.
5. Pogonion.
Answer 2
Feb. 2010
-- MCQs
161

17-
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SAUDI COMMISSION

The interaural difference in

petrous and squamous.

anterior and posterior.

Anatomy of tympanic cavity

Which of the following is

Ear compliance is measured

2. High incidence of tympanic

3 years old child with sinusitis

When examining a case of

Vretical petrous part of

Endolymphatic duct lies :

Utricle is connected to saccule

Patient with right complete

As landmarks in the anatomy

the uncinate plate.

Optic foramen lies:

wing of sphenoid bone.

Bat ear is due to under

Compoud action potential

The endocochlear potential

About adenoids and tonsils:

afferent an efferent lymphatics.

pseudostratified columnar ciliated

The most specific answer

top of outer hair cells.

Bony labyrinth develops from

The 4th branchial arch nerve

Which of the following never

1. Inferior border of thyroid cartilage.

A 6 months old infant with

A new born with bilateral

used till that.

used till that.

In cancer larynx , vocal cord

Fusion of intermaxillary suture

All of the following are

layer of tympanic memebrane.

Number of bones froming

All of the following bones

Cell bodies of sympathetic

Following facial nerve

Facial nerve is not fully

Which of the following is used

Which of the following is the

The chief muscle which opens

The only abductor of vocal

First pharyngeal arch give rise

Stones of salivary glands

The narrowest area of infant

Tonsills develop from:

Eustachian tube is closed by

The most common

Sensory supply of ear lobule is

As a surgical landmark in the

Pre-epiglottic space boundries

2. Lateral glosso-epiglottic lig.,thyroid

cart. & cricoid cart. .

bone & thyrohyoid memb. .

cart. & thyrohyoid membrane. 4

The MOST common route of

cartilage to pre-epiglottic space.

Structures passing through