ENT MCQ: PRACTICE 4

                            MULTIPLE CHOICE QUESTIONS SERIES

 INSTRUCTION: WRITE T (TRUE) OR F(FALSE) AGAINST THE OPTIONS IN EACH QUESTION

     

1.        The functions of tracheostomy are to:
   a.       Bypass an upper airway obstruction
   b.      Increase the anatomical dead space
   c.       Increase airway resistance
   d.      Protect against aspiration
   e.      Allow frequent airway suction
   2.       Myringoplasty
   a.       Is an operation for the treatment of acute mastoiditis
   b.      It should not be carried out in actively discharging ear.
   c.       Will markedly improve hearing in cases of sensorineural hearing loss
   d.      Often involves the use of temporalis fascia as graft
   e.      Perforation is closed successfully in all patients
   3.       Regarding the Tuning Fork Test:
   a.       Lateralization of Weber test to one ear may indicate conductive deafness in the contralateral ear
   b.      Secretory otitis media causes a negative Rinne’s test
   c.       Bone conduction is assessed by placing the base of tuning fork on the mastoid
   d.      Sensorineural deafness is usually associated with a positive Rinne’s test
   e.      The Weber’s test is a quantitative test of hearing
   4.       In a child with profound deafness following an episode of meningitis at age one year:
   a.       The hearing loss is more often than not bilateral
   b.      Speech acquisition is not affected
   c.       Purulent ear discharge is a usual accompaniment
   d.      Surgical treatment has no place in the management
   e.      A hearing aid is often helpful
   5.       A child of 2 years of age who has complains of nasal obstruction, mouth breathing and snoring at night is also likely to have:
   a.       Painless progressive conductive deafness
   b.      Inspiratory stridor
   c.       Secretory otitis media
   d.      Nocturnal cough
   e.      Chronic tonsillitis
   6.       In chronic tonsillitis in children:
   a.       The main diagnostic feature is the enlarged size of the tonsil
   b.      The adenoids are often chronically enlarged
   c.       Tonsillectomy is contraindicated in children below the age of six years
   d.      The cervical lymph nodes related to the lower half of the sternocleidomastoid muscle are typically enlarged.
   e.      Treatment with adequate doses of antibiotics such as penicillin will effect a cure
   7.       Allergic rhinitis:
   a.       May affect the mucosa of the paranasal sinuses
   b.      Is a form of delayed hypersensitivity reaction
   c.       When seasonal, is usually due to house dust mites.
   d.      Manifestations are caused by steroids released from mast cells
   e.      Typically present with paroxysms of sneezing and rhinorrhoea
   8.       Maxillary sinusitis:
   a.       Is often secondary to upper jaw dental infection
   b.      Is frequently seen in infants
   c.       Is associated with mucopurulent postnasal drip
   d.      May be complicated by orbital cellulitis
   e.      Is a premalignant condition
   9.       In acute otitis media:
   a.       The patient will experience discomfort on movement of the pinna
   b.      Conductive deafness is expected
   c.       Children are more commonly afftected
   d.      Primary treatment is surgical
   e.      Acute mastoiditis may occur
   10.   Ear syringing:
   a.       It is usually done with tepid water
   b.      Sometimes, patient can cough during the procedure because water can enter the nose and throat.
   c.       It is contraindicated in ear with traumatic tympanic membrane perforation
   d.      It is commonly used for toileting the ear of a patient with active chronic suppurative  otitis media
   e.      It is best done with ice-cold water
   
   
   
   
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