ENT: PRACTICE 1

                                SINGLE BEST OPTION SERIES

             INSTRUCTION: SELECT THE SINGLE BEST OPTION

1.       The following arteries participate in the formation of Kiesselbach’s plexus except:
   a.       Septal branch of the superior labial artery
   b.      Anterior ethmoidal artery
   c.       Posterior thmoidal artery
   d.      Sphenopalatine artery
   e.      Greater palatine artery
   2.       Blood supply to the nose does not include.................artery:
   a.       Ophthalmic branch of internal carotid artery
   b.      Facial artery
   c.       Maxillary artery
   d.      Branches of external carotid artery
   e.      None of the above
   3.       The commonest source of epistaxis in younger age group, is the:
   a.       Kiesselbach’s plexus
   b.      Woodruff’s plexus
   c.       Retrocollumelar vein
   d.      Ophthalmic artery
   e.      None of the above
   4.       The Woodruff’s area contain anastomosis between:
   a.       Sphenopalatine and the posterior pharyngeal arteries
   b.      Anterior and posterior ethmoidal arteries
   c.       Sphenopalatine and greater palatine arteries
   d.      Superior labial and posterior pharyngeal arteries
   e.      Anterior and posterior cirmcumflex humeral arteries
   5.       The retrocollumelar vein is located in:
   a.       Little’s area
   b.      Woodruff’s area
   c.       Kiesselbach’s area
   d.      Behind the bands separating the nasal cavity
   e.      Piriform fossa
   6.       The following are features of Juvenile nasopharyngeal angifibroma except:
   a.       The definitive diagnosis is made by biopsy
   b.      It is a benign but locally aggressive vascular tumour
   c.       It most commonly affect adolescent males
   d.      It may present with chronic epistaxis
   e.      Holman-Miller sign is pathognomonic of this condition
   7.       The causes of epistaxis does not include:
   a.       Vicarious menstruation
   b.      Sinunasal carcinoma
   c.       Rhinosinusitis
   d.      Moya Moya syndrome
   e.      Christmas disease
   8.       The following are correct about Osler-Weber-Randu syndrome except:
   a.       It is an autosomal dorminant disorder
   b.      They most commonly present with frequent epistaxis in childhood
   c.       The pathology is abnormal blood vessel formation
   d.      Telangiectasias are usually absent on the skin and oral mucosa
   e.      Diagnosis is made by the Curacao criteria
   9.       Epistaxis is a usual feature of the following diseases except:
   a.       Lymphogranuma venereum
   b.      Nasal syphilis
   c.       Nasal leprosy
   d.      Nasal tuberculosis
   e.      None of the above
   10.   The management of acute epistaxis does  not usually include:
   a.       Reassurance of the patient
   b.      Administering diazepam
   c.       Trotter’s manoeuvre
   d.      Valsava manoeuvre
   e.      Chemical cautery using silver nitrate
   
   
   
   
   ANSWERS:
   1. c
   2. e
   3. a
   4. a
   5. d
   6. a
   7. d
   8. d
   9. a
   10. d
                                           REMEMBER
   ” Some people sin by not working diligently for six days whereas, others – because of greed, unbelief or powerlessness- sin by working also on a day of rest and worship. Either way of breaking this   command results in poverty.”   By  Vishal Mangalwadi.