ENT: PRACTICE 2

                                          SINGLE BEST OPTION SERIES

                        INSTRUCTION: SELECT THE SINGLE BEST OPTION

  

1.        Which of the following is inappropriate about anterior nasal packing?
   a.       Gauze of one metre in length is used in adults
   b.      Using adrenaline soaked gauze for the packing
   c.       Single pressure packing is done
   d.       Leaving the pack for 24 hours
   e.      None of the above
   2.       Which of the following is incorrect about epistaxis?
   a.       Trotter’s manoeuvre will stop the bleeding in about 60% of patients
   b.      Hypertension causes the patient to bleed more
   c.       Chronic liver disease and uraemia may cause epistaxis
   d.      Anterior nasal packing is best done using a Foley catheter
   e.      Gauze about the size of the patient’s tongue is used for posterior nasal packing
   3.       The following are appropriate options for a failed Trotter’s manoeuvre in a patient with epistaxis except:
   a.       Chemical cautery
   b.      Anterior or posterior nasal packing
   c.       Maxillary artery ligation
   d.      Ligation of the anterior ethmoidal artery
   e.      None of the above
   4.       The first step in the management of a patient with acute unstable bleed from epistaxis, is:
   a.       Trotter’s manoeuvre
   b.      Resuscitation
   c.       Maxillary artery ligation
   d.      Chemical cauterization
   e.      Postnasal pack
   5.       The following are traumatic causes of epistaxis except:
   a.       Nose pricking
   b.      Rhinolith
   c.       Punch to the nose
   d.      Fall from height
   e.      None of the above.
   6.       The following are components of the external ear except:
   a.       Pinna
   b.      External auditory meatus
   c.       Eustacian tube
   d.      Outer wall of the tympanic membrane
   e.      None of the above
   7.       The following are functions of the nose and paranasal sinuses except:
   a.       Humidification of air
   b.      Phonation
   c.       Filtration of air
   d.      Nasogastric reflex
   e.      None of the above
   8.       The following are parts of the pinna of the ear except:
   a.       Anti-tragus
   b.      Helix
   c.       Cavum conchae
   d.      Pars tensa
   e.      None of the above
   9.       Which of the following is incorrect about the paranasal sinuses?
   a.       They are eight in number with four on each side of the face
   b.      The anterior group of paranasal sinuses include the maxillary, frontal and sphenoid sinuses
   c.       Oro-antral fistulae and dental infection are important causes of maxillary sinusitis
   d.      They are air-filled cavities
   e.      The maxillary sinus does not drain by gravity.
   10.   Which of the following is incorrect?
   a.       The ear is fibro-Osseo-cartilaginous
   b.      The lobule of the pinna is devoid of cartilage
   c.       The external auditory canal is an ‘S-shaped’ structure in adults
   d.      The inner two-thirds of the external auditory canal is lined by skin and skin appendages such as hair follicles, sebaceous and ceruminous glands
   e.      The ear is an organ of hearing and balance
   
   
   
   
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