ENT: PRACTICE 5

                         MULTIPLE CHOICE QUESTIONS SERIES

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

1.                When testing a patient for facial nerve paralysis, the following are motions the patient should be requested to perform:
   a.       Raising the eyebrow                            
   b.      Closing the eyes tightly                      
   c.       Smiling                                                  
   d.      Opening the mouth                               
   e.      Gnashing the teeth                                 
   2.       A round glass bead lodged in the external ear canal:
   a.       Should be removed by grasping with forceps
   b.      Can cause otitis externa
   c.       Is a common cause of severe conductive deafness
   d.      May be removed by syringing
   e.      Is encountered more in teenagers than toddlers
   3.       A young adult male patient with a long history of hearing impairment, previous history of ear discharge and a dry central perforation in the affected ear:
   a.       He should have myringotomy performed.
   b.      He is likely to have a conductive deafness
   c.       There is no danger of further re-infection of that ear
   d.      Hearing in that ear can be improved with myringoplasty
   e.      He should keep the ear dry.
   4.       In the early stages of acute suppurative otitis media:
   a.       Infection usually enters the middle ear from the nasopharynx through Eustachian tube.
   b.      Tympanic membrane may be retracted on otoscopy
   c.       The initial infection is often viral
   d.      There is copious purulent discharge through the ear drum
   e.      Decongestant treatment and analgesics alone may be adequate treatment  
   5.       Hoarseness of voice may accompany:
   a.       Acute laryngitis
   b.      Recurrent laryngeal nerve palsy
   c.       Carcinoma of larynx
   d.      Thyroglossal cyst
   e.      Angioneurotic oedema
   6.       Tracheostomy:
   a.       Reduces anatomical dead space
   b.      Is always done under general anaesthesia
   c.       Is only done for upper respiratory obstruction
   d.      May be indicated in severe facio-maxillar trauma
   e.      Is creation of an opening into the larynx through the neck to provide alternative airway
   7.       Epistaxis:
   a.       Stops spontaneously in most cases
   b.      Arises from sinus
   c.       Only occurs in males
   d.      Most commonly from anterior inferior part of the nasal septum
   e.      In an elderly, it is often associated with hypertension
   8.       The Tuning Fork Test:
   a.       Is a clinical test of hearing assessment
   b.      The commonly used frequency is 256 Hz
   c.       Bone conduction is a measure of cochlear function
   d.      The commonly used ones in clinical practice are the Rinne’s and Schwabach’s tests
   e.      Stenger’s test is applicable in diagnosing non-organic hearing loss.
   9.       Nasal septal haematoma abscess:
   a.       Can present as an emergency
   b.      Usually complicates nasal trauma or septal injury
   c.       Does not result in necrosis of the cartilage with depression of the nasal dorsum
   d.      Treatment is usually surgical
   e.      Cavernous sinus thrombosis can be a serious complication
   10.   Adenoid facie include the following:
   a.       High arched hard palate
   b.      Frontal bossing
   c.       Open mouth posture
   d.      Prominent and crowded upper teeth
   e.      Pulmonary hypertension
   
   
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