ENT: PRACTICE 6

                                  MULTIPLE CHOICE QUESTIONS SERIES

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

1.        The following paranasal sinus open into the middle meatus:
   a.       Posterior ethmoidal sinus
   b.      Frontal sinus
   c.       Maxillary sinus
   d.      Sphenoid sinus
   e.      Anterior ethmoidal sinus
   2.       Which of the following is incorrect about chronic ethmoidal sinusitis?
   a.       Usually presents with polypi which are causing nasal obstruction
   b.      The route of choice during treatment is frontoethmoidal approach
   c.        The patient is usually troubled by anosmia
   d.      Caldwell-Luc operation is the treatment of choice
   e.      Nasal discharge is a usual presentation
   3.       Concerning the maxillary sinus:
   a.       It is the smallest of the paranasal sinuses
   b.      Oro-antral fistula may lead to maxillary sinusitis
   c.       The roots of all the molars and sometimes the premolars and canine are in close relation to the floor of the maxillary sinus
   d.      Dental infection may lead to maxillary sinusitis
   e.      It drains with the help of gravity
   4.       Concerning chronic sinusitis:
   a.       It is never a part of generalized respiratory allergy
   b.      Alcohol and tobacco all lead to chronic congestion of the upper respiratory mucosa and may lead to chronic sinusitis
   c.       Inadequate pneumatisation of the paranasal sinuses is a predisposing factor
   d.      Sinus X-ray uncommonly show thickening of the lining mucosa
   e.      Culture of nasal swab may reveal saprophytic organisms or low-grade pathogens
   5.       Concerning the paranasal sinuses:
   a.       The ethmoidal sinuses occupy the space between the upper third of the lateral nasal wall and the lateral wall of the orbit F
   b.      Ethmoidal sinusitis may spread to the orbit
   c.       The optic nerve may be damaged during ethmoid surgery
   d.      The ostium of the sphenoid sinus drains into the sphenoethmoidal recess
   e.      They are lined by mucous membrane which is discontinuous with that of the nasal cavity
   6.       Which of the following suggest intracranial complication of acute sinusitis?
   a.       Character change in a patient
   b.      Drowsiness alternating with normality
   c.       Positive Kernig’s sign
   d.      Fits
   e.      None of the above
   7.       Regarding the development and functions of the paranasal sinuses:
   a.       Only the maxillary and ethmoidal sinuses are present at birth
   b.      They are filled with air during inspiration and emptied during expiration
   c.       High content of chlorine gas in swimming pools may lead to acute sinusitis
   d.      They are lined by ciliated columnar epithelium with goblet cells
   e.      The frontal sinus is most commonly infected
   8.       Concerning osteomyelitis of the maxilla:
   a.       It is a common complication of acute suppurative sinusitis
   b.      It is frequently mistaken for sinusitis in infants  
   c.       It rarely follows a dental infection
   d.      The patient is usually an infant or young child who presents with swelling of the cheek extending to the eye.
   e.      There may be purulent epiphora and nasal discharge.
   9.       The following are risk factors for acute sinusitis except:
   a.       Nasal infection
   b.      Trauma
   c.       Atrophic turbinates
   d.      Recent attack measles or chickenpox
   e.      Deviated nasal septum
   10.   Complications of acute sinusitis include:
   a.       Cavernous sinus thrombosis
   b.      Sub-dural abscess
   c.       Meningitis
   d.      Encephalitis
   e.      Pott’s puffy tumour from osteomyelitis of the frontal bone
   
   
   
   
   ANSWERS:
   Please click on the comment section below to reveal the answers.
   Have a great time here.