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Uqu-Qbank-Chapter-5-Ear-Nose-And-Throat-Practice-Book.pdf
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355,1. 56 years old present with vasomotor rhinitis
a) Local anti-histamine
b) Local decongestion
c) Local steroid
d) Systemic antibiotic.
Antihistamines and oral decongestants.
2. 9 years old patient come with ear pain, red tense tympanic membrane, and negative Rhine's test with
positive Weber test with lateralization (conductive loss) for TOW days only?
a) Otitis media
b) Otosclerosis
c) cholesteatoma
3. The same case above BUT he said conductive hearing loss directly without those tests
a) Otitis media
4. A child was treated for otitis media with 3 different antibiotics for 6 weeks but without improvement.
Which antibiotic is the best treatment?
a) Amoxicillin
b) Penicillin
c) Cepahlosporin (ceprofloxacin)
d) Amoxicillin and Clavulonic acid
e) Erythromycin and sulfamethoxazol
5. best treatment for otitis media
a) Amoxcillin
6. Patient presented with ear pain , red tympanic membrane , apparent vessels , with limited mobility of the
tympanic membrane , what the most likely diagnosis
a) Acute otitis media.
b) Tympanic cellulites.
c) Mastoditis.
Otitis media: Caused by infection with Strep. Pneumonia, H. influenza. It follows URTI, this leads to
swelling of the Eustachian tube, thus compromising the pressure equalization.
Types: AOM: Viral & self-limiting. Bacterial leading to puss Bacterial infection must be treated with ABx
(augmentin) if not it can lead to: Perforation of the drum, Mastoiditis, Meningitis, OM with effusion
(secretory OM or Glue ear): Collection of fluid in the middle ear, leading to –ve pressure in the
Eustachian tube. Can lead to conductive hearing impairment. Treatment: Myringotomy (ventilation tube
or Grommet tube). CSOM: Perforation in the ear drums with active bacterial infection. Otorrhae is +ve.
7. Nasal decongestant (Vasoconstrictive) can cause:
a) Rhinitis sicca
b) Rebound phenomena
c) Nasal septal perforation
d) Vasomotor rhinitis
Rhinitis medicamentosa is a condition of rebound nasal congestion
356
,8. Most common cause of otorrhea:
a) acute otitis media
b) cholesteatoma
c) leakage of cerumen
d) Eustachian tube dysfunction
9. Patient with difficulty getting air. Nasal exam showed unilateral swelling inside the nose. What is the
initial treatment for this pt:
a) Decongestant
b) Sympathomimetic
c) Corticosteroid
10. Patient with ear pain and discharge, on examination he feels pain with moving ear pinna, normal
tympanic membrane erythematous auditory canal. diagnosis
a) otitis media
b) otitis externa
11. Patient with recurrent congested nose and conjunctivitis what would you give him.?
a) Antihistamine and oral decongestant
12. One of the steps in managing epistaxis:
a) Packing the nose
b) Press the fleshy parts of nostrils
c) Put patient of lateral lying position
13. Young patient with congested nose, sinus pressure, tenderness and green nasal discharge, has been
treated three times with broad spectrum antibiotics previously, what is your action:
a) Give antibiotic
b) Nasal corticosteroid
c) Give anti-histamine
d) Decongestant
14. Old man with cognitive deficit what we will screen?
a) IQ test
b) Involuntary movement test
c) MEMORY score test
d) Hearing test
15. Young man came with nasal bleeding from posterior septum not known to have any medical disease or
bleeding disorder MANGEMENT is.
a) Tampon in posterior septum
b) Screen for blood and coagulation
c) Inject septum by vasoconstrictor
d) spray anaesthetic or vasoconstrictor
16. What is the best diagnostic test for maxillary sinusitis:
a) CT scan
b) X ray
c) Torch examination
d) MRI
e) US
357
, 17. Which of the following is an indication for tonsillectomy?
a) Sleep apnea
b) Asymptomatic large tonsils
c) Peripharygeal abscess
d) Retropharyngeal abscess
18. Epistaxis treatment:
a) site upright forward w mouth open and firm press on nasal alar for 5 min
19. A 45 years old lady was complaining of dizziness, sensory neural hearing loss on her left ear (8 th nerve
palsy), tingling sensation & numbness on her face, loss of corneal reflex. MRI showed a dilated internal
ear canal (other Q C.T scan shows intracranial mass). The diagnosis is:
a) Acoustic neuroma
b) Glue ear
c) Drug toxicity
d) Herpes zoster
e) Cholesteatoma
20. A child presented with earache. On examination there was a piece of glass deep in the ear canal. The
mother gave a history of a broken glass in the kitchen but she thought she cleaned that completely. The
best management is:
a) Refer to ENT
b) Remove by irrigation of a steam of solution into the ear
c) Remove by forceps (don't irrigate )
d) Remove by suction catheter
e) Instill acetone into the external auditory canal
Consult an ENT specialist if the object cannot be removed or if tympanic membrane perforation is
suspected.
21. A 15 years old boy present with 5 days history of pain behind his left ear and 3 days history of swelling
over the mastoid. He had history of acute otitis media treated by amoxicillin but wasn’t a complete
course (or in other Qs he didn’t took the medication). On examination he has tenderness over the
mastoid bone with swelling, tympanic membrane shows absent cone reflex and mild congestion. what is
the diagnosis:
a) acute otitis media
b) serious otitis media
c) Acute mastoiditis
d) glue ear
22. Most common cause of hearing loss in children:
a) Chronic serous otitis media
b) Eustachian tube dysfunction
c) Ototoxic drugs
presbycusis the most sensorineural hearing loss in adult and otosclerosis commonest cause of
conductive hearing loss
23. Child with ear pain with positive pump test for tympanic membrane, treatment is:
a) Maryngiotomy
b) Amoxicillin/Potassium
358
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