Quiz: Exam 2022 — AUA MCQ

Anatomy of tympanic cavity consists of

A Anterior wall consists of Eustachian tube and tensor tympani muscle above it. B Roof is related to temporal lobe of brain. C Posterior wall is related to carotid artery. D d-It's 1.5 distance from T.M. to promontory.

Which of the following is MOST specific for otosclerosis:

A Normal tymponometry with lost reflexes. B Hyperacusis Willichii C Carhart's notch. D Schwart's sign.

In transverse fractures of temporal bone ,all true except:

A A. Koilonychia B B. High incidence of ossicular discontinuity C C. High incidence of tympanic membrane rupture.. D D. High incidence of facial nerve injury.

Plummer Vinson syndrome is characterized by the following except:

A Iron deficiency anaemia B Red glazed tongue C ) hematemesis D Dysphagia

Plummer Vinson syndrome is characterized by the following except:

A Iron deficiency anaemia B Red glazed tongue C ) hematemesis D Dysphagia

Quinsy is a collection of pus in:

A a- Retropharyngeal space B b- Parapharyngeal space C c- -Peritonsillar space D d- within the tonsillar tissue

All are candidates for tonsillectomy except:

A a- A patient suffering +4 attacks of acute tonsillitis per year. B A patient having tonsillolith. C A patient with high ASOT D A patient with unilateral tonsillar enlargement.

The most common complication of FESS:

A Bleeding B Cranial complictions. C Anosmia D Synaechia

9) The only abductor of vocal cord is:

A Interarytenoid B Cricoarytenoid C Sinimis D d- Posterior cricoarytenoid.

A patient with anosmia will continue smelling:

A a-Alcohol. B b) -Amonía. C c-Coffee. D d-Garlic.

The interaural difference in wave V of ABR must not :

A exceed :0.2 msec B 1 msec C 0.1 msec D 2.4 msec

Korner's septum :

A Divides middle ear cavity into attic and tubal. B Unequally divides the nasal cavity. C Divides mastoid air cells into petrous and squamous. D Congenital defect in external ear canal.

Anatomy of tympanic cavity consists of :

A Anterior wall consists of Eustachian tube and tensor tympani muscle above it. B Roof is related to temporal lobe of brain. C Posterior wall is related to carotid arter D It's 1.5 distance from T.M. to promontory.

Which of the following is MOST specific for otosclerosis

A Normal tymponometry with lost reflexes. B Hyperacusis Willichii C Carhart's notch. D Schwart's sign.

7. 3 years old child with sinusitis , you expect affected

A sinuses are :Frontal and maxillary. B Frontal and ethmoidal. C Sphenoidal and maxillary D 4. Maxillary and ethmoidal.

When examining a case of functional loss of voice , you

A ask the patient to :Say (A) B Say (E) C Expirate air. D Cough

Utricle is connected to saccule via:

A Endolymphatic duct. B Crus communis. C Cochlear aqueduct. D Semicircular canals.

The narrowest area of infant larynx is at level of:

A Thyroid cartilage. B True vocal cord. C False vocal cords. D Subglottic area.

Ear compliance is measured by tympanometry using :

A Positive and negative pressure. B Positive pressure only. C Negative pressure only. D Electromechanic ridge.

About pterygomaxillary fissure : :

A Vascular compartment is lateral to neural compartment . B Neural compartment is anterior to vascular compartment. C Vascular compartment is anterior to neural compartment . D Neural compartment is lateral to vascular compartment.

Vretical petrous part of internal carotid artery is :

A 1. Lateral to middle meningeal artery. B 2. Lateral to cavernous sinus. C 3. Medial to optic chiasma. D 4. Medial to styloid base.

: Endolymphatic duct lies :

A 1. In middle cranial fossa. B 2. Posterior to posterior S.C.C. C 3. Between dura. D 4. Below posterior S.C.C.

Patient with right complete facial paralysis is working in a

A 1.noisy for 20 years,you can Right ear hearing loss is less at 4kHz. B 2.expect:Left ear hearing is worse than right. C 3. Both ears got equal hearing. D 4. Right ear hearing loss is more at 4kHz.

As landmarks in the anatomy of the lateral nasal wall:

A 1-Haller cells are present at the end of the uncinate plate. B 2-Onodi cells are the most posterior ethmoidal cells. C 3. Frontonasal recess opens anteriro to the infundibulum. D 4. 2&3 are correct.

Optic foramen lies:

A 1. In the greater wing of sphenoid bone. B 2. In the posterior part of frontal bone. C 3. Between the lesser and the greater wing of sphenoid bone. D 4. In the sphenoid body.

Cochlear microphonics originate from

A 1. Cochlear nerve. B 2. Basilar membrane. C 3. Outer hair cells. D 4. Inner hair cells.

Bat ear is due to under development of:

A 1. Helix B 2. Anti helix. C 3. Postauricular muscles. D 4. Ear scapha.

Compoud action potential originates from:

A 1. Auditory nerve. B 2. Basilar membrane C 3. Outer hair cells. D 4. Inner hair cells.

The endocochlear potential originates from:

A 1. Basilar membrane. B 2. Outer hair cells. C 3. Stria vascularis. D 4. Inner hair cells.

About adenoids and tonsils:

A 1. Both have the same antomy. B 2. Both have are lymphoid tissue with afferent an efferent lymphatics. C 3. Adenoids do have crypts D 4. Adenoidal mucosa is pseudostratified columnar ciliated epitheluim

The most specific answer about the primary site of

A 1.noise induced SNHL:Outer hair cells. B 2. Inner hair cells. C 3. Stria vascularis. D 4. Rootlets that connect stereocilia to top of outer hair cells.

The 4th branchial arch nerve develops into:

A 1. The glossopharyngeal nerve. B 2. Vagus nerve. C 3. Mandibular nerve. D 4. Superior laryngeal nerve.

Which of the following never undergo(es) calcification:

A 1. Inferior border of thyroid cartilage. B 2. Superior border of thyroid catilage. C 3. Auricle D 2&3

25.A 6 months old infant with cleft palate presented to your

A 1.clinic,his parents are worried At one year old. B 2.and asked you what is the After eruption of the first molar C 3.suitable time to operate the 2 years old D 4.baby:As soon as possible to prevent complications.

26.A new born with bilateral external canal atresia must

A 1.be operated:As soon as possible for adequate intellectual development as the baby almost can't hear. B 2. At 2 years old and hearing aids are used till that. C . At 5 years old and hearing aids are used till that. D 4.baby:As soon as possible to prevent complications.

27.In cancer larynx , vocal cord fixation is due to:

A 1. Invation of internal laryngeal nerve. B 2. Invation of external laryngeal nerve. C 3. Invation of posterior crithyroid muscle. D 4. Invation of thyroarytenoid muscle.

28.Fusion of intermaxillary suture forms:

A 1. Torus palatine. B 2. Torus maxillaris. C 3. Nasion D 4. Torus tuburous.

29.All of the following are components of the jugular

A 1.foramen except:Sigmoid sinus. B 2. Spinal accessory nerve. C 3. Inferior petrosal sinus. D 4. None of the above.

30.About tympanosclerosis

A 1. Usually due to high serum level of calcuim. B 2. Affects foot plate. C 3. Does not affect the inner mucosal layer of tympanic memebrane. D 4. Does not affect ossicles.

31.Cochlea is connected to saccule via:

A 1. Crus communis. B 2. Endolymphatic duct. C 3. Ductus reunis. D 4. Lateral semicircular canal

32.Osteomeatal complex is formed of all except:

A 1. Concha bullosa. B 2. Fovea ethmoidalis. C 3. Hiatus semilunaris. D 4. Bulla ethmoidalis.

33.Number of bones froming orbital fossa:

A 1. 4 B 2. 5 C 3. 6 D 4. 7

34.All of the following bones share in formation of orbit

A 1.except:Ethmoid bone B 2. Palatine bone C 3. Frontal bone. D 5. None of the above.

35.Cell bodies of sympathetic nerves of head and neck are

A 1.present in:Spinal root ganglion. B 2. Target organs. C 3. Cerebral cortex. D 4. Cervical sympathetic chain.

36.Following facial nerve trauma,peripheral end can be stimulated up to:

A :1. 10 days. B 2. 3 days. C 3. 5 days. D 4. 14 days.

37.Facial nerve is not fully developped untill the age of:

A 1. 1 years. B 2. 2 years. C 3. 3 years. D 4. 4 years.

38.Which of the following is used to predict facial function

A 1.return,6-12 weeks before Nerve excitability test. B 2.clinical evidences of recovery:Maximum stimulation test. C 3. Electromyography D 4. Electroneuronography.

39.Which of the following is the MOST useful test in early

A 1.facial nerve injury:Nerve excitability test. B 2. Maximum stimulation test. C 3. Electromyography. D 4. Electroneuronography

40.Preganglionic sympathetic mediator is:

A 1. Epinephrine. B 2. Noradrenaline C 3. Adrenaline. D 4. Acetyl choline

41.The chief muscle which opens eustachian tube:

A 1. Palatopahryngeus. B 2. Salpingopharyngeus. C 3. Tensor palati D 4. Levator palati.

42.The only abductor of vocal cord is:

A 1. Cricoarytenoid. B 2. Interarytenoid. C 3. Posterior cricoarytenoid. D 4. Lateral cricoarytenoid.

43.First pharyngeal arch give rise to:

A 1. Stapes. B 2. Incus. C 3. Styloid processs D 4. Nasal bone.

45.The narrowest area of infant larynx is at level of:

A 1. Cricoid cartilage. B 2. True vocal cord. C 3. False vocal cords. D 4. Subglottic area.

46.Tonsills develop from:

A 1. 1st pharyngeal pouch. B 2. 2nd pharyngeal pouch. C 3. 1st pharyngeal arch D 4. 2nd pharyngeal arch.

47.Eustachian tube is closed by the action of

A 1. Tensor palati. B 2. Levator palati. C 3. Salpingopharyngeus. D 4. None of the above.

48.Histological characteristics of Wegner's granulomatosis:

A 1. Vasculitis,non-granulomatous polymorphonuclear infiltration. B 2. Vasculitis, granulomatous polymorphonuclear infiltration. C 3. Vasculitis, granulomatous oesinophilic infiltration. D 4. Monomorphic infiltration.

50.The most common complication of FESS:

A 1. Bleeding. B 2. Cranial complictions. C 3. Anosmia. D 4. Synaechia.

51.In trigeminal neuralgia:

A 1. Pain is throbbing. B 2. Mastication is restricted C 3. Facial sensation is dimineshed D 4. Movement of the face may trigger the attack

52.Sensory supply of ear lobule is carried through:

A 1. Greater occipital nerve. B 2. Lesser occipital nerve. C 3. Auriculotemporal nerve D 4. Facial nerve.

54.Cribriform plate is :

A 1. Separate bone. B 2. Part of sphenoid bone. C 3. Part of frontal bone. D 4. Part of ethmoid bone.

62.A physiological method for evaluation of eustachian tube

A 1.function in a child with Tympanometry B 2.perforated T.M. is:Valsalva's maneuvre. C 3. Politzarisation. D 4. Unproved.

63.Blood supply of the parathyroid gland:

A 1. Superior thyroid artery. B 2. Inferior thyroid artery. C 3. Inferior and superior thyroid artery. D 4. Thyroida ima.

65.Acoustic reflexes are lost if the hearing loss is more

A 1.than :40 dB B 2. 50 dB. C 3. 55 dB. D 4. 60 dB.

Pain sensitive structures in brain include all except:

A 1. Circle of willis. B 2. Falx cerebri. C 3. Venous sinuses and tributaries D 4. Basal dura.

66.Salivary gland oncocytoma arises from

A 1. Acinar cells. B 2. Excretory duct cells. C 3. Striated duct cells D 4. Intercalated duct cells.

67.Patient with voice change,absent taste

A 1.sensation from post. 1/3 of VII,X. B 2.tongue and palatal paralysis, VII,IX. C 3.which cranial nerve affected:IX,X. D 4. X,XI.

69.Chvostek's sign is present in:

A 1. Hypomagnesaemia. B 2. Hypocalcaemia. C 3. Hypokalaemia D 4. 1 and 2 only.

70.Bilateral facial palsy is present in all of the following

A 1.EXCEPT:Mobuis syndrome. B 2. Lyme disease. C 3. Sarcoidosis. D 4. Melkersson-Rosenthal syndrome

71.The condition in which there is abberant innervation

A 1.between facial nerve fibres Frey's syndrome. B 2.after trauma is called:Bogarad syndrome. C 3. Vernet syndrome. D 4. Rolet syndrome.

72.The most important landmark in identification of external

A 1.laryngeal nerve:Descends posterior to the sternothyroid muscle B 3. It descends deep to superior thyroid vessels C 2. It crosses the superior thyroid vessels to pierce th cricothyroid muscle. D 4. At 1.5 cm medial to the inferior cornu of the inferior thyroid cartilage, it inserts in the cricothyroid

73.Normal flora of the mouth include all of the following

A 1.except:Staph. Epidermitis. B 2. Bacteroids. C 3. Corynobacteruim. D 4. Streptococcus pneumonia

75. In concern to the ear, the 1st brachial arch contributes in

A 1.the formation of:Tragus B 2. Helix. C 3. Scapha. D 5. 1&2

76. Which of the following sinuses is found aerated at

A 1.birth:Maxillary. B 2. Frontal. C 3. sphenoidal. D 4. 2&3.

77. All of the following are derived from the 1st

A 1.branchial arch except:Malleus. B 2. Stapes. C 3. Tensor tympani muscle. D 4. Incus.

78. About the cochlea, which of the following is false:

A 1. Bony labyrinth is formed from 12 centers of ossification. B 2. Complete ossification and adult size cochlea is reached by the 23rd weeks C 3. At the 26th weeks it starts sending auditory informations. D 4. It is formed from th auditory placode

79. The nerve of the 4th branchial arch forms:

A 1. Geniculate ganglion. B 2. Semilunar ganglion. C 3. Facial nerve. D 5. Superior laryngeal nerve.

80. The artery of the left 4th branchila arch gives:

A 1. Common carotid artery. B 2. Thyroida imma. C 3. Aorta . D 4. Ligamentum arteriosum.

1.of the following except:Cricoid cartilage.

A 2. Arytenoids. B 3. Corniculate. C 4. Thyroid cartilage. D No

The artery of the 3rd branchial arch give rise to the

A 1.: Aorta. B 2. Carotid artery. C 3. Superior thyroid artery. D 4. Inferior thyroid artery.

The parathyroid glands arise from:

A 1. Ventral aspect of 3rd pouch. B 2. Dorsal aspect of 1st and 2nd pouches. C 3. Ventral aspect of 2nd arch. D 4. None of the above.

81. fibers mediators to smooth

A 1.muscles is:Acetyl choline. B 2. Adrenaline. C 3. Noradrenaline. D 4. Prostigmine.

82. Post ganglionic sympathetic fibers mediators to sweat

A 1.glands is:Acetyl choline. B 2. Adrenaline. C 3. Noradrenaline. D 4. Prostigmine.

83. The T.M and ossicular action increase hearing power by

A 1. 10-15 dB B 2. 15-23 dB. C 3. 24-29 dB. D 4. 0-5 dB.

86. All of the following are normal commensal of the 1.mouth except:

A 2. Streptococci. B 3. Bacteroids C 4. Corynobacteruim D 5. Streptococcus viridans.

87. Patient suffering from voice changes, absent taste &

A 1.sensory sensation from IX & X. B 2.posterior 1/3 of tongue and IX & XII. C 3.palatal paralysis. Which of X & XI. D 4.the following nerves you V , IX & X. expect to be injured:

88. Ear plugs can attenuate the noise presented to the ear

A 1.by:10-20 dB. B 2. 20-40 dB C 3. 30-50 dB D 4. 40-60 dB.

90. Early signs of respiratory failure:

A 1. Cyanosis. B 2. Tachypnea. C 3. Subcostal retraction. D 4. Biphasic stridor.

93. All of the following can cause bilateral facial palsy except:

A 1. Mobuis syndrome. B 2. Lyme disease. C 3. Sarcoidosis. D 4. Melkersson Rosenthal syndrome

94. Vidian neurectomy can be used to treat:

A 1. Menier's disease. B 2. Benign paroxysmal positional vertigo. C 3. Vasomotor rhinitis. D 4. Releive symptoms of trigeminal neuralgia.

95. After excision of malignant thyroid tumour , the best

A 1.index in follow up is:TSH B 2. T3 C 3. T4 D 4. Serum thyroglobulin.

96. All of the following are depressors of larynx except:

A 1. Sternohyoid. B 2. Omohyoid. C 3. thyrohyoid, D 4. Geniohyoid.

97. All of the following are signs of orbital blow out except:

A 1. Exophtalmous. B 2. Tear drop sign in X-ray. C 3. Diplopia. D 4. Bony step-off of orbital rim.

98. Alport syndrome is characterised by all except:

A 2. Renal failure. B 3. Sensorineural hearing loss at birth. C 4. U-shaped audiogram. D 5. 3 & 4.

99. Osteoma is more common in :

A 1. Maxillary sinus. B 2. Frontal sinus. C 3. Ethmoid sinus. D 4. Sphenoid sinus.

101. Reinke' space is:

A 1. The superficial lamina propria. B 2. The intermediate lamina propria. C 3. The deep lamina propria. D 4. The outer squamous epitheluim.

108. 1.following is true:Lymphatic content is similar to that of thoracic duct.

A 2. Right side of H&N drains with right side of the body in the right subclavian vein. B 3. Left side of H&N drains in the thoracic duct. C 4. The right and left side lymphatics drain in the thoracic duct. D 5. None of the above.

109. In a patient with right paralytic labyrinth, which of

A 1.the following is correct:Right beating nystagmus. B 2. Left beating nystagmus. C 3. Vertical nystagmus. D 4. Total hearing loss

110. In acoustic neuroma, you can find:

A 1. High frequency SNHL. B 2. Low frequency SNHL. C 3. Flat audiogram. D 4. Notch at 2 KHZ.

111. Patient complaining of conductive hearing loss, may

A 1.have:Early otosclerosis. B 2. Paget's disease. C 3. Inner ear conductive hearing loss. D 5. All of the above.

112. The muscle known as anterior pillar of the tonsil is

A 1.innervated by:Same nerve supply of tongue through XII. B 2. Same nerve supply of palate through X. C 3. Glossopharyngeal nerve. D 4. Spinal accesory nerve.

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