Quiz: Another Exams

Round, smooth, soft, translucent, yellow or pale, glistening structure which result from prolapsed lining of the ethmoid sinus and blocks the nose to variable degree depending on their size:

A A.Antro choanal polyp. B B.Ordinary nasal polyp. C C.Iinverted papilloma D D.Furuncolosis.

2. It is an IgE mediated hypersensitivity disease of the mucous membrane of the nasal air way:

A A.Acute rhinitis. B B.Chronic rhinitis. C C.Vasomotor D D.Allergic rhinitis.

3. Atopy refers to the tendency to develop an exaggerated IgE antibody response as reflected by skin prick test in response to one or more of common aeroallergens, it is extremely common affecting up to :

A A. 1/2 of population. population. B B.1/3 of population. C D.1/5 of population D E.1/6 of population.

4. Blood supply of the nose:

A A. Supplied by external carotid artery only. B B. Supplied by internal carotid artery only. C C. There is no connection with the sagittal sinus. D D. The maxillary artery is the main arterial supply to the nasal fossa.

5. Examination of the nose:-

A Only inferior turbinate can be seen by anterior rhinoscopy. B All turbinates can be seen by anterior rhinoscopy. C C. Superior turbinate cannot be seen in children by anterior rhinoscopy. D D. Olfactory epithelium can be seen in children by anterior rhinoscopy.

6. The lymphatic drainage of the nose:

A A. Go directly to the inferior deep cervical lymph nodes. B Never pass to the submental lymph nodes. C C. The tip of the nose is devoid of lymphatic drainage D D. The posterior part of the nose is drained to the retropharyngeal and upper deep cervical lymph nodes.

Allergic rhinitis:

A It is an IgG mediated. B Rarely associated with bronchial asthma. C It is associated with purulent nasal discharge. D E. It is not uncommon disease

8. Anti-cholinergic (topical ipratrobium bromide) is used in the treatment of:

A A. Allergic rhinitis. B B.Eosinophilic vasomotor rhinitis. C C.Non- eosinophilic vasomotor rhinitis. D D.Acute rhinitis.

9. Allergic rhinitis:

A A. It is type 2 allergic hypersensitivity reaction. B B. It involves IgM reaction. C C. The mast cells have a major role in pathogenesis. D Neutrophil count is essential for diagnosis.

11. The little’s area is supplied by

A A. Superior labial, anterior ethmoidal, greater palatine and spheno-ethmoidal arteries. B B. Superior labial, posterior ethmoidal, greater palatine and spheno-ethmoidal arteries. C C. Superior labial, anterior ethmoidal, lesser palatine and spheno-ethmoidal arteries. D E. None of the above

12. A ten year old girl presented with pain between the eyes, frontal headache, discharge from the nose, post nasal drip and high fever; what is the provisional diagnosis?

A A.Acute frontal sinusitis. B B.Acute ethmoidal sinusitis. C C.Acute sphenoidal sinusitis. D D.Sphenoidal tumor.

13. All about the vestibule of the nose are true except:

A A. It is the entrance to the nasal cavity B B. It is lined with skin. C C. It contains sebaceous glands and hairs. D D. It is lined by mucus membrane of respiratory type.

14. Dorsum of the nose is formed by all except:

A A. Septal cartilage. B B.Nasal bones C D.Vomer. D E.Maxillary crest.

15. Mucosa of the nasal cavity is formed by all but:

A A. Skin. B B.Columnar ciliated epithelium. C C.Olfactory epithelium. D D.Occasionally squamous epithelium

16. Vasomotor rhinitis:

A A. It is an infective process B B. It is an allergic process. C C. It is divided in to two groups: eosinophilic and non-eosinophilic. D D. It is a neoplastic process.

17. What is most true about the function of the paranasal sinuses?

A A. They protect the eye. B Help in olfaction. C C. They reduce the weight of the skull. D D. Do not appear to have a function.

18. Inflammation of the external nose:

A A. Furunolosis is due to streptococcus infection. B B. Furuncolosis cannot be complicated by cavernous sinus thrombosis. C C. Usually painless. D E. Infections should be treated with antibiotics.

19. Nasal septal hematoma

A A. It is only associated with trauma. B B. It is benign tumour. C C. It is a collection of blood between nasal mucosa and perichondrium D D. It is mostly unilateral

20. Regarding deviated nasal septum, which of the following is false?

A A. Deviated nasal septum (DNS) is a common physical disorder. B B. It is most frequently caused by impact trauma C C. Deviated septum is associated with genetic connective tissue disorders such as Marfan syndrome. D E. Mostly treated surgically

21. A healthy 15 years male patient presented to the ENT department with right sided nasal obstruction, foul-smelling and blood-stained discharge. The most likely diagnosis is:

A A.Simple nasal polyp. B B.Rhinolith. C C.Antrochoanal polyp D D.Foreign body.

22. Fractured nose:

A A. There are four types. B B. The most common type is type 2. C C. Is the most common facial injuries. D D. Its classification depends on the velocity of trauma only.

23. Sluder’s neuralgia:

A A. Decongestants resolves the pain temporarily. B B. It is synonymous to posterior ethmoid neuralgia. C C. Pain localized on both sides of the face D D. Due to compression of deviated septum and inferior turbinate.

24. The most common three causative bacterial agents of acute sinusitis are

A a) A.Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. B b) Streptococcus pneumoniae, Staphylococcus aureus,and Moraxella catarrhalis. C c) Streptococcus pneumoniae, Haemophilus influenzae,and Staphylococcus aureus. D d) Staphylococcus aureus, Haemophilus influenzae, and Moraxella catarrhalis.

25. Pain due to acute sinusitis:

A B. It has a diurnal variation. B A. It is not related to the sinus involved. C C. It is agonizing in open type of sinusitis. D D. Not associated with otalgia.

26. All of the following are causes of bilateral nasal obstruction except:

A A. Adenoids. B B.Allergic rhinitis C C.Antrochoanal polyp. D D.Ethmoidal polyp

27. All of the following are complications of sinusitis except:

A A. Cavernous sinus septic thrombosis B B.Meningitis. C C.Toxic shock syndrome. D D.Glomerulonephritis.

28. Regarding the management of sinusitis, which of the following is false?

A a) Antibiotics are not recommended for most cases. B b) Nasal endoscopy is generally a completely painless procedure which takes between five to ten minutes to complete. C c) For sinusitis lasting more than 12 weeks a CT scan is recommended. D e) Acute sinusitis mostly treated by surgery

29. Nasal foreign body:

A A. Spherical foreign body removed by Telly nasal dressing forceps. B B. Epistaxis is the most common symptom. C C. Chargeable battery should be urgently remove. D E. Usually bilateral.

29. Nasal foreign body:

A A. Spherical foreign body removed by Telly nasal dressing forceps. B B. Epistaxis is the most common symptom. C C. Chargeable battery should be urgently remove. D E. Usually bilateral.

30. Local precipitating factor for maxillary sinusitis:

A A.Poor diet. B B.Fatigue. C C.Nasal obstruction. D D.Chilling.

31. Definite diagnosis of acute maxillary sinusitis:

A A. Facial pain. B B.Antral lavage C C.Pain in the cheek D D.Tenderness over the cheek.

32. The most common cause of epistaxis is

A A. Hypertension. B B. Idiopathic C C.Fracture nasal bone. D D.Blood diseases

32. The most common cause of epistaxis is

A A. Hypertension. B B. Idiopathic C C.Fracture nasal bone. D D.Blood diseases

33. All are true about anosmia except:

A A. It can be tested by simple objective method. B B. It must be bilateral before it is noticeable. C C. It is often described as loss of taste. D E. Trauma is not a cause of it.

34. A complication of common cold:

A A.Otitis externa. B B.Quinsy. C C.Facial palsy. D D.Maxillary sinusitis

35. Symptoms of acute staphylococcus infection of nasal vibrissae include all but:

A A.Pain. B B.Fever. C C.Swelling. D E.Headache.

36. Mast cell stabilizers:

A A. Can be used in treatment of all kinds of allergic disease. B B. Usually used as the main treatment line in allergic rhinitis patients. C C. Mostly used as prophylactic in seasonal rhinitis. D D. Used as one of the cornerstones in the treatment of allergic rhinitis.

37. The antrochoanal polyp:

A A. Is uncommon. B B. It’s mostly unilateral. C C. Extends immediately to the posterior choana. D D. All the above.

38. The main problem in using immunotherapy (hypo-sensitization) in allergic rhinitis patient is:

A a)The cost. B b)Risk of hypersensitivity reaction C c)Difficulty with identification of the antigen. D d)The technique. e)All the above.

38. The main problem in using immunotherapy (hypo-sensitization) in allergic rhinitis patient is:

A a)The cost. B b)Risk of hypersensitivity reaction C c)Difficulty with identification of the antigen. D d)The technique.

39. All structures open in the middle meatus except:

A a)Sphenoid sinus. B b)The maxillary sinus C c)The frontal sinus. D d)The anterior ethmoid air cells.

40. Stages of common cold include all but:

A A.Ischemic stage . B b.Hyperemic stage. C c.Stage of secondary D e.Febrile stage.

41. Treatment of common cold include all but:

A a)Steam inhalation. B b)Warm fluid. C c)Antibiotics. D e)Analgesia.

42. Which of the following is not a symptom of acute maxillary sinusitis?

A a) Pain in the cheek. B b) Tenderness over the cheek. C c) Edema over the cheek. D e) Dullness on trans-illumination.

43. Best radiological test for maxillary sinus is:

A A.Occipito-frontal view. B B.Occipito-mental view. C C.Lateral view. D D.CT scan.

44. Best section in CT scan for maxillary sinus is:

A a)Axial. B b)Coronal. C D.CT scan. D c)Three dimensional.

45. In seasonal rhinitis, the early symptom will be:

A A. Paroxysms of sneezing occur at frequent intervals throughout the day. B b.Watery rhinorrhea. C c.Loss of smell and loss of taste. D e.Facial pain.

46. Best treatment line in allergic rhinitis is:

A a)Local antihistamine B b)Local corticosteroid C c)Systemic corticosteroid. D d)Allergen avoidance

47. In perennial rhinitis the commonest cause is:

A A.Grass pollen. B B.Tree pollen. C C.Fungi spores. D D.House dust mites.

48. The best investigation in antrochoanal Polyp:

A a)Skin brick test. B b)Waters view X-ray. C c)Nasal endoscopy. D d)Coronal CT scan

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