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A vibrant anatomical diagram of the human nasal cavity and sinuses, highlighting different sinus groups with labels, educational style, colorful and engaging illustration

Explore the Intricacies of Rhinosinusitis

Test your knowledge on the complex anatomy and functions associated with the nasal cavity and sinuses. This comprehensive quiz covers a variety of key topics, including sinus groups, nasal cavity functions, and conditions like rhinosinusitis.

Get ready for questions that delve into:

Sinus anatomy and drainage pathways
Clinical conditions related to nasal health
Functions of the nasal cavity and common pathologies

200 Questions50 MinutesCreated by ExaminingNose247

1. ឝើ Anterior sinus group មាន sinus អ្វីឝ្លះ

Maxillary sinus, Frontal sinus and Anterior ethmoïd sinus

Anterior ethmoïd sinus and Posterior ethmoïd sinus

Sphenoid sinus, Posterior ethmoïd sinus

Frontal sinus, Sphenoid sinus and Maxillary sinus

Posterior ethmoïd sinus, Frontal sinus, Sphenoid sinus

��ើ Posterior sinus group មាន sinus អ្វីឝ្លះ?

Maxillary sinus, Anterior ethmoïd sinus and Frontal sinus

Anterior ethmoïd sinus and Posterior ethmoïd sinus

Sphenoid sinus and Posterior ethmoïd sinus

Frontal sinus, Maxillary sinus

Posterior ethmoïd sinus, Maxillary sinus and Anterior ethmoïd sinus

Function របស់ nasal cavity មានច្រើន លើកលែងឝែមួយដែលឝុសគឺ:

Respiration, Audition, Olfaction and Phonation

Audition, Degestion and Olfaction 

Olfaction, Phonation and Degestion

Degestion, Audition and Respiration

Phonation, Degestion and Respiration

��ើ Anterior sinus group ,drains ឝាមផ្លូវណា?

Inferior meatus

Middle meatus

Superior meatus

Inferior meatus and Middle meatus

Inferior meatus , Middle meatus and Superior meatus

��ើ Posterior sinus group ,drains ឝាមផ្លូវណា?

Inferior meatus

Middle meatus

Superior meatus

Inferior meatus and Middle meatus

Inferior meatus , Middle meatus and Superior meatus

Nasal septum(the medial wall) ផ្សំឡើងដោយឆ្អឹងអ្វីឝ្លះ?

Septal cartilage, Perpendicular Plate and Vomer

Perpendicular Plate (Ethmoid), Crible lamellar

Vomer, Septal cartilage, Crible lamellar

Crible lamellar, Septal cartilage

Hard palate, Septal cartilage, Crible lamellar

��៝កំណឝ់ Acute bacterial rhinosinusitis កាលណាមានរយ:ព៝ល

��ិចជាង 4 អាទិឝ្យ

��ន្លោះពី 4 អាទិឝ្យ ទៅ 12 អាទិឝ្យ

��ន្លោះពី 12 អាទិឝ្យ ទៅ 52 អាទិឝ្យ

��្រើនជាង 52 អាទិឝ្យ

��៝កំណឝ់Chronic bacterial rhinosinusitis កាលណាមានរយ:ព៝ល

��ិចជាង 4 អាទិឝ្យ

��ន្លោះពី 4 អាទិឝ្យ ទៅ 12 អាទិឝ្យ

��ន្លោះពី 12 អាទិឝ្យ ទៅ 52 អាទិឝ្យ

��្រើនជាង 52 អាទិឝ្យ

Chronic rhinosinusitis មានរោគសញ្ញាជាច្រើនលើកលែងឝែមួយដែលមិនមែនគឺ:

Headache

Nasal congestion

Vertigo

Post nasal drip

Facial pain

Nasal polyp គឺជា

Chronic inflammation របស់ ethmoid sinus, bilateral

Chronic inflammation របស់ ethmoid sinus, unilateral

Acute inflammation របស់ ethmoid sinus, bilateral

Acute inflammation របស់ ethmoid sinus, unilateral

Acute inflammation របស់ nasal cavity

��ូបសណ្ឋានរបស់ nasal polyp មានដូចឝាងក្រោម

Mass មួយ bilateral; translucid or gelactineuse ក្នុង nasal cavity

Mass មួយ unilateral ; translucid or gelactineuse ក្នុង nasal cavity

Mass មួយ unilateral ; color red ក្នុង nasal cavity

Mass មួយ unilateral ; Ulcerant ក្នុង nasal cavity

12. គ៝ធ្វើ classification របស់ nasal polyp ជាប៉ុន្មានStages

2 stages

3 stages

4 stages

5 stages

6 stages

Epistaxis គឺជា

��ហូរឈាមច៝ញឝាមច្រមុះ

��ារហូរឈាមឝាមសួឝ ព៝លប្រឹងក្អក

��ារហូរឈាមឝាមមាឝ់លាយអាហារ

��ារហូរឈាមច៝ញឝាមច្រមុះ,ការហូរឈាមឝាមសួឝ ព៝លប្រឹងក្អក, ការហូរឈាមឝាមមាឝ់លាយអាហារ

Frontonasal duct opens into

Inferior meatus

Superior meatus

Middle meatus

Inferior turbinate

Frontal sinus drain into

Superior meatus

Middle meatus

Inferior meatus

Ethmoid recess

Paranasal sinus opening in middle meatus

Maxillary, Anterior ethmoid and Frontal

Anterior ethmoid , Posterior ethmoid and Frontal

Posterior ethmoid, Maxillary and Sphenoid

Frontal, Maxillary and Sphenoid

All drains into middle meatus except

Lacrimal duct

Maxillary sinus

Frontal sinus

Ethmoidal sinus

Bulla ethmiodalis is seen in

Superior meatus

Inferior meatus

Middle meatus

Spheno ethmoidal recess

Inferior meatus

Middle meatus

Superior meatus

Spheno ethmoidal recess

Opening of posterior ethmoid sinus is in

Middle meatus

Inferior meatus

Superior meatus

None

Nasolacrimal duct opens into

Superior meatus

Sphenopalatine recess

Middle meatus

Inferior meatus

Choana is

Anterior nares

Posterior nares

Tonsils

Larynx

Which of the following bones do not contribute the nasal septum

Sphenoid

Lacrimal

Palatine

Ethmoid

Quadrilateral cartilage is attached to all except

Ethmoid

Sphenoid

Vomer

Maxill

Osteomeatal complex (OMC) connects

Nasal cavity with maxillary sinus

Nasal cavity with sphenoid sinus

The two nasal cavities

Ethmoidal sinus with ethmoidal bulla

Common cold is caused primarily by

Viruses

Bacteria

Fungi

Allergy

In Allergic rhinitis nasal mucosa is

Pale and swollen

Pink and swollen

Bluish and atrophied

Atrophied

Most common sites of bleeding

Woodruff plexus

Vestibular area

Brown area

Littles area

Woodruff plexus is seen at

Antero-inferior part of superior turbinate

Middle turbinate

Posterior part of inferior turbinate

Anterior part of inferior turbinate

Little’s area is situated in nasal cavity in

Anterio inferior

Anterio superior

Posterio inferior

Posterio superior

Main vascular supply of little’s area is all except:

Septal branch of superior labial artery

Nasal branch of sphenopalatine artery

Anterior ethnoidal artery

Palatal branch of sphenopalatine

Which artery does not contribute to little’s area

Anterior ethmoidal artery

Septal branch of sphenoplatine

Sphenoplatine artery

Posterior ethmoidal artery

Most common cause for nose bleeding is

Trauma to little’s area

V. aneurysm

Postero superior part of nasal septum

Hiatus-semilunaris

MC cause of epistaxis in 3 year old child

Nasal polyp

Atrophic rhinitis

Foreign body

Upper respiratory catarrh

In a 5 year old child, most common cause of female the most common cause is

Foreign body

Polyp

Atrophic rhinitis

Maggot’s

Recurrent epistaxis in a 15 year old female the most common cause is

Juvenile nasopharyngeal fibroma

Rhinosporiodiosis

Foreign body

Hematopoietic disorder

Diagnosis nin a ten year old boy with recurrent expistaxis and a unilateral nasal mass is

Antrochoanal polyp

Hemangioma

Angiofibroma

Rhinolith

Epistaxis in elderly person is common in

Foreign body

Allergic rhinitis

Hypertension

Nasophryngeal carcinoma

Systemic cause of epistaxis are all except

Hypertension

Anticoagulant treatment

Hereditary telengiectasia

Haemophilia

Source of epistaxis after ligation of external carotid artery is

Maxillary ethmoidal artery

Greater palatine artery

Superior labial artery

Ethmoidal artery

If posterior epistaxis cannot be controlled, which artery is ligated

Posterior ethmoidal artery

Maxillary artery

Sphenopalatine artery

External caroid artery

In case of uncontrolled epistaxis, ligation of internal maxillary artery is to be done in the

Maxillary antrum

At the neck

Medial wall of orbit

Pterygopalatine fossa

Treatment of choice in correct epistaxis in a patient with hereditary hemotelangiectas is

Anterior ethmoidal artery ligation

Septal dematoplasty

External carotid artery ligation

Internal carotid artery ligation

Which sinus is NOT a part of para nasal sinus?

Frontal

Ethmoid

Pyriform

Sphenoid

Sinus not present at birth is

Ethmoid

Sphenoid

Maxillary

None

Maxillary sinus achieves maximum size at

At birth

At primary dentition

At secondary dentition

At puberty

Which among the following sinuses is most commonly affected in a child

Sphenoid

Ethmoid

Frontal

Maxillary

In acute sinusitis, the sinus most often involved in children is

Maxillary

Spheniod

Sphenoid

Ethmoid

Sinusitis is least involved in

Maxillary

Frontal

Ethmoid

Spheniod

Common organisms causing sinusitis

Pseudomonas

Moraxella catarrhalis

Streptococcus pneumonia

Staph epidermidis

H.ingluenzae

Common organisms causing sinustitis

Pseudomonas, Moraxella catarrhalis and Streptococcus pneumonia

Moraxella catarrhalis, Streptococcus pneumonia and Staph epidermidis

Streptococcus pneumonia, Pseudomonas and H.ingluenzae

Staph epidermidis , Streptococcus pneumonia and H.ingluenzae

H.ingluenzae, Moraxella catarrhalis and Streptococcus pneumonia

Which one is not the physiology of the pharynx?

Conduct of air and food

Propeller of food (swallowing)

Resonance and speech

Taste

Hearing

The pharynx have

Nasopharynx and oropharynx

Nasopharynx and hypopharynx

Nasopharynx, oropharynx and hypopharynx

Oropharynx and hypopharynx

Nasopharynx, oropharynx , laryngopharynx and hypopharynx

The Eustachian tubes open into the lateral wall of

Nasopharynx

Oropharynx.

Hypopharynx

Nasopharynx, Oropharynx

Nasopharynx, Oropharynx and Hypopharynx

The palatine tonsils are in the

Nnasopharynx

Oropharynx

Hypopharynx

Nnasopharynx, Oropharynx

Nnasopharynx, Oropharynx and Hypopharynx

Waldeyer’s Ring is in the

Nasopharynx and oropharynx

Nasopharynx, oropharynx and hypopharynx

Hypopharynx

Nasopharynx and hypopharynx

Hypopharynx and oropharynx

Acute tonsillitis is an infection

On the surface of the tonsil or the crypts or substance of the tonsils.

Only on the surface of the tonsil

Only the crypts

Only substance

Only the crypts and Only substance

Etiology of acute tonsillitis

Common bacteria and other

Only bacteria

Only virus

Allergy

Fungus

The treatment of acute tonsillitis with the cause of bacteria:

Come to the health center

Monitor at home; gargle with salt water

Drink a lot of water

Try to work hard

Drink a lot of water and Try to work hard

Which one is not the symptom of acute tonsillitis?

Sudden occurrence

High fever, headach

The patient shows acute faces

Anorexic, weakness, constipation

It can appear chilly

Which one is not the local symptoms of acute tonsillitis?

Pharyngalgia

Can arouse dysphagia and usually refer to the ears 

Sudden occurrence

In children the hypertrophic tonsil can arouse dyspnea

The patient shows acute faces

Which one is not the differential diagnosis of acute tonsillitis?

Pharyngeal diphtheria

Vincent’s angina

Hypoleukocytic angina

Acute otitis media

Hyper trophic tonsil

Which one is not the local tonsillitis complication?

Acute nephritis

Peritonsillar abscess (Quinsy)

Acute otitis media

Acute rhinosinusitis

Acute laryngitis

General tonsillitis complication

Acute rheumatism , acute nephritis

Acute laryngitis

Peritonsillar abscess

Acute otitis media

Acute rhinosinusitis

Which one is not the tonsillitis complication?

Acute rheumatism

Peritonsillar abscess

Acute otitis media

Acute rhinosinusitis

Acute hepatitis

The treatment acute tonsillitis

Oral intake

Adequate rest, gargle saline

Analgesics

Antibiotics (a 10 days course and enough dosage)

All are corrects

Chronic tonsillitis is

Persistent inflammation of the tonsils as a result of recurrent acute or subclinical infection

Sudden infection on the surface of the tonsil

Hypertrophic tonsils

Hypertrophic tonsils and Hypotrophic tonsils.

Hypotrophic tonsils

Etiology of chronic tonsillitis

Common bacteria and other

Only bacteria

Only virus

Allergy

Fungus

Which one is not the symptom of chronic tonsillitis?

Recurrent sore throats

Malaise

Joint pain

Cervical lymphadenopathy

Red swollen tonsils

Which one is not the sign of chronic tonsillitis?

Covered by some degree of debris or purulent wihin tonsillar crypts

Tonsilar hypertrophy or sunken atrophic tonsils

Recurrent sore throats

The tonsillar pillars may show signs of scarring or chronic inflammation

Some purulent run out the crypts when pushing the tonsil with a spatula

The diagnosis of chronic tonsillitis base on :

Medical history

Local examination

Medical history and Local examination

Laboratory

Imagery investigation

Which one is not distinguishing diagnosis (differential diagnosis) of chronic tonsillitis?

Physiological tonsillar hypertrophy

Kkeratinization of tonsil

Tumor of tonsil

Peritonsillar abscess

Which one is not the complication of chronic tonsillitis?

Pulmonary tuberculosis

Rheumatic or renal disorders

Acute otitis media

Acute rhinosinusitis

Peritonsillar abcess

The treatment of chronic tonsillitis

Oral intake, adequate rest

Analgesics

Antibiotics

Tonsillectomy

All are corrects

Peritonsillar abscess occur in patients with

Recurrent tonsillitis or those with chronic tonsillitis that has been inadequately treate 

Recurrent sinusitis

Recurrent rhinitis

Recurrent pharyngitis

Recurrent otitis medi

Peritonsillar abscess it is usually

Unilateral and most frequently affects adult males

Bilateral

Bilateral and most frequently children 

Bilateral and in the hot season

Bilateral and in the cold season

Which one is not the symptom of peritonsillar abscess?

Extreme unilateral soreness of the throat

Deviation of the uvula to the normal side

Odynophagia ,drooling

Drooling (saliva dribbles from the mouth)

Otalgia

Which one is not the sign of peritonsillar abscess?

Edema of the soft palate

Displaces the tonsil medially forward and downward

Deviation of the uvula to the normal side

Extreme unilateral soreness of the throat

Bulge of the soft palate

Which one should not recommend for treatment peritonsillar abscess?

Intravenous antibiotics (large doses)

Needle aspiration (formed pus), incision drainage

Incision drainage

Tonsillectomy (after 8 weeks)

Only rest at home

Which one is not the indication of tonsillectomy?

Repeated attacks (5 infections/ a year)

One attack of peritonsillar abscess

Purulent material in the crypts of the tonsils

Acute tonsillar inflammation

Tonsillar hypertrophy causes the sleep apnoea syndrome

Which one is not the contraindication of tonsillectomy?

Respiratory tract infection or acute tonsillar inflammation

Bleeding disorder or clotting problem

Uncontrol hypertension

During menses or 3 day before menses

One attack of peritonsillar abscess

Which one is not the local symptom of adenoid hypertrophy?

Chronic nasal obstruction: mouth breathing, snore

Recurrent rhinitis and sinusitis, nasal discharge serous

Recurrent otitis media, nasal tone and toneless

Adeniod Face

Eating slowly

Which one is not the general symptom of adenoid hypertrophy?

Eating slowly

Malnutrition reaction bluntness

Unconcentration

Enuresis (bed-wetting )

Adeniod Face

For diagnosis of adenoid hypertrophy base on?

Adenoid face

All are corrects

High arching of the palate

Palpation

X-ray, CT

The treatment of adenoid hypertrophy

Medical

No answer

Surgery

Medical and Surgery

Etiology of pharyngitis

Viruses

Bacteria

Fungus

Industrial or atmospheric pollution , heavy smokers or drinkers

Gastroesophageal reflux , allergen

All are correct

87. Acute pharyngitis is usually resulted

Acute tonsillitis

Acute rhinitis

A part of an upper respiratory tract infection

Acute tonsillitis, Acute rhinitis and a part of an upper respiratory tract infection

Acute otitis media

Which one is not the symptom of chronic pharyngitis?

A raw , dry, uncomfortable

Painful throat

Feeling a foreign body in throat

A dry cough

Otalgia

Which one is not the symptom of chronic pharyngitis?

A raw, dry, uncomfortable

Painful throat

Feling a foreign body in throat

A dry cough

Slight red and swelling pharynx

Which one is not the symptom of chronic pharyngitis?

Posterior wall thick with islands of hypertrophied lymphoid follicles

Painful throat

Feeling a foreign body in throat

A dry cough

A raw, dry, uncomfortable

Which one is not the sign of chronic pharyngitis?

A normal-looking pharynx

Slight red and swelling pharynx

A posterior wall thick with islands of

Hypertrophied lymphoid follicles 

Feeling a foreign body in throat

Which one should not recommend for chronic pharyngitis treatment?

Avoidance of tobacco and constant irritation

Antihistamines

Antiviral medication

Tranquilizer

Digestive

Which one is not the physiology of nasopharynx?

Protection of lower airways

Phonation

Respiration

Fixation of the chest

Hearing

For diagnosis of carcinoma of nasopharynx base on

Medical history

Careful examination

Biopsy of nasopharynx

Medical history , Careful examination and Biopsy of nasopharynx

Blood test

Sign of acute laryngitis?

Hoarseness

Cough

Fever

Malaise

True vocal cord swelling

Which one should not recommend for treatment of acute laryngitis?

Voice rest

Mucolytic

Anticold

+/- Antibiotic

Surgery

Which one is not the symptom of acute laryngotracheobronchitis (CROUP)?

Barking cough

Stridor

Exhausted

Lying down

Narrowing of subglottis

Which one should not recommend for treatment of acute laryngotracheobronchitis (CROUP)?

Admit

Humidification, hydration, O2

Antibiotic , steroid

Intubation

Only rest at home

Sign of acute epiglottitis?

Early URI symptoms

Children > change very fast 6-12 hr

Fever

Pain in throat

Epiglottis >swelling,inflamation

100. Pathogen of epiglottitis?

Adenovirus

Morexella catarrharis

Staphylococcus

Streptococcus pneumoniae

H. Influenza type B

101. Which one should not recommend for treatment of epiglottitis?

Admit, closed monitoring, prepare for intubation

Broad spectrum penicillin

Hydration, humidification

Steriod

Only rest at home

102. External ear has

Auricle and external auditory canal    

Tympanic membrane

Tympanic cavity

Semicircular canals

Cochlea

103. Middle ear has

Vestibule

Cochlea

Semicircular canals

Mastoid air cell system

Pinna

104. External Auditory Canal

A - 2.5 cm long

B - Outer 2/3 is cartilaginous

C - Inner 1/3 is bony

D - 1.5 cm long

E - 3.5 cm long

105. Tympanic membrane has

A - Size 10mm (supero- inferior), 8 mm (antero- posterior)

B - Tympanic sulcus

C - Pars tensa ↔ above anterior & posterior malleolar folds

D - Pars flaccida ↔ below anterior & posterior malleolar folds

106. Contents of the Middle ear cavity

3 ossicles, 2 nerves, 2 muscles

2 ossicles, 2 nerves, 2 muscles

3 ossicles, 1 nerve, 2 muscles

3 ossicles, 2 nerves, 3 muscles

3 ossicles, 3 nerves, 2 muscles

107. Eustachian Tube

3.2cm

4.5cm

1.5 cm

2.6 cm

3.6cm

108. Middle ear cavity communicates with inner ear through

3 ways: oval window, round window, Eustachian tube

2 ways: round window, Eustachian tube

2 ways: oval window, round window

1 way: oval window

2 ways: oval window, Eustachian tube

109. Chronic otitis media

Otitis media > 2 months

Otitis media > 3 months

Otitis media > 1 month

Otitis media > 4 months

110. All routes of spread of infection in complication of chronic otitis media except

Natural communication

Direct erosion of bone

Abnormal preformed pathways

Vascular channels

Tympanic membrane perforation

111. Highest incidence of acute otitis media

6 to 24 months of age

8 to 12 years of age

1 to 6 months of age

2 to 4 years of age

4 to 8 years of age

112. The ear ha

2 parts external ear and inner ear

3 parts external ear, middle ear and inner ear

Only part of cartilage

Only part of bone

No contact with facial nerve

113. Inner ear has

Eustachian tube

Vestibule

Mastoid air cell system

Tympanic membrane

Pinna

114. Tympanic membrane has

3 layers for pars tensa

2 layers for pars tensa

1layer

4 layers

115. Nerve supply tympanic membrane

Nerve IX and X

Nerve VI

Nerve VII

Nerve VIII

Nerve XI

116. Tympanic cavity has

3 parts

2 parts

4 parts

5 parts

117. Eustachian tube

Anterior part of tympanic cavity

Posterior part of tympanic cavity

Superior part of tympanic cavity

Inferior part of tympanic cavity

Medial part of tympanic cavity

118. Bony Fallopian canal of facial nerve

Posterior part of tympanic cavity

Superior part of tympanic cavity

Medial part of tympanic cavity

Inferior part of tympanic cavity

Anterior part of tympanic cavity

119. Mastoid antrum

Depth 1.5cm

Depth 2 cm

Depth 3 cm

Depth 4 cm

Depth 1 cm

120. Bony cochlea (coiled tube)

2.5 turns

1.5 turns

3 turns

4.5 turns

4 turns

121. Semicircular canals has

122. Base of the cochlea (basal turn) corresponds to

Anterior part of tympanic cavity

Posterior part of tympanic cavity

Superior part of tympanic cavity

Inferior part of tympanic cavity

Medial part of tympanic cavity

123. All risk factors for acute otitis media except

Age

Breast feeding

Tobacco smoke and air pollution

Pacifier use

Egg

124. Fissure of santorini is

Defect in bony portion of EAC

Defect in cartilaginous portion of EAC

Defect in the floor of middle ear

Defect in posterior wall of middle ear

Defect in superior wall of middle ear

Pinana is made up of

Elastic Cartilage

Hyaline Cartilage

Fibrous Cartilage

A combination of Hyaline and Fibrous cartilage

A combination of Hyaline and Elastic cartilage

126. The nerve supply of posterior wall of External auditory canal is

Auriculotemporal branch of mandibular nerve

Auricular branch of vagus nerve

Both of the above

None of the above

Facial nerve

127. Nerve supply for external ear are all except

Trigeminal nerve

Greater auricular nerve

Auriculotemporal nerve

Lesser occipital nerve

128. All of the following nerves supply Auricle and External meatus except

Trigeminal nerve

Greater auricular nerve

Auditory nerve

Vagus nerve

129. What is the color of the normal tympanic membrane?

Pearly white

Grey

Yellow

Red

130. Pars Flaccida of the tympanic membrane is also called

Reissner’s membrane   

Sharpnell’s membrane

Basilar membrane

Secondary tympanic membrane

131. Anterior wall of tympanic cavity contain

Promontory

Bony part of pharyngotympanic tube

Processus cochleariform

Pyramid

Tensor tympani muscle

132. Eustachian tube has a key role in middle ear infections in children because it is

Shorter

Wider

Horizontal

All of are correct

133. Cone of light is seen in

Anterio superior quadrant

Anterio inferior quadrant

Posterio superior quadrant

Posterio inferior quadrant

134. The promontory of the middle ear is formed by

Apical turn of cochlea

Basal turn of cochlea

Lateral semicircular canal

Posterior semicircular canal

135. Eustachian tube opens in

Anterior wall of middle ear

Posterior wall of middle ear

Lateral wall of middle ear

Medial wall of middle ear

136. Otomycosis is caused by

Aspergillus niger

Candida albicans

Mucor

Aspergillus niger, Candida albicans

137. Most common causative organism for acute otitis media is

Staphylococcus pyogenes

Hemophilus influenzae

Coli

Streptococcus pneumonia

138. Cholesteatoma is

Benign tumour of middle ear

Malignant tumour of middle ear

Keratinising stratified squamous epithelium of middle ear cleft

Non Keratinising stratified squamous epithelium of middle ear cleft

139. Commonest cause of chronic otitis media is

Streptococcus

Staphylococcus

Pneumococcus

Pseudomonas

140. Chorda tympani carries taste sensation from

Posterior 1/3 of tongue

Anterior 2/3 of tongue

Anterior ½ of tongue

Posterior ½ of tongue

141. Commonest ossicle involved in chronic suppurative otitis media is

Incus

Malleus

Stapes

Malleus and Incus

142. Lobule of ear is supplied by

Auriculotemporal nerve

Greater auricular nerve

Lesser occipital nerve

None of the above

102. The ear divided:

2 parts

6 parts

5 parts

4 parts

3 parts

103. The external ear has:

Auricle & tympanic membrane

Pinna & Eustachian tube

Eustachian tube & external auditory canal

Pinna & external auditory canal

Tympanic membrane & external auditory canal

104. Middle ear has:

Tympanic membrane, Pinna, Tympanic cavity

Tympanic membrane, Eustachian tube, Tympanic cavity, Mastoid air cell system

Tympanic membrane, Mastoid air cell system, lateral semicircular canal

Tympanic membrane, Eustachian tube, external auditory canal

Labyrinth, External auditory canal, Tympanic cavity

105. Bony labyrinth has:

1 part

3 parts

5 parts

2 parts

4 parts

106. Membrane labyrinth has

1 part

3 parts

5 parts

2 parts

4 parts

107. Auricle

Piece of fibro- cartilage

Piece of bone & cartilage

4 surfaces

Piece of bone

3 surfaces

108. Nerve supply to external ear

Branch of XII

Branch of IV

Branch of C2,C3

Branch of III

Branch of VIII

109. External auditory canal:

1.5 cm

3.5 cm

5.5 cm

2.5 cm

4.5 cm

109. External auditory canal:

1.5 cm

3.5 cm

5.5 cm

2.5 cm

4.5 cm

110. External auditory canal:

1 part

3 parts

5 parts

2 parts

4 parts

111. Pars tensa (tympanic membrane)

1 layer

3 layers

5 layers

2 layers

4 layers

112. Pars flaccida (tympanic membrane)

1 layer

3 layers

5 layers

2 layers

4 layers

116. Mastoid antrum lies at a depth

0.5cm

2.5 cm

4.5 cm

1.5 cm

3.5 cm

117. Bony semicircular canals

119. Middle ear cavity communicates with inner ear through:

1 window

3 windows

5 windows

2 windows

4 windows

120. Smallest bone in the body:

Malleus

Stapes

Malleus & stapes

Incus

Incus & stapes

121. Big cholesteatoma disease treatment:

Myringoplasty

Canal wall up procedure

Conservation treatment

Medical treatment

Canal wall down procedure

122. Attico- antral type of chronic otitis media:

Profuse, mucoid discharge

Uncommon granulation tissue

Absent cholesteatoma

Attic or marginal perforation

Rare complications

123. Benign type of chronic otitis media:

Central perforation

Common granulation tissue

Cholesteatoma

Attic perforation

Foul-smelling discharge

124. Labyrinthine fistula:

Lateral semicircular canal is most commonly affected site

Vestibular is most commonly affected site

Caused by inactive mucosal type of chronic otitis media

Cochlear is most commonly affected site

Cochlear & vestibular are most commonly affected site

125. Active mucosal type of chronic otitis media:

Middle ear & mastoid mucosa not inflamed

Permanent perforation of Pars flaccida

Dry ear

Inflammation within mucosa of middle ear & Mastoid

Retention of Keratinous debris

126. Non symptoms & signs of acute otitis media

Otalgia

Vertigo, otorrhea

Cough

Hearing loss

Fever, irritability

127. Acute otitis media

week to 12 weeks

Over 20 weeks

18 weeks to 20 weeks

16 weeks to 18 weeks

12 weeks to 16 weeks

129. The two common causes of acute rhinosinusitis are:

Rhinogenic and dental cause

allergic and trauma

Diopathic and rhinogenic

rhinogenic and allergic

Trauma and idiopathic

130. The location of facial pain in the acute maxillary sinusitis is :

cheek

Vertex, occipital

Nasal bridge

Retro-orbital

Forehead

131. The location of facial pain in the acute frontal sinusitis is :

Cheek, infra orbital

Vertex, occipital

Nasal bridge

Retro-orbital

forehead

132. The location of facial pain in the acute anterior ethmoidal sinusitis is :

cheek

Vertex, occipital

Nasal bridge

retro-orbital

Forehead

134. The goals in the management of acute sinusitis are :

Eradicate disease, decrease duration, prevent complications

avoid complications

decrease the pain

cure the disease

avoid other repetitive disease

135. The main cause of chronic rhinosinusitis is :

inadequate treatment of acute rhino-sinusitis

Trauma

Viral

Allergic

Foreign body

136. The management of chronic rhinosinusitis :

surgery after fail in medical treatment

nasal irrigation is not include

antibiotic

almost medical

Long term systemic corticotherapy

137. The main systemic cause of epistaxis is :

Hypertension

. Nasal polyp

Nasal tumor

Nasal trauma

allergic

138. The main local cause of epistaxis is :

Hypertension

Nasal polyp

nasal tumor

Nasal trauma

allergic

139. The most common cause of epistaxis in elder population is :

Hypertension

Nasal polyp

nasal tumor

Nasal trauma

Allergic

140. The most common location of anterior epistaxis is :

Kiesselbach’s plexus

Inferior turbinate

Cavum

middle turbinate

Superior turbinate

141. The most common location of posterior epistaxis is :

Kiesselbach’s plexus

Inferior turbinate

Middle turbinate

Woodruff’s plexus

cavum

142. Allergic rhinitis is defined as :

symptomatic disorder of the nose induced by an IgE-mediated inflammation after allergen exposure

Symptomatic disorder of the nose induced by an IgA-mediated inflammation after allergen exposure

Symptomatic disorder of the nose induced by an IgE-mediated inflammation after viral exposure

Symptomatic disorder of the nose induced by an IgM-mediated inflammation after allergen exposure

symptomatic disorder of the nose induced by an IgE-mediated inflammation after bacterial exposure

143. The main impact of allergic rhinitis is :

life threatening

Vital complications

impact on quality of life

induce other diseases

Money expend

144. The co-morbilities of allergic rhinitis is :

rhinosinusitits, nasal polyps, asthma,

Epistaxis

Chronic otitis media

malignant nasal tumor

Pneumonia

145. Traditional classification of allergic rhinitis is :

seasonal and perennial allergic rhinitis

acute and chronic allergic rhinitis

Occasional and permanent allergic rhinitis

Leger and severe allergic rhinitis

Mild and moderate allergic rhinitis

146. The new classification of allergic rhinitis ( ARIA) is :

seasonal and perennial allergic rhinitis

Acute and chronic allergic rhinitis

Intermittent and persistent allergic rhinitis

Leger and severe allergic rhinitis

mild and moderate allergic rhinitis

147. The 3 most important symptoms of allergic rhinitis is :

nasal obstruction, rhinorrhea and sneezing

Nasal obstruction, headach, and sneezing

Nasal obstruction, rhinorrhea and ear infection

Nasal obstruction, pruritis and epistaxis

Nasal obstruction, purulent rhinorrhea and ear pruritis

148. The first management of allergic rhinitis is :

patient’s education

Surgery

Allergen desensibilisation

long terme corticothearapy

Nasal irrigation

149. The 4 main managements of allergic rhinitis is :

patient’s education, allergen avoidance, pharmacothearapy and immunothearapy

patient’s education, allergen avoidance, medical and surgery

patient’s education, allergen exposure, surgery and immunothearapy

Patient’s education, allergen avoidance, surgery and immunothearapy

patient’s education, allergen exposure, pharmacothearapy and immunothearapy

150. The nasal discharge in allergic rhinitis is :

purulent

Clear and watery

bilateral with pus

Thick and purulent with bleeding sometime

Unilateral

178. Tragus

Part of Auricle

Part of middle ear

Part of mastoid region

Part of external ear canal

Part of inner ear

179. Fissures of Santorini

Part of Pinna

Part of Middle ear

Part of Cochlear

Part of External ear canal

Part of Inner ear

180. Middle ear cavity has:

3 faces

5 faces

7 faces

4 Faces

6 faces

181. Cone of light on part of

Pars flaccida

Antero inferior quadrant

Postero- inferior quadrant

Antero- superior quadrant

Postero- superior quadrant

182. Tegmen tympani on:

Superior face of tympanic cavity

Lateral face of tympanic cavity

Posterior face of tympanic cavity

Inferior face of tympanic cavity