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Quizzes > Health & Medicine

ENT Quiz: Test Your Ear, Nose and Throat Knowledge

15 ENT MCQ questions to check your skills. Instant results.

Editorial: Review CompletedCreated By: Andy BroadhurstUpdated Aug 25, 2025
Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting elements related to ENT Knowledge Assessment Quiz

This ENT quiz helps you review core ear, nose, and throat topics with 15 multiple-choice questions and quick, helpful feedback. Deepen your knowledge with an ear anatomy quiz, check nasal skills with a frontal sinus assessment quiz, or practice common issues in an ear infection quiz.

Which of the following is the most common presenting symptom of acute otitis media?
Vertigo
Ear pain (otalgia)
Nasal congestion
Tinnitus
Acute otitis media typically presents with ear pain due to inflammation of the middle ear. Other symptoms like tinnitus or vertigo are less common in uncomplicated cases.
The cochlea is found in which part of the ear?
Inner ear
Middle ear
Eustachian tube
External ear
The cochlea is a spiral structure located in the inner ear that converts sound vibrations into nerve impulses. The middle and external ear serve other functions such as sound conduction and protection.
What is the primary function of the nasal turbinates?
Support the nasal septum
Detect odors
Drain sinus secretions
Humidify and warm inhaled air
Nasal turbinates increase mucosal surface area to humidify, warm, and filter inhaled air. They are not directly involved in odor detection or structural support of the septum.
Palatine tonsils are located between which two structures in the oropharynx?
Uvula and epiglottis
Palatoglossal and palatopharyngeal arches
Tongue base and soft palate
Pharyngeal and lingual tonsils
The palatine tonsils reside in the tonsillar fossa between the palatoglossal and palatopharyngeal arches. Other listed landmarks do not define the tonsillar bed.
A normal Rinne test result is indicated by which finding?
No sound heard by either conduction
Bone conduction greater than air conduction
Equal air and bone conduction
Air conduction greater than bone conduction
A positive Rinne test (normal) is when air conduction exceeds bone conduction. If bone conduction is greater, this suggests conductive hearing loss.
In the Weber test, sound lateralizes to the affected ear in which type of hearing loss?
Mixed hearing loss
Sensorineural hearing loss
Normal hearing
Conductive hearing loss
In conductive hearing loss, bone-conducted sound is perceived as louder in the affected ear on Weber testing. In sensorineural loss it lateralizes to the good ear.
Anterior epistaxis most commonly arises from which vascular plexus?
Posterior ethmoidal artery
Kiesselbach's plexus
Woodruff's plexus
Sphenopalatine artery
Kiesselbach's plexus on the anteroinferior nasal septum is the most common source of anterior nosebleeds. Posterior sources are less frequent.
Which is the most common bacterial pathogen in acute bacterial sinusitis?
Moraxella catarrhalis
Staphylococcus aureus
Haemophilus influenzae
Streptococcus pneumoniae
Streptococcus pneumoniae is the most frequently isolated organism in acute bacterial sinusitis. H. influenzae and M. catarrhalis are also common but secondary.
Vestibular neuritis typically presents with which clinical feature?
Intermittent vertigo preceded by aura
Progressive hearing loss and tinnitus
Acute severe vertigo without hearing loss
Facial weakness with vertigo
Vestibular neuritis causes sudden, severe vertigo without auditory symptoms. Hearing involvement suggests labyrinthitis rather than isolated vestibular neuritis.
What is the most common etiology of acute laryngitis?
Viral infection
Gastroesophageal reflux
Mechanical trauma
Bacterial infection
Acute laryngitis is most often caused by viral upper respiratory infections. Bacterial causes and reflux are less frequent acute triggers.
On pure-tone audiometry, sensorineural hearing loss is characterized by which pattern?
Air conduction depressed with gap above bone
Air and bone conduction thresholds both depressed with no gap
Normal thresholds at all frequencies
Bone conduction better than air conduction
Sensorineural loss shows parallel, depressed air and bone conduction thresholds with no air-bone gap. Conductive loss would show a gap.
Nasal polyps in an adult patient are most strongly associated with which condition?
Acute bacterial sinusitis
Aspirin-exacerbated respiratory disease
Acute viral rhinitis
Deviated nasal septum
Aspirin-exacerbated respiratory disease (SAM triad) commonly features asthma, aspirin sensitivity, and nasal polyps. Acute infections are less likely to produce polyps.
What is the imaging modality of choice for initial evaluation of a thyroid nodule?
Ultrasound of the neck
MRI of the neck
Radioactive iodine scan
Contrast-enhanced CT scan
Neck ultrasound is the first-line imaging to characterize thyroid nodules and guide fine-needle aspiration decisions. CT and MRI are reserved for complex cases.
How does otitis media with effusion (OME) differ from acute otitis media (AOM)?
Always associated with systemic illness
Rapid onset with drainage from the ear
Presence of severe ear pain and erythema
Absence of acute symptoms like pain or fever
OME involves fluid accumulation without acute inflammatory signs such as pain or fever. AOM presents with acute pain, fever, and erythematous tympanic membrane.
What is the first-line pharmacologic treatment for moderate-to-severe allergic rhinitis?
Oral decongestants
Oral antihistamines
Leukotriene receptor antagonists
Intranasal corticosteroids
Intranasal corticosteroids are most effective for moderate-to-severe allergic rhinitis by reducing mucosal inflammation. Antihistamines and decongestants are less potent.
Which tympanometry finding is characteristic of middle ear effusion?
Type B (flat tracing)
Type A (normal)
Type As (shallow compliance)
Type Ad (hypercompliant)
A Type B tympanogram shows a flat compliance curve, indicating fluid in the middle ear. Type As and Ad indicate stiff or hypermobile systems, respectively.
A cholesteatoma most commonly presents with which clinical feature?
Severe ear pain and high fever
Painless, foul-smelling otorrhea and conductive hearing loss
Intermittent vertigo with tinnitus
Rapid onset sensorineural hearing loss
Cholesteatomas often cause chronic, foul-smelling discharge and a conductive hearing loss due to keratin debris eroding ossicles. Pain and fever are uncommon.
Why are parotid gland tumors often associated with facial nerve involvement?
Encapsulation by the sternocleidomastoid muscle
Rich lymphatic drainage around the gland
Close proximity to the phrenic nerve
The facial nerve traverses the parotid gland
The facial nerve runs through the substance of the parotid gland, dividing it into superficial and deep lobes. Tumors can impinge on or invade the nerve.
Which laryngoscopic finding raises concern for laryngeal carcinoma?
Diffuse epiglottic edema
Unilateral vocal cord paralysis
Bilateral false cord movement
Laryngeal web formation
Unilateral vocal cord paralysis can signal infiltration of the recurrent laryngeal nerve by malignancy. Other findings are less specific for carcinoma.
Which feature differentiates Ménière's disease from acute labyrinthitis?
Episodic vertigo with fluctuating hearing loss and tinnitus
Continuous vertigo without auditory symptoms
Sudden sensorineural hearing loss only
Facial numbness accompanying vertigo
Ménière's disease is characterized by episodic vertigo coupled with fluctuating hearing loss and tinnitus. Labyrinthitis presents with continuous vertigo and auditory involvement.
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Learning Outcomes

  1. Evaluate common ENT conditions and their presentations.
  2. Identify anatomical structures of the ear, nose, and throat.
  3. Apply clinical reasoning to diagnose ENT disorders.
  4. Analyse patient symptoms to differentiate ENT pathologies.
  5. Demonstrate knowledge of diagnostic tests in ENT practice.
  6. Master treatment approaches for common ENT ailments.

Cheat Sheet

  1. Ear Anatomy Deep Dive - Get a backstage pass to the ear by exploring the outer, middle, and inner sections and how they team up to capture and transmit sound. You'll also discover how these parts keep you upright when you're spinning on a swing set. Explore Ear Anatomy
  2. Spotting Common ENT Conditions - Learn to identify otitis media, sinusitis, and tonsillitis by their hallmark symptoms like ear pain, congestion, and sore throat. We'll break down what causes each condition and highlight red flags to watch for on your next case study. Dive into ENT Conditions
  3. Eustachian Tube Essentials - Discover how the Eustachian tube acts like a tiny pressure valve, equalizing air pressure on both sides of your eardrum. You'll also learn why it's a hotspot for blockages during colds and ear infections. Understand the Eustachian Tube
  4. Nose and Sinus Structures - Take a tour through your nasal passages and sinuses to see how they filter air, trap germs, and add resonance to your voice. We'll map out each cavity so you'll never get lost in a sinus CT scan again. Map the Nose & Sinuses
  5. Throat Anatomy 101 - Peek inside the pharynx and larynx to learn how these corridors work together in speech and swallowing. We'll highlight key landmarks that every student needs to know for exams and practicals. Explore Throat Anatomy
  6. ENT Diagnostic Toolkit - From audiometry tests that measure your hearing to endoscopies that give you a live view of nasal and throat interiors, learn which tools are used and why. These diagnostics will become your new best friends in clinical practice. Check Out ENT Diagnostics
  7. Treating ENT Disorders - Dive into common treatments like antibiotics for infections and surgical options such as tonsillectomy. We'll cover when to use meds versus when to refer for surgery so you're prepared for any treatment plan. Learn ENT Treatments
  8. Sinus Function & Resonance - Understand how the sinuses lighten your skull and give your voice its unique resonance. You'll also explore how sinus infections can throw off this harmony and lead to pesky headaches. Discover Sinus Functions
  9. Eardrum Dynamics - Meet the tympanic membrane, the superstar that vibrates in sync with sound waves and relays them to the ossicles. We'll show you why a healthy eardrum is vital for clear hearing. Learn About the Eardrum
  10. Vestibular System & Balance - Journey into the inner ear's balance center to see how tiny canals and fluid movements keep you from toppling over. You'll get the scoop on common vestibular disorders that cause dizziness. Explore the Vestibular System
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