1.

A 66-year-old Chinese man presents with a two-month history of neck swelling in the
right posterior triangle. He also has conductive hearing loss in right ear with blocked
nose and significant weight loss. What is the likely diagnosis?
• Lymphoma.
• Nasopharyngeal carcinoma
• Parotid tumor
• Lipoma
• Nasopharyngeal angifibroma
2. A 21-year woman presents with two days history of sore throat and dysphagia. On
examination she is pyrexial with whitish membrane over left tonsil & pharynx. there is
cervical lymphadenopathy. What is the likely causative organism for her condition?
• Epstein-Barr virus
• Haemophilus inFLuenzae
• Corynebacterium diphtheriae
• Neisseria gonorrhea
• Streptococcus pyogenes
3. A 55-year-old man presents with gradually enlarging right sided neck swelling with severe
ipsilateral otalgia for last 3 months. There is history of 10kg weight loss. He smokes 10
cigarettes per day and drinks 15 units of alcohol per week. Examination of the neck
reveals
 a 4 cm x 4 cm firm, mobile, non-fluctuant, and non-pulsatile swelling on the right side of the
neck. Rest of ENT examination is normal. Likely diagnosis in this case is
• Branchial cyst.
• Malignant node containing squamous cell carcinoma
• Infective lymph node.
• Submandibular gland stone.
• Non-Hodgkin lymphoma.
4. A 4-year-old child presented with ingestion of coin 30 minutes back, patient
is asymptomatic. The first step of management should be
• Shift to operation theatre and esophagoscopy
• Shift to operation theatre and bronchoscopy
• Xray neck and chest
• Heimlich maneouvre
• Encourage oral feed for spontaneous passage

5. The most common and earliest manifestation of carcinoma of the glottis is:
• Hoarseness
• Haemoptysis
• Palpable Cervical lymph nodes
• Stridor
• Dysphagia

6. What virus is associated with nasopharyngeal carcinoma?

• Human Papilloma Virus
• Herpes Simplex Virus
• Epstein-Barr Virus
• Coxsakie Virus
• Varicella-Zoster Virus

7. The most common cause of bilateral recurrent laryngeal nerve paralysis is:
• Laryngeal trauma,
• Iatrogenic damage in total thyroidectomy
• A tumor mass expanding in upper part of mediastinum,
• Toxic polyneuropathy of recurrent laryngeal nerves,
• Acute subglottic laryngitis.

8. 62-year-old patient has presented with non-healing ulcer on right lateral border of tongue
for last 4 months, there is history of significant weight loss. On examination right sided
cervical lymph nodes are palpable and painless, patient is known smoker for last 30
years. the likely diagnosis is:
• Aphthous ulcers
• Behcet syndrome
• Squamous cell carcinoma
• Lichen planus
• Chemical burn due to cigarette smoking
9. 15-year-old boy with left nasal blockage and swelling of cheek is suspected of
Juvenile angiofibroma. The main feature in this disease is:
• Recurrent epistaxis
 • It is a tumor of young girls
• Bone erosion of the greater wing of the sphenoid does not occur
• Sensorineural hearing loss
• External beam radiotherapy is first line treatment
10. A 2-month-old child presented with noisy breathing more during inspiration with
supine position and disappears on prone position. The appropriate diagnosis would be:
• Acute epiglottitis
• Croup
• Choanal atresia
• Laryngomalacia
• Sub glottis stenosis
11. 15-year-old male presented with history of odynophagia, fever and sore throat for last 3
days. On examination there is a membrane over tonsils. There is no history of dyspnea
or cervical lymphadenopathy. Which of the following tests will help to make final diagnosis?
• Throat swab Gram staining
• Monospot test
• CRP (c reactive protein)
• Complete blood count
• Urine examination
12. A newborn baby presented with weak cry and hoarseness, There is inspiratory stridor
that disappears on prone position. The appropriate management would be
• Give corticosteroids
• Tracheostomy
• Wait and watch for spontaneous resolution of condition
• Give 1-week course of antibiotics
• Nebulize with epinephrine solution

13. Which is the most common etiological agent of epiglottitis

• Staphylococcus aureus
• Haemophilus influenza
• Rhinovirus
• Adenovirus
• Moraxella catarrhalis

1. The best treatment of traumatic perforation of tympanic membrane is:

• Mastoidectomy
• Wait & see
• Myringoplasty
• Antibiotic ear drops
2. A 50-year-old diabetic has presented to the ENT OPD with severe pain in the right ear for the
 last 2 days. The pain increased during chewing & eating meals. There is no complaint of ear
discharge or itching. On palpation there is tenderness over the right tragus. The most likely
diagnosis is:
• Malignant otitis externa (Diabetic but there’s no granulation tissue)
• Impacted wax
• Acute suppurative otitis media
• otomycosis
• furuncles

3. A 30-year-old female has presented to the ENT Outpatients with severe right sided earache for
the last two days and right sided facial palsy for the last 1 day. There is no history of ear
discharge or trauma to the ears. Currently there are no complaints of fever, ear, or nasal
discharge. On examination there are vesicles on the tympanic membrane, deep meatus,
concha, and retro auricular sulcus. The appropriate management in this condition is:
• Corticosteroids
• bed rest and reassurance
• antibiotics
• nerve decompression
• antiviral therapy
4. A 35-year-old female patient with history of right chronic ear discharge. developed severe pain
in right side of head, fever, and neck stiffness two days back. When presented in emergency
department, she had an altered conscious level. Most appropriate diagnosis in this case will
be:
 • Meningitis
• Subdural abscess
• Otogenic brain abscess
• Lateral sinus thrombophlebitic
5. A 40-year-old factory worker has presented with progressively decreased hearing in both the
ears for the last 3 years. His pure tone audiometry was done which revealed sensorineural
hearing loss in both the ears with dip in air & bone conduction at 4k. this type of graph is
typically seen in:
• Presbycusis
• Acoustic trauma
• Noise trauma
• Otosclerosis
• Meniere's disease
6. Which statement is true regarding external auditory meatus?
• Straight in adults
• Its outer one third is bony
• It is 2.5 cm long
• Its deeper part contains hair
• It is 2.5 inches long
7. A 24 years old male soldier by profession has reported with history of deafness and intermittent
discharge from left ear for the last 03 years. At present he has medium sized central
perforation in left ear, dry for the last 03 months. Audiogram shows 30 dB (Mild) conductive
hearing loss in left ear. What should be the choice of treatment?
• Conservative treatment
• Radical Mastoidectomy with tympanoplasty
• Myringoplasty
• Hearing aid
8. A 22-year-old female has presented to the ENT OPD with intense itching & pain in the left ear
for the last 1 week along with watery discharge. On otoscopy there are blackish spores in the
left ear. The 1st step in management would be
• Topical steroids
• Oral antifungal
• Topical antibiotics
• Aural toilet
• Topical antifungal
9. The best treatment for traumatic perforation of drum is
• Myringoplasty
• Put a piece of gel foam on perforation
• Suction toilet and local antibiotic drops
• Observe for spontaneous healing and consider myringoplasty in case of failure
• Local antibiotic drops

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10. A 45-year-old female presented with the complaint of attacks of severe vertigo at night
especially when she turned to the left side in bed for last four days. It lasted for 1 to 2 minutes
& was associated with nausea, vomiting & sweating. There is unidirectional nystagmus. This
was not accompanied by any hearing loss or tinnitus. The most likely diagnosis in this patient
is:
• Meniere's disease
• Benign paroxysmal positional vertigo
• Vestibular neuronitis
• Basilar migraine
• Labyrinthitis
11. BELL'S palsy is characterized by
• ipsilateral lower motor neuron lesion with sparing of forehead
• contralateral upper motor neuron lesion with sparing of forehead
• ipsilateral upper motor neuron lesion with involvement of forehead
• ipsilateral upper motor neuron lesion with sparing of forehead
• ipsilateral lower motor neuron lesion with involvement of forehead
12. A 58-year-old man who has 30 years of Diabetes Mellitus developed sudden pain in the right
ear with fever. On examination there was severe inflammation with small red swelling in the
right external auditory canal. The tympanic membrane was intact. He is most likely suffering
from.
• CSOM with Cholesteatoma
• Squamous cell carcinoma of the ear
• Boil ear
• Malignant otitis externa
13. A patient presents with severe pain in the right ear. On examination shows vesicles on the
right pinna along with tenderness of right pinna and right facial palsy. What is the diagnosis?
• Myringitis bullosa
• Ramsay Hunt syndrome
• Bell's palsy
• Malignant otitis externa

1. Anti-cholinergic (topical ipratropium bromide) is used in the treatment of:

• Allergic rhinitis
• Acute rhinitis.
• Chronic rhinitis
• Non- eosinophilic vasomotor rhinitis.
• Eosinophilic vasomotor rhinitis.
2. A 60-year-old male patient presented with history of nasal blockage with epistaxis and
foul- smelling discharge from left nostril for last 3 months, the is a history of significant
weight loss, which of the following is most likely a diagnosis?
• Antrochoanal polyp
• Foreign body nose
• Sinonasal carcinoma
• Fungal sinusitis
• Simple nasal polyp
3. Blow out fracture of orbit involves
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• Superior orbital fissure
• Optic canal

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 • Lateral wall of orbit
• Medial orbital wall
• Floor of orbit
4. The best investigation in antrochoanal Polyp
• smell identification test
• Skin prick test.
• Waters view X-ray.
• x ray postnasal space lateral view
• Coronal CT scan.
5. A 25 year old male patient underwent Sub mucosal resection, a day later he developed
high grade fever, lethargy and drowsiness, his blood pressure is 96/60mmhg. the main
cause of this condition is due to
• Toxic shock syndrome
• Aspiration pneumonia
• Excessive nasal bleed
• Hypersensitivity reaction
• Trauma to skull base during surgery
6. A thirty-year-old male patient has history of nasal bleeding and haematuria for the last two
years. He also complains of productive cough. On examination septal mucosa looks very
granular anteriorly. On investigations ESR was found to be 60 mm. after 1 hour and
urinalysis showed red cell casts and epithelial cells. The most likely diagnosis in this
patient is:
• Tertiary syphilis
• Osler's disease
• atrophic rhinitis
• Wegener granulomatosis
• Allergic Rhinitis
7. The most common cause of epistaxis is
• Fracture nasal bone
• Angiofibroma
• Idiopathic
• Hypertension
• Blood diseases
8. The most common cause of epistaxis in children:
• Fingernail trauma
• Fracture nasal bone
• Bleeding disorders
• Angiofibroma
• Hereditary hemorrhagic telengectesia
9. Prolonged use of the vasoconstrictor nasal drops result in
• Atrophic rhinitis

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 • Rhinitis medicamentosa
• Hypertrophic rhinitis
• Rhinitis sicca
• infective rhinitis
10. A 40 years old male presented to ENT OPD with left sided nasal mass, he is suspected
to have Inverted Papilloma ( tumor of non-olfactory mucosa of nose ). Following is the
treatment of choice in his case.
• Medial maxillectomy
• Trans antral exenteration
• cald wel luc surgery
• Endoscopic removal
• Intra nasal excision
11. The antrochoanal polyp:
• The patient, commonly a young adult, complains of bilateral nasal obstruction
• The patient, commonly only a young adult, complains of unilateral nasal obstruction
which is worse on expiration
• The patient, commonly an old female, complains of unilateral nasal obstruction which
is worse on inspiration
• The patient, commonly an old male, complains of unilateral nasal obstruction which
is worse on inspiration
• The patient, commonly an old female, complains of unilateral nasal obstruction which
is worse on expiration
12. All structures open in the middle meatus except
• The frontal sinus.
• Posterior ethmoid air cells
• The middle ethmoid air cells
• The maxillary sinus.
• The anterior ethmoid air cells.

OR

13. All structures open in the middle meatus except:

• Sphenoid sinus
• The maxillary sinus.
• The frontal sinus
• The anterior ethmoid air cells
• The middle ethmoid air cells.
14. A 20-year-old female presented to ENT outpatient department with a history of foul-
smelling discharge from nose, along with recurrent episodes of epistaxis and nasal
blockage. On examination, bilateral nasal cavities appear roomy and full of crusts. which of
the following is the most relevant management?
• submucosal resection

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 • young's operation
• partial turbinectomy
• submucosal diathermy
septoplasty

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