1. Audiologic testing used to test the function of the “cochlear amplifiers”.
The emissions
reflect the functional integrity of the cochlea:
a. Cortical evoked potentials
b. Electrocochleography
c. Ototacoustic emission test
d. Auditory brainstem response
2. The medial boundary of the external ear:
a. Tegmen
b. Parotid gland
c. Mastoid bone
d. Tympanic membrane
3. Age-related idiopathic and symmetrical sensorineural hearing loss that affects persons
over 50 years of age:
a. Idiopathic sudden hearing loss
b. Chronic progressive idiopathic sensorineural hearing loss
c. Otosclerosis
d. Presbycusis
4. In Weber's test, the tuning fork is placed midline of the skull usually on the vertex or
forehead. Being the physician in charge, how would you interpret the result if the patient
perceives the sound better on ear?
a. Sensorineural hearing loss
b. Mixed hearing loss
c. Conductive hearing loss
d. Normal
5. Most common pathogen seen in patients diagnosed w/ necrotizing otitis externa:
a. Staphylococcus aureus
b. Streptococcus spp
c. C. albicans
d. P. aeruginosa
6. In Rinne test, interpretation of result wherein AC<BC:
a. Normal
b. Sensorineural hearing loss
c. Conductive hearing loss
d. Mixed hearing loss
7. A 22 y.o, F, came in to consult regarding severe itching and feeling of fullness on the
right ear. On otoscopy, you noted a white, yellow to black membrane lining the swollen
erythematous skin of the ear. What is your most likely dx?
a. Circumscribe otitis externa
b. Herpes zoster oticus
c. Necrotizing otitis externa
d. Otomycosis
8. Vestibular disorder that is characterized by severe attack of rotatory vertigo lasting for <1
minute and usually provoked by certain movements and are fatigable:
a. Benign paroxysmal positional vertigo
b. Meniere’s disease
c. Vertebrobasilar insufficiency
d. Acute unilateral vestibular loss
9. Disease of the otic capsule in w/c the structural changes in the bone often causes
stapes fixation resulting in conductive hearing loss. Seen predominantly between 20 and
50 years of age. The cause of the structural boine changes is unknown:
a. Ossicular chain disruption
b. Otosclerosis
c. Acute otitis media w/ effusion
d. Chronic otitis media
10. The side of nystagmus that occurs when WARM water (44 degrees) is placed in the ear
during CALORIC STIMULATION:
a. Same side
b. Opposite side
c. Both sides
d. No effect
11. Drainage of the maxillary sinus:
a. Middle meatus
b. Supreme meatus
c. Inf meatus
d. Superior meatus
12. Simple method of sinus examination:
a. Anterior rhinoscopy
b. Transillumination
c. Tuning fork exam
d. Otoscopy
13. Definitive PE finding for pediatric patients w/ suspected choanal atresia:
a. Failure to pass a suction catheter
b. Mouth breather
c. Nasal discharge
d. Cyanosis
14. The primary treatment of light bleeding located on the kiesselbach's area:
a. Silver nitrate cautery
b. Bilateral anterior nasal packing
c. Bellocq pack
d. Balloon tamponade
15. In subjective olfactory testing, odorant with trigeminal nerve component:
a. Menthol
b. Coffee
c. Lavender
d. Vanilla
16. Structures that are visible while doing anterior rhinoscopy:
a. Inferior turbinate, middle turbinate, septum
b. Inferior turbinate, middle turbinate
c. Inferior turbinate, middle turbinate, septum choanae
d. Inferior turbinate, middle turbinate, superior turbinate, septum
17. X-ray view that best demonstrate the maxillary sinus:
a. Caldwell’s view
b. Lateral view
c. Water view
d. Submento-vertex view
18. Paranasal sinus structure that DOES NOT drain into the middle meatus:
a. Posterior ethmoid
b. Frontal sinus
c. Anterior ethmoid
d. Maxillary sinus
19. In cellular immune response in the nasal mucosa, the cell responsible for histamine
release in the early phase of an allergic reaction:
a. Eosinophilic granulocytes
b. Mast cells
c. T-lymphocytes
d. Basophilic granulocytes
20. It is an anterior bony opening of the nasal cavity that is bounded laterally and inferiorly
by the maxilla and superiorly by the nasal bone:
a. Nasal vestibule
b. Choanae
c. Piriform aperture
d. Interior nasal valve
21. Which of the following will have supportive treatment consisting of analgesics, increased
fluid intake, and salivary stimulation with lemon drops?
a. Chronic sclerosing sialadenitis
b. Mumps
c. Chronic sialadenitis
d. Acute suppurative sialadenitis
22. A patient underwent radical mastoidectomy for chronic otitis media recently and the
surgeon reported that the chorda tympani nerve was injured. What would be the
complaint of the patient?
a. Deviation of the tongue to the contralateral side on tongue protrusion
b. decreased taste sensation on the contralateral side
c. Decreased taste sensation on the ipsilateral side
d. Facial weakness and asymmetry on the ipsilateral side
23. A father sought consultation with your clinic regarding his 7-year-old son who presented
with 3 days hx high-grade fever, painful swallowing. During your PE, you noted a loud
inspiratory stridor and typical hot potato voice. The posterior pharyngeal wall appears to
be bright red. What is your most likely dx?
a. Diphtheria infection
b. Acute laryngeal edema
c. Acute epiglottitis
d. Bacterial laryngo-tracheitis
24. Volume of saliva that can be produced in 24 hrs period in its maximum rate:
a. 1 L to 1 1/2L
b. 2.5 L
c. 0.5 L to 1L
d. 1.5L to 2L
25. Superficial tongue lesion characterized by burning sensation of the tongue, dry mouth
with altered sense of taste and associated with patient suffering from pernicious anemia
a. Atrophic glossitis
b. Benign migratory glossitis
c. Fissured tongue
d. Lingua villosa nigra
26. A 35 y.o, M, presented with a gradually enlarging parotid mass. The patient had
previously undergone parotidectomy from the contralateral side. It is also known as the
papillary cystadenoma lymphomatosum or Whartin’s tumor. It is unique because it is
composed of lymphoid tissue with a striking male predominance, and present bilaterally
in 10% of cases. The recommended tx is superficial parotidectomy with a facial nerve
preservation.
a. Monomorphic adenoma
b. Oncocytoma
c. Adenolymphoma
d. Pleomorphic adenoma
27. Salivary ducts that occupy the floor of the mouth:
a. Wharton’s duct
b. Nasolacrimal duct
c. Intercalated duct
d. Stensen’s duct
28. Stage of swallowing wherein: the posterior pharyngeal wall moves upward, while the
posterior past of the tongue moves forward to enlarge the oropharyngeal chamber:
a. Buccal stage - voluntary
b. Esophageal stage
c. Pharyngeal stage
d. Buccal stage - involuntary
29. A clinical feature that is NOT seen in patients with hyperplasia of the adenoid:
a. Runny nose
b. Hyponasal voice
c. Hypernasal voice
d. Chronic impairment of the eustachian tube ventilation
30. As an otolaryngologist, which among the primary work-up listed is contraindicated for
patient diagnosed with juvenile angiofibroma:
a. Digital subtraction angiography
b. Punch biopsy
c. MRI
d. CT-scan w/ contrast
