wing 4th yr

8/3/2019 WING 4th yr

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WE INSPIRE NEW GENE (WING)

WING PROJECT| KE ARAH MENJADIKAN AKADEMIK SEBAGAI IDENTITI PCZ 1

ENT EXAMINATION QUESTION

MCQ QUESTION

1) Ear pain during mastication is probably due to :a. Herpes zoster oticusb. External ear furunclec. Hematoma aurisd. Acute Otitis media

2) Ceruman is secreted in external canal by cerumenous gland which present in :a. Cartilaginous part of external canalb. Bony part of external canalc. Whole length of external canald. Concha of the auricle

3) Vegetable foreign body in external canal is best treated by :a. Ear washb. Alcohol syringingc. Suctiond. Removal by hook and curette

4) All the following organism cause ear infection except:a. E.colib. Streptococcus hemolyticusc. Pseudominas aeruginosad. Diphtheria bacilli

5) Cauliflower ear develop after healing of:a. Hematoma of auricleb. Carcinoma of auriclec. Fungal infection of ext canald. Herpes zoster

6) During ear wash patient may cough because of :a. Stimulation of the trigeminal n.b. Stimulation of vestibular cochlea n.c. Stimulation of glossopharyngeal n.d. Stimulation of vagus nerve

7) Furunculosis of external canal :a. Occur in medial part of external canal because skin is adherent to the boneb. Occur in outer part of external canal because of the presence of hair folliclesc. Usually caused by streptococcus hemolyticusd. None of above


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8) Furunculosis is treat by :a. Systemic antibioticsb. Topical antibioticsc. Incision and drainaged.

All the above

9) The commonest etiological organism in otomycosis is :a. Candida albicansb. Histoplasmosisc. Aspergillus nigerd. Mucormycosis

10)All the following is true about keratosis obturan except:a. It is called cholesteatoma of ext canalb. Precancerousc. Cartilaginous meatus is not involvedd. May be associated with sinusitis and bronchiectasis


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CASE EXAMINATION QUESTION

CASE 1

A male patient 25 year old has been complaining from a discharging right ear the last 7 years. The

discharge was offensive and blood stained. Five weeks ago he started to complain from headache

tht gradually, increased and was associated with vomiting. Now he is drowsy, he has mild vertigo

and uncoordinated movement and his temperature is 37.5 c . On examination, the discharge was

coming from a perforation in the attic.

1) Diagnosis of such case is probably :a. Attico-antral chronic otitis media complicated with temporal lobe abscessb. Chronic otitis media complicated with labyrinthitisc. Cholesteatoma complicated with cerebellar abscessd. Tubotympanic chronic otitis complicated with cerebellar abscess

2) Intracranial complications of chronic otitis media is suspected when there is :a. Headacheb. Drowsinessc. Vomitingd. Any of the above

3) Complicated chronic otitis media present with mild fever except :a. Meningitisb. Brain abscessc. Extradural abscessd. Labyrinthitis

4) Which of the following is best for confirming you diagnosis:a. Fundus examinationb. CT scan with contrast for the brain and temporal bonec. Culture and sensitivity of the ear discharged. Complete audiological evaluation


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ANSWER : mcq

1) B2) A3) D4)

D

5) A6) D7) B8) D9) C10)BCase 1

1) C2) D3) D4) B

wing 4th yr

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