MCQs ENT

1

All of the following can cause stridor EXCEPT:

A Inhaled foreign body in right main bronchus

B Retropharyngeal abscess

C Bacterial tracheitis

D Bilateral vocal cord paralysis

Answer



2


Regarding Facial nerve palsy
A Orbicularis oris may be spared in upper motor neuron lesions

B Herpes zoster is thought to be involved in Bells palsy

C Paralysis may be seen with sarcoid disease

D Carotid tumour may cause Bells palsy

Answer



3

Regarding pharyngotonsillitis, which of the following is FALSE?

A The majority of streptococcal infections will improve in 3-4 days
without antibiotic therapy

B Group A !-haemolytic streptococci are the cause of pharyngitis in
about 20% of cases

C Antibiotic therapy reduces the incidence of post-streptococcal
glomerulonephritis by 50%

D Throat culture is not indicated unless resistant to standard therapy

Answer




4

The following are true of epiglottis EXCEPT

A 90% cases are paediatric

B Incidence is 1:100,000

C Most commonly occurs in age 40-50 years

D More cases occur in springtime

Answer



5

All of the following are true of sore throat EXCEPT

A Viral in 70% of cases

B Group A Streptococci is the pathogen in 5-10% of adults

C Antibiotics shorten infection course by 1-2 days

D Antibiotics decrease risk of rheumatic fever by 70%

Answer



6

Regarding epistaxis, which of the following arteries does NOT supply
blood to the anastomosis known as Kiesselbachs plexus (Littles
area) in the nasal septum?

A Ophthalmic

B Superior alveolar

C Sphenopalatine

D Posterior ethmoidal

Answer




7

Which is false regarding use of antibiotics in pharyngitis?

A
70% pharyngitis is viral

B
Reduced incidence of subsequent otitis media

C
Reduced incidence of post strep glomerulonephritis

D
Reduced incidence of peritonsillar abscess

Answer




8

With regard to a Retropharyngeal Abscess which of the following is false?

A
An unwillingness to look up (Boltes sign) is a reliable sign

B
May present with torticollis, with turning the head toward the affected side

C
Contrast CT scan is the gold-standard diagnostic test

D
Most cases are associated with H. Influenzae type B

Answer




9

Which of the following statements regarding paediatric ENT conditions is
FALSE?

A Peritonsillar abscess is the most common abscess of the head and neck

B Glomerulonephritis incidence is reduced by the use of penicillin in suspected
GABHS tonsillitis

C Antibiotic use in acute otitis media significantly reduces pain

D Airway management is the initial priority in the management of a
retropharyngeal abscess

Answer





10

All of the following can cause stridor EXCEPT:

A Inhaled foreign body in right main bronchus

B Retropharyngeal abscess

C Ludwigs angina

D Bacterial tracheitis

Answer



Answers

1. A
2. C
3. C
4. A (used to be) Dunn
5. C ( by half day)
6. B Dunn p189
7. C Dunn
8. D Tintinalli page 1497
9. B not reduced, but rheumatic fever is in high risk groups. Textbook of Paeds EM
Section 14
10. A