Professional Documents
Culture Documents
a. Cholesteatoma
b. Presbycusis
c. Chronic Suppurative Otitis Media (CSOM)
d. Ramsay Hunt syndrome
e. Glomus tumour
2. A 35year old woman is being reviewed in the outpatient clinic post total
thyroidectomy. She was placed on L-thyroxine daily and asked to do a blood test
prior to her clinic visit, which of the following is best for monitoring thyroid
hormone replacement?
a. Free T3
b. Free T4
c. TSH
d. Thyroid binding Globulin
e. Radionuclide Scanning
3. A young boy presents to A&E with acute nose-bleed. He is stable and talking. The
best course of action is
a. Chemotherapy
b. Excisional biopsy of the nodule
c. Lobectomy plus isthmusectomy
d. Radical thyroidectomy
e. Radioactive iodine treatment
5. A 20-year-old girl presents with a 9-month history of neck swelling with thyrotoxic
symptoms. On investigation increased T4 and decreased TSH with palpable 2cm
nodule was found. Next investigation will be:
a. Computed tomography
b. Excisional biopsy of the nodule
c. Ultrasound
d. Needle Aspiration
e. Radionuclide scan
A 65-year-old man had fine needle aspiration biopsy on his neck because of a
central, enlarging tumour mass. Tissue analysis revealed that this was a thyroid
neoplastic mass
6. Which of the following is the most likely possible cause of the problem?
a. Anaplastic carcinoma
b. Follicular adenoma
c. Follicular carcinoma
d. Metastatic carcinoma
e. Papillary carcinoma
7. He was treated with a subtotal thyroidectomy. Which of the following would most
likely describe what was removed?
8. In the immediate post-operative period the surgeon was called back to see the
patient because the patient had trouble breathing. Which of the following is a
likely reason for this?
11. Which of the following would be least helpful in evaluating this patient?
a. Chest-Xray
b. Culture & sensitivity of the parotid secretions
c. CT scan of the parotid glands
d. Fine needle Aspiration Cytology
e. Ultrasound Examination of the parotid
a. Glossopharyngeal Neuralgia
b. Gustatory swelling
c. Haemorrhage from the maxillary artery
d. Paresthesia of the earlobe
e. Sialocoele
13. Which of the following is a feature of Freys syndrome?
A 50-year-old gentleman who was previously well, experienced severe vertigo while
turning towards the left in bed. Vertigo lasted for approximately 30 seconds and was
associated with nausea, but no hearing loss or tinnitus. Since then he has also
experienced transient vertigo on attempting to look upwards at tall buildings. His
symptoms have persisted for approximately 2 weeks, although he has noticed some
improvement with time.
16. Which one of the following tests would be useful in establishing the
diagnosis?
a. Dix-Hallpike test
b. Rombergs Test
c. Schwabach Test
d. Unterberger test
e. Webers Test
17. Identify the correct statement
a. During the Rombergs test, the patient should maintain his gaze on the doctors
finger
b. In unilateral conductive hearing loss, the Webers test will typically lateralize to the
contralateral ear
c. The Dix Hallpike test begins with the patient in the supine position
d. The Swabach test compares the patients bone conduction to that of the examiner.
e. The Unterberger test is another name for the Rombergs test
a. Aural fullness
b. Fluctuating vertigo
c. High frequency hearing loss
d. Tinnitus
e. Vertigo that lasts for hours
19.A 38 year old has uncontrolled anterior epistaxis and the decision is made for
arterial ligation. Which artery would be first ligated?
a. External Carotid
b. Greater palatine
c. Maxillary
d. Posterior ethmoid
e. Sphenopalatine
20.You are called by the bedside of a 35 year old restless and cyanosed woman 15
hours post thyroidectomy whose neck is swollen, has stridor and is cyanosed. The
appropriate intervention is
A 27-year-old woman had fine needle aspiration cytology (FNAC) of a palpable left
solitary thyroid nodule.
24.Ten hours post total thyroidectomy, she is noted to have dyspnea and stridor and
you are alerted by the ward sister to her condition. The treatment required is
26.A 42-year old woman with recent onset type 1 diabetes went to her family physician
because of increased agitation and a neck mass. She was diagnosed with Graves
disease. Which of the following is false?
27.A 35-year-old woman is diagnosed with follicular neoplasm on fine needle aspiration
cytology of the thyroid. Which of the following statements is correct?
a Type E
b Type B
c Type C
d Type Ad
e Type As
32. Which of the following is not recommended in the treatment of this condition?
a Hearing aid
b Sodium fluoride therapy
c Stapedectomy
d Grommet insertion
e Stapedotomy
a. Chronic sinusitis
b. Angiofibroma
c. Nasopharyngeal carcinoma
d. Nasal polyps
e. Adenoidal hyperplasia
a Hamartoma
b Lymphoid hyperplasia
c Squamous cell carcinoma
d Adenocarcinoma
e Ewings sarcoma
37.Which of the following is not usually removed in a radical neck dissection
a Accessory nerve
b Internal jugular vein
c Sternocleidomastoid muscle
d Lymph nodes in the submucosal triangle
e Phrenic nerve
38. The most common benign tumor of the minor salivary gland.
a Mucoidcystic adenoma
b Warthin tumor
c Pleomorphic adenoma
d Adenolymphoma
e Potts puffy tumour
40.Which of the following is the most likely cause of unilateral nasal obstruction?
41.Which of the following tests is not appropriate for a two year old child?
a Otoacoustic emissons
b Auditory brainstem response
c Pure tone audiometry
d Impedance tympanometry
e Behavioral audiometry
42.A 14-year-old boy is referred to you for nasal obstruction and frequent nosebleeds.
Which of the following is the most likely diagnosis?
a. inverted papilloma
b. juvenile angiofibroma
c. nasal polyps
d. nasopharyngeal carcinoma
43.A 56-year-old woman presents with a lump on the left side of her neck which has
been slowly enlarging over the last few months. On examination, there is a 2 cm
firm, painless, mobile lump near the angle of the left jaw. She is still able to move her
facial muscles. What is the most likely diagnosis?
a. Chemodectoma
b. Pleomorphic adenoma
c. Salivary duct carcinoma
d. Salivary duct stone
e. Sternocleidomastoid tumour
a. Acoustic neuroma
b. Mnire disease
c. Otosclerosis
d. Perforated eardrum
e. Presbycusis
45.A 71-year-old man presents to the GP with a painful, enlarging lump just in front of
his right ear, which has been present for 2 months. He woke this morning to find that
the right side of his face was drooping. What is the most likely cause of his
symptoms?
a. Radiotherapy
b. Radiotherapy followed by surgery
c. Maxillectomy followed by radiotherapy
d. Chemotherapy only
a. Bulla ethmoidalis
b. Middle turbinate
c. Superior turbinate
d. Inferior turbinate
e. Posterior Choanae
49.A 45-year-old diabetic man presents to his GP with a 2-week history of progressively
worsening sweating from the left side of his face during meals. Six months prior to
this, he underwent excision of a pleomorphic adenoma from his left parotid gland.
The GP diagnoses Freys syndrome and advises the patient about the various
management options. Which of the following statements is correct regarding Freys
syndrome?
a. Sphenopalatine artery
b. Greater palatine artery
c. Anterior ethmoidal artery
d. Superior septal perforator artery
e. Superior labial artery