ENT

PRELIMS: NOSE
Multiple Choice

1. The allergic reaction commonly associated with rhinitis is b. They are just as effective in reducing complaints of
a. Anaphylactic congestion as the antihistamines
b. Cytotoxic c. Both
c. Immune complex d. Neither
d. Cell-mediated
7. Cromolyn has been shown to be an effective agent in allergic
2. According to the Gell and Coombs classification of allergic reactions, rhinitis. The ff is/are
the mediator in allergic rhinitis is commonly a. It stabilizes the mast cells
a. Sensitized T-cells b. It is more efficacious when used prophylactically
b. IgG, complement c. It is often used to relieve the symptoms
c. Ag-Ab complex d. It is very effective but is not a very safe medication
d. IgE e. All
f. A, B, C
3. The best treatment for allergic rhinitis g. A, B
a. Immunotherapy
b. Antihistamines with or without decongestants 8. True of immunotherapy
c. Corticosteroids a. This is the only proven cure for perennial allergic rhinitis
d. Mast cell stabilizers b. It induces the formation of allergen specific suppressor B
e. Avoidance of inciting antigen lymphocyte which blunts the body’s response to the specific
antigen
4. The aqueous nasal steroid spray preparation are usually most c. The goal is to stabilize the patient’s symptoms with a single
effective in patients who have a “wet nose” while the non-aqueous injection of allergenic extracts
preparations are most effective in the “dry nose” d. All
a. True e. None
b. False
9. The second generation antihistamines do not cause sedation at
5. Antihistamines in general give relief of the symptoms of the ff recommended doses with the exception of ______ w/c causes
EXCEPT sedation in up to 12% of patients
a. Itching a. Loratadine
b. Sneezing b. Astemizole
c. Rhinorrhea c. Fexofenadine
d. Congestion d. Cetirizine
e. None e. None

6. True of topical nasal steroids 10. First generation antihistamines are more effective than second
a. They are both anti-inflammatory and anti-allergy generation antihistamines in alleviating rhinorrhea
a. True
 b. False d. All
e. None
11. What antihistamine/s can predispose patients to fatal or near fatal f. A&B only
episodes of arrhythmias if taken at higher than recommended
dosages or if used with medications (macrolides, azole antifungals, 15. The adenoids and tonsils are predominantly B-cell organs whereas
quinine) that interfere with metabolism through the cytochrome P- majority of lymphocytes in peripheral blood are T-cells
450 pathway? a. True
a. Astemizole b. False
b. Terfenadine
c. Fexofenadine 16. During a ff-up examination some months after tonsillectomy, it is
d. All discovered that a bitter taste on the right is absent. A branch of
e. A&B which of the ff nerves was most likely inadvertently severed during
f. None the surgery?
a. Chorda tympani
12. True of decongestants b. Facial nerve
a. The topical preparations are more effective than the oral c. Glossopharyngeal nerve
preparations in decongesting d. Lingual nerve
b. The sympathomimetic effect of decongestants is due to e. None
activation of beta adrenergic receptors in the vascular
smooth muscles of the turbinates 17. The turbinates in a postoperative laryngectomy patient is/are
c. Oral decongestants may also cause rebound congestion a. Boggy
d. A&B b. Small/atrophic
e. All c. Erythematous
f. None d. All

13. The ff symptom/s is/are relieved by nasal steroid spray 18. Most women note some degree of nasal congestion during
a. Sneezing and nasal pruritus pregnancy, which progressively worsens. This is due to a direct
b. Rhinorrhea relationship with what hormone?
c. Congestion a. Prolactin
d. Thick postnasal discharge b. Estrogen
e. All c. Progesterone
f. A&B d. All
g. All except D e. None

14. True of nasal steroid spray 19. True of harmful effect of cocaine abuse
a. They are most effective if begun prior to development of a. Because it is also a vasoconstrictor, rebound rhinitis may
allergy season occur
b. They are less successful as rescue drugs b. Effects of adulterants overshadow the rebound rhinitis
c. They are not the DOC for patients with sporadic and c. Both
infrequent symptoms d. Neither
 20. True of rebound rhinitis 17. AOM is usually caused by all EXCEPT
a. The more frequent and prolonged the use of topical a. S. pneumoniae
vasoconstrictors, the more profound the rebound b. H. influenzae
b. Infants are more susceptible to rebound rhinitis c. S. aureus
c. Topical steroid sprays are not useful in the management d. M. catarrhalis
d. All
e. A&B 18. Myringotomy is done in AOM in the ff EXCEPT
f. None a. Suppurative AOM
b. Otitis media with effusion
EARS c. AOM in immunocompromised patients
12. Routes of infection in labyrinthitis EXCEPT d. AOM in severe pain
a. Hematogenous
b. Lymphatic 19. Caused by negative pressure in the middle ear
c. Meningeal a. Otitis media with effusion
d. Tympanogenic b. Chronic otitis media
c. Acute otitis media
13. Bullous myringitis is an infection of the d. Acute mastoiditis
a. External auditory canal
b. Auricle 20. Bacteria found in the middle ear fluid in OME
c. Tympanic membrane a. Streptococcus
d. Middle ear b. Haemophilus
c. Moraxella
14. Herpes zoster oticus is caused by d. AOTA à dapat grrrr!!!
a. Protozoa
b. Bacteria 21. Middle ear fluid in OME is formed by
c. Viruses a. Exudation
d. Fungi b. Suppuration
c. Transudation
15. Herpes zoster oticus is also called d. Secretion
a. Bell’s syndrome
b. Ramsay-Hunt syndrome 22. Procedure done when OME lasts > 3 months
c. Ramsay’s syndrome a. Mastoidectomy
d. Bell’s-Hunt syndrome b. Tympanoplasty
c. Myringotomy
16. Spontaneous nystagmus present in all gaze positions d. Radical mastoidectomy
a. First degree
b. Second degree 23. Procedure done for chronic otitis media with cholesteatoma
c. Third degree a. Myringotomy
b. Tympanoplasty
c. Mastoidectomy
 d. B and C
30. Otitis media can be prevented by vaccinations against
NOSE a. Haemophilus
b. Streptococcus
24. The most common fungal infection causing specific rhinitis c. Moraxella
a. Aspergillus d. NOTA
b. Mucormycosis
c. Rhinosporidiosis
d. NOTA

25. The best treatment strategy for allergic rhinitis
a. Antihistamines
b. Steroids
c. Mast cell stabilizers
d. NOTA

26. Beck puncture is used for
a. Maxillary sinus
b. Sphenoid sinus
c. Frontal sinus
d. Ethmoid sinus

27. The only definitive treatment for chronic sinusitis
a. Decongestant nose drops
b. Broadband antibiotics
c. Sinus surgery
d. Heat therapy
28. This facial paralysis has no definite cause
a. Ramsay-Hunt syndrome
b. Guillain-Barre syndrome
c. Bell’s palsy
d. NOTA

29. Complete paralysis of affected fibers with unpredictable
regeneration
a. Neurotmesis
b. Axonotmesis
c. Neurpraxia
d. NOTA