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ENT PART I EXAM 2009 1- Frontal branch of facial nerve in relation to deep temporalis muscle fasica is deep to a.deep layer of superficial temporalis fascia b.superficial temporalis fascia « ? 2- The most common type of melanoma is a.nodular b.superficial spreading « c.acral 3- Temporal bone a.form the whole carotid canal b.form the whole EAC « ? 4- Rinne test for a patient with air conduction equal to bone conduction means a.mild CHL « b.severe CHL 5- Inner ear structure that is responsible for temporary threshold shift is a.outer hair cells « b.inner hair cells 6- Patient you want to start him on empirical therapy, has gram negative organism and hemophilus influenza, the best is a.augmentin b.ceftriaxone c.flagyl 7- Spinal XI nerve a.supply sternocleidomastoid muscle, trapezius b.joined below the jugular foramen by cranial root 8- The cell that contain heparin is a.fibroblast b.mast cell « 9- The cell that produce ground substance for tissue like heparin, hyaluronic acid is a.fibroblast « b.macrophage 10- Not part of the oral cavity is a.soft palate « 11- Micronutrient that can imrove wound healing in patient with no macromolecular deficiency is a.vit A b.vit C c.zinc d.selenium 12- Cell bodies of sympathetics is located in a.thoracolumbar b.paraspinal chains 13- Hyperkeratosis is a.thickening of stratum corneum « 14- Facial nerve run in which compartment of IAC a.anteriosuperior « 15- Cochlear nerve run in which compartment of IAC a.anterioinferior « 16- The artery that pass canal is in the fallopian a.superior tympanic artery b.inferior tympanic artery c.anterior tympanic artery 17- Adenoid epithelium a.has three type of cells « 18- The middle third muscle is supplied by of sternocleidomastoid a.superior thyroid artery « b.occiptal artery c.carotid artery 19The space that is not in direct communication with parapharyngeal space is a.sublingual b.submandibular c.retropharyngeal 20- Patient has retro-orbital pain, draining ear, dipplopia Abducent nerve is injured in a.dorello's canal « 21- Great auricular nerve fibers arise from a.C1,2,3 b.C2,3 « 22- The second turbinal give to a.agger nasi b.uncinate process c.middle turbinate « 23- Function of germinal centre of lymph node is a.antigen presenting process 24- Site of initiation of otosclerosis is a.antefenestrum « b.postfenestrum c.footplate 25- Superior parathyroid gland is a.superior to inferior thyroid artery, anterior to recurrent laryngeal nerve b. superior to inferior thyroid posterior to recurrent laryngeal nerve artery, 26- Cottle test is used to look for a.deviated nasal septum b.hypertrophied inferior turbinate « 27- Olfactory epithelium a.located on cribriform plate, superior turbinate, middle turbinate and segment of nasal septum 28- True regarding pyriform sinus a.has poor sensory supply « 29- derivative of 3rd arch a.stylopharyngeous muscle « 30- During surgery superior laryngeal nerve was severed, patient will be a.unable to tense vocal cord and pooling of secretion in supraglottis « 31Sphenopalatine parasympathetic to ganglion give a.lacrimal gland « b.parotid gland c.submandibular gland 32- Vicryl is a.absorbable,braided and synthetic « 33The single production most important in sound a.adequate closure and vocal stiffness 34Structure that separate periorbital cellulitis is a.orbital septum « orbital and 35Important sphincter except muscle in velopharyngeal a.middle constrictor «? b.superior constrictor c.palatoglosus d.levator velli palatini e.musculus uvulus 36malignant transformation papilloma with HPV is related to of inverted a.HPV 6 b.HPV 11 c.HPV 16 d.HPV 22 37- Ventilator failure a.↑ in arterial Co2 b.↓ in bicarbonate c.will have metabolic acidosis 38- Artery of the second branchial arch is a.stapedial artery « 39- Ret oncogen is for a.medullary thyroid carcinoma « 40- Marker of SCCA a.S100 41Histopathologic thyroid ca except feature of a.dense calcification b.irregular calcification 42- Miculiks cell in a.rhinosporidiosis b.rhinoscleroma « 43- Artery supply of frontal sinus is a.supraorbotal artery « 44- Cochlear aqueduct a.communicate inner ear with CSF « medullary 45- Jacobson nerve injury a.loss of parasympathetic stimuli to parotid gland « 46- Most common histopathology of congenital cochlear deafness a.no pars inferior b.one single ovoid cyst 47- most gland is common malignancy a.adenoid cystic carcinoma « 48- D in the figure represent a.acinus « of submandibular 49- Mucoepidermoid carcinoma originate from a.striated cells b.secretory cells 50- 1st arch nerve except muscles supplied by trigeminal a.posterior belly of digastric muscle « 51- XI in relation to IJV at skull base a.superficial b.superficial to anteriolateral c.deep 52- Wave V ABR originate from a.inferior colliculus b.lateral lemniscus « 53- Antihistamine had the longest half life is a.astemizole « b.loratidine c.terfenadine 54- Lateral semicircular canal is supplied by a.superior vestibular nerve « 55- Sacule is supplied by a.inferior vestibular nerve « 56- Sickle cell patient with SNHL is explained by a.ischemia to stria vascularis « ? b.ischemia of AICA 57- Cribriform plate is part of a.ethmoid bone « 58- Main supply of TMJ a.auriculotemporal nerve « 59- A lesion is causing cut of facial nerve, the facial nerve can be stimulated a.proximal to the lesion 1st 3 days b.distal to the lesion in 1st 3 days « 60- Cleft lip a.caused by failure of fusion between maxillary and nasal swelling « 61- Eye trauma with displaced trochlea have a.diplopia on downward gaze « 62- Burn cause which type of shock a.hypovolemia « b.septic c.anaphylactic 63- Loss of water a.↑ in plasma Na concentration b.shift of fluid extracellular from intracellular 64- Vitamin K independent factor a.VIII « to 65- Mumps cause deafness commonly a.unilateral and congenital b.unilateral and aquired « 66- Tensor velli palatine is innervated by a.V3 « 67- Thymus gland is derived from a.third pouch « 68- Normal pressure of LES is a.-5 b.+5 c.25 d.60 e.100 69- Supplied nerve by a.palatoglosus « pharyngeal plexus of vagus 70- Effective embolism is measure to prevent pulmonary a.early ambulation « ? b.compressive stocking c.pneumatic pressure 71- Specific for wegner's granulomatosis a.C-ANCA « 72- The cell that has no nucleus is a.reticulocytes « 73- All are feature of the primary lesion that is more likely to have cervical metastasis except a.thickness › 4 mm b.age of the patient c.grade of the tumor d.perineural invasion e.vascular invasion 74- Carcinoma in situ (CIS) a.has invasion of basement membrane b.↑ in cytoplasmic : nuclear ratio c.↑ in nuclear : cytoplasmic ratio « 75- Type of malignancy leukoplakia that tend to have a.verroucus type 76- Orientation of steriocilia and kinocilia in auditory cells a.down action toward cochlear apex, no mechanical 77- Mitochondrial inheritance a.only maternal transmission « 78Contraindicated angioneuritic oedema in patient a.ACE inhibitor « 79- Delayed blood transfusion reactions a.is a type of graft versus host reaction b.bacterial infection with 80- Boundary of thoracic inlet a.manubrium – 1st rib- C1 « ? b.manubrium – 2nd rib- C2 c.manubrium – 3rd rib- C3 81Suggestive radiollgically of giant cell tumor a.soap-bubble appearance « 82- The difference between the upper third and lower third esophageal muscle is a.upper third skeletal, lower third smooth « 83- External jugular vein is formed by a.posterior division and auricular vein « of retromandibular vein 84- The muscle supplied by facial nerve on its anterior surface is a.risorius b.mentalis c.orbicularis oculli 85- Prostaglandins a.inhibit pain b.nearly found in all tissues « 86- Branch of third part of internal maxillary artery a.sphenopalatine artery « 87- Zenker diverticulum a.pulsion type « b.traction type 88- Virchow triad a.Stasis, endothelial hypercoagulable state « injury 89- The primary immunodeficiency in AIDS is a.cellular immunodeficiency « and 90- Response to injury a.hyperglycemia b.↑ in gluconeogenesis c.↑ fatty acid d.↑ production of insulin 91- Muscles of 1st arch except a.posterior belly of digastric muscle « 92- The management of patient with INR = 8 and has epistaxis will be a.give Vitamin K & fresh frozen plasma b.give fresh frozen plasma 93- All are true about keloid except a.grow spontaneously without regression « 94- Question about basal cell carcinoma ? site 95- Question about pinkish mass over the vocal cord ? Diagnosis 96- Question improvement about vestibular symptoms and 97- Qustion about allergy 98- Question about allergy Written by Dr A.AL-ROQI