Block 5 Anat Pharynx Ear Mini Quest Prt 7

18 Questions | Total Attempts: 89

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Block 5 Anat Pharynx Ear Mini Quest Prt 7

Chaudrys questions


Questions and Answers
  • 1. 
    A 25-year old woman visited her physician complaining of a swelling on the front of her neck and breathlessness. On examination, a small, solitary swelling of firm consistency was found to the left of the midline of the neck. The swelling moved upward on swallowing. The swelling is related to one of the following structures.
    • A. 

      Trachea

    • B. 

      Esophagus

    • C. 

      Parathyroid glands

    • D. 

      Thyroid gland

    • E. 

      Deep cervical lymph nodes

  • 2. 
    A 40-year old woman has a partial thyroidectomy for the treatment of thyrotoxicisis. During the operation a ligature slipped off the right superior thyroid artery. In order to stop the bleeding, the surgeon blindly grabbed for the artery with artery forceps. The operation was completed without further incident. The next morning the surgeon noticed that the patient spoke with a husky voice. Which of the following structures was damaged during the operation?
    • A. 

      Glossopharyngeal nerve

    • B. 

      Left external laryngeal nerve

    • C. 

      Right external laryngeal nerve

    • D. 

      Right recurrent laryngeal nerve

    • E. 

      Left recurrent laryngeal nerve

  • 3. 
    A 50-year old man has a partial thyroidectomy for a tumor. During the operation the internal laryngeal nerve was damaged. Which of the following structures will lose the sensation?
    • A. 

      Over the epiglottis only

    • B. 

      The larynx above the vocal cord

    • C. 

      The larynx below the vocal cord

    • D. 

      The ventricle of the larynx

    • E. 

      The saccule of the larynx only

  • 4. 
    An ENT surgeon performed the tonsillectomy on 15-year-old boy. After the operation the surgeon noticed severe bleeding from the tonsillar bed. Which of the following arteries is responsible for the bleeding?
    • A. 

      Tonsilar branch of lingual artery

    • B. 

      Tonsilar branch of maxillary artery

    • C. 

      Tonsilar branch of the facial artery

    • D. 

      Tonsilar branch of the ascending pharyngeal artery

    • E. 

      Tonsilar branch of the internal carotid artery

  • 5. 
    Which of the following muscle is supplied by the Glossopharyngeal nerve?
    • A. 

      Middle constrictor

    • B. 

      Superior constrictor

    • C. 

      Stylopharyngeus

    • D. 

      Palatopharyngeus

    • E. 

      Salpingopharyngeus

  • 6. 
    A 6-year old boy was playing with some coins. He put a nickel into his mouth and accidentally swallowed it. He began to cough, drool and choke. He was rushed to the hospital. A lateral radiograph of his neck revealed that the coin was lodged in his lower pharynx. Where would the coin probably lodge?
    • A. 

      Vallecula

    • B. 

      Tonsillar sinus

    • C. 

      Piriform recess

    • D. 

      Esophagus

    • E. 

      Laryngeal sinus

  • 7. 
    A 15-year old boy was admitted to the hospital with sore throat and earache. He had a high fever, rapid pulse and rapid respiration. Physical examination by physician revealed diffuse redness and swelling of the palatine tonsils. The physician decided to perform the tonsillectomy. After the operation the physician noted hemorrhage. What is the probable source of the hemorrhage in this case?
    • A. 

      Tonsillar branch of the lingual artery

    • B. 

      Maxillary artery

    • C. 

      External palatine vein

    • D. 

      Ascending pharyngeal artery

    • E. 

      Internal carotid artery

  • 8. 
    Practice questions on the EAR. A patient was diagnosed of tumor in the middle ear on the right side. After some time he complained of loss of the taste over the anterior part of the tongue. Which of the following nerves was MOST LIKELY damaged by the tumor?
    • A. 

      Lesser petrosal nerve

    • B. 

      Chorda tympani nerve

    • C. 

      Facial nerve just proximal to the stylomastoid foramen

    • D. 

      Greater petrosal nerve

    • E. 

      Tympanic branch of the CN9th

  • 9. 
    Usually middle ear gets infection from one the following sites.
    • A. 

      External ear

    • B. 

      Internal ear

    • C. 

      Nasopharynx

    • D. 

      Mastoid air cells

    • E. 

      Middle cranial fossa

  • 10. 
    An abscess in the middle ear if not drained, will rupture at one of the following sites
    • A. 

      Nasopharynx

    • B. 

      Auditory tube

    • C. 

      Tympanic membrane

    • D. 

      Internal ear

    • E. 

      Middle cranial fossa

  • 11. 
    A 58- year old woman has a paralysis on the right side of her face. She has difficulty in chewing and perceives sounds as annoyingly loud. Physical examination reveals loss of taste on the right anterior 2/3’s of the tongue. The hyperacusis in this case results from involvement of the
    • A. 

      Auditory nerve

    • B. 

      Chorda tympani nerve

    • C. 

      Nerve to stapedius

    • D. 

      Lesser petrosal nerve

    • E. 

      Greater petrosal nerve

  • 12. 
    A 70-year-old man suffered from the progressive hearing loss in the right ear for the last two weeks. The patient consulted the physician. The physician conducted Rinne’s test in the right ear and detected Bone conduction>Air conduction. Later the physician conducted Weber’s test and detected that the patient heared louder on the right side than the left. Which of the following structures is involved in the right ear?
    • A. 

      Internal ear

    • B. 

      External ear

    • C. 

      Cochlear nerve

    • D. 

      Cochlear nuclei

    • E. 

      Cortical deafness

  • 13. 
    A 60-year-old man visited the physician for the chronic ear pain on the right side and paralysis on the right side of the face for the last two months. Physical examination reveals loss of taste on the right anterior 2/3’s of the tongue, perceives sounds as annoyingly loud but no dryness of the right eye. The physician confirms that the facial nerve is damaged in the middle ear. Facial nerve is damaged at one of the following sites.
    • A. 

      AT the internal auditory meatus

    • B. 

      At the geniculate ganglion

    • C. 

      Distal to origin of nerve to stapedius

    • D. 

      Proximal to origin of nerve to stapedius

    • E. 

      Distal to origin of chorda tympanic nerve

  • 14. 
    Middle ear gets its sensory innervation through the
    • A. 

      Auriculotemporal nerve

    • B. 

      Facial nerve

    • C. 

      Auricular branch of the vagus

    • D. 

      Glossopharyngeal nerve

    • E. 

      Lesserpetrosal nerve

  • 15. 
    Which of the following nerves supplies the sensory fibers to the middle ear and carries presynaptic parasympathetic fibers to the parotid gland?  
    • A. 

      Facial nerve

    • B. 

      Lesser petrosal nerve

    • C. 

      Greater petrosal nerve

    • D. 

      Tympanic branch of glossopharyngeal nerve

    • E. 

      Auriculotemporal nerve

  • 16. 
    The external ear is supplied by
    • A. 

      One cranial nerve

    • B. 

      Two cranial nerves

    • C. 

      Three cranial nerves

    • D. 

      Four cranial nerves

    • E. 

      Five cranial nerves

  • 17. 
    A 60-year old man has paralysis on the right side of her face. Has difficulty in chewing and perceives sound annoyingly loud. Physical examination reveals loss of taste on ant 2/3 of tongue. The hyperacusis in this case is due to involvement of:
    • A. 

      Auditory nerve

    • B. 

      Lesser petrosal nerve

    • C. 

      Greater petrosal nerve

    • D. 

      Nerve to stapedius

    • E. 

      Cordatympanic nerve

  • 18. 
    A patient suffers from acoustic neuroma of the internal auditory meatus and produced the following clinical signs except:  
    • A. 

      Unilateral nerve deafness

    • B. 

      Nausea, vimiting and vertigo

    • C. 

      Lower facial paralysis

    • D. 

      Loss of corneal reflex

    • E. 

      Stapedius paralysis

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