NEET-PG 2015 - ENT PYQs Practice Questions

Q: All of the following are features of a nasal foreign body except:

Nasal polyps. ***Nasal polyps*** - While chronic inflammation can lead to nasal polyps, they are **not a direct or acute feature** of a nasal foreign body. - Nasal foreign bodies typically present with more immediate and obstructive symptoms rather than polyp formation. *Epistaxis* - A nasal foreign body can **irritate and traumatize the delicate nasal mucosa**, leading to bleeding. - This is a common symptom, especially if the foreign body is sharp or has been in place for some time. *Nasal obstruction* - The presence of any object in the nasal cavity will inevitably cause some degree of **physical blockage of airflow**. - This is one of the most common presenting symptoms, particularly in children. *Foul smelling discharge* - If a foreign body remains in the nasal cavity for an extended period, it can lead to **stasis of secretions and secondary bacterial infection**. - This infection often results in a **purulent, unilateral, and foul-smelling discharge**. [Practice more ENT PYQs on OnCourse]

Q: Stapedius pulls stapes in which direction?

Posterior. ***Posterior*** - The **stapedius muscle** attaches to the **posterior surface of the stapes neck**. - Contraction of the stapedius muscle pulls the stapes **posteriorly and laterally** (posterolaterally), tilting the footplate away from the oval window and reducing sound transmission. - This action dampens excessive vibrations and protects the inner ear from loud sounds as part of the **acoustic reflex**. *Anterior* - Pulling the stapes anteriorly would push the footplate further into the **oval window**, which would increase sound transmission rather than dampen it. - No muscle pulls the stapes anteriorly in the context of the **acoustic reflex**. *Superior* - The stapedius muscle's action is primarily along the **posterolateral axis**, not superiorly. - Pulling superiorly would not effectively dampen sound vibrations or protect the inner ear from acoustic trauma. *Inferior* - The anatomy and function of the stapedius muscle do not support an inferior pulling action. - The stapedius acts to stabilize and retract the stapes **posterolaterally**, not inferiorly. [Practice more ENT PYQs on OnCourse]

Q: Which perforation of the tympanic membrane is most commonly seen with tubotympanic CSOM?

Central. ***Central*** - A **central perforation** of the tympanic membrane is the most common type seen in **tubotympanic chronic suppurative otitis media (CSOM)**. - This type of perforation involves the **pars tensa** of the tympanic membrane, leaving an intact annulus. *Anterosuperior* - While perforations can occur anywhere, an **anterosuperior perforation** is not the hallmark of tubotympanic CSOM. - This location does not specifically correlate with the characteristic inflammatory patterns seen in tubotympanic disease. *Posterosuperior* - A **posterosuperior perforation** is more often associated with **atticoantral CSOM** due to **cholesteatoma formation**. - **Cholesteatoma** typically begins in the pars flaccida or posterosuperior pars tensa, which is different from tubotympanic CSOM. *Posteroinferior* - A **posteroinferior perforation** is not the most typical presentation for tubotympanic CSOM. - This location does not specifically differentiate it from other forms of otitis media or reflect the primary pathology of tubotympanic disease. [Practice more ENT PYQs on OnCourse]

Q: Hitselberger's sign is seen in?

Acoustic neuroma. ***Acoustic neuroma*** - Hitselberger's sign is an area of **hypoesthesia** or **anesthesia** in the **posterosuperior portion of the external auditory canal**. - Acoustic neuromas (vestibular schwannomas) arise from the **vestibular portion of CN VIII** in the internal auditory canal. - This sign results from involvement of the **sensory fibers of the nervus intermedius** (sensory branch associated with the facial nerve) due to close anatomical proximity in the cerebellopontine angle. - This symptom, also known as the **"ear canal sign,"** is relatively specific for acoustic neuroma. *Glomus Tumour* - Glomus tumors are **highly vascular benign tumors** of the **middle ear** that present with **pulsatile tinnitus** and conductive hearing loss. - While they can affect cranial nerves, Hitselberger's sign is not a characteristic presentation. *Nasal angiofibroma* - Nasal angiofibromas are **benign, highly vascular tumors** found in the **nasopharynx**, primarily affecting adolescent males. - They typically present with **epistaxis** and **nasal obstruction** and do not cause Hitselberger's sign. *Acute suppurative otitis media* - Acute suppurative otitis media is an **infection of the middle ear** causing earache, fever, and hearing loss. - It does not involve the cerebellopontine angle or sensory innervation of the external auditory canal in a way that would lead to Hitselberger's sign. [Practice more ENT PYQs on OnCourse]

Q: Which of the following statements about vasomotor rhinitis is false?

It is an infective condition. ***It is an infective condition*** - **Vasomotor rhinitis** is a **non-allergic, non-infectious** condition of the nasal passages. - Its pathophysiology involves **autonomic nervous system dysfunction** affecting nasal blood vessels, not microbial infection. *It primarily presents with nasal congestion and rhinorrhea* - This statement is **true** because classic symptoms of vasomotor rhinitis include persistent or intermittent **nasal congestion** and **rhinorrhea** (runny nose). - These symptoms result from the dysregulation of the autonomic control over nasal vasculature and glands. *It involves autonomic dysfunction of nasal blood vessels* - This statement is **true** and describes the core mechanism of vasomotor rhinitis, where the **parasympathetic nervous system** is relatively overactive, leading to vasodilation and increased glandular secretions. - This dysfunction causes the characteristic symptoms without an allergic or infectious trigger. *It is triggered by non-allergic stimuli like weather changes and strong odors* - This statement is **true** as patients with vasomotor rhinitis often report symptoms triggered by **environmental irritants** such as strong perfumes, temperature changes, humidity fluctuations, or even emotional stress. - These triggers differentiate it clinically from allergic rhinitis. [Practice more ENT PYQs on OnCourse]

Question 1

All of the following are features of a nasal foreign body except:

Accepted Answer

Nasal polyps

Answer

Epistaxis

Answer

Nasal obstruction

Answer

Foul smelling discharge

Question 2

Stapedius pulls stapes in which direction?

Accepted Answer

Posterior

Answer

Answer

Superior

Answer

Inferior

Question 3

Which perforation of the tympanic membrane is most commonly seen with tubotympanic CSOM?

Accepted Answer

Central

Answer

Anterosuperior

Answer

Posterosuperior

Answer

Posteroinferior

Question 4

Hitselberger's sign is seen in?

Accepted Answer

Acoustic neuroma

Answer

Glomus Tumour

Answer

Nasal angiofibroma

Answer

Acute suppurative otitis media

Question 5

Which of the following statements about vasomotor rhinitis is false?

Accepted Answer

It is an infective condition

Answer

It primarily presents with nasal congestion and rhinorrhea

Answer

It involves autonomic dysfunction of nasal blood vessels

Answer

It is triggered by non-allergic stimuli like weather changes and strong odors

Question 6

All of the following are causes of perforation of the cartilaginous part of the nasal septum except?

Accepted Answer

Syphilis

Answer

Tuberculosis

Answer

Leprosy

Answer

Trauma

Question 7

Which of the following statements about malignant otitis externa is true?

Accepted Answer

Common in diabetics and old age

Answer

Not painful

Answer

Caused by streptococcus

Answer

Responds to topical antibiotics alone

Question 8

Which of the following is NOT a feature of a nasal foreign body?

Accepted Answer

Deviated septum

Answer

Epistaxis

Answer

Nasal obstruction

Answer

Vestibulitis

Question 9

All of the following are treatments for multiple bilateral ethmoidal polyps except which of the following?

Accepted Answer

Caldwell Luc Surgery

Answer

Intranasal ethmoidectomy

Answer

Extranasal ethmoidectomy

Answer

Functional endoscopic sinus surgery

Question 10

Intrathecal fluorescein with endoscopic visualization is useful in diagnosis of?

Accepted Answer

Diagnosis of CSF Rhinorrhoea

Answer

Rhinitis Medicamentosa

Answer

Multiple ethmoidal polyps

Answer

Deviated nasal septum

NEET-PG 2015 — ENT