Professional Documents
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2.
Respiratory Mucosa Of The Nose & Paranasal Sinuses is lined by this type of epithelium
a. Simple columnar
b. Ciliated pseudostratified columnar
c. Simple columnar ciliated
d. Stratified squamous
e. Simple squamous
3.
4.
5.
6.
7.
A 18 year old female came to the emergency room for complaints of vomiting, anorexia, epigastric
and right lower quadrant pain noted 12 hours prior to admission. Digital rectal exam revealed right
pararectal wall tenderness. Differential diagnosis would include the following except:
a. Acute appendicitis
b. Urinary tract infection
c. Twisted ovarian cyst
d. Ectopic pregnancy
e. None of the above
8. A 40 year old man who was an unrestrained passenger in a motor vehicle accident was brought to the
emergency room. He was thrown from the car at impact. The patient is unconscious and, on evaluation
becomes apneic. Ventilation should be achieved by
a. endotracheal intubation
b. nasotracheal intubation
c. face mask
d. tracheostomy
e. cricothyroidotomy
9. A patient has lost cutaneous sensation over the tip of the nose. Which nerve is most likely damaged?
a. facial nerve
b. ophthalmic division of the trigeminal nerve
c. greater auricular nerve
d. mandibular division of the trigeminal nerve
e. maxillary division of the trigeminal nerve
10. Injury to the common peroneal nerve would result in an
a. inability to evert the foot
b. inability to invert the foot
c. inability to plantar flex the ankle
d. inability to plantar flex the big toe
e. inability to feel sensation on the medial side of the leg
11. A 55 year old man is involved in a motor vehicular accident. Initial resuscitation is carried out. Cervical
spine films are normal. A supine anteroposterior (AP) chest film suggests a distorted upper mediastinum.
The next study should be
a. aortogram
b. CT scan of the chest
c. MRI of the chest
d. upright posteroanterior (PA) chest radiograph
e. electrocardiogram
12. A 14 year old boy fell off a wall and fractured his right humerus at midshaft. The wrist joint immediately
assumed a flexed position that the patient was unable to correct. Extension and supination of the forearm
was weakened but not abolished. Select the peripheral nerve damaged that could cause the symptoms.
a. radial nerve
b. ulnar nerve
c. median nerve
d. axillary nerve
e. musculocutaneous nerve
13. In a 23 y.o, male coming in with anorexia, right lower quadrant pain and vomiting, peritoneal irritation is
indicated by:
a. Dunphys sign
b. Hamburger Sign
c. Rovsings sign
d. Obturator sign
e. Psoas sign
14. Blood supply ligated during an appendectomy
a. Colonic artery
b. branch of celiac artery
c. branch of ileocolic artery
d. branch of cecal artery
e. superior mesenteric artery
D. S. pyogenes
E. Pseudomonas
57. Most common congenital anomaly of the GI tract characterized by persistence of the vitelline duct or yolk
stalk
a. Cystic hygroma
b. Inguinal hernia
c. Meckels diverticulum
d. omphalocoele
e. Vitelloma
58. Condition where pupils accommodates when patient follows finger moving towards the nose but does
not react to direct light
a. Neurosyphilis
b. Horners syndrome
c. Adies pupil
d. Argyll-Robertson pupil
e. Webers syndrome
59. A 24 year old male was in a vehicular accident. He arrived at the ER with raccoon eyes and otorrhea. On
the 3rd hospital day he developed high grade fever and nuchal rigidity. The most common meningeal isolate
in this patient would be
a. Streptococcus pneumoniae
b. H. influenzae
c. N. meningitides
d. S. aureus
e. Listeria monocytogenes
60.
A 7-year old boy with a history of swimming complains of pain, tragal tenderness and scanty ear
discharge.PE revealed diffuse swelling of the external auditory canal. Probable diagnosis is:
a. Acute Circumscribed Otitis Externa
b. Otomycosis
c. Diffuse Otitis Externa
d. Acute Otitis Media
61. Etiologic agent of the above mentioned disease
a. S. aureus
b. Aspergillus
c. Pseudomonas
d. S. pneumoniae
62. Most common site of subperiosteal abscess
a. Zygomatic or pre-auricular
b. Post-auricular
c. Intracanal
d. Bezolds
63. It is a complication of otitis media caused by herpes zoster involving CN VII characterized by rash
and eruption of vesicles over the External Auditory Canal (EAC) and pinna.
a. Gradenigos syndrome
b. Bells Palsy
c. Ramsay Hunt Syndrome
d. Melkerssons Syndrome
64. Most common acute infection of the external nose which presents with marked local erythema,
swelling and pain which may lead to cavernous sinus thrombosis if left untreated.
a. Vestibulitis
b. Furunculosis
c. Erysipelas
d. Impetigo
65. A form of vasomotor rhinitis characterized by worsening rebound congestion following prolonged
use of topical decongestants.
a. Hormonal Rhinitis
b. Infectious Rhinitis
c. Rhinitis Medicamentosa
d. Atrophic Rhinits
66. A 45-year old male complains of nasal obstruction, epistaxis and rhinorrhea . PE revealed a
unilateral nasal mass, non-transluscent. Initial impression is
a. Squamous papilloma
b. Inverting papilloma
c. Nasal Polyp
d. Hemangioma
67. Sinuses present at birth
a. maxillary & frontal
b. maxillary & ethmoid
c. frontal & ethmoid
d. sphenoid & maxillary
68. At the ER, a 20-year old female came in due to severe dysphagia, ear pain, fever, hot potato voice.
PE revealed difficulty opening the mouth & peritonsillar swelling of soft palate w/ uvula pushed to
other side. Diagnosis is
a. Quinsy abscess
b. Vincents or Plauts Angina
c. Exudative tonsillitis
d. Acute pharyngitis
69. The anterior group of the triangles of the neck is composed of the following EXCEPT:
a. Digastric triangle
b. Carotid triangle
c. Occipital triangle
d. Muscular triangle
70. The primary drainage site of Nasopharyngeal Carcinoma (NPCa):
a. jugulodigastric nodes
b. jugulo-omohyoid nodes
c. post-auricular nodes
d. retropharyngeal nodes
71. Most common etiology of Ludwigs angina:
a. tonsillitis
b. dental caries
c. pharyngitis
d. stomatitis
72. A midline cyst that elevates with tongue protrusion is most likely:
a. thyroid nodule
b. branchial cleft cyst
c. thyroglossal duct cyst
d. laryngocoele
73. A 30 year old female complains of a 3 x 4 x 3 centimeter anterior neck mass which moves with
deglutition. She came with results of normal T4 and TSH. Whats your next step?
a. Thyroid scan
b. T3
c. Fine Needle Aspiration Biopsy
d. Ultrasound
74. A 25 year old female complained of an anterior neck mass of one year duration. She also
experienced weight loss despite an increased in appetite, tremors, increased perspiration and
irritability. The most useful diagnostic test:
a. Fine Needle Aspiration Biopsy
b. Ultrasound
c. T4 / TSH determination
d. Thyroid scan
75. A non-invasive procedure which would indicate that a mass is cystic or solid:
a. thyroid scan
b. cystogram
c. ultrasound
d. aspiration
76. A 7 year old boy was brought to the outpatient clinic because of bilateral swelling of the preauricular area of three days duration with fever, chills and anorexia. PE showed clear saliva from
the Stensens duct. Management should include the following EXCEPT:
a. analgesics and antipyretics
b. antibiotics
c. advise for possible involvement of gonads and pancreas
d. advice of possible sensorineural hearingloss
e. advice that this illness usually occurs only once
77. Treatment of choice in Nasopharyngeal Carcinoma (NPCa):
a. surgery
b. radiation
c. chemotherapy
d. immunotherapy
78. A 35 year old male consulted at the OPD for an anterior midline neck mass. On a previous consult
with another doctor, the patient was told to have a thyroid malignancy of which diagnosis was by
FNAB. Metastatic work-up was negative. What is the probable histopathology of the malignancy?
a. papillary
b. follicular
c. anaplastic
d. medullary
79. What foramen represents a gap in the fusion between the sphenoid, palatine, and ethmoid
bones rather than a specific opening
a. sphenoethmoid foramen
b. incisive foramen
c. sphenopalatine foramen
d. vidian foramen
80. What nerve passes through the foramen rotundum
a. Mandibular division of CN V
b. Maxillary division of CN V
c. Facial nerve
d. None of the above
81. The nasal muscle that elevates the skin over the dorsum of the nose
a. Nasalis
b. Levator labi superioris alaeque nasi
c. Procerus
d. Depressor septi
82. The Whartons duct opens into what structure in the oral cavity
a. papillae opposite the upper 2nd molar
b. papillae of the lingual frenulum
c. papillae opposite the lower 2nd molar
d. papillae on the lateral aspect of the tongue
83. Which structure divides the parotid gland into a superficial and deep lobe
a. hypoglossal nerve
b. lingual Artery
c. buccal Vein
d. facial nerve