160- Paracusis Willisii is seen in –

1. Tympanosclerosis
2. Otosclerosis
3. Acoustic Neuroma
4. Meniere’s Disease
5. Syphilitic Otolabyrinthitis

Ans : 2

161- Rinne’s test is negative in conductive deafness of –

1. 5 dB or more
2. 10 dB or more
3. 15 dB or more
4. 20 dB or more
5. 25 dB or more

Ans : 3

162- Weber test gets lateralized if hearing level difference between two ears exceeds
–
1. 2.5 db
2. 5 db
3. 7.5 db
4. 10 db
5. 12.5 db

Ans : 2

163- False negative Rinne can be confirmed by following simple test –

1. Weber test
2. Schawbach test
3. ABC test
4. Stinger test
5. Reverse Rinne test

Ans : 1

164- Better ear is masked while performing air conduction if difference in hearing
thrashhold between two ears is –
1. 10 db or more
2. 20 db or more
3. 30 db or more
4. 40 db or more
5. 50 db or more

Ans : 4
165- Ossicular disruption is suspected on Impedence audiometery when compliance
becomes more then –
1. 5 cm
2. 10 cm
3. 15 cm
4. 20 cm
5. 25 cm

Ans : 3

166- Recruitment denotes lesion of –

1. Middle ear
2. Cochlea
3. Auditory nerve
4. Cochlear nucleus
5. Central connections

Ans : 2

167- Tone decay is classically seen in following disease –

1. Meniere’s disease
2. Acoustic Neuroma
3. Otosclerosis
4. Wallenberg Syndrome
5. Labyrinthitis

Ans : 2

168- All the following are auditory evoked potentials except –

1. Electrocochleogram
2. BERA
3. CERA
4. Post Aural myogenic response
5. Per cutaneous nerve excitability

Ans : 5

169- Following test is most useful for testing Recruitment –

1. Bekesy audiometery
2. Impedence audiometery
3. Speech audiometery
4. Fowlers loudness balance test
5. Reflex decay test

Ans : 4
170- Most effective method of confirming non-organic hearing loss is –
1. Stenger test
2. Chimini Moose test
3. Delayed Speech feedback
4. BERA
5. Lombards test

Ans : 4

171 . Following conditions cause nystagmus of central origion –

1. Meniere’s disease
2. Labyrinthitis
3. BPPV
4. Wallenberg Syndrome
5. Perilymph fistula

Ans : 4

172- Frenzel glasses work principally by –

1. Increasing amplitude of nystagmus
2. Increasing frequency of nystagmus
3. Removing optic fixation
4. Increasing the velocity of slow component of nystagmus
5. Increasing the susceptibility of vestibular apparatus to caloric stimulation

Ans : 3

173- Fatigueable nystagmus occurs in –

1. Ocular lesion
2. Cerebellar lesion
3. Vestibular lesion
4. Peripheral proprioceptive lesion
5. Temporal lobe lesion

Ans : 3

174 .1st degree nystagmus occurs while looking in direction of –

1. Fast component
2. Slow component
3. Straight gaze
4. Upwards
5. Downwards

Ans : 1
175- Nystagmus induced by rotation chair differs from that induce by caloric stimulus in
that –
1. It is direction changing
2. It is not influenced by Frenzel glasses
3. Both vestibular apparatus are stimulated simuntaneously
4. It remains uninfluenced by optic fixation
5. It can be performed even by unskilled person after slight briefing

Ans : 3

176- While performing caloric test using hot and cold water, the tilt of head relative to
horizontal plane should be –
1. 10 degrees
2. 20 degrees
3. 30 degrees
4. 40 degrees
5. 50 degrees

Ans : 3

177- While performing caloric test by conventional method, the ampulla of lateral semi-
circular canal is directed –
1. Backwards
2. Upwards
3. Forwards
4. Downwards
5. Inwards

Ans : 2

178- Fistula occurs commonly in –

1. Posterior Semicircular canal
2. Superior Semicircular canal
3. Crus cummune
4. Lateral Semicircular canal
5. Round window

Ans : 4

179 Most common organism of Otitis Externa is –

1. Syaphylococcus
2. Streptococcus
3. H. Influenzae
4. Herpes Zooster Virus
5. Psuedomonas Aeroginosa
 Ans : 5
180- Following is not true about malignant otitis externa –
1. Occurs in elderly patients
2. More common in diabetics
3. Facial nerve may get paralyzed
4. Malignancy requires radio-chemotherapy
5. It is a potentially life threatening condition

Ans : 4

181- Following is not true about Eustachian tube of Infants compared to adults –
1. It is shorter
2. It is wider
3. It is more horizontally placed
4. Ciliary action of lining epithelium is less effective
5. Proximity to Adenoid tissue make it more susceptible to infections

Ans : 4

182- Flamingo pink color of Tympanic membrane is classically seen in –

1. Otitis externa
2. Cochlear Otosclerosis
3. Acute Otitis Media
4. Glomus Jugulare
5. AV malformations

Ans : 2

183- Tympanometeric curve of Secretory Otitis Media is –

1. High Compliance curve
2. Flat curve
3. Type A curve
4. Curve with peak compliance at pressure less then atmospheric pressure
5. Curve with peak compliance at pressure greater then atmospheric pressure

Ans : 2

184- Commonest organism of Epiglottitis in children are –

1. Pneumococcus
2. B Haemolytic Streptococcus
3. Psuedomonas
4. Haemophilis Influenzae
5. Influenza virus

Ans : 2
185- Prerequisites for myringoplasty include all except –
1. Normal functioning Eustachian Tube
2. Good Cochlear reserve
3. Intact ossicular chain
4. Reasonable air bone gap
5. Intact Stapedeal reflex

Ans : 5

186- Complications of Onlay technique in myringoplasty include all except –

1. Lateralization of graft
2. Blunting of anterior angle
3. Inclusion dermoid
4. Greater chances of subsequent tympanosclerosis compared to underlay technique
5. Greater chances of graft rejection compared to underlay technique

Ans : 4

187- Features of Gradenigo syndrome include all except –

1. 6th nerve palsy
2. Periorbital pain
3. Ear discharge
4. Diplopia on lateral gaze
5. Loss of taste sensations over anterior 1/3rd of tongue

Ans : 5

188- If Tobey Ayer test is performed in a patient with sigmoid sinus thrombosis, pressing
the Jugular Vein of normal side would –
1. Increase CSF pressure much more then it normally should
2. Decreases CSF pressure much more then it normally should
3. Cause no change in CSF pressure
4. Cause the same change in CSF pressure as occurs in a normal individual
5. Cause the patient to faint, so it should never be performed in a suspected patient

Ans : 1

189 . The ideal size of Stapedectomy prosthesis now agreed upon is –

1. 3 mm
2. 3.5 mm
3. 4 mm
4. 4.5 mm
5. 5 mm

Ans : 4
190- Preferred route for insertion of coil of Cochlear implant is through –
1. Anterior tympanotomy
2. Posterior tympanotomy
3. Radical mastoidectomy
4. Attico-antrostomy
5. Atticotomy

Ans : 2

191- Lermoyez syndrome closely resembles –

1. Otosclerosis
2. Meniere’s disease
3. Otitic hydrocephalus
4. Labyrinthitis
5. Acoustic neuroma

Ans : 2

192- Best investigation to pick acoustic neuroma at an early stage is –

1. X-Ray IAM
2. CT Scan analysis of IAM
3. MRI of CP angle
4. BERA to demonstrate absolute and relative latency delay of wave V
5. Caloric test to demonstrate canal paresis

Ans : 3

193- Facial nerve is mostly damaged in fracture of temporal bone that is –

1. Transverse
2. Oblique
3. Longitudinal
4. Mixed
5. Commutative

Ans : 1

`194 . All of the following are electrophsiological tests for Facial nerve function except –
1. Percutaneous nerve excitability test
2. Strength duration curve
3. Fibrillation potential
4. Electromyogram
5. Excitatory post synaptic potential

Ans : 5
195- Malleus developes from –
1. 1st pharyngeal arch
2. 2nd pharyngeal arch
3. 3rd pharyngeal arch
4. 4th pharyngeal arch
5. 5th pharyngeal arch

Ans : 1

196 .- Left Recurrent Laryngeal nerve has a longer course then the left because
developmentally it hooks around the –
1. 1st Aortic arch
2. 2nd Aortic arch
3. 3rd Aortic arch
4. 4th Aortic arch
5. 5th Aortic arch

Ans : 3

197 .- Tympanic cavity reaches its full size at –

1. Birth
2. One year
3. Two years
4. Six years
5. Nine years

Ans : 1

198 .- In noise induced deafness, the maximum hearing loss occurs at –

1. 1 KHz
2. 2 KHz
3. 4 KHz
4. 6 KHz
5. 8 KHz

Ans : 3

199 .- Tuberculous Otitis Media is suspected when the perforation in eardrum are –
1. Postro-superior marginal with granulations
2. Total
3. Subtotal with ossicular discontinuity
4. Multiple
5. In the Attic with or without cholesteatoma

Ans : 4
200 .- Cella Conchabullosa is a large air cell sometime present in –
1. Superior turbinate
2. Middle turbinate
3. Inferior turbinate
4. Ethmoid Labyrinth
5. Sphenoid bone

Ans : 2

201- Angio-Fibroma Nasopharynx mostly gets its blood supply from –

1. Internal Maxillary artery
2. Ascending Pharyngeal artery
3. Lingual artery
4. Spheno palatine artery
5. Posterior Ethmoidal artery

Ans : 1

202- Most prominent symptom of Blow out fracture floor of Orbit is –

1. Diplopia on upward gaze
2. Diplopia on downward gaze
3. Diplopia on gaze to the fractured side
4. Diplopia on gaze to the normal side
5. Diplopia on eye movements in all directions

Ans : 1

203- Following is not true about Atrophic Rhinitis –

1. Ozaena bacillus is the cause
2. Foul stench is typical
3. More common in females
4. Poor socio-economic class is mostly affected
5. Patient is distressed due to bad smell coming from his / her own nose

Ans : 5

204- Single unilateral nasal poly whose fundus is going towards nasopharynx usually
arise from –
1. Maxillary sinus
2. Ethoidal sinus
3. Frontal sinus
4. Sphenoidal sinus
5. Posterior end of inferior meatus

Ans : 1
205 .- The tooth most closely related to floor of Maxillary sinus is the –
1. Incisor
2. Canine
3. Molar
4. Premolar
5. Wisdom tooth

Ans : 3

206 .- Ivory Osteoma of nasal sinus usually involve –

1. Ethmoid sinus
2. Maxillary sinus
3. Sphenoidal sinus
4. Frontal sinus
5. Cella Conchabullosa

Ans : 4

207- Following is not true about Diptheria –

1. Its membrane is difficult to peel
2. Palatel paralysis may occur
3. Paralysis of accommodation may occur
4. Toxins produced are cardiotoxic
5. Toxins produced are hepatotoxic

Ans : 5

208- All the following are features of Adenoid hypertrophy except –

1. Nasal obstruction
2. Adenoid facies
3. Feeding diffculty
4. Recurrent ear infections
5. Rhinolalia aperta

Ans : 5

209- Tonsiller bed is formed by –

1. Superior Constrictor muscle
2. Middle Constrictor muscle
3. Inferior Constrictor muscle
4. Posterior belly of Digastric
5. Buccinator muscle

Ans : 1
210- The true physiological antagonist of Crico-Thyroid muscle is –
1. Posterior Crico-Arytenoid
2. Vocalis
3. Thyro-Arytenoid
4. Thyrohyoid
5. Oblique interarytenoid

Ans : 3

211- Rinke’s oedema is caused primarily by –

1. Alcoholism
2. Smoking
3. Abuse of voice
4. Blunt trauma larynx
5. Part of angioneurotic oedema

Ans : 2

212- Voice in unilateral recurrent paralysis can be improved by

1. Type 1 Thyroplasty
2. Type 2 Thyroplasty
3. Type 3 Thyroplasty
4. Type 4 Thyroplasty
5. Arytenoidectomy

Ans : 1

213- Small malignant growth in Pyriform fossa can surgically be removed by –

1. Hemilaryngectomy
2. Supraglottic laryngectomy
3. Cordectomy
4. Extended Hemilaryngectomy
5. Simple local resection

Ans : 2

214 A painless bony hard midline swelling over the hard palate that has a deep midline
groove and has persisted for many years without any symptom is most likely –
1. Pleomorphic Adenoma
2. Palatel Cyst
3. Torus palatinus
4. Osteosarcoma hard palate
5. Midline dentigenous cyst

Ans : 3