ENT 101 -TORONTO METROPOLITAN
UNIVERSITY ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Pars tense.
Answer: part of ear drum (2)
◍ herpes gingivostomatitis/pharyngitis symptoms.
Answer: produce 2-4 days before lesionsoral ulcers (vesicular lesions 1-2
mm in size on erythematous, edematous base, may coalesce)increase pain in
mouth/throat
◍ Microsurgical.
Answer: Incusion Incision in pars tense ( part of ear drum)
◍ acute sinusitis pathophysiology.
Answer: inflammation of nasal cavityimpairment of nasociliary
clearanceobstruction of osteomeatal complexsecondary infection with
bacteria that colonize the nsaopharynx
◍ Trans labyrinth approach.
Answer: total hearing loss
◍ Tympanoplasty.
Answer: Repair in tympanic membrane
◍ serous otitis media PE findings.
Answer: TM: dull or opaque with loss of cone of lightamber or clear fluid,
air bubbles post. to TMimmobile TMconductive hearing losskids may have
trouble learning speech
◍ Myringotomy.
Answer: Drainage of middle ear
,◍ PE findings of allergic rhinitis: nose.
Answer: nasal creaseclear rhinorrheanasal turbinates are pale or violaceous
(venous engorgement)nasal polyps
◍ herpangina.
Answer: Infection due to coxsackievirus A that is characterized by acute
onset of fever, sore throat, and flu-like symptoms associated with small red
macules on the soft palate-tonsillar pillar area
◍ Vestibular schwannoma.
Answer: aka acoustic neuroma, benign tumor growth 8th cranial nerves
(inner ear)
◍ ID of perennial allergy may require.
Answer: skin testing or serum radioallergosorbent test
◍ Tympanostomy tube.
Answer: Device placed into incision long term drainage tubes
◍ 0 Centor Criteria.
Answer: no test, no abx
◍ 7th cranial nerve.
Answer: Facial muscle
◍ adjunctive measures for allergic rhinitis.
Answer: antileukotrine med (Montelukast +/- antihistamine)cromolyn
sodium and sodium nedocrimil
◍ Mastoiditis.
Answer: Infection in mastoid process
◍ viral pharyngitis pathogens.
Answer: caused by common URI virusesrhinovirusfluCVparainfluenza
◍ Labyrinth of inner ear.
Answer: Inflammation of inner ear
◍ Stapedectomy.
, Answer: Stapes has overgrowth of bone removes overgrown part doesn't
vibrate
◍ what imaging would we use for acute sinusitis.
Answer: limited coronal non-contrast CT
◍ Labyrinthectomy.
Answer: Removes vestibular labyrinth, results in loss of hearing
◍ viral acute rhinitis pathogens.
Answer: rhinovirus parainfluenza virusinfluenza
◍ when to give oral abx with acute otitis externa, what do you give?.
Answer: only if there is suspected cellulitis of outer ear with fluroquinolones
(ciprofloxacin)cover for pseudomonas
◍ oral abx for chronic sinusitis.
Answer: persisten purulent d/c and increased sx3-4 weeks course of
abxaugmenting, metronidazole+macrolide or fluroquinolone
◍ serous otitis media predisposing factors.
Answer: obstructed eustachian tube and fluid accumulation from recent URI
(2ndary bacterial infection), allergies, adenoid hypertrophyenvironmental
smoke exposurepacifier useage (<5)
◍ herpes gingivostomatitis/pharyngitis management.
Answer: antiviral therapyfluids, restpain management with viscous
lidocaine, NSAIDs, acetominophen
◍ acute sinusitis PE findings.
Answer: tenderness purulent d/cnasal obstructionfeveropacity of sinus w/
transillumination, but this is not diagnostic
◍ Otosclerosis.
Answer: Stapes overgrowth
◍ petrous apicitis.
Answer: inflammation of petrous apex portion of temporal bonerare
extension of infection from acute otitis media
UNIVERSITY ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Pars tense.
Answer: part of ear drum (2)
◍ herpes gingivostomatitis/pharyngitis symptoms.
Answer: produce 2-4 days before lesionsoral ulcers (vesicular lesions 1-2
mm in size on erythematous, edematous base, may coalesce)increase pain in
mouth/throat
◍ Microsurgical.
Answer: Incusion Incision in pars tense ( part of ear drum)
◍ acute sinusitis pathophysiology.
Answer: inflammation of nasal cavityimpairment of nasociliary
clearanceobstruction of osteomeatal complexsecondary infection with
bacteria that colonize the nsaopharynx
◍ Trans labyrinth approach.
Answer: total hearing loss
◍ Tympanoplasty.
Answer: Repair in tympanic membrane
◍ serous otitis media PE findings.
Answer: TM: dull or opaque with loss of cone of lightamber or clear fluid,
air bubbles post. to TMimmobile TMconductive hearing losskids may have
trouble learning speech
◍ Myringotomy.
Answer: Drainage of middle ear
,◍ PE findings of allergic rhinitis: nose.
Answer: nasal creaseclear rhinorrheanasal turbinates are pale or violaceous
(venous engorgement)nasal polyps
◍ herpangina.
Answer: Infection due to coxsackievirus A that is characterized by acute
onset of fever, sore throat, and flu-like symptoms associated with small red
macules on the soft palate-tonsillar pillar area
◍ Vestibular schwannoma.
Answer: aka acoustic neuroma, benign tumor growth 8th cranial nerves
(inner ear)
◍ ID of perennial allergy may require.
Answer: skin testing or serum radioallergosorbent test
◍ Tympanostomy tube.
Answer: Device placed into incision long term drainage tubes
◍ 0 Centor Criteria.
Answer: no test, no abx
◍ 7th cranial nerve.
Answer: Facial muscle
◍ adjunctive measures for allergic rhinitis.
Answer: antileukotrine med (Montelukast +/- antihistamine)cromolyn
sodium and sodium nedocrimil
◍ Mastoiditis.
Answer: Infection in mastoid process
◍ viral pharyngitis pathogens.
Answer: caused by common URI virusesrhinovirusfluCVparainfluenza
◍ Labyrinth of inner ear.
Answer: Inflammation of inner ear
◍ Stapedectomy.
, Answer: Stapes has overgrowth of bone removes overgrown part doesn't
vibrate
◍ what imaging would we use for acute sinusitis.
Answer: limited coronal non-contrast CT
◍ Labyrinthectomy.
Answer: Removes vestibular labyrinth, results in loss of hearing
◍ viral acute rhinitis pathogens.
Answer: rhinovirus parainfluenza virusinfluenza
◍ when to give oral abx with acute otitis externa, what do you give?.
Answer: only if there is suspected cellulitis of outer ear with fluroquinolones
(ciprofloxacin)cover for pseudomonas
◍ oral abx for chronic sinusitis.
Answer: persisten purulent d/c and increased sx3-4 weeks course of
abxaugmenting, metronidazole+macrolide or fluroquinolone
◍ serous otitis media predisposing factors.
Answer: obstructed eustachian tube and fluid accumulation from recent URI
(2ndary bacterial infection), allergies, adenoid hypertrophyenvironmental
smoke exposurepacifier useage (<5)
◍ herpes gingivostomatitis/pharyngitis management.
Answer: antiviral therapyfluids, restpain management with viscous
lidocaine, NSAIDs, acetominophen
◍ acute sinusitis PE findings.
Answer: tenderness purulent d/cnasal obstructionfeveropacity of sinus w/
transillumination, but this is not diagnostic
◍ Otosclerosis.
Answer: Stapes overgrowth
◍ petrous apicitis.
Answer: inflammation of petrous apex portion of temporal bonerare
extension of infection from acute otitis media
