OTOLARYNGOLOGY,
WRITTEN STATE EXAM
2024 (68 QUESTIONS)
WITH ACTUAL
SOLUTIONS!!
OTOLARYNGOLOGY
Evatee 9/26/24 OTOLARYNGOLOGY
,OTOLARYNGOLOGY, WRITTEN STATE EXAM
2024 (68 QUESTIONS) WITH ACTUAL
SOLUTIONS!!
The term "acoustic impedance" refers to the
A) pressure in the middle ear.
B) resonancy of the external ear.
C) hearing loss of inner ear origin.
D) acoustic resistance.
E) spatial hearing. Answer - D) acoustic resistance.
EXPLANATION
The part of the middle ear (tympanic membrane and ossicular chain) create an
acoustic resistance against the sound wave pressure.
About the function of the outer hair cells we can get objective information on
A) tympanometry
B) BERA
C) otoacoustic emission
D) investigation of stapedial reflex Answer - C) otoacoustic emission
EXPLANATION
The otoacoustic emission objectively registers the low intensity sounds at the
external ear canal, that have been produced by the outer hair cells.
,The patients has no ear pain in:
A) perichondritis of the ear
B) herpes zoster oticus
C) angina
D) otosclerosis
E) lymphadenitis of the neck Answer - D) otosclerosis
EXPLANATION
In the case of otosclerosis, there is no pain but only hearing loss.
Rinne's test is informative in:
A) conductive hearing loss
B) sensorineural hearing loss
C) perforation of the tympanic membrane
D) sudden hearing loss Answer - A) conductive hearing loss
EXPLANATION
In Rinne test the patient hears the transmitted sound better on the bone due
to bone conductivity, rather than in the air. This indicates a conductive hearing
loss.
Tenderness with pressure on the tragus or traction on the auricle is typical in:
A) othematoma
B) external otitis
C) mastoiditis
D) otosclerosis Answer - B) external otitis
, EXPLANATION
Tenderness with pressure on the tragus or traction on the auricle is
characteristic in cases of external ear infections.
The patient suffers from vertigo and unilateral hearing loss and tinnitus for 1
hour. The probable diagnosis is:
A) acoustic neurinoma
B) neuronitis vestibularis
C) vertebrobasilar insufficiency
D) Ménière's disease Answer - D) Ménière's disease
EXPLANATION
The Ménière disease is characterized by a continues spinning vertigo, lasting for
at least 1-2 hours, accompanied by tinnitus and unilateral hearing loss. In later
phase the tinnitus and hearing loss can be permanent.
The patient suffers from hearing loss on the right side. Weber test is lateralized
to the right side. Probable cause of the hearing loss is:
A) otosclerosis on the left side
B) cerumen on the right side
C) Ménière's disease on the right side
D) sensorineural hearing loss on the right side Answer - B) cerumen on the
right side
EXPLANATION
Weber test is heard louder to the affected side due to conductive hearing loss
in the defective ear. The reason of conductive hearing loss most of the times is
the existence of earwax.
WRITTEN STATE EXAM
2024 (68 QUESTIONS)
WITH ACTUAL
SOLUTIONS!!
OTOLARYNGOLOGY
Evatee 9/26/24 OTOLARYNGOLOGY
,OTOLARYNGOLOGY, WRITTEN STATE EXAM
2024 (68 QUESTIONS) WITH ACTUAL
SOLUTIONS!!
The term "acoustic impedance" refers to the
A) pressure in the middle ear.
B) resonancy of the external ear.
C) hearing loss of inner ear origin.
D) acoustic resistance.
E) spatial hearing. Answer - D) acoustic resistance.
EXPLANATION
The part of the middle ear (tympanic membrane and ossicular chain) create an
acoustic resistance against the sound wave pressure.
About the function of the outer hair cells we can get objective information on
A) tympanometry
B) BERA
C) otoacoustic emission
D) investigation of stapedial reflex Answer - C) otoacoustic emission
EXPLANATION
The otoacoustic emission objectively registers the low intensity sounds at the
external ear canal, that have been produced by the outer hair cells.
,The patients has no ear pain in:
A) perichondritis of the ear
B) herpes zoster oticus
C) angina
D) otosclerosis
E) lymphadenitis of the neck Answer - D) otosclerosis
EXPLANATION
In the case of otosclerosis, there is no pain but only hearing loss.
Rinne's test is informative in:
A) conductive hearing loss
B) sensorineural hearing loss
C) perforation of the tympanic membrane
D) sudden hearing loss Answer - A) conductive hearing loss
EXPLANATION
In Rinne test the patient hears the transmitted sound better on the bone due
to bone conductivity, rather than in the air. This indicates a conductive hearing
loss.
Tenderness with pressure on the tragus or traction on the auricle is typical in:
A) othematoma
B) external otitis
C) mastoiditis
D) otosclerosis Answer - B) external otitis
, EXPLANATION
Tenderness with pressure on the tragus or traction on the auricle is
characteristic in cases of external ear infections.
The patient suffers from vertigo and unilateral hearing loss and tinnitus for 1
hour. The probable diagnosis is:
A) acoustic neurinoma
B) neuronitis vestibularis
C) vertebrobasilar insufficiency
D) Ménière's disease Answer - D) Ménière's disease
EXPLANATION
The Ménière disease is characterized by a continues spinning vertigo, lasting for
at least 1-2 hours, accompanied by tinnitus and unilateral hearing loss. In later
phase the tinnitus and hearing loss can be permanent.
The patient suffers from hearing loss on the right side. Weber test is lateralized
to the right side. Probable cause of the hearing loss is:
A) otosclerosis on the left side
B) cerumen on the right side
C) Ménière's disease on the right side
D) sensorineural hearing loss on the right side Answer - B) cerumen on the
right side
EXPLANATION
Weber test is heard louder to the affected side due to conductive hearing loss
in the defective ear. The reason of conductive hearing loss most of the times is
the existence of earwax.
