Arab Board MCQ Part I 28 march 2010

1- All muscles are supplied by occulomotor nerve except

A. Inferior oblique
B. Levator palpebrae superioris
C. Lateral rectus
2- Decrease in lacrimation can be caused by
A. Tumors compressing on the IAC
3- Most common bilateral parotid malignancy
A. Acinic cell carcinoma
4- Most common nasopharyngeal ca in endemic area is
A. Poorly differentiated SCC
B. Keratinizing SCC
N.B In endemic areas such as southern China, the proportion of
WHO type III histology will be >90%

Type I keratinizing ( well diff, moder or poor)

Type II unkeratinizing
Type III undiff
5- Most common tumor of the middle ear
A. Paraganglioma
6- All are autosomal recessive except
A. Usher syndrome
B. osler-weber-rendu syndrome
7- Cricoid cartilage is at the level of
A. C2
B. C3
C. C4
D. C5
E. C6
8- Allergic rhinitis is
A. Type I IgE mediated immune response
9- Tip support is by
A. footplate medial crural junction
B. shape of lower cartilage
10infratemporal fossa is connected to the orbit by
A. inferior orbital fissure
11Digastric space is bounded by
A. Anterior and posterior belly of digastric and mandible
12True about digastric muscle except
A. Anterior belly is shorter than the posterior belly
B. Posterior belly is supplied by facial nerve
C. Anterior belly is supplied by hypoglossal nerve
D. Anterior belly is attached to the groove of mandible
13Pharyngeal plexus drain to
A. Maxillary vein
B. EJV
14Maxillary sinus mucociliary drainage is
A. Vertical
B. Horizontal

C.
D.
15A.
16A.
B.
17A.
18A.
19A.
20A.
21A.
B.
C.
22A.
23A.
B.
C.
D.
E.
24A.
25A.
B.
C.
D.
E.
26A.
B.
C.
27A.
B.
28A.
29A.
B.
C.
D.

Oblique
Not constant
Petrous temporal bone is derived from
cartilage part of the otocyst
Incorrect about cog
Strong bone
separate epitympanic space and supratubal recess
Buccinator is attached to
ptyrigomandibular raphe
Superior lip is supplied by the
infraorbital nerve
Miculicz cells is seen in
rhinosporidiosis
Muscles of the facial expression is supplied by
Facial nerve
Anterior lacrimal crest is formed by
maxillary bone
Frontal
Lacrimal
Agger nasi cell is
the most anterior and superior to middle turbinate
Sphenoid sinus most common variant
Presellar
Sellar
Postsellar
Suprasellar
Infrasellar
Kasselbach's plexus is mostly supplied by
sphenopalatine artery
Not part of the circle of willis
Anterior cerebral a.
Posterior cerebral a.
Anterior communicating a.
Posterior communicating a.
vertebral a.
Pass through the pterygoid canal
Postganglionic parasympathetic fibers
Greater superficial petrosal nerve
Lesser superficial petrosal nerve
True about sensation to the sphenoid sinus except
Solely supplied by ophthalmic nerve
Shared by maxillary and ophthalmic nerve
The 1st pathogenesis of otitis externa is
Loss of protective function of the hypophilic wax
Taste buds are not found in
Anterior pillar
Posterior pillar
Upper esophagus
Hard palate

E.
30to
A.
B.
31A.
B.
C.
D.
32A.
B.
33A.
34A.
35A.
36A.
B.
C.
D.
37A.
38A.
B.
39A.
40A.
B.
C.
41A.
42A.
43A.
B.
44A.
B.
45A.
B.

paraglottic space
The antigen presenting cells in tonsils ( M cells ) function
transport antigen to lymphocytes
Form mantle zone
Tympanic annulus is derived from
st
1 pharyngeal arch
Ectoderm lining of the EAC
Mucosal lining of the middle ear
Fibrous mesenchymal area
Not part of the auditory pathway
Trapezoid body
medial lemniscus
True statement
arcuate eminence is indication of the site of superior
semicircular canal
P53
arrest the cycle in G1 in cells with DNA damage
Drug that inhibit the gyruse
fluroquinolones
Neurotransmitter of the inner ear
Substance P
Enchephalin
Adrenaline
Acetylcholine
True about the nasal steroid
Can cause epistaxis
Nasal cycle duration
6 hours
2 - 4 hours
True answer
CMV is the most common viral infection of pregnancy
Orbital plate of ethmoid does not articulate with
nasal bone
Sphenoid bone
Frontal bone
Concha
is separate bone
Wrong answer
Spine of henle is indicator of antrum
Drugs used for mucosal herpetic lesion
Acyclovir
Pencyclovir
Drug cause hepatotoxicity
Azithromycin
amphotericin B
Drug has antipseudomonal action
Ticeracillin
Penicillin G

46A.
B.
47A.
B.
48A.
B.
49A.
B.
C.
D.
E.
50A.
B.
C.
51A.
52A.
53A.
54A.
55A.
56A.
B.
57A.
58A.
59A.
60A.
61A.
62A.
B.
63-

Drug not used in head and neck malignancy

Vincristine
L-asparaginase
Connexin
Increase expression in malignancy
function to junction between cells
Pars superior give rise to
Cochlea
semicircular canals and utricle
Sensory to EAC except
Hypoglossal nerve
VII
X
IX
C2,C3
Supply to superior posterior canal
Cervical plexus
Greater auricular nerve
Vagus nerve
True about the facial nerve except
only motor nerve
Nerve supply of the 1st arch
trigeminal nerve
True statement
pyramidal eminence separate the facial recess and
sinus tympani
True statement
Cochlear aqueduct connect the perilymph to the
posterior cranial fossa
Wrong statement
round window close the scala tympani
Not part of the anterior epitympanic space
prussak space
Supratubal recess
True statement
Immunoglobulin M is the 1st to proliferate in the immune
response
B-lymphocytes differentiate to the
plasma cells
Primary immunodeficiency
Affect the innate immune system
Structure that pass through foramen ovale except
Middle meningeal artery
Mechanism of IgE immune response
Degranulation of mast cells
Bone erosion in cholesteatoma is caused by
Polymorphonuclear cells
Athnil cells
Cholesteatoma is

A. Skin in middle ear

64Thyroid elevation during swallowing is
A. because it is invested in pretracheal fascia
65Recurrent laryngeal nerve is associated with
A. inferior thyroid artery
662nd arch give rise to
A. Crura of stapes except footplate
B. Head of malleous
C. Meckle cartilage
67Distance between round and oval window is never more
than
A. 2 mm
B. 3 mm
C. 4 mm
D. 5 mm
68Mastoid tip develop at the age of
A. 2 years
69Diaphragm of the tympanic membrane include all
except
A. Anterior malleolar fold
B. Posterior malleolar fold
C. Ossicles
70Vaccination prevent
A. Breast ca
B. Colorectal ca
C. Cervical ca
D. Gastric ca
E. Lung ca
71Deep innervations of the sinus ,nose and throat is by
A. Trigeminal nerve
72Wrong statement
A. Audiotry pathway has one side projection
73Anterior inferior cerebellar artery is branch of
A. Basilar artery
74Correct statement
A. Kinocilia is located toward the longest steriocilia
75Depolarization of hair cells
A. influx of k
B. Influx of cl
C. Influx of Mg
76Utricle detect
A. linear acceleration
77Part of the ostiomeatal complex except
A. Sphenoethmoidal recess
78Eruption of the 2nd molar teeth at
A. 2 years
B. 6
C. 8
D. 11

79A.
80A.
81A.
B.
C.
D.
82A.
B.
C.
83A.
84A.
B.
C.
D.
85A.
86A.
B.
C.
D.
E.
87A.
B.
88A.
89A.
B.
C.
D.
E.
90A.
B.
91A.
92A.
93A.

True about apoptosis except

There is an inflammatory tissue reaction
An organism that cause toxic shock syndrome
Staph. Aureus
Actinomyces is a normal commensal of the
Skin
EAC
oral cavity
Lung
True statement
Lingual artery is crossed by the glossopharymgeal nerve
Gives submucosal artery
Medial to hypoglossus
Part of the primary immune system
Thymus gland
Waldyre ring produces mostly the
IgG
IgA
IgM
IgE
True statement
Endolymph is similar to the intracellular fluid
Most common complication of the fluid in major surgery
Exracelluar fluid deficit
Metabolic acidosis
Metabolic alkalosis
Hypokalemia
Hyponatremia
Otolith organ is found in
Ampulla
Utricle and saccule
Most common benign salivary gland tumor is
pleomorphic adenoma
It impair the wound healing except
Radiation
leukocytosis
Zinc deficiency
Infection
Renal impairment
Lower esophageal sphincter is increased by the
Increase of release of gastrin
Decrease of release of gastrin
Posterior cricoarytenoid muscle is
attached to posterior cricoid and muscular process
Superior petrosal sinus
Connect the cavernous sinus to jugular bulb
True statement
Steriocilia of inner hair cells are not embedded in
tectorial membrane

94Decrease in the surfactant are likely to cause

A. decrease in the surface fliud tension in alveoli
95Correct answer
A. Endolymph is secreted by the stria vascularis
96Wrong statement
A. Lowest frequency that can be heard is 30 Hz
97Stapedius and tensor tympani contract best at
A. Low frequency
B. Mid frequency
C. High frequency
D. All frequency
E. 2 4 khz
98Incorrect statement
A. tunnel of corti is filled with perilymph
99Has anti-inflammatory effect
A. Quinolones
100Organisms mostly causing otitis externa
A. pseudomonas
101Cochlea is developed from the
A. Anterior otic capsule
B. Posterior otic capsule
102Which is wrong
A. Cervical trachea decrease in diameter during valsalva
B. Intrathoracic trachea maintains diameter during valsalva
103Found in tertiary syphilis except
A. Snail ulcer
B. Cardiac complication
104Has an extra chromosome
A. Turner syndrome
B. Down syndrome
105Involved in the mechanism of cough reflex except
106True statement about the middle ear mucosa
107Type I neuron in inner hair cells of the cochlea
108Anterior and posterior tympanic ishmus in the middle
ear
Collected and written by Dr.Al-Roqi with help from Dr.AlMutairi, Dr.Halawani, Dr.Al-shalaan (108/120)