QMMC PGI Otology Exam

A detailed infographic showing the anatomy of the ear, including labels for the external ear, middle ear, and inner ear, with diagrams of the auditory canal and cochlea, all in a professional and educational style.

QMMC PGI Otology Exam Quiz

Test your knowledge in otology and earn your certification with our comprehensive quiz designed specifically for healthcare professionals and students in the field. This 40-question quiz will challenge your understanding of the anatomy, physiology, and common conditions of the ear.

Features of the quiz:

Multiple-choice and checkbox questions
Wide range of topics including anatomy, common disorders, and treatment methods
Instant feedback on your performance

40 Questions10 MinutesCreated by LearningSound482

How long is the external auditory canal?

1.5 cm

2.5 cm

3.5 cm

4.5 cm

The external auditory canal is

Lateral 2/3 bony and medial 1/3 cartilaginous

Lateral 2/3 cartilaginous and medial 1/3 bony

Medial 2/3 bony and lateral 1/3 cartilaginous

Medial 2/3 cartilaginous and lateral 1/3 bony

Skin over the cartilaginous canal has (check all that apply)

Sebaceous glands

Ceruminous glands

Apocrine glands

Hair follicles

When you perform otoscopy in an adult, you need to pull the pinna ___ and ___ to straighten the cartilaginous portion of the external auditory canal

Upward and backward

Backward and downward

Downward and backward

Backward and upward

Impedance- matching portion of the ear

External ear

Middle ear

Inner ear

A & C only

This layer of the tympanic membrane is devoid in pars flaccida

Outer epidermal

Middle fibrous

Inner mucosal

Shrapnell’s membrane

Which muscle is attached to the stapes and is innervated by CN VII, which dampens movement of ossicles to prevent inner ear damage

Tensor tympani

Levator veli palatini

Stapedius

Tensor veli palatini

The labyrinth has an outer bony capsule which surrounds the membranous labyrinth and contains

Endolymph which has ↑K and ↓Na

Perilymph which has ↑K and ↓Na

Endolymph which has ↑Na and ↓K

Perilymph which has ↑Na and ↓K

What part of the cochlea contains endolymph?

Scala Vestibuli

Scala Media

Scala Tympani

A & C only

CN that innervates the middle ear (check all that apply)

CN VII

CN VIII

CN IX

CN X

A tuning fork test that compares bone conduction to the examiner

Schwabach test

Rinne test

Weber test

Fistula test

These are behavioral methods of audiometric testing (check all that apply)

Otoacoustic emission

Pure tone audiometry

Speech audiometry

Noise & response

Hearing threshold for moderately severe hearing loss

26-40 dB

41-55 dB

56-70 dB

71-90 dB

Most common causative organism in diffuse otitis externa AKA ‘swimmer’s ear’

Staph aureus

Strep pyogenes

Pseudomonas

Aspergillus

Common causative organisms of AOM (check all that apply)

Staph aureus

Strep pneumoniae

H influenzae

M catarrhalis

Stage in AOM where there are aggravated symptoms of pain and fever, and loss of light reflex upon otoscopy

Hyperemic stage

Exudative stage

Suppurative stage

Coalescent stage

Stage in AOM where there is draining discharge and ruptured TM upon otoscopy

Hyperemic stage

Exudative stage

Suppurative stage

Coalescent stage

First-line treatment for AOM after 48-72 hrs of failure of initial antibiotic treatment

Amoxicillin

Amoxicillin-clavulanate

Ceftriaxone

Clindamycin

Triad of Meniere’s disease

Vertigo

Hearing loss

Tinnitus

Ear discharge

When will you consider surgical closure of TM (tympanoplasty) in CSOM?

Dry for > 1 month

Dry for > 2 months

Dry for > 3 months

Dry for > 4 months

Structures in the external ear (check all that apply)

Pinna

External auditory canal

Conchae

Tympanic membrane

Structures in the middle ear (check all that apply)

Ossicles

Internal auditory canal

Eustachian tube

CN VII

Structures in the inner ear (check all that apply)

CN VII

Semicircular canals

Cochlea

CN VIII

Tests done to rule out stroke in a dizzy patient (check all that apply)

Head impulse test

Gaze evoked nystagmus test

Test of skew

Dix- Hallpike test

Intracranial complications of CSOM (check all that apply)

Meningitis

Brain abscess

Medial sinus thrombosis

Otitic hydrocephalus

Treatment of choice for AOM?

Amoxicillin 80 MKD for 10-14 days

Amoxicillin 60 MKD for 10-14 days

Amoxicillin 90 MKD for 10-14 days

Amoxicillin 50 MKD for 10-14 days

Most common malignant tumor of the middle ear

Cholesteatoma

Squamous cell carcinoma

Adenoid cystic carcinoma

Tuberculoma

Type of nystagmus seen in peripheral vertigo (check all that apply)

Horizontal

Torsional

Vertical

Decreasing intensity

Believed to be caused by swelling of endolymphatic space

Meniere's disease

Multiple sclerosis

Bppv

Gradenigo syndrome

Extracranial complications of CSOM (check all that apply)

Bezold

Gradenigo syndrome

Labyrinthitis

CN VII paralysis

Treatment for CSOM includes (check all that apply)

Repeated, meticulous cleaning

Quinolone otic drops

Ear protection

Tympanoplasty after a month of treatment

Treatment for BPPV includes (check all that apply)

Epley's maneuver

Vestibular suppressants

Low salt diet

Diuretics

Parts/ structures seen in the tympanic membrane (check all that apply)

Manubrium

Umbo

Annulus

Facial nerve

How do you interpret this tuning fork results: Weber test lateralizes to the left, while Rinne test: AC>BC on R ear and BC>AC on L ear

Sensorineural hearing loss on R ear

Sensorineural hearing loss on L ear

Conductive hearing loss on R ear

Conductive hearing loss on L ear

Acute otitis media (AOM) has the highest incidence in this age population

0- 2 years

2- 4 years

4-7 years

7- 12 years

Causative organism in otomycosis which blocks and invades the epithelium

Candida

Aspergillus

Cryptococcus

Blastomyces

Physical examination findings in herpes zoster oticus includes, except

Facial paralysis

Vesicular rash

Otalgia

Ear discharge

Sequelae of perichondritis

Abscess

Necrosis

Meningitis

Hearing loss

QMMC Department of ORL-HNS otology subspecialty head consultant

Dr. Eris Llanes

Dr. Rosario Ricalde

Dr. Jenna Quiroga

Dr. Angela Carlos

QMMC Department of ORL- HNS chairman

Dr. Romeo Villarta

Dr. Deborah Sales

Dr. Rowald Rey Malahito

Dr. Nelson Magno

QMMC PGI Otology Exam

QMMC PGI Otology Exam Quiz

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