Recommended only if there are suspicious nodes on computed tomography (CT).
Recommended depending on tumor subtype.
30. A post-liver transplant patient is seen with new enlargement of the tonsils and/or adenoids. The otolaryngologist should
Schedule the Patient for T &A.
Observe the patient for 6 weeks.
Start decreasing the immunosuppressive drugs.
Perform an FNA.
31. A patient with advanced but treatable cancer wants to refuse treatment – a choice that seems irrational based on the current literature. Which of the following is a potential reason for the patient’s refusal?
Fear of disfigurement.
Fear of pain.
Fear of death.
Fear of isolation.
All of the above.
32. The following descriptions of the nasolabial angles are correct except
95 to 110 degrees in women.
90 to 95 degrees in men.
A measure of the nasal projection in relation to the upper lip.
A measure of nasal tip rotation.
33. Treatment of hemangiomas may by indicated for all circumstances except
34. Adjuvant radiation therapy is considered in all of the following settings except
Multiple lymph node involvement.
35. Which of the following statements regarding scarre-excision is true?
Re-excision with primary closure is an irregularization procedure.
Sharp excision of the scar should proceed with the scalpel exactly parallel to the skin surface.
Direct closure of the area should be performed without undermining.
wound edges. 36. A painful facial burn with significant erythema and blistering is best classified as a
Second-degree burn. 37. In panfacial fractures, what should be the first and primary focus?
Establishing facial height.
Repositioning the zygoma.
Repairing the central face. 38. To prevent postoperative enophthalmus, the surgeon must remember that the medial orbital wall
Should not be repaired.
Cannot be accessed through the approach used to the orbital floor.
Lies in a sagittal plane.
39. In androgenetic alopecia, hair growth of specific hair follicles on the scalp is sensitive to which of the following androgens?
40. Which is a disadvantage of a subperiosteal mid-face lift?
It requires preauricular incision.
It impairs vascular supply of facial skin.
It weakens orbicularis occuli.
It risks injury to buccal branch of facial nerve.
41. Which mimetic muscle is part of the superficial muscular aponeurotic system (SMAS)?
42. All of the following are brow depressor muscles except
Supraorbital orbicularis oculi.
43. To achieve brow elevation, all of the following structures are “released” in the endoscopic browlift except
Frontal branch of the facial nerve.
44. If bony osteotomies are made, where should they be in relation to the mental foramen?
Supraperiosteal placement may cause bone erosion.
Subperiosteal placement may cause erosion.
The mentalis should be reapproximated.
Subperiosteal placement increases fixation of the implant.
An intraoral or extraoral approach may be used.
45. Malar and/or submalar augmentation is indicated for all of the following except
Accentuating the nasolabial fold.
Cheek soft-tissue ptosis.
46. Which branch of the facial nerve has the highest priority when reinnervation procedures are being considered?
None. They are equally important. 47. After transaction of the facial nerve, the distal branches retain their stimulability with a portable electrical stimulator for how long?
48. What is the most appropriate indication for pursuing otoplasty?
Age of patient.
Distance of helical rim from scalp.
49. The primary neuron cell body for cranial nerve I is located in the
50. Of a random population of people, which person would do best on an olfactory identification test?
A 38-year old man.
A40- year old woman.
A 68 - year-old woman.
A 67 -year old man.
A 5- year old girl. 51. Which of the following can be a source of variability in objective airway testing?
The nasal cycle.
Time of day.
All of the above. 52. In patients with large, dry septal perforations without evidence of ulceration and in whom histopathologic findings are nonspecific and c-ANCA testing is negative, the most likely cause of the nasal changes is
Substance abuse. 53. Which of the following laboratory results is incorrect in the diagnosis of patients suspected of having sarcoidosis?
High number of T lymphocytes in broncho- alveolar lavage fluid.
Elevated angiotensin –converting enzyme.
Increased levels of sIL-2R serum. 54. Epistaxis presenting in a delayed fashion after maxillofacial trauma should raise suspicion for
Undiagnosed nasal fracture.
Continued traumatic insult to nasal mucosa.
Altered nasal airflow.
55. The most common familial bleeding disorder to consider in frequent, difficult-to-manage epistaxis is
Performing FES surgery you are operating to remove the anterior ethmiodal air cells when you see clear fluid flowing from the region of the lateral lamella of the cribiform plate What is the next most appropriate action?
Stop surgery, wake the patient up and see if the clear fluid continues.
Inject intrathecal fluorscein to confirm the presence of a CSF leak.
Perform a local repair of the probable CSF leak.
Continue the surgery, then pack the nose with a nasal tampon for 48 hours.
Request the neurosurgeons to perform a craniotomy and dural repair.
A carotid body tumour is likely to receive its major blood supply from
Common carotid artery.
Ascending pharyngeal artery.
Superior thyroid artery.
Which of the following does part of the bony orbital cavity?
Greater wing of the sphenoid.
Which of the following statements best describes Wegner's granulomatosis?
Untreated, the disease is usually asymptomatic for many years.
Cirrhosis of the liver is a common feature of the disease.
The perinuclear anti- neutrophil cytoplasmic antibody (p- ANCA) is highly, sensitive for the disease.
Is most common in those of Afro- Caribbean origin.
The cytoplasmic anti- neutrophil cytoplasmic antibody (c- ANCA)
is highly sensitive for the disease.
A 44 year male with a 4- month history of ansomia reports that he can still Smell ammonia. Which crania nerve is likely to be responsible for this?
74.Concerning the embryology of the nose and paranasal sinuses which of the following statements is FALSE?
The frontal sinus originates from pneumatization of the frontal
Failure of resorption of the naso-buccal membrane results in
An absence of nasal bones on intra uterine screening is associated\
with Down's syndrome.
Branchio- oto- renal syndrome is characterized by abnormal cilia
function and chronic sinusitis. 75. Which of the following is NOT closely related to the frontal recess?
76.A 79- year- old man presents to the clinic with left- sided nasal discharge and obstruction. A mass is found arising from the ethmoid sinuses and histology shows an adenocarcinoma. Which of the following is the most significant risk factor for developing this disease?
A and B.
Which of the following is LEAST likely to improve the symptoms from an anterior nasal septal perforation
Free tissue transfer cartilage graft repair (cartilage, perichondrium only).
Silastic button placement.
Local flap repair.
Free tissue transfer composite graft repair (epithelium, cartilage, epithelium).
78.Tumors of the lower lip are typically:
Basal cell carcinomas.
Associated with poor oral hygiene.
Associated with neck metastases in 45% of patients at presentation.
Almost universally in males.
Associated with late metastasis in 50%.
79.Which of the following would be the LEAST appropriate recipient site for a full- thickness skin graft?
80. lowing Excision of a 4mm diameter BCC from tip of the nose with a 3 mm margin, which of the following is the LEAST appropriate method of repair?
The use of a full- thickness skin graft "Wolf graft" using post auricular skin.
The use of a nasolabial advancement flap based on the facial artery.
The use of a paramedian rotational forehead flap based on the suprathrochlear artery
The use of a bilobed rotation flap.
81.A 75- year- old man is undergoing a local anaesthetic excision of a
suspected basal cell carcinoma on his cheek. What clinical margin of
excision is most appropriate?
A patient presents with diplopia and nasal obstruction. He is found to have a nasopharyngeal carcinoma that extends though the foramen lacereum into the cavernous sinus. Which of the following is least likely to be affected?
Opthalmic division of the trigeminal nerve.
Mandibular division of the trigeminal nerve.
83.umour in the pterygopalatine fossa may have developed there primarily or it may have spread directly into the fossa from any of the following except …?
Orbit through the infra orbital fissure.
The cranial cavity through the foramen ovale.
The cranial cavity through the foramen rotundum.
The nasal cavity.
The oral cavity through the greater palatine canal.
84. A 46- year- old man presents with a 5- day history of an upper respiratory tract infection and 2 day's right cervical lymphadenopathy. He is febrile and with a raised white cell count. Ultrasound of his neck reveals thrombus in his right internal jugular vein and a chest x- ray is reported as having changes consistent with 'septic emboli'. Which is the most likely organism responsible for his symptoms?
85.A 46- years- old Caucasian male presents with a post nasal space mass and a 5 cm ipsilateral lymph node. Biopsy of the post nasal space is reported as non- keratinizing squamous cell carcinoma. The most appropriate treatment is:
Radiotherapy to the post nasal space and ipsilateral modified radical neck dissection.
Chemo- radiotherapy to the post nasal space, ipsilateral modified radical neck dissection and contralateral selective neck dissection
Surgical debulking of the post nasal space, bilateral modified radical neck dissections and post operative radiotherapy
Primary chemo- radiotherapy
86.Following enucleation of a superficial pleomorphic adenoma a patient
develops a parotid fistula which discharges onto the cheek. Which is the least effective treatment?