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Objective Questions

Latest BTSC SMO ENT Exam Question (Objective Questions), MCQ in English

Subjects : ENT

Question Bank BTSC Specialist Medical Officer (ENT) Exam - English
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ENT

Question 1Single Answer
Which of the following is the most common subjective description of tinnitus?
  1. A
    A high-pitched ringing sound
  2. B
    A feeling of fullness in the ear
  3. C
    Dizziness and imbalance
  4. D
    Pain in the ear
Question 2Single Answer
Tinnitus is best defined as:
  1. A
    An objective sound originating within or near the ear
  2. B
    The perception of sound when no external sound is present
  3. C
    A temporary hearing loss after exposure to loud noise
  4. D
    An inflammation of the middle ear
Question 3Single Answer
Which of the following is NOT considered a common cause of subjective tinnitus?
  1. A
    Noise-induced hearing loss
  2. B
    Otosclerosis
  3. C
    Temporomandibular joint (TMJ) disorders
  4. D
    Cerumen impaction
Question 4Single Answer
Pulsatile tinnitus is often associated with:
  1. A
    Sensorineural hearing loss
  2. B
    Vascular abnormalities
  3. C
    Meniere's disease
  4. D
    Presbycusis
Question 5Single Answer
Objective tinnitus can be heard by:
  1. A
    Only the patient
  2. B
    The patient and the examiner
  3. C
    Only the examiner
  4. D
    Neither the patient nor the examiner
Question 6Single Answer
Which of the following medications is NOT a known ototoxic drug that can potentially cause or worsen tinnitus?
  1. A
    Aspirin (in high doses)
  2. B
    Certain aminoglycoside antibiotics (eg, gentamicin)
  3. C
    Ibuprofen
  4. D
    Paracetamol
Question 7Single Answer
The initial diagnostic evaluation of a patient with tinnitus should include:
  1. A
    Magnetic Resonance Imaging (MRI) of the brain
  2. B
    Pure-tone audiometry
  3. C
    Electrocochleography (ECochG)
  4. D
    Otoacoustic emissions (OAEs)
Question 8Single Answer
Which of the following lifestyle modifications is often recommended for managing tinnitus?
  1. A
    Increasing caffeine intake
  2. B
    Avoiding loud noise exposure
  3. C
    Smoking more to relax
  4. D
    Limiting physical activity
Question 9Single Answer
Sound therapy for tinnitus aims to:
  1. A
    Eliminate the perception of tinnitus completely
  2. B
    Mask or habituate the patient to the tinnitus sound
  3. C
    Improve the patient's hearing sensitivity
  4. D
    Surgically remove the source of tinnitus
Question 10Single Answer
Tinnitus Retraining Therapy (TRT) typically involves:
  1. A
    Surgical implantation of a cochlear implant
  2. B
    Administration of high doses of corticosteroids
  3. C
    Directive counseling and sound therapy
  4. D
    Repeated tympanocentesis
Question 11Single Answer
Cognitive Behavioral Therapy (CBT) can be helpful in managing tinnitus by:
  1. A
    Directly reducing the loudness of the tinnitus
  2. B
    Changing the patient's emotional reaction to the tinnitus
  3. C
    Improving the patient's hearing thresholds
  4. D
    Eliminating the underlying cause of the tinnitus
Question 12Single Answer
In cases of pulsatile tinnitus, Which of the following investigations might be indicated to rule out vascular abnormalities?
  1. A
    Tympanometry
  2. B
    Auditory Brainstem Response (ABR)
  3. C
    Magnetic Resonance Angiography (MRA)
  4. D
    Eustachian tube function tests
Question 13Single Answer
Which of the following conditions is characterized by episodic vertigo, tinnitus, and fluctuating sensorineural hearing loss?
  1. A
    Otitis media
  2. B
    Otosclerosis
  3. C
    Meniere's disease
  4. D
    Benign Paroxysmal Positional Vertigo (BPPV)
Question 14Single Answer
Which of the following is a common cause of tinnitus in children?
  1. A
    Presbycusis
  2. B
    Noise-induced hearing loss
  3. C
    Middle ear effusion
  4. D
    Acoustic neuroma
Question 15Single Answer
The prevalence of tinnitus generally increases with:
  1. A
    Younger age
  2. B
    Lower socioeconomic status
  3. C
    Increasing age
  4. D
    Female gender
Question 16Single Answer
Which cranial nerve is primarily involved in the perception of tinnitus?
  1. A
    Facial nerve (VII)
  2. B
    Vestibulocochlear nerve (VIII)
  3. C
    Glossopharyngeal nerve (IX)
  4. D
    Vagus nerve (X)
Question 17Single Answer
Sudden onset of unilateral tinnitus should prompt investigation for:
  1. A
    Chronic otitis media
  2. B
    Noise exposure history
  3. C
    Retrocochlear pathology
  4. D
    Eustachian tube dysfunction
Question 18Single Answer
Which of the following is NOT a typical characteristic of tinnitus associated with temporomandibular joint (TMJ) disorders?
  1. A
    Somatic modulation (change in tinnitus with jaw movement)
  2. B
    Low-pitched roaring sound
  3. C
    Unilateral presentation
  4. D
    Associated jaw pain or clicking
Question 19Single Answer
The primary goal of managing tinnitus is to:
  1. A
    Completely eliminate the sound
  2. B
    Reduce the patient's distress and improve quality of life
  3. C
    Restore normal hearing thresholds
  4. D
    Prevent further hearing loss
Question 20Single Answer
Which of the following is a potential complication of chronic, bothersome tinnitus?
  1. A
    Improved concentration
  2. B
    Decreased anxiety levels
  3. C
    Sleep disturbances and depression
  4. D
    Enhanced social interaction
Question 21Single Answer
In the management of tinnitus, hearing aids can be beneficial for patients who have:
  1. A
    Normal hearing
  2. B
    Significant hearing loss
  3. C
    Objective tinnitus
  4. D
    Pulsatile tinnitus
Question 22Single Answer
Which of the following pharmacological agents has shown some efficacy in reducing the distress associated with tinnitus, although not a direct cure?
  1. A
    Antihistamines
  2. B
    Beta-blockers
  3. C
    Tricyclic antidepressants (in low doses)
  4. D
    Non-steroidal anti-inflammatory drugs (NSAIDs)
Question 23Single Answer
The concept of "habituation" in tinnitus management refers to:
  1. A
    Surgically eliminating the source of the sound
  2. B
    The brain learning to filter out the tinnitus sound so it is no longer bothersome
  3. C
    Using masking sounds to cover up the tinnitus completely
  4. D
    The patient becoming accustomed to the loudness of the tinnitus
Question 24Single Answer
The outermost layer of the tympanic membrane is composed of:
  1. A
    Mucosa
  2. B
    Fibrous tissue
  3. C
    Stratified squamous epithelium
  4. D
    Simple cuboidal epithelium
Question 25Single Answer
The malleus is directly attached to the:
  1. A
    Stapes footplate
  2. B
    Incus long process
  3. C
    Umbo of the tympanic membrane
  4. D
    Oval window
Question 26Single Answer
The primary function of the Eustachian tube is to:
  1. A
    Transmit sound vibrations to the middle ear
  2. B
    Drain fluid from the inner ear
  3. C
    Equalize air pressure between the middle ear and the nasopharynx
  4. D
    House the ossicles
Question 27Single Answer
Which of the following muscles is responsible for dampening loud sounds by stiffening the ossicular chain?
  1. A
    Tensor veli palatini
  2. B
    Levator veli palatini
  3. C
    Stapedius
  4. D
    Tensor tympani
Question 28Single Answer
The sensory hair cells responsible for hearing are located in the:
  1. A
    Semicircular canals
  2. B
    Vestibule
  3. C
    Cochlea
  4. D
    Eustachian tube
Question 29Single Answer
The organ of Corti rests on the:
  1. A
    Tectorial membrane
  2. B
    Basilar membrane
  3. C
    Reissner's membrane
  4. D
    Oval window
Question 30Single Answer
The perilymph fluid is found in the:
  1. A
    Scala media
  2. B
    Scala vestibuli and scala tympani
  3. C
    Endolymphatic sac
  4. D
    Eustachian tube lumen
Question 31Single Answer
The primary blood supply to the cochlea is derived from the:
  1. A
    External carotid artery
  2. B
    Internal carotid artery
  3. C
    Vertebral artery
  4. D
    Basilar artery
Question 32Single Answer
The most common bacterial pathogen responsible for acute otitis media (AOM) in children is:
  1. A
    Pseudomonas aeruginosa
  2. B
    Staphylococcus aureus
  3. C
    Streptococcus pneumoniae
  4. D
    Haemophilus influenzae
Question 33Single Answer
A perforation of the tympanic membrane typically results in what type of hearing loss?
  1. A
    Sensorineural
  2. B
    Conductive
  3. C
    Mixed
  4. D
    Central
Question 34Single Answer
Cholesteatoma is best described as:
  1. A
    A benign tumor of the middle ear
  2. B
    An accumulation of keratinizing squamous epithelium in the middle ear or mastoid
  3. C
    Fluid accumulation in the middle ear without signs of infection
  4. D
    Calcification of the ossicles
Question 35Single Answer
Which of the following is a potential complication of chronic suppurative otitis media (CSOM)?
  1. A
    Presbycusis
  2. B
    Otosclerosis
  3. C
    Facial nerve paralysis
  4. D
    Meniere's disease
Question 36Single Answer
The Rinne test compares:
  1. A
    Hearing thresholds at different frequencies
  2. B
    Air conduction to bone conduction
  3. C
    Hearing in the right ear to the left ear
  4. D
    Speech recognition ability
Question 37Single Answer
In a patient with conductive hearing loss, the Weber test will typically lateralize to the:
  1. A
    Better hearing ear
  2. B
    Worse hearing ear
  3. C
    Both ears equally
  4. D
    Neither ear
Question 38Single Answer
Otosclerosis primarily affects the:
  1. A
    Inner ear hair cells
  2. B
    Tympanic membrane
  3. C
    Ossicular chain, particularly the stapes footplate
  4. D
    Eustachian tube function
Question 39Single Answer
The characteristic audiometric finding in otosclerosis is:
  1. A
    A high-frequency sensorineural hearing loss
  2. B
    A flat conductive hearing loss with a Carhart's notch
  3. C
    A sloping sensorineural hearing loss
  4. D
    A fluctuating mixed hearing loss
Question 40Single Answer
Surgery for otosclerosis that aims to restore hearing is called:
  1. A
    Tympanoplasty
  2. B
    Mastoidectomy
  3. C
    Stapedotomy or stapedectomy
  4. D
    Myringotomy
Question 41Single Answer
Presbycusis is a type of hearing loss that is primarily due to:
  1. A
    Noise exposure
  2. B
    Aging
  3. C
    Middle ear infections
  4. D
    Genetic disorders
Question 42Single Answer
The most common pattern of hearing loss in presbycusis is:
  1. A
    A flat conductive hearing loss
  2. B
    A low-frequency sensorineural hearing loss
  3. C
    A high-frequency sensorineural hearing loss
  4. D
    A mixed hearing loss
Question 43Single Answer
Noise-induced hearing loss typically affects which frequencies first?
  1. A
    Low frequencies (250-500 Hz)
  2. B
    Mid frequencies (1000-2000 Hz)
  3. C
    High frequencies (3000-6000 Hz)
  4. D
    All frequencies equally
Question 44Single Answer
Sudden sensorineural hearing loss (SSNHL) is defined as a hearing loss of at least how many decibels (dB) occurring over a period of how long?
  1. A
    10 dB over 72 hours
  2. B
    20 dB over 48 hours
  3. C
    30 dB over 72 hours
  4. D
    40 dB over 24 hours
Question 45Single Answer
The most common cause of conductive hearing loss in adults is:
  1. A
    Otosclerosis
  2. B
    Presbycusis
  3. C
    Cerumen impaction
  4. D
    Noise exposure
Question 46Single Answer
Vertigo originating from the inner ear is often associated with:
  1. A
    Visual disturbances only
  2. B
    Motor weakness
  3. C
    Nystagmus and autonomic symptoms
  4. D
    Loss of consciousness
Question 47Single Answer
Benign Paroxysmal Positional Vertigo (BPPV) is caused by:
  1. A
    Inflammation of the vestibular nerve
  2. B
    Displacement of otoconia into the semicircular canals
  3. C
    Increased endolymphatic pressure
  4. D
    A tumor in the cerebellopontine angle
Question 48Single Answer
The Dix-Hallpike maneuver is used to diagnose:
  1. A
    Meniere's disease
  2. B
    Vestibular neuritis
  3. C
    Benign Paroxysmal Positional Vertigo (BPPV)
  4. D
    Acoustic neuroma
Question 49Single Answer
The treatment for posterior canal BPPV typically involves:
  1. A
    Antibiotics
  2. B
    Steroids
  3. C
    Canalith repositioning maneuvers (eg, Epley maneuver)
  4. D
    Surgical removal of the otoconia
Question 50Single Answer
Vestibular neuritis is characterized by:
  1. A
    Recurrent episodes of vertigo, tinnitus, and hearing loss
  2. B
    Sudden onset of severe, prolonged vertigo often following a viral illness
  3. C
    Positional vertigo triggered by head movements
  4. D
    Gradual onset of imbalance and hearing loss
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