Myringoplasty/Ossiculoplasty/Tympanoplasty – Principles MCQ Quiz | Ear (Otology)

Welcome to this specialized quiz on the principles of Myringoplasty, Ossiculoplasty, and Tympanoplasty. Designed for MBBS students, this quiz will test your understanding of surgical indications, techniques, graft materials, and post-operative management in middle ear surgery. Covering 25 multiple-choice questions, it’s an excellent tool to assess your knowledge and prepare for your Otology exams. After submitting your answers, you will receive your score, and each question will be highlighted with the correct and incorrect responses for effective learning. For your convenience and future revision, you can also download all the questions and their correct answers in a PDF format. This will help you consolidate your knowledge on these crucial otological procedures. Good luck!

1. Wullstein’s Type I tympanoplasty is functionally equivalent to which procedure?

2. What is the primary goal of Myringoplasty?

3. The most commonly used autograft material for tympanic membrane repair is:

4. A Total Ossicular Replacement Prosthesis (TORP) is typically used when which of the following structures is absent?

5. Which is an absolute contraindication for an elective tympanoplasty?

6. The “underlay” technique in myringoplasty involves placing the graft:

7. What is the primary function of Gelfoam placed in the middle ear during tympanoplasty?

8. Injury to the chorda tympani nerve during middle ear surgery is most likely to cause which symptom?

9. In a Type III tympanoplasty (myringostapediopexy), the tympanic membrane graft is placed directly onto the:

10. The most critical factor for the success of any tympanoplasty procedure is:

11. A Partial Ossicular Replacement Prosthesis (PORP) is used when the stapes suprastructure is:

12. Which surgical approach provides the widest exposure of the middle ear and mastoid?

13. The main advantage of using cartilage as a graft material over fascia is its:

14. What does the term “myringo-” in myringoplasty refer to?

15. In a Wullstein Type IV tympanoplasty, sound energy is directed from the tympanic membrane to the:

16. Post-operative care after tympanoplasty commonly includes advising the patient to avoid:

17. An “overlay” myringoplasty technique carries a higher risk of which complication compared to the underlay technique?

18. The primary purpose of ossiculoplasty is to:

19. Pre-operative assessment for tympanoplasty must include:

20. Which material for ossicular reconstruction is considered alloplastic?

21. The “columella effect” in ossiculoplasty refers to:

22. A key principle of tympanoplasty is to create a middle ear space that is:

23. In which situation would a staged tympanoplasty be most appropriate?

24. What is the most common cause of conductive hearing loss in a patient with a tympanic membrane perforation?

25. A “second look” procedure is often performed 6-12 months after initial surgery primarily to: