Tympanosclerosis & Adhesive OM MCQ Quiz | Ear (Otology)

Welcome to the specialized MCQ quiz on Tympanosclerosis and Adhesive Otitis Media, designed for MBBS students preparing for their Otology module. This quiz will test your understanding of two important middle ear pathologies characterized by chronic inflammation and structural changes. You’ll encounter 25 questions covering etiology, pathophysiology, clinical presentation, diagnostic findings on otoscopy, audiometry, and tympanometry, as well as management principles for both conditions. This is an excellent tool for self-assessment and reinforcing key concepts. After completing the quiz, you can review your performance and download a PDF document containing all the questions along with their correct answers for your future reference and study. Good luck!

1. What is the characteristic pathological finding in tympanosclerosis?

2. The primary etiological factor for Adhesive Otitis Media is:

3. On otoscopy, a “chalky white patch” on an otherwise intact tympanic membrane is a classic sign of:

4. Which type of hearing loss is typically associated with both tympanosclerosis and adhesive otitis media?

5. A tympanogram showing low compliance and normal middle ear pressure (Type As) is characteristic of:

6. In adhesive otitis media, the tympanic membrane is characteristically retracted and adherent to the:

7. Which ossicle is most commonly eroded in advanced cases of adhesive otitis media?

8. Sade’s classification is used to grade the severity of:

9. What is the primary goal of inserting a ventilation tube (grommet) in a patient with middle ear atelectasis?

10. Myringosclerosis refers to tympanosclerosis that is limited to the:

11. A major risk of long-standing, untreated adhesive otitis media is the development of:

12. Surgical treatment (ossiculoplasty) for extensive tympanosclerosis is often challenging due to:

13. In contrast to otitis media with effusion (OME), adhesive otitis media is characterized by:

14. Which histological feature is characteristic of tympanosclerosis?

15. What is the most appropriate initial management for a patient with asymptomatic myringosclerosis?

16. Sade Grade IV atelectasis describes a tympanic membrane that is:

17. Tympanosclerosis is considered an end-stage result of which process?

18. The loss of the middle ear cushion in adhesive otitis media leads to:

19. In a patient with tympanosclerosis fixing the stapes footplate, the audiogram may show a dip in bone conduction at 2000 Hz, known as:

20. Which of the following is LEAST likely to be an effective treatment for established adhesive otitis media?

21. The pars flaccida of the tympanic membrane is particularly susceptible to deep retraction pockets because it lacks the:

22. Tympanosclerosis most commonly affects which part of the tympanic membrane?

23. A patient presents with a severely retracted, immobile eardrum. Tympanometry would most likely show which pattern?

24. What is the main difference in pathophysiology between tympanosclerosis and otosclerosis?

25. A key otoscopic feature distinguishing adhesive otitis media from a large central perforation is:

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