ENT Image Based Questions for NEET PG

Q1. Label the contents of middle ear appropriately

1. a-Incus, b-Stapedius, c-Stapes , d-Tensor tympani, e-Malleus
2. a-Incus, b-Stapes, c-Stapedius , d-Tensor tympani, e-Malleus
3. a-Incus, b-Tensor tympani, c-Stapes , d-Stapedius, e-Malleus
4. a-Malleus, b-Stapedius, c-Stapes , d-Tensor tympani, e- Incus

Ans. 1) a-Incus, b-Stapedius, c-Stapes , d-Tensor tympani, e-Malleus 

Also read: A Guide to Mastering Image-Based Questions in INI-CET ‘25

Q2. A 50-year-old woman presents with a traumatic perforation of the tympanic membrane. The image is given below. What type of perforation is this?

1. Central
2. Subtotal
3. Posterosuperior
4. Attic​

Ans. 4) Attic

Q3. The image given below of the auditory pathway, depicts auditory signals travelling from the cochlea to the primary auditory cortex and passes through the following structures in sequences A, B, C, and D. Which sequence correctly identifies the order of these structures?

1. ​A - Cochlear Nucleus; B - Superior Olivary Complex; C - Inferior Colliculus; D - Medial Geniculate Nucleus
2. A - Medial Geniculate Nucleus; B - Cochlear Nucleus; C - Inferior Colliculus; D - Superior Olivary Complex
3. A - Inferior Colliculus; B - Cochlear Nucleus; C - Medial Geniculate Nucleus; D - Superior Olivary Complex
4. A - Superior Olivary Complex; B - Medial Geniculate Nucleus; C - Cochlear Nucleus; D - Inferior Colliculus

Ans. 1) A - Cochlear Nucleus; B - Superior Olivary Complex; C - Inferior Colliculus; D - Medial Geniculate Nucleus

Q4. A 45-year-old patient reports difficulty hearing in the Right ear. Pure tone audiometry is done and the result is given in the image below. Given the audiometric findings, what is the most likely diagnosis?

1. Conductive Hearing Loss
2. Sensorineural Hearing Loss (SNHL)
3. Presbycusis
4. Meniere’s Disease

Ans. 1) Conductive Hearing Loss

Also read: Special X- ray Views in Orthopedics

Q5. This image shows a patient with complaints of a small, asymptomatic, pit-like opening located just anterior to the ear canal with a history of pus discharge from the same area. The deformity is due to incomplete fusion of which arch?​

1. 1st brachial arch
2. 2nd brachial arch
3. 4th and 6th brachial arches.
4. 3rd brachial arch

Ans. 1) 1st brachial arch

Q6. A professional boxer presents with a swollen and bruised ear. The condition is most likely diagnosed as:

1. Hematoma of ear
2. Perichondritis
3. Otitis Externa
4. Otomycosis

Ans. 1) Hematoma of ear

Q7. A 65-year-old male presents with a painful, swollen right ear few days after an injury. The ear has a warm, red appearance, and the patient reports that the pain began shortly after the trauma. Based on the clinical image provided. Which of the following conditions is most consistent with this presentation?

1. Perichondritis
2. Cellulitis
3. Otitis externa
4. Furunculosis

Ans. 1) Perichondritis

Also read: Orthopedics NEET PG Image-Based Preparation

Q8. A middle-aged lady presents with the lesion given below. Which of the following statements is false about the given condition?​

1. It is caused by an overproduction of collagen during the healing process.
2. They are typically painful and tender to the touch.
3. There are high chances of recurrence.
4. It can appear in areas where the skin has been subjected to trauma or surgery.

​Ans. 2) They are typically painful and tender to the touch.

Q9. A 35-year-old woman from a rural area has nasal obstruction, crusting, and a history of progressive nasal swelling over the past several months. On examination, nodular masses in the nasal cavity are noted. A biopsy is done and shown below. Which of the following histopathological findings is characteristic of the condition in this patient?

1. Psammoma Bodies
2. Mikulicz cells
3. Aschoff Bodies
4. Verocay Bodies

Ans. 2) Mikulicz cells

Q10. A 45-year-old man presents with a chronic, non-healing lesion on his nasal tip, accompanied by intermittent nasal obstruction. Over the past several months, the lesion has progressively worsened. On examination, the following lesion is seen as shown in the image. A biopsy of the lesion reveals caseating granulomas. What is the treatment of choice for this condition?

1. Methotrexate
2. Systemic steroids
3. Surgical excision
4. Antitubercular therapy (ATT)

​Ans. 4) Antitubercular therapy (ATT)

Also read: How to Prepare ENT for PG Entrance Exams

Q11. A 32-year-old woman presents to the clinic with symptoms of nasal obstruction, crusting, and facial pain that have been worsening over the past few months. She reports persistent nasal congestion and frequent nosebleeds. On physical examination, there is purplish discoloration of the nasal skin and a nasal endoscopy reveals erythematous mucosa covered with pale granulomas, as shown in the image. A biopsy of the nasal lesion reveals non-caseating granulomas. Which of the following is the mainstay of treatment?​

1. Methotrexate
2. Inhaled corticosteroids
3. Systemic steroids
4. Antihistamines

​Ans. 3) Systemic steroids

Q12. A 2-day-old full-term male infant is brought to the emergency room with difficulty breathing, especially when feeding, and cyanosis. The cyanosis improves when the infant cries but worsens when feeding. The baby is in respiratory distress. What is the best initial emergency management for this patient?​

1. ​Inserting a wide bore feeding nipple into the mouth of the infant
2. Bag-mask ventilation
3. Immediate tracheostomy
4. Meniere’s Disease

​Ans. 1) Conductive Hearing Loss

Q13. A 38-year-old woman presents with six months of dysphagia, regurgitation, and a feeling of food getting stuck, often coughing while eating. A barium swallow study shows specific findings on the radiograph. Which muscle pairs define the anatomical boundaries of the observed dehiscence?​

1. Cricopharyngeus and esophageal muscle fibres
2. Thyropharyngeus and esophageal muscle fibres
3. Thyropharyngeus and cricopharyngeus
4. Inferior constrictor along with upper esophageal muscle fibres

​Ans. 3) Thyropharyngeus and cricopharyngeus

Also read: Nasal Polyps : Causes, Symptoms and Treatment : NEET PG ENT

Q14. A 35-year-old female presenting with persistent right ear fullness, hearing loss, and pressure particularly during flights is suspected of having Eustachian tube blockage. During rhinoscopy, a structure labelled as X in the image below is noted. Identify this structure.​

1. ​Pyriform fossa
2. Torus tubaris
3. Fossa of Rosenmuller
4. Post cricoid region

​Ans. 3) Fossa of Rosenmuller​

Q15. Identify the structure indicated as ‘X’ in the image.

1. ​Palatine tonsil
2. Gerlach’s tonsil
3. Lingual tonsil
4. Luschka’s tonsil

Ans. 4) Luschka’s tonsil

Q16. A 17-year-old male presents with recurrent epistaxis, nasal obstruction, and a reddish-purple mass visible in the nasal cavity. He also reports occasional facial pain. CECT scan finding is shown below.​

Which investigation is most useful in evaluating the vascularity of this tumor and planning for preoperative embolization?

1. Magnetic resonance imaging
2. Ultrasound Doppler
3. Nasopharyngoscopy
4. Digital Subtraction Angiography

Ans. 4) Digital Subtraction Angiography 

Also read: ENT Important Questions for NEET PG/FMGE 2025

Q17. A 55 y/o man, who is a heavy smoker and drinker, visits complaining of a persistent husky voice and throat irritation. During a laryngoscopic examination, the following is observed. Based on the above image, what is the most likely diagnosis? ​​ 

1.  Pachyderma Laryngitis
2. Vocal Polyp
3. Acute Laryngitis
4. Vocal Cord Nodules

Ans. 1) Pachyderma Laryngitis

Q18. A 55-year-old woman presents with complaints of a low-pitched voice and a sensation of throat tightness for several months. A laryngoscopic image (shown below) reveals abnormal vibratory patterns of the false vocal cords (ventricular folds). Based on the image and clinical presentation, what is the most likely diagnosis?​ 

1. ​Mixed Dysphonia
2. Dysphonia Plica Ventricularis
3. Adductor Dysphonia
4. Abductor Dysphonia

Ans. 2) Dysphonia Plica Ventricularis

If you wish to access the detailed explanations for the correct and incorrect options of ENT Image Based Questions for NEET PG download the Pdf now.

Download the PrepLadder app now to access high-yield content with 24-hr Free Trial. Explore premium study resources like Video Lectures also in हिंglish, Game Changing Qbank, Audio QBank, Structured Notes, Treasures, Mock test for a seamless exam preparation. Time to begin your NEET PG coaching online with PrepLadder.