Free Practice Questions for Iran ENT Specialty Board
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Key Facts: Iran ENT Specialty Board Exam
150
Written MCQs
Sanjesh Pezeshki
210 min
Exam Duration
Sanjesh Pezeshki
70% (105/150)
Written Pass Mark
MOHME Council
No Penalty
Negative Marking
Sanjesh Pezeshki
Cummings
Primary Reference
Board Syllabus
The Iranian Specialty Board in Otolaryngology – Head and Neck Surgery is a high-stakes national exam administered by Sanjesh Pezeshki. Candidates must answer 152 MCQs in 240 minutes and achieve at least 70% (105 correct) without negative marking to qualify for the oral/OSCE clinical board. This 100-question practice bank provides comprehensive, Cummings-referenced English-language clinical vignettes with full distractor rationales.
Sample Iran ENT Specialty Board Practice Questions
Try these sample questions to review concepts for the Iran ENT Specialty Board exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 7-year-old boy presents with high fever, acute otalgia, retroauricular erythema, and outward and downward displacement of the auricle. Contrast-enhanced CT reveals coalescent mastoiditis and an abscess deep to the sternocleidomastoid muscle. What is this specific complication termed?
2Which theory of acquired middle ear cholesteatoma pathogenesis proposes that negative middle ear pressure leads to invagination of the pars flaccida into the epitympanum?
3A 32-year-old pregnant woman presents with progressive bilateral hearing loss. Pure-tone audiometry demonstrates bilateral conductive hearing loss with an apparent elevation of the bone-conduction threshold peaking at 2000 Hz. What is the pathophysiological cause of this classic 'Carhart notch'?
4A 45-year-old patient with an intracanalicular vestibular schwannoma measuring 8 mm in the internal auditory canal (IAC) is being evaluated for surgical resection. Which surgical approach offers the best exposure for complete tumor removal while preserving serviceable hearing when the tumor does not reach the lateral fundus?
5According to the AAO-HNS diagnostic criteria, which combination of symptoms and objective findings establishes the definitive clinical diagnosis of Meniere disease?
6During a Dix-Hallpike maneuver of the right ear, a patient exhibits a 5-second latency followed by 25 seconds of geotropic torsional nystagmus beating toward the right forehead and upward. What is the diagnosis and the most appropriate initial repositioning maneuver?
7A 58-year-old man presents with severe right otalgia followed by complete unilateral peripheral facial paralysis and vesicular eruptions on the concha, antihelix, and external auditory canal. What is the most appropriate initial medical therapy?
8A 72-year-old diabetic male presents with unrelenting nocturnal otalgia and persistent granulation tissue at the bone-cartilage junction of the external auditory canal despite topical ear drops. What is the diagnostic test of choice to monitor therapeutic response and resolution of osteomyelitis in this condition?
9When performing a tympanoplasty for a subtotal perforation in an ear with severe Eustachian tube dysfunction, chronic atelectasis, or previous graft failure, why is a cartilage graft preferred over temporalis muscle fascia?
10A 40-year-old musician complains of dizziness and oscillopsia induced by loud trumpet playing, hearing his own footsteps loudly in his right ear, and autophony. High-resolution temporal bone CT confirms dehiscence of the bone overlying the superior semicircular canal. What is the pathognomonic clinical sign of sound-induced vertigo seen in this patient?
About the Iran ENT Specialty Board Exam
The Iranian Medical Specialty Board Examination in Otorhinolaryngology – Head and Neck Surgery (آزمون دانشنامه تخصصی گوش و حلق و بینی و جراحی سر و گردن) is the definitive terminal credential required for subspecialty fellowship entry and academic university appointments across the Islamic Republic of Iran. Conducted annually by the National Center for Health Assessment (مرکز سنجش آموزش پزشکی - Sanjesh Pezeshki) under the auspices of the Secretariat of the Council for Medical and Specialized Education, this examination tests comprehensive mastery across Otology & Neurotology, Rhinology & Skull Base Surgery, Laryngology & Upper Airway, Head and Neck Surgical Oncology, Pediatric Otolaryngology, and Facial Plastic & Trauma Surgery. The core curriculum is anchored to Cummings Otolaryngology: Head and Neck Surgery. Candidates who successfully achieve 70% (105/150) on the written examination qualify to sit for the rigorous multi-station clinical OSCE and structured oral case evaluations. Please note that this resource is an independent English-language MCQ study adaptation authored by OpenExamPrep to assist clinicians and residents in mastering the core syllabus.
Exam sponsor: National Center for Health Assessment (Sanjesh Pezeshki) & Council for Medical and Specialized Education, Ministry of Health and Medical Education (MOHME). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The national certification process comprises two sequential stages: Stage 1 Written Examination (152 single-best-answer MCQs, 240 minutes, testing comprehensive medical and surgical otolaryngology based on Cummings Otolaryngology) and Stage 2 Clinical/Practical Examination (Objective Structured Clinical Examination [OSCE], Patient Management Problems [PMPs], surgical instrument identification, and oral vivas).
Time Limit
240 minutes
Passing Score
70% of the written total (105 of 150 points)
Exam / Certification Fees
Official annual registration fee published on the Sanjesh Pezeshki portal (sanjeshp.ir) during the registration window.
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Otology, Neurotology & Audiology
Acute and chronic otitis media, tympanomastoidectomy, cholesteatoma management, stapes surgery for otosclerosis, peripheral vestibular diagnostics and rehabilitation, Meniere disease, facial nerve decompression and repair, and vestibular schwannoma.
Rhinology & Paranasal Sinus Disease
Pathophysiology and medical/surgical management of rhinosinusitis, nasal polyposis, severe epistaxis management (sphenopalatine artery ligation), functional endoscopic sinus surgery (FESS), Keros classification, frontal sinusotomy (Draf I-III), CSF leak repair, and endoscopic skull base approaches.
Laryngology, Voice Disorders & Bronchoesophagology
Phonosurgical microflap techniques, vocal fold paralysis and thyroplasty types, benign vocal fold lesions (polyps, nodules, granulomas, papillomatosis), spasmodic dysphonia (botulinum toxin therapy), adult laryngotracheal stenosis, and aerodigestive endoscopy.
Head & Neck Surgical Oncology
Staging and surgical management of oral cavity, oropharyngeal (HPV-related and smoking-related), laryngeal, and hypopharyngeal malignancies; cervical lymph node levels and neck dissection classifications; thyroid carcinoma (differentiated, medullary, anaplastic); salivary gland neoplasms; and local/free flap reconstruction.
Pediatric Otolaryngology & Congenital Anomalies
Congenital stridor and laryngomalacia (supraglottoplasty), pediatric subglottic stenosis (cricoid split and laryngotracheal reconstruction), choanal atresia repair, branchial cleft and thyroglossal duct cyst surgery (Sistrunk), pediatric obstructive sleep apnea, and congenital hearing loss.
Facial Plastic & Reconstructive Surgery & Maxillofacial Trauma
Functional and aesthetic rhinoplasty (open vs. closed approaches, structural grafting, tip dynamics), management of midface and mandibular fractures (closed vs. open reduction internal fixation), facial soft tissue reconstruction using local advancement and rotation flaps, and otoplasty.
Preparing for the Iran ENT Specialty Board Exam
What You Need to Know
- Passing score: 70% of the written total (105 of 150 points)
- Assessment: The national certification process comprises two sequential stages: Stage 1 Written Examination (152 single-best-answer MCQs, 240 minutes, testing comprehensive medical and surgical otolaryngology based on Cummings Otolaryngology) and Stage 2 Clinical/Practical Examination (Objective Structured Clinical Examination [OSCE], Patient Management Problems [PMPs], surgical instrument identification, and oral vivas).
- Time limit: 240 minutes
- Exam / certification fees: Official annual registration fee published on the Sanjesh Pezeshki portal (sanjeshp.ir) during the registration window. Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Iran ENT Specialty Board: Suggested Study Strategy
Frequently Asked Questions
What is the structure and duration of the Iranian ENT Written Board Examination?
The written examination consists of 152 single-best-answer multiple-choice questions (four choices per item) administered over a total duration of 240 minutes (4 hours). There is no negative marking for incorrect answers.
What is the passing score required to advance to the clinical OSCE?
Candidates must achieve at least 70% in the written stage, equivalent to answering 105 points out of a written total of 150. Meeting this threshold is a mandatory prerequisite to qualify for the practical/OSCE and oral examination stations.
What is the primary reference textbook for the Iranian ENT Board Exam?
The primary official reference specified by the Secretariat of the Council for Medical and Specialized Education is Cummings Otolaryngology: Head and Neck Surgery (latest published edition adopted by the Ministry of Health), complemented by relevant subspecialty guidelines.
What does the Stage 2 Clinical / OSCE examination include?
The second stage evaluates practical clinical competencies across multiple stations, including Objective Structured Clinical Examination (OSCE) circuits, Patient Management Problems (PMP), interpretation of radiological imaging (CT, MRI) and audiograms, surgical instrument and specimen identification, and structured oral case discussions with examining board faculty.
Who is eligible to register for the Iranian Specialty Board Examination?
Senior otolaryngology residents who have completed their required four-year residency program at an accredited Iranian university of medical sciences and successfully passed their institutional promotion and pre-board (Gonavi/Ertegha) examinations are eligible to sit for the National Board Exam administered by Sanjesh Pezeshki.
Is this OpenExamPrep question bank an official Sanjesh Pezeshki test?
No. This question bank is an independent English-language educational study adaptation developed by OpenExamPrep. It is designed to assist candidates in mastering the standard Cummings Otolaryngology curriculum and testing their diagnostic and surgical decision-making skills prior to the examination.