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ENT · Tympanic membrane
Sample itemWhich part of the tympanic membrane lies above the lateral process of the malleus, lacks a fibrous middle layer, and is the usual site of attic retraction pockets?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pars flaccida
The superior, small triangular portion is the flaccid part, bounded by the anterior and posterior malleolar folds. Its weakness predisposes to retraction pockets and attic cholesteatoma. The tense part forms the bulk of the drum.
Option by option
A. Annulus tympanicus
The annulus is the fibrocartilaginous ring anchoring the rim in the sulcus.
B. Pars tensa
The tense part is the large lower portion with a fibrous layer.
C. Pars flaccida (correct)
Correct. This is the lax upper segment above the lateral process.
D. Umbo
The umbo is the tip of the malleus handle at the centre of the drum.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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