Q.P. CODE - 1034
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase – III (Part-I – CBME) Degree Examination - 03-Jun-2024
Time: Three Hours
Max. Marks: 100
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OTORHINOLARYNGOLOGY (RS-4)
Q.P. CODE: 1034
(QP contains two pages)
Your answers should be specific to the questions asked
Draw neat, labeled diagrams wherever necessary
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LONG ESSAYS 2 x 10 = 20 Marks
- Discuss the etiology, clinical features and management of Deviated nasal septum
- A mother brought a 1 year old child complaining that child is not feeding since two days and had recently developed noisy breathing. On examination child was febrile and there was a unilateral bulge on the posterior pharyngeal wall. X-ray of the neck shows significant pre vertebral widening
- What is the most probable diagnosis?
- Explain the etiopathogenesis of the condition.
- How do you investigate and treat this condition?
- What are the possible complications that might develop if this condition is not treated?
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SHORT ESSAYS 8 x 5 = 40 Marks
- Explain clinical features, investigations and treatment of atrophic rhinitis
- Anatomy of laryngeal cartilages
- A 25 year old female presented with acute onset of pain and difficulty in swallowing. On examination right tonsil was enlarged, congested and pushed medially. Trismus was present
- What is the most probable diagnosis?
- How do you manage this condition?
- What are the possible complications of this condition?
- A 60 year old male farmer hailing from a coastal region presented with nasal obstruction and epistaxis. On examination there was a red strawberry like mass filling right nasal cavity
- Write the most appropriate diagnosis
- Describe etiopathogenesis of the condition
- How do you manage this condition?
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- Differences between adult and infant larynx
- Acute mastoiditis
- Benign Paroxysmal positional vertigo
- Explain clinical features and management of vocal cord nodules
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SHORT ANSWERS 10 x 3 = 30 Marks
- Epleys manoeuvre
- Rhinoscleroma
- Rigid oesophagoscopy
- Horner's syndrome
- Three uses of Brainstem Evoked Response Audiometry
- Stapedial reflex pathway
- Write any three complications of adenotonsillectomy
- LUDWIG's angina
- Mention at least five complications of FESS
- Consent for mastoidectomy
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Multiple Choice Questions 10 x 1 = 10 Marks
- i) Voice is good in
- Unilateral recurrent laryngeal nerve paralysis
- Bilateral recurrent laryngeal nerve paralysis
- Bilateral superior laryngeal nerve paralysis
- Unilateral high vagal nerve paralysis
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- ii) Siegelization is useful in following conditions EXCEPT
- To check for tympanic membrane mobility
- To elicit fistula test
- To remove foreign bodies in external ear
- To instill topical ear medicines
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- iii) Sialolithiasis is most commonly seen in
- Parotid gland
- Submandibular salivary gland
- Sublingual salivary gland
- Other minor salivary glands
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- iv) Sagging of the external auditory canal is seen in
- Acute labyrinthitis
- Perichondritis
- Acute mastoiditis
- Temporal bone fracture
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- v) Differential diagnosis for fluctuating hearing loss includes all EXCEPT
- Ear wax
- Meniere's disease
- Perilymph fistula
- Presbyacusis
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- i) Concha bullosa is
- Enlarged inferior turbinate
- Enlarged supraorbital cell
- Pneumatized middle turbinate
- Enlarged Haller cell
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- ii) Rhinitis Medicamentosa is treated with
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- Topical alpha-adrenergic compounds
- Topical steroids
- Cetirizine
- Antibiotics
- iii) Following statements are true regarding Carhart's notch EXCEPT
- Dip at 2000Hz in BC curve
- Disappears after successful stapes surgery
- Highly specific for otosclerosis
- Said to be caused by ossicular inertia
- iv) Early presentation of Glottic cancer is
- Hoarseness of voice
- Stridor
- Metastatic lymph node
- Dysphagia
- v) Pyramid is present in the following wall of the middle ear
- Posterior
- Anterior
- Lateral
- Medial
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