Download MBBS UHS Lahore 3rd Year ENT SEQ Question Paper

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) UHS Lahore (University of Health Sciences Lahore) 3rd Year ENT SEQ Previous Year Question Paper





MBBS THIRD PROFESSIONAL

MODEL PAPER FOR ANNUAL 2009

ENT

(Short Essay Questions)

Max. Marks 45 Time Allowed 2 hours


1. A female thirty years of age presented with pain right ear for last



three days which has increased in intensity gradually. The pain is



aggravated on chewing movements. There is no history of ear



discharge. On examination movements of pinna are painful. Meatus is



occluded by swelling and there is some forward displacement of pinna.



a) What is the probable diagnosis?









1

b) What is the differential diagnosis?









1

c) How will you manage this patient?









3



2. A female thirty years of age complains of decreased hearing both ears



which is gradually worsening. Hearing is better in noisy surroundings.



Voice is quiet. On otoscopy tympanic membrane is normal.



a) What is the most probable diagnosis?









1

b) What would be the findings:













i)

On TFT (Tuning Fork Tests).

1

ii) On Pure Tone Audiometry.

1

c) How will you manage this patient?









2



3. A female forty years of age presents with episodic vertigo. Vertigo is



intense, associated with nausea and vomiting. There is rotation of



surroundings. Vertigo lasts for few hours and patient complains of



decreased hearing during the attack which improves in between.



Patient also complains of tinnitus and fullness of ears.



a) What is the most probable diagnosis?









1

b) What is the differential diagnosis?









1?

c) How will you prove the diagnosis?









1

d) How will you manage this patient?









1?





4. A male 20 years of age presents with unilateral nasal obstruction on



right side. On examination there is a pale mass in right nostril which is



seen hanging in the nasopharynx on posterior rhinoscopy.



a) What is the most probable diagnosis?









1

b) How will you confirm your diagnosis?









2

c) How will you manage this patient?









2



5. A female 50 years of age, known diabetic for last ten years is admitted



in the medical ward for management of diabetic ketoacidosis. Black



necrotic turbinate is noted in the right nostril alongwith right eye



proptosis by the medical resident on call. Patient is sent to the ENT



department for consultation.



a) What is the probable reason for these clinical findings?



1

b) How will you prove your diagnosis?









2

c) How will you manage this case?







2









6. A male fourteen years of age presents with recurrent epistaxis and



right nasal obstruction for last six months. On examination there is a



mass in the right nostril and nasopharynx, pinkish in colour, lobulated



and bleeds on touch.



a) What is the most probable diagnosis?









1

b) How will you confirm your diagnosis?









2

c) How will you manage this patient?









2



7. A child ten years of age has recurrent attacks of acute tonsillitis; more



than five attacks per year for three years. On examination there is



anterior faucial flare, cheesy substance coming out of tonsillar crypts



and enlarged jugulodigastric lymph nodes.



a) What is your diagnosis?

1

















b) i) What is the treatment for this patient?







1

ii) Enumerate indications for tonsillectomy.





1?







c) What is :

















1?

i) Primary hemorrhage.



ii) Reactionary hemorrhage.

iii) Secondary hemorrhage.



8. A girl ten years of age presents with fever and swelling in submental



and right submandibular region for four days. On examination skin



over the swelling is red and swelling is tender. First molar tooth right



lower jaw is carious.



a) What is the most probable diagnosis?









1

b) What are the causative organisms?









2

c) How will you manage it?











2



9. A male 50 years of age presented with hoarseness of voice for 6



months. It is progressive. On indirect laryngoscopy there is a mass on



the right vocal cord which extends supraglotically across the ventricle



of the larynx. The right hemilarynx is fixed. There are no neck nodes



and no evidence of distant metastases.



a) What is the most probable diagnosis?









1

b) How will you confirm your diagnosis and stage the disease?

2

c) How will you manage this patient?









2




This post was last modified on 04 December 2021