Download RGUHS MBBS 3rd Year 1034 Otorhinolaryngology Nov 2025 Question Paper

Q.P. CODE - 1034
Rajiv Gandhi University of Health Sciences, Karnataka
MBBS Phase ? III (Part-I ? CBME) Degree Examination - 21-Nov-2025
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
1.
A 25 year old male patient presents with fever and severe otalgia.ENT examination revealed
displacement of the Pinna forwards and laterally, mastoid tenderness was present, creamy

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purulent discharge was seen in the external auditory canal. Sagging of the external auditory
canal was evident. Tympanic membrane revealed a central perforation with lighthouse sign
a) What is your diagnosis?
b) Discuss the aetiopathology and clinical features
c) Describe the necessary investigations

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d) How will you treat this patient?
2.
A 45 year old female patient presents with a history of hoarseness of voice since 2 months.
Indirect laryngoscopy showed the left vocal cord in a paramedian position on phonation with
a phonatory gap

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a) What is your diagnosis?
b) Describe the various causes for this condition
c) What investigations will you order?
d) How will you treat this patient?
SHORT ESSAYS

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8 x 5 = 40 Marks
3.
A 22 year old HIV positive patient presents with thin Serosanguinous otorrhoea. Otoscopy
revealed multiple perforations in the tympanic membrane
a) What is your diagnosis?

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b) Mention the cause and clinical features
c) How will you treat this case?
4.
Management of otosclerosis
5.

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Benign paroxysmal positional vertigo
6.
Rhinosporidiosis
7.
CSF rhinorrhoea

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8.
Management of epistaxis
9.
Juvenile laryngeal papillomatosis
10.

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A 30 year old male patient presents with acute onset dysphagia after eating a non
vegetarian meal. X-ray soft tissues of the neck reveals a radio opaque object in the cervical
Oesophagus.
a) What is your diagnosis?
b) How will you treat this patient?

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c) What are the complications of this condition?
SHORT ANSWERS
10 x 3 = 30 Marks
11.
Vocal nodules

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12.
Croup
13.
Laryngocoele
14.

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Facial recess
15.
Otalgia
16.
Lermoyez syndrome

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17.
Saddle nose
18.
Septal perforation
19.

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Little's area
20.
Counselling for cochlear implant
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Q.P. CODE - 1034

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Rajiv Gandhi University of Health Sciences, Karnataka
Multiple Choice Questions
10 x 1 = 10 Marks
21 i)
The pyramid is present in the ______________ wall of the middle ear

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A. Anterior
B. Medial
C. Posterior
D. Lateral
21 ii)

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Perforation with irregular margins in the tympanic membrane is seen in
A. Syphilis
B. Cholesteatoma
C. Trauma
D. Tuberculous otitis media

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21 iii)
Hectic picket fence type of fever is seen in
A. Lateral sinus thrombophlebitis
B. Meningitis
C. Brain abscess

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D. Subdural abscess
21 iv) Cold water entry into external auditory canal is associated with
A. Osteoma
B. Exostosis
C. Ceruminoma

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D. Sebaceous adenoma
21 v)
Mikulicz cells are seen in
A. Rhinosporidiosis
B. Rhinoscleroma

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C. Rhinophyma
D. Atrophic rhinitis
22 i)
Vidian neurectomy is done in
A. Allergic rhinitis

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B. Chronic sinusitis
C. Acute sinusitis
D. Vasomotor rhinitis
22 ii)
Killians polyp is

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A. Ethmoidal polyp
B. Antrochoanal polyp
C. Sphenochoanal polyp
D. Bleeding septal polyp
22 iii)

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Frey's syndrome is a complication of
A. Mastoidectomy
B. Tonsillectomy
C. Laryngectomy
D. Parotidectomy

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22 iv) Most common site of origin of carcinoma larynx is
A. Glottis
B. Subglottis
C. Supraglottis
D. Marginal zone

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22 v)
The length of adult oesophagus is
A. 22 cms
B. 24 cms
C. 25 cms

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D. 27 cms
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