Download MPMSU MBBS 3rd Year MAY 2023 Oto Rhino Laryngology New Scheme Question Paper

Instructions:

1. All questions are compulsory
2. Draw diagrams wherever necessary
3. Answers of Questions and sub-questions must be written strictly according to the serial order of question paper
4. MCQs have to be answered in theory answer book

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5. Please write MCQ answers neatly and in serial order with black or blue pen in brackets for example: 1. (a) 2. (b)
6. MCQs have to be answered only once; any repetition, cutting, erasing, or use of whitener will be considered malpractice. Such answers will not be counted and action will be taken according to UFM rules of University
7. Subjective answers should be answered in up to 30 words per mark. For example, a 2-mark answer should be in up to 60 words.

Q.1 Total MCQs: 10 10 x 1 = 10

1. Which of the following is NOT included in the classical triad of Meniere's disease:
   1. Fluctuating low frequency sensori-neural hearing loss

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   2. Aural fullness
   3. Tinnitus
   4. Vertigo
2. In a patient with Otosclerosis, which of the following describes the phenomenon of hearing better in a noisy surrounding:
   1. Schwartze sign

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   2. Flamingo sign
   3. Tullio's phenomenon
   4. Paracusis willisii
3. Which of the following cranial nerves has the longest bony course:
   1. Vestibulocochlear nerve

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   2. Facial nerve
   3. Trigeminal nerve
   4. Abducent nerve
4. A 57-year-old woman with positional vertigo lasting seconds but recurring with position change, no tinnitus or hearing loss. Which test is used to diagnose this condition:
   1. Stenger's test

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   2. Epley's maneuver
   3. Dix-Hallpike's test
   4. Fistula test
5. The tuning fork with the following frequency is NOT used to test hearing:
   1. 128 Hz

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   2. 256 Hz
   3. 512 Hz
   4. 1024 Hz
6. The causative organism for rhinosporidiosis is:
   1. Klebsiella rhinoscleromatis

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   2. Human papilloma virus
   3. Rhinosporidium seeberi
   4. Mucor
7. Sino-nasal mucormycosis causing species include all except:
   1. Rhizopus

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   2. Mucor
   3. Cunninghamella
   4. Klebsiella rhinoscleromatis
8. A 62-year-old smoker with a greyish white slough on the right vocal cord on indirect laryngoscopy. Next best step in evaluation:
   1. PET scan

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   2. CECT neck
   3. Direct laryngoscopic biopsy
   4. Right vocal cordectomy
9. A 2-year-old with sudden cough and respiratory distress, absent breath sounds on right, best management step:
   1. CECT chest

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   2. MRI chest
   3. Emergency rigid bronchoscopy under GA
   4. Observation in PICU
10. Which of the following is true about tonsillectomy surgery:
    1. Affects growth negatively if done in children

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    2. Has a deleterious effect on immunity of person
    3. Is contraindicated in adults
    4. Is done as an approach to the styloid process

Q.2 Long Answer Questions (2 x 20 = 40)

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1. Describe the pathophysiology of unsafe chronic suppurative otitis media and its management.
2. Describe carcinoma of the larynx and its management.

Q.3 Short Answer Questions (6 x 5 = 30).

1. Describe emergent surgical management of the airway in brief.
2. Discuss in brief atrophic rhinitis and its management.

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3. What are the indications of functional endoscopic sinus surgery?
4. Discuss the management of epistaxis.
5. Discuss in brief the pathophysiology and management of vocal nodules and polyps.
6. Discuss rehabilitation of various common causes of hearing impairment.

Q.4 Short Answer Questions (10 x 2 = 20)

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1. Laryngomalacia.
2. Pure tone audiometry.
3. Acute epiglottitis.
4. Samter's triad.
5. Adenoid facies.

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6. Stapedotomy.
7. Oto-toxic drugs.
8. Eagle's syndrome.
9. Ludwig's angina.
10. Gradenigo's syndrome.

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