Download VNSGU MBBS Third Year Part I 2023 April RAN 2206000103020102 OtoRhinoLaryngology (ENT) Question Paper

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RAN-2206000103020102

Third MBBS - Part I Examination April - 2023

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Otorhinolaryngology (Ent)

Time: 3 Hours ] [ Total Marks: 100

? : / Instructions

(?) ? ? ? ? ? ? ? ?.

Fill up strictly the details of signs on your answer book

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Name of the Examination:

Third MBBS - Part I

Name of the Subject:

Otorhinolaryngology (Ent)

Subject Code No.: 2206000103020102

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(2) Each section to be written in separate answer sheets.

(3) Draw diagrams when necessary

(4) Q 4 of each section is MCQ based. Write only question number and correct answer

SECTION I

1. Write any 1 out of 2
   1. Draw labeled diagram of Middle Ear. Describe walls of Middle Ear.

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   2. Write Clinical Features, Investigations and management of otosclerosis.
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2. Any 2 out of 3

   A) 17 Year old male patient presents with History of foul smelling, occasionally blood stained, scanty unilateral ear discharge.

   1. Give your probable diagnosis.
   2. Discuss the possible complications that can be expected in the patient with such ear disease.

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   3. Discuss the management (Investigations & Treatment) for this patient.
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3. B) 7 Year old male child presented with right earache and rhinitis. On otoscopic examination shows right side cartwheel appearance of tympanic membrane.
   1. What is your diagnosis?
   2. Write management of this patient.
   C) What is Bera? Write Indication and Interpretation.

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4. Write any 3 out of 4
   1. Fistula Test
   2. Draw labelled diagram of Waldeyer's Ring & write functions of it
   3. Describe clinical features and management of Glue Ear
   4. Gentamicin
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5. MCQ
   1. Myringotomy is done in which of the following conditions?
      1. SOM
      2. Unsafe CSOM
      3. Meniere's Disease
      4. Glomus Tumor

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   2. What type of Tympanogram is expected to be seen in serous otitis Media?
      1. B
      2. As
      3. Ad
      4. C

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   3. The Aim of Radical Mastoidectomy is
      1. To Preserve Hearing
      2. Reconstruction of ossicles
      3. To give safe Ear
      4. Reconstruct Tympanic Membrane

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   4. Which of the following can be seen with regular Tympanic Membrane Examination?
      1. Malleus
      2. Incus
      3. Stapes
      4. All of the above

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   5. Which of the following is not a part of Grandenigo Syndrome
      1. Retro Orbital Pain
      2. Lateral Rectus Palsy
      3. Persistent Otorrhea
      4. Earache

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   6. Meniere's Disease includes all Except.
      1. Conductive Hearing Loss
      2. Aural Fullness
      3. Tinnitus
      4. Vertigo

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   7. Hypoesthesia of Posterior Aspect of Posterior Wall of ear may seen as an early sign of.
      1. Trigeminal Neuralgia
      2. Acoustic Neuroma
      3. Lateral Sinus Thrombosis
      4. Costen Syndrome

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   8. Which of the following is not a side effect of Anti Tubercular Drugs.
      1. Hepatitis
      2. Ototoxicity
      3. Lymphocytosis
      4. Red Orange Metabolites

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   9. Cochlear implant stimulates which of the following structures?
      1. Function of Hair Cells
      2. Functions of 8th Nerve
      3. Function of Middle Ear
      4. All of the Above

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   10. Causative Organism of Otomycosis is?
       1. Candida Albicans
       2. Staph, Aureus
       3. Streptococci
       4. Mycobacterium

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6. Write any 1 out of 2
   1. Physiology of nose.
   2. What are most common causative organisms of pharyngeal abscess? Describe clinical features, investigations and management of parapharyngeal abscess
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7. Any 2 out of 3
   1. 60 Year Old Male Chronic Smoker with Hoarseness of voice for 1 year came to ent clinic. Enumerate Investigations used to confirm/rule out carcinoma larynx. Write "T" classification of glottis

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   2. A 16 Year old male child is suffering from left side nasal obstruction & epistaxis since 1 Year. On anterior rhinoscopy there is reddish mass in left nasal cavity. Holman Miller sign is present.
      1. What is your probable diagnosis?
      2. Write investigations & management for this.
   3. Complications of tracheostomy.
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8. Any 3 out of 4
   1. Describe clinical features, investigations and management of thyroglossal cyst.
   2. Write causes, clinical features and management of bilateral recurrent laryngeal nerve paralysis
   3. Treatment of atrophic rhinitis.
   4. Describe Le Fort li Fracture of Maxilla.
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9. MCQS
   1. Adenoid facies includes all except,
      1. Crowded teeth
      2. High arches palate
      3. Pinched in nose
      4. Rhinolalia apperta

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   2. Mikulicz cell is characteristic histological finding in
      1. Rhinoscleroma
      2. Rhinosporidiosis
      3. Tb
      4. Sarcoidosis

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   3. Septal perforation is not seen in
      1. Septal Abscess
      2. Leprosy
      3. Rhinophyma
      4. Trauma

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   4. All muscles of palate are supplied by 10th cranial nerve except
      1. Tensor Vali Palatini
      2. Palatoglosus
      3. Palatopharyngeus
      4. None

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   5. Mri can be done in which of the following conditions
      1. Cochlear Implant
      2. Cardiac Pacemaker
      3. Prosthetic Cardiac Valve
      4. 3rd Trimester of Pregnancy.

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   6. Unilateral purulent blood stained discharge from nose in a child is pathognomic of
      1. Malignancy
      2. Foreign Body
      3. Vestibulitis
      4. Acute Rhinosinusitis

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   7. Metallic Tracheostomy is contraindicated in
      1. Patient Undergoing Radiotherapy
      2. Patient Having Supraglottic Carcinoma
      3. Patient Having Total Laryngectomy
      4. Patient Requiring Permanent Tracheostomy

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   8. Which of the following is allergic in origin?
      1. Ethmoidal Polyp
      2. Ac Polyp
      3. Inverted Papilloma
      4. None of the Above

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   9. Ohngren's Line passes from
      1. Lateral Canthus to Angle of Mandible
      2. Medial Canthus to External Auditory Canal
      3. Root of nose to Angle of Mandible
      4. Medial Canthus to Angle of Mandible

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   10. Singer's Nodules seen at
       1. Junction of Anterior 1/3 & Posterior 2/3 of Vocal Cords
       2. Junction of Anterior 2/3 & Posterior 1/3 of Vocal Cords
       3. Vocal Process
       4. Anterior Commissure

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