Q.P. Code: 302001
Third Professional MBBS (Part I) Degree Supplementary Examinations
July 2019
Oto-Rhino Laryngology
Time: 2 Hours
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Total Marks: 40
- Answer all questions
- Draw diagrams wherever necessary
Essay: (10)
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A 30 years old female patient presents to the ENT OPD with complaints of gradually progressing hearing loss in both ears, for the past 5 years. She gives history of the hearing loss worsening during pregnancy. On examination, her tympanic membranes are normal. Tuning fork tests show negative rinne in both ears and Weber lateralized to right ear. Answer the following: (1+2+2+3+2)
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- What is the most likely diagnosis
- Mention two relevant investigations and the expected findings in each
- Mention four differential diagnosis
- How will you treat this patient
- Mention four complications of the surgical procedure used to treat this patient.
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Short notes: (4x3=12)
- Etiopathogenesis and clinical features of vocal nodule
- Aetiopathology of chronic sinusitis with nasal polyposis
- Ludwig's angina
- Type II Le fort fracture
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Draw and label: (2x2=4)
- Membranous labyrinth
- Kiesselbach's plexus
Answer briefly: (5x2=10)
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- Pure tone audiogram and speech audiogram findings in Meniere's disease.
- Functions of larynx
- Cardinal signs of acute coalescent mastoiditis
- Management of post-tonsillectomy reactionary hemorrhage
- Causes of referred otalgia
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Give precise answers: (4x1=4)
- Laryngeal crepitus
- One anti-histaminic medication with its per day dosage
- Functions of cerumen
- Tympanometry finding in serous otitis media
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