Download RGUHS MBBS 3rd Year 2025 January 1034 Otorhinolaryngology Rs 4 Question Paper

FirstRanker.com

Rajiv Gandhi University of Health Sciences, Karnataka

MBBS Phase – III (PART I) (CBME) Degree Examination - 24-Jan-2025

Time: Three Hours Max. Marks: 100 Marks

OTORHINOLARYNGOLOGY - (RS-4) QP CODE : 1034 (QP contains two pages)

--- Content provided by FirstRanker.com ---

Your answers should be specific to the questions asked

Draw neat, labeled diagrams wherever necessary

LONG ESSAYS 2 x 10 = 20 Marks

1. A 55 yrs old male patient presented with acute vertigo lasting few hours associated with vomiting, right sided ear block, tinnitus, and right sided fluctuating hearing loss.

   1. What is the diagnosis?

   --- Content provided by FirstRanker.com ---

   2. Describe the aetiopathogenesis of this condition
   3. Discuss the investigation for diagnosing the above condition
   4. What are the various modalities of treatment?

2. A Male child 3 yrs of age presents with noisy breathing since 1 day. He has been having upper respiratory tract infection since 3 days, with high grade fever and pain on swallowing. Child was immunized upto age. X ray neck reveals thumb sign.

   --- Content provided by FirstRanker.com ---

   1. What is the most likely diagnosis?
   2. Define stridor
   3. Mention two causes for stridor
   4. Discuss the treatment of this condition

--- Content provided by FirstRanker.com ---

SHORT ESSAYS 8 x 5 = 40 Marks

3. A female 30 yrs of age presents with loss of smell, nasal obstruction, excessive nasal crusting and social stigma due to foul smell emanating from her nose.

   1. What is the diagnosis of this condition?
   2. Discuss the aetiopathogenesis of this condition.
   3. How do you manage this patient?

   --- Content provided by FirstRanker.com ---

4. Describe the clinical features and management of Rhino cerebral Mucormycosis.
5. Discuss Vocal Voice rehabilitation following total laryngectomy.
6. Mention the indications and discuss steps and complications of functional Endoscopic Sinus Surgery.
7. Briefly describe the applied Anatomy of the retropharyngeal space. Discuss the clinical features and management of acute retropharyngeal abscess.

--- Content provided by FirstRanker.com ---

8. Classify Cholesteatoma and explain the theories of Cholesteatoma formation.

9. An elderly diabetic with poorly controlled blood glucose levels presents with deep seated gnawing ear pain on the right side. The pain aggravates at night-time. On examination a granulation tissue polyp was observed in the external auditory canal.

   1. What is the most likely diagnosis of this condition?
   2. List the common microbial organisms causing this condition.
   3. Discuss the treatment modalities of this condition.

   --- Content provided by FirstRanker.com ---

10. Extra cranial complications of Sinusitis.

SHORT ANSWERS 10 x 3 = 30 Marks

11. Fistula test.
12. Water's view x-ray.

--- Content provided by FirstRanker.com ---

13. Cavernous sinus thrombosis.
14. Fracture nasal bones.
15. Unpaired cartilages of the larynx.
16. Secondary Acquired Cholesteatoma.
17. Pure tone and impedance Audiometry findings in Otosclerosis.

--- Content provided by FirstRanker.com ---

18. Eagle's syndrome.
19. Acute Necrotising Otitis Media.
20. Lupus vulgaris.

FirstRanker.com

Multiple Choice Questions 10 x 1 = 10 Marks

--- Content provided by FirstRanker.com ---

21. i) Sphenoethmoidal air cell is
    1. Agger nasi
    2. Bulla ethmoidalis
    3. Haller cell
    4. Onodi cell

--- Content provided by FirstRanker.com ---

22. ii) Type C Tympanogram is characteristic of
    1. Middle ear fluid
    2. Negative middle ear pressure
    3. Otosclerosis
    4. Normal middle ear pressure

--- Content provided by FirstRanker.com ---

23. iii) In Laryngomalacia, Stridor subsides in
    1. Prone position
    2. Supine position
    3. Any lateral position
    4. Rose's position

--- Content provided by FirstRanker.com ---

24. iv) Gradenigo triad is characterized by all EXCEPT
    1. Retroorbital pain
    2. Persistent discharge from the ear
    3. VII nerve involvement
    4. VI nerve involvement

--- Content provided by FirstRanker.com ---

25. v) Kashima's operation is done in
    1. Bilateral abductor paralysis
    2. Unilateral abductor paralysis
    3. Bilateral adductor paralysis
    4. Unilateral adductor paralysis

--- Content provided by FirstRanker.com ---

22. i) False negative Rinne test is seen in
    1. Unilateral Otosclerosis
    2. Ossicular fixation
    3. Severe unilateral sensory
    4. Unilateral Otitis Media with
    hearing loss

--- Content provided by FirstRanker.com ---

23. ii) 'Delta sign' of Lateral Sinus Thrombosis on Contrast-enhanced CT scan is seen in
    1. Middle cranial fossa
    2. Sinus plate
    3. Sino Dural angle
    4. Posterior cranial fossa

--- Content provided by FirstRanker.com ---

24. iii) Choanal atresia is seen due to persistence of
    1. Bucconasal membrane
    2. Buccopharyngeal membrane
    3. Pharyngobasilar membrane
    4. Both b & c

--- Content provided by FirstRanker.com ---

25. iv) Beta-2 transferrin is a protein seen in
    1. CSF
    2. Perilymph
    3. Aqueous humour
    4. All of the above

--- Content provided by FirstRanker.com ---

26. v) Care of Tracheostomized patient include all EXCEPT
    1. Humidification by wet gauze
    2. Tube change within 72 hrs
    3. Periodic deflation of the cuff
    4. Suctioning of the catheter only while withdrawing

--- Content provided by FirstRanker.com ---

FirstRanker.com

*****

FirstRanker.com