2019 Scheme (2019 Admission)
Q.P. Code: 315001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary (SAY) Examinations
May 2025
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers ? Indicate
the question number correctly for the answer in the margin space
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v are single response type questions
i. Palpatory thud and audible slap are present in which of the following condition.
a) Tracheal foreign body
b) Bronchial foreign body
d) Esophageal foreign body
ii. Laryngocele arises from
a) Anterior commissure
b) Saccule of the ventricle
d) Vestibular folds
iii. What is Pott's puffy tumor.
a) Osteosarcoma of the frontal bone
c) Proliferative aspergillosis of maxillary sinus
d) Osteomyelitis of the frontal bone causing subperiosteal abscess
iv. Gradenigo syndrome involves the following cranial nerves.
a) IIIrd, VIth & Vth cranial nerves
b) VIIth & VIIIth cranial nerves
d) IVth & VIIth cranial nerves
v. Vertical crest of bone in the internal acoustic meatus is known as;
a) Bill's bar
c) Ponticulus
d) Falciform crest
Question numbers vi-x are multiple response type questions. Read the statements and mark the most
appropriate answer.
1) Stapedius
2) Tensor tympani
3) Posterior belly of digastric 4) Tensor palatini
a) 1, 2 and 3 are correct b) 1 and 3 are correct
vii. Unpaired cartilages of larynx are:
1) Arytenoid
2) Thyroid cartilage
3) Epiglottis
a) 1, 2 and 3 are correct b) 2 and 4 are correct
c) 2 and 3 are correct d) 3 and 4 are correct
viii. The following are true regarding Ringertz tumor
1) Arises from lateral wall of the nose
3) Causative agent is Epstein Bar Virus
4) Medial maxillectomy is the treatment of choice
a) 1, 2 and 4 are correct b) 1, 3 and 4 are correct c) 3 and 4 are correct d) 1 and 3 are correct
ix. Branches of internal maxillary artery:
2) Middle meningeal artery
3) Ophthalmic artery
4) Deep auricular artery
a) 3 and 4 are correct b) 1, 3 and 4 are correct c) 2, 3 and 4 are correct d) 1, 2 and 4 are correct
1) Posterior crico-arytenoid
2) Thyroarytenoid
3) Cricothyroid 4) Lateral crico-arytenoid
a) 1, 2 and 3 are correct b) 1, 2 and 4 are correct c) 2, 3 and 4 are correct d) All are correct
questions by selecting the appropriate options given below.
xi. Assertion: Stimulation of external auditory canal can cause cough in patient.
Reason: External auditory canal is also supplied by nervus intermedius, which is a branch of VIIth cranial
nerve.
c) A is correct, R is incorrect
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
(PTO)
xii. Assertion: Acute membranous tonsillitis caused by group A beta hemolytic streptococci can lead to
rheumatic heart disease.
Reason: Rheumatic heart disease is because of antigen-antibody reaction due to antigenic similarity
between cardiac valves and bacterial antigen.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
xiii. Assertion: Injury to subglottic region is the commonly seen post extubation injury in pediatric age group.
Reason: Subglottis is the narrowest part of pediatric airway.
c) A is correct, R is incorrect
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
xiv. Assertion: There is false positive fistula sign in congenital syphilis.
a) A and R correct, and R explains A
c) A is correct, R is incorrect
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
Reason: Hyaline cartilage is present in pinna.
a) A and R correct, and R explains A
c) A is correct, R is incorrect
b) A and R correct, and R does not explain A
Question numbers xvi-xx are case scenario-based questions.
A 2-year-old child presented to the casualty with complaints of fever, loud barking cough, stridor and
laboured breathing.
xvi. What is the most probable diagnosis.
b) Croup
c) Subglottic stenosis
d) Unilateral choanal atresia
xvii. X-ray of the neck shows the following feature
b) Tripod sign
c) Steeple sign
d) Homan miller sign
xviii. Which of the following organism is the most likely cause.
c) Herpes virus
d) H. Influenzae type B
xix. Which of the following feature is seen in the above condition.
a) Edema of the epiglottis
b) Vocal cord palsy
d) Turban epiglottis
xx. Which of the following is the initial treatment option for this child.
a) Corticosteroids + hydration
b) I.V. Antibiotics + Analgesics
d) Anti-fungal agents
Long Essays:
(2x10=20)
discharge is scanty, purulent and foul smelling. Otoscopic examination revealed a posterosuperior
marginal perforation with whitish flakes in the ear.
a) What is your diagnosis.
b) Etiopathogenesis of this condition.
d) Describe the surgical management of this disease.
(1+3+3+3)
3. A 60-year-old male patient who is a known case of hypertension on treatment come to emergency room
with nasal bleeding since 2 hours. On examination of the nasal cavity there is active bleeding in right nasal
a) What is your diagnosis.
b) Describe the etiopathogenesis of this condition.
c) How will you manage this patient in the emergency room.
(1+4+5)
(6x6=36)
4. Rhinoscleroma ? clinical feature and management.
5. Tracheostomy ? Indications and steps of procedure.
6. Otitis media with effusion.
8. Impedance Audiometry ? Procedure and interpretation of curves.
9. Quinsy ? clinical features and management.
Short Answers:
(6x4=24)
11. Draw and label laryngeal framework.
12. Atrophic Rhinitis-clinical features and management.
13. Antro choanal polyp.
14. Ramsay Hunt syndrome.
**********************
Q.P. Code: 315001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary (SAY) Examinations
May 2025
--- Content provided by FirstRanker.com ---
OtorhinolaryngologyTime: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers ? Indicate
the question number correctly for the answer in the margin space
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
--- Content provided by FirstRanker.com ---
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v are single response type questions
i. Palpatory thud and audible slap are present in which of the following condition.
a) Tracheal foreign body
--- Content provided by FirstRanker.com ---
c) Laryngeal foreign bodyb) Bronchial foreign body
d) Esophageal foreign body
ii. Laryngocele arises from
a) Anterior commissure
--- Content provided by FirstRanker.com ---
c) True vocal foldsb) Saccule of the ventricle
d) Vestibular folds
iii. What is Pott's puffy tumor.
a) Osteosarcoma of the frontal bone
--- Content provided by FirstRanker.com ---
b) Adamantinoma of mandiblec) Proliferative aspergillosis of maxillary sinus
d) Osteomyelitis of the frontal bone causing subperiosteal abscess
iv. Gradenigo syndrome involves the following cranial nerves.
a) IIIrd, VIth & Vth cranial nerves
--- Content provided by FirstRanker.com ---
c) Vth & VIth cranial nervesb) VIIth & VIIIth cranial nerves
d) IVth & VIIth cranial nerves
v. Vertical crest of bone in the internal acoustic meatus is known as;
a) Bill's bar
--- Content provided by FirstRanker.com ---
b) Cogc) Ponticulus
d) Falciform crest
Question numbers vi-x are multiple response type questions. Read the statements and mark the most
appropriate answer.
--- Content provided by FirstRanker.com ---
vi. Which of the following muscles are supplied by facial nerve1) Stapedius
2) Tensor tympani
3) Posterior belly of digastric 4) Tensor palatini
a) 1, 2 and 3 are correct b) 1 and 3 are correct
--- Content provided by FirstRanker.com ---
c) 2, 3 and 4 are correct d) 1,3 and 4 are correctvii. Unpaired cartilages of larynx are:
1) Arytenoid
2) Thyroid cartilage
3) Epiglottis
--- Content provided by FirstRanker.com ---
4) Cuneiform cartilagea) 1, 2 and 3 are correct b) 2 and 4 are correct
c) 2 and 3 are correct d) 3 and 4 are correct
viii. The following are true regarding Ringertz tumor
1) Arises from lateral wall of the nose
--- Content provided by FirstRanker.com ---
2) Causative agent is Human Papilloma Virus3) Causative agent is Epstein Bar Virus
4) Medial maxillectomy is the treatment of choice
a) 1, 2 and 4 are correct b) 1, 3 and 4 are correct c) 3 and 4 are correct d) 1 and 3 are correct
ix. Branches of internal maxillary artery:
--- Content provided by FirstRanker.com ---
1) Sphenopalatine artery2) Middle meningeal artery
3) Ophthalmic artery
4) Deep auricular artery
a) 3 and 4 are correct b) 1, 3 and 4 are correct c) 2, 3 and 4 are correct d) 1, 2 and 4 are correct
--- Content provided by FirstRanker.com ---
x. Muscles supplied by recurrent laryngeal nerve1) Posterior crico-arytenoid
2) Thyroarytenoid
3) Cricothyroid 4) Lateral crico-arytenoid
a) 1, 2 and 3 are correct b) 1, 2 and 4 are correct c) 2, 3 and 4 are correct d) All are correct
--- Content provided by FirstRanker.com ---
Question numbers xi-xv consist of two statements - Assertion (A) and Reason (R). Answer thesequestions by selecting the appropriate options given below.
xi. Assertion: Stimulation of external auditory canal can cause cough in patient.
Reason: External auditory canal is also supplied by nervus intermedius, which is a branch of VIIth cranial
nerve.
--- Content provided by FirstRanker.com ---
a) A and R correct, and R explains Ac) A is correct, R is incorrect
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
(PTO)
--- Content provided by FirstRanker.com ---
xii. Assertion: Acute membranous tonsillitis caused by group A beta hemolytic streptococci can lead to
rheumatic heart disease.
Reason: Rheumatic heart disease is because of antigen-antibody reaction due to antigenic similarity
between cardiac valves and bacterial antigen.
a) A and R correct, and R explains A
--- Content provided by FirstRanker.com ---
c) A is correct, R is incorrectb) A and R correct, and R does not explain A
d) A is incorrect, R is correct
xiii. Assertion: Injury to subglottic region is the commonly seen post extubation injury in pediatric age group.
Reason: Subglottis is the narrowest part of pediatric airway.
--- Content provided by FirstRanker.com ---
a) A and R correct, and R explains Ac) A is correct, R is incorrect
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
xiv. Assertion: There is false positive fistula sign in congenital syphilis.
--- Content provided by FirstRanker.com ---
Reason: There is superior semicircular canal dehiscence in congenital syphilis.a) A and R correct, and R explains A
c) A is correct, R is incorrect
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct
--- Content provided by FirstRanker.com ---
xv. Assertion: Pinna of the ear is elastic in nature.Reason: Hyaline cartilage is present in pinna.
a) A and R correct, and R explains A
c) A is correct, R is incorrect
b) A and R correct, and R does not explain A
--- Content provided by FirstRanker.com ---
d) A is incorrect, R is correctQuestion numbers xvi-xx are case scenario-based questions.
A 2-year-old child presented to the casualty with complaints of fever, loud barking cough, stridor and
laboured breathing.
xvi. What is the most probable diagnosis.
--- Content provided by FirstRanker.com ---
a) Epiglottitisb) Croup
c) Subglottic stenosis
d) Unilateral choanal atresia
xvii. X-ray of the neck shows the following feature
--- Content provided by FirstRanker.com ---
a) Thumb signb) Tripod sign
c) Steeple sign
d) Homan miller sign
xviii. Which of the following organism is the most likely cause.
--- Content provided by FirstRanker.com ---
a) Parainfluenza virus b) Staphylococcusc) Herpes virus
d) H. Influenzae type B
xix. Which of the following feature is seen in the above condition.
a) Edema of the epiglottis
--- Content provided by FirstRanker.com ---
c) Narrowing of subglottis due to edemab) Vocal cord palsy
d) Turban epiglottis
xx. Which of the following is the initial treatment option for this child.
a) Corticosteroids + hydration
--- Content provided by FirstRanker.com ---
c) Antiviral drugsb) I.V. Antibiotics + Analgesics
d) Anti-fungal agents
Long Essays:
(2x10=20)
--- Content provided by FirstRanker.com ---
2. A 35-year-old female patient presents with complaints of discharge in the left ear since childhood. Thedischarge is scanty, purulent and foul smelling. Otoscopic examination revealed a posterosuperior
marginal perforation with whitish flakes in the ear.
a) What is your diagnosis.
b) Etiopathogenesis of this condition.
--- Content provided by FirstRanker.com ---
c) Enumerate the complications associated with this disease.d) Describe the surgical management of this disease.
(1+3+3+3)
3. A 60-year-old male patient who is a known case of hypertension on treatment come to emergency room
with nasal bleeding since 2 hours. On examination of the nasal cavity there is active bleeding in right nasal
--- Content provided by FirstRanker.com ---
cavity.a) What is your diagnosis.
b) Describe the etiopathogenesis of this condition.
c) How will you manage this patient in the emergency room.
(1+4+5)
--- Content provided by FirstRanker.com ---
Short Essays:(6x6=36)
4. Rhinoscleroma ? clinical feature and management.
5. Tracheostomy ? Indications and steps of procedure.
6. Otitis media with effusion.
--- Content provided by FirstRanker.com ---
7. Noise induced hearing loss.8. Impedance Audiometry ? Procedure and interpretation of curves.
9. Quinsy ? clinical features and management.
Short Answers:
(6x4=24)
--- Content provided by FirstRanker.com ---
10. Draw and label right tympanic membrane.11. Draw and label laryngeal framework.
12. Atrophic Rhinitis-clinical features and management.
13. Antro choanal polyp.
14. Ramsay Hunt syndrome.
--- Content provided by FirstRanker.com ---
15. How do you counsel a patient posted for Tonsillectomy.**********************