Date: 24-05-2024
0524 E040
Third Year MBBS Examination
MBBS Part 1 ENT (Otolaryngorhinology)
Time: 2 hours

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Max Marks: 40
Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each

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section.
4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
1.Structured Long Question (Any 1 out of

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2) (1x10-10 marks)
(10)
a) Discuss the aetiology, pathogenesis,
clinical features and management of
retropharyngeal abscess. (2+2+2+4)

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b) Discuss the aetiopathology of conductive
deafness. Describe the types of
tympanoplasty. (5+5)
2.Case based scenario/ applied short note
(Any 2 out of 3) (2x6-12 marks)

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(12)
a) A 45 year old male came to the ENT
OPD with complaints of vertigo which was
recurrent, each episode lasts for 30 minutes.
Patient also. complaints of tinnitus hard---

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of hearing and aural fullness: a. What is
your diagnosis? (1) b. Discuss the
aetiopathogenesis. (2) c. How will you
manage the case? (3)
b) A 30 year old female came with

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complaints of foul smelling ear discharge,
neck stifness, projectile vomiting and high
grade fever. a. What is your diagnosis? (1)
b. Discuss the aetiopathogenesis. (2) ?.
How will you manage the case? (3)

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c) What are the types of mastoidectomy and
its complications? (6)

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3.Write short notes (Any 3 out of 4) (x6-
18 marks)
(18)

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a) Petrositis
b) Referred otalgia
c) Glue ear
d) Tympanogram
4. Answer only in 2-3 sentences (Any 5

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out of 6) (5x2-10 marks)
(10)
a) Sinus tympani To-
b) Fistula sign
c) Classify tinnitus

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d) Presbyacusis
e) Paracusis Willisi
f) Korner's septum
Section 2
5.Structured Long Question (Any lo out

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of 2) (1x10-10 marks)

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(10)
a) Describe the clinical features,
complications and treatment of acute
follicular tonsillitis. (2+3+5)

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b) What are the causes of epistaxis?
Describe the clinical features and
management of juvenile nasopharyngeal
angiofibroma. (5+5)
6.Case based scenario/ applied short note

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(Any 2 out of 3). 3"@x6=12.marks)
(12)
a) A35 year old male came with complaints
of nasal obstruction, crusting in nose and
epistaxis. On examination roomy nasal

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cavity, greenish discharge, with crusts
present.a. What is the probable diagnosis?
G) b. What is the medical manangement for
this condition? (2) c. How will you
surgically treat the patient? (3)

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b) A4S5 year old female came with
complaints of difficulty in swallowing more

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for liquids. On examination- patient had
angular stomatitis, koilonychia, pallor. a.
What is your diagnosis? (1) b. How will

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you. investigate the case? (2) How will you
treat the case? (3)
c) Benign conditions of larynx and its
management. (6)
7.Write short notes (Any 3 out of 4) (3x6-

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18 marks)
(18)
a) Rhinosporidiosis
b) Premalignant lesions of oral cavity
c) Tracheostomy

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d) Allergic Rhinitis
8.Answer only in 2-3 sentences (Any 5
outof6) (5x2-10 marks)
(10)
a) Rhinolith

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b) Components of Waldyers ring

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c) Sphenoid sinus
d) Heimlich Maneuver
e) Cottle's test
f) Causes of reactionary hemorrhage after

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tonsillectomy

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