1223 E571
Third Year MBBS Examination
MBBS Part 1 ENT (Otolaryngorhinology)
Time: 3 hours
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Max Marks: 100Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Structured long essay 1 out of 2
(10)
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a) Describe the anatomy of the medial wall of themiddle ear with the help of a neat labelled diagram.
Name the intratympanic muscle with their nerve
supply. Add anote on the impedence matching
mechanism
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(5+2+3)b) Describe the etiopathology,types,clinical features
and management of otosclerosis
(2+2+2+4)
2. Case-based scenario/apllied short notes
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any 2 out of 3(12)
a) Describe the anatomy of the medial wall of the
middle ear with the help of a neat labelled diagram.
Name the intratympanic muscle with their nerve
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supply. Add anote on the impedence matchingmechanism
(5+2+3)
b) Describe the etiopathology,types,clinical features
and management of otosclerosis
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(2+2+2+4)3. Write short notes (any 3 out of 4)
(18)
a) Keratosis obturans
b) Benign paroxysmal positional vertigo
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c) Lateral sinus thrombophlebitisd) Bone-anchored hearing aid
4. Answer only in 2-3 sentences (any 5 out
of 6)
(10)
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a) Gradenigo syndromeb) Theories of primary acquired cholesteatoma
c) Myringotomy Indications and sites of incision
d) Name the indications for cortical mastoidectomy
e) Types of graphs in tympanometry
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f) Referred OtalgiaSection 2
5. Structured long question (any 1 out of
2)
(10)
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a) Describe the blood supply of the nasal septum.Enumerate the causes of epistaxis. Describe the
management of epistaxis in a 50-year-old male
presented with profuse bleeding from the left nasal
cavity.
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(2+3+5)b) Classify acute tonsillitis. Enumerate the causes of
membrane over the tonsils. Describe the clinical
presentation and management of the Peritonsillar
abscess.
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(2+3+5)6. Case bases scenario/ applied short
notes (any 2 out of 3)
(12)
a) A 42-year-old male presented with a history of
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bilateral progressive nasal obstruction, markedhyposmia, and peripheral eosinophilia. On clinical
examination glistening bunch of greyish-white
masses were seen in both nasal cavities. Discuss
this case scenario under the following subtitles a)
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What is the complete diagnosis? b)What is (1+1+4)the etiology of the disease C)Describe the Medical
and surgical management of this condition
b) A seventy-year-old man was diagnosed recently
with carcinoma of the glottis. He is brought to the
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emergency department with marked stridor and 02saturation falling below 80%. Discuss this case
under the following points . a) What are the (2+1+3)
immediate options available for airway
management? b) Enumerate indications for
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permanent tracheostomy. (c) Discuss thecontraindications and complications of
tracheostomy.
c) Name the premalignant conditions of the oral
cavity. Describe the etiology, clinical features, and
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management of Oral submucous fibrosis. (2+1+1+2)7. Write short notes (any 3 out of 4)
(18)
a) Rhinosporidiosis
b) Orbital complications of sinusitis
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c) Le Fort fracturesd) Recurrent respiratory papillomatosis
8. Answer only in 2-3 sentences (any 5 out
of 6)
(10)
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a) Enumerate four causes of Septal perforation.b) Enumerate four complications of Endoscopic
sinus surgery.
c) Etiology and types of laryngocele
d) Frey's syndrome
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e) Mention four complications of adenoidectomy.f) Differential diagnosis of midline neck swelling.