Download MBBS KUHS Third Year 2006 August Ophthalmology Question Paper

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THIRD PROFESSIONAL M.B.B.S. DEGREE EXAMINATION, AUGUST 2006
Part I

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OTORHINOLARYNGOLOGY
Time: Two Hours Maximum: 40 Marks
Answer all questions.
Draw diagrams wherever necessary.
MCQs should be answered first in the response sheet provided.

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Section A
I. Multiple Choice Questions. Single response type 8 (separate sheet attached). (8 × ½ = 4 marks)
II. Match the following. Single response type 8 (separate sheet attached). (8 x ½ = 4 marks)
III. Draw and label:
1. Blood supply of nasal septum.

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2. Parts of the tympanic membrane. (2 x 1 = 2 marks)
IV. Short answer questions:
1. Define cholesteatoma. 2. How will you treat inverted papilloma of nose?
3. What is globus pharyngeus? 4. What is Eagle's syndrome? (4 x 1 = 4 marks)
V. Write short notes on:

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1. Gradenigo's syndrome.
2. Mucocele.
3. Atrophic rhinitis. (3 x 2 = 6 marks)
Section B
VI. Read the paragraph and answer the following questions:-

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A 15 year old male presented with complaints of repeated bouts of profuse epistaxis and nasal obstruction. On examination there is a mucosa covered mass filling the left nasal cavity and nasopharynx.
1. What is your diagnosis?
2. What is the differential diagnosis of a nasopharyngeal mass?
3. How will you investigate this patient?
4. What is the treatment? (1 + 3 + 2 + 4 = 10 marks)

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VII. Short answer questions:
1. What is mucormycosis?
2. Mention the aetiology of secretory otitis media.
3. How do you manage acute retropharyngeal abscess in a child?
4. What is adenoid facies? (4 x 1 = 4 marks)

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VIII. Write notes on:
1. Laryngomalacia.
2. Ludwig's angina.
3. Otomycosis. (3 x 2 = 6 marks)
I. MULTIPLE CHOICE QUESTIONS

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Note.-(1) Do not write anything on the question paper.
(2) Write your register number in the answer-sheet provided.
(3) Select one most appropriate response and encircle the corresponding alphabet against each question number in the answer-sheet provided.
1. Reinke's oedema is:
(A) Acute oedema of the uvula. (B) Oedema of vocal cords.

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(C) Oedema of the soft palate. (D) Acute oedema of the epiglottis.
2. False negative Rinne is seen in:
(A) Unilateral severe SNHL. (B) B/c severe SNHL.
(C) Unilateral severe CHL. (D) B/c severe CHL.
3. Sodium flouride has been used in the R of:

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(A) Meniere's disease. (B) Secretory otitis media.
(C) Otosclerosis. (D) Acoustic neuroma.
4. Myiasis is:
(A) Infection with round worm. (B) Papilloedema.
(C) Infestation with maggots. (D) Pinpoint pupils.

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5. True about Meniere's disease:
(A) Fluctuant hearing loss with vertigo.
(B) Early high frequency SNHL.
(C) Portional test positive.
(D) Rinne's test negative.

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6. The malignancy most commonly found in women is:
(A) Pyriform sinus malignancy. (B) Posterior pharyngeal wall malignancy.
(C) Postcricoid malignancy. (D) Laryngeal malignancy.
7. Leukoplakia is:
(A) Reticulated appearance on the mucosa. (B) White patch on the mucosa.

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(C) Velvety red patch on the mucosa. (D) None of the above.
8. Components of ear are derived from:
(A) Ectoderm. (B) Endoderm.
(C) Mesoderm. (D) All the three layers. (8 x ½ = 4 marks)
II. Match the following:-

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A 1 Politzer (a) Quinsy.
2 Lempert (b) Postaural incision.
3 William Wilde (c) Eustachian tube.
4 St. Clair Thompson (d) Endaural incision.
B 1 Dohlman's procedure (a) Achalasia cardia.

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2 Osteoplastic flap operation (b) Pharyngeal pouch.
3 Heller's procedure (c) Atrophic rhinitis.
4 Lautenslager's operation. (d) Frontal osteoma. (8 x ½ = 4 marks)