Download MBBS TMU 3rd Year 2020 MBS303 ENT Question Paper

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) TMU (Teerthanker Mahaveer University) Third Year (3rd Year) 2020 MBS303 ENT Previous Question Paper

MBBS III (Third) Professional Part-1 Examination

2019-20

Course Code:MBS303

Paper ID: 03119304

ENT

Time: 2 Hours 40 Minutes

Max Marks: 30

Note: Attempt all questions. Draw proper diagrams to support

your answer.

Part `B'

1.

Enumerate the differential diagnosis of conductive hearing
loss. Discuss the clinical features and management of
Otosclerosis. (5)

2.

What are the indications of tonsillectomy? Describe the
steps of tonsillectomy. (5)

3.

Write short notes on: (2+3)

a)

Brain Stem Evoked Response Audiometry

b)

Malignant Otitis Externa



Part `C'


1.

Enumerate the differential diagnosis of Stridor. Discuss the
Post-operative care and complications of tracheostomy. (7)

2.

Discuss briefly: (4+4)

a) Premalignant lesions of oral cavity
b)

Ludwig's angina

MBBS III (Third) Professional Part-1 Examination 2019-20

Roll No.

Student's Name



Student's Signature

Invigilator's Signature



Course Code:MBS303



Paper ID: 03119304

ENT

Part `A'



Time: 20 Minutes

Max Marks: 10

Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 20 Minutes.
2. Please tick () correct one only. Cutting, overwriting or any other marking are not allowed.
3. For answering please use Ball- pen only.
Q.1

Operation of choice for coalescent mastoiditis

Q.8

In Caldwell-Luc operation, entry into the

is:

maxillary sinus is made through:

a)

Cortical mastoidectomy

a)

Trans-ethmoid approach

b)

Modified radical mastoidectomy

b)

Canine fossa

c)

Radical mastoidectomy

c)

Maxillary alveolus

d)

Fenestration operation

d)

Middle meatal antrostomy


Q.2

Which of the following is not a typical feature

Q.9

Complications following septal abscess

of malignant otitis externa:

include all except:

a)

Caused by Pseudomonas aeruginosa

a)

Severe epistaxis

b)

Patients are usually old

b)

Depression of nasal bridge

c)

Mitotic figures are high

c) Meningitis

d)

Patient is immune compromised

P.T.O
d)

Cavernous sinus thrombophlebitis

Q.3

All are true for Gradenigo's syndrome except:

Q.10 `Bleeding polyp' of the nose is another name

a)

It is associated with sensorineural

for:

hearing loss

a)

Antrochoanal polyp

b)

It is caused by abscess in the petrous

b)

Juvenile angiofibroma

apex

c)

Haemangioma of nasal septum

c)

It leads to involvement of the cranial

d)

Rhinosporidiosis

nerves V & VI

d)

It is characterized by retro-orbital pain

Q.11

Squamous cell carcinoma of maxilla ?T3N0M0
staging:

Q.4

Treatment of dry traumatic rupture of

a)

Radiotherapy

tympanic membrane is:

b)

Maxillectomy

a)

Antibiotic ear drops

c)

Radiotherapy and maxillectomy

b)

Myringoplasty

d)

Maxillectomy and chemotherapy

c)

Protection of ear against water

d)

Ear pack soaked with antibiotic

Q.12

Antral (Holman-Miller) sign is a feature of:
a)

Acoustic neuroma

Q.5

Schwartze's sign is:

b)

Glomus tumour

a)

Swelling over the mastoid

c)

Nasopharyngeal angiofibroma

b)

Reddish hue seen in the

d)

Coalescent mastoiditis

hypotympanum behind an intact
tympanic membrane

Q.13

In which of the following locations (spaces),

c)

Improved haring in noisy

there is collection of pus in quinsy:

surroundings

a)

Peritonsillar space

d)

Reddish hue seen over the promontory

b)

Parapharyngeal space

Q.6

Most common cause for bilateral conductive

c)

Retropharyngeal space

deafness:

d)

Within tonsil

a)

Otosclerosis

b)

Otitis media with effusion (OME)

Q.14

Fordyce's (spots) granules in oral cavity arise

c)

Acute otitis media

from:

d)

Congenital cholesteatoma

a)

Mucous glands

b)

Sebaceous glands

Q.7

All of the following are associated with

c)

Taste buds

Kartagener syndrome (immotile cilia

d)

Minor salivary glands

syndrome) except:
a)

Bronchiectasis

Q.15

Paralysis of recurrent laryngeal nerve does

b)

Sterility

not affect function of:

c)

Chronic sinusitis

a)

Thyroarytenoid

d)

Cleft palate

b)

Lateral cricoarytenoid



c)

Vocalis

d)

Cricothyroid

Q.16

Treatment of choice for stage I cancer larynx
is:
a)

Radical surgery

b)

Chemotherapy

c)

Radiotherapy

d)

Surgery followed by radiotherapy

Q.17

Hoarseness is the earliest symptoms of
carcinoma of:
a)

Glottis

b)

Subglottis

c)

Supraglottis

d)

All of the above

Q.18

During laser removal of a benign laryngeal
tumour, ignition of the endotracheal tube is
seen. Your immediate response should be:
a)

To immediately remove the tube

b)

To stop oxygen

c)

To flood the area with saline to
extinguish fire and later continue
surgery

d)

To remove the tube, do bronchoscopy
and re-establish the airway

Q.19

Decreased bone conduction in an audiogram
is indicative of :
a)

Tympanic membrane perforation

b)

Ossicular dislocation

c)

Ossicular fixation

d)

Damage to cochlea

Q.20

Which of the following conditions will give
maximum conductive hearing loss:
a)

Complete obstruction of ear canal

b)

Disruption of ossicular chain with
intact tympanic membrane

c)

Disruption of ossicular chain with
perforation of tympanic membrane

d)

Perforation of tympanic membrane
with intact ossicular chain