PAPER CODE: MB2019123
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
TELANGANA STATE, WARANGAL ? 506 002
MBBS FINAL YEAR PART-I DEGREE SUPPLEMENTARY EXAMINATIONS: APRIL 2026
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ENT
Time: 3 Hours
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Max Marks: 100Note: Answer all questions
Give Diagrammatic representation wherever necessary
Multiple Choice Questions: 10 X 1 = 10
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1. Inferior turbinate is aa) Part of maxilla
b) Part of sphenoid
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c) Separate boned) Part of ethmoid
2. Osteomeatal complex is constructed by all except
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a) Uncinate processb) Hiatus semilunaris
c) Ethmoidal infundibulum
d) Onodi cell
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3. Total surface area of tympanic membrane
a) 55 mm2
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b) 70 mm2c) 80 mm2
d) 90 mm2
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4. In carcinoma base of tongue, pain is referred to ear througha) Hypoglossal nerve
b) Vagus nerve
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c) Glossopharyngeal nerved) Lingual nerve
5. Paramedian position of vocal cords seen in
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a) Bilateral adductor palsyb) Bilateral abductor palsy
c) Superior laryngeal palsy
d) Facial nerve palsy
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6. During a tonsillectomy surgery, the tonsillar fossa is suddenly filled with
bright red blood. Which is the main artery of tonsil which could have been
damaged?
a) Descending palatine artery
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b) Lingual arteryc) Ascending palatine artery
d) Tonsillar Brach of facial artery
7. Which of the following statement is not true for boundaries of Reinke's
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space?
a) Above and below arcuate lines b) Anteriorly by anterior
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commissurec) Posteriorly by vocal process of
d) Laterally by superior
arytenoids
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constrictor muscle8. Which of the following is not a predisposing factor for otitis media with
effusion?
a) Otitis externa
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b) Cleft palatec) Down's syndrome
d) Nasopharyngeal carcinoma
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9. The most common site of vocal cord nodulesa) Junction of anterior and middle b) Junction of posterior and
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thirdmiddle third
c) Middle part
d) All the above
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10. The space which is not involved in Ludwig's anginaa) Sub lingual
b) Sub mental
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c) Sub mandibulard) Masticator space
Essay/ Long Answer Questions:
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2 X 15 = 30
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11. A 8-year-old girl was brought to ENT OPD with history of snoring, mouthbreathing, recurrent attacks of sore throat since 5 years. Recent history of
difficulty in hearing was given by parents. Examination revealed dull greyish
tympanic membrane and cone of light is distorted, Air bubbles seen through intact
eardrum.
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A) What is your complete provisional diagnosis?B) What are the other signs & symptoms.
C) What investigation would you recommend.
D) What is the complete treatment for this patient.
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(3+3+3+6)12. Describe the Etiopathogenesis, clinical features, investigations and management
of chronic Rhinosinusitis.
(4+3+3+5)
Short Answer Questions:
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7 X 6 = 4213. Functions of Nose and Nasal cycle.
14. Write about In vitro test of Allergic rhinitis and write differences between
Allergic rhinitis and Vasomotor rhinitis.
15. Write about Waldayer's ring briefly and mention cardinal features of chronic
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tonsillitis.16. Gastro Oesophageal reflux disease.
17. Various surgical approaches to Juvenile Nasopharyngeal Angiofibroma.
18. Complications of Tracheostomy.
19. A 56-year-old male being treated for pneumonia with amikacin injections
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presents with complaints of ringing sensation in the ear with hearing loss.Laboratory investigations reveal elevated serum creatinine levels.
A) What is the most likely cause?
B) Which diagnostic test would help in assessing the underlying condition?
C) Outline the appropriate further management for this patient.
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Very Short Answer Questions:6 X 3 = 18
20. Intrinsic Muscles of larynx.
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21. Frey's syndrome.22. Thumb sign.
23. Constrictions of Oesophagus.
24. Bilateral causes of nasal obstruction.
25. Indications for cochlear implants.
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