KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
TELANGANA STATE, WARANGAL ? 506 002
MBBS FINAL YEAR PART-I DEGREE EXAMINATIONS: NOVEMBER,2025
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ENTTime: 3 Hours
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Max Marks: 100
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Note: Answer all questionsGive Diagrammatic representation wherever necessary
Multiple Choice Questions: 10 X 1 = 10
1. A 25-year-old woman presents with complaints of intermittent Profuse, non-foul smelling
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ear discharge from her left ear for the past eighteen months without any pain in the earaggravated on exposure to cold. On otoscopic examination, a persistent perforation in the
antero inferior part of the tympanic membrane is noted, and the middle ear appears clear
without any masses. Which of the following diagnosis best describes this patient's
condition?
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a) Otitis Externa
b) Acute labyrinthitis
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c) Meniere's Diseased) Chronic Suppurative Otitis Media
(CSOM) Tubotympanic Type
2. Which of the following best describes a characteristic of the dissection and snare method
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for tonsillectomy?
a) Utilizes electrocautery for tonsillar
b) Employs high-frequency ultrasound to
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tissue vaporization
fragment the tonsil
c) Involves blunt dissection to free the
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d) Requires a laser to ablate the tonsillartonsil followed by the use of a snare
tissue
for removal
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3. A 38-year-old woman presents to the ENT clinic with symptoms of nasal obstruction and asensation of nasal fullness for several months. On endoscopic examination, multiple
glistening, greyish, grape-like masses are noted hanging into the middle meatus. On
performing probe Test, Probe is able to be passed on all the sides around the mass. What is
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the diagnosis and which of the following surgical interventions is most commonly utilizedfor definitive treatment?
a) Antrochoanal Polyp - Caldwell-Luc
b) Turbinate Hypertrophy - Septoplasty
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operation
c) Ethmoidal Polyp - Functional
d) Adenoid Hypertrophy - Rhinoplasty
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endoscopic sinus surgery (FESS)
4. Which of the following is NOT a recognized physiological constriction of the oesophagus?
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a) Cricopharyngeal constrictionb) Aortic constriction
c) Constriction at the diaphragmatic
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d) Constriction at the angle of Louishiatus
5. A-B gap is sign of
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a) Perilymph fistula
b) Meniere's disease
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c) Stapedial otosclerosisd) vestibular schwannoma
6. Complications of acute mastoiditis
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a) Facial palsy
b) Sub periosteal abscess
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c) Labyrinthitisd) All of the above
7. Facial asymmetry low set ears pre auricular tags present in
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a) Goldenhar syndrome
b) Down syndrome
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c) Stickler syndromed) Apert syndrome
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8. Dohlman's procedure is done for
a) Eagle's syndrome
b) Zenker's diverticulum
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c) Palate repair
d) Tracheal repair
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9. A 35-year-old woman presents with recurrent episodes of sneezing, watery nasaldischarge, and nasal itchiness that seem to worsen during the spring season. She notes that
these episodes have been recurring annually for the past few years and are often
accompanied by itchy, watery eyes. Based on her symptoms, which of the following
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laboratory investigations would most likely confirm the suspected diagnosis and identifythe allergen responsible for her symptoms?
a) Complete blood count (CBC) with a
b) Sputum culture to identify bacterial
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focus on Neutrophilia
pathogens
c) Skin prick testing with common
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d) Chest X-rayallergens
10. Most common site for origin of nasopharyngeal carcinoma
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a) Nasal septum
b) Vault of nasopharynx
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c) Fossa of rosenmullerd) Antero-superior wall
Essay/ Long Answer Questions:
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2 X 15 = 30
11. Discuss the etiology clinical features and management of primary Atrophic Rhinitis. Write briefly
on Nasal Myiasis.
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12. List the causes of stridor. Discuss the types, procedure and post operative care of Tracheostomy.Short Answer Questions:
7 X 6 = 42
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13. Stapedial Otosclerosis.14. Oral Submucous Fibrosis.
15. Tuning fork tests.
16. Management of Meniere disease.
17. Etiopathogenesis of Cholesteatoma.
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18. Physiology of deglutition.19. Clinical features of Nasopharyngeal Carcinoma.
Very Short Answer Questions:
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6 X 3 = 1820. Referred Otalgia.
21. Inverted papilloma.
22. Rhinosporidiosis.
23. Laryngomalacia.
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24. Difference between Ethmoidal and Antrochoanal Polyps.25. Plummer Vinson Syndrome.
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