2019 Admission
Q.P. Code: 315001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary Examinations February 2025
Otorhinolaryngology
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Answer all parts of a single question together ? Leave sufficient space between answers
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
Question numbers i-v are single response type questions
i. Organ of Corti is situated in which part of Cochlea.
a) Scala media
b) Scala tympani
d) Scala vestibuli
ii. Most common site for the initiation of otosclerosis is
a) Foot plate of stapes
b) Fissula ante fenestram
d) Margins of stapes
iii. The abductor of vocal fold is
a) Cricothyroid
b) Lateral crico-arytenoid
d) Posterior crico-arytenoid
iv. Anterior ethmoidal artery arises from
a) Internal maxillary artery
b) Superficial temporal artery
d) Lingual artery
v. Dohlman's procedure is done for
a) Carcinoma oesophagus
b) Laryngocele
d) Carcinoma larynx
Question numbers vi-x are multiple response type questions. Read the statements and mark the most
appropriate answer.
vi. Muscles supplied by recurrent laryngeal nerve
2) Thyroarytenoid
3) Cricothyroid
4) Lateral crico-arytenoid
a) 1, 2 and 3 are correct
c) 2, 3 and 4 are correct d) All are correct
vii. Which of the following statements are true regarding Meniere's disease.
1) It leads to conductive hearing loss and tinnitus
2) Triad of episodic vertigo, fluctuating sensorineural hearing loss and tinnitus
4) It is the disorder of middle ear
a) 2 and 3 are correct
b) 1, 2 and 4 are correct
c) 2, 3 and 4 are correct d) All are correct
1) It is the malignancy of external ear
2) Occurs in immunocompromised patients
3) Pseudomonas aeruginosa is the causative organism
4) It may lead to facial nerve paralysis
b) 2, 3 and 4 are correct
c) 3 and 4 are correct d) All are correct
ix. True regarding Plummer Vinson Syndrome
1) Occurs in long standing iron deficiency anemic patients
3) It is a premalignant condition
4) Also known as Patterson Brown Kelly Syndrome
a) 2, 3 and 4 are correct
b) 1, 2 and 4 are correct
x. True regarding Canine Fossa are
1) It is the thickest part of maxillary bone
2) Palpation for maxillary sinus tenderness is done at this site
3) Boundaries are formed by the canine eminence, infraorbital foramen, pyriform aperture and alveolar
4) Most common site of origin of inverted papilloma
a) 2 and 3 are correct b) 1 and 4 are correct
c) 2, 3 and 4 are correct d) All are correct
Question numbers xi-xv consist of two Statements-Assertion (A) and Reason (R). Answer these
xi. Assertion: Injury to subglottic region is the commonly seen post extubation injury in pediatric age group.
Reason: Subglottis is the narrowest part of pediatric airway.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
d) A is incorrect, R is correct.
xii. Assertion: Griesinger's sign is seen in lateral sinus thrombophlebitis.
Reason: There is edema over the mastoid region due to thrombophlebitis of mastoid emissary vein
a) A and R correct, and R explains A
c) A is correct, and R is incorrect
d) A is incorrect, and R is correct
(PTO)
xiii. Assertion: Acute tonsillitis patients may present with otalgia.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
c) A is correct, and R is incorrect
d) A is incorrect, and R is correct
Reason: In laryngomalacia there is excessive rigidity of supraglottic larynx.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
c) A is correct, and R is incorrect
xv. Assertion: Gradenigo syndrome presents with diplopia.
Reason: in petrous apicitis VIth cranial nerve gets entrapped in Dorello's canal.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
d) A is incorrect, and R is correct
Question numbers xvi-xx are case scenario-based questions.
A fifteen-year-old male patient presented with right ear pain and ear discharge for 2 weeks. Since the past 3
days he is having high degree fever. On examination, there is swelling of the mastoid region with
xvi. What is the most probable diagnosis
a) Acute Suppurative Otitis Media
b) Chronic Suppurative Otitis Media with acute mastoiditis
c) Acute Suppurative Otitis Media with acute mastoiditis
xvii. X-ray mastoid shows which of the following features
a) Clouding of mastoid air cells
b) Sclerosed mastoids
c) Low lying dural plate
xviii. The following sign is seen on otoscopic examination
a) Schwartz sign
b) Reservoir Sign
c) Brown sign
xix. Which of the following organism is the most likely causating agent
a) Pseudomonas aeruginosa
b) Escherichia coli
c) Fusiform bacteria
xx. Which of the following surgery is indicated for this patient
a) Modified radical mastoidectomy
b) Radical mastoidectomy
c) Cortical mastoidectomy
Long Essays:
(2x10=20)
2. A 35-year-old female patient presents with hearing loss in both ears since past 5 years. She also gives
past history of exacerbation of hearing loss during pregnancy. On otoscopic examination both the
a) What is your diagnosis
b) What are the other clinical features of this condition
c) Discuss the audiological investigations of this patient
d) Discuss the treatment options for this patient.
3. A 14-year-old male patient is brought to the ENT Out Patient Department with history of repeated nasal
bleed for 2 months. There is no history of trauma. On anterior rhinoscopy a reddish mass is seen in the
left nasal cavity.
a) What is your probable diagnosis
c) What are the other clinical symptoms and signs of this condition
d) Radiological signs of this condition
e) Discuss its surgical management.
(1+2+2+2+3)
(6x6=36)
4. Clinical features and management of acute retropharyngeal abscess.
5. Differential diagnoses of white patch over tonsils.
6. Discuss the etiology of ethmoidal polyposis and its management.
8. Laryngeal paralysis ? Etiology and management.
9. Enumerate the causes of peripheral vertigo. Discuss the management of Benign Paroxysmal Positional
Vertigo.
Short Answers:
10. Draw and label the structures which can be seen by indirect laryngoscopy.
11. Draw and label parts of nasal septum with its blood supply.
12. Sudden sensorineural hearing loss.
13. Thyroglossal duct cyst.
15. How do you counsel a patient posted for radical mastoidectomy.
**********************
Q.P. Code: 315001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary Examinations February 2025
Otorhinolaryngology
--- Content provided by FirstRanker.com ---
Time: 3 HoursTotal Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Answer all parts of a single question together ? Leave sufficient space between answers
--- Content provided by FirstRanker.com ---
Draw table/diagrams/flow charts wherever necessary1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).
--- Content provided by FirstRanker.com ---
Responses for MCQs marked in any other part/page of the answer book will not be valuedQuestion numbers i-v are single response type questions
i. Organ of Corti is situated in which part of Cochlea.
a) Scala media
b) Scala tympani
--- Content provided by FirstRanker.com ---
c) Vestibuled) Scala vestibuli
ii. Most common site for the initiation of otosclerosis is
a) Foot plate of stapes
b) Fissula ante fenestram
--- Content provided by FirstRanker.com ---
c) Fissula post fenestramd) Margins of stapes
iii. The abductor of vocal fold is
a) Cricothyroid
b) Lateral crico-arytenoid
--- Content provided by FirstRanker.com ---
c) Vocalisd) Posterior crico-arytenoid
iv. Anterior ethmoidal artery arises from
a) Internal maxillary artery
b) Superficial temporal artery
--- Content provided by FirstRanker.com ---
c) Ophthalmic arteryd) Lingual artery
v. Dohlman's procedure is done for
a) Carcinoma oesophagus
b) Laryngocele
--- Content provided by FirstRanker.com ---
c) Zenker's diverticulumd) Carcinoma larynx
Question numbers vi-x are multiple response type questions. Read the statements and mark the most
appropriate answer.
vi. Muscles supplied by recurrent laryngeal nerve
--- Content provided by FirstRanker.com ---
1) Posterior cricoarytenoid2) Thyroarytenoid
3) Cricothyroid
4) Lateral crico-arytenoid
a) 1, 2 and 3 are correct
--- Content provided by FirstRanker.com ---
b) 1, 2 and 4 are correctc) 2, 3 and 4 are correct d) All are correct
vii. Which of the following statements are true regarding Meniere's disease.
1) It leads to conductive hearing loss and tinnitus
2) Triad of episodic vertigo, fluctuating sensorineural hearing loss and tinnitus
--- Content provided by FirstRanker.com ---
3) It is the disorder of membranous labyrinth4) It is the disorder of middle ear
a) 2 and 3 are correct
b) 1, 2 and 4 are correct
c) 2, 3 and 4 are correct d) All are correct
--- Content provided by FirstRanker.com ---
viii. In malignant otitis externa, which of the following statements are most correct.1) It is the malignancy of external ear
2) Occurs in immunocompromised patients
3) Pseudomonas aeruginosa is the causative organism
4) It may lead to facial nerve paralysis
--- Content provided by FirstRanker.com ---
a) 1, 2 and 3 are correctb) 2, 3 and 4 are correct
c) 3 and 4 are correct d) All are correct
ix. True regarding Plummer Vinson Syndrome
1) Occurs in long standing iron deficiency anemic patients
--- Content provided by FirstRanker.com ---
2) Most commonly seen in male patients3) It is a premalignant condition
4) Also known as Patterson Brown Kelly Syndrome
a) 2, 3 and 4 are correct
b) 1, 2 and 4 are correct
--- Content provided by FirstRanker.com ---
c) 1, 3 and 4 are correct d) All are correctx. True regarding Canine Fossa are
1) It is the thickest part of maxillary bone
2) Palpation for maxillary sinus tenderness is done at this site
3) Boundaries are formed by the canine eminence, infraorbital foramen, pyriform aperture and alveolar
--- Content provided by FirstRanker.com ---
ridge4) Most common site of origin of inverted papilloma
a) 2 and 3 are correct b) 1 and 4 are correct
c) 2, 3 and 4 are correct d) All are correct
Question numbers xi-xv consist of two Statements-Assertion (A) and Reason (R). Answer these
--- Content provided by FirstRanker.com ---
questions by selecting the appropriate options given below.xi. Assertion: Injury to subglottic region is the commonly seen post extubation injury in pediatric age group.
Reason: Subglottis is the narrowest part of pediatric airway.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
--- Content provided by FirstRanker.com ---
c) A is correct, R is incorrectd) A is incorrect, R is correct.
xii. Assertion: Griesinger's sign is seen in lateral sinus thrombophlebitis.
Reason: There is edema over the mastoid region due to thrombophlebitis of mastoid emissary vein
a) A and R correct, and R explains A
--- Content provided by FirstRanker.com ---
b) A and R correct, and R does not explain Ac) A is correct, and R is incorrect
d) A is incorrect, and R is correct
(PTO)
xiii. Assertion: Acute tonsillitis patients may present with otalgia.
--- Content provided by FirstRanker.com ---
Reason: Involvement of Vth cranial nerve causes referred otalgia.a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
c) A is correct, and R is incorrect
d) A is incorrect, and R is correct
--- Content provided by FirstRanker.com ---
xiv. Assertion: Inspiratory stridor in laryngomalacia decreases when the child is in prone position.Reason: In laryngomalacia there is excessive rigidity of supraglottic larynx.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
c) A is correct, and R is incorrect
--- Content provided by FirstRanker.com ---
d) A is incorrect, and R is correctxv. Assertion: Gradenigo syndrome presents with diplopia.
Reason: in petrous apicitis VIth cranial nerve gets entrapped in Dorello's canal.
a) A and R correct, and R explains A
b) A and R correct, and R does not explain A
--- Content provided by FirstRanker.com ---
c) A is correct, and R is incorrectd) A is incorrect, and R is correct
Question numbers xvi-xx are case scenario-based questions.
A fifteen-year-old male patient presented with right ear pain and ear discharge for 2 weeks. Since the past 3
days he is having high degree fever. On examination, there is swelling of the mastoid region with
--- Content provided by FirstRanker.com ---
displacement of pinna.xvi. What is the most probable diagnosis
a) Acute Suppurative Otitis Media
b) Chronic Suppurative Otitis Media with acute mastoiditis
c) Acute Suppurative Otitis Media with acute mastoiditis
--- Content provided by FirstRanker.com ---
d) Malignant otitis externaxvii. X-ray mastoid shows which of the following features
a) Clouding of mastoid air cells
b) Sclerosed mastoids
c) Low lying dural plate
--- Content provided by FirstRanker.com ---
d) Anteriorly lying sinus platexviii. The following sign is seen on otoscopic examination
a) Schwartz sign
b) Reservoir Sign
c) Brown sign
--- Content provided by FirstRanker.com ---
d) Rising sun signxix. Which of the following organism is the most likely causating agent
a) Pseudomonas aeruginosa
b) Escherichia coli
c) Fusiform bacteria
--- Content provided by FirstRanker.com ---
d) Streptococcus pyogenesxx. Which of the following surgery is indicated for this patient
a) Modified radical mastoidectomy
b) Radical mastoidectomy
c) Cortical mastoidectomy
--- Content provided by FirstRanker.com ---
d) TympanoplastyLong Essays:
(2x10=20)
2. A 35-year-old female patient presents with hearing loss in both ears since past 5 years. She also gives
past history of exacerbation of hearing loss during pregnancy. On otoscopic examination both the
--- Content provided by FirstRanker.com ---
tympanic membranes appear normal.a) What is your diagnosis
b) What are the other clinical features of this condition
c) Discuss the audiological investigations of this patient
d) Discuss the treatment options for this patient.
--- Content provided by FirstRanker.com ---
(1+2+3+4)3. A 14-year-old male patient is brought to the ENT Out Patient Department with history of repeated nasal
bleed for 2 months. There is no history of trauma. On anterior rhinoscopy a reddish mass is seen in the
left nasal cavity.
a) What is your probable diagnosis
--- Content provided by FirstRanker.com ---
b) What is the etiopathogenesisc) What are the other clinical symptoms and signs of this condition
d) Radiological signs of this condition
e) Discuss its surgical management.
(1+2+2+2+3)
--- Content provided by FirstRanker.com ---
Short Essays:(6x6=36)
4. Clinical features and management of acute retropharyngeal abscess.
5. Differential diagnoses of white patch over tonsils.
6. Discuss the etiology of ethmoidal polyposis and its management.
--- Content provided by FirstRanker.com ---
7. Bell's Palsy ? Etiology and management.8. Laryngeal paralysis ? Etiology and management.
9. Enumerate the causes of peripheral vertigo. Discuss the management of Benign Paroxysmal Positional
Vertigo.
Short Answers:
--- Content provided by FirstRanker.com ---
(6x4=24)10. Draw and label the structures which can be seen by indirect laryngoscopy.
11. Draw and label parts of nasal septum with its blood supply.
12. Sudden sensorineural hearing loss.
13. Thyroglossal duct cyst.
--- Content provided by FirstRanker.com ---
14. Surgical steps of cortical mastoidectomy. Discuss the complications of surgery.15. How do you counsel a patient posted for radical mastoidectomy.
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