Q.P. Code: 318001
Reg. no.: .....................
Third Professional MBBS Part II Degree Supplementary Examinations
October 2025
Otorhinolaryngology
Time: 3 Hours
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
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The responses for MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for
page (PART III)). Responses for MCQs marked in any other part/page of the answer book will not be
valued
Question numbers i-v are single response type questions
i. The most common cause of conductive hearing loss in children is:
c) Tympanosclerosis
b) Otitis media with effusion
d) Otosclerosis
ii. The gold standard investigation for assessing facial nerve paralysis is:
b) MRI
c) Electroneuronography
d) Audiometry
iii. The most common tumor of the nasopharynx is:
c) Adenoid cystic carcinoma
b) Nasopharyngeal angiofibroma
d) Lymphoma
iv. Sensory innervation of supraglottic larynx is by
c) Internal laryngeal nerve
b) External laryngeal nerve
d) Non-recurrent laryngeal nerve
v. Which sinus is most commonly involved in mucocele
b) Maxillary
c) Frontal
d) Sphenoid
Question numbers vi-x are multiple response type questions. Read the statements and mark the most
vi. Features of otosclerosis include
1) Schwartz sign
2) Tullio's phenomenon
3) Paracusis willisii
a) 1 and 2
b) 2 and 4
c) 1, 3 and 4
d) 1, 2 and 4
1) Diabetes mellitus
2) Iron deficiency anemia
3) Prolonged steroid therapy
4) Human immunodeficiency virus infection
b) 2 and 4
c) 1, 2 and 4
d) 1, 3 and 4
viii. Typical symptoms of tracheal foreign body include
2) Asthmatoid wheeze
3) Auditory slap
4) Palpatory thud
a) 1 and 2
c) 1, 2 and 4
d) 2, 3 and 4
ix. Features of malignant otitis externa include:
1) Severe otalgia
3) Cranial nerve palsies
4) Decreased erythrocyte sedimentation rate
a) 1, 3 and 4
b) 1, 2 and 3
d) All are correct
x. Symptoms of vestibular neuronitis include:
1) Vertigo
2) Nystagmus
4) Tinnitus
a) 1 and 2
b) 2 and 4
c) 1, 3 and 4
Question numbers xi-xv consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
a) Both A and R are true, and R is the correct explanation of A
c) A is true, but R is false
d) A is false, but R is true
xi. Assertion (A): Cholesteatoma is often associated with bone erosion.
Reason (R): Cholesteatoma contains enzymes that cause bone resorption.
xii. Assertion (A): Epistaxis is common in children.
xiii. Assertion (A): Nasal polyps are typically painless.
Reason (R): They are inflammatory in origin and lack sensory innervation.
xiv. Assertion (A): Reinke oedema is bilateral symmetrical swelling of the whole of membranous part of
vocal folds
Reason (R): It is due to oedema of the deep layer of the vocal folds
xv. Assertion (A): Vocal nodules commonly occur at junction of anterior two-third and posterior one-third of
Reason (R): Nodules occur at area of maximum vibration of vocal folds
Question numbers xvi-xx are case scenario-based questions.
Clinical Scenario: 20 year old immunized male presented with fever, sore throat, fatigue and generalized
lymphadenopathy. There was non-adherent membrane over congested and enlarged palatine tonsils. He
xvi. What is the most likely diagnosis
a) Diphtheria
c) Infectious mononucleosis
b) Vincent angina
xvii. Name the organism causing this condition
a) Corynebacterium diphtheria
c) Candida albicans
b) Spirochaetes
xviii. What is the relevant investigation to confirm the diagnosis
a) Gram staining
b) Paul Bunnel test
c) Fungal stain
xix. What is the treatment of this condition
a) Conservative management
c) Clotrimazole
b) Diphtheria antitoxin and penicillins
xx. Which among the following is the specific most feared complication of this condition
a) Myocarditis
b) Splenic rupture
c) Deep neck infection d) Candidal oesophagitis
(2x10=20)
2. 30 year old male presents with painless, foul smelling ear discharge and severe hearing loss out of
proportion to his symptoms for the last one year. Otoscopy revealed multiple perforations in pars tensa
a) What is the likely diagnosis.
c) Write the complications if treatment is not taken.
d) Relevant investigations with expected findings in this patient.
e) What is the treatment of this condition.
(1+2+2+2+3)
cavities.
a) Give your diagnosis.
b) Write various aetiological factors.
c) Describe the pathology of this condition.
e) Describe surgical treatment modalities.
(1+2+2+2+3)
Short Essays:
(6x6=36)
audiogram charting.
5. National Programme for the Prevention and Control of deafness.
6. Management of epistaxis in a hypertensive patient.
7. Surgical anatomy and physiology of the palatine tonsils.
9. Clinical features and management of Ludwig's angina.
Short Answers:
(6x4=24)
10. Draw and label the left tympanic membrane and describe its normal landmarks.
12. Vocal rehabilitation after total laryngectomy.
13. Classify allergic rhinitis. Write relevant investigations with expected findings.
14. Draw anatomy of medial wall of middle ear.
15. A patient is posted for septoplasty. How do you write an informed consent.
Reg. no.: .....................
Third Professional MBBS Part II Degree Supplementary Examinations
October 2025
Otorhinolaryngology
--- Content provided by FirstRanker.com ---
(2019 Scheme)Time: 3 Hours
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
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The responses for MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for
--- Content provided by FirstRanker.com ---
answering MCQ questions at page No. 51 of the answer book (the inner portion of the back coverpage (PART III)). Responses for MCQs marked in any other part/page of the answer book will not be
valued
Question numbers i-v are single response type questions
i. The most common cause of conductive hearing loss in children is:
--- Content provided by FirstRanker.com ---
a) Otitis externac) Tympanosclerosis
b) Otitis media with effusion
d) Otosclerosis
ii. The gold standard investigation for assessing facial nerve paralysis is:
--- Content provided by FirstRanker.com ---
a) CT scanb) MRI
c) Electroneuronography
d) Audiometry
iii. The most common tumor of the nasopharynx is:
--- Content provided by FirstRanker.com ---
a) Squamous cell carcinomac) Adenoid cystic carcinoma
b) Nasopharyngeal angiofibroma
d) Lymphoma
iv. Sensory innervation of supraglottic larynx is by
--- Content provided by FirstRanker.com ---
a) Recurrent laryngeal nervec) Internal laryngeal nerve
b) External laryngeal nerve
d) Non-recurrent laryngeal nerve
v. Which sinus is most commonly involved in mucocele
--- Content provided by FirstRanker.com ---
a) Ethmoidb) Maxillary
c) Frontal
d) Sphenoid
Question numbers vi-x are multiple response type questions. Read the statements and mark the most
--- Content provided by FirstRanker.com ---
appropriate answer.vi. Features of otosclerosis include
1) Schwartz sign
2) Tullio's phenomenon
3) Paracusis willisii
--- Content provided by FirstRanker.com ---
4) Conductive hearing lossa) 1 and 2
b) 2 and 4
c) 1, 3 and 4
d) 1, 2 and 4
--- Content provided by FirstRanker.com ---
vii. Risk factors for mucormycosis are:1) Diabetes mellitus
2) Iron deficiency anemia
3) Prolonged steroid therapy
4) Human immunodeficiency virus infection
--- Content provided by FirstRanker.com ---
a) 1 and 2b) 2 and 4
c) 1, 2 and 4
d) 1, 3 and 4
viii. Typical symptoms of tracheal foreign body include
--- Content provided by FirstRanker.com ---
1) Hoarseness of voice2) Asthmatoid wheeze
3) Auditory slap
4) Palpatory thud
a) 1 and 2
--- Content provided by FirstRanker.com ---
b) 1 and 4c) 1, 2 and 4
d) 2, 3 and 4
ix. Features of malignant otitis externa include:
1) Severe otalgia
--- Content provided by FirstRanker.com ---
2) Granulation tissue in the ear canal3) Cranial nerve palsies
4) Decreased erythrocyte sedimentation rate
a) 1, 3 and 4
b) 1, 2 and 3
--- Content provided by FirstRanker.com ---
c) 1, 2 and 4d) All are correct
x. Symptoms of vestibular neuronitis include:
1) Vertigo
2) Nystagmus
--- Content provided by FirstRanker.com ---
3) Hearing loss4) Tinnitus
a) 1 and 2
b) 2 and 4
c) 1, 3 and 4
--- Content provided by FirstRanker.com ---
d) 1, 2 and 4Question numbers xi-xv consist of two statements - Assertion (A) and Reason (R). Answer these
questions by selecting the appropriate options given below.
a) Both A and R are true, and R is the correct explanation of A
c) A is true, but R is false
--- Content provided by FirstRanker.com ---
b) Both A and R are true, but R is not the correct explanation of Ad) A is false, but R is true
xi. Assertion (A): Cholesteatoma is often associated with bone erosion.
Reason (R): Cholesteatoma contains enzymes that cause bone resorption.
xii. Assertion (A): Epistaxis is common in children.
--- Content provided by FirstRanker.com ---
Reason (R): Majority of nasopharyngeal angiofibroma occur in adolescent malesxiii. Assertion (A): Nasal polyps are typically painless.
Reason (R): They are inflammatory in origin and lack sensory innervation.
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
--- Content provided by FirstRanker.com ---
(PTO)xiv. Assertion (A): Reinke oedema is bilateral symmetrical swelling of the whole of membranous part of
vocal folds
Reason (R): It is due to oedema of the deep layer of the vocal folds
xv. Assertion (A): Vocal nodules commonly occur at junction of anterior two-third and posterior one-third of
--- Content provided by FirstRanker.com ---
vocal foldReason (R): Nodules occur at area of maximum vibration of vocal folds
Question numbers xvi-xx are case scenario-based questions.
Clinical Scenario: 20 year old immunized male presented with fever, sore throat, fatigue and generalized
lymphadenopathy. There was non-adherent membrane over congested and enlarged palatine tonsils. He
--- Content provided by FirstRanker.com ---
developed maculo-papular rash after taking ampicillin.xvi. What is the most likely diagnosis
a) Diphtheria
c) Infectious mononucleosis
b) Vincent angina
--- Content provided by FirstRanker.com ---
d) Oropharyngeal candidiasisxvii. Name the organism causing this condition
a) Corynebacterium diphtheria
c) Candida albicans
b) Spirochaetes
--- Content provided by FirstRanker.com ---
d) Epstein barr virusxviii. What is the relevant investigation to confirm the diagnosis
a) Gram staining
b) Paul Bunnel test
c) Fungal stain
--- Content provided by FirstRanker.com ---
d) Ultrasound neckxix. What is the treatment of this condition
a) Conservative management
c) Clotrimazole
b) Diphtheria antitoxin and penicillins
--- Content provided by FirstRanker.com ---
d) Antibacterial Antibiotic therapyxx. Which among the following is the specific most feared complication of this condition
a) Myocarditis
b) Splenic rupture
c) Deep neck infection d) Candidal oesophagitis
--- Content provided by FirstRanker.com ---
Long Essays:(2x10=20)
2. 30 year old male presents with painless, foul smelling ear discharge and severe hearing loss out of
proportion to his symptoms for the last one year. Otoscopy revealed multiple perforations in pars tensa
a) What is the likely diagnosis.
--- Content provided by FirstRanker.com ---
b) Describe the pathophysiology of this condition.c) Write the complications if treatment is not taken.
d) Relevant investigations with expected findings in this patient.
e) What is the treatment of this condition.
(1+2+2+2+3)
--- Content provided by FirstRanker.com ---
3. 25 year old female presented with nasal obstruction, foul-smelling crusts, anosmia and roomy nasalcavities.
a) Give your diagnosis.
b) Write various aetiological factors.
c) Describe the pathology of this condition.
--- Content provided by FirstRanker.com ---
d) Discuss medical management with its objectives.e) Describe surgical treatment modalities.
(1+2+2+2+3)
Short Essays:
(6x6=36)
--- Content provided by FirstRanker.com ---
4. Draw the pure tone audiogram of right ear showing conductive hearing loss. Describe the symbols used inaudiogram charting.
5. National Programme for the Prevention and Control of deafness.
6. Management of epistaxis in a hypertensive patient.
7. Surgical anatomy and physiology of the palatine tonsils.
--- Content provided by FirstRanker.com ---
8. Indications, procedure and complications of myringoplasty.9. Clinical features and management of Ludwig's angina.
Short Answers:
(6x4=24)
10. Draw and label the left tympanic membrane and describe its normal landmarks.
--- Content provided by FirstRanker.com ---
11. Define and write the causes of sudden sensorineural hearing loss.12. Vocal rehabilitation after total laryngectomy.
13. Classify allergic rhinitis. Write relevant investigations with expected findings.
14. Draw anatomy of medial wall of middle ear.
15. A patient is posted for septoplasty. How do you write an informed consent.
--- Content provided by FirstRanker.com ---
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