Download DNB 2014 June OTORHINOLARYNGOLOGY P III JUNE14 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

JUNE 2014

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OTO-RHINO-LARYNGOLOGY

PAPER - II

ENT/J/14/28/111

Time : 3 hours

Max. Marks : 100

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Important instructions:

• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.

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• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

1. Discuss the surgical anatomy of pharynx with special reference to occurrence of pharyngeal pouches. Briefly discuss the clinical features and management of a case of pharyngeal pouch (Zenker’s Diverticulum). 4+(3+3)

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2. Discuss the developmental anatomy of larynx. Discuss in brief the oncologically acceptable surgical procedures based on the surgical anatomy of larynx for the treatment of laryngeal malignancies. 5+5
3. Write short notes on: 5+5
   1. Thornwaldt's cyst
   2. Endoscopic approach to management of nasopharyngeal angiofibroma
4. Write short notes on: 5+5
   1. Unilateral recurrent laryngeal nerve paralysis

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   2. Laryngeal Electromyography
5. Describe the surgical anatomy of parapharyngeal space. Briefly discuss the aetiopathology of tumours of parapharyngeal space and surgical approaches to parapharyngeal space. 4+(3+3)
6. Enumerate the various causes of dysphagia. How will you evaluate a case of dysphagia in a 70 year old male patient? 5+5
7. Classify neck dissections. Describe the indications, surgical steps and complications of modified radical neck dissection. 2+(2+3+3)

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8. Discuss the indications of tracheostomy in infants. Briefly discuss surgical techniques, problems and complications of tracheostomy in infants. 4+(2+2+2)
9. Discuss various options of voice rehabilitation following laryngectomy. Briefly discuss the surgical technique and complications of tracheo-oesophageal puncture and indwelling prosthesis. 4+(3+3)
10. Discuss the aetiopathogenesis, clinical features, evaluation and principles of management of recurrent respiratory papillomatosis. 2+2+2+4

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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