Download DNB 2020 June Otorhinolaryngology Paper I Question Paper

Download Diplomate of National Board (DNB) 2020 June Otorhinolaryngology Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
OTORHINOLARYNGOLOGY
PAPER-I
TIME: 3 HOURS
ENT/J/20/28/I
MAX. MARKS: 100
Important Instructions:
Attempt al questions in order.
Each question carries 10 marks.
Read the question careful y and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer al 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.
Write short notes on:
1. a) Describe Bias in medical research.
5+5
b) What steps can you take while formulating a study to remove/reduce
various Bias?
2. a) Describe the applied anatomy and physiology of acoustic reflex.
5+5
b) Discuss two clinical scenarios where acoustic reflex makes significant
contribution to decision making.
3. a) Describe the microstructure of Cochlea.
b) Discuss the homeostasis of intracochlear fluids.
5+5
4. a) Enumerate the causes of congenital deafness.
b) How would you evaluate a deaf child?
4+6
5. a) Enumerate the causes of conductive hearing loss with intact tympanic
4+6
membrane.
b) Describe clinical features and management of congenital
cholesteatoma.
6. a) Describe the calculation of percentage of hearing loss for the purpose of
5+5
disability certification.
b) Discuss the role of tuning forks in diagnosing malingering.
7. a) Describe the grading systems for facial nerve palsy.
5+5
b) Discuss the management of a case of facial palsy in a patient of chronic
otitis media (squamosal).
8. a) Discuss the surgical anatomy in relation to the Posterior Tympanotomy
5+5
approach and the uses of this approach.
b) Describe the candidacy criteria for cochlear implant surgery.
9. a) Discuss the comparative position of endoscopic ear surgery and
5+5
microscopic ear surgery.
b) Discuss the role of endoscopes in lateral skul base surgery.
10. a) Discuss the physiological basis and uses of VEMP.
b) Discuss the differentiating points in history and clinical examination
5+5
between central and peripheral vertigo.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION
HALL.

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