ENT

ENT
 GMERSMEDICAL COLLEGE, VALSAD
OTORHINOLARYNGOLOGY
|RD (5 MBBS (Bateh-16)
Instruetions:
)Each seetion to be written in separate answer sheets. Date: 19/10/2023
Time duration:- 3Hrs
2) Draw diagrams wherever necessary & write lepilbly.
(3) All MCQs are Compulsory. Total: 100Marks.

SECTION-I
Long Question: (Any One) 10
-1Siyctured
Draw Labelcd Diagram Or Middle Ear. Describe Walls Of Middie Ear.
) Deseribe Ftio-pathology, Clinical Fcature_ &Management Of Meniere 'S Disease.

0-2 Sbort Notes: (Any Two) 12

7Ycar Old Male Camc With History Of Right Ear Discharge Associated With khinitis hd righttympanic
membrane moderat peloratio What Is The Most Probable Diagnosis? Nage Investiga ions Which Arg Used To
Make A Diagnosis. TDeseribe The Managenment Of The Discasec.
) Deseribe Complications And Management Of UnSafe CSOM.
DeseribeClinical Features And Management Of Otosclerosis. 2

Short Notes: (Any Three) 18

On A Busy Clinic Day. ADoctor Did A Medical Error Unknowingly By Giving Wrong Drug To APatient. After
SomeTime One Of His Assistant Nurse Acknowledged Him About His Mistake, Which May Cause Harm To That
Same Paticnt. 2.
Should This Doctor Has To Altdmpt Correct Approach For Disclosure Of Medical Errors?
IfYes Discuss In Detail Why & How?
IfNo Discuss In Detail Why?
2) Impedance Audiometry 2.
Cartilages.
3) Draw Labeled Diagram Of Laryngeal Framework And Write About Laryngeal In Middle Meatus.
Enumerate Structures Of Lateral Wall Of Nose And Write About The Openings
4h

SECTION II
21
10
(Any One)
Q-1 Structured Long Question: Clinical Features & Management Of Peritonsillar
Abscess.
1) Describe Anatomy Of Neck Spaces. Management.
Epistaxis And It's
2Blood Supply Of Little sArea. Causes Of
12

Q-2,Short Notes: (Any Two) Classifications Of Maxillary Carcinoma.

Write Clinical Features & ENT Clinic. Enumerate Differentiat
2) A 40 years Female With
Difficulty In Swallowing since Iyr Comes To
Diagnosis And Managenent Of Dysphagia.
Tonsillectomy.
Indications & Complications Of
18
Three)
Q-3 Write Short Notes: (Any
Uses Of LASER In ENT
YLÅ Fort |I Fracture,
Causes Of Stridor
r Enumerate Types And
4) Principle & Use Of Coblation.
 Third MBIS PART-I Prelin Examinatlon Nov- Dec 2023
orhinolaryngology (ENT)
Otor
(Total: 3 hours) 28/10/2023 (Total Marks:
Instructlons:
1) Each sectlon to be written in separate answer sheet.
2) Draw dingrums when necessry.
3) Do not use eleetronic gadgets.
SECTION I
1. Write any 1 out of 2 10
Draw lnbeled dingram of inner ear. Describe anatomy of inner ear.
b. Write clinical features, investigations and treatment of otosclerosis.
2 Write any 2 out of 3 12
Hearing aids
b. Meniere's disense
c. Complication of CSOM
3 Write any 3 out of 4 18

Clinical features and management of glue car w

b. Presbycusis
C. Types of perforation of tympanic membrane
d. Bell's palsy
4 MCQ
1. Tympanic membrane develops from
a. Ectoderm c. all three germinal layers
b. Endoderm d. only a and e
2. Citelli's angle is
#. Solid c. Sino ural
b. Cerebello-pontine d. Genu of facial nerve
3. OAE are produced by
a. Inner c. basilar membrane
b. Outer d. auditory membrane
4. Singer's nodule is seen at
Anterior 1/3 and posterior 2/3 c. Vocal process
b. Anterior 2/3 and posterior 1/3 d. Anterior commissure
5. Decrease bone conduction in audiogram is seen in
a. TM perforation c. Ossicular fixation
b. Ossicular dislocation d. Damage to cochlea
6. Carhart's notch in PTA
a. 0.5 khz C. 4 khz
b. 2.0 khz d. 8 khz
7. Most common cause for bilateral conductive hearing loss in child
Otosclerosis [Link]
b. OME d. Congenital cholesteatoma
8 Primary receptor cells of hearing
a. Supporting cells c. Tunnel of corti
b. Tectorial membrane d. Hair cells
9 All of the following Cause hearing loss except
a. Mumps c. Rubela
b. Measles d. Chicken pox
10. All are tuning fork tests except
Schwaback test c. Grant test
b. Rinne's test d. Weber's test
 SECTION 2

1. Write any 1out of 2

nasopharyngeal
CaUses of Epistaxis, Clinical features and management of Juvenile
Angiofibroma.
b. What is Stridor and enumerate the causes of stridor. Describe briefy the management
modalities of stridor,
2. Write any 2 out of3 12
a. Antro-choanal Poly
b, Physiology of nose
C. Nasal cholesteatoma
18
3. Write any 3 out of4
a. Plumner Vinson syndrome
b. FESS
C. Waldeyer's ring
d. Benign tumors of larynx
10
4. MCQS
1. Patency of nasal valve is checked by
. Anterior rhinoscopy c. Probing
[Link]'s test d. Caloric test
2. Which of the following is not a function of nose
c. Humidification of air
a. Olfaction
b. Air pressure control d. Temperature control of inspired air
3. Crooked nose is due to
a. Deviated ala c. Deviated septum
b. Humping of ala d. deviated septum and ala
4. Tapir nose is seen in
c. Rhinoscleroma
Leprosy
b. Syphilis d. Lupus vulgaris
5. Treatment of AC polyp is
a. Steroids c. Immunotherapy
b. Anti histamine od: Surgery
6. Stain used to detect pre-malignant condition of lip
a. Crystal violet c. Toluidine blue
d. Silver nitrate
b Giemsa
7. Grayish white membrane in thront mayy be
be: seen 9in al of the following except
a. Streptococcal tonsilitis cAdeno virus
b. Diphtheria d. Ludwig's angina
to fracture of
8 CSF rhinorrhea occurs due
a. Roof of orbit c. frontal sinus
b. Fracture of cribriform plate of ethmoidis d. Sphenoid bone
9. Commonest cause for vocal cord paralysis
a. Malignant lesion c. Neurological lesion
d. Inflammatory condition
b. Surgical
10. Most common cause of stridor in children is:
A. Subglottic stenosis c. Laryngeal web
b. Laryngeal cyst d. Laryngomalacia

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