THE TAMIL NADU DR. M.G.R.
MEDICAL UNIVERSITY
[MBBS 0223] FEBRUARY 2023 Sub. Code :6072
M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020 Batch onwards)
THIRD YEAR – (CBME)
PART - I
PAPER II – OTO-RHINO-LARYNGOLOGY
Q.P. Code: 526072
Time: 30 Minutes Maximum : 20 Marks
Answer All Questions
Choose one correct answer in the box provided in the Answer Script. No overwriting
should be done. Choice should be given in Capital Letters.
III. Multiple Choice Questions: (20 x 1 = 20)
1. Pinna develops from
A) 1st pharyngeal arch B) 1st and 3rd pharyngeal arch
C) 1st and 2nd pharyngeal arch D) 2nd pharyngeal arch
2. Horizontal semicircular canal responds to
A) Horizontal acceleration B) Rotational acceleration
C) Gravity D) Head tilt
3. During ear examination, cough occurs due to stimulation of
A) Vagus B) Trigeminal C) Hypoglossal D) Trochlear
4. Positive Rinne test indicates
A) AC> BC B) BC> AC C) BC=AC D) None
5. A Young man presents with loss of hearing in right ear following an accident. On
otoscopic examination the tympanic membrane was normal. Pure tone audiometry
shows an air bone gap of 55 db in the right with normal cochlea. Which of the
following will be the likely tympanometry finding?
A) As type tympanogram B) Ad type tympanogram
C) B type tympanogram D) C type tympanogram
6. Nasolacrimal duct opens into
A) Superior meatus B) Middle meatus
C) Inferior meatus D) Sphenoethmoidal recess
7. Orbital cellulitis most commonly occurs after which sinus infection
A) Maxillary B) Frontal C) Ethmoidal D) Sphenoidal
8. Recurrent polyp are seen in
A) Antrochoanal polyp B) Ethmoidal polyp
C) Concha bullosa D) Hypertrophic turbinate
9. In a 5 year old child, cause of unilateral Epistaxis is
A) Foreign body B) Polyp C) Atrophic rhinitis D) Maggots
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10. Most common site for osteoma is
A) Maxillary sinus B) Ethmoid sinus C) Frontal sinus D) Sphenoid sinus
11. Contraindications to tonsillectomy are all except
A) Submucous fibrosis B) Bleeding disorders
C) Epidemic of polio D) Acute Tonsillitis
12. In which of the following locations there is collection of pus in the Quinsy?
A) Peritonsillar space B) Parapharyngeal space
C) Retropharyngeal space D) Within the tonsil
13. Women with vitamin B12 deficiency presents with dysphagia and anaemia.
What is the syndrome mentioned in the presentation?
A) Plummer Vinson syndrome B) Eagle syndrome
C) Job’s syndrome D) Treacher Collin syndrome
14. Abductor of vocal cord is
A) Posterior cricoarytenoid B) Lateral cricoarytenoid
C) Cricothyroid D) Thyroarytenoid
15. Which of the following cartilage has signet ring shape
A) Thyroid B) Cricoid C) Cuneiform D) Arytenoid
16. Thumb sign in Lateral X-ray of neck is seen in?
A) Epiglottitis B) Internal haemorrhage
C) Saccular cyst D) Carcinoma epiglottis
17. Treatment of choice in early vocal cord nodule is
A) Radial excision B) Microlaryngoscopic removal
C) Cryotherapy D) Voice rest and speech therapy
18. Cricothyroid muscle is supplied by
A) Internal laryngeal nerve B) External laryngeal nerve
C) Recurrent laryngeal nerve D) Glossopharyngeal nerve
19. Juvenile papillomatosis is caused by
A) HSV B) EBV C) CMV D) HPV
20. Complications of tracheostomy are all except
A) Fracture cervical vertebra B) Pneumothorax
C) Subcutaneous emphysema D) Apnoea.
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[MBBS 0223]
THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY
[MBBS 0623] JUNE 2023 Sub. Code :6072
M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020)
THIRD PROFESSIONAL PART – I (CBME)
PAPER II – OTO-THINO-LARYNGOLOGY
Q.P. Code: 526072
Time: 30 Minutes Maximum : 20 Marks
Answer All Questions
Choose one correct answer in the box provided in the Answer Script. No overwriting
should be done. Choice should be given in Capital Letters.
III. Multiple Choice Questions: (20 x 1 = 20)
1. Which of the following is not cause for fluctuating hearing loss?
A) Presbyacusis B) Meniere’s disease
C) Perilymph fistula D) Otitis media with effusion
2. Dysphagia lusoria results from
A) Corrosive oesophagitis B) Neurogenic
C) Abnormal Right Subclavian Artery D) Carcinoma oesophagus
3. Smell disorder is often associated with all except
A) Turner’s syndrome B) Kallman’s syndrome
C) Atrophic Rhinitis D) Osler Weber Rendu syndrome
4. Epstein Bart virus may be connected with all except
A) Nasopharyngeal carcinoma B) Nasopharyngeal fibroma
C) Glandular fever D) Burkitt’s lymphoma
5. Commonest from of Tracheo-oesophageal Fistula
A) Both upper and lower segment of the oesophagus enter the trachea
B) A blind upper pouch with a lower segment communicating with trachea
C) An upper segment entering trachea with blind lower segment
D) Upper and Lower segments blind
6. Ototoxic drugs are following except
A) Gentamycin B) Kanamycin C) Cephalosporin D) Streptomycin
7. Carhart’s notch is characteristic in
A) Acoustic neuroma B) Acoustic trauma
C) Otospongiosis D) Secretory otitis media
8. Vincent’s angina caused by
A) Streptococcus haemolyticus B) Fusiform bacillus
C) Ebstein Barr virus D) Perez and cocco bacilli
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9. Side effects of antihistamines are the following except
A) Hypotension B) Urinary retention C) Drowsiness D) Dryness of mouth
10. Most common tumour within para pharyngeal space is
A) Vascular tumour B) Metastatic tumour
C) Neurogenic tumour D) Melanotic tumour
11. Which muscle is supplied by Facial nerve?
A) Stylo-pharyngeus B) Stylo-glossus C) Stylo-hyoid D) Omohyoid
12. A girl has attended the clinic with aphonia. On indirect laryngoscopy there is evidence of
adductor Paralysis: What is the probable cause?
A) Idiopathic B) Viral C) Functional D) Central cause
13. The usual nerve injured in fracture of Maxilla is
A) Supra-orbital nerve B) Infra-orbital nerve
C) Anterior ethmoidal nerve D) Spheno-palatine nerve
14. Glomus Jugulare tumour – common location is in
A) Epi tympanum B) Meso tympanum C) Hypo tympanum D) Mastoid air cells
15. Radiologically Carcinoma Maxilla is diagnosed mostly by
A) Sinus opacity B) Expansion
C) Opacity and bone erosion D) Dome shaped mass
16. Galen Anastamosis is between
A) IX and X cranial nerves B) Right and left superior Laryngeal nerves
C) Superior and Recurrent Laryngeal nerves D) Superior and Inferior Thyroid arteries
17. Asthmatic patients, frequently, have allergy to
A) Penicillin B) Ephedrine C) Aspirin D) Prednisolone
18. Demonstration of air containing sac after Valsalva’s Maneuver suggest
A) Branchial cleft cyst B) Laryngocele
C) Zenker’s diverticulum D) Cystic hygroma
19. Neurogenic tumours of nose and Paranasal sinuses are the following except
A) Schwannoma B) Olfactory neuroblastoma
C) Rhinophyma D) Nasal glioma
20. High percentage of SISI score is common in
A) Otosclerosis B) Acoustic nerve tumour
C) Meniere’s disease D) Vestibular neuronitis.
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[MBBS 0623]