KUHS MBBS ENT Previous Question Paper - May 2025 (318001 2019 Scheme)

318001Kerala University of Health Sciences · ENT · 2025 · May · 2019 Scheme

Questions (18)

1.Single response type questions
A 40 year old male with long standing history of sinusitis came to casualty with intermittent fever, headache and personality changes of recent onset. On examination there was papilloedema. The most likely diagnosis is a) Meningitis c) Frontal lobe abscess b) Frontal bone osteomyelitis d) Subdural abscess
‘Tear drop sign’ seen in a) Fracture of nasal bone c) Fracture of lateral wall of nose b) Fracture of zygomatic arch d) Fracture of floor of orbit
The most common organism causing malignant otitis externa is: a) Staphylococcus aureus c) Streptococcus pyogenes b) Pseudomonas aeruginosa d) Candida albicans
All are features of Gradenigo’s syndrome except a) Otorrhoea b) Tinnitus c) Retroorbital pain d) Diplopia
The most common complication of squamous type of chronic suppurative otitis media with cholesteatoma is: a) Labyrinthitis b) Facial nerve palsy c) Brain abscess d) Mastoiditis
5 Marks
2.Multiple response type questions. Read the statements and mark the most appropriate answer
Samter’s triad includes 1) Bronchial asthma 2) Bronchiectasis 3) Aspirin sensitivity 4) Nasal polypi a) 1 and 2 b) 2 and 4 c) 1, 3 and 4 d) 1, 2 and 4
Features of rhinoscleroma are 1) Woody nose 2) Peg shaped incisors 3) Interstitial keratitis 4) Russel bodies a) 1 and 2 b) 2 and 4 c) 1 and 4 d) 3 and 4
Features of atrophic rhinitis include: 1) Foul-smelling nasal discharge 2) Crusting in the nasal cavity 3) Nasal polypi 4) Widening of nasal cavity a) 1, 2 and 3 b) 1, 2 and 4 c) 1, 3 and 4 d) All are correct
Clinical features of single sided acoustic neuroma include 1) Unilateral sensorineural hearing loss 2) Tinnitus 3) Reduced corneal sensitivity 4) Acute episode of vertigo a) 1, 2 and 3 b) 1, 2 and 4 c) 1, 3 and 4 d) All are correct
Risk factors for paranasal sinus malignancies are: 1) Exposure to wood dust 2) Human papilloma virus 3) Smoking 4) Diabetes mellitus a) 1, 2 and 3 b) 1, 2 and 4 c) 1, 3 and 4 d) All are correct
5 Marks
3.Two statements - Assertion (A) and Reason (R). Answer these questions by selecting the appropriate options given below.
Assertion (A): Epiglottitis in children is a medical emergency. Reason (R): It can rapidly lead to airway obstruction. a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
Assertion (A): In traumatic cerebrospinal fluid (CSF) leaks, CSF stays in centre, while blood gravitates to periphery during hand-kerchief test Reason (R): Beta two transferrin estimation is the pathognomonic investigation in CSF leaks a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
Assertion (A): Some cases of Meniere’s disease show Tullio’s phenomenon. Reason (R): It is due to distended utricle lying against the stapes foot plate a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
Assertion (A): Deviated nasal septum (DNS) can lead to recurrent sinusitis. Reason (R): DNS causes obstruction of sinus drainage pathways. a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
Assertion (A): Mucocoele of frontal sinus can displace the eyeball forward, downward and laterally Reason (R): Mucocoele of frontal sinus usually presents in the superomedial quadrant of orbit a) Both A and R are true, and R is the correct explanation of A c) A is true, but R is false b) Both A and R are true, but R is not the correct explanation of A d) A is false, but R is true
5 Marks
4.Clinical Scenario: A 40-year-old uncontrolled diabetic male presented with headache, facial swelling and nasal obstruction for last two weeks. On examination black necrotic tissue was noted in the nasal cavity.Imaging shows bony erosion and orbital extension.
What is the major side effect of Amphotericin B a) Nasal bleeding c) Nephrotoxicity b) Skin rashes d) Oral ulceration
What is the most likely diagnosis. a) Bacterial sinusitis c) Wegener’s granulomatosis b) Mucormycosis d) Sinonasal carcinoma
What is the cornerstone of management. a) Antibacterial therapy c) Radiation therapy b) Surgical debridement and antifungal therapy d) Cytotoxic drugs
Primary drug of choice of this condition a) Liposomal Amphotericin B c) Rituximab b) Amoxycillin+ Clavulanic acid d) Cisplatin
Which of the following investigation specifically lead to the diagnosis. a) Biopsy with Potassium hydroxide staining b) Bacterial culture and sensitivity test c) X-ray of nose and paranasal sinuses d) Cytoplasmic anti-neutrophil Cytoplasmic Antibodies (cANCA)
5 Marks
5.A 4 year old boy came to emergency department with foreign body aspiration. a) Write the prominent symptoms and signs when foreign body lodges at larynx and trachea. b) What is stridor. Classify it. How it differs from stertor. c) Write the procedures of immediate airway management. d) Complications of foreign body aspiration if not treated. e) Discuss definitive treatment options of this patient.
10 Marks
6.Previously healthy 40 year old male presented with unexplained unilateral rapid loss of hearing all at once. a) Give your diagnosis by defining it. b) Describe the aetiological factors. c) Write relevant investigations with expected findings. d) What are the good and bad prognostic factors. e) Elaborate the principles of treatment.
10 Marks
7.Impedance audiometry: Indications, procedure, and interpretation.
6 Marks
8.Pathogenesis, clinical features and treatment of vasomotor rhinitis.
6 Marks
9.Define tympanoplasty and write the different types.
6 Marks
10.Precancerous lesions of oral mucosa.
6 Marks
11.What is Auditory Brainstem Response (ABR). Describe the anatomic site of neural generators for various waves and uses of ABR.
6 Marks
12.Complications of Endoscopic sinus surgery.
6 Marks
13. Describe Waldeyer’s ring including its components and diagram.
4 Marks
14. Causes of referred otalgia and pathways of its occurrence.
4 Marks
15.Aetiology and relevant investigations in a patient with dysphagia.
4 Marks
16.Describe ear ossicles with the help of diagram.
4 Marks
17.A patient is posted for stapedectomy. How do you write an informed consent.
4 Marks
18.Congenital causes of conductive hearing loss.
4 Marks

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