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RGUHS MBBS ENT February 2023 (1034 CBME)

1034Rajiv Gandhi University of Health Sciences · ENT · 2023 · February · CBME

Questions (30)

  1. 1.A male patient with history of left ear discharge since 5 years presented with fever, pain and swelling behind the left ear since 5 days. On examination, the skin over the mastoid had an ironed-out appearance and X-ray showed clouding of the mastoid air cells. a. What is the probable diagnosis and differential diagnoses? b. Explain the pathological process responsible for this condition. c. Mention clinical features and management of this condition.
    10 Marks
  2. 2.A lady 30 yrs of age with intermittent episodes of nasal obstruction, sneezing and watery nasal discharge has been having persistent bilateral nasal obstruction with loss of smell since 6 months. On examination multiple, pale masses are seen in both nasal cavities. a. What is the most likely diagnosis? b. Briefly describe the etiopathogenesis of this condition. c. Describe the in-vitro and in-vivo tests for this condition. d. Write a note on various modalities of treatment of this condition.
    10 Marks
  3. 3.A male patient of 30 yrs presented with complaints of clear watery discharge from the right nasal cavity after head injury which increased on bending forward. a. What is the diagnosis? b. Explain the investigations. c. How do you treat this condition?
    5 Marks
  4. 4.Enumerate the congenital causes of stridor. Discuss clinical features and management of Acute Epiglottitis.
    5 Marks
  5. 5.What are the pathways of spread of infection following Suppurative Otitis Media? Discuss the treatment of Lateral Sinus Thrombosis.
    5 Marks
  6. 6.Choanal Atresia.
    5 Marks
  7. 7.What is the Candidacy profile for cochlear implantation? Mention the components and functions of a cochlear implant.
    5 Marks
  8. 8.Medical and surgical treatment of Meniere’s disease.
    5 Marks
  9. 9.Etiology and management of Atrophic Rhinitis.
    5 Marks
  10. 10.An adult male 40 yrs of age presented with right sided severe throat pain radiating to the ipsilateral ear associated with high grade fever and difficulty in mouth opening. Patient also had a prior history of recurrent sore throat. a. What is the most likely diagnosis of this condition? b. What are the other clinical signs seen in this condition. c. Discuss its treatment.
    5 Marks
  11. 11.Pre-Malignant lesions of Oral Cavity.
    3 Marks
  12. 12.Techniques of Myringoplasty.
    3 Marks
  13. 13.Rhinolalia Aperta.
    3 Marks
  14. 14.Tracheostomy.
    3 Marks
  15. 15.Achalasia Cardia
    3 Marks
  16. 16.Kaposi Sarcoma.
    3 Marks
  17. 17.Draw a labelled diagram of indirect laryngoscopy.
    3 Marks
  18. 18.Mucociliary mechanism.
    3 Marks
  19. 19.Singer’s nodule.
    3 Marks
  20. 20.Name the muscles of the middle ear, describe functions.
    3 Marks
  21. 21.Velopharyngeal insufficiency causes: A. Hyponasality B. Hot potato voice C. Hypernasality D. Aphonia
    1 Mark
  22. 22.Quinsy is a collection of pus in the : A. Between capsule of tonsil and middle constrictor B. Between capsule of tonsil and superior constrictor C. Between superior constrictor and Buccopharyngeal fascia D. Between capsule of tonsil and Buccopharyngeal fascia
    1 Mark
  23. 23.Mucocele most frequently affects the : A. Maxillary sinus B. Ethmoidal sinus C. Frontal sinus D. Sphenoidal sinus
    1 Mark
  24. 24.Secondary haemorrhage following tonsillectomy is due to : A. Sepsis of the tonsillar fossa B. Injury to the tonsillar pillars C. Slipping of ligatures D. Hypertension
    1 Mark
  25. 25.Mikulicz cells are seen in A. Rhinosporidosis B. Rhinoscleroma C. Lupus vulgaris D. Rhinocerebral mucormycosis
    1 Mark
  26. 26.Which of the following is not a hyaline cartilage? A. Epiglottis B. Thyroid C. Cricoid D. Arytenoid
    1 Mark
  27. 27.Schwartz operation is A. Radical mastoidectomy B. Modified radical mastoidectomy C. Tympanoplasty D. Cortical mastoidectomy
    1 Mark
  28. 28.Frey’s syndrome is due to A. Gustatory lacrimation B. Gustatory sweating C. Hemifacial spasm D. Blepharospasm
    1 Mark
  29. 29.Surgical landmark to the facial nerve in middle ear surgery is A. Prussak’s space B. Processus cochleariformis C. Handle of malleus D. Sinus tympani
    1 Mark
  30. 30.Nasal Syphilis causes destruction of A. Bony and cartilaginous part of septum B. Cartilaginous part of septum C. Bony part of septum D. Columella
    1 Mark

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