Rajiv Gandhi University of Health Sciences Bachelor of Medicine and Bachelor of SurgeryENT Previous Year Question Papers

Management of otosclerosis

Bell’s palsy

Write a short note on Ototoxicity

Otitis media with effusion.

Discuss the physiology of Nose and paranasal sinuses.

Rhinoscleroma

Deaf mutism.

Impedance audiometry.

Indications and Complications of Tracheostomy.

Enumerate the congenital causes of stridor. Discuss clinical features and management of Acute Epiglottitis.

Rhinoscleroma of nose

Discuss Vocal Voice rehabilitation following total laryngectomy.

Discuss the difference SMR and septoplasty.

A four year old child presents with fever of sudden onset, odynophagia and respiratory difficulty. On examination child is febrile, looks toxic with drooling of saliva and SPO2 is 85%. Thumb sign was positive on X-ray. a) What is the condition the child is suffering from? b) Discuss the etiology and management of this condition

What is Waldeyer’s ring and its components. Discuss treatment of Peritonsillar abscess.

Physiology of Deglutition

Indications and Complications of Oesophagoscopy.

What are the pathways of spread of infection following Suppurative Otitis Media? Discuss the treatment of Lateral Sinus Thrombosis.

Radical mastoidectomy

Mention the indications and discuss steps and complications of functional Endoscopic Sinus Surgery.

Rhinosporidosis

Impedance matching.

Clinical features and surgical management of JNA

Causes of Stridor.

Acute coalescent mastoiditis.

Clinical features and management of CSF Rhinorrhoea.

Clinical features and management of antrochoanal polyp

Briefly describe the applied Anatomy of the retropharyngeal space. Discuss the clinical features and management of acute retropharyngeal abscess.

Labyrinthitis

Trismus.

BPPV

Clinical features and management of Labyrinthitis.

FESS

Draw a neat labelled diagram of lateral wall of nose.

What is the Candidacy profile for cochlear implantation? Mention the components and functions of a cochlear implant.

Frontal mucocele

Classify Cholesteatoma and explain the theories of Cholesteatoma formation.

Management of epistaxis

Orbital complications of Sinusitis.

Mention the normal constrictions of esophagus. Enumerate indications and Complications of Rigid Oesophagoscopy

Clinical features and management of Benign paroxysmal positional vertigo.

Obstructive Sleep Apnea Syndrome.

Complications of Tonsillectomy.

Define FESS. Briefly describe indications and steps of FESS.

Medical and surgical treatment of Meniere’s disease.

Cold abscess of neck

Extra cranial complications of Sinusitis.

Juvenile laryngeal papillomatosis

Physiology of nose

Hearing rehabilitation of deaf child.

List out various types of foreign bodies in Ear and methods to remove them

Functional endoscopic sinus surgery – enumerate the indications and complications.

Pure tone audiometry

Otosclerosis – clinical features and management.

Etiopathogenesis and management of Rhinocerebral Mucormycosis.

Etiology and management of Atrophic Rhinitis.

Clinical features and management of chronic maxillary sinusitis

An elderly diabetic with poorly controlled blood glucose levels presents with deep seated gnawing ear pain on the right side. The pain aggravates at night-time. On examination a granulation tissue polyp was observed in the external auditory canal. a. What is the most likely diagnosis of this condition? b. List the common microbial organisms causing this condition. c. Discuss the treatment modalities of this condition.

A 30 year old male patient presents with acute onset dysphagia after eating a non vegetarian meal. X-ray soft tissues of the neck reveals a radio opaque object in the cervical Oesophagus. a) What is your diagnosis? b) How will you treat this patient? c) What are the complications of this condition?

Vocal cord paralysis

Causes and management of nasal septal perforation

Referred otalgia.

Complications of Sinusitis.

Describe the mechanism of deglutition.

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.

Leukoplakia

Oral submucosal fibrosis.

Clinical features and management of Lateral Sinus Thrombosis

Theories of cholesteatoma formation.

Malignant otitis externa

Stapedial reflex

Lefort fractures – Types and management.

Audiological findings and treatment of Otosclerosis.

Management of Meniere’s disease

Sphenoethmoidal air cell is A. Agger nasi B. Bulla ethmoidalis C. Haller cell D. Onodi cell

The pyramid is present in the ______________ wall of the middle ear A. Anterior B. Medial C. Posterior D. Lateral

The following statement is incorrect with regards to Malignant otitis externa A. Young adolescents present commonly with this condition B. Involves Facial nerve C. Spreads to Skull base D. Pseudomonas aeruginosa infection

Jacobson’s nerve is A. Tympanic branch of IX nerve B. Auricular branch of X nerve C. Chorda tympani branch of VII nerve D. Greater superficial petrosal nerve

Sensory nerve supply of middle ear cavity is provided by A. Facial nerve B. Glossopharyngeal nerve C. Vagus nerve D. Trigeminal nerve

The membranous labyrinth of Inner ear contains A. Cystolymph B. Otolymph C. Perilymph D. Endolymph

Velopharyngeal insufficiency causes: A. Hyponasality B. Hot potato voice C. Hypernasality D. Aphonia

Type C Tympanogram is characteristic of A. Middle ear fluid B. Negative middle ear pressure C. Otosclerosis D. Normal middle ear pressure

Perforation with irregular margins in the tympanic membrane is seen in A. Syphilis B. Cholesteatoma C. Trauma D. Tuberculous otitis media

The following is not true for Otosclerosis A. B type of curve is seen in Impedance audiometry B. Carhart's notch is seen in PTA C. Rinne's Test is Negative D. Schwartz sign is Positive

Transitional cell papilloma (Schnederian papilloma) of nose is normally associated with one of the following A. Transitional cell carcinoma B. Basal cell carcinoma C. Squamous cell carcinoma D. Adenocarcinoma

A female patient with diabetes presents with severe ear pain. On examination there is granulation tissue in the external auditory canal and LMN type of facial nerve palsy. What is the probable diagnosis? A. Mucormycosis B. Herpes zoster oticus C. Ramsay Hunt syndrome D. Malignant otitis externa

Promontory seen in middle ear is A. Jugular Bulb B. Basal turn of cochlea C. Semicircular Canal D. Head of Incus

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

In Laryngomalacia, Stridor subsides in A. Prone position B. Supine position C. Any lateral position D. Rose’s position

Hectic picket fence type of fever is seen in A. Lateral sinus thrombophlebitis B. Meningitis C. Brain abscess D. Subdural abscess

The following are the intra-temporal complications of Chronic suppurative Otitis media, except A. Lateral Sinus Thrombophlebitis B. Facial Nerve Palsy C. Labyrinthitis D. Mastoiditis

All of the following from the boundaries of Trautmann’s triangle EXCEPT A. Labyrinth B. Sigmoid sinus C. Superior petrosal Sinus D. Facial Nerve

Which of the following is not the component of Gradenigo’s triad : A. Involvement of Vth and VIth cranial nerve B. Persistent Otorrhea C. Palatal palsy D. Retro- orbital pain

Potato tumor of the nose is also know as A. Rodent ulcer of nose B. Epithelioma of nose C. Rhinophyma D. Inverted Papilloma

Mucocele most frequently affects the : A. Maxillary sinus B. Ethmoidal sinus C. Frontal sinus D. Sphenoidal sinus

Gradenigo triad is characterized by all EXCEPT A. Retroorbital pain B. Persistent discharge from the ear C. VII nerve involvement D. VI nerve involvement

Cold water entry into external auditory canal is associated with A. Osteoma B. Exostosis C. Ceruminoma D. Sebaceous adenoma

Earache following tonsillectomy is referred through which nerve? A. Glossopharyngeal B. Vagus C. Trigeminal D. Abducent

Young’s operation is done for A. Atrophic rhinitis B. Allergic rhinitis C. Vasomotor rhinitis D. Chronic rhinitis

Which of the following is not true regarding Eustachian tube A. Provides communication between middle ear and nasopharynx B. 36mm in length C. Lateral 1/3rd is bony and medial 2/3rd is cartilaginous D. Remains open at rest

Cricothyroid muscle is supplied by: A. Internal branch of Superior Laryngeal Nerve B. External branch of superior laryngeal nerve C. Recurrent laryngeal nerve D. Glossopharyngeal nerve

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

Kashima’s operation is done in A. Bilateral abductor paralysis B. Unilateral abductor paralysis C. Bilateral adductor paralysis D. Unilateral adductor paralysis

Mikulicz cells are seen in A. Rhinosporidiosis B. Rhinoscleroma C. Rhinophyma D. Atrophic rhinitis

The following are parts of the ethmoidal bone EXCEPT A. Inferior turbinate B. Middle turbinate C. Superior turbinate D. Perpendicular plate of ethmoid

Delphian node is other name for A. Para laryngeal lymph node B. Para tracheal lymph node C. Pre laryngeal lymph node D. Retro laryngeal lymph node

In Caldwell-Luc operation, entry into the maxillary sinus is made through A. Transethmoid approach B. Canine fossa C. Maxillary alveolus D. Middle meatus

Type 1 thyroplasty is for: A. Vocal cord medialization B. Vocal cord lateralization C. Vocal cord shortening D. Vocal cord lengthening

Mikulicz cells are seen in A. Rhinosporidosis B. Rhinoscleroma C. Lupus vulgaris D. Rhinocerebral mucormycosis

False negative Rinne test is seen in A. Unilateral Otosclerosis B. Ossicular fixation C. Severe unilateral sensory neural hearing loss D. Unilateral Otitis Media with Effusion

Vidian neurectomy is done in A. Allergic rhinitis B. Chronic sinusitis C. Acute sinusitis D. Vasomotor rhinitis

Which of the following is indicative of foreign body in Tracheo-bronchial tree in a child? A. History of coughing B. X-ray of chest with hyper inflated lung on one side C. X-ray of chest with unilateral atelectasis D. All of the above

Positive fistula test in the absence of fistula is A. Tulio’s phenomenon B. Hennebert’s sign C. Romberg’s sign D. Frenzel’s sign

Nasopharyngeal obstruction due to adenoids can lead to all EXCEPT A. Sinusitis B. Serous Otitis Media C. Cor pulmonale D. Proptosis

Narrowest part in respiratory tract in adult is: A. Trachea B. Glottis C. Carina D. None of above

Which of the following is not a hyaline cartilage? A. Epiglottis B. Thyroid C. Cricoid D. Arytenoid

‘Delta sign’ of Lateral Sinus Thrombosis on Contrast-enhanced CT scan is seen in A. Middle cranial fossa B. Sinus plate C. Sino Dural angle D. Posterior cranial fossa

Killians polyp is A. Ethmoidal polyp B. Antrochoanal polyp C. Sphenochoanal polyp D. Bleeding septal polyp

Type of epithelium lining the vocal cords is A. Columnar B. Stratified squamous C. Pseudo stratified ciliated columnar D. Cuboidal

Gutzmann’s pressure test is useful in the diagnosis of the following condition A. Glottic cancer B. Puberphonia C. Stuttering D. Rhinolalia aperta

Which one of the following arteries belongs to internal carotid system? A. Sphenopalatine B. Greater palatine C. Anterior ethmoid D. Nasopalatine

Tympanic plexus is derived from A. Arnold’s Nerve B. Jacobson’s Nerve C. Bell’s Nerve D. Gacek’s Nerve

Schwartz operation is A. Radical mastoidectomy B. Modified radical mastoidectomy C. Tympanoplasty D. Cortical mastoidectomy

Choanal atresia is seen due to persistence of A. Bucconasal membrane B. Buccopharyngeal membrane C. Pharyngobasilar membrane D. Both b & c

Frey’s syndrome is a complication of A. Mastoidectomy B. Tonsillectomy C. Laryngectomy D. Parotidectomy

Which of the following drugs is linked with Rhinitis medicamentosa A. Intra-nasal steroid spray B. Ipratropium bromide C. Xylometazoline D. Cocaine

Muscle which opens the Eustachian tube is A. Tensor veli palatini B. Superior constrictor C. Salphingopharyngeus D. Palatopharyngeus

Sensory nerve supply above the level of vocal cords is by A. Glossopharyngeal nerve B. Superior laryngeal nerve C. Recurrent laryngeal nerve D. Pharyngeal branch of vagus

Killian’s dehiscence is seen in: A. Oropharynx B. Nasopharynx C. Cricopharynx D. Vocal cords

Frey’s syndrome is due to A. Gustatory lacrimation B. Gustatory sweating C. Hemifacial spasm D. Blepharospasm

Beta-2 transferrin is a protein seen in A. CSF B. Perilymph C. Aqueous humour D. All of the above

Most common site of origin of carcinoma larynx is A. Glottis B. Subglottis C. Supraglottis D. Marginal zone

A 4 year old child presents with bleeding from the right side of the nose. His mother also gives history of foul smelling purulent discharge from the same side. The most likely diagnosis is A. Septal deviation with Right maxillary sinusitis B. Unilateral choanal atresia C. Antrochoanal polyp D. Foreign body

Mikulicz cells are seen in A. Rhinosporidiosis B. Rhinitis Sicca C. Rhinoscleroma D. Rhinitis caseosa

Hoarseness is the earliest symptom of carcinoma of A. Glottis B. Supra-glottis C. Subglottis D. Hypopharynx

Vidian neurectomy is done for A. Rhinitis Medicamentosa B. Excessive watery rhinorrhea C. Migraine D. Atropic Rhinitis

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

Care of Tracheostomized patient include all EXCEPT A. Humidification by wet gauze B. Tube change within 72 hrs C. Periodic deflation of the cuff D. Suctioning of the catheter only while withdrawing

The length of adult oesophagus is A. 22 cms B. 24 cms C. 25 cms D. 27 cms

Laryngocele arises from A. Vallecula B. Laryngeal saccule C. Laryngeal Vestibule D. Aryepiglottic fold

Dohlman’s procedure is done as a treatment for A. Hypopharyngeal diverticulum B. Obstructive sleep apnoea C. Foreign body Oesophagus D. Foreign body Bronchus

Steeple sign seen on x-ray Postero-anterior view of neck in a child with stridor is indicative of A. Acute epiglottitis B. Acute Laryngotracheobronchitis C. Laryngeal papillomatosis D. Bilateral abductor paralysis

The inner Waldeyer’s group of lymphatic structures DOES NOT include A. Submandibular lymph node B. Tonsil C. Lingual tonsil D. Adenoids

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. A 55 yrs old male patient presented with acute vertigo lasting few hours associated with vomiting, right sided ear block, tinnitus, and right sided fluctuating hearing loss. a. What is the diagnosis? b. Describe the aetiopathogenesis of this condition c. Discuss the investigation for diagnosing the above condition d. What are the various modalities of treatment?

A 25 year old male patient presents with fever and severe otalgia.ENT examination revealed displacement of the Pinna forwards and laterally, mastoid tenderness was present, creamy purulent discharge was seen in the external auditory canal. Sagging of the external auditory canal was evident. Tympanic membrane revealed a central perforation with lighthouse sign a) What is your diagnosis? b) Discuss the aetiopathology and clinical features c) Describe the necessary investigations d) How will you treat this patient?

Describe the anatomy of lateral wall of nose. Describe the types and management of nasal polyps.

A 14 year old boy presented to the ENT Out-patient with history of profuse, unprovoked bleeding from the right nasal cavity. Nasal endoscopy revealed a pink vascular mass in the nasopharynx. a) What is your diagnosis? b) Discuss the etiology and management of this condition

A 60 year old male patient presents with watery nasal discharge, sneezing and bilateral nasal obstruction since 6 months. On examination he is found to have multiple pale grape like masses filling both the nasal cavities. a) What is the likely diagnosis of this patient? b) Discuss the etiopathogenesis of this condition. c) Add a note on the medical and surgical management.

Classify and enumerate the complications of chronic suppurative otitis media. Discuss clinical features and management of Lateral Sinus Thrombosis.

Discuss in detail, etiology, clinical features and management of Meniere’s disease.

Discuss the etiopathogenesis, clinical features and management of Juvenile Nasopharyngeal Angiofibroma

A 14 year old boy presents to the ENT out-patient with complaints of inability to close the right eye and deviation of angle of mouth to left. He has history of foul smelling ear discharge from the right ear from the last 2 years and was advised to undergo ear surgery on ENT consultation in the past. On examination an attic perforation was seen in the right tympanic membrane. What is your diagnosis? List all the other complications that can occur in this disease. Discuss the management of this patient.

Describe Tracheostomy in detail – definition, types, function, indications, procedure, post-operative care and complications.

A 4 year old girl is brought to the emergency at midnight with complaints of severe pain in the right ear. The child has cold and fever since 2-3 days. No history of trauma. On examination the right tympanic membrane is congested and bulged. a. What is the most probable diagnosis? b. Describe the etiopathogenesis and stages of the condition. c. What is light house sign? d. Briefly discuss the investigation and treatment of above condition

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.

Describe the etiopathology, clinical features and management of allergic rhinitis.

A Male child 3 yrs of age presents with noisy breathing since 1 day. He has been having upper respiratory tract infection since 3 days, with high grade fever and pain on swallowing. Child was immunized upto age. X ray neck reveals thumb sign. a. What is the most likely diagnosis? b. Define stridor c. Mention two causes for stridor d. Discuss the treatment of this condition

A 45 year old female patient presents with a history of hoarseness of voice since 2 months. Indirect laryngoscopy showed the left vocal cord in a paramedian position on phonation with a phonatory gap a) What is your diagnosis? b) Describe the various causes for this condition c) What investigations will you order? d) How will you treat this patient?

Describe the etiology, pathology, clinical features and management of otosclerosis.

Describe the etiology, investigations and management of a patient presenting with acute respiratory distress and Stridor.

A 30 year old male patient gives history of scanty foul smelling left ear discharge since one year also associated with decreased hearing. On examination, he is found to have perforation in pars flaccida. a) What is the diagnosis of this patient? b) Describe the etiopathogenesis and theories associated with this condition. c) Briefly discuss the management. d) List out the complications he is likely to develop if un-treated.

Write a note on anatomy of nasal septum. Describe types of nasal septal deviation, clinical features and management of Deviated Nasal septum.

Describe the indications, procedure and complications of Tracheostomy.

Describe the pathogenesis, etiology, clinical features and management of Otitis Media with effusion

Describe the Aetiology, investigations and management of Epistaxis.

Write about epistaxis in detail – causes, sites, investigations and management.

A father brought his 9 year old son to the emergency, who had undergone tonsillectomy 5 days back with complaint that child had vomited out a large amount of blood 1 hour back. After that fresh blood was oozing from the tonsillar fossa covered by unhealthy slough. a. What is most probable diagnosis? b. Discuss complications of tonsillectomy with their causes. c. Write about management of the present case. d. What are the causes for white patch over tonsil with cardinal points for each?

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.

What is cholesteatoma? Describe briefly the etiopathogenesis and management of cholesteatoma.

Choanal atresia.

Vocal nodules

Myringotomy

Schwartz’s sign.

Adenoid facies

Eagle’s syndrome.

Vincent’s angina.

Fistula test.

Inverted papilloma

Plummer Vinson syndrome.

Ototoxicity.

Cottle’s test

Saddle nose

Septal perforation

Informed consent for Modified Radical Mastoidectomy.

Types of tympanoplasty.

Lupus vulgaris.

Rhinophyma.

Ramsay – Hunt syndrome.

Rhinitis medicamentosa.

Reinke’s edema.

Laryngomalacia.

Waldeyer’s ring.

Reactionary hemorrhage after Tonsillectomy

Impedance matching mechanism of middle ear.

Rhinitis caseosa.

Water’s view x-ray.

Croup

Juvenile Laryngeal papilloma.

Clinical features and treatment of Laryngomalacia

Techniques of Myringoplasty.

Cavernous sinus thrombosis.

Laryngocoele

Oral submucus fibrosis.

Three causes of Facial nerve palsy

Theories of Hearing.

Vocal Polyp

Consent for Tracheostomy.

Traumatic perforation of Tympanic membrane.

Treatment of Otosclerosis.

Rhinolalia Aperta.

Tympanic membrane

Fracture nasal bones.

Facial recess

Petrositis

Oroantral fistula

Interpretation of Rinne’s test.

Name the common organisms causing ASOM.

Tracheostomy.

Unpaired cartilages of the larynx.

Otalgia

Nasal bone fracture.

Cardinal symptoms of Meniere’s disease.

Weber’s test.

Otomycosis.

Caloric test and its significance.

Surgeries for Atrophic Rhinitis.

Achalasia Cardia

Secondary Acquired Cholesteatoma.

Lermoyez syndrome

Tuning fork test

Cholesteatoma.

Carhart’s notch

Draw neat labelled diagram of the right Tympanic membrane.

Causes of Tinnitus.

Kaposi Sarcoma.

Pure tone and impedance Audiometry findings in Otosclerosis.

Keratosis tonsil

Osteo-meatal complex.

Puberphonia

Mc Evan’s triangle.

Septal Hematoma.

Types of Nasal bone fracture.

Draw a labelled diagram of indirect laryngoscopy.

Strictures of oesophagus

Rhinolith.

Perichondritis Pinna.

Oro-antral fistula

Topodiagnostic tests for facial nerve.

Enumerate the causes of fluctuating hearing loss.

Mucociliary mechanism.

Acute Necrotising Otitis Media.

Little’s area

Premalignant condition of larynx

Causes of Vertigo.

Blood supply of adenoids

Pre auricular sinus.

Pharyngeal pouch.

Vocal cord nodule.

Singer’s nodule.

Counselling for cochlear implant

Tympanogram

Counselling of a patient for tracheostomy

Antro Choanal polyp

Otomycosis externa.

Gradenigo’s Syndrome

Name the muscles of the middle ear, describe functions.

Management of acute tonsillitis

Heimlich manoeuvre

Posterior Rhinoscopy

Tympanosclerosis

Nasal myiasis

Elongated styloid process

Nerve supply of external ear