FINAL EXAM NATIONAL BOARD OF EXAMINATIONS FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

JUNE 2017 JUNE 2017

OTORHINOLARYNGOLOGY
OTORHINOLARYNGOLOGY
PAPER – I
ENT/J/17/28/I PAPER – I
Time : 3 hours
Max. Marks : 100 9. a) Define tinnitus. 1+3+3+3
b) Pathophysiology of tinnitus.
Important instructions:
c) How would you manage such a case?
• Attempt all questions in order. d) Tinnitus Retraining Therapy.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly. 10. Using suitable examples/illustrations, describe the following: 4+2+2+2
• Do not leave any blank pages between two answers. a) Pure tone audiograms
• Indicate the question number correctly for the answer in the margin space. b) ABLB test
• Answer all the parts of a single question together. c) SISI
• Start the answer to a question on a fresh page or leave adequate space between two answers. d) Tone decay test
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

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1. a) Developmental anatomy of tympanic cavity. 5+3+2
b) Boundaries of Prussack’s space.
c) What are the various routes through which epitympanic
cholesteatoma extent through this space?
2. a) Principles of impedence audiometry. 3+3+4
b) Stapedial reflex pathway.
c) Clinical applications of impedence audiometry.

3. a) List various landmarks for identification of facial nerve in parotid 5+5

surgery.
b) How would you monitor facial nerve during parotid surgery?

4. a) Draw a labeled diagram of Organ of Corti. 3+3+4

b) Function of outer hair cells.
c) Otoacoustic emissions.

5. a) Enumerate the various extracranial abscesses in relation to 2+(3+5)

temporal bone.
b) Clinical features and management of acute mastoiditis.

6. a) How do you define sensitivity and specificity of a test? 5+5

b) Describe the most sensitive and most specific test in two clinical
conditions in ENT.

7. a) What are problems of mastoid cavity? 4+6

b) Indications and material used to obliterate mastoid cavity.

8. a) Surgical anatomy of internal auditory canal. 4+6

b) Various surgical approaches to internal auditory canal.

P.T.O.

-1- -2-
POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL. EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017 JUNE 2017
OTORHINOLARYNGOLOGY OTORHINOLARYNGOLOGY
PAPER – II PAPER – III
ENT/J/17/28/II ENT/J/17/28/III
Time : 3 hours Time : 3 hours
Max. Marks : 100 Max. Marks : 100
Important instructions: Important instructions:
• Attempt all questions in order. • Attempt all questions in order.
• Each question carries 10 marks. • Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly. • Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers. • Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space. • Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together. • Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers. • Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate. • Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on: Write short notes on:

1. a) Surgical anatomy of submandibular gland. 4+2+4 1. a) Surgical anatomy of pharyngeal constrictors. 4+(2+2+2)
b) What are various clinical conditions in whch it is enlarged? b) Indications, procedure and complications of cricopharyngeal
c) How would you manage stone in submandibular gland? myotomy.

2. a) Enumerate the muscles of mastication, with their surgical anatomy. 6+4 2. a) How will you assess a patient with a voice disorder? 4+6
b) What are ENT causes of trismus? b) Indications and procedure of medialisation thyroplasty.

3. a) Classify the flaps used in reconstructive surgery. 3+(4+3) 3. a) What is laryngopharyngeal reflux disease? 3+(4+3)
b) Pectoralis major myocutaneous flap and radial forearm free flap. b) Clinical manifestations and treatment of laryngopharyngeal reflux
disease.
4. a) Indications of diagnostic nasal endoscopy. 5+5
b) Preparation of nose before diagnostic nasal endoscopy. 4. a) Enumerate the types and techniques of tracheostomy. (3+3)+4
b) Complications of tracheostomy.
5. a) Causes of facial pain. 4+(3+3)
b) How would you investigate and manage a case of trigeminal 5. a) What is alaryngeal speech? 2+8
neuralgia? b) Various techniques of voice rehabilatation after total laryngectomy
with their advantages and disadvantages.
6. a) What is the principle of stroboscopy? 5+5
b) What are the various parameters which are measured/assessed 6. a) What are the various phases of deglutition? 2+8
during the procedure? b) Oesophageal mobility disorders and their management.
7. a) Etiology of sinonasal malignancy. 4+3+3 7. a) Etiopathogenesis and clinical features of Juvenile Recurrent (2+2)+6
b) What are clinical features of squamous cell carcinoma of maxilla? Respiatory Papillomatosis.
c) Guidelines to manage such a case. b) Management of Juvenile Recurrent Respiratory Papillomatosis
including recent advances.
8. Epidemiology, clinical features and factors affecting treatment of cancer 2+3+5
of lower lip. 8. a) How does a patient with inhaled foreign body present clinically? 4+(3+3)
b) How you will remove a foreign body from airway and how such
9. a) Physiology of deglutition. 6+(2+2) patients are anaesthetised?
b) Causes of dysphagia in oral cavity and oropharynx.
9. Principle, types and outcomes of conservation laryngeal surgery. 3+4+3
10. a) Boundaries, contents and communications of ptergopalatine fossa. 6+4
b) What are various surgical approaches to this area? 10. a) What is Reinke’s edema? 3+(3+4)
b) Grading of disease and principles of surgery.
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POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL. EXAMINATION HALL.