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

JUNE 2019 JUNE 2019

OTORHINOLARYNGOLOGY OTORHINOLARYNGOLOGY
PAPER – I PAPER-II
Time: 3 hours ENT/J/19/28/II
Time: 3 hours ENT/J/19/28/I 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 repair of septal perforations. 5+5
1. a) Embryological development of Otic Labyrinth. 3+4+3
b) What are the factors influencing the various surgical approaches to
b) Anatomy of Jugular foramen & its surgical importance.
frontal sinus?
c) Anatomy of Dorello’s canal and etiopathogenesis of the
syndrome associated with it. 2. a) Nasal resistance and how it is measured. 3+4+3
b) Describe defense mechanism of the nasal mucosa.
2. Clinical features, differential diagnosis and current therapy of 3+4+3 c) Pregnancy induced rhinitis (PIR).
Benign Paroxysmal Positional Vertigo (BPPV).
3. a) Embryological development of nose and paranasal sinuses. 5+5
3. Describe the various options to make fenestra during stapes 5+5 b) Surgical anatomy of uncinate process.
surgery and various prostheses being used with the method of
placement. 4. a) Describe endoscopic reconstruction options after hypophysectomy & 7+3
supra sellar masses excision.
4. a) What are the benefits of bilateral cochlear implantation? 4+3+3
b) Rheumatological criteria for the classification of Wegener’s
b) Indications of cochlear implantation in adults.
granulomatosis.
c) Recent developments in Auditory Brainstem Implants.
5. Clinical features, investigations and surgical strategy for a case of 2+3+5
5. Describe the approach to the endolymphatic sac, labyrinthectomy 4+3+3 inverted papilloma.
and trans-labyrinthine exposure of the internal auditory canal.

6. a) Write a brief note on Oto-endoscopy. What are the advantages (3+4)+3 6. a) Ergonomic setup of patient, surgeon, instruments and other staff 7+3
and disadvantages of it? members for FESS surgery.
b) Management of active squamous chronic otitis media. b) How to up-keep nasal endoscopes?

7. a) High pressure nervous syndrome in relation to diving. 4+(3+3) 7. a) Complications in revision endoscopic sinus surgery for nasal 5+5
b) Prevention & management of middle ear barotrauma. polyposis.
b) Precautions, steps and techniques you can use to prevent them.
8. Describe minimally invasive second-look combined approach 10
tympanoplasty, and newer applications & innovations. 8. a) Treatment for allergic rhinitis in children. 5+5
b) Role of immunotherapy in adults and children.
9. a) Topodiagnostic evaluation of facial nerve palsy. 6+4
b) Vestibular-Evoked Myogenic Potentials. 9. Clinical features, investigations and management of a case of salivary 3+3+4
gland tumour de-novo in paraphyaryngeal space.
10. a) What are various factors for choosing topic for research? 4+3+3
b) What is correlation coefficient? 10. a) What are causes of bilateral hypertrophy of inferior turbinate? 5+5
c) What is impact factor? b) What are surgical options to manage such cases and their
***************** complications?
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2019 JUNE 2019
OTORHINOLARYNGOLOGY
OTORHINOLARYNGOLOGY PAPER – IV
PAPER – III
Time: 3 hours ENT/J/19/28/III Time: 3 hours ENT/J/19/28/IV
Max. Marks:100 Max. Marks:100
me : 3 ho Time hours s : 100
MA 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) Role of induction chemotherapy in Head & Neck Squamous Cell 5+5
Carcinoma(HNSCC). 1. a) Describe various methods of wound closure. 5+5
b) Describe various molecular factors for alteration in HNSCC. b) Describe complications and their prevention following
radical neck dissection.
2. a) How will you do swallowing assessments in a case of dysphagia in 5+5
2. Describe the anatomy, indications and procedure of raising the 10
head and neck cancer patient?
pectoralis myocutaneous flap for oral cavity tumours.
b) Describe Videofluorosopy.

3. Indications, surgical techniques and complications of pediatric 4+3+3 3. a) How would you investigate a case of anosmia? 4+6
bronchoscopy. b) Describe the effects of the various environmental pollutants
on the respiratory tract.
4. a) Classify the traumatic injuries of mid-face. 5+5 4. Describe various endoscopic approaches to thyroid gland. 4+(3+3)
b) How would you assess and investigate such a case who is Discuss indications and problems with these approaches.
intubated in ICU?
5. a) Medical & surgical options for obstructive sleep apnea 5+5
5. a) Differential diagnosis of ulcer on lateral border of tongue in a 50- 5+5 (OSA).
year-old male. b) Role of botulinum toxin in OSA.
b) Role of neck dissection in T1 and T2 malignancy of oral cavity.
6. a) What are cystic masses in lateral neck in infants? 5+5
6. Clinical features, investigations, treatment options and surgical 2+3+2+3 b) How would you investigate and treat cystic hygroma in
technique in a case of carotid body tumour. infants?
7. a) What are indications and contraindications of transoral endoscopic 5+5 7. a) Procedure to take consent in surgical cases. 5+5
laser resection of glottic carcinoma? b) How would you take care of a dying patient?
b) Describe the same procedure and its complications.
8. a) Various surgical modalities for tonsillectomy. 5+5
8. a) Various options for removal of submandibular duct stone. 5+5 b) Mechanism and uses of coblation in otolaryngology.
b) Complications of sialo-endoscopy.
9. a) Describe various landmarks for facial nerve during 5+5
9. a) Presentation, investigation and management of a button battery 6+4 superficial parotidectomy.
foreign body in esophagus in a child. b) Various options available intraoperatively in case facial
b) What are complications of such a foreign body? nerve injury occurs.

10. a) Clinical features and investigations for adenoid hypertrophy. 5+5 10. How to classify and treat frontoethmoidal mucocoeles? How (3+5)+2
b) Non-surgical treatment options for such cases. we can prevent its recurrence?

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL