Supplementary MBBS III (Third) Professional Examination 2011-12

Course Code:MBS303 Paper ID: S313108

ENT

Time: 2 Hours 40 Minutes Max Marks: 30

Note: Attempt all questions. Draw proper diagrams to support your answer.

Part ‘B’

1. Describe the causes of epistaxis, investigation and management. (5)

2. Describe Acute tonsillitis, clinical feature, differential diagnosis and its management. (5)

3. Write short notes on the following:

a) Woodruff’s venous plexus (2)

b) Quinsy (3)

Part ‘C’

1. Describe cholesteatoma, clinical feature, investigation and treatment. (5)

2. Describe Meineire’s disease, clinical feature, differential diagnosis and treatment. (5)

3. Write short notes on:

a) Presbycusis (2)

b) Nystagmus (3)

Supplementary MBBS III (Third) Professional Examination 2011-12

Roll No. Student’s Name

Student’s Signature Invigilator’s Signature

Course Code:MBS303 Paper ID: S313108

ENT

Part ‘A’

Time: 20 Minutes Max Marks: 10

Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 20 Minutes.

2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed.

3. For answering please use Ball- pen only.

Q.1 Wax in the ear is produced by:

a) Ceruminous gland in the canal

b) Hair follicles in the canal

c) Tympanic membrane

d) Middle ear cavity

Q.2 The pinna is formed by:

a) Multiple cartilages

b) Two cartilages one each for pinna & canal

c) Single cartilage

d) Four different cartilages

Q.3 The Rinnes tuning fork test is designed:

a) Unilateral sensorineural hearing loss

b) It is perfomed by occluding the ear canal

c) It is performed for sensorineural hearing loss

d) It compares the air conduction with the bone conduction.

Q.4 Furunculosis of the ear:

a) Infection of the deep part of ear canal

b) Malignant otitis externa

c) Infection of root of hair follicle in the lateral part of canal

d) Infection of the tympanic membrane

Q.5 Malignant otitis externa:

a) Pain, discharge & edema of the canal

b) Otorrhea, diabetes, pain and presence of pseudomonas aeroginosa

c) Pain, otorrhea & granulation in canal

d) Otorrhea, granulation & cholesteatoma

Q.6 Granular myringitis is diagnosed by:

a) Granulation in the middle ear

b) Perforation of tympanic membrane

c) Granulation on the lateral aspect of tympanic membrane

d) Granulation at the base of hair follicles

Q.7 Otitis media with effusion in children is diagnosed on otoscopy:

a) Pearly gray, transparent with light reflex tympanum

b) Bulging of tympanic membrane

c) Intensely red tympanum

d) Perforation of tympanic membrane

Q.8 Wax removal from ear requires:

a) Instillation of antibiotics ear drops

b) Instillation of antifungal ear drops

c) Syringing of ear

d) Instillation of softening agent followed by syringing

Q.9 Otomycosis is treated by:

a) Softening agent

b) Antibiotics ear drops

c) Antifungal ear drops

d) Injectible broad spectrum antibiotics

Q.10 The Weber test is applicable if the patient has:

a) It compares the air and bone conduction

P.T.O

b) Unilateral or asymmetrical hearing loss

c) It is performed by occluding the canal

d) Performed for sensorineural hearing loss

Q.11 Exostosis of the external ear canal:

a) Malignant growth of periosteal bone

b) Smooth, sessile, hemispherical benign growth of periosteal bone in the canal

c) Malignant growth of canal

d) Benign growth of middle ear

Q.12 Acute otitis media in adult on otoscopy:

a) Pearl gray, transparent with light reflex tympanum

b) Intensely red tympanum

c) Bulging of tympanum

d) Presence of choleteatoma

Q.13 The most common cause of septal abcess in children:

a) Septal haematoma

b) Septal fracture

c) Atrophic rhinitis

d) Chronic rhnosinusitis

Q.14 Woodruff’s plexus, a frequent site of epistaxis in adults is located:

a) Frontal recess

b) Antero inferior part of septum

c) Inferior to the posterior end of inferior turbinate

d) Inferior meatus

Q.15 The hiatus semilunaris in the nose:

a) Below the inferior turbinate

b) Between uncinate process & ethmoid bulla

c) Between the superior & middle turbinate

d) Between upper & lower lateral carlilage

Q.16 The most constant feature in middle meatus:

a) Aggar nasi

b) Bulla ethmoidalis

c) Limen vestibule

d) Sphenoethmoidal recess

Q.17 The nose (interior) has got a number of muscles which in human being:

a) Functional b) Non functional

c) Vestigeal d) None of them

Q.18 Sensory supply of the skin of external nose:

a) Facial nerve

b) Trigeminal ophthalamic & maxillary nerve

c) Sphenopalatine nerve

d) Nasopalatine nerve

Q.19 Sphenoethmoidal area in the nose:

a) Medial to superior turbinate in the region of sphenoid

b) Medial to middle turbinate in the region of sphenoid

c) Medial to inferior turbinate

d) Between the superior & middle turbinate

Q.20 Congenital nasal syphilis is:

a) Secondary atrophic rhinitis and sinking of nasal bridge

b) Sneezing, itching & running of nose

c) Nasal obstruction & anosmia

d) Loosening of tooth, pain & epistaxis