COLLEGE OF MEDICAL SCIENCES, TEACHING HOSPITAL BHARATPUR, CHITWAN

2018
Name :................................................................................................Roll No:............... ................................... Code : 2
Level: MBBS (VII semester) Exam: Send up
Subject: ENT
Time : 30 min
Date: 17. 05.2018 Full mark: 30
Section ‘A’
Multiple Choice Questions
Four alternatives are given for each question. You are required to fill the most appropriate numbered circle completely in
Section “A” of the given OMR. Return this question paper along with OMR.

1. A young patient is having severe nose bleeding . On examination he has multiple bleeding spots on nasal septum. He also
has multiple telangectasia on tongue. His father also had similar problem the cause of his bleeding is:
a. Idiopathic varicosities
b. Nasal picking
c. Osteler-Weber-Rendu syndrome
d. Liver cirrhosis
2. Positive Jaffroy sign in Grave`s disease refers to:
a. Stare look
b. Lid lag
c. Absent of wrinkling over forehead
d. Lid retraction
3. These are the different models of BAHA available, except:
a. BAHA Cordell
b. BP 100
c. BAHA Intenso
d. BAHA Retrox
4. Earliest sign seen in Acoustic neuroma is:
a. Facial weakness
b. Deafness
c. Reduced corneal reflex
d. Dysmetria
5. Collar stud abscess is seen in:
a. Pyogenic cervical abscess
b.Peritonsillar abscess
c.Retropharyngeal abscess
d.TB lymphadenitis
6. Patient's position for bronchoscopy is called:
a. Rose position
b. Boyce position
c. Killian position
d. Reverse killian position
7. Following normal constrictions are normally present in esophagus , are all except:
a.10 cm from the incisor teeth
b.15 cm from the incisor teeth
c.25 cm from the incisor teeth
d.40 cm from the incisor teeth
8. CSF Rhinorrhoea is diagnosed by
a. Beta 2 microglobulin
b.Beta 2 transferrin
c.Thyroglobulin
d. Trans-thyretin
9. Which of the following would be the most appropriate treatment for rehabilitation of a patient, who has bilateral
profound deafness following surgery for bilateral acoustic schwannoma?
a. Bilateral high power hearing aid
b. Bilateral cochlear implants
c. Unilateral cochlear implant
d. Brain stem implant
10. All are true regarding EosinophilicOesophagitis, except:
a. Intra epithelial infiltration is pathognomic
b. It can occur at any age
c. Commonly present as GERD like syndrome
d. Common in males
11. Openings on the side of the tube of Bronchoscope is known as:
a.Holes
b. Apertures
c. Vents
d. None of the above
12. Rehabilitation of the patients for voice after laryngectomy includes all, except:
a.Tracheostomy tube with a speaking valve
b. Electrolarynx
c. Tracheo-oesophagealpuncture and voice prosthesis
d. Oesophageal voice
13. Which cranial nerve lies in cavernous sinus as lateral relation of sphenoid sinus?
a. Trochlear nerve
b. Vidian nerve
c. Sphenoplatine nerve
d. Mandibular nerve
14. Characteristics of branchial fistula of second arch include all, except:
a. Passes superficial to XII nerve
b. Passes deep to external carotid artery
c. Passes deep to internal carotid artery
d. Internal opening lies in tonsillar fossa
15. To cause cell death in cryosurgery, temperature should, at least, reach to:
a. -15oC
b. -30oC
c. -45oC
d. -60oC
16. Cochlear implant electrodes are placed in :
a. Scalaveatibuli
b. Scala tympani
c. Cochlear duct
d. Endolymphatic duct
17. All are local flaps for lip reconstruction, except.
a. Abbe Estlander flap
b. Karapandzic flap
c. Gillies fan flaps
d. Deltopectrol flap
18. All of the following structures are removed in radical neck dissection, except:
a. All lymph nodes with internal jugular
b. Sternocledomastoid
c. Thoracic duct
d. Lingual nerve
19. Verne’s syndrome is a involvement of cranial nerves:
a. IX, X, XI
b. IX, X, XI, XII
c. X, XII
d. X IX, XII
20. In the oesophageal speech the dynamic segment is:
a. Bucco pharyngeal segment
b. Tracheooesophageal segment
c. Pharyngooesophageal segment
d. Pharynx
21. Which focal length in the objective piece of microscope is commonly used for ear surgery?
a. 100 mm
b. 250 mm
c. 300 mm
d. 350 mm
22. Destruction of right vestibular labyrinth causes nystagmus to:
a. Right nystagmus
b. Left nystagmus
c. Rotatory nystagmus
d. No nystagmus
23. Androphonia can be corrected by:
a. Type I thyroplasty
b. Type II thyroplasty
c. Type III thyroplasty
d. Type IV thyroplasty
24. A 50 year old male chronic smoker complains of hoarseness of voice for 4 months Biopsy reveals Keratosis of Vocal
Cord. All of the following are suggested for treatment, except:
a. Laser vaporization
b. Quit smoking
c. Stripping of Vocal cord
d. Cordectomy
25. Most common cause of congenital laryngeal strider is:
a. Laryngeal web
b.Congenital subglottis stenosis
c. Laryngeal cyst of congenital origin
d. Laryngomalacia
26. BAHA depends on theory of:
a. Osseointegration
b. Osseo disintegration
c. Osteogenesis
d. Osteodegeneration
27. A 25 years old female presents with left sided throbbing headache for 3 years. On examination in temporal region bead
like appearance is felt. Lab investigation showed raised ESR. What is the most possible diagnosis?
a. Temporal arthritis
b. Migraine
c. Gloss pharyngeal neuralgia
d. Cluster headache.
28. A patient with Pancoast`stumour, develops loss of voice after radiation. It is due to:
a. Vocal card infiltration with secondaries
b. Irradiation of vocal cards
c. Involvement of recurrent laryngeal nerve
d. Radiation stenos is of larynx
29. Treatment of choice in stage III carcinoma larynx is:
a. Surgery + Radiation
b. Radiotherapy
c. Surgery + Chemotherapy
d. Chemotherapy
30. Laryngeal stridulus isseen in
a. Hypercalcemia
b. Metabolic acidosis
c. Malnutrition
d. All of above
 COLLEGE OF MEDICAL SCIENCES, TEACHING HOSPITAL BHARATPUR

2018

Level: MBBS (VII semester) Exam: Send up

Subject: ENT
Time : 2 hr 30 mins.
Date: 17.05.2018 Full mark: 50
INSTRUCTION TO THE CANDIDATE

 Write brief, relevant and legible answers.

 Illustrate your answer with well labeled diagrams wherever required.
 All questions are compulsory.
...................................................................................................................................................................................... ..........
Section 'B'
Short Answer Questions [6x5=30]
1. Write short notes on [1+2+2=5]
a. Recruitment test
b. Theories of hearing
c. Stapedial reflex
2. State the etiology, clinical features and management of otosclerosis. [2+1+2=5]
3. State the etiology and spread of angiofibroma. [2.5+2.5=5]
4. Enlist the Classification of sinonasal tumors. Write short note on inverted papilloma. [2.5+2.5=5]
5. Mention the Complications of. [2.5+2.5=5]
a. Tracheotomy
b. Tonsillectomy
6. Write in brief the Management of bilateral abductor palsy. [5]
Section 'C'
Problem Based Question [2x10=20]

Problem –I
1. A 50 year old patient came to ENT OPD with chief complaints of progressive hearing loss and tinnitus for last 1 year. He
is also having difficulty in understanding the speech and facial hypoesthesia. [1+3+6=10]
a. Write down the most probable diagnosis. [1]
b. Etiology of this condition. [3]
c. Clinical features and management of this condition. [3+3]

Problem –II
2. A 30 year old patient is a known case of type 1 diabetes mellitus. Since last 3 days the patient is having fever, restricted
mouth opening and difficulty in swallowing. On oral cavity examination, there was medial displacement of lateral
pharyngeal wall and tonsil on right side. The uvula was in central position. [1+3+3+3=10]
a. Write down the most probable diagnosis. [1]
b. Draw well labelled diagram of different neck triangle. [3]
c. Write classification of head and neck abscess. [3]
d. Write the classification of cervical lymph nodes. [3]
Key to M.C.Q
1 [C] 2 [C] 3 [C] 4[D] 5[C] 6[D]

7 [B] 8 [A] 9[B] 10[D] 11 [A] 12 [C]

13 [A] 14 [A] 15 [C] 16 [B] 17 [B] 18 [D]

19 [D] 20 [A] 21 [C] 22 [B] 23 [B] 24 [D]

25 [D] 26 [D] 27 [A] 28 [A] 29 [C] 30 [A]