ENT Module

th
4 Year MBBS

KMU (IHPER)- Central Curriculum Committee 1

 Table of Contents
Khyber Medical University (KMU) Vision: ................................................................................................................................................................. 3
Khyber Medical University (KMU) Mission: .............................................................................................................................................................. 3
Institute of Health Professions Education & Research (IHPER) Mission: .................................................................................................................. 3
Teaching Hours Allocation ............................................................................................................................................................................................ 4
Learning Objectives ...................................................................................................................................................................................................... 5
Theme I – Sore Throat .............................................................................................................................................................................................. 8
Theme II - Difficulty in Swallowing .......................................................................................................................................................................... 10
Theme III - Hoarseness & Stridor ............................................................................................................................................................................ 11
Theme IV - Deafness, Ear Discharge & Dizziness .................................................................................................................................................... 14
Theme V - Nasal Obstruction .................................................................................................................................................................................. 17
Theme VI - Neck Swelling........................................................................................................................................................................................ 21
Clinical Schedule ..................................................................................................................................................................................................... 22
Table 8 : Theme I - Foundation of Otorhinolaryngology & Head and Neck ........................................................................................................ 22
Table 9 : Theme II - Sore Throat .......................................................................................................................................................................... 23
Table 10 : Theme III - Difficulty in Swallowing .................................................................................................................................................... 24
Table 11 : Theme IV - Hoarseness and Stridor .................................................................................................................................................... 25
Table 12 : Theme V - Deafness, Ear Discharge & Dizziness ................................................................................................................................. 27
Table 13 : Theme VI - Nasal Obstruction ............................................................................................................................................................ 28
Table 14 : Theme VII - Swelling Neck .................................................................................................................................................................. 30
Learning Resources ..................................................................................................................................................................................................... 31
Assessment Plan – 4th Year MBBS ............................................................................................................................................................................... 33
Assessment Blueprints ................................................................................................................................................................................................ 35

KMU (IHPER)- Central Curriculum Committee 2

Khyber Medical University (KMU) Vision:
Khyber Medical University will be the global leader in health sciences academics and
research for efficient and compassionate health care.

Khyber Medical University (KMU) Mission:

Khyber Medical University aims to promote professional competence through
learning and innovation for providing comprehensive quality health care to the nation.

Institute of Health Professions Education & Research (IHPER) Mission:

To produce leaders, innovators and researchers in health professions education who
can apply global knowledge to resolve local issues.

KMU (IHPER)- Central Curriculum Committee 3

 Teaching Hours Allocation
Table 1: Themes & Hours Allocation

Total In class teaching Clinical

Themes
Hours (Hours) (Hours)
Theme 01: Foundation of Otorhinolaryngology & Head and 11 --- 11
Neck

Theme 02: Sore Throat 21 15 06

Theme 03: Difficulty in Swallowing 09 05 04

Theme 04: Hoarseness & Stridor 36 19 17

Theme 05: Deafness, Ear Discharge & Dizziness 27 19 08

Theme 06: Nasal Obstruction 29 19 10

Theme 07: Swelling Neck 14 06 08

Total 147 83 64

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 Learning Objectives
By the end of ENT Module, 4th year MBBS students will be able to:
1. Describe the anatomy and physiology of Ear, Nose, Throat & Neck.
2. Obtain appropriate history, examine Ear, Nose, oral cavity, pharynx, larynx and Neck including mirror
examinations and functional examinations of these areas.
3. Describe benign and malignant tumors involving the ENT and Head & Neck.
4. Assist in diagnostic procedures and take swab for culture and sensitivity from ear, Nose & throat under supervision.
5. Prescribe hematological investigations, x-ray paranasal sinuses, CT/MRI scan of paranasal sinuses, temporal bone
and Head & Neck & interpret it.
6. Perform clinical tests of hearing, tuning fork tests and balance independently
7. Interpret pure tone audiogram & tympanogram.
8. Describe the ABC protocol for resuscitation of traumatic patients.
9. Discuss differential diagnosis of membrane on the tonsils and describe diphtheria.
10. Describe sialadenitis, sialolithiasis and enumerate the benign and malignant salivary tumors.
11. Discuss a treatment plan for the patients with various common diseases of the ENT and Head and Neck region.
12. Describe dysphagia and its causes, Plummer-Vinson Syndrome and malignant tumors of hypopharynx that could
lead to dysphagia and hoarseness along with their management.
13. Describe the management of corrosive ingestion and foreign body in the esophagus.
14. Describe various congenital and acquired disorders of the ENT and Head & Neck region.

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15. Describe the significance of hoarseness and stridor & enumerate their causes and clinical features of respiratory
obstruction.
16. Differentiate clinically between various types of stridor and possible site of obstruction.
17. Describe tracheostomy and indications for this procedure.
18. Describe squamous cell carcinoma of the larynx and the impact of stage of disease on management and survival
of patient.
19. Explain the mutual association of hearing and balance disorders & the various conditions that give rise to these
disorders.
20. Describe the clinical features and course of otosclerosis, Meniere’s disease, vestibular neuronitis & BPPV.
21. Diagnose suppurative otitis media & describe its intracranial and extra cranial complications.
22. Describe the ‘rehabilitation of deaf and mute child’ and the impact of hearing impairment in children.
23. Describe rhinosinusitis, its various types of rhino-sinusitis and its complications.
24. Describe the diseases of the nasal septum & define DNS and enumerate its various types.
25. Describe the pathophysiology, types, and management of Sino nasal polyposis.
26. Enumerate various conditions resulting in nasal obstruction & discharge.
27. Describe various types of allergic & non-allergic rhino-sinusitis.
28. Enumerate fungal and other granulomatous diseases of the nose & paranasal sinuses and describe their
management.
29. Categorize various conditions benign & malignant neoplasms of the nose & paranasal sinuses.
30. Classify various types of neck swellings and describe clinical differentiating features of benign & malignant neck
masses.

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31. Describe a classification of various lymph nodes levels in the neck and describe the lymphatic drainage of the head
and neck.
32. Obtain informed consent from patient and communicate with the patients, their families and community regarding
diseases & its relevant issues.
33. Describe the anatomy and physiology of salivary glands
34. Describe benign & malignant diseases of the salivary glands

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Theme I – Sore Throat
Table 1: Sore Throat
TOPIC HOURS LEARNING OBJECTIVES
2 hours 1. Discuss the anatomy of oral cavity and site
classification of oral cavity.
2. Discuss applied anatomy of pharynx &
mechanism of deglutition
Anatomy & physiology of oral cavity, 3. Discuss applied anatomy of nasopharynx and
Pharynx & salivary glands anatomy and physiology of adenoids
4. Discuss applied anatomy of oropharynx and
anatomy and physiology of pharyngeal tonsils
5. Discuss the anatomy of minor and major salivary
glands
1 hour 6. Discuss classification, types, aetiology, clinical
Acute Pharyngitis features, diagnosis and treatment of acute
pharyngitis
1 hour 7. Discuss classification, types, aetiology, clinical
Chronic Pharyngitis features, diagnosis and treatment of chronic
pharyngitis

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 1 hour 8. Discuss classification, types, aetiology, clinical
features, diagnosis and treatment of acute
Acute Tonsillitis/ Peritonsillar abscess
tonsillitis
(Quinsy)
9. Discuss the aetiology, clinical features and
treatment of quinsy
1 hour 10. Discuss classification, types, aetiology, clinical
Chronic Tonsillitis features, diagnosis and treatment of chronic
tonsillitis
1 hours 11. Enumerate differential diagnosis of oral ulcers
Oral ulceration
and discuss management of Aphthous ulcers
1 hour 12. Discuss the principles of soft tissue & bone
Trauma to the palate and Oropharynx
repair in palatal and pharyngeal trauma.
1 hour 13. Discuss the aetiology , clinical features and
Carcinoma of oral cavity
treatment of oral carcinoma
1 hour 14. Enumerate differentials of sore throat and
Approach to a patient with sore throat
discuss important differentiating points
1 hour 15. Describe the anatomy & physiology of parotid,
Anatomy & physiology of salivary
submandibular, sublingual & minor salivary
glands
glands
Non neoplastic disorders of the salivary 1 hour 16. Describe non neoplastic disorders of salivary
glands glands, its management and treatment

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 1 hour 17. Describe stone formation and stasis of secretions
Sialolithiasis and sialectasis
in the salary glands and its management
1 hour 18. Describe the features, course and management
Neoplasm of salivary glands of benign and malignant, submandibular,
sublingual and minor salivary glands
Complications of salivary gland 1 hour 19. Describe in detail different surgical procedures
surgeries of salivary glands and its complications

Theme II - Difficulty in Swallowing

Table 2 : Difficulty in Swallowing

TOPIC HOURS LEARNING OBJECTIVES
1 hour 20. Discuss Dysphagia & the anatomy and physiology
Dysphagia
of Esophagus and the appropriate medical and
&
surgical treatment of dysphagia.
Plummer Vinson Syndrome
21. Discuss PVS & the predisposing factors for
causation & management
Pharyngeal and esophageal 1 hour 22. Discuss Pharyngeal pouch & the predisposing
Pouches factors, clinical features, and treatment.

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 1 hour 23. Enumerate oropharyngeal tumors.
Oropharyngeal Tumors Discuss the types, aetiology and treatment of
oropharyngeal carcinoma.
1 hour 24. Enumerate oropharyngeal tumors.
Hypo pharyngeal Tumors Discuss the aetiology and treatment of hypo
pharyngeal carcinoma.
1 hour 25. Classify esophageal tumors & describe the
Tumors of Esophagus.
etiology, clinical features, and treatment options.

Theme III - Hoarseness & Stridor

Table 3 Hoarseness & Stridor

TOPIC HOURS LEARNING OBJECTIVES
2 hour 26. Discuss applied anatomy of larynx.
Applied anatomy of potential spaces in
27. Discuss the pre-piglottic, paraglottic & Rinke’s
& around the larynx and neck
space.
3 hour 28. Discuss anatomy of deep fascia of neck &
anatomy of potential pharyngeal and neck
Anatomy of Potential neck spaces
spaces.

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 29. Discuss surgical anatomy of peritonsillor,
parapharygeal & submandibular spaces.
30. Discuss anatomy of retro pharyngeal space.
2 hour 31. Discuss applied anatomy of Larynx.
Applied anatomy & physiology of 32. Discuss the physiology of larynx.
Larynx/neck , Voice physiology 33. Discuss the physiology of voice, speech
production & its regulation
1 hour 34. Discuss aetiology, clinical features, diagnosis,
Acute Laryngitis
and treatment of acute simple laryngitis
1 hour 35. Discuss chronic laryngitis including chronic
Chronic Laryngitis granulomatous conditions of the larynx, its
clinical features, diagnosis, and treatment.
1 hour 36. Discuss differentiating points between vocal
Vocal nodules & vocal polyps nodules & polyps, its aetiology, clinical
features, diagnosis, and treatment.
1 hour 37. Discuss paralytic causes of hoarseness, its
Vocal cord paralysis types, clinical features, diagnosis, and
treatment.
1 hours 38. Enumerate causes of stridor. Explain types of
Stridor stridor. Discuss management of congenital
stridor

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 1 hour 39. Discuss the aetiology and management of
Apyrexial causes of stridor
acquired apyrexial causes of stridor
1 hour 40. Discuss the aetiology and management of
Pyrexial causes
pyrexial causes of stridor
Laryngeal trauma 1 hour 41. Discuss the management of laryngeal trauma
1 hour 42. Discuss signs of respiratory obstruction.
Acute Respiratory obstruction Enumerate alternate airways & discuss
tracheostomy.
1 hour 43. Discuss the aetiology, types & treatment of
Laryngotracheal Foreign body
Laryngotracheal Foreign bodies.
1 hour 44. Discuss incidence, epidemiology, risk factors,
Pathology & classification of carcinoma larynx.
Malignant Tumours of the Larynx / 45. Discuss UICC classification of laryngeal sites &
Carcinoma of Larynx subsites. Discuss management of carcinoma of
all the subsites

1hour 46. Discuss the differentials diagnosis of

Approach to a patient with hoarsesness hoarseness and explain management approach
to a patient presenting with hoarseness

KMU (IHPER)- Central Curriculum Committee 13

Theme IV - Deafness, Ear Discharge & Dizziness

Table 4 Deafness, Ear Discharge & Dizziness

TOPIC HOURS LEARNING OBJECTIVES
2 hours 47. Describe the applied anatomy of the external,
middle & internal ear.
48. Discuss the functions of the ear.
Applied Anatomy and Physiology of
49. Discuss basic principles & interpretation of various
Ear
tuning fork tests.
50. Discuss the interpretation of PTA & impedance
audiometry
1 hour 51. Classify the trauma to external ear and the
Trauma to External Ear and the temporal bone.
Temporal Bone 52. Describe the appropriate imaging investigations &
treatments.
1 hour 53. Discuss Otitis Externa, its clinical features,
Otitis Externa differential diagnosis and relevant clinical &
radiological investigations and treatment.
Acute Suppurative otitis media 1 hour 54. Discuss acute suppurative otitis media.

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TOPIC HOURS LEARNING OBJECTIVES
55. Describe its clinical features, differential diagnosis
and relevant clinical & radiological investigations
and treatment
1 hour 56. Discuss Chronic Suppurative Otitis Media and its
Chronic Suppurative Otitis Media clinical features, differential diagnosis and
without chloesteatoma relevant clinical & radiological investigations and
treatment.
1 hour 57. Discuss cholesteatoma and its clinical features,
Chronic Suppurative Otitis Media
differential diagnosis and relevant clinical &
with Cholesteatoma
radiological investigations and treatment.
1 hour 58. Discuss intracranial & extracranial otogenic
Complications of Suppurative Otitis complications and enumerate the appropriate
Media. clinical & radiological investigations and
treatment.
1 hour 59. Discuss mastoiditis, its clinical features,
Mastoiditis: Acute and Chronic differential diagnosis and relevant clinical &
radiological investigations and treatment.
1 hour 60. Discuss acoustic neuroma & the appropriate
Acoustic Neuroma clinical, audiological, and imaging studies used in
diagnosis and treatment of acoustic neuroma.

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TOPIC HOURS LEARNING OBJECTIVES
1hour 61. Discuss the differential diagnosis of hearing loss &
1 hour the medical and surgical management of CHL.
Approach to patient with a
hour 62. Discuss otoscleosis & its medical & surgical
Conductive hearing loss
treatment of otosclerosis.
63. Discuss OME & its medical and surgical treatment
2 hours 64. Discuss SNHL & its differential diagnosis.
Approach to patient with a
65. Discuss tinnitus & its management.
Sensorinueral Hearing Loss(SNHL)
66. Discuss Ototoxicity & its management.
1 hour 67. Discuss true vertigo & its types, pathophysiology,
Vertigo
investigations & management.
Vestibular Neuronitis Meniere’s
68. Discuss Meniere’s disease & its treatment.
Diseases
69. Discuss BPPV & its clinical features, diagnoses &
BPPV
treatment.
Approach to a deaf patient 1 hour 70. Discuss the approach to a deaf patient.
1 hour 71. Differentiate congenital, developmental, and
Approach to Management of Deaf acquired hearing loss & describe the impact of
Child hearing impairment at various ages and their
management.

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Theme V - Nasal Obstruction
Table 5 Nasal Obstruction
TOPIC HOURS LEARNING OBJECTIVES
2 hour 72. Discuss the surgical anatomy, physiology
& congenital disorders of the nose &
Applied Anatomy, Physiology of Nose & Paranasal
PNS.
Sinuses
73. Discuss the congenital disorders of the
nose, palate & choanal atresia
1 hour 74. Discuss DNS, its types, the clinical
Diseases of the Nasal Septum features, medical & surgical treatment
of nasal obstruction.
1 hour 75. Discuss sino-nasal polyposis, its types
and describe the clinical features,
Sino-Nasal Polyposis
medical & surgical treatment of nasal
polyps.
1 hour 76. Discuss various fungi implicated in
fungal rhinosinusitis and the appropriate
Fungal Rhinosinusitis
clinical, radiological investigations and
treatment of fungal rhinosinusitis.
1 hour 77. Discuss various benign and malignant
Sino-Nasal Tumors
tumors affecting the nose and paranasal

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TOPIC HOURS LEARNING OBJECTIVES
sinuses and their clinical features, step
involved in diagnosis and treatment
options.
1 hour 78. Discuss the Le Forte classification of mid
face fractures & the appropriate clinical
and radiological investigations &
Trauma to Nose and Face and CSF rhinorhhea management of these fractures.
79. Discuss CSF rhinorrhea and the
predisposing factors, types, clinical
features, investigations and treatment.
1 hour 80. Discuss rhinogenic headaches and the
Headaches and Facial Pain appropriate clinical, radiological
investigations and treatment.
1 hour 81. Discuss various granulomatous disorders
Granulomatous Diseases of the Nose affecting the nose & the clinical
features, investigations & treatments.
1 hour 82. Discuss anatomy diseases of adenoids
Adenoids
and treatment
Juvenile Nasopharyngeal Angiofibroma 1 hour 83. Enumerate diseases of the nasopharynx.

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TOPIC HOURS LEARNING OBJECTIVES
84. Discuss Juvenile nasopharyngeal
angiofibroma, clinical features,
investigations and treatment.
1 hour 85. Discuss the risk factor, clinical
Nasopharyngeal Carcinoma features, investigation, treatment and
follow up nasopharyngeal carcinoma
1 hour 86. Discuss acute sinusitis & the appropriate
Acute Sinusitis clinical, radiological investigations and
steps involved in treatment of patients.
1 hour 87. Discuss chronic sinusitis & the
appropriate clinical, radiological
Chronic Sinusitis
investigations and steps involved in
treatment of patients.
1 hour 88. Enumerate the predisposing factors for
development of complications due to
Complications of Sinusitis
sinusitis.
89. Discuss treatment.
1 hour 90. Discuss allergic rhinitis and its types,
Allergic Rhinitis (AR) and Non- allergic pathophysiology, investigations & the
medical and surgical treatment.

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TOPIC HOURS LEARNING OBJECTIVES
91. Discuss non –allergic rhinitis and the
appropriate clinical and radiological
investigations and its treatment.
1 hour 92. Discuss infective rhinitis and the
medical and surgical treatment of
Infective Rhinitis: Acute. & Chronic.
various types of acute and chronic
infective rhinitis.
1 hour 93. Discuss Rhinolith and maggots in the
nose and the appropriate medical and
Foreign Body, Rhinolith, Maggots Nose
surgical treatment of patients with
these conditions.
1 hour 94. Approach to a patient with epistaxsis
95. Discuss epistaxis & the appropriate
Approach to a patient with Epistaxis clinical, radiological & hematological
investigations & treatment of the
condition.

KMU (IHPER)- Central Curriculum Committee 20

Theme VI - Neck Swelling
Table 6 Neck Swelling
TOPIC HOURS LEARNING OBJECTIVES
Para pharyngeal Abscess 1 hour 96. Discuss the aetiology and management of each
Para pharyngeal abscess.
Retropharyngeal Abscess 1 hour 97. Discuss the types, aetiology, ttreatment and
complications of each retropharyngeal abscess.
Submandibular Abscess 1 hour 98. Discuss the causes and treatment of
submandibular abscess.
Trauma of the Larynx and Neck 1 hour 99. Classify the nature of trauma to the neck &
larynx.
100. Discuss clinical features, investigations and
treatment.
Approach to a neck swelling 1 hour 101. Discuss the approach to a neck swelling.
Evaluation of metastatic lymph nodes and 1 hour 102. Discuss Occult primary & the predictable
occult primary in Neck (Occult Primary). nodal drainage in head and Neck region.
103. Discuss the signs and symptoms of occult
primary & the appropriate clinical and
radiological investigations & different
treatment options.

KMU (IHPER)- Central Curriculum Committee 21

Clinical Schedule

Table 7 : Theme I - Foundation of Otorhinolaryngology & Head and Neck

Topic Hours Learning objectives Assessment method

History taking 01 1. Obtain detailed history of sore throat OSCE
02 2. Perform Examination in a sore throat patient OSCE
Examination including general physical, local and systemic
examination
Nasopharyngeal 02 3. Perform mirror examination of nasopharynx OSCE
examination
Examination of 02 4. Examine oral cavity and oropharynx in a OSCE
oral cavity and systematic way
oropharynx
Hypopharyngeal 01 5. Perform Indirect hypopharyngoscopy with mirror OSCE
Examination
01 6. Assemble mouth gauge and name the instrument OSCE
Mouth gauge and
used in tonsillectomy with utility of each
other instruments
instrument.
Examination of 02 7. Perform systematic examination of Neck OSCE
Neck

KMU (IHPER)- Central Curriculum Committee 22

 Table 8 : Theme II - Sore Throat

Topic Hours Learning objectives Assessment method

Communicate with 01 1. Obtain a pre-operative informed consent OSCE
patient of tonsillectomy from a patient of tonsillectomy
Tonsillar surgery & its 02 2. Observe tonsillectomy surgery and identify OSCE
instruments instruments used
Conservative management 01 3. Discuss a conservative management plan for OSCE
of sore throat inpatient acute follicular tonsillitis
Scrubbing technique 01 4. Demonstrate scrubbing hands using proper OSCE
solution & take proper time by proper
method
Biopsy from oral ulcer 01 5. Assist to take a biopsy from tongue ulcer OSCE

KMU (IHPER)- Central Curriculum Committee 23

 Table 9 : Theme III - Difficulty in Swallowing

Assessment
Topic Hours Learning objectives
method
01 1. Identify instruments & equipment used in rigid OSCE
Rigid Endoscopy system
endoscopy system, describe rigid endoscopies.
Oral & oropharyngeal 01 2. How to palpate a mass in the oral cavity and OSCE
mass palpation oropharynx
02 3. Observe rigid oesophagoscopy done for pharyngeal OSCE
Oesophagoscopy
growth or dysphagia

KMU (IHPER)- Central Curriculum Committee 24

 Table 10 : Theme IV - Hoarseness and Stridor

Topic Hours Learning objectives Assessment method

02 1. Obtain detailed history of hoarseness OSCE
History taking
& stridor
02 2. Perform Examination in a patient with OSCE
hoarseness & stridor, including
Examination
general physical, local and systemic
examination
Indirect laryngoscopy 01 3. Perform mirror examination of OSCE
examination Laryngopharynx
01 4. Perform systematic examination of OSCE
Examination of Neck
Neck
01 5. Fill requisition form for different OSCE
Investigations of Laryngeal
types of investigations for Laryngeal
diseases
diseases.
01 6. Observe a video of laryngoscopy for OSCE
Video laryngoscopy the diagnosis of hoarseness in clinical
setting
01 7. Discuss a conservative management OSCE
Conservative management
plan for a patient of hoarseness due to
of Hoarseness
voice abuse.
02 8. Observe rigid system laryngoscopy OSCE
Laryngoscopy under general anesthesia and identify
instruments used in the procedure
Communicate with a 01 9. Counsel a patient on voice rest OSCE
patient for voice rest

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 02 10. Council bilateral abductor paralysis OSCE
Stridor in bilateral abductor
patient & its management in a post
vocal paralysis
thyroidectomy patient
Biopsy from laryngeal 01 11. Observe the procedure for taking Formative
growth. biopsy from laryngeal growth.
01 12. Demonstrate the procedure of Formative
Tracheostomy
tracheostomy
01 13. Demonstrate the procedure how to OSCE
Communicate with patient
Obtain informed consent from a
on laryngectomy
patient for total laryngectomy

KMU (IHPER)- Central Curriculum Committee 26

 Table 11 : Theme V - Deafness, Ear Discharge & Dizziness

Assessment
Topic Hours Learning objectives
method
1. Obtain detailed history from a patient with OSCE
History taking 02
ear discharge/deafness/dizziness
2. Perform clinical examination of the
Local Examination 01 OSCE
hearing & balance system.
3. Perform otoscopic examination of the ear
Otoscopy
4. Perform tuning fork tests
Tuning fork test
03 5. Perform test of balance, peripheral & OSCE
Balance testing
central
Examination under microscope
6. Assist in performing EUM
7. Discuss & fill requisition form for different
Investigations of ear diseases 01 OSCE
types of investigations for ear diseases.
Interpretation of audiogram and 8. Discuss the interpretation of audiogram
01 OSCE
Impedance and impedance.

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 Table 12 : Theme VI - Nasal Obstruction

Assessment
Topic Hours Learning objectives
method
1. Obtain detailed history from a
History taking 02 OSCE
patient with nasal obstruction
2. Perform clinical examination of
Local Examination
01 the nose & paranasal sinuses.
3. Perform anterior & posterior OSCE
Anterior & posterior Rhinoscopy
Rhinoscopies with mirror
Probe test 4. Perform probe test
5. Assist in performing
Nasendoscopy 01
nasendoscopy.
OSCE
6. Perform Take swab from nose
Pus culture / sensitivity
for different purpose
01 7. interpret X – Rays
X – Rays nasopharynx /PNS nasopharynx/PNS for enlarged OSCE
soft tissues shadow
Nasal patency & adenoid facies in enlarged 01 8. Perform examination for nasal
OSCE
adenoids patency in enlarged adenoids.

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 01 9. Observe adenoid surgery being
Adenoid surgery Formative
done in operating room
01 10. Interpret CT scan in
CT scan nose & nasopharynx nasopharyngeal angiofibroma, Formative
describe bowing sign.
01 11. Observe surgery for
Nasopharyngeal Biopsy Formative
nasopharyngeal biopsy
12. Document Fill requisition form
Investigations of nose & paranasal sinuses for different types of
01 Formative
diseases investigations for nose &
paranasal sinuses diseases.

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 Table 13 : Theme VII - Swelling Neck

Topic Hours Learning objectives Assessment method

02 1. Perform systematic examination of all
Examination of Neck Nodes OSCE
groups of neck nodes
Examination of lump in the 01 2. Perform examination of lump in the neck
OSCE
neck in a systematic way.
01 3. Observe surgery on a pharyngeal abscess
Surgery on a pharyngeal
& describe drainage of peritonsillar OSCE
abscess
abscess
01 4. Perform Thyroid Examination both
Thyroid examination OSCE
anatomically & functionally
Pharyngeal abscess surgery 01 5. Identify instruments used in drainage of
OSCE
related instruments pharyngeal abscess surgery
Examination of parotid 01 6. Perform examination of parotid swelling OSCE
Examination of thyroid 01 7. Perform examination of thyroid gland OSCE

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 Learning Resources
Table 15: References Textbooks
S# Subjects Resources
1. Anatomy A. GROSS ANATOMY
1. K.L. Moore, Clinically Oriented Anatomy
B. EMBRYOLOGY
1. Keith L. Moore. The Developing Human
2. Langman’s Medical Embryology
2. Community medicine 1. Preventive and Social Medicine by K Park
2. Community Medicine by M. llyas
3. Basic Statistics for the Health Sciences by Jan W Kuzma
4. Textbook of Community Medicine and Public Health, 2018. Saira Afzal, Sabeena
Jala
3. Physiology 1. Textbook Of Medical Physiology by Guyton And Hall
2. Ganong ‘ S Review of Medical Physiology
3. Human Physiology by Lauralee Sherwood
4. Berne & Levy Physiology
5. Best & Taylor Physiological Basis of Medical Practice
4. ENT 1. Diseases of Ear, nose and Throat by Logan Turner, 11th edition
2. Lecture notes Ear, Nose and Throat Notes by P. D. Bull, 10th edition

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 3. Diseases of Ear, Nose and Throat by P.L. Dhingra, 6th edition (optional reading)
Reference Books
1. Current medical diagnosis & treatment by Maxine A. Papadakis
2. Scott-Brown’s Otorhinolaryngology, Head & Neck Surgery
5. Pathology 1. Robbins & Cotran, Pathologic Basis of Disease,9 th edition.
2. Rapid Review Pathology,4 th edition by Edward F. Goljan MD
5. Pediatrics 1. Nelson Textbook of Pediatrics, 19th Edition
2. Textbook of Pediatrics by PPA, preface written by S. M. Haneef
3. Clinical Pediatrics by Lakshmanaswamy Aruchamy, 3rd Edition
6. Pharmacology 1. Lippincot Illustrated Pharmacology
2. Basic and Clinical Pharmacology by Katzung

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 Assessment Plan – 4th Year MBBS
The year-4 will be assessed in 4 blocks

1) Block-1 (Neurosciences-2 module) will be assessed in paper-J

2) Block-2 (GIT and hepatobiliary module) will be assessed in paper-K

3) Block-3 (Renal-2, Endocrine & Reproduction-2 module) will be assessed in paper-L

4) Block-4 (ENT and EYE modules) will be assessed in paper-M

5) Each written paper consists of 120 MCQs.

6) Internal assessment will be added to final marks in KMU as shown in below table.

7) In OSPE, each station will be allotted 6 marks, and a total of 120 (+10% marks of

internal assessment) marks are allocated for each OSPE/OSCE examination.

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 4th Year MBBS Modules Assessment Plan

Theory Modules Theory Internal OSPE/OSPE Internal Total Marks

paper marks assessment assessment
theory OSPE/OSPE
(10%) (10%)
Paper J Neurosciences-2 120 13 120 13 266

Paper K GIT-2 120 13 120 13 266

Paper L Renal-2, 120 14 120 13 267

Endocrine &
Reproduction-2

Paper M ENT and EYE 120 13 120 13 266

Research* 20 15 35

Total Marks 480 53 500 67 1100

*Research viva of 20 marks will be conducted in paper-L. However, the rest of 15 marks will be decided by the concerned department internally
for the contribution of the students in research project/thesis.

KMU (IHPER)- Central Curriculum Committee 34

 Assessment Blueprints
Table 16: Paper M (ENT)
Subject Total MCQs
ENT 60
EYE 60
Total 120

Table 17: ENT OSCEs

Subject Total OSCE stations
ENT 10
EYE 10
Total 20

A minimum of 20 stations will be used in final exams. Total marks will be 120 (6 marks
for each station).

KMU (IHPER)- Central Curriculum Committee 35