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MBBS III (Third) Professional Examination 2011-12 Course Code:MBS303 Paper ID: 0313107 ENT Time: 2 Hours 40 Minutes Max Marks: 30 Note: Attempt all questions. Draw proper diagrams to support your answer. Part ‘B’ 1. Discuss the causes of nasal obstruction and describe in detail antro choanal polyp. (5) 2. Describe in detail chronic tonsillitis and its management. (5) Write short notes on the following: Deviated Nasal Septum (2) Leucoplakia (3) 3. a) b) Part ‘C’ 1. Discuss acute otitis media and its management. 2. Describe otospongiosis, clinical feature, diagnosis and medical management. 3. a) b) Write short notes on: Tympanosclerosis Tympanic membrane (5) differential (5) (2) (3) MBBS III (Third) Professional Examination 2011-12 Roll No. Student’s Name Student’s Signature Invigilator’s Signature Course Code:MBS303 Paper ID: 0313107 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 Q.2 At birth the fontal bone consists of: a) Two halves separated by metopic suture b) Single bone c) Multiple bone separated by metopic suture d) Four bones joined by cruciform suture The ethmoid bone ossifies from: a) Cartilagenous nasal capsule & three ossifying centres b) Osseus nasal capsule & three ossifying centres c) Membranous capsule d) Ectodermal in its origin Q.3 The first sinus which appears: a) Ethmoid labyrinth b) Maxillary antrum c) Frontal sinus d) Sphenoid sinus Q.4 Kiesselbach’s plexus is present: a) Anterosuperior part of the septum b) Little’s area c) Posterior part of inferior turbinate d) Lateral wall of nose Q.5 Middle meatus is present in the nose: a) Below the level of inferior turbinate b) Below the superior turbinate c) Between the superior and middle turbinate d) Between the middle turbinate and inferior turbinate Q.6 Antrochoanal polyp of nose: a) Bilateral b) Unilateral c) Multiple d) None of them Q.7 Inferior turbinate in the nose develops as a separate bone from: a) Ethmoid complex b) Maxillofacial turbinate c) Turbinal process of ethmoid d) Nasoturbinal process Q.8 Young’s syndrome is characterized by: a) Chronic rhinosinusitis, nasal polyp, bronchiectasis and azospermia b) Chronic rhinosinusitis, upper respiratory tract infection and cystic fibrosis c) Chronic rhinosisnusitis, lower respiratory tract infection and chronic bronchitis d) Recurrent rhinosinusitis, upper respiratory tract infection and cystic fibrosis Q.9 Peritonsillar abcess is the collection of pus: a) Between the tonsil and its bed b) between the tonsil and buccopharyngeal fascia c) between pharyngobasilar and buccopharyngeal fascia d) In the tonsillar substance Q.10 Para pharyngeal abcess is collection of pus in: a) Parapharyngeal space P.T.O b) c) d) Q.11 Q.12 Q.13 Tonsil and bed Tonsil Retropharyngeal space Q.17 The nasal septum is composed of: a) Septal cartilage and bone b) Membranous potion, septal cartilage & several bones c) Columella, septal cartilage & vomer d) Columella, septal cartilage, vomer & nasal bone The histology of nasal mucosa: a) Neuroectodermal lining b) Pseudostratified ciliated epithelium c) Transitional epithelium d) Cuboidal epithelium Q.18 Furunculosis of the ear is caused by: a) Streptococcus pneumonia b) Pseudomonas pyogenase c) Staphylococcus aureus d) Haemophilus influenza Bullous myringitis is diagnosed by the presence of: a) b) c) d) Congestion of tympanic membrane Perforation of tympanic membrane Vesicles on the superficial layer of tympanic membrane Granulation in the middle ear columnar The palatine tonsil develops from: a) Ventral division of second pharyngeal pouch b) Dorsal division of third pharyngeal pouch c) Fourth pharyngeal pouch d) Fifth pharyngeal pouch Q.14 Retropharyngeal abcess in children is: a) Spread of pus from quinsy b) Spread of pus from parapharyngeal abcess c) Suppuration of retropharyngeal lymph node d) Tuberculosis of cervical spine Q.15 The cone of light in the tympanic membrane is present: a) Antero superior part of tympanic membrane b) Postero inferior part of tympanic membrane c) Postero superior part of tympanic membrane d) Antero inferior part of tympanic membrane Q.16 The tuning forks used for Rinne’s & Weber test: a) 64, 128 and 256 Hz b) 256, 512 and 1024 Hz c) 32, 64 and 128 Hz d) 512, 1024 and 2048 Hz Q.19 Q.20 Otomycosis is caused by: a) Histiocytosis b) Actinomycosis c) Aspergillus Niger albicans d) Moniliosis and candida Keratosis obturans of the external auditory canal is defined as: a) Invasion of squamous tissue into the area of bony erosion b) Collection of wax debris in bony erosion c) Accumulation of desquamated keratin in the external canal d) Accumulation of cholesteatoma and wax