FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

APRIL 2016
OTORHINOLARYNGOLOGY
PAPER – I
ENT/APRIL/16/28/I
Time : 3 hours
Max. Marks : 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• 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.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Embryology of external and middle ear. 6+4

b) Congenital anomalies of external and middle ear.

2. a) Define stapedial reflex and describe its pathway. ( 3+3)+4

b) How does it help the ENT surgeon in audiological assessment
of deafness?

3. a) Anatomy of Eustachian tube. 6+4

b) How would you evaluate its function?

4. a) What are hearing aids? 2+4+4

b) Classify different types of hearing aids.
c) What are the factors which influence prescribing the hearing
aids?

5. a) Enumerate the causes of pain in ear (otalgia). 5+5

b) How would you manage a case of otitis externa?

6. a) Define otoacoustic emission. 2+8

b) Origin, method of testing and clinical importance of otoacoustic
emission.

7. a) What are the risk factors for hearing problems in a newborn? 5+5
b) How would you screen these newborn babies for hearing?

8. a) Intra-temporal anatomy of facial nerve. 5+5

b) What are the topodiagnostic tests used for facial nerve palsy?

9. a) Pathophysiology of nystagmus. 5+5

b) What are the tests for evaluation of BPPV and how would you
manage it?

10. a) What is otitic barotrauma? 3+3+4

b) How can this be prevented?
c) How will you manage otitic barotrauma?
**********************

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EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
OTORHINOLARYNGOLOGY
PAPER – I
ENT/D/15/28/I
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Diagramatic representation & explanation of Impedance (3 +3)

Transformer action of middle ear.
b) Role of middle ear muscles on transmission. 4

2. a) Principles of Brainstem Evoked Response Audiometry 5

(BERA). 5
b) Clinical applications of BERA.

3. a) Define osteoradionecrosis of temporal bone. 2

b) Its aetiopathogenesis and management. 5+3

4. a) Define Keratosis Obturans and Primary Auditory Canal 1+1

Cholesteatoma.
b) Write differences between these two in relation to 3+3+2
etiopathology, clinical features and treatment.

5. a) Enumerate causes of conductive hearing loss with intact 4

ear drum.
b) Mention important differentiating points amongst them. 6

6. a) Enumerate complications of Stapedectomy. 2

b) What are their diagnostic points? 4
c) How are they managed? 4

7. a) Define otitic barotrauma. 2

b) What is the physiological consequence of compression & 3+3
decompression? 2
c) Management of otitic barotrauma.

8. a) Define petrositis and give its etiology. 1+1

b) Mention classification and clinical features. 2+3
c) Principles of its management. 3

P.T.O.

-1-
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EXAMINATION HALL.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015

OTORHINOLARYNGOLOGY
PAPER – I

9. a) Classify group wise Ototoxic drugs. 6

b) Mention their mechanism of action. 4

10. a) Define nystagmus. 2

b) What are the different degrees of nystagmus? 4
c) How slow and fast components of nystagmus orginate? 4

**********************

-2-
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 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016
OTORHINOLARYNGOLOGY
PAPER – II
ENT/APRIL/16/28/II
Time : 3 hours
Max. Marks : 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• 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.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Embryology of paranasal sinuses and nose. 7+3

b) What are the congenital anomalies of the nose?

2. a) Define nasal valve. 2+8

b) What are the surgical options to improve the airway in nasal
valve obstruction?

3. a) Fractures of NOE (Naso Orbital Ethmoid) region. 5+5

b) How would you manage such a case?

4. a) What are the causes of epistaxis in a young adult? 5+5

b) Technique of ESPAL (Endoscopic Sphenopalatine Artery
Ligation).

5. a) What is superior orbital fissure syndrome? 3+7

b) Causes of superior orbital fissure syndrome.

6. a) Define sleep apnea syndrome. 2+2+6

b) Enumerate the causes of Sleep Apnea Syndrome.
c) How would you differentiate between simple snoring and
obstruction Sleep Apnea?

7. a) Clinical features of mucor mycosis. 6+4

b) Role of Amphotericin-B in its treatment.

8. a) What are the indications for endoscopic optic nerve 4+6

decompression?
b) What are the steps in such a case?

9. a) What are the ENT causes of proptosis? 6+4

b) How would you manage a case of mucocoele of ethmoid
sinus?

10. Indications, principles and surgical technique of external 3+3+4

rhinoplasty.
**********************

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EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
OTORHINOLARYNGOLOGY
PAPER – II
ENT/D/15/28/II
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:

1. a) Diagramatic description of Osteomeatal unit. 5

b) Enumerate extended applications of Endoscopic Sinus 5
Surgery.
2. a) Enumerate assessment protocol for dysosmias. 3
b) What are the important points in each part? 7
3. a) Classify midline nasal masses. 4
b) Etiopathogenesis, investigations and treatment of nasal 2+2+2
glioma.
4. a) Classify nasal fractures. 3
b) Outline management of each one. 7

5. a) Classify non-neoplastic salivary gland diseases. 3

b) Mention etiology, clinical features and treatment of 2+2+3
sialectasis.

6. a) Define Burning Mouth Syndrome. 2

b) Etiology and management of Burning Mouth Syndrome. 4+4

7. Etiology, clinical features & treatment of Silent Sinus 3+3+4

Syndrome.

8. a) Classify fungal rhinosinusitis. 2

b) Its aetiopathogenesis & treatment. 4+4

9. a) What are the indications of Stereotactic Navigation in 4

FESS?
b) What are the surgical strategies for Minimally Invasive 6
Endoscopic Resection (MIER)?

10. a) What is Skull Base Syndrome? 2

b) What are its causes and clinical features? 3+3
c) Outline its management. 2

**********************

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EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016

OTORHINOLARYNGOLOGY
PAPER – III
ENT/APRIL/16/28/III
Time : 3 hours
Max. Marks : 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• 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.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Embryology of larynx and trachea. 6+4

b) What is the clinical significance of embryology in surgery for partial
laryngectomy?
2. a) What is the surgical importance of Fossa of Rosenmuller? 4+6
b) Clinical features and routes of spread of carcinoma of nasopharynx.
3. a) What are the causes of cancer tongue? 3+3+4
b) How would you investigate such a case?
c) How would you manage a case of carcinoma of tongue (lateral
border, 2x2cm) having submandibular lymph node?

4. a) Define laryngopharyngeal reflux. 3+4+3

b) What are its clinical features?
c) How will you manage such a case?
5. a) Anatomy of retromolar Trigone. 5+5
b) Clinical presentation and spread of tumors in this area.

6. a) Clinical features of post cricoid carcinoma. 5+5

b) How will you investigate and manage a patient of post cricoid
carcinoma?
7. a) Surgical anatomy of Killian’s dehiscence. 3+(4+3)
b) Clinical features and management of Zenker’s diverticulum.
8. a) Anatomy of parapharyngeal space. 6+4
b) What are the surgical approaches to this space?
9. a) Enumerate the complications of radical neck dissection. 6+4
b) How will you manage a case presenting with a chylous fistula?
10. a) What are the indications of direct laryngoscopic examination? 3+4+3
b) What are the anesthetic techniques for microlaryngeal LASER
surgery?
c) What precautions need to be taken during procedures involving
LASER in an operation theatre?
**********************

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
OTORHINOLARYNGOLOGY
PAPER – III
ENT/D/15/28/III
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Diagrammatic description of intrinsic muscles of larynx and 6

nerve supply.
b) Describe their actions. 4

2. a) Define stroboscopy. 2
b) Give its parameters and clinical uses. 8

3. Aetiology, clinical features and treatment of Thornwaldt’s cyst. 3+4+3

4. a) What are the surgical approaches to oropharyngeal 5

malignancy?
b) Mandibular swing approach. 5

5. a) Enumerate myogenic causes of dysphagia. 4

b) Clinical features, investigations and treatment of 2+2+2
myasthenia gravis.

6. Aetiopathology, clinical features and treatment of eosinophilic 2+3+5

oesophagitis.

7. Causes and treatment of subglottic stenosis in children. 4+6

8. Differences between surgical and prosthetic reconstruction in 10

head and neck defect reconstruction.

9. a) Criteria for diagnosis of Obstructive Sleep Apnea 5

Syndrome (OSAS). 5
b) Classify it.

10. Various pathological theories for genesis of nasopharyngeal 10

angiofibroma.

**********************

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016
OTORHINOLARYNGOLOGY
PAPER – IV
ENT/APRIL/16/28/IV
Time : 3 hours
Max. Marks : 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• 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.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) What is auto transfusion? 3+3+4

b) What are the different blood components?
c) What are the indications of blood transfusions in ENT?

2. a) What is neoadjuvant chemotherapy? 4+2+4

b) What is the rational behind its use?
c) Advantages and disadvantages of neoadjuvant
chemotherapy.

3. a) What is image guided surgery? 3+3+4

b) Steps of image guided surgery.
c) Indications of image guided surgery in Otology

4. a) What are the tributaries of Internal Jugular Vein? 5+5

b) Complications of radical neck dissection.

5. Principles, advantages, disadvantages and clinical applications 3+2+2+3

of PET (Position Emission tomography).

6. a) What is electronic nose? 4+6

b) What is its relevance in modern rhinology?

7. a) Classify the drugs used in management of allergic rhinitis. 2+8

b) What are the advantages and disadvantages of these drugs?

8. a) What is brachytherapy? 4+6

b) Its clinical application in Otolaryngology.

9. a) What is clinical audit? 4+6

b) What is the use of clinical audit in ENT?

10. a) Design of a randomized control trial (RCT). 3+4+3

b) What are the types of RCT?
c) What is blinding?
**********************

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
OTORHINOLARYNGOLOGY
PAPER – IV
ENT/D/15/28/IV
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) What are hypersensitivity reactions? 5
b) Mechanism of anaphylaxis. 5

2. a) Intrinsic pathway of coagulation. 6

b) Pre-operative evaluation for coagulation profile. 4

3. a) What is HAART? 1
b) Classify drugs used for treatment of AIDS. 3
c) Their merits and demerits. 3+3

4. a) What is cervical necrotizing fasciitis? 1

b) Etiology, symptoms, complications and treatment of 2+2+2+3
cervical necrotizing fasciitis.

5. (a) Define free tissue transfer. 2

(b) What are its advantages as compared to pedicle flap in 8
Head & Neck reconstruction?

6. a) Principles of Functional MRI. 3

b) What is perfusion functional MRI? 4
c) Uses of functional MRI in otology. 3

7. (a) Cell Cycle. 4

(b) What are the chemotherapeutic targets & their site of 3+3
action?

8. Role of gene therapy in Head & Neck cancers. 10

9. Management of pain, nausea & vomiting, oral problem, 10

dysphagia, stridor & psychological problem in palliative care.

10. Mechanism of action, antifungal spectrum, mode of 2+2+2+4

administration and toxicity of Amphotericin B.

**********************

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EXAMINATION HALL.
FINALEXAM NATIONALBOARD OF EXAMINATIONS
DECEMBER2O1O

(ENT)
OTORHINOLARYNGOLOGY
PAPER- I
Time :3hours ENT/D/10/28/1
Max.Marks : 100

Attemptall questionsin order,

Eachquestioncarries10 marks

1 Define thyroid storm. Ouiline its aetiopathologyand clinical .,|0

features.How will you managea patientpresentingin a thyroid
storm.
2 What is angioneurotic
oedema.Classifyit on a pathologic
basis. 10
Outlinethe management of a case with allergicangioneurotic
oedema.
3 Discussthe roleof virusesand antiviralvaccinesin headand neck S+5
malignancy.
4 Define'ParenteralFluidTherapy'.Enumeratemaincomponents & 2+S+3
theirrole.Enumerate complications of suchtherapy.
5 Describe'Flap transposiiion'in headandnecksurgery. Enumerate 3+3+4
factorsaffectingskin flap survivaland measuresto improveflap
survival.
6 Discussthe physiological
basis,indications
and futuretrendsin 10
organpreservation
surgeriesin ENT.
7 Methicillin-Resistant
Staphycococcus
aureusinfection:Ouflinethe b+5
hospitalsafety measuresto preventit. How will you managea
patientwithihis infection?
8 What do you understandby "Fractionated& Hyper-fractionated"4+3+3
Radiotherapy?
Outlinetheiradvantages
and problems.
9 Describethe ENT manifestationsof Gastro-oesophgeal Reflux 3+3+4
Disease(GERD).Writebrieflyaboutthe evaluationand treatment
of GERD.
10 Enumeratethe techniquesused for sterilizationof operative 4+3+3
instrument.
Describeand outlineadvantages
and disadvantages
of
anytwotechniques.

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EXAMINATIONHALL,
FINALEXAM
DECEMBER NATIONAL
BOARDOF EXAMINATIONS
201O

PAPER- II
Time : 3 hours
Max.Marks : 100 ENTtDt10t28t2

Attemptall questionsin order.

Eachquestioncarries10 marks

Enumerateindicatonsfor use of ,BoneAnchored

HearingAids,. J+T
Describeits surgicaltechnrque.
Whatis allergic
fungalrhinosinusitis?
Howwillyou managea case 4+6
presenting
to you?
Whatare the predictors of outcomebenefitsof a cochlearimplant?
4+6
Discussthe roleof age in it.
Whatis malignantotitisexterna?Howwillyou
investigate
andtreat 3+3+4
a caseof malignant otitisexterna?
Whai is the physiologicalbasis of ,Vestibular
Rehabilitation 5+5
Therapy'?Ouflinethe principles of undertaking
thlstherapy.
Classifyparagangliomas in head and neck region.How do
vou 2+4+4
diagnoseandmanagethiscondition?
Discussthe clinicalfeaturesand management
of corrosrve
injuryof c i-5
aero-digestive
tract.
Enumeratecausesof subglotticstenosis.
Give Cottonand Myer,s 3+3+4
classification.
Oufline the principlesof management
of subglottic
stenosis.
Classifytypesof CSF rhinorrhoea.
Howwill you investigate
a case 4+6
presentingto you?
10 Classify nasopharyngealangiofibroma.
Describe mid_facial 4+6
degloving
surgical
technique.

PossEss/o,v
/ usEoF1ELLpHoNEs
oRA_JrYr;trfri5ir,ffl.ccADGErs pERMrrTED
rsNor rHE
"vsrDE
 NATIONALBOARD OF EXAMINATIONS
FINAL EXAM
D E C E M B E R2 O 1 O

PAPER- III

Time : 3 hours ENT/D/10/28/3

Max.Marks : 100

Attempt all questionsin order.

'10
Eachquestioncarries marks

Scale?Whatare the surgicaloptions 10

Whatis EpworthsSleepiness
for management
available SleepApnoeaSyndrome?
of Obstructive
4+6
Describe aetiopathogenesisand surgical management of
abscess'
parapharyngeal
Enumerate SinusSurgery'Describein
of Endoscopic
complications 4+3+3

detailanytwo comPlications.
Howwill you managechylousleakafter
Classifyneckdissections. 4+6

radicalneckdissection?
in
of Glotticmalignancies 10
Outlinethe principlesfor management
relation to its staging. (Do not give details of any surgical
procedures).
Enumeratebenignand malignantlesionsof salivaryglands'How 4+6

will you managepleomorphicadenomaof deep lobe of parotid

gland?
What is Rhinoscleroma?Describe ihe various stages and 10

featuresof rhinoscleroma.
histopathological
Whatare the surgicaloptionsavailablefor otosclerosisEnumerate 6+4

in anyoneof thesemodalities'
the potentialcomplications
Classifycholesieatoma. of spreadof disease
Discussthe principles 10

dueto cholesteatoma.
10 Describepathologyand types of fibrousdysplasiaand outlineits 3+3+4
management.

IS NOTPERMITTEDINSIDE THE
POSSESSIO'V/ USE OF CELL PHONESOR ANYSUCH ELECTRONICGADGETS
EXAMINATIONHALL.
FINALEXAM BOARDOF EXAMINATIONS
NATIONAL
DEGEMBER2O1O

PAPER- IV

Time : 3 hours ENT/D/10/28/4

Max.Marks : 100

Attemptall questionsin order.

Eachquestioncarries'l0 marks

Outlinethe preparationof a patientand the techniqueof local z+J+z+J

Supplementyour answerwith a
anesthesiafor a tympanoplasty.
diagrammatic Enumeratepossiblecomplications
representation. of
localanesthesia.
Discuss"AnteriorRhinomanometry".
Enumerateothermethodsfor 7+3
assessment of nasalairwayresistance.
your
Outlinethe anatomyof "DeepCervicalFascia".Supplement 7+3
answerwitha diagram.
What are Oto AcousticEmissions(OAE)?What are the uses of 3+7
OAEin clinicaloractice?
5 Howwillyou identifythe facialnerveduringa parotidectomy? 10
o Describethe productions and regulatorymechanism of innerear 10
fluids.
Whatis the roleof the 'Parathyroid
glands'?Howwill you diagnose 5+2+3
andmanagea caseof Hypoparathyroidism?
8 Describethe retro-molar
trigoneandits surgicalimportance. 6+4
I Give a diagrammaticdepictionof the anatomyof middle ear 5+5
mucosal
folds.Discuss
theirclinical
imoortance.
10 Describethe anatomyof the osteomeatalcomplexof the nose. 7+3
youranswerwitha diagram.
Supplement

POSSESSION/
USEOFCELI PHONESORAT'IYSUCHELECIROIVICGADGEISIS NOI PERMITTED
INSIDETHE
EXAMINATION IlALL,
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2015
OTO-RHINO-LARYNGOLOGY
PAPER – III
ENT/J/15/28/III
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) Surgical anatomy of parapharyngeal space with suitable 6+4

diagram(s).
b) Enumerate benign and malignant lesions in it.

2. a) Histologic subtypes of nasopharyngeal carcinoma. 3+(4+3)

b) Its clinical features & ‘T’ classification as per AJCC.

3. Compensatory strategies for dysphagia & its rehabilitative 5+5

therapies.

4. a) Define & classify Sjogren’s syndrome and its head & neck (1+2+3)+4
manifestations.
b) Give broad outline of investigations & treatment.

5. a) What is Vello-pharyngeal insufficiency? 5+5

b) How would you manage rhinolalia aperta?

6. a) Classify nodular lesions of vocal cords 5+5

b) Reinke’s oedema.

7. a) Enumerate various techniques of management of 4+6

unilateral vocal cord paralysis.
b) Principle & procedure of Type I Thyroplasty.

8. Techniques of tracheostomy specific to children. 10

9. Etiology and management of juvenile onset recurrent 3+7

respiratory papillamotosis.

10. a) Enumerate various types of neck dissections. 2+(3+5)

b) Indications and complications of modified radical neck
dissection.

**********************

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2015
OTO-RHINO-LARYNGOLOGY
PAPER – IV
ENT/J/15/28/IV
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Current trends in the management of facio-maxillary trauma. 10

2. Electronic nose and its relevance in modern rhinology. 3+7

3. a) What is gamma knife stereotactic radio surgery? 3+(3+2+2)

b) Write its indications, advantages & limitations.

4. Chemotherapy strategies in head & neck cancer with brief 6+4

description of neoadjuvant chemotherapy.

5. a) Theories of origin of branchial cyst. 6+(2+2)

b) Clinical features & management of branchial cyst.

6. a) Occult primary sites for metastatic cervical node. 4+(3+3)

b) Investigations & management of a patient with metastatic
cervical node.

7. a) Factors affecting would healing. 6+4

b) Safe surgical techniques to improve wound healing.

8. Classify the suture materials & their applications. 5+5

9. a) Define ‘Autotransfusion’. 2+(5+3)

b) Different blood fractions & transfusion reactions

10. Mechanism of hyperbaric oxygen therapy & its indications in 6+4

practice of ENT.

**********************

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EXAMINATION HALL.
 FINALEXAM NATIONALBOARDOF EXAMINATIONS
DECEMBER2011
OTORHINOLARYNGOLOGY (ENT)

PAPER-I
ENT/D/I1/,28/,1
Time : 3 hours
Max.Marks : 100

Aftemptalt questionsin order.

Eachquestioncarries10 marks.
Write short notes on:-

1. Howdo you
of deepveinthrombosiS.
Describeetiopathogenesis 3+3+4
diagnoseand manageit?

2. crisis? Describeits pathophysiology,

What is hypercalcaemic 2+3+2+3
andmanagement.
tumorassociation

3. Describethe principles
of PositronEmissionTomography(PET). 5+5
in evaluationand
Whatare its application management
of Head
and Neckmalignancies?

4. Classiffsurgicalwounds.Whatare the causes,riskfactorsand 2+4+4

pathogens in wound sepsis? Enumerate measures for
preventionand treatmentof woundsepsis.

5. What are Radio-nuclides?Describetheir role in imagingand 2+4+4

therapeutic in ENT.
application

6. How will you evaluateand managea 50 year old male patient 3+7
with solitarythyroidnodule?

7. What are tumor markers?Discusstheir role in squamouscell 4+6

carcinomaof Headand Neck.

8. What is Brachytherapy?Discussthe clinicalapplicationof 4+6

in Headand Neckmalignancies.
Brachytherapy

9. Discussihe principlesof lmageGuidedSurgery.What are the 4+3+3

of lmageGuidedSurgeryin ENT practice?What
applications
arethe advantagesof lmageGuidedSurgery?

10.' What are the principlesof Skull Base Surgery?Enumeratethe 4+3+3

major complicationsof Skull Base Surgeryand disiuss the
recentdevelopments in reducingthesecomplications.
d.****

POSSESSION/USE
OF CELL PHONES ORANY SUCH ELECTRONIC GADGETSIS NOT PERMITTED INSIDE
.} THE EXAMINATION HALL
F,INALts,XAM NA l IUNAL BUAKU UF EXAMINAI I(JNI'
r
D E C E M B E R2 0 1 f
OTORHINOLARYNGOLOGY(ENT}
PAPERIlI

Time : 3 hours ENTlDrl1r28il/,,

Max Marks : 100
Attemptall questionsin order.
Eachquestioncarries10 marks.
Writeshort notes on:-

1. What are ten cardinalfeaturesof DownSyndromein newborn? 6+4

Whatis the treatmentprincipleof craniofacial
dysostosis?

2. Enumeratethe causesof delayedposttraumatic

CSFrhinorrhea. 4+3+3
Howwillyouevaluate
andmanagesucha case?

3. Describe surgicalanatomyof Cerebell{'pontine

angle.Enumerate 4+2+4
its lesionsandsurgical
approach to it.

4. Whatarethe anatomical variations

influencing
the development
of 4+3+3
rhino-sinusitis?
Brieflydiscussthe evaluation
and managementof
non-invasive
fungalsinusitis.

5. Whatarethedifficult
situations
onecanencounter
duringcochlear 5+5
implant surgery?Enumeratethe complicationsof cochlear
implantation.

6. What are the differenttypesof Lasersusedin Otolaryngological 5+3+2

practice?What are the clinicalapplications
and advantagesof
Lasersin ENTpractice?

7. fractures.How will you assess and

Classifyfascio-maxillary 4+6
managethem?

8. What is otiticbarotrauma?
Brieflydiscussthe etiopathogenesis, 3+2+2+3
evaluation
and managernentof otiticbarotrauma.

9. Enumeratedistal axial flaps used in Head and Neck surgery. 4+6

Discusstechniquesof pectoralis
majormyocutaneousflap.

10. Discusstechnique,post-operative
care and complications
of 4+3+3
endoscopic
trans-sphenoidal
hypophysectomy.

POSSESS'OM USE OF CELL PHONESOR A'VY SUCH ELECTRONIC GADGETSIS NAT PERMITTED INSIDETHE
EXAMINATIONHALL
F]NAL EXAM NATIONALBOARD OF EXAMINAT]ONS
DECEMBER2011
(ENT}
OTORHINOLARYNGOLOGY
PAPERIII

Time :3 h o u rs ENT/D/111281,11
Max Marks : 100
Attempt all questions in order.
Each question carries l0 marks.
Write short notes on:-

l. What are ten cardinalfeaturesof Down Synd'romein newborn? 6+4

What is the treatmentprincipleof craniofacial
dysostosis?

2. Enumeratethe causesof delayedpost traumaticCSF rhinorrhea. 4+3+3

Howwill you evaluateand managesuch a case?

3. Describesurgicalanatomyof Cerebellopontine
angle.Enumerate 4+2+4
its lesionsand surgicalapproachto it.

4. What are the anatomicalvariationsinfluencingthe developmentof 4+3+3

rhino-sinusitis?
Brieflydiscussthe evaluationand managementof
non-invasivefungalsinusitis.

5. What are the difficultsituationsone can encounterduringcochlear 5+5

implant surgery? Enumerate the complicationsof cochlear
implantation.

6. What are the differenttypes of Lasersused in Otolaryngological 5+3+2

practice?What are the clinicalapplicationsand advantagesof
Lasersin ENT practice?

7. Classify fascio-maxillaryfractures. How will you assess and 4+6

managethem?

8. What is otitic barotrauma?Brieflydiscussthe etiopathogenesis, 3+2+2+3

evaluationand managementof otiticbarotrauma.

9. Enumeratedistal axial flaps used in Head and Neck surgery. 4+6

Discusstechniquesof pectoralismajormyocutaneous
flap.

10. Discuss technique,post-operativecare and complicationsof 4+3+3

endoscopictrans-sphenoidal
hypophysectomy.

POSSESS'O'V/USE OF CELL PHONESOR ANY SUCH ELECTRONICGADGETSIS NOTPERMITTEDINSIDETHE

EXAMINATIONHALL
FINALEXAM NATIONAL
BOARDOF EXAMINATIONS
DECEMBER2011

. (ENT}
OTORHINOLARYNGOLOGY
PAPER-IV
ENT/D/I1tzBilV
Time :3 hours
Max.Marks : 100

Attemptalt questionsin order.

Eachquestioncarries10 marks.

Write short noteson:-

1. Enumeratethe four distinctphasesof woundhealingand their 2+4+4

mechanism.Whatis the role of collagenand cytokinesin wound
healing?

2. Describebrieflyolfactorypathway. crassifyodours. what are 5+2+3

Olfactorydysfunctions?

3. Enumerate temporalboneprojections in conventional

imagingand 5+5
structures
to be assessedin eachof theseprojections.

4. Discussthe surgicalanatomyof parapharyngeat

space. Howwill 4+3+3
you evaluate a case of parapharyngeal tumour and briefly
describethe surgicalapproaches
to paraphaTyngeal
space.
5. Givebriefaccountof virusescausingrespiratory
illness. .10
6. Describemusclesof mastication
andtheiractions. 5+5
7. Discussthe embryogenesis
and management
of choanalatresia? 5+5
8. Describepathway,evaluation
and crinicalsignificance
of vestibulo- 4+3+3
ocularreflex.

9. Discussthe principleof lmpedanceAudiometry.Brieflydescribe 3+3+4

the stapedealreflex pathway. what are the applicationsof
lmpedanceAudiometry in otological
practice?
1 0 . Describethe intrinsicpathwayof coaguration. How will you 5+5
evaluatea patientof coagulation
disordeipriorto surgery?
***rl.tr

POSSESSION/USE
OF CELL PHONES ORANY SUCH ELECTRONIC GADGETSIS NOTPERMITTED INSIDE
THE EXAMINATION HALL
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2015
OTO-RHINO-LARNGOLOGY
PAPER – II
ENT/J/15/28/II
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Mucociliary transport/clearance pathways of nose & paranasal 10

sinuses with suitable diagrams.

2. Surgical anatomy of pterygopalatine fossa with suitable 10

diagrams.

3. Etiopathogenesis of atrophic rhinitis and its management. 5+5

4. a) Various surgical approaches of pituitary fossa. 2+(4+4)

b) Their advantages and disadvantages.

5. a) Classify granulomatous diseases of nose & paranasal 3+(3+4)

sinuses.
b) Clinical features & management of Wegener’s
granulomatosis.

6. a) Histopathology of pleomorphic adenoma 3+7

b) Surgical technique of superficial parotidectomy.

7. a) Enumerate various options in mandibular reconstruction. 4+(3+3)

b) Advantages & disadvantages of free forearm flap

8. a) Enumerate ‘white lesions’ of oral mucosa. 4+6

b) Management of oral candidiasis.

9. Pathology, staging & diagnosis of skull base osteomyelitis. 4+4+2

10. a) Pathology & types of fibrous dysplasia. (3+4)+3

b) Outline its management.

**********************

POSSESSION / USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
 FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2015
OTO-RHINO-LARYNGOLOGY

PAPER – I
ENT/J/15/28/I
Time : 3 hours
Max. Marks : 100
Important instructions:
 Attempt all questions in order.
 Each question carries 10 marks.
 Read the question carefully and answer to the point neatly and legibly.
 Do not leave any blank pages between two answers.
 Indicate the question number correctly for the answer in the margin space.
 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.
 Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. a) What are inner ear fluids and their biochemical (2+4)+4

composition?
b) Regulatory mechanism of inner ear fluids.

2. a) Hidden areas of middle ear. 4+(4+2)

b) Give their diagrammatic representation and surgical
importance.

3. Vibrant Sound Bridge: its mechanism of action, uses, 4+2+2+2

advantages and disadvantages.

4. a) Classify temporal bone fractures. 4+6

b) How do we manage it?

5. a) Causes of tinnitus. 4+(3+3)

b) Glomus Jugulare: Investigations and management

6. Various lasers used in otology, their specific uses and 4+3+3

complications.

7. Etiology, clinical manifestations and management of superior 2+3+5

semicircular canal syndrome.

8. Etiopathology, clinical features and treatment of Herpes 3+4+3

Zoster oticus.

9. a) Define otitis media with effusion. 2+5+3

b) What are the comorbidities associated with it?
c) Enumerate related investigations.

10. Indications and techniques of mastoid obliteration. 4+6

**********************

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