FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
OTORHINOLARYNGOLOGY
PAPER II
ENT/J/17/28/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. Surgical anatomy of submandibular gland.
What are various clinical conditions in whch it is enlarged?
How would you manage stone in submandibular gland?

2. Enumerate the muscles of mastication, with their surgical anatomy.
What are ENT causes of trismus?
6+4
3. Classify the flaps used in reconstructive surgery.
Pectoralis major myocutaneous flap and radial forearm free flap.

4. Indications of diagnostic nasal endoscopy.
Preparation of nose before diagnostic nasal endoscopy.
5+5
5. Causes of facial pain.
How would you investigate and manage a case of trigeminal
neuralgia?

6. What is the principle of stroboscopy?
What are the various parameters which are measured/assessed
during the procedure?
5+5
7. Etiology of sinonasal malignancy.
What are clinical features of squamous cell carcinoma of maxilla?
Guidelines to manage such a case.

8. Epidemiology, clinical features and factors affecting treatment of cancer
of lower lip.

9. Physiology of deglutition.
Causes of dysphagia in oral cavity and oropharynx.

10. Boundaries, contents and communications of ptergopalatine fossa.
What are various surgical approaches to this area?
6+4