FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
OTO-RHINO-LARYNGOLOGY
PAPER-III
ENT/J/18/28/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. Describe embryology of Larynx, Intrinsic muscles, nerve supply,
and barriers to cancer spread.

2. Enumerate causes of stridor in newborn.
Diagnostic evaluation and role of micro-laryngobronchoscopy.

3. Principles and various types of conservation surgery of
larynx for laryngeal carcinoma.
Discuss near total laryngectomy.

4. Clinical conditions associated with excessive drooling.
Management strategies for excessive drooling in a 6 years
old child.
3+7
5. TNM classification of malignancy oropharynx.
Management protocol of a case of squamous cell carcinoma
of antero lateral tongue with N0 neck.
5+5
6. Describe the principle of Video laryngo stroboscopy.
Interpretation of key features of video stroboscopy images.
5+5
7. Describe gross anatomy of esophagus. What are the
complications of rigid esophagoscopy? How will you manage an
esophageal perforation?

8. Enumerate various laryngeal framework surgeries. Discuss
Type-IV Thyroplasty.
3+7
9. Discuss Laryngotracheal reconstruction and partial Cricotracheal
resection.
5+5
10. Enumerate various causes of dysphagia. Discuss management
of a case of stricture esophagus secondary to corrosive
ingestion.
4+6