FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
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. Embryology of larynx and trachea.
What is the clinical significance of embryology in surgery for partial
laryngectomy?
6+4
2. What is the surgical importance of Fossa of Rosenmuller?
Clinical features and routes of spread of carcinoma of nasopharynx.
4+6
3. What are the causes of cancer tongue?
How would you investigate such a case?
How would you manage a case of carcinoma of tongue (lateral
border, 2x2cm) having submandibular lymph node?

4. Define laryngopharyngeal reflux.
What are its clinical features?
How will you manage such a case?

5. Anatomy of retromolar Trigone.
Clinical presentation and spread of tumors in this area.
5+5
6. Clinical features of post cricoid carcinoma.
How will you investigate and manage a patient of post cricoid
carcinoma?
5+5
7. Surgical anatomy of Killian's dehiscence.
Clinical features and management of Zenker's diverticulum.

8. Anatomy of parapharyngeal space.
What are the surgical approaches to this space?
6+4
9. Enumerate the complications of radical neck dissection.
How will you manage a case presenting with a chylous fistula?
6+4
10. What are the indications of direct laryngoscopic examination?
What are the anesthetic techniques for microlaryngeal LASER
surgery?
What precautions need to be taken during procedures involving
LASER in an operation theatre?