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 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. Embryology of paranasal sinuses and nose.
What are the congenital anomalies of the nose?
7+3
2. Define nasal valve.
What are the surgical options to improve the airway in nasal
valve obstruction?
2+8
3. Fractures of NOE (Naso Orbital Ethmoid) region.
How would you manage such a case?
5+5
4. What are the causes of epistaxis in a young adult?
Technique of ESPAL (Endoscopic Sphenopalatine Artery
Ligation).
5+5
5. What is superior orbital fissure syndrome?
Causes of superior orbital fissure syndrome.
3+7
6. Define sleep apnea syndrome.
Enumerate the causes of Sleep Apnea Syndrome.
How would you differentiate between simple snoring and
obstruction Sleep Apnea?

7. Clinical features of mucor mycosis.
Role of Amphotericin-B in its treatment.
6+4
8. What are the indications for endoscopic optic nerve
decompression?
What are the steps in such a case?
4+6
9. What are the ENT causes of proptosis?
How would you manage a case of mucocoele of ethmoid
sinus?
6+4
10. Indications, principles and surgical technique of external
rhinoplasty.