Student Date Of Birth Batch No Saitoh otar-00 ‘Academie Session Subject Exam 2oat2e Preprf EYE + ENT (lock GIT + (2s) Hopatobitiry Marks Total Marks Marks Obtain 40 ‘0 Paper Question & Answers Details ‘IV antbiots complaints of tft sided fac B Incision and crainage days, According to her, the pain aggravates while eating yed with overtying erythema, however facial nerve i intact The next step in ‘management of thi patlent would be: 'A2 years old femal child ls brought to emergency with complaints of orsign body (peanut inhalation) 2 hours back, CFE pation isin distress with respiratory rate of 44/min, pulse 150/min and decreased alr entry on the right side. The definitive management ofthis pationt would be: ‘A.4years old female presented with complaints of sore throat and fever from the last 3 days, OFE both tonsils are Infiamed and congested. Organism responsible for this condition is: ‘A10 yoars old malo is brought to emorgency with complaints of high grade fever and dificulty breathing fom the last 2 days. He had an episode of upper respiratory tract infection 7 days back, OI, pationt is dyspneic with inspiratory stridor, “Xray neck lateral view shows an enlarged prevertebral soft tissue shadow Indicating retrpharyngoal abscess, The noxt stop would be: ‘8.15 yoars old female presented with complaints of high rade fever and sore throat from the last 3 days. OIE patient had congested throat wit a bulging lef tonsil, pushing the tava tothe opposite side. The next step in the management of this patients ‘A0 years old male presented with complaints of hoarseness of voles from the last S months, He Is also complaining of stridor from the last 3 weeks. CIE, there is an exophytic growth involving the right vocal cord. The patient's neck i clear. The etiologies factor for this. condition ‘AAS yoars old female was admited for thyroidectomy for a simple multinodular goiter twas a dificult surgery and the surgeon experienced more blood loss than he anticipated Upon extubation, patient suddeniy went into respiratory distress and stridor. The drain attached did not have any collection in it. The complication that has occurred Is: obtain an ultrasound [7 D superficial paroidectomy E No oral food A sterods| C fre ope direct xyngoscopy D rigid bronchoscopy [7] E vacheostomy ‘Beta steptococe| [ CECol 1 Hemophius infiuenza 8 hycration CIV antibiotics D incision and drainage E tracheostomy (7 ACT scan 8 hot onsilactomy D pus for iS E vacheostomy ‘A Excessive voice abuse B Gastro esophageal refx (C Human papilloma vis D Reclaton smoking [7 ‘RA tension hematoma £8 lateral recurrent angel nerve injury (7 Damage othe paathyroids D laryngeal traume‘855 years old male presented withthe complaints of pain in oral cavity and occasional bleeding when eating food from the last 5 months. He Is a heavy smoker and has bet smoking from th last 20 years. OE pation has a Sx4em om left lateral border of tongue. He also has ‘enlarged Iymph nodes let side nack. The next sep in ‘management of this patients ‘A665 years old male presented to opd with complaints of haltosis and food sticking In throat from the last 5 months. He also complaints thatthe food regurgitates back into his ‘mouth when he lays down to sleep. OI, patent has a palpable, but reducible lump lft side of neck. His CXR shows signs of aspiration pneumonia. This patient is suffering trom: {830 years old female pre ted to opd with complaints of 28y ftigabily, dysphagia and weight loss from the last 8 ‘months. Of, patients anemic, and has fissures on lips and ‘around the oral commissure, Her labs show Hb of 7.2, decreased serum iron and mean corpuscular volume, The next step in management ofthis patient is: [ATS years old lady is brought to Ophthalmology emergency with complaints of severe pain in her right eye and sociated headache, She has redness and watering from the left eye since last 24 hours, On examination, the patient has intraocular pressure of 46 mm of Hg, She has corneal ‘edema and a swollen, mature cataract, Whats the most katy diagnosis? 'A55 years old years old male patient presents to (Ophthalmology outpatient department with complaints of sevoro pain in his lft eye tis associated with redness and ‘watering. The patent had central retinal ven occlusion 2 ‘months ago. On examination, the ophthalmologist observes {ine vessets on his kis margin and irdo-corneal angle. His Intraccular pressure Is Somm of Hg. What Is the most Ikely diagnosis? ‘A10 years old boy presents to eye OPD with swelling of right ‘eyelid and perorbtal skin, The eyelids are red, frm and tonder. Visual acully, extraocular movements and eyeball are normal. The most probable dlagnosis is? ‘A40 yr old man presents to eye OPD with complaint of transient obscuration of vision in both eyes lasting 10-45 seconds many times a day. He also has a headache whichis more savere early in the morning and is aggravated by coughing, sneezing and straining, He also reports sudden ‘episodes of nausea and vomiting. Visual aculty and pupils, are normal. On fundoscopy optic discs are hyperemic, ‘lovated with blurred margins and engorged veins at the alse margins with absent venous pulsation. MRbraln shows ‘a tumor inthe posterior cranial fossa, What isthe mostikely diagnosis ? ‘A 6 years old lady presents to aye OPO with the complaint of foreign body sensation and watering from her right eye for the last one month. On examination of the right aye the lower ‘eyelid and eyelashes ar in its normal anatomical position but the eyelashes are backward directed toward the eyebal ‘What isthe most probable diagnosis? ‘4.15 months old child Is brought by the mother to eye opd with the complaint of fow vision ofthe chil. The ophthalmologist while doing the ocular examination notices thatthe pupil reflex is white in tho right ye, What wil be the most important differential diagnosis? ° ‘Ade hemiglossectomy madi radical neck cisecton 0 Order a PET scar ake @ wedge biposy [7 Jobus pharyngous CC hypophnaryngeal carcino D kilns dehisence [7] rachooesophageal fistula ‘Blood transfusion counsel and manage conservatively 1 Oder a barium swallow [7] E screen for metastasis Prime pen angle glaucoma 8 Acute ange closure glaucoma (C Phacomorphic glaucoma [ © Neovasular glaucoma E Uvelc glaucome ‘Prime Open angle glaucoma B Acute angle closure glaucoma (¢ Phacomorphic taucome © Neovasular glaucoma [T E Uvolte glaucoma ‘Alciopathic orbital inammatory dise B Leukemia (chroma) C Orbital cette Precepal orbital cet Rhabdomyosarcoma A Papiloedema [7 B Anterior ischemic optic neuropathy € Pseudopspilloedem: E Nouroretints ADistchasis 8 Thichiass Invoitonal entropion 0 Cicatrlalentopion E Ectropion ‘R Congential glaucoma comeal opacity 0) Retinoblastoma [‘A65 years old man has an ulcerated nodular mass on isr Ulceration has raised rolled edges with dated blood vessels over the lateral margins. Regional lymph nodes are not palpable. The most likely diagnosis is ) A55 years old lady presonted to EYE-OPD with the ompants of watering and foreign body sensation, On ‘examination she has scarring ofthe upper palpebral conjunctiva, Herbert pits atthe superior limbus and superior pannus The typeof entropion the patient suffering from ) A60 years old man present to EYE-OPO with irtation and {orelgn body sensation inthe left aye forthe last one month, (On examination the left ower eyelid margin is turned towards the ‘The overlying skin is normal, On ‘eversion ofthe eyelid the Id margin comes to its normal position but inverts again on forceful closure ofthe eyelid ‘The most probable diagnosis: ‘A410 years old girl presents to Eye-OPD witha history of a sudden appearance of a painful mass at the right upper lid margin forthe last one day. I contains pus at the peak ofthe ‘mass. The skin around the mass is red and oedematous. He ‘also has some uncorrected rafractve ertor and gives history ofthe appearance of such a mass inthe past. The most probable agnosis Is 'A.60 yoars old man prosonts to ey@ O.P.D with the complaint of watering and burning sensation In his Rt Eye. On ‘examination the patient has Rt, Lagophthalmos and ‘exposure keratitis. His mouth is deviated tothe left side and |s unable to lift his Rt. eyebrow. The eyelid skin is normal ‘The most likely diagnosis? ‘A15 years gir presents to Eye-OPD witha gradual painless swelling inthe right upper eyeld forthe last two months Palpation ofthe mass indicates a small nodule inthe Substance ofthe eyelid nat invelving the lid margin. The overlying skin is normal and mobile and eversion of the ‘eyelid shows a mass in the tarsal plate. The gt! isa known patlent of blepharts. The most probable diagnosis Is: ‘840 yrs old lady who is a known patient of multip presents to eye emergency department with complaint of ‘acute visual oss inher lft eye. She roportspaln on ‘extraocular movernents Her visual acuity in the left ye is 5160 and color vision is markedly impaired. Pupilry ‘examination shows relative afferent pupilary defect. Fundoscopy shows a swollen and hyperemic optic ise with blurred margins. Macula is normal. Vitreous contains Inntammatory cells. The most probable dlagnosts Is: 'A26 yoars old male patlont presents to Ophthalmology ‘outpatient department with complaints of sudden onset of painless decreased vision since lat 2 days. Its assoclated with floaters and flashes of ight He isa known high myope He observed the decreased vision as a curtain falling from above What isthe most likely diagnosis? 'A45 years old lay visits Ophthalmology outpatient department with complaints of mild discomfort in her eyes ‘since last 2 months. itis associated with gradual deterioration of vision. On examination, she has intraocular pressure of 28 mm of Hg in both her eyes. The cup to disc ratio in her eyes are 0.8. What isthe first line drug used to treat her condition? ‘ABasal Call Carcinome [i 8 Kaposi Sarcoma C Meck Cell Tumor Sebaceous Gland Carcinoma ‘Squamous Cel Carcnom ‘AAoute paste Enopion 8 Cicatricial Entropion [7 Congenital Entropion D Epibiopharor E Involutonal Enropion “Rfeate spaste Eniopion Bc rial Entropior Congenital Entropion piblepharon E tnvolutonal Entropion [7] 8 Chalazior (C Hordeolum Externum Hordeolum Intrnum Squamous call carcinoma 8 Congenital ecropion C Mechanical ectopio 1 Paralytc (aca nerve palsy) ecropion. [7 Senile (ivolatonal) ectopion ‘Basal cal carcinoma B Chalazion [7] CC Hordoolum Exteenum -(Stye) 1 Hordeolum Intrnum Squamous coll carcinoma ‘APaplloedeme B Anterior lschemic ope neuropathy € Pseudopspilloedem: © Optic ours [ AA) Optic neuris 186) Retna detachment [7 ©.C) Age related cataract 0) Keratoconus EE) Hyphaeme je drops Dexamethasone aye drops C lnfusion Mannito 1 Prostaglandin analogues (7) E Inravieal at-VEGF‘4.09 months old baby is brought to Ophthalmology ‘outpatient department The patents are complaining of him not following objects and inattention to ight. There ls no history of prematurity. On examination the patient has white pupillary reflex in both his ayes. Rest ofthe clini ‘examination is normal. What s the most likely diagnosis? ‘A.60 yoars old male patiant came to Ophthalmology ‘outpatient department with complaints of decreased vision Ii his right eye since last 1 year. The decreased vision is painless, gradual and not associated with any trauma, The Visual aculty in right eye is counting fingers close to th (On examination he has white pupillary reflex. Rest of the clinical examination is normal, What fs the most likely diagnosis? ‘A115 years old boy present to Eye-OPD with a history of 2 sudden appearance of a painful mass at right upper lid margin forthe last one day.t contains pus at the peak ofthe ‘mass.The skin around the mass is ed and oedematous.He 0 ‘also have some refractive error and gives history of the ‘appearance of such a mass in the past, The most probabls diagnosis i: ‘820 years git prosonts to EYE-OPD witha gradual painless sweling inthe left lower eyelid forthe last two months Palpation ofthe mass indieates a small nodule Inthe substance ofthe eyelld not involving the lid margin. The 0 overlying skin is normal and mobile and eversion of the ‘lid shows a mass in the tarsal pate. The gt! isa known Patient of blepharts. The most probable diagnosis is: ‘AS woeks old infantis brought by his mother to eye OPD after noticing a white dt in his left eye, After complete oye ‘examination and investigation a diagnosis of den unilateral cataract is made in his loft eyo without any ocular 0 or aystemie association. His Hight eye is completely normal Which ofthe following Is the treatment of choice for this intone? You ae sitting n doctor lounge a staff nurse calling you for help in decanulated post tracheostomy patent. You see the pationt is fully eyanetic. Thoro is no suction machine and oxygen at bed side. You puta tracheostomy tube but the patient is stil cyanotic obvious on her face, What would you do to save the paiont. Eight years old male child brought by his uneducated parents withthe history of severe sore throat, malaise, low rade fever with bilateral neck swellings. Examination reveals a toxic look with difficult breathing. He has dirty ‘white grey membranes over the tonsils spreading tothe soft 0 Palate and posterior pharyngeal wall. The membrane Is tenacious and bleeds on scraping, The jugule-dagastric lymph nodes are enlarged and tender- What isthe most tkely lagnosis? 40 years old male patient came through OPD with history of, dysphagia specially for lqulds forthe last 4 yoars, Ther Is regurgitation of undigested food while he I sleeping Sometimes, he is also having normal swallowing. Barium swallow shows dilated oesophagus with rattall appearance. ‘What isthe most ikely diagnosis. 35 yoars old fornale patont presented in OPD with the history of anterior neck swaoling forthe lat 45 years. She is known diabetic and normotensive, The swaling moves with 0 degluttion and doesn't move with tongue protrusion, What Js the most kay diagnosis? ‘ARetinoblastoma Congenital cataracts [] © Retinopathy of prematurity E Toxocariasis ‘ARetinoblastoma 8 Relative afferent pupil defect Cage rotated cataract [1 Coats disease Age related macular degeneration ‘ABasal cal carcinoma 8 Chalazior (C Hordeolum Extemum Hordeolum Intrnum Squamous cell carcinoma ‘Basal cel carcinom B Chalazion [7] CC Hordoolum Exteenum -(Stye) 1 Hordeolum Intrnum Squamous call carcinoma ‘AGasses Observation © Cataract surgery (7 E Laser photocoagulation ‘A Wai to bring oxygen ni B wait to bring the suction machine Provide neck extension © Forceful stoma breathing [7 E Sitthe patientn propped up positon ‘Adal bacterial tonsils 8 Diphtheria [7] C infectious mononucleosis Monitasis E Acute epilotiis ‘Cardia achalasia 7) 8 Pharyngeal pouch (Oesophageal stricture 1 Oesophageal cancer Hypopharyngeal cancer ‘ABranchial ot C Gove 1) © Pharyngeal pouch Thyroglossal duct cyst‘A37 year ld complains of persistent hoarseness. She has ‘Chronic Lanai had @ multiple previous ITU admissions for brite asthma, £8 Vocal cord nodule ° a benign looking red swelling onthe ‘an looking (Vocal cord granuloma f © D Reinke’ edema 6} Vocal cord palsy ‘A.0.yearold schoo! teacher presents with hoarseness. He ‘ACihronic Laryais| isa non smoker Laryngoscopy reveals bilateral symmetrical 1 OB Vocal cord nodule 7 ‘ovoid lesions onthe anterior third of the vocal cards Reinke’ edema 1 Voeal cord granuloma Vocal cord palsy ‘A.,year-old boy presents with rapid onset of noisy amma breathing and drooling. On examination the ehild i pyrexil, 4 £8 Croup (acute laryngotracheal bronchitis ‘appears distressed and has marked stridor es CC Respiatory papilomatosie D Acute epolotis [7] Inhaled foreign body 'A3 years old boy presents with @28 hours history of cough ‘AAsthme and stridor with flu ike symptoms. On examination the child 4 >) 8 Croup (acute laryngotracheal bronchitis) 7] looks comfortably and is milly pyrexil. . CC Respiatory papilomatosie D Acute epigottis Inhaled foreign body |A3T years old woman describes a long history of dysphagia ‘Post crcid carcnoms ‘and cramping pains in the chest. Barium swallow shows 0 ‘8 Pharyngeal pouct dilated tapering esophagk (Esophageal achaasi 7 © 0 Foreign body Globus pharyngeus ‘A Tosyearold woman complains of regurgitation of food with 'APlummer Vinson syndrome halitosis. She has had multiple courses of antibiotics for ~) 8 Oxsophageal achalasie recurrent chest infections. ° (¢ Pharyngeat pouch [7 0 Foreign body Globus pharyngeus