Otorhinolaryngology
For Final professional exam part -1
- Raghav Chopra
Question bank
Star Factor
- Raghav Chopra
- 2017 batch
- IGMC
> This book named star factor tells how to prepare for practicals
and theory exam.
> This book contains important ENT topics.
> Star factor questions are added after every section. You
cannot afford to leave these questions.
> Previous year question papers are added in the end.
Remember- AIM IS NOT TO PASS EXAMS AIM is to treat
patients.
This book consists of 2 parts
1) Practicals/Clinics
2) Theory
This book consists of 9 sections
1) Ear
2) Nose
3) PNS
4) Oral cavity
5) Pharynx
6) Larynx
7) Oesophagus
8) Miscellaneous
9) Surgeries
ENT clinical postings
For ENT clinics read book - Practical ENT by Vikas Sinha
Download its pdf
- 2 months postings
What to do in clinical postings ?
- Read how to take history and how to examine
See how to do Anterior rhinoscopy , posterior rhinoscopy ,
Indirect laryngoscopy , cottle test , Spatula test , probe test , Dix
hallpike & epleys maneuvere
- See how PTA is done and how Tympanometry is done.
- Take at least 1 CSOM long case and present to the teacher
- See some other cases like -
CA larynx
Tracheostomy
Tonsillitis
DNS
Bell’s palsy
Neck swellings
- See instruments in ENT clinics and click photos in your mobile
so that you can revise them before exams.
ENT practicals in Finals
3 Vivas
- 1 Grand viva
- 1 Long case viva
- 1 Short case viva
- X-rays - Nasal bone fracture , Waters view , mastoid , soft
tissue lateral view neck showing retropharyngeal abscess.
-CT scan of PNS
- Instruments
Long case - Usually on CSOM
Short case - DNS , polyps , neck swelling , tonsillitis, CA
larynx, adenoid hypertrophy , Bell’s palsy
THEORY EXAM
Theory exam in finals - 40 marks
Learn anatomy to build strong concepts.
Maximum questions come from Ear part.
EAR
Chapter 1
Draw diagram
- Walls of middle ear
- Tympanic membrane
- Organ of corti
Chapter 2 &3
No question usually asked from this chapter
Masking (short note)- once in finals
Chapter 4
Very important chapter
One question sure from this chapter
Rinnes test (IMP)
Tympanometry (IMP)
BERA (V Imp)
Oto acoustic emission (V Imp)
SISI (V Imp)
Speech audiometry
Chapter 5
Tympanoplasty (Imp for theory and viva)
Chapter 6 & 7
BPPV , Dix Hallpike , Epleys maneuver (Very very very imp)
Caloric test
Fistula test (imp)
Chapter 8
Otomycosis
Otitis externa - Localised , diffuse , malignant (Very imp)
Ear wax and foreign body in ear
Aural syringing
Chapter 9
ET function tests (very very imp)
Chapter 10
ASOM (very very very imp)
Glue ear
Otitic barotrauma
Chapter 11 and 12
Supple preventing chapter
Both chapters to be read word by word anything can be
asked in theory and viva
Imp questions-
Theories of cholesteatoma
Diff between safe and unsafe CSOM
Mastoiditis and abscess related to mastoid
Sigmoid sinus thrombosis
Petrositis
Chapter 13
Otosclerosis (long question can be asked)- Definition,
pathogenesis, investigations and treatment
What is carharts notch?
Chapter 14
Topdiagnostic and electrodiagnostic tests (Very imp)
Bell’s palsy
Causes of FN palsy
Frey syndrome
Chapter 15
Meniere disease (do all signs , pathogenesis, presentation
and treatment)
Chapter 17
Glomus tumour
Chapter 18
Long question can come on acoustic neuroma -
C/F ,investigations
Chapter 19
Assessment of deaf child
Chapter 20
Hearing aids
BAHA
Cochlear implant (very very imp)
Brain stem implant
Chapter 21& 22
Rarely asked
Do causes and make some mnemonics
Referred causes of otalgia (imp)
STAR FACTOR QUESTIONS OF EAR
TOP 18 questions of EAR
1) Theories of cholesteatoma
2) Mastoiditis and abscess related to mastoid
3) Gradenigo syndrome
4) Stages of ASOM
5) BPPV and maneuveres
6) ET function tests
7) Symptoms , signs and investigations of
Meniers disease
8) Tympanoplasty
9) Impedence audiometry
10) BERA
11) Cochlear implant
12) Medial and posterior wall of middle ear
13) Draw Tympanic membrane
14) Swimmers ear and Malignant otitis externa
15)Acoustic neuroma (long que)
16) Tests for facial nerve
17)Fistula test
18) Glue ear
NOSE
Chapter 23
Osteomeatal complex
Diagram of lateral wall of nose
Chapter 24
Olfactory pathway
Anosmia
Chapter 25
Saddle nose
Rhinophyma
Vestibulitis
Chapter 26 & 33
Septum anatomy diagram
Littles area
DNS (very very imp) read word to word
Epistaxis (long que) - Causes and management
Septal perforation and hematoma (less imp
Chapter 27
Atrophic rhinitis (long que) Very very very imp
Chapter 28
Rhinoscleroma and rhinosporiodosis ( Read by
comparing both)
Chapter 29
Nasal Myiasis(very very imp
CSF rhinorrhoea(very very imp
Foreign body
Otolith
Choanal atresia(imp
Chapter 30 & 31
Management of allergic rhinitis
Vasomotor rhinitis(imp
Rhinitis sicca and caseosa
Rhinitis medicamentosa (imp
Chapter 32
AC polyps and Ethmoidal polyp (very very
very imp
Chapter 34
Tripod fracture
Oroantral fistula
Jarjaway and chevallet fracture
STAR FACTOR QUESTIONS OF NOSE
Top 7 questions
1) Atrophic Rhinitis Clinical features diagnosis and
management
2) DNS - Types and Management
3) Diff between AC and ethmoidal polyp
4) Samters triad
5) Management of Epistaxis
6) Nasal myiasis
7) CSF rhinorrhoea
PARANASAL SINUSES
Chapter 35
Anatomy of maxillary sinus
Learn how to check tenderness in various cases of sinusitis
Chapter 36
Maxillary and frontal sinusitis
Chapter 37
Read chronic sinusitis in general
Fungal sinusitis (very imp
FESS (very very very imp -Read from surgeries in
ENT)
Chapter 38
Very very imp chapter
read full chapter
Chapter 39
Inverted papilloma
Chapter 40
CA maxillary sinus (very
very imp
Chapter 41
Read proptosis from ophthalmology
STAR FACTOR questions
Top 3 questions
1) CA maxillary sinus
2) Anatomy of maxillary sinus
3) Complications of sinusitis
ORAL CAVITY
Chapter 42-46
Premalignant conditions of oral cavity (imp
Leukoplakia
Submucous fibrosis
Benign tumors in oral cavity (Imp)
PHARYNX
Chapter 47
Waldeyer ring
Structures passing through sinus of morgagni
Pyriform fossa
Killian dehiscence
Passavant ridge
Chapter 48
Adenoid hypertrophy (very imp) short case can
also come
Thornwaldt bursitis
Chapter 49
JNA - VERY important
Nasopharyngeal cancer (imp
Chapter 50
No question usually asked
Chapter 51
Tonsillitis (very very imp
Do acute and chronic types , presentation , treatment
D/D of membrane over tonsils
Special features of Diphtheria
Chapter 52 VERY IMP CHAPTER
Ludwigs angina
Quinsy
Retropharyngeal abscess
acute and chronic
Chapter 53
Eagle syndrome
Chapter 54
Zenker diverticulum
Chapter 55
Very imp - Clinical evaluation of OSA
STAR FACTOR Questions
Top 5 Questions
1) Adenoid hypertrophy and adenoidectomy
2) Tonsillitis and tonsillectomy
3) JNA cause , presentation , investigations and
treatment
4) Retropharyngeal abscess
5) Quinsy
LARYNX
Chapter 56
Learn anatomy of larynx to get a good hold on this section
Questions can come on
Adult vs pediatric larynx( imp )
Muscles of larynx
Chapter 57
Laryngotracheal trauma
Chapter 58
Acute epiglottis and acute laryngotracheobronchitis study by
comparing both
Reinkes oedema
Chapter 59
Laryngomalacia (Very very imp)
Stridor (long que)
Chapter 60
Important chapter
Chapter 61
Vocal nodule and polyp very very imp
Laryngocele
Reinkes edema very very imp
Juvenile papillomatosis
Chapter 62
CA larynx - Etiology , TNM, classification,diagnosis and
treatment in detail.
Chapter 63
Hoarseness - long que
Dysphonia plica ventricularis
Puberophonia
Chapter 64
Tracheostomy-MOST IMPORTANT QUESTION IN LARYNX
READ WORD BY WORD
TYPES , TECHNIQUE , TRACHEOSTOMY TUBES ,
COMPLICATIONS
Chapter 65
Management of laryngeal foreign body
STAR FACTOR Questions
Top 5 questions
1) Incisions in tracheostomy and complications in
tracheostomy
2) Vocal nodule and polyp
3) CA larynx etiology and management of T2N0 glottic CA
4) B/L abductor palsy
5) Laryngomalacia
OESOPHAGUS
Chapter 67-70
Plummer Vinson Syndrome (Very imp)
Achlasia cardia
Foreign body in Oesophagus
If shortage of time read only Plummer Vinson syndrome
MISCELLANEOUS
Adverse effects of radiotherapy - 2017 batch send ups
Short note on posterior rhinoscopy , indirect laryngoscopy
Rhinomanometry
Chapter 77
For practicals because short case on neck swellings can come
Thyroglossal cyst - once in finals
SURGERY
1 question sure on any one surgery
1) Difference between SMR and septoplasty
2) Indications of myringotomy and incisions
3) Tonsillectomy criteria and complications
4) Adenoidectomy Criteria and complications
5) Canal wall up and canal wall down difference
6) RM and MRM difference
7) What is Mcevans triangle , Donaldson line , sinus
tympani ?
8) Tympanoplasty types
Myringoplasty overlay and underlay technique
9) Caldwell Luc
10) Hidden areas of larynx and indication of Direct
laryngoscopy
PREVIOUS YEAR QUESTION PAPERS
Last year - 2017 batch
Send ups Tanda 2017 batch
1. Complications of csom with brain abscess in detail
2. SISI
3. ca nasopharynx
4. Muscles of larynx
5. Cavernous sinus thrombosis
6. Maggots in ent
7. Prevention of deafness
8. Ototoxicity
9. Differential diagnosis of memberane over tonsil
10. Laryngeal diphtheria
11. Obstructive sleep apnea
All the best.
BY
- Raghav Chopra
- 2017 Batch
- IGMC , Shimla
