Tamilnadu Dr. MGR Medical University

Third (Final) M.B.B.S. Degree Examination (August 2007)

Time: Three hours

Answer all questions

I. Write Essay:

1. A 50 year old male patient presented with bleeding, fleshy mass from the nasal cavity. Write the differential diagnosis and investigations required to diagnose. Add a note on chemotherapy and surgical management of carcinoma maxilla

(3+3+3+6 = 15 marks)

2. Enumerate the causes of deafness in children. Write the investigations to assess the hearing in children. Write about auditory training and hearing aids in such children. (3+3+2+2 = 10 marks)

3. What are the causes of hoarseness of voice in a male aged 55 years? How to you proceed with investigating? Write the role of microlaryngeal surgery in papilloma larynx. (4+3+3 = 10 marks)

II. Write briefly on:

a. Absolute bone conduction test

b. Leukoplakia

c. Allergic fungal sinusitis

d. Left vocal cord paralysis

e. Choanal atresia

e. Siegle's pneumatic speculum

f. Acute epiglottitis

g. Cholesteatoma

h. Oesophagoscopy