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Dnb 2016 december
Station 1 history taking
• You are asked to consult a child of 2 years old with lobar pneumonia
not responding to treatment.obtain history
Station 2 q on 1
• 1 When the child ADMITED?8 days/2 weeks/
• 2 History of wheezing in the past- y/n/idk
• 3 Admission for wheezing-y/n/idk
• 4 h/o choking present y/n/idk
• 5 h/o cyanosis y/n/idk
• 6 h/o cough 2 weeks back y/n/idk
• 7 Complications of helmich manoeuvre
• 8 Management of the case
• 9 Helmich manoeuvre done y/n/idk
• 10 h/o fb ingestion y/n/idk
• 11 h/o admission and iv antibiotics
• 12 h/o fever
• 13 h/o fever , cough productive for 2 wek
Station 3
Whats the role of chemical used for storage
purpose of these
• Chemical content
• Bacteria,fungus,virus,spores
Station 4 counselling
• Hb 7- after 1week posted for surgery hb to be made 10
• Complications of anemia and surgery
• Ways of hb increase
• Mode of treatment
Station 5 video stroboscopy
• Identify the investigation
• 4 parametres to be noted in the investigation
• Findings in the video
• Diagnosis
Station 6 specimen : temporal lobe abscess
• Findings
• Csf picture of above:
• sugar increased/decreased/normal
• Protein:increased/decreased/normal,
• pressure:increased/decreased/normal
• mononuclear cells i/d/n
• Wbc-i/d/n
• Trautmans triangle boundaries
• Importance of trautmans triangle
• Whats solid angle
Station 7 skill and viva
• Mc fee incision
• Lateral utility incision
• Anatomical landmarks for each
• Complications of neck dissection
• Types of neck dissection
• Levels of ln of neck
Station 8 osteology
• 1 st and 2 nd cervical vertebra
• Identify 1 and 2
• Identify marked parts
• Function of odontoid process
• Mc cause of hangmans fracture
• Jeffersons fracture?
• Hangmans fracture
• Bartholins duct
• Rivinus ducts
Station 9 examination and viva
• Ear
• Need of pneumatic otoscopy
Station 10 q about 9
• Name
• Diagram
• Which side
Station 11Clinical q
• A boy presents with pain in oral
cavity and swelling.
• Identify
• Origin in which area
• Common organisms
• Treatment- tic correct
• Incision and drainage/ iv antibiotics/ secure airway/iv steroids
• Common origin of infection after which structure
• Plunging ranula explain
• What will you see in mallampati 1. 2. 3. 4.
• Whats its sgnificance with each level?
Station 12 skill and viva
• Idl
• What are the structures you see in idl
• What are hidden areas
• How you can visulalise the hidden areas
• What are the potential laryngeal spaces
• What are boundaries of paraglottic space
• Lymphatic drainage of larynx
• Watershed area of larynx?
Station 13 q about 12
• Name
• Diagram
• Laryngeal cartilages that ossify
• Cartilages involved in laryngomalacia
Station 14 radiology
• Hrct temporal bone
Station 15 statistics
• Mode median and range from the given values
• 32,35,40,42,42,45,48,50,
• Graphs for data a) bar diagram b) histogram c)scatter gram
• Hearing clinic – how will u sample-random s/ systemic random s
Station 16 examination and viva
• Signs of thyrotoxicosis
• Thyroid storm
• Antithyroid drugs, side effects
• Wolf chaikoffs effect
• Jos basedows effect
• Pretibial myxedema
• Eye signs
• Coca cola bottle sign
• Agranulocytosis presentation
• Types of thyrotoxicosis
• Investigations for thyrotoxicosis
Station 17 rest
Station 18 instruments
Station 19 rest
Station 20
• Identify the parts
• Principle
• Indications(3)
Station 21
• Identify
• Define this therapy
• Accelerated rt
• Hyperfractination
• Hypofractionation
• Iort
• Crt
• igrt
Station 22 video
• Sleep mri
• Syndrome z
• Gold standard of diagnosis of osa
• Findings
• Other uses of this investigation in ent
• Gold standard treatment of osa
1+1+0+1+0+0+1.45=4.45
• 1 Identify
• 2 Principle
• 3 White thing in coblator
• 4 Smokeless true/false
• 5 Frequency
• 6 What happens if frequency is
less
• 7 Boundaries superior, inferior,
lateral
• 8 what are other uses in ent
• 9 Parts of the system
Section 23 pics
• Identify
• Which all sinuses can it be done
• Who proposed anterior to posterior technique
• Who proposed posterior to anterior technique
• Symptom score for post op patients of crs
• What is radiological score for crs
subquestions
• Whts a
• Congenital anomaly associated with it
• Whats b
• Incision used
• Whats c
• Whats d
• What all structures you could see
• Whats e
• Limits of this surgery in upper , lower and lateral
• Whts the usual frequency of e
• Whats the principle
• What happens if the frequency is low
• What are other uses in ent (3)
• What is the finding in g
Station 24 Pic and q identify the marked
points
Station 25 audiology
Question
• What is a , b, c
• Whats the findings in a , b, c
• Whats the diagnosis
• What are non congenital caused for this
• Whats the treatment
Station 26 rest
s 26 viva
• Trautmans triangle bounadaries
• Leddermans classification
• Ohngrens classification
• Management of ca maxilla
• Osteotomies for maxillectomy
• Functional neck dissection
S 27 viva
• Ohngrens line
• Ca maxilla management
• Mrnd types
• Rehabiltation after maxillectomy
• Solid angle
• importance of trautmanas triangle
Station 28 viva
• Dynamic tests for eustatian tube
• Williams test
• Indications for orbital exenteration in ca maxilla
• What all head and neck surgeries you have seen
Station 29 viva
• Donaldsons line
• Complications of csom
• Gradenigo syndrome
• Cholesteatoma
• Cause of facial plasy in primary acquired cholesteatoma
• Types of cholesteatoma
• Management of primary acquired cholesteatoma
• Definition of each type of cholesteatoma
cases
• Ca oral cavity
• Ca maxillary sinus
• Ca post cricoid

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Dnb ENT FINAL PRACTICALS DEC 2016

  • 2. Station 1 history taking • You are asked to consult a child of 2 years old with lobar pneumonia not responding to treatment.obtain history
  • 3. Station 2 q on 1 • 1 When the child ADMITED?8 days/2 weeks/ • 2 History of wheezing in the past- y/n/idk • 3 Admission for wheezing-y/n/idk • 4 h/o choking present y/n/idk • 5 h/o cyanosis y/n/idk • 6 h/o cough 2 weeks back y/n/idk • 7 Complications of helmich manoeuvre • 8 Management of the case • 9 Helmich manoeuvre done y/n/idk • 10 h/o fb ingestion y/n/idk
  • 4. • 11 h/o admission and iv antibiotics • 12 h/o fever • 13 h/o fever , cough productive for 2 wek
  • 5. Station 3 Whats the role of chemical used for storage purpose of these • Chemical content • Bacteria,fungus,virus,spores
  • 6. Station 4 counselling • Hb 7- after 1week posted for surgery hb to be made 10 • Complications of anemia and surgery • Ways of hb increase • Mode of treatment
  • 7. Station 5 video stroboscopy • Identify the investigation • 4 parametres to be noted in the investigation • Findings in the video • Diagnosis
  • 8. Station 6 specimen : temporal lobe abscess • Findings • Csf picture of above: • sugar increased/decreased/normal • Protein:increased/decreased/normal, • pressure:increased/decreased/normal • mononuclear cells i/d/n • Wbc-i/d/n • Trautmans triangle boundaries • Importance of trautmans triangle • Whats solid angle
  • 9. Station 7 skill and viva • Mc fee incision • Lateral utility incision • Anatomical landmarks for each • Complications of neck dissection • Types of neck dissection • Levels of ln of neck
  • 10. Station 8 osteology • 1 st and 2 nd cervical vertebra • Identify 1 and 2 • Identify marked parts • Function of odontoid process • Mc cause of hangmans fracture • Jeffersons fracture? • Hangmans fracture • Bartholins duct • Rivinus ducts
  • 11. Station 9 examination and viva • Ear • Need of pneumatic otoscopy
  • 12. Station 10 q about 9 • Name • Diagram • Which side
  • 13. Station 11Clinical q • A boy presents with pain in oral cavity and swelling.
  • 14. • Identify • Origin in which area • Common organisms • Treatment- tic correct • Incision and drainage/ iv antibiotics/ secure airway/iv steroids • Common origin of infection after which structure • Plunging ranula explain • What will you see in mallampati 1. 2. 3. 4. • Whats its sgnificance with each level?
  • 15. Station 12 skill and viva • Idl • What are the structures you see in idl • What are hidden areas • How you can visulalise the hidden areas • What are the potential laryngeal spaces • What are boundaries of paraglottic space • Lymphatic drainage of larynx • Watershed area of larynx?
  • 16. Station 13 q about 12 • Name • Diagram • Laryngeal cartilages that ossify • Cartilages involved in laryngomalacia
  • 17. Station 14 radiology • Hrct temporal bone
  • 18. Station 15 statistics • Mode median and range from the given values • 32,35,40,42,42,45,48,50, • Graphs for data a) bar diagram b) histogram c)scatter gram • Hearing clinic – how will u sample-random s/ systemic random s
  • 19. Station 16 examination and viva • Signs of thyrotoxicosis • Thyroid storm • Antithyroid drugs, side effects • Wolf chaikoffs effect • Jos basedows effect • Pretibial myxedema • Eye signs • Coca cola bottle sign • Agranulocytosis presentation • Types of thyrotoxicosis • Investigations for thyrotoxicosis
  • 24. • Identify the parts • Principle • Indications(3)
  • 26. • Identify • Define this therapy • Accelerated rt • Hyperfractination • Hypofractionation • Iort • Crt • igrt
  • 27. Station 22 video • Sleep mri • Syndrome z • Gold standard of diagnosis of osa • Findings • Other uses of this investigation in ent • Gold standard treatment of osa
  • 28. 1+1+0+1+0+0+1.45=4.45 • 1 Identify • 2 Principle • 3 White thing in coblator • 4 Smokeless true/false • 5 Frequency • 6 What happens if frequency is less • 7 Boundaries superior, inferior, lateral • 8 what are other uses in ent • 9 Parts of the system
  • 30.
  • 31. • Identify • Which all sinuses can it be done • Who proposed anterior to posterior technique • Who proposed posterior to anterior technique • Symptom score for post op patients of crs • What is radiological score for crs
  • 32. subquestions • Whts a • Congenital anomaly associated with it • Whats b • Incision used • Whats c • Whats d • What all structures you could see • Whats e • Limits of this surgery in upper , lower and lateral
  • 33. • Whts the usual frequency of e • Whats the principle • What happens if the frequency is low • What are other uses in ent (3) • What is the finding in g
  • 34. Station 24 Pic and q identify the marked points
  • 36. Question • What is a , b, c • Whats the findings in a , b, c • Whats the diagnosis • What are non congenital caused for this • Whats the treatment
  • 38. s 26 viva • Trautmans triangle bounadaries • Leddermans classification • Ohngrens classification • Management of ca maxilla • Osteotomies for maxillectomy • Functional neck dissection
  • 39. S 27 viva • Ohngrens line • Ca maxilla management • Mrnd types • Rehabiltation after maxillectomy • Solid angle • importance of trautmanas triangle
  • 40. Station 28 viva • Dynamic tests for eustatian tube • Williams test • Indications for orbital exenteration in ca maxilla • What all head and neck surgeries you have seen
  • 41. Station 29 viva • Donaldsons line • Complications of csom • Gradenigo syndrome • Cholesteatoma • Cause of facial plasy in primary acquired cholesteatoma • Types of cholesteatoma • Management of primary acquired cholesteatoma • Definition of each type of cholesteatoma
  • 42. cases • Ca oral cavity • Ca maxillary sinus • Ca post cricoid

Editor's Notes

  1. 5
  2. 2
  3. 5
  4. 8
  5. 1+1+1+0+1+1+0=5
  6. 5
  7. 1+-1+-1+1+1+1+-2+-1=-1
  8. 3
  9. 2
  10. 5
  11. 2.5
  12. 2.5
  13. 6
  14. Autoclave temperature duration 8 Ultrasonic cleaning of metal instruments
  15. 8
  16. 7
  17. Lund mac kay Snot 22
  18. 1
  19. 1
  20. -1+0.5+1+1+-1+1=2
  21. Irrigation, rf generator, foot pedal system, wand 100hz smokeless
  22. 6
  23. 5
  24. 1
  25. 6
  26. 5
  27. 5
  28. 5
  29. 30