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The Colleges of Medicine of South Africa

The document provides information about the Primary Examination for the Fellowship of the College of Otorhinolaryngologists of South Africa taking place on 29-30 January 2020. It outlines the three paper exams to be taken, including the subject and number of questions for each paper. Paper 1 covers anatomy and includes 3 questions requiring descriptions of anatomical structures and systems. Paper 2 covers physiology and includes questions relating to the physiology of the nose, ear, eye and balance systems. Paper 3 covers salivary gland physiology and function and the stages of swallowing.

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0% found this document useful (0 votes)
126 views2 pages

The Colleges of Medicine of South Africa

The document provides information about the Primary Examination for the Fellowship of the College of Otorhinolaryngologists of South Africa taking place on 29-30 January 2020. It outlines the three paper exams to be taken, including the subject and number of questions for each paper. Paper 1 covers anatomy and includes 3 questions requiring descriptions of anatomical structures and systems. Paper 2 covers physiology and includes questions relating to the physiology of the nose, ear, eye and balance systems. Paper 3 covers salivary gland physiology and function and the stages of swallowing.

Uploaded by

dujdjs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FCORL(SA) Primary

THE COLLEGES OF MEDICINE OF SOUTH AFRICA


Incorporated Association not for gain
Reg No 1955/000003/08

Primary Examination for the Fellowship of the


College of Otorhinolaryngologists of South Africa

29 January 2020

Paper 1 Anatomy (3 hours)


All questions to be answered. Each question to be answered in a separate book (or books if more than one is required
for the one answer)

1 a) Describe the anatomy of the tongue including its vascularisation and innervation. (25)
b) Briefly describe the anatomy of the submandibular salivary gland. (15)
c) Describe the pre-epiglottic space. (5)
d) Describe the para-glottic space. (5)
[50]

2 a) Tabulate the sensory innervation of the auricle. Show both the nerve and the derivation
of the nerve. (20)
b) Draw and label a schaematic representation of the medial wall of the tympanic cavity
showing the facial nerve and its relations anteriorly, inferiorly and superiorly. (10)
c) Draw and label a cross sectional view of the left internal auditory meatus and its structures
clearly marking anterior and posterior. (10)
d) Draw and label the organ of Corti. (10)
[50]

3 Regarding the lacrimal reflex


a) Describe the pathway and the anatomical course of the nerves involved. (20)
b) Describe the uncinate process. (10)
c) Describe the anatomy of the nasal tip. (10)
d) Please draw and annotate the lacrimal apparatus including its dimensions. (10)
[50]
FCORL(SA) Primary

THE COLLEGES OF MEDICINE OF SOUTH AFRICA


Incorporated Association not for gain
Reg No 1955/000003/08

Primary Examination for the Fellowship of the


College of Otorhinolaryngologists of South Africa

30 January 2020

Paper 2 Physiology (3 hours)


All questions to be answered. Each question to be answered in a separate book (or books if more than one is required
for the one answer)

1 Regarding the mucociliary transport system of the nose


a) What is the function of the mucociliary transport system? (5)
b) Name and briefly describe a simple test of mucociliaryfunction of the nose. (5)
c) Describe in detail how the mucociliary transport system works with reference to mucus
film and ciliary action. (10)
d) Name the factors that may inhibit ciliary function. (5)
e) Describe the nasal cycle. (4)
f) How is the flow of nasal secretions affected by the nasal cycle? (2)
g) List 4 factors that may influence the nasal cycle. (4)
h) Describe the nasal autonomic nerve supply involved in the nasal cycle. (5)
i) Describe in detail the Gell and Coombs type I hypersensitivity response. (7)
j) List 3 examples of type I hypersensitivity reactions. (3)
[50]

2 a) Discuss the composition and electrical potentials of the cochlear fluid. (10)
b) Discuss Acoustic Immittance testing. (15)
c) Discuss Otoacoustic emissions. (15)
d) Discuss the functional classes (and main functions of each class) of the human eye
movement in relation to the head positions. (5)
e) Discuss the pathophysiological mechanisms involved in Benign paroxysmal positions
vertigo. (5)
[50]

3 a) What is regarded as normal salivary flow rates? (1)


b) Name three triggers for salivary production. (3)
c) Which central anatomic structure is controlling salivary secretion? (1)
d) What is the function of saliva? (5)
e) Diagrammatic illustrate the different salivary glands and salivary consistency (12)
f) Write short notes on the composition of saliva. (6)
g) What is the pH of saliva? (1)
h) Name the different stages involved in swallowing (5)
i) Discuss the Pharyngeal stage of swallowing. (10)
j) Name three airway protective mechanisms preventing aspiration to the trachea before or
during swallowing. (6)
[50]

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