Slide No.

A. Name the instrument.

B. Write any TWO uses of this instrument.
 Slide No. 2
A lady came to ENT OPD complaining of painless
swelling on the posterior surface of pinna which
developed following ear piercing. On examination
the finding was seen as

A. What is the diagnosis?

B. What is the treatment of this condition?

 Slide No. 3

A. Describe the finding of this audiogram.

B. Write down ONE condition where you get this
type of audiogram?
 Slide No. 4
A 7 year girl was brought to ENT OPD by her mother with
tiny opening and recurrent swelling anterior to pinna as
shown.

A. What is the diagnosis?

B. How do you treat this condition?

 Slide No. 5

A. Write down full name of this instrument.

B. Write TWO advantages of this instrument.

 Slide No. 6
A. Comment on this X-ray .
R

B. What is the treatment of this

condition?
 Slide No. 7

This is a picture of diagnostic

nasopharyngolaryngoscopy.
Describe the finding and mention
provisional diagnosis.
 Slide No. 8

A. Name the instrument.

B. Write down the name of procedure in which this

instrument is used.
 Slide No.9

A 30 year man was diagnosed as left Chronic Otitis Media -

Squamous type 7 years back but he has not undergone
treatment. Now he developed unable to close the left eye and
deviation of mouth as shown in the photograph.
A. What complication has he developed?
B. How do you treat this condition?
 Slide No. 10

A. What is the name of this surgical procedure ?

B. Write down any THREE complications of this

surgery.
 Slide No.11
A boy had trauma over left ear and complained aural
fullness. The tympanogram showed like this.

A. Write two possible causes to get this type of curve

in this situation.
B. What are the treatment of those two condition?
 Slide No.12

A. Name of the clinical procedure being performed.

B. Write down any 5 normal anatomical structures seen

in that procedure.
 Slide No.13
A 5 year old boy was brought to emergency with
history of earache since last night. He is also
having running nose and fever. On examination,
there was congested eardrum.

A. What is your most possible diagnosis?

B. What are the stages of this condition?

 Slide No. 14
16 year old boy developed fluctuant, boggy swelling
on either side of septum following blunt nasal injury
as shown in the figure.

A. What is the clinical diagnosis.

B. How do you manage the case?

 Question No. 15

a. Describe the x-ray.

b. Mention the finding and treatment.
• Pathology ?
• Cause ?
 Station No.8
• Name the procedure
done here.

• Mention TWO
conditions in which
this procedure is done.

05/07/2025
 Station No. 1
• This is an
endoscopic picture
of larynx. What is
the finding in the
left vocal cord?

• How do you treat

this condition ?
05/07/2025
• Diagnosis ?
• Causative organism ?
• Complications ?
• Diagnosis ?
• Causes ?
 Slide 4
• Write down the findings
of the xray and the
diagnosis.
•Write three causes giving
rise to such condition in
adults.
 Slide No. 2
A lady complains of severe

itching and fullness in

the right ear.
Examination of external
auditory canal is shown.

•What is your diagnosis ?

•How do you treat it?

05/07/2025 OSCE : GMC 2015 Dec 24
 Station No.13
• Name the site and
view of this x-ray.

• What is the
advantage of this
view?

05/07/2025
 Slide No. 8
• Name the
instrument.
• Mention any TWO
common surgeries
in which this
instrument is used.

05/07/2025 OSCE : GMC 2015 Dec 26

 Slide No.5
Cortical ( Simple ) Mastoidectomy
• Write down any two common indications of
cortical (Simple) mastoidectomy ?

• How does cortical (Simple) mastoidectomy

differ from modified radical mastoidectomy?

05/07/2025 OSCE : GMC 2015 Dec 27

 Slide No. 15
• Mention the site and
view of the X-ray.

• Name two common

conditions giving rise
to these findings.

05/07/2025 OSCE : GMC 2015 Dec 28

 Slide No. 14
FESS
• What is the full form of FESS?

• Mention its TWO common indications.

05/07/2025 OSCE : GMC 2015 Dec 29

 Slide No. 12
• Write down any two
differential diagnosis of this
neck swelling.

• Mention any four common

investigations done in
such cases.

05/07/2025 OSCE : GMC 2015 Dec 30

Rhinolith
Rhinolith
 20 yr old presents with:
• Recurrent right nasal obstruction for 5 yr.
• Antr rhinoscopy: small mass in middle meatus.
Postr rhinoscopy: smooth, globular, pale gray
mass filling right choana. X-ray PNS:
opacification of right maxillary sinus
• What is the diagnosis?
• What is the treatment?
Antrochoanal polyp
Antrochoanal polyp
 40 yr old presents with:
• Progressive B/L nasal obstruction, sneezing &
watery nasal discharge for 6 mth.
• O/E: B/L, multiple, pale, grape-like masses in
nasal cavities
• What is the diagnosis?
• What is the surgical treatment?
Ethmoid polyps
Ethmoid polyps
 40 yr old presents with:
• Episodic vertigo + fluctuating deafness in right
ear + tinnitus for 6 mth.
• O/E: B/L TM normal. TFT: SNHL
• What is the diagnosis?
• How do you confirm the diagnosis?
• What is the treatment?
Meniere’s disease
 68 yr old presents with:
• Slowly progressing deafness for 3 yr.
• O/E: B/L TM normal
• TFT: B/L Rinne positive; Weber  Right
B/L A.B.C. decreased
• What is the diagnosis?
• What is the treatment?
Presbyacusis
 35 yr old presents with:
• Foul smelling ear discharge in right ear
• Total Deafness in right ear
• Severe vertigo & vomiting
• O/E: Nystagmus beating to left
• What is the diagnosis?
• What is the treatment?
Right attic cholesteatoma
 Spotter 1

A. Name any TWO clinical tests in which we use

this instrument.

B. Mention the findings of those tests in Sensory-

neural Hearing Loss.
 Spotter 2

A. Comment the X-ray with the findings.

B. How do you manage this case?
 Spotter 3
A diabetic lady came to ENT OPD complaining of
intense pain in the right ear. O/E this kind of picture
was seen.

A. Write down four causes of this

condition.

B. Name four antibiotics that can

be used in this condition.
 Spotter 4
A 28 years lady presented with
bilateral progressive hearing
loss. The audiogram showed
this pattern in both ears
A. What is the typical finding
in this audiogram?
B. What are the THREE
treatment options for this
condition?
 Spotter 5
• 20 year old presents with severe earache
of 3 days duration that es with jaw
movement

• O/E: painful swelling in outer 1/3rd of

external auditory canal

• Tympanic membrane - normal

• What is the most likely diagnosis? 0.5

• What is the usual causative organism?

O.5

• Describe specific treatment for this

condition? 1
 Spotter 6

A. Name this instrument.

B. What are the two advantages of the design of the tip

of the forceps?
 Spotter 7

A. Write down the site and R

view of this x-ray.

B. Mention TWO
informations given by
this X-ray .
 Spotter 8
Sixty year old smoker came to ENT OPD with
complains of continuous, unremittent hoarseness for 3
months and stridor for the last 5 days. Flexible
endoscopy finding is as shown in the figure.

A. What is your provisional diagnosis?

B. What investigation would you like to do to confirm
the diagnosis and extend of the disease?
 Spotter 9

A. Name the instrument.

B. Write any FOUR indications of use of this

instrument.
 Spotter 10
A five year old child complained of a painless anterior
neck swelling of 6 months duration. On examination the
swelling is cystic and non tender.

A. What is the embryological

explanation of its
development?

B. What is the surgical

treatment for this
condition?
 Slide No. 11
This is a photograph of the submandibular gland excision

A. What are the THREE nerves which can be

traumatized during this surgical procedure ?

B. How can you avoid trauma to the marginal

mandibular nerve during the surgery?
 Spotter 12

A. Name the type of curve of this tympanogram.

B. Write TWO conditions where you get this type
of curve.
 Spotter 13

Mention two different ways of doing nasal

airway patency test?

 Spotter 14
30 yr old with midfacial injury, presents
with:
• B/L nasal obstruction
• O/E: globular fluctuant swelling in
B/L vestibule blocking nasal
airway .There is no
local rise of temperature.
• What is the diagnosis? 0.5
• What is the treatment? O.5
• Write 2 complications for delay

in treatment. 1
 Spotter 15

A. What is its mechanism of action?

B. Write its TWO main side effects.
 Station No. 1

Posterior Nasal Packing

• Write down TWO common indications for

posterior nasal packing.

• Name any four common complications of

this procedure.
 Station No. 2

• What is the type of

hearing loss shown
in this audiogram?

• Name any two

conditions giving rise
to such a finding.
 Station No. 3

• If this is a
pleomorphic

adenoma of the
parotid, how is this
treated ?
• Complications?
 Station No. 4
• Writedown the site
and view of this x-ray.

• Identify the
abnormality and
mention the sign
shown by the
arrowhead.
 Station No. 5

This is an endoscopic
view of the true vocal
cords

• Name any two

diseases giving rise to
such clinical picture.

• How do you confirm

the diagnosis ?
 Station No. 6
• Name the device.

• Write down any

four clinical
conditions in
which this is
indicated.
 Station No. 8

• What instruments do you require to

perform anterior rhinoscopy?

• Mention any FOUR anatomical

structures seen during the procedure.
 Station No. 9
• Name the site and
view of the x-ray
shown.

• What abnormality
can you see in this x-
ray and how do you
treat this condition if
there is no external
swelling?
 Station No. 10

Tonsillectomy
• Mention any four common indications of
tonsillectomy.

• Write down two perioperative

complications of this surgery.
 Station No. 11

• Identify the instrument.

• Name any two common therapeutic
indications for using this instrument.
 Station No. 12

• What abnormality
do you see in the
picture as shown by
the arrowhead?

• Name two common

conditions giving
rise to such a
finding.
 Station No. 13

• Name the instrument.

• Write down any TWO common procedures in which

this instrument is used.
 Station No. 14

• Name the instrument.

• What are the contraindications of

using this instrument.
 Station No. 15

• What are the TWO common

techniques of eliciting a fistula sign?

• Write down TWO clinical conditions

where fistula sign is positive.
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