A

B

1.  What is the procedure being done in photo “A”.

2.  What is CRT, IORT, IGRT.

3.  What is this Radiation technique in photo “B”.

4.  Mention 2 of its advantages over conformal  radiotherapy.

1 – Name muscle 1 and 2. 

2 – Name the Origin, Insertion, innervation and action of both. 

1. Identify The Marked Areas 1 to 5.

2 -Mention the named approaches to petrous apex via middle ear.

3. Mention the approaches for orbital decompression.

Oral cavity and Larynx VIVA Stations.

(Remember that you can say “Pass” for any question in OSCE Exam)

Try to answer as much as possible in 5 minutes.

1 – Different causes of Dysphagia ?

2- Growths which present with secondaries to upper deep cervical nodes ?

3 – Growths which present with enlarged supraclavicular nodes ?

4 – What are the muscles of Mastication ?

5 – What are the muscles of soft palate ?

6 – What is the nerve supply of muscles of palate ?

7 – What is pharyngeal plexus ?

8 – What are different layers of Pharyngeal wall from Inside out ?

9 – Nerve supply to muscles of Pharynx ?

10 – What is Sinus of Morgagni ?

11 – Structures piercing Thyrohyoid membrane ?

12 – What are the symptoms with which a patient of Hypopharyngeal cancer can present ?

13 – What is Trotter’s Sign ?

14 –  What is Gag Reflex ?

15 – Causes of Vocal Cord fixation in Hypopharyngeal Cancer ?

A 55 year lady presented with a swelling in the left parotid gland of 4 months duration.
O/E: Left parotid shows a 3.5 x 3 cm lesion with restricted mobility.
Facial nerve normal, no neck nodes and no evidence of distant metastases. She was evaluated in a local hospital where an FNAC was done after an USG. Being the FNAC report pleomorphic adenoma, a simple excision was done. The final histopathology report was consistent with high grade mucoepidermoid carcinoma with positive margins.

1. What will be your next step in management? 

2. Give the TNM staging of this scenario, if there was extraparenchymal extension.

3. What is the 5 year survival of low grade and high grade mucoepidermoid carcinoma?

A 45-year-old security guard was seen by his family doctor for a 4-year history of “heartburn.” He has found some relief by taking ranitidine, on an as-needed basis. A recent upper GI endoscopic examination revealed some reddish discoloration and friability of the lower esophageal region. A lower esophageal biopsy was done, and microscopic examination revealed columnar cells containing goblet cells.

1 – What is the most likely diagnosis?

2- What is the most likely mechanism ?

3- Normal esophagus is lined with ?

4 – What is a long-term complication ?

Write the name of the structures pointed in this picture?

A:

B:

C:

Question –

1. Identify this slide.
2. List of two differentials.
3. What will be your treatment?

A 50-year-old woman presented with a slow-growing lesion at the right angle of the jaw.
Histology, following a superficial parotidectomy, showed a Warthins tumor that was completely
excised. After two years following this surgery, he was complaining of sweating on the
the right side of his face when he eats.

1-What is the likely Diagnosis?

2 – How would you diagnose it?

3 – What are the available treatment options?

Question –

Analyze this slide and respond to the questions.

1. What is the diagnosis?
2. List two symptoms that the youngster will exhibit.
3. Which of the following instruments will be used during the procedure A or B?

A 38-year-old male presented with a chief complaint of Oral ulcer of 2x2cm ulcer, involving
lower gingiva near the retromolar trigone for 6 months. He developed a neck mass on level 2
for the last two months.

1- What is the differential diagnosis?

2-What is the most likely diagnosis?

3- What are the common presenting symptoms?

4-What is your next plan of action?

Q – Name the following instruments A and B.

A

B

1. Diagnosis?

2. What are the histopathological findings?

1-Describe this image?

2-Most likely diagnosis?

3-Signs confirming the diagnosis?

4-Name a test that can differentiate it from Otosclerosis?

A 55 year lady presented with a swelling in the left parotid gland of 4 months duration.
O/E: Left parotid shows a 3.5 x 3 cm lesion with restricted mobility.
Facial nerve normal, no neck nodes and no evidence of distant metastases. She was evaluated in a local hospital where an FNAC was done after an USG. Being the FNAC report pleomorphic adenoma, a simple excision was done. The final histopathology report was consistent with high grade mucoepidermoid carcinoma with positive
margins.

1. What will be your next step in management? 

2. Give the TNM staging of this scenario, if there was extraparenchymal extension.

3. What is the 5 year survival of low grade and high grade mucoepidermoid carcinoma?

65 yr old female presents with Right parotid swelling for 3 yrs; It is painless and a slowly growing mass:

1  – Based on Image, what is the most probable diagnosis?

2 -Whats investigations would you like to do to confirm the diagnosis?

3 – Treatment ?

4 – Complications of surgery?

Q1 – Identify the instrument.

Q2 – What are the Techniques of insertion ?

Q3 – What are the advantages of this device ?

1 – What is the class of this drug ?

2 – How many milligram of this drug is in 1ml of this vial ? What is the route of administration?

3 – What is the recommended dose in a adult patient, How many ml of this vial will you give?

4 – Will you suggest this with food or without food?

5 – What are the ADR’s of this drug ?

1- Most probable Diagnosis in a 50-year-old male?

2- List three types of Malignant Melanoma?

3 – List four features consistent with the Diagnosis?

4 – Name two histological staging systems.

5- Best modality for treatment?

1) What is shown in A, B, C,D,E, ?

2) What structures pass through A,B,C?

3) What is Hughlings Jackson Syndrome?

1-Name of this flap?

2-Blood supply of this flap?

3 – Advantages of this flap?

4 – Disadvantages of this flap?

Explain technique of Hand Washing.

1 – What are the imaging techniques in A, B, C?

2 – Mention one condition where all these Imaging techniques can be used?

3 – What is Levenson’s criteria?

1.  Name the nuclear imaging.

2. What is the Half life of I 131

3. What are the benefits of I 131 therapy post thyroidectomy.

4. What is the investigation of choice for Negative Whole Body I 131 scan with rising  Thyroglobulin.

1 – Identify the test?

2 – What are the criteria for the test to be positive?

3 – In which ENT cases it could be useful?

A 35 year old was posted for Left side MRM, just before shifting to OT he went into status epilepticus. The medicine resident was called and he suggested phenytoin.

1 What is the Mechanism of action of this drug?

2 What are the Clinical uses?

3 What are the common side effects?

1 – Write mechanism of action of the above drug.

2 – Mention in which condition it is used?

1 What is the Mechanism of action of this drug ?

2 What are the Clinical uses?

3 What are the common side effects?

1 – What chemotactic and proliferative factors are released during wound healing?

2 – What are the tenets of Halstead?

3 – What are relaxed skin tension lines (RSTLs)?

4 – What are the types of collagen?

100 People are tested for new test invented for Allergic Rhinitis. As per the available Gold standard 15 people have Allergic rhinitis. Of these 15 patients 10 patients tested positive for the newer test modality. Of the 85 people who did not have allergic rhinitis 40 tested positive and rest tested negative with the new test.

1) What is the prevalence of the disease?

2) Calculate the Sensitivity of the new test method

3) Calculate the specificity of the newer test method

4) Under which circumstances would you minimize the false positives?

1. Diagnosis?

2. What are the histopathological findings?

A covid 19 positive patient came to emergency at 2am in the morning, vitals are stable but your ICU staff is not available. What will be the Initial Ventilator Settings for ?

Mode:

Tidal Volume:

Pressure:

Respiratory Rate:

FiO2:

PEEP: