Station No: 1 
 
Instructions for Candidate  
 
Examine the Rt. Ear of the Patient 
 
 ​Station No: 1 Examiners Check List  
Examination of Ears Roll No.   
Task Performed Max
marks
Introduction 
Consent   01
Illumination   
Exposure  
Position 
Inspection of Pinna   01
EAM (Pulls the Pinna Upward, backward & laterally   
Pre auricular area  
Palpation (Pressing of Tragus, pulling the pinna, Mc evens triangle 
Inspection with ear speculum (select the appropriate size, holds in  01
orresponding hand) Perform Valsalva  
Hearing tests (speech / friction)   0.5
Tuning fork test   1.5
Rennis / Webers / ABC 
Facial Nerve function tests      1.5
Nystagmus    0.5
Vestibular function test / cerebellar test      01
Fistula test  0.5
  
Selection & handling of Instruments     01
Redrapping & Thanks    0.5
TOTAL  10
Global Assessment 
Fail 
Pass 
Good 
Excellent 
 
 
 
 

Station No: II 

 
 
Instructions for Candidate 
 
Examine the Nose of the Patient 
  
Station No: I 
Examiners Check List 
Examination of Nose:  
Greets & Introduces himself​ ​Roll No  
Task Performed Max
marks
Inspection of Nose  
from front side above  01

Palpation of Nose and PNS    01

Infraorbital Nerve sensation    01
Inspection by lifting the tip of nose-(vestibule, collumela, littles 
area ant. septal dislocation    
Ant. Rhinoscopy with speculum  02
Probe test if required    
Patency test (fogging / cotton wick)    01
Check Olfaction  01
Post Rhinoscopy- Explains, Warms, Inserts gently    1.5
Selection & Handling of Instruments    01
Thanks & Redrapping   0.5
TOTAL  10
Global Assessment 
Fail  
Pass  
Good  
Excellent 
 
 
 
 
 
 

Station No: III 

 
Instructions for Candidate 
 
Examine the Oral Cavity & Oropharynx of the Patient
 Station No: II ​Examiners Check List 
Examination of Oral Cavity​ ​ ​Roll No 
Task Performed Max
Marks
Greets & Introduces himself 0.5
Consent , Position  0.5
Exposure ,​ ​Illumination
Inspection of lips    0.5
Mouth opening assessment    0.5

Inspection of oral cavity with tongue depressor,  02

vestibule, oral cavityproper 
Inspection of oropharynx Cranial Nerve   01
Glossopharyngeal - Vagus - Hyppoglossal    01
Digital / Bimnual Exam (if needed)   0.5
IDL  01
Handling & selection of instrument  01
Exam of Neck Nodes  01
Redrapping & thanks  0.5
TOTAL  10
Global Assessment 
Fail  
Pass 
Good 
Excellent  
 
 
 
 

Station No: IV 

 
Instructions for Candidate 
 
Examine the Neck of the Patient 
 
 
  
 
 
 
 
 
 
 
 
Station No: IV 
Examiners Check List
Neck Examination ​Roll No 
Task Performed Max
Marks
Introduction  
Consent   01
Illumination   
Exposure  
Position
Inspection from front    01
Inspection while deglutition / valsalva/ protrusion of tongue 01
  
Inspection from sides  01
Palpation of thyroid  01
Palpation of neck nodes  03
-Cranial nerve 11 test 
-percussion 
- laryngeal crepitus/ palpation of trachea 
Auscultation (Bruit if needed)     01
Redrapping & Thanks  01
TOTAL  10
Global Assessment 
Fail  
Pass  
Good  
 
 
 
 
 
 

Station No: 2 
 
Instructions for Candidate 
  

A 35 year old female presented with history left ear 

discharge for 10 year take problem oriented, focused 
history. 

Station No: 2 ​Examiners Check List 

​Roll No 
Task Performed Max
Marks
Introduce & greets 0.5
Duration of discharge  0.5
Amount of discharge  0.5
Character of discharg --- Mucoid , Purulent , Mucopurulent  01
Pattern of discharge (Intermittent or continues)   0.5 
Colour of discharge & Blood staining   01
History medication used  0.5
Aggravating factors    0.5
Duration Deafness Degree    01  
Vertigo  01 
Tinnitus   01
Past History Medical Surgical   01
Family & History   0.5
Thanks   0.5 
TOTAL  10 
Global Assessment   
Fail    
Pass    
Good    
Excellent    
 

Station No: III 

 
Instructions for Candidate 
  
 
A 25 year old young man presented with history nasal 
obstruction mainly on Rt. side for last 08 years. Please take 
problem oriented focused history. 

 
Station No: VI  Examiners Check List 
​Roll No
Task Performed Max
Marks
Greets & introduce himself 0.5
Duration of obstruction   01
Side of obstruction  0.5
Degree of obstruction complete / partial  01
Pattern of obstruction Intermittent / permanent  01
Aggravating factors dust / chemical / fumes / smell etc    0.5
Relieving factors (medications etc)  0.5
Associated symptoms (headache watering of Eyes & Nose or   01
Ear symptoms   
Trauma  0.5
Post Nasal Drip  0.5
Olfaction disorder  0.5 
Past history Medical / Surgical / Allergies / Drugs /  01 
Chronic illness   
Family History  0.5 
Thanks  0.5 
TOTAL  10 
Global Assessment   
Fail    
Pass    
Good    
Excellent    

Station No: VII 

 
 Instructions for Candidate  
 
 

A  seven  year  old  presented  with  H/O  recurrent  sore  throat  for  last  04  years​. 

 
 Station No: VII 
Examiners Cheek List 
​Roll No 
Task Performed Max
Marks
Greet the patient & introduce himself 01
No of attacks in a year  01
History of fever  01
History of difficulty in swallowing  01
History of joint pains  01
History of Nasal Obst. / mouth breathing  01
Treatment history  01
History of Bleeding disorders  01
Past History Medical  01
Surgical 
Family History  01
TOTAL  10
Global Assessment 
Fail  
Pass  
Good  
Excellent  
 

Station No: VIII 

 
Instructions for Candidate  
 
 
Briefly answer the following questions on the sheet 
provided. 
 
 
 a) What is the criteria of chronic tonsillitis on the basis of history?  
b)What are the four cardinal sign of chronic tonsillitis? 
c) What is the treatment for chronic tonsillitis? 
d)What  is  the  most  common  &  fearsome  complication  of  chronic 
tonsillitis?  
 
 

Station No: VIII 

 
Examiners Cheek List ​Roll No
Task Performed Max
Marks
(a) At least 04 attacks of acute tonsillitis in a year for 02   03
consecutive years or 7 to 8 attacks in a year

(b) (i) Injected anterior pillars  04

(ii) Prominent crypts 
(iii) Yellow to white cheesy material in crypts. 
(iv) Palpable non tender jugulo digastrics lymph node in   
absence of acute infection   
(c) Tonsillectomy  01
(d) Heamorrage    02
TOTAL  10

Station No: IX 

 
A 15 years old boy is brought in emergency with bleeding from Nose;  
 
 
 
Please answer the following questions on the response sheet provided: 
 
 
1. What important question will you ask in history regarding the onset? 
  
2. Mention three causes of epistaxis in young males?  
 
3. What is the commonest site of bleeding from the nose? 
 
4. What can be done immediately in order to control bleeding? 
 
5. What further measures should be taken if the bleeding continues after first aid 
treatment?   
 
 
 
 
 

Station No: IX 

 
Examiners Cheek List ​Roll No
Task Performed Max
Marks
1. H/O Trauma 01

2. a) Trauma   03
 b) Idiopathic  
c) Angiofibroma  
3. Little’s Area  01
 
4. Ask the patient to adopt sitting posture   02
a. Pinch the nose  
- Ice packs over forehead   
5. a) Anterior nasal packing   03
b)Posterior nasal packing  
c)Electro cautery/Diathermy  
 
TOTAL  10

Station No: X 
  
 
A27  years  old  man  presented  in  out-patient  with  complain  of  severe  ear  ache  and 
decreased  hearing  in  his  right  ear.  There  is  a  history  of  scratching  with  ear  bud.  On 
examination  there  is  a  smooth  red  swelling  in  the  outer  third of the external auditory 
meatus; 
 
  
Please answer the following questions on the response sheet provided: 
 
1. What is the most likely diagnosis? 
 
2. What is the pathological cause of this condition? 
 
3. What is the cause of decreased haring? 
  
4. What clinical sign will confirm it? 
  
5. What is its treatment? 
 
 
 
Station No: X​ Key 
 
Examiners Cheek List ​Roll No
Task Performed Max
Marks
1. Boil / frunculosis / Otitis Externa    02
 2. Invasion of staph. Aureus in hair follicles  02
3. Odema / Swelling of EAC   02
 
4. Tragus sign / Tenderness on pulling pinna   02
 
5. Analgesic, Antibiotics (systemic, local), soothing  02
agents like Icthymol glycerine 
 
TOTAL  10

Station No: IV Examiners Check List  

 
Case Discussion Roll  No. 
27-06-2013 
Task Performed Answers Max Marks

What is your diagnosis? DNS (Deviated Nasal Septum) 2

● Nasal Obstruction
● Headache
What are the Sings/Symptoms? ● Post Nasal Drip 2
● Decreased Patency
● Cottles test +ve

What Radiological investigations you

X-ray PNS / Water’s view 2
advise?

How will you treat this patient? SMR / Septoplasty 2

1. Septal Haematoma
2. Septal Abscess
What Operative Complications can occur? 2
3. Septal Perforation
4. Saddle Nose