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Ent Prof Bank 2014



Unit 1:
Dr. Pal k long case main koi consent b ni lena hta. Jo b command wo kehte, wo bs krni hti. Question b easy e pochte hn sir. It just depends on his mood. 
Unit 1 is all about table viva of dr. Azhar. 


bed allotment and table viva sharp at 9am           
TABLE VIVA: (Sir Paul or external donon baithy thy)
*External-apni marzi ka instrument uthao,Walsham's forcep..function btao,isi trha ka aik or hota ha wo uthao,Ash's forecep.function btao-lucs forcep or tonsil holding forcep sth rakh k bola k in mein se lucs forcep uthao
-indications for tonsillectomy
-referred otalgia after tonsillectomy,why?
-referred otalgia in hypopharyngeal carcinoma..which nerve is involved?
-referred otalgia after dental surgery,nerve involved ?
-parts of mastoid clef?
-middle ear proper?
-name mastoid ear cells?
-anatomy of nose (bony and cartilagenous parts?)
-paranasal sinuses,ethmoidal sinus ko kia cheez nose se separate krti ha? Ethmoid sinus ko Middle aur Superior Turbinates seperate krte hein nose se...aur lamina papyraceae orbit se seperate krta
-parts of ethmoid bone?

*Sir Paul (sir ka mood bohat e acha tha..beta araam se baitho seedhy ho kr,pareshan nae ho,blkul relax ho jao,koi kuch nae kahy ga )
-causes of hoarseness
-what is vocal's nodules? its sites on vocal cords? most important treatment?
-treatment of impacted wax?

LONG CASE: (External)
*PGs or HOs bohat help krty hain
-ur case? (nasal fracture ,posterior epistaxis,pt. of bleeding disorder)
-what kind of bleedimg disorder? its genetic trait?
-what is fibrinogen?
-difference b/w PT and PTT?
-complication of posterior nasal packing?
-ur case? (pt with tracheostomy tube, hoarseness leading to respiratory difficulty)
-radial pulse or brachial pulse feel kro
-what is physiological dead space?
-functions of larynx?

SHORT CASE:(External)
(head mirror bahr se set kr k jana)
-perform IDL
-examine nose

Sir paul n extrnal ny mil k table viva liay. Instru n n xrays kisi kisi se puch rhy thy.sir Paul bht km ly rhay thy . Extrnal is very nice. Ez questions. N also help u. Mjse digastrs post bely ant bely suply, facial nerve comon surgeries in which it z damged and for recurnt laryng n hypoglosal same questn. Tracheostomy. Laryngeal paralysis k symptoms. Vocal nodules, refered otalgia.
Long case ,extrnal pucha ankle edema chk kro.. Lol frmalty tha shyd. 
Short case. Maroof ny lia nose examine kro. No questns. Only method dykha.
unit 1 table viva:
koi instrument nai pocha... external ne kaha x ray explain kro... significance of prevertebal shadow... 
oesophagus ki length... starting from incisors and original length ... and its extent...
sir pal ne bs attendance lgane ko kaha...
long case:
diagnosis.... hump nose ka treatment (external)
unit 2 short case: 
examination of nose...
chill mahol.... external was very co operative .. so nothing to worry about ...
dr maroof ... only simpl methods like anterior rhinscopy wagera .. no questions.  
molisons retractr uses .. complications .. types of mastoictmy .. indications of corticl mastoidctmy .. x ray pv shadow ... ct pe sphenoid sinus indication
Unit 1...
Long case.
Hypertropic rhinitis
Treatmnt and wbat is the full form of LASER
table vive ...(dr pal n dr najam )
name middle ear infections
What is aero otitis media
How will u treat its patient n preventive measures
Length of eustachian tube
Ct scan ..mastoid air cells...name them
Short case 
IDL and ant rhinoscopy
Ajj sinuses ki boundries n foramen k contents bhi pooch rahay thay 
Functions of sinuses and larynx
Ethmoid ki bones
Tonsillectomy indications 
Impacted wax treatment
What is vestibule in larynx
Csom treatmnt
Treatmnt of hoarsness in pregnant women
Causes of hoarsness 
Tinnitus
Otalgia
Otosclerosis

UNIT 1:
Table viva external: name the turninates of lateral wall nose,where does sphenoid sinus open,name of endocrine gland in relation to sphenoid sinus,its lobes and hormones of posterior lobe.
Long case external: whats ur diagnosis(Chronic tonsilitis),what are its signs n symptoms,treatment.
Short case (Sir Azhar Hameed)
- Read the face of the patient(pt was a child with adenoid facies)
tble viva external: xray pe epiglottis identify kro(hyoid bone k bilkul pechay aik leaf like cartilage nazar ati he in xray), epglottis k relation mein konsa cartilage hta he(thyroid), pre epiglottic space ki significance, most common laryngeal cancer(glottic)
long case external: d/d and management
short case(sir azhar): ant rhinoscopy
 table viva external: x ray LV nasopharynx.... see the xray n give ur findings... there was enlarged prevertebral shadow.... its cause... retropharyngeal abscess n its types.... pharyngeal spaces names n the incisions used to drain them.... branches of external carotid.... brachiocephalic trunk is branch of....?.... name venous sinuses in cranial cavity.... where do they ultimately drain.... relations of cavernous sinus....
u ve to wear head mirror before u enter in.go n focus light .he gives command and usually says apka tym khatm horha hai so dont get confused just do it .if he says exam oral cavity ya examine tonsils than DONT FORGET TO EXAMINE LYMPH NODES. other wise he wud fail u.wo khud kehtay bus hogaya? u ve to do this as well..baki sir usually sabsay ek he krwa rhy hotay.andar 5-6 aur doctors hotay aksar mazak bh banta so hasna .rona mat plzzzz wahan ..

sir pal kay long case is very easy .sir bus mood par bh bht depend krta.ofc ita ur luck as well what is being asked or not ..sir pal kay long case sir pal kay notes r more than enough .wo apnay notes kay he points suntay hain apsay ..uskay ilwa methods bh krwa skta hain wo sir par depend krta hai totally .kia krwatay hain apsay ..apka jab ling case hoga na tou u will b having enough time to study n discuss ur ling case wid frnds so dnt worry about that ..
so learn that too
Flamingo red reflex/shwartz sign, redness of promontory visible thru tympanic membrane on examination (Wikipedia)
Active otoserosis me
Pehlay tavle viva hua. Sir azhar and external. Friendly environment and dr azhar asked all questions about anatomy. I was asked about parapharyngeal abscess its boundaries then superior mediastinum and its contents. Then functions of ear 
External asked about types of csom and types of tymapanoplasty
Then long case. What's ur dignosis? Sir, foreign body. Treatment? Sir,  esophagoscopy. Sir: just say removal of foreign body
Me: yes sir,  sir:okay next

Sir pal table viva:
Sir bohat happy thay aaj b. Koi stressfull mahol nai tha. Meri turn pe sir ne external ko kaha k wo poochain. Wo anatomy he poochtay hain sb se. Mjhse unho ne kaha k CT ha ye is me coronal or axial view konsa ha. Phr unho ne poocha us pe k ye kya ha. Sphenoid sinus tha. Phr unho ne relations poochay. Me ne bataya k internal carotid hoti ha sides pe. Unho ne kaha nerves konsi hoti hain 3,4,6 hoti ha or koi trigeminal ki branch. Or unho ne kaha k konsa sinus hota ha relation me me ne kaha cavernous. Or upar kya hota ha optic chiasm or sella tursica per pituitary .
Phr sir pal se unho ne kaha aap ne kuch poochna ha. Unho ne kaha k haan ye kuch bata do ear se..:D otitis media ki types bata do. Me bata rai thi unho ne kaha catarrhal konsi hoti ha
Phr kehte k catarrhal ki chronic form kya hogi. Me ne kaha serous OM. Kehte treatment batao. Me ne bataya. Phr kehte jao shabaash. Lol

Unit 2
TABLE VIVA
dr maroof
Currette aur cell seeker uthao
Luc's uthao, pta kesy chla luc's h? bronchoscope uthao esophagoscope uthao
2no me farq kya h (i realixed mne ghalat uthae thy -.- sorry sir!) Boyle davis uthao. Is ko andr daalo. Wapis kholo. Tonsil holding forceps uthao. Trocar cannula uthao. Antral perforator uthao.
Jao!

SHORT CASE
Dr pal
Examine left ear
Treatment otomycosis

LONG CASE
Dr azhar
Diagn.?  Dns
Physician bnna h ya surgeon? Father of surgery? Pathology in achalasia cardia? Squamocolumnar junction lies where in esophagus. Barret esophagus kyu hojati h, its complication? Jao.
Striated smooth muscles b. Esophagus me kahan konsy hoty
Dr.maroof table viva. Laryngoscope uthao.uses.pass ett in imaginary pt. Bs
Short case.dr pal said examine tonsil.indications of tonsillectomy. 
Long case DNS.diag.treatment.diff b/w deflection n deviation.treatmnt of septal spur. A pt on warfarin therapy presents with epistaxis.management?
Dr azhar short case:
Ch tonsilitis k signs, faucial falre kion hota,
Facial paralysis k causes,
Killians dehiscense,
Levels of nodes in neck.

Dr paal short case: 
Examine ear,
Treatmnt of wax

Dr azhar ling case
Diagnosis ( was c.s.o.m)
3 causes of mastoid swelling in a child of 7 yrs whose crying cx of it?

Unit 1:tabl viva:analgesics nd muscl relaxants in which ent situations..drs.hosp.case of child with burn nd died of drs. Neglignce regardng muscl relaxant,tetanus nd bacteria,name other anaerobic bacteria,wt clostridium perfenges causes,barotrauma,ct scan:crista galli,ethmoid bone anatomy,causes of pain in ear(sir paal).....                                     long case:diagnosis nd treatment(chronic tonsillitis)........................short case:anterior rhinoscopy
Long case ws by extrnl
Dr azhar long case diffrntiate bw glottic sbglottic and glottic masses..No N1 and other lymph node in staging
Table viva sir maroof causes of unilateral nasal obstruction and treatment complication of diphtheria
Sir pal short case ear exam and treatmnt of otomycosis
Unit 1 
sir pal was busy e his mobile
Lahore k ho ya bahir k?
Kahan se ae ho?
Theek ha sr ap poochain
Then external strtd: 
Grps of local anesthitics(amide and ester grps)
Ct scan id the structure(pharynx)
What is behind it(post cranial fossa)
What is the bony thing (internal occipital protuberance)
What forms here(confluence of sinuses)
where do they go then(laterally transverse sinus and then sigmoid sinus)
In what does it drain(inf petrosal sinus k sath mil k int jugular vein)
Where is juguloomohyoid lymph node
Which nerve is responsible for shrugging of shoulders
rt and left recc laryngeal nerve k diff
Hoarseness of voice ki causes
Tonsil and lymph node ka diff
Tonsillectomy ki indications
thoracic duct kis side p drain krti hai(left)
Long case dd nd trtmnt
Shot case do ant rhino
Yad se vestibule dekhna hai pehle and then speculum se exam 

Aoa yar phle under le gae n bed alot kar die. 3 to 4 bache per bed..sath hi phle rol num ko bula len ge for table viva.. Aj dono ne lia tha. Shuru me to external apni marzinka instrum kah ra tha utha lo but meri bari ett di.. Usko explain kia mene. Then eso bronchoscope me se knsi foreign body eso k lie use kare ge. Ett ka size in infants. Esophageal constrictions length. Then dr.pal took the vova branches of facial n in midle ear. Glue ear its incision . y this incision. Gromet types

Then for the short case 1 min ka b ni tha.. Dr maroof the 2 children in one room he gives command n bech me hi rok k kahte jao. Jo dont waste much tym miror set kar k jana n bht acha hu jata kuch mushkil ni
Long case k lie bht tym tha.  Hiatory exam likhna sab mil k karte. Then tabl viva le k external ae n unu ne lia.. He actually is more likely to make u something of medicine.. Mj se only clubbing ha k ni pocha me bus 2 test kia n done with long case. Baki bacho se or b bht kuch poch re the but asked only this q from me.bakio se edema etc b kara re the
ENT UNIT I long case.
Long case: You go threre they alot beds each bed 3 students roll num wise. Easy scene there full help full cheating. Book can also be opened. 
External takes lomgg case viva uski history aur bs diagnosis aur treatmnt pta houna chaiye. External unitI is really weird. So dont worry he'll take long case viva jo ksi ko bhi nai aa raha hoga lol my case was DNS aur mera viva usney Skull k foramina per lia so ignore him 

Sir pal Table viva 
Sir pal bhi ley skty sir nukhbat bhi aur external bhi 
Yehi external mery viva k time kafi normal lg raha tha lol
My questions were 
Wax. Branchial fistula and thyroglossal duct. Poora poora topic 
CT scan xray lga hua tha pr pooch nahi rhy thae ksi sey
Instrumnts bhi thae mjhse mastoid retractor poocha bs 
Aur bhi bht kuch poocha tha jo drop bhi huye thae quetions ghlt bhi huye hain lekin sbkey hi hou rhy thae tou pta nahi Allah kher kry 

Short case ..external Dr.Maroof lenge method. Sbko hi examine nose aya tha aur by the time i held speculum hi said thek hai bs jain..it was hardly a min on evry student. 

Unit 2:
Internal (Sir Azhar) and External(Sir Maroof):
 For dr azhar
Anatomy krni parti.o. Cranial nerves krni hti n unki nuclei k level. Ye kfi pochte hn wo. 
At times wo scenerio bna k question pochte hn. 
Aur notes milte hn aik viva questions k ent k, wo dekh lena. Kfi ziada hn wo lekin. Wo kemunited se dkh lo bki questions.
Yar sir azhar long case ka kuch b ni pochte as such. Diagnosis pochte n 2,3 easy se questions pochte hain. Mera ab tonsillitis ka case tha n unho ne diagnois pochi n tonsil ki blood supply. Unka basic table viva e hta. Wo kfi mushkil lete hn wo. 

From ayesha shahid 
Pehlay tavle viva hua. Sir azhar and external. Friendly environment and dr azhar asked all questions about anatomy. I was asked about parapharyngeal abscess its boundaries then superior mediastinum and its contents. Then functions of ear 
External asked about types of csom and types of tymapanoplasty
Then long case. What's ur dignosis? Sir, foreign body. Treatment? Sir, esophagoscopy. Sir: just say removal of foreign body
Me: yes sir, sir:okay next
Dreaded Dr Pal's short case 
Where do u live? Would u like to eat cake? no sir. Tea then? No thankyou sir. Okay then examine tonsils
I had just asked the patient to open mouth when sir said its okay. Aap jain. He was in such a good mood. Humein jokes sunate rhe. Hansa rahe they sab ko sir pal!
From Asnia Latif
Alhamdulilah it was just fine. 
First cases r given. U take history n exam n all. All are v v v helping.
Then was table viva with Dr azhar n Dr Maroof sitting together.
Dr azhar.
Define pain. Grades of pain. Ocular something score (hadn't heard of the term even)
Neck lymph nodes. Levels.
Ch tonsillitis signs.
Dr. Maroof
Tonsillectomy complications.
What's primary hemorrhage?
Then u go Back to ur pt.
Long case. Literally 2 secs.
Diagnosis. Treatment? Jao. Everyone was asked these 2 only.
Short case with Dr pal
Examine tonsils. 
What lies lateral to tonsil.
I started from tonsillar bed but he just wants to hear sup constrictor. Nothing else.
Sir pal just gives a command. Asks one question only. Wants one word answer only.

Dr.azhar and dr. Maroof table viva: 
Perichondritis
Treatment
Treat nae karayn gy tau kia hoga?
Organisms causing perichondritis
Herpes oticus
Organism?
Kis cheez ka infection hay?
SMR aur septoplasty may difference.
Long case may bas one word diagbosiis and treatment
Dr.pal: short case
Examine ear 
Ear wax
Treatment
Fungal ear wax treatment
unit 2 jaldi jaldi le rahe ...
dr. maroof- table viva
diff. btw tracheostomy tubes..their uses..
tracheostomy k complications
dr.azhar-long case
dignosis. CSOM
treatment. sir isk liye hum..sir: hum nai bas treatment bolo!!! me:RaDical mastoidectomy aur...sir: jao tongue emoticon ...
dr.pal-short case
tonsil examine.blood supply tonsil
UNIT 2
Short case : Sir Pal 
Q: Blood supply of stapedius ?
Q:Two cruras of stapes are Ant/posterior Or Medial/lateral ?
Table Viva Sir Azhar 
What is atrophic rhinitis ? Its treatment ?
In long case sir Azhar only asked the diagnosis and treatment ?
 types of septal deformity. 
types of deviation and deflection.
difference between deviation and deflection.

how to give local anesthesia for septoplasty.
where to give local anesthesia for septoplasty.
Dr azhar long case diffrntiate bw glottic sbglottic and glottic masses..No N1 and other lymph node in staging Table viva sir maroof causes of unilateral nasal obstruction and treatment complication of diphtheria Sir pal short case ear exam and treatmnt of otomycosis
Dr.maroof table viva. Laryngoscope uthao.uses.pass ett in imaginary pt. BsShort case.dr pal said examine tonsil.indications of tonsillectomy. Long case DNS.diag.treatment.diff b/w deflection n deviation.treatmnt of septal spur. A pt on warfarin therapy presents with epistaxis.management?
Unit 2.Table viva. Dr maroof...management of pt wid bleeding nose.Long case. Left vocal cord palsy.Dr azhar...dx? How did u knw? On IDL. Wat is internationally accepted best way to see this? Flexible fibreoptic laryngoscopy.Short case...aj DNS aur tonsillitis tha...Command examine tonsil. Blood supply of tonsil.
ye aj diff logo se ques thay.. sir maroof instruments poch letay hain table viva main.. and mastoidectomy ,tympanoplasty etc suni.. sir azhr ne long main ques zada kye h aj like tonsilitis ho to usk bacteria,symptoms,complications etc.. retropharyngeal space diff of child and old person.
and sir pal bs command detay examination ki and aik ques pochtay bs mostly and precise ans dena hota
 ni,, long case mostly sir azhar hi le rhay and sir maroof ne dosray unit ka short,, and sir azhr late atay h zra so shuru walun ka table viva sir maroof le letay hain,, depend krta sir azhr kb ayen,..
 nope.. case related bt wo case main reh kr hi kahin b chlay jatay like mjh se acute tonsilitis ki complications main me ne retropharyngeal abscess bol dia so phansa dia wahan 
Table viva dr. maroof.. almost saray instruments sunay nothing else
long case dr azhar.. diagnosis? DNS 
questions: father of surgery? achalasia cardia? pathology kya hoti hai? konsy cells degenerate hoty hein? meissner's myenteric plexus kahan kahan hota hai? striated smooth muscles kesy distributed hoty hein eso me? squamocolumnar junction kahan hota hai esophagus ka? barrett esophagus kyu ho jati hai? treat na krein toh konsi complication hogi?
short case Dr Pal: examine LEFT ear. treatment of otomycosis
table viva external: name tuning fork test,frequencies of tuning forks? weber's test
long case external: diagnosis(laryngeal mass), d/d,how to diagnose?(direct larygoscopy)
short case: ant.rhinoscopy
Aur wse ent is all about your luck.
sir azhar ka pta nae hta .wo usually khud bh laitay hain aur external ko bh keh daitay hain keh laiy laiy..agr Sir azhar lain wo long case mei bht limited sawal pochty aur unko maza ata ajeeb cheez pochnay say..ddoooooo sir azhar class lectures for him must..he asks alot of things from there too.apart from thia hmra sir nay akr sirf diagnosis aur one word treatment pocha tha bus 4 sec ka viva tha .so he is retiring he wont fail u ppl.
sir pal ka he table viva hoga agr unkay pass long case aya .sir pal ko tracheostomy kay intruments n tonsillectomy kay instruments bht pasand hain.unko achi tarhan krky jana ap .baki sir ussi say related questions pochty hain apsay ..agr mood khrb ho wo tang bh krta hain so just pray that he doesn't doz so ..baki agr koi masla nae hai he will pass u .baaz logo say sirf unka biodata kay viva hota they r lucky ones kiok wo automatically pass hotay hain Face with stuck-out tongue and tightly-closed eyes
pehlay SIR PAL ka LONG CASE
now SIR AZHAR SHORT CASE.
usmei the most imp is cranial nerves exam and facial nerve v imp uski branches wagiara krky jana ap log.uskay ilwa sir ko oral cavity bht pasand hai.sir azhar kay liye consent laina n patient ko thankyou kehna is v imp part dont forget about that .uskay ilwa sir parotid ka exam bh krwa laitay wo mjhy khud nae pta kaisay hota lekin ek larki say krwaya usko nae ata tha but she passed as well Face with stuck-out tongue and winking eye
sir azhar tymapnic membrane bh draw krwa laitay .kehtay draw right ya left tympanic memebrane
table viva mei external bh laita aur sir bh..sir koi bh instrument kehtay uthaney ko n wohi indications wagaira.sir zara diff uthwatay hain .like ambu bag wagira .so mind that keh u ve to knw about ambu bag as well..Face with stuck-out tongue and winking eye


Topic of Assignments


Imp Topics are marked Tick and star








Normal Audiogram:


Spontaneous wo hai jo without any external stimulus present ho
Induced me you have to give a stimulus
For example move your index finger horizontally at a distance of 1 foot within visual field of patient.if nystagmus occurs then it is induced nystagmus.
Bt dr azhr tried to unsettle  alot. Unho ny mjy in ques k ans py buhat mock kia tha bt shukar hai main ny sae bta dia tha. 

Kuch bachon sy unho ny amino acids un my carbon venous supply etc puchi bt dat was for fun only. Sb teachr hans ry thy. Bt plz do his class lctrz. Wo must hain.
Assalam o Alaikum!!! Alhamdulilah acha ho gya mera. Unho ny 8.30 i thnk bed alot kiay. Unit 2 my parchi systm tha. Kuch bed pr aik kuch par 2. Thn histry lo n examine kro pura. Mtlb oral cavity nose ear in addition to ur case examinatn.  Then u r called for tabl viva. 2 xray n 1 ct tha. Pehly 10 ka dr maroof ny lia. Meri bari dr azhr a gy thy. To wo dono mojood thy. Mj sy dr mariof ny kuch puch. Dr azhr askd 
Def ov fistula
Names ov fistula n their treatmnt
Branchial fistula ki intrnl openings... 

Baqi long case k liay teachers r very helpful
Wo 30 sec my dr azhr ny diagnosis pucha n thn treatment

Shrt case dr pal puri trhan krny b nae daity thy n kehty thy thek hai n 1 ques relatd to that. Tonsil xamine krny ko kaha n us ki blud suply puchi.
Yar table viva m dr maroof hte or sir azhr bi kch cases lete, dr marof instrmnt xray ct or general qs e.g tonsilctmy s relatd puch rae the, sir azhr bht bnge qs kr rae the, shrt case m dr.pal bs aik minute m jaldi jaldi sb s tonsilctmy kra rae the, or tnsil ki bld suply puch rae the bht logon s, long case m dr azhr bs diagnose or aik line ka treatmnt puchte or kch bi nai, zda case tonsil adenoid dns polyp k the
Try to gv precise answer. Dont exagerate. Tukky na lgana. Nae ata to galat btany ki bjayay kehna sir nae ata. 
Ye hmy wahan sir ny kaha tha.
The ostiometal complex is composed of five structures:

maxillary ostium - drainage channel of the maxillary sinus
infundibilum - common channel that drains the ostia of the maxillary and ethmoid sinuses to the hiatus semilunaris
ethmoidal bulla - usually a single air cell that projects inferomedially over the hiatus semilunaris
uncinate process - hook-like process that arises from the posteromedial aspect of the nasolacrimal duct and forms the anterior boundary of the hiatus semilunaris
hiatus semilunaris - final drainage passage; a region between the ethmoid bulla superiorly and free-edge of the uncinate process
sir asked me grommet ki types
Long term grommet short term grommet
Mera unit 1 tha..r long r table viva to Dr najam nay lia.short case Dr marrof nay.unit 2 mai long Dr azhar..table viva Dr azhar r maroof dono ..r short case..Dr pal
Dr maroof took my table viva. . CT N endotracheal tube pe hua sara. .explain the ct.  tell the pathology.  N baki usse ke ek do points poche. . Wat is last film n sections in CT.. Ct same tha jo revision class main b dhekahya tha.  


Long case dr azhar 
Diagonosis n treatment.  He wants one word ans. . Main was aural polyp with ear discharge 

Short case 
Examine tonsil 
Asked blood supply of tonsil
Unit 1
short case: examine nose(make sure you know how to hold the speculum)
Long case: diagnosis? Chr.tonsillitis, site of incision? Muscle in ant pillar?
Long case: 
Dr.Pal : kahan se ho? Lhr se, gari mein petrol h? Clg kaise ayi ho ? Bus pe; buses mein petrol h ?
Frey's syndrome,Horner's syndrome. Xray ko dhika k kaha k is par kia kia nazar ara
While the ext is taking my viva Sir Pal is sitting in front of me ,probably playing a game on his phone
Ext: clotting factors kaise yad kiye hein? By name or by no.? How many clotting factors are there? Since your roll no. is 67, tell me the name of 13th(6+7) clotting factor. Name some plasma proteins. What is fibrinogen? What does do? Which drug blocks the extrinsic clotting pathway? How do you monitor extrinsic pathway? 
What do you call a hrg that occurs during surgery? Its treatment? Name of hrg that occurs within 24 hrs? Within a few days? Cause of secondary hrg?
Ext asks ppl Qs based on their roll nos. Roll no 65: 6+5=11: 11th nerve. Roll no 66: 6+6=12: hypoglossal nerve. Roll no 67:6+7=13 name the 13th clotting factor.
Unit 1. Table viva extrnal. Dr pal still playin game :D ur doin my audiometry whr wil u place red n blu plugs ? Red in ryt ear. Blu in left. If u want bone conduction too, wat will u add to audiometr? Bone vibrator (vibrates mastoid). An audiogram with overlapping AC BC , Dx? Normal ear. Audiogram wid BC normal AC neechay Dx? Conductiv deafnes. Causes o conductiv deafns? Wats cong cholesteatoma? Its S/S? conductiv defnes, intact TM with white mass in mid ear, discharge wen rupture. Wat perforation occurs with acquired cholesteatoma?
Short case dr maroof. Do ant rhinoscopy. Take consent in loud voice . He jus sees how u hold speculum.
Long viva external. Dx: chr tonsillitis. treatment: tonsillectomy. Hw wil  rule out bleedin disordr? Do coagultion studies: plt count, PT APTT., plt func test. Name a cmn plt func test  . Thats Bleedin tym.
unit 2 
dr. maroof- table viva
diff. btw tracheostomy tubes..their uses..
tracheostomy k complications
dr.azhar-long case
dignosis. CSOM
treatment. RaDical mastoidectomy jao...
dr.pal-short case
tonsil examine.blood supply tonsil
Unit 2.
Table viva. Dr maroof...management of pt wid bleeding nose.
Long case. Left vocal cord palsy.
Dr azhar...dx? How did u knw? On IDL. Wat is internationally accepted best way to see this? Flexible fibreoptic laryngoscopy.
Short case...aj DNS aur tonsillitis tha...
Command examine tonsil. 
Blood supply of tonsil. 




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1st Year IMPORTANT TOPICS (Anatomy)

By Farkhanda QaiserOkay finally here it is. The all-important guide for the 1st year students. I’ve compiled all the prof and sendup questions of last year as well as the remnants of class tests that I had.But before you go on to read them, keep in mind the following very tested tidbits:For profs, NEVER leave any topic untouched and unread. Go through all topics so that in viva, you have atleast some idea about what the examiner is asking.NEVER lose your sendup question paper because there are high chances that some of the questions will be repeated in profs as you can see in the following example of anatomy question paper and same goes for the MCQs. Most of them are repeated. So here’s what we had done, in our facebook class group, we had made a discussion topic, and everyone told the MCQs of sendups and discussed them. Well, you may think us nerds or whatever but trust me that discussion proved very fruitful for all those who participated in it.I think enough has bin said about orga…

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)
Salam everyone, let me start in the name of Allah who’s the greatest benefactor of all mankind. I am going to write a detailed composition regarding preparation for USMLE Step 1. I am a final year student at King Edward Medical University and I took my exam on June 10th. Final year is the year before internship/ house job in Pakistan. I just got my scores: 99/266



Let me introduce some myths surrounding USMLE Step 1 which are especially prevalent within Pakistan; I am not too sure about India because I heard their students typically appear in their final years.


 Myth number 1:Do not appear for USMLE Step 1 within your graduation

 Verdict: Baseless, illogical reasoning

Explanation: This is so prevalent in Pakistan it’s almost pathetic. One of the biggest concerns surrounding our students is that Step 1 is a huge risk to be taken before graduation. Let me put it in another way: Step1 would always remain a risk whenever it is taken, …