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KNRUHS ENT Question Papers (2025 to 2021)

KNRUHS ENT (Ear, Nose and Throat) is the Phase 3 Part 1 (3rd Year) paper covering otology, rhinology, laryngology, and head and neck surgery. It is examined alongside Community Medicine and Ophthalmology in the Phase 3 Part 1 professional examination. GeckoMed provides the complete KNRUHS ENT question paper archive from 2025 to 2021, with topic-wise analysis, exam pattern breakdown, and links to condition-wise topic guides.

Sourced from official KNRUHS exam archives.
Open KNRUHS ENT papers in the GeckoMed app for offline access.

All KNRUHS ENT Question Papers

2025

Year

2025

Paper

KNRUHS ENT Question Paper 2025

Subject

ENT

Phase

3rd Year MBBS

2024

Year

2024

Paper

KNRUHS ENT Question Paper 2024

Subject

ENT

Phase

3rd Year MBBS

2023

Year

2023

Paper

KNRUHS ENT Question Paper 2023

Subject

ENT

Phase

3rd Year MBBS

2022

Year

2022

Paper

KNRUHS ENT Question Paper 2022

Subject

ENT

Phase

3rd Year MBBS

2021

Year

2021

Paper

KNRUHS ENT Question Paper 2021

Subject

ENT

Phase

3rd Year MBBS

KNRUHS ENT Exam Pattern

KNRUHS ENT is a 100-mark theory paper examined in the Phase 3 Part 1 (3rd Year) professional examination under the NMC CBME format. The paper duration is 3 hours. It is written alongside Community Medicine and Ophthalmology in the Phase 3 Part 1 examination sitting.

The paper follows the NMC CBME structure of long essay questions (LEQ), short essay questions (SEQ), and short answer questions (SAQ). ENT LEQs test both clinical knowledge and applied management — a CSOM question may require the classification of the disease, the distinction between safe and unsafe ear, the complications, and the surgical management. SEQs cover discrete conditions across otology, rhinology, and laryngology. SAQs test clinical sign descriptions, investigation findings, and instrument identification features. The specific mark allocation and question count are visible in the full papers above.

KNRUHS ENT has a separate clinical practical examination covering ear, nose, and throat examination using diagnostic instruments (otoscope, head mirror, nasal speculum, laryngeal mirror), case presentation, and a viva. Instrument identification is a standard component of the ENT practical assessment.


Topic-wise Analysis: KNRUHS ENT (2021 to 2025)

The following topic areas recur across KNRUHS ENT papers from 2021 to 2025. Frequency classification is based on review of papers in the GeckoMed archive.

Otology (Ear)

Topic Area

Chronic suppurative otitis media (CSOM) — tubotympanic vs atticoantral, safe vs unsafe ear, complications

Exam Relevance

Core

Topic Area

Cholesteatoma — definition, acquired vs congenital, atticoantral disease, mastoidectomy types

Exam Relevance

Core

Topic Area

Hearing loss — conductive vs sensorineural vs mixed; tuning fork tests (Rinne, Weber, Absolute Bone Conduction)

Exam Relevance

Core

Topic Area

Acute otitis media (AOM) — stages, organisms, management, complications

Exam Relevance

High-yield

Topic Area

Otosclerosis — stapes fixation, Carhart's notch, Schwartze sign, stapedectomy

Exam Relevance

High-yield

Topic Area

Meniere's disease — triad, endolymphatic hydrops, medical and surgical management

Exam Relevance

High-yield

Study Resource

ENT Subject Hub

Topic Area

Tympanic membrane — normal landmarks, types of perforation (central, marginal, attic), examination

Exam Relevance

Recurring

Study Resource

ENT Subject Hub

Rhinology (Nose and Paranasal Sinuses)

Topic Area

Epistaxis — Kiesselbach's plexus, causes by age, management (local and systemic, anterior and posterior packing)

Exam Relevance

Core

Study Resource

ENT Subject Hub

Topic Area

Chronic sinusitis — maxillary (most common), investigations (Water's view X-ray, CT PNS), FESS

Exam Relevance

High-yield

Study Resource

ENT Subject Hub

Topic Area

Nasal polyps — ethmoidal vs antrochoanal, samter's triad, management

Exam Relevance

High-yield

Study Resource

ENT Subject Hub

Topic Area

Allergic rhinitis — pathophysiology, classification (intermittent vs persistent), management steps

Exam Relevance

Recurring

Study Resource

ENT Subject Hub

Topic Area

Juvenile nasopharyngeal angiofibroma — adolescent male, epistaxis, CT findings, embolisation and surgery

Exam Relevance

Recurring

Study Resource

ENT Subject Hub

Laryngology, Pharynx and Head and Neck

Topic Area

Tonsillitis and peritonsillar abscess — acute vs chronic, quinsy, indications for tonsillectomy

Exam Relevance

Core

Topic Area

Carcinoma larynx — glottic vs supraglottic vs subglottic, staging, total laryngectomy, voice rehabilitation

Exam Relevance

Core

Study Resource

ENT Subject Hub

Topic Area

Tracheostomy — indications, types, tube care, complications (surgical emphysema, tube blockage)

Exam Relevance

High-yield

Study Resource

ENT Subject Hub

Topic Area

Vocal cord palsy — unilateral vs bilateral, causes (thyroid, aortic arch, lung apex), management

Exam Relevance

High-yield

Study Resource

ENT Subject Hub

Topic Area

Adenoids — lymphoid hypertrophy, symptoms (mouth breathing, snoring, sleep apnoea), adenoidectomy

Exam Relevance

Recurring

Study Resource

ENT Subject Hub

Note: Frequency data is based on GeckoMed's analysis of KNRUHS ENT papers from 2021 to 2025. Full question paper content is available in the papers above.


Study Tips for KNRUHS ENT

ENT requires parallel revision of anatomy and clinical signs. Every major ENT topic — CSOM, DNS, epistaxis, carcinoma larynx — has a direct anatomical basis that examiners test alongside the clinical question. The blood supply of the nasal septum (Kiesselbach's plexus), the relation of the facial nerve to the middle ear in mastoid surgery, the lymph node drainage of the larynx — revising anatomy and clinical features together rather than separately produces more complete LEQ answers.

Tuning fork test interpretation is a guaranteed question. Rinne, Weber, and Absolute Bone Conduction tests appear across KNRUHS ENT papers as SAQs, in SEQs about hearing loss, and in the practical viva. Revise all three tests — the procedure, the normal result, and the interpretation in conductive vs sensorineural vs mixed hearing loss — as a single integrated topic rather than three separate tests.

Safe ear vs unsafe ear is the most important CSOM distinction. The tubotympanic (safe) vs atticoantral (unsafe/dangerous) classification of CSOM carries clinical significance — unsafe ear is associated with cholesteatoma and intracranial complications. KNRUHS LEQs on CSOM almost invariably ask for this distinction alongside complications and surgical management. The otitis media and cholesteatoma topic guides address both sides of this.

Epistaxis management follows a stepwise protocol. KNRUHS papers ask about epistaxis management as a structured sequence — identify site, local measures, anterior nasal packing, posterior nasal packing, arterial ligation. Revising it as a numbered protocol rather than a descriptive paragraph matches the LEQ format and helps avoid omitting steps under exam pressure.

Carcinoma larynx demands subsite-specific knowledge. Glottic, supraglottic, and subglottic carcinomas differ in their presenting symptoms (hoarseness, dysphagia, stridor), lymph node involvement, and prognosis. KNRUHS ENT papers test these differences directly. Revising carcinoma larynx as three separate subsites — not as a single entity — prevents the common error of giving generic carcinoma answers that lose marks on the subsite-specific components.

Instrument identification is tested in both practical and theory. KNRUHS ENT theory papers occasionally include SAQs on instrument names and uses — head mirror, Boyle-Davis gag, Siegle's speculum, Jobson-Horne probe. Reviewing ENT instrument identification during practical preparation also reinforces answers to SAQs that ask about the instruments used in specific procedures.


Frequently Asked Questions

Are KNRUHS ENT question papers free to download on GeckoMed?

Yes. All KNRUHS ENT question papers from 2021 to 2025 are free to view on the GeckoMed website. The GeckoMed app provides offline access and PDF download after a 4-day free trial, followed by an annual subscription.

Does the KNRUHS ENT paper follow the NMC CBME format?

Yes. KNRUHS conducts ENT examinations under the NMC Competency Based Medical Education framework. The paper includes long essay questions, short essay questions, and short answer questions covering otology, rhinology, laryngology, and head and neck surgery as per the Phase 3 CBME syllabus.

Is there a separate practical exam for KNRUHS ENT?

Yes. The KNRUHS ENT assessment includes a 100-mark theory paper and a separate clinical practical examination. The practical tests ear, nose, and throat examination technique using diagnostic instruments, case presentation, and instrument identification, with a viva component.

What is the most important topic in KNRUHS ENT?

Based on analysis of KNRUHS ENT papers from 2021 to 2025, CSOM (particularly the safe vs unsafe ear distinction and cholesteatoma), hearing loss with tuning fork test interpretation, and carcinoma larynx are the most consistently tested LEQ topics. Epistaxis, deviated nasal septum, and tonsillitis are high-yield SEQ and SAQ topics across paper years.

Are KNRUHS ENT papers useful for students at other universities?

Yes. The NMC CBME framework sets a common ENT syllabus for all Indian medical universities. Topics recurring in KNRUHS papers — CSOM, hearing loss, DNS, tonsillitis, carcinoma larynx — appear at RGUHS, TNMGRMU, and other universities. Students at other universities should also review their own university's papers alongside the KNRUHS archive.

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