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ENT CBME Curriculum 2025

CBME Competency Mapping Chart for ENT and Allied Subjects

It clearly outlines every ‘Must Know’ and ‘Must Do’ competency for Otorhinolaryngology (ENT) and its related allied subjects (Integrative Anatomy, Physiology, General Medicine, Paediatrics, and Dermatology), thus ensuring alignment with the MBBS latest curriculum, MBBS university exams, and NEET PG MCQs. Mastering these competencies guarantees readiness for theory, practical, and viva examinations.

Competency Code Competency: The student should be able to Specific Learning Objectives: At the end of the teaching session the 3rd Year MBBS Part 1 student should be able to: Link
Anatomy and Physiology of Ear, Nose, and Throat (ENT) and Head and Neck
EN1.1 Describe the anatomy and physiology of ENT and Head and neck 1. Draw well-labelled diagram of medial wall of middle ear correctly.
2. Describe physiology of hearing accurately.
3. Describe physiology of vestibular system correctly.
4. Describe anatomy of nasal cavity with well labeled diagram correctly.
5. Enumerate functions of the nose and describe physiology of respiration correctly
6. Describe anatomy of tonsils and adenoid correctly
7. Describe waldayer’s ring with well well-labelled diagram correctly
8. Describe deep neck spaces with well well-labelled diagram correctly
https://www.entlecture.com/anatomy-of-ear/

https://www.entlecture.com/anatomy-of-middle-ear/

https://www.entlecture.com/anatomy-of-internal-ear/

https://www.entlecture.com/embryology-of-ear/

https://www.entlecture.com/anatomy-of-temporal-bone/

https://www.entlecture.com/physiology-of-hearing/

https://www.entlecture.com/anatomy-of-internal-nose/

EN1.2 Describe the pathophysiology of common diseases in ENT 1. Describe the pathophysiology of ASOM (stage-wise), CSOM, Rhinosinusitis, Nasal polyps, Allergic rhinitis, Oral malignancy, Tonsillitis, Tumours of nasopharynx like angiofibroma and carcinoma of nasopharynx correctly https://www.entlecture.com/table-of-contents-index/
Clinical Skills
EN2.1 Elicit, document, and present at appropriate history in a patient presenting with an ENT complaint 1. Correctly gather the important information that is needed for history taking in the common ENT diseases.
2. Document an appropriate history of patient presenting with common ENT diseases in correct format.
3. Correctly answer all the routine questions that are involved in the taking history of common ENT diseases
4. Interpret why these questions are asked correctly.
https://www.entlecture.com/anatomy-of-ear/

https://www.entlecture.com/anatomy-of-middle-ear/

https://www.entlecture.com/anatomy-of-internal-ear/

EN2.2 Demonstrate the correct use of a headlamp in the examination of the ENT 1. Describe different parts of Bull’s lamp correctly
2. Know the proper position of headlight correctly
3. Know the proper position of patient in relation to examiner correctly
4. Demonstrate proper focusing of headlight on desired area of examination correctly
EN2.3 Demonstrate the correct technique of examination of the ear including otoscopy 1. Demonstrate correct method of insertion of ear speculum into ear canal.
2. Describe different parts of otoscope correctly.
3. Demonstrate correct method of insertion of otoscope into ear canal.
4. Demonstrate correct method of eliciting mastoid tenderness and tragal tenderness
5. Draw well labeled diagram of tympanic membrane correctly
EN2.4 Demonstrate the correct technique of performance and interpret tuning fork tests 1. Describe different parts of tuning fork correctly
2. Describe different types and frequencies of tuning fork correctly.
3. Demonstrate correct method of holding and striking of tuning fork.
4. Demonstrate correctly Rinne test, Weber test and Absolute bone conduction test.
5. Interpret tuning fork test findings in conductive, mixed and sensorineural hearing loss correctly.
EN2.5 Demonstrate the correct technique of examination of the nose and paranasal sinuses including the use of nasal speculum 1. Demonstrate the correct technique of examination of the nose using nasal speculum.
2. Demonstrate the correct technique of eliciting different paranasal sinus tenderness.
3. Demonstrate the correct technique of posterior rhinoscopy
4. Draw well labeled diagram of anterior and posterior rhinoscopy findings correctly.
EN2.6 Demonstrate the correct technique of examining the throat including the use of a tongue depressor 1. Demonstrate correct technique of examination of oral cavity using tongue depressor
2. Demonstrate correct technique of indirect laryngoscopy.
3. Draw well well-labelled diagram of indirect laryngoscopy correctly.
EN2.7 Demonstrate the correct technique of examination of the neck including elicitation of laryngeal crepitus 1. Describe various triangles of neck correctly.
2. Describe lymphatic structure in neck correctly.
3. Demonstrate correct method of palpation of various lymph nodes in neck.
4. Describe various surgical landmarks in neck correctly.
5. Elicit laryngeal crepitus correctly
EN2.8 Demonstrate the correct technique to form and interpret pure tone audiogram and impedance audiogram 1. Demonstrate the correct technique to perform pure tone audiogram
2. Demonstrate the correct technique to perform impedance audiogram
3. Interpret pure tone audiogram of conductive, mixed and sensorineural hearing loss correctly
4. Interpret impedance audiogram findings in otosclerosis ,ETD and OME correctly
https://www.entlecture.com/assessment-of-hearing/

https://www.entlecture.com/audiometry-objective-tests-for-hearing-assessment/

EN2.9 Choose correctly and interpret radiological, microbiological, and histological investigations relevant to the ENT disorders 1. Correctly Choose radiological, microbiological & histological investigations In CSOM, DNS, Sinusitis, adenoid enlargement, tonsillitis, allergic rhinitis, premalignant lesions of oral cavity, malignancy of head and neck region, foreign body of aero-digestive tract
2. Correctly interpret and describe x-ray PNS, x-ray mastoid, x- ray neck and x-ray chest
3. Correctly interpret and describe CT- PNS, HRCT Temporal bone, CT Larynx, CT- neck
EN2.10 Identify and describe the use of common instruments used in ENT surgery 1. Identify correctly each common instruments used in ENT
2. Describe correctly at least 3 uses of each common instruments used in ENT
3. Correctly describe method of holding instrument during surgery/examination
4. Enumerate complications associated with improper use of instrument correctly
EN2.11 Describe and identify by clinical examination malignant and premalignant ENT diseases 1. Correctly identify pre- malignant ENT diseases by clinical examination
2. Describe clinical features of pre- malignant ENT diseases correctly
3. Correctly identify malignancy of oral cavity, oropharynx, larynx and thyroid by clinical examination
4. Describe clinical features of malignancy of oral cavity, oropharynx, larynx and thyroid correctly
EN2.12 Counsel and administer informed consent to patients and their families in a simulated environment 1. Demonstrate counselling of patients and their families in a simulated environment correctly
2. Demonstrate administration of informed consent in simulated environment correctly
EN2.13 Identify, resuscitate, and manage ENT emergencies in a simulated environment (including tracheostomy, anterior nasal packing, removal of foreign bodies in ENT, and upper respiratory tract) 1. Demonstrate steps of tracheostomy in correct sequence in a simulated environment
2. Demonstrate steps of anterior nasal packing in correct sequence in a simulated environment
3. Demonstrate correct method of removal of foreign bodies in ear, nose, throat and upper respiratory tract in simulated environment.
1. https://www.entlecture.com/diseases-of-external-ear/
EN2.14 Demonstrate the correct technique to instill/fill topical medications into the ENT in a simulated environment 1. Demonstrate the correct technique to instilling topical ear drops into the ear.
2. Demonstrate the correct technique to instilling topical nasal drops and nasal spray into the nose
3. Correctly instruct patient about proper technique of warm saline gargle and povidone iodine gargle
EN2.15 Describe the national programs for prevention of deafness, cancer, and noise and environmental pollution 1. Describe the national programs for prevention of deafness correctly
2. Describe the national programs for prevention of cancer correctly
3. Describe the national programs for prevention of deafness, cancer, noise & environmental pollution correctly
1. https://www.entlecture.com/noise-induced-trauma/
Diagnostic and Therapeutic Procedures in ENT
EN3.1 Observe and describe the indications for and steps involved in the performance of otomicroscopic examination in a simulated environment 1. Describe the indications for Otomicroscopic examination correctly
2. Describe steps involved in the performance of Otomicroscopic examination correctly
3. Describe different parts of ENT microscope correctly
EN3.2 Observe and describe the indications for and steps involved in the performance of diagnostic nasal endoscopy 1. Describe at least 5 indications for diagnostic nasal Endoscopy correctly
2. Describe steps involved in the performance of diagnostic nasal Endoscopy in correct sequence
3. Describe different parts of nasal endoscopy system correctly
EN3.3 Observe and describe the indications for and steps involved in the performance of rigid/flexible laryngoscopy 1. Describe at least 4 indications for Rigid Laryngoscopy and Flexible Laryngoscopy correctly
2. Correctly describe steps involved in the performance of Rigid Laryngoscopy and Flexible Laryngoscopy.
3. Describe different parts of Rigid and Flexible Laryngoscopy system correctly
EN3.4 Observe and describe the indications for and steps involved in the removal of foreign bodies from ENT 1. Describe commonly found foreign body in ear, nose and throat correctly
2. Describe different methods of foreign body removal from ear, nose and aerodigestive tract correctly
EN3.5 Observe and describe the indications for and steps involved in the surgical procedures in ENT 1. Describe indications, contraindications, operative steps, postoperative care and complications of tympanoplasty,  cortical mastoidectomy, modified radical mastoidectomy and  stapedectomy surgery correctly
2. Describe indications, contraindications, operative steps, postoperative care and complications of endoscopic sinus surgery and septoplasty correctly
3. Describe indications, contraindications, operative steps, postoperative care and complications of tonsillectomy and  adenoid surgery correctly
4. Describe indications, contraindications, operative steps, postoperative care and complications of rigid bronchoscopy and rigid esophagoscopy correctly
EN3.6 Observe and describe the indications for and steps involved in the skills of emergency procedures in ENT 1. Describe indications, contraindications, operative steps, postoperative care and complications of myringotomy and tracheostomy correctly
2. Describe operative steps, postoperative care of patient with epistaxis correctly
3. Describe operative steps, postoperative care of patient with peritonsillar abscess,  nasal septal hematoma, correctly
4. Describe operative steps, postoperative care of patient with foreign body bronchus and foreign body esophagus correctly
Management of Diseases in ENT
EN4.1 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of otalgia 1. Elicit, document and present complete history of the patient with Otalgia at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Otalgia at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with Otalgia at the end of teaching session in an accurate way
4. Describe the various modalities of management of Otalgia at the end of teaching session in an accurate way
1. https://www.entlecture.com/otalgia/
EN4.2 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of diseases of the external ear 1. Elicit, document and present complete history of the patient with Otitis externa at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Otitis externa at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with disease of external ear at the end of teaching session in an accurate way
4. Describe the various modalities of management of disease of external ear at the end of teaching session in an accurate way
1. https://www.entlecture.com/diseases-of-external-ear/
EN4.3 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the 95 correct investigations; and describe the principles of management of ASOM 1. Elicit, document and present complete history of the patient with ASOM at the end of clinical posting in correct format
4. Demonstrate and describe the clinical features of patient with ASOM at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with ASOM at the end of teaching session in an accurate way
4. Describe the various modalities of management of ASOM at the end of teaching session in an accurate way
EN4.4 Demonstrate the correct technique to hold visualize and assess the mobility of the tympanic membrane and its mobility and interpret and diagrammatically represent the findings 1. Demonstrate the correct technique to visualize the tympanic membrane using head mirror at the end of clinical posting in correct manner
2. Draw diagram of normal Tympanic membrane at the end of clinical posting in correct manner
3. Diagrammatically represent the findings of tympanic membrane on examination, at the end of clinical posting, in correct manner
4. Demonstrate the correct technique to assess the mobility of the tympanic membrane using Siegel’s speculum at the end of clinical posting in correct manner
5. Interpret the finding of siegelization at the end of clinical posting in correct manner
EN4.5 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of OME 1. Elicit, document and present complete history of the patient with OME at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with OME at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with OME at the end of teaching session in an accurate way
4. Describe the various modalities of management of OME at the end of teaching session in an accurate way
EN4.6 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of discharging ear 1. Elicit, document and present complete history of the patient with Discharging ear at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Discharging ear at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with Discharging ear at the end of teaching session in an accurate way
4. Describe the various modalities of management of Discharging ear at the end of teaching session in an accurate way
EN4.7 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of CSOM 1. Elicit, document and present complete history of the patient with CSOM at the end of clinical posting in correct format
3. Demonstrate and describe the clinical features of patient with CSOM at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with CSOM at the end of teaching session in an accurate way
4. Describe the various modalities of management of CSOM at the end of teaching session in an accurate way
EN4.8 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of CSOM 1. Elicit, document and present complete history of the patient with Squamosal type of CSOM at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Squamosal type of CSOM at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with Squamosal type of CSOM at the end of teaching session in an accurate way
4. Describe the various modalities of management of Squamosal type of CSOM at the end of teaching session in an accurate way
EN4.9 Demonstrate the correct technique for syringing from the ear in a simulated environment 1. Demonstrate the correct technique for syringing wax from the ear in a simulated environment at the end of clinical posting.
EN4.10 Observe and describe the indications for and steps involved in myringotomy and myringoplasty 1. Observe steps involved in myringotomy and myringoplasty
2. Describe the correct indications and steps involved in myringotomy in correct manner
3. Describe the correct indications and steps involved in myringoplasty in correct manner
EN4.11 Elicit, document, and describe the steps, and observe a mastoidectomy 1. Observe steps involved in mastoidectomy
2. Enumerate the correct indications for mastoidectomy
3. Describe the steps involved in mastoidectomy in the correct manner
EN4.12 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of hearing loss 1. Elicit, document and present complete history of the patient with Hearing loss at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Hearing loss at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with Hearing loss at the end of teaching session in an accurate way
4. Describe the various modalities of management of Hearing loss at the end of teaching session in an accurate way
1. https://www.entlecture.com/types-of-hearing-loss/
EN4.13 Describe the clinical features, investigations, and principles of management of otosclerosis 1. Describe the clinical features of the patient with Otosclerosis in correct manner
2. Enlist correct investigations for the management of patient with Otosclerosis in an accurate way
3. Describe the various modalities of management of Otosclerosis at the end of teaching session in an accurate way
EN4.14 Describe the clinical features, investigations, and principles of management of sudden sensorineural hearing loss 1. Describe the clinical features of the patient with Sudden Sensorineural Hearing Loss in correct manner.
2. Enlist correct investigations for the management of patient with Sudden Sensorineural Hearing Loss in an accurate way.
3. Describe the various modalities of management of Sudden Sensorineural Hearing Loss at the end of teaching session in an accurate way.
EN4.15 Describe the clinical features, investigations, and principles of management of noise induced hearing loss 1. Describe the clinical features of the patient with of Noise Induced Hearing Loss in correct manner
2. Enlist correct investigations for the management of patient with of Noise Induced Hearing Loss in an accurate way
3. Describe the various modalities of management of Noise Induced Hearing Loss at the end of teaching session in an accurate way
1. https://www.entlecture.com/noise-induced-trauma/
EN4.16 Observe and describe the indications for and steps involved in the performance of pure tone audiometry 1. Observe steps involved in the performance of pure tone audiometry
2. Describe the correct indications of pure tone audiometry in an accurate way
3. Describe the steps involved in the performance of pure tone audiometry in an accurate way
1. https://www.entlecture.com/audiometry-objective-tests-for-hearing-assessment/
EN4.17 Describe the clinical features and interpret the results of an audiogram 1. Enumerate the correct indications of pure tone audiometry in an accurate way
2. Interpret the results of an audiogram in an accurate way
1. https://www.entlecture.com/audiometry-objective-tests-for-hearing-assessment/
EN4.18 Describe the clinical features, investigations, and principles of management of facial nerve palsy 1. Describe the functional anatomy of Facial Nerve in an accurate way
2. Describe the clinical features of the patient with Facial Nerve palsy in correct manner
3. Enlist correct investigations for the management of patient with Facial Nerve palsy
4. Describe the various modalities of management of patient with Facial Nerve palsy in an accurate way
EN4.19 Describe the clinical features, investigations, and principles of management of vertigo 1. Describe the clinical features of the patient with Vertigo in correct manner
2. Enlist correct investigations for the management of patient with Vertigo
3. Describe the various modalities of management of patient with Vertigo in an accurate way
EN4.20 Describe the clinical features, investigations, and principles of management of Meniere’s disease 1. Describe the clinical features of the patient with Meniere’s Disease in correct manner
2. Enlist correct investigations for the management of patient with Meniere’s Disease
3. Describe the various modalities of management of patient with Meniere’s Disease in an accurate way
EN4.21 Describe the clinical features, investigations, and principles of management of tinnitus 1. Describe the clinical features of the patient with Tinnitus in correct manner
2. Enlist correct investigations for the management of patient with Tinnitus
3. Describe the various modalities of management of patient with Tinnitus in an accurate way
EN4.22 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of nasal obstruction 1. Elicit, document and present complete history of the patient with Nasal Obstruction at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Nasal Obstruction at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with Nasal Obstruction at the end of teaching session in an accurate way
4. Describe the various modalities of management of Nasal Obstruction at the end of teaching session in an accurate way
EN4.23 Describe and discuss the clinical features, investigations, and principles of management of deviated nasal septum 1. Describe the clinical features of the patient with DNS in correct manner
2. Enlist correct investigations for the management of patient with DNS
3. Describe the various modalities of management of patient with DNS in an accurate way
EN4.24 Enumerate the indications, observe, and describe steps in the septoplasty 1. Observe steps involved in Septoplasty
2. Describe the correct indications of Septoplasty
3. Describe the steps involved in the Septoplasty in an accurate way
EN4.25 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of nasal polyps 1. Elicit, document and present complete history of the patient with Nasal Polyps at the end of clinical posting in correct format
2. Demonstrate and describe the clinical features of patient with Nasal Polyps at the end of clinical posting in appropriate manner on the patient or simulated environment
3. Enlist correct investigations for the management of patient with Nasal Polyps at the end of teaching session in an accurate way
4. Describe the various modalities of management of Nasal Polyps at the end of teaching session in an accurate way
EN4.26 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of adenoids 1. Enumerate different symptoms patient of enlarged adenoids presents to ENT surgeon precisely.
2. Describe features of adenoid facies rightly.
3. Enlist signs in patients with adenoid enlargement accurately
4. Describe procedure of posterior rhinoscopy precisely.
5. Discuss differential diagnosis of mouth breathing precisely.
6. Enumerate various investigations employed for diagnosing adenoid enlargement precisely.
7.Discuss in detail medical and surgical management of adenoid enlargement rightly.
EN4.27 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamous type of allergic rhinitis 1. Enumerate precisely different symptoms of patient of allergic rhinitis precisely.
2. Describe clinical features of allergic rhinitis accurately
3. Enlist signs and symptoms in patients with allergic rhinitis precisely
5. Describe procedure of anterior rhinoscopy in stepwise manner
6. Discuss differential diagnosis of rhinitis rightly
7. Enumerate various investigations employed for diagnosing allergic rhinitis correctly.
8. Discuss in detail medical and surgical management of allergic rhinitis correctly.
EN4.28 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of vasomotor rhinitis 1. Enumerate different symptoms of patient of Vasomotor Rhinitis precisely
2. Describe clinical features of Vasomotor Rhinitis
3. Enlist signs and symptoms in patients with Vasomotor Rhinitis precisely
4. Describe procedure of anterior rhinoscopy precisely.
5. Discuss differential diagnosis of rhinitis correctly.
6. Enumerate various investigations employed for diagnosing Vasomotor Rhinitis accurately
7. Discuss in detail medical and surgical management of Vasomotor Rhinitis correctly.
EN4.29 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of acute and chronic rhinitis 1. Describe accurately etiopathological features of Acute & Chronic Rhinitis rightly
2. Describe clinical features of Acute & Chronic Rhinitis precisely
3. Enlist accurately signs and symptoms in patients with Acute & Chronic Rhinitis
4. Describe procedure of anterior & posterior rhinoscopy in stepwise manner rightly
5. Discuss differential diagnosis of rhinitis
6. Enumerate various investigations employed for diagnosing
7. Acute & Chronic Rhinitis
8. Discuss in detail medical and surgical management of Acute & Chronic Rhinitis precisely.
EN4.30 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamosal type of epistaxis 1. Define epistaxis accurately
2. Enumerate causes of Epistaxis correctly.
3. Describe anterior and posterior nasal bleeding correctly.
4. Describe anterior & posterior rhinoscopy in stepwise manner
5. Precisely
6. Enumerate various investigations employed for diagnosis of
7. Various causes for Epistaxis correctly.
8. Discuss in detail management of Epistaxis correctly.
EN4.31 Describe the clinical features, investigations, and principles of management of trauma to the face and neck 1. Classify fractures of facial bones and injuries of neck accurately
2. Describe clinical features of soft tissue and bone injuries involving face and neck accurately
3. Describe various investigations performed accurately.
4. Describe treatment options in trauma to the face & neck Precisely.
EN4.32 Describe the clinical features, investigations, and principles of management of nasopharyngeal angiofibroma 1. Define angiofibroma accurately
2. Discuss theories of etiopathogenesis of angiofibroma Precisely.
3. Describe spread of angiofibroma in detail correctly.
4. Describe pathology of angiofibroma precisely
5. Enumerate clinical features of angiofibroma precisely.
6. Discuss in detail surgical management of angiofibroma Precisely.
EN4.33 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamous type of acute and chronic sinusitis. 1. Describe etiopathology of Acute & Chronic sinusitis correctly.
2. Enlist signs and symptoms in patients with Acute & Chronic Sinusitis precisely
3. Enumerate various investigations employed for diagnosing Acute & Chronic Sinusitis correctly.
4. Discuss in detail medical and surgical management of Acute & Chronic Sinusitis correctly.
EN4.34 Elicit, document, and present a correct history; and describe the principles of management of tumours of maxilla 1. Enumerate tumors of maxilla accurately
2. Enumerate and discuss signs and symptoms in patients with maxillary sinus neoplasm correctly.
3. Discuss various classification employed for maxilla carcinoma precisely.
4. Discuss in detail management of maxillary carcinoma precisely.
EN4.35 Describe the clinical features, investigations, and principles of management of tumours of nasopharynx 1. Enumerate tumors of nasopharynx accurately
2. Enumerate and describe in detail signs and symptoms in patients with nasopharyngeal tumor correctly.
3. Discuss in detail various modalities of management of nasopharyngeal tumor precisely
EN4.36 Describe the clinical features, investigations, and principles of management of diseases of the salivary glands 1. Enumerate various conditions affecting salivary gland precisely
2. Enumerate and describe in detail signs and symptoms in patient affected by various salivary gland pathology accurately.
3. Discuss in detail various modalities of management of salivary gland conditions correctly.
EN4.37 Describe the clinical features, investigations, and principles of management of Ludwig’s Angina 1. Describe in detail etiopathology of Ludwig’s angina accurately
2. Enumerate and describe in detail signs and symptoms in patient affected by Ludwig’s Angina correctly.
3. Discuss in detail various modalities of management of Ludwig’s Angina precisely
EN4.38 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of types of dysphagia 1. Enumerate various conditions causing dysphagia precisely
2. Describe pathogenesis of various conditions leading to Dysphagia correctly.
3. Discuss in detail various modalities of management of Dysphagia precisely
EN4.39 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of squamous type of acute and chronic tonsillitis 1. Describe etiopathology of Acute & Chronic tonsillitis precisely
2. Enlist signs and symptoms in patients with Acute & Chronic tonsillitis accurately
3. Enumerate various investigations employed for diagnosing Acute & Chronic tonsillitis correctly.
4. Discuss in detail medical and surgical management of Acute & Chronic tonsillitis correctly.
EN4.40 Observe and describe the indications for and steps involved in a tonsillectomy/adenoidectomy 1. Enumerate indications of adenoidectomy and tonsillectomy precisely
2. Enumerate and describe various methods adopted for adenoidectomy and tonsillectomy rightly
3. Enumerate and describe briefly steps of adenoidectomy and tonsillectomy in conventional method correctly.
4. Enlist and describe possible complication during tonsillectomy and adenoidectomy correctly.
EN4.41 Describe the clinical features, investigations, and principles of management of acute and chronic abscesses in relation to pharynx 1. Define deep neck spaces precisely
2. Classify various spaces related to pharynx correctly.
3. Describe etiopathogenesis of pharynx related abscess Precisely
4. Describe clinical features of acute and chronic pharyngeal Spaces correctly.
5. Describe in detail management of abscess related to pharynx Correctly.
EN4.42 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of hoarseness of voice 1. Classify various types of voice changes accurately
2. Describe etiopathogenesis of hoarseness of voice correctly.
3. Describe in detail management of patients with hoarseness of Voice correctly.
EN4.43 Describe the clinical features, investigations, and principles of management of acute and chronic laryngitis 1. Describe etiopathology of Acute & Chronic laryngitis accurately
2. Enlist signs and symptoms in patients with Acute & Chronic laryngitis correctly.
3. Enumerate various investigations employed for diagnosing Acute & Chronic laryngitis correctly.
4. Discuss in detail medical and surgical management of Laryngitis precisely.
EN4.44 Describe the clinical features, investigations, and principles of management of benign lesions of the vocal cord 1. Describe etiopathology of Benign lesions of the vocal cord precisely
2. Enlist signs and symptoms in patients with Benign lesions of the vocal cord accurately
3. Enumerate various investigations employed for diagnosing benign lesions of the vocal cord precisely.
4. Discuss in detail medical and surgical management of benign lesions of the vocal cord correctly.
EN4.45 Describe the clinical features, investigations, and principles of management of vocal cord palsy 1. Enumerate causes of unilateral and bilateral vocal cord paralysis accurately
2. Describe clinical features of unilateral and bilateral vocal cord paralysis accurately.
3. Discuss in detail management of unilateral and bilateral vocal cord paralysis correctly.
EN4.46 Describe the clinical features, investigations, and principles of management of malignancy of the larynx and hypopharynx 1. Describe etiopathogenesis of Malignancy of the Larynx and Hypopharynx precisely
2. Describe clinical features of Malignancy of the Larynx and Hypopharynx accurately
3. Discuss in detail various modalities of management of Malignancy of the Larynx and Hypopharynx correctly.
EN4.47 Describe the clinical features, investigations, and principles of management of stridor 1. Define stridor accurately
2. Enumerate causes of stridor precisely
3. Describe clinical features of patient having stridor correctly.
4. Discuss in detail various modalities of management of stridor Correctly.
EN4.48 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of airway emergencies 1. Define airway emergency precisely
2. Enumerate causes of airway emergency correctly.
3. Describe clinical features of patient having airway emergency Correctly.
4. Discuss in detail various modalities of management of airway
5. Emergency correctly.
EN4.49 Elicit, document, and present a correct history; demonstrate and describe the clinical features; choose the correct investigations; and describe the principles of management of foreign bodies in the air and food passages 1. Enumerate various foreign bodies in food passage accurately
2. Describe clinical features of patient having foreign bodies in Food passage precisely
3. Discuss in detail various modalities of management of foreign Bodies in food passage correctly.
EN4.50 Observe and describe the indications for and steps involved in tracheostomy 1. Enumerate various indications of tracheostomy rightly
2. Classify various methods tracheostomy precisely
3. Discuss in detail steps of surgical tracheostomy correctly.
EN4.51 Observe and describe the care of the patient with a tracheostomy 1. Enumerate various preoperative and postoperative measures taken in tracheostomy patients correctly.
2. Enumerate and describe complications of tracheostomy correctly.
EN4.52 Describe the clinical features, investigations, and principles of management of diseases of oesophagus 1. Describe etiopathogenesis of Diseases of oesophagus correctly.
2. Describe clinical features of Diseases of oesophagus precisely
3. Discuss in detail various modalities of management of
4. Diseases of oesophagus correctly.
EN4.53 Describe the clinical features, investigations, and principles of management of HIV manifestations of the ENT 1. Define AIDS accurately.
2. Describe clinical features of patient having HIV Manifestations of the ENT correctly.
3. Discuss in detail various modalities of management of HIV Manifestations of the ENT correctly.
Human Anatomy
AN36.1 Describe the (i) morphology, relations, blood supply, and applied anatomy of palatine tonsil and (ii) composition of soft palate 1. Describe morphology, relations, blood supply of palatine tonsil with well labelled diagram correctly
2. Describe applied anatomy of palatine tonsil correctly
3. Describe composition of soft palate with well labeled diagram correctly
AN36.2 Describe the components and functions of Waldeyer’s lymphatics ring 1. Describe the components waldeyer’s lymphatic ring with well labeled diagram correctly
2. Describe functions of waldeyer’s lymphatic ring correctly
AN36.3 Describe the boundaries and clinical significance of pyriform fossa 1. Describe the boundaries of pyriform fossa with well labeled diagrams correctly
2. Describe clinical significance of pyriform fossa correctly
AN36.4 Describe the anatomical features of tonsil, adenoids/tonsils, adenoids, and peritonsillar abscess 1. Describe the anatomical basis of tonsillitis and tonsillectomy correctly
2. Describe anatomical basis of adenoid enlargement correctly
3. Describe anatomical basis of peritonsillar abscess correctly
AN36.5 Describe the clinical significance of Killian’s dehiscence 1. Describe the clinical significance of Killian’s dehiscence correctly
2. Describe etiology, pathology, clinical features and management of Zenker’s diverticulum correctly
AN37.1 Describe the anatomical features of nasal septum, lateral wall of nose, their blood supply, and nerve supply 1. Describe anatomy of nasal septum with well labeled diagram with their blood supply and nerve supply correctly
2. Describe anatomy of lateral wall of nose with well labeled diagram with their blood supply and nerve supply correctly
1. https://www.entlecture.com/anatomy-of-internal-nose/
AN37.2 Describe function and functional anatomy of paranasal sinuses 1. Describe functional anatomy of paranasal sinuses with well labeled diagram correctly
2. Draw well labeled diagram of osteo-meatal complex correctly
AN37.3 Describe the anatomical basis of acute and maxillary sinus tumours 1. Describe anatomical basis of sinusitis correctly
2. Describe anatomical basis maxillary sinus tumors correctly
AN38.1 Describe the morphology, identify structures of the wall, nerve supply, blood supply, and actions of intrinsic and extrinsic muscles of the larynx 1. Anatomy of larynx with well labeled diagram correctly
2. Describe the morphology, identify structure of the walls of Larynx correctly
3. Describe actions of intrinsic and extrinsic muscles of larynx Correctly
AN38.2 Describe the anatomical aspects of laryngitis 1. Describe the anatomical aspects of laryngitis correctly
AN38.3 Describe the biomechanics of recurrent laryngeal nerve injury 1. Describe anatomy of both recurrent laryngeal nerve with well labeled diagram correctly
2. Describe anatomical basis of recurrent laryngeal nerve injury correctly
AN39.2 Explain the anatomical basis of hypoglossal nerve palsy 1. Describe anatomy of hypoglossal nerve with well labeled diagram correctly
2. Explain the anatomical basis of hypoglossal nerve palsy correctly
AN40.1 Describe and identify the parts, blood supply, and nerve supply of external ear 1. Describe & identify the parts of external ear correctly
2. Describe anatomy of external ear with well labeled diagram Correctly
1. https://www.entlecture.com/anatomy-of-ear/
AN40.2 Describe and demonstrate the boundaries, contents, relations, and functional anatomy of middle ear and auditory tube 1. Describe functional anatomy of middle ear and auditory tube with well labeled diagram correctly
2. Draw well labeled diagram of medial wall of middle ear correctly
1. https://www.entlecture.com/anatomy-of-middle-ear/
AN40.3 Describe the features of internal ear 1. Enumerate the various parts of the internal ear in an accurate manner
2. Describe the anatomical features of the Vestibule, Cochlea and Semicircular Canals in an accurate manner
3. Describe the blood supply and nerve supply of the internal ear in an accurate manner
1. https://www.entlecture.com/anatomy-of-internal-ear/
AN40.4 Explain anatomical basis of otitis externa and otitis media 1. Enumerate the various parts of External ear in an accurate manner
2. Describe the anatomical features, blood supply, nerve supply of External ear in an accurate manner
3. Describe the anatomical features, blood supply, nerve supply of Middle ear in an accurate manner
4. Describe the ventilation pathway of Middle ear in an accurate manner
AN40.5 Explain anatomical basis of myringotomy 1. Enumerate the various parts of Tympanic membrane in an accurate manner
2. Describe the anatomical features of Tympanic membrane in an accurate manner
3. Draw diagram of normal Tympanic membrane in correct manner
4. Diagrammatically represent the findings of Otitis media in correct manner
5. Diagrammatically represent the site of myringotomy in correct manner
Physiology
PY10.13 Describe and discuss perception of smell and taste sensation 1. Describe the olfactory pathway and discuss the physiology of perception of smell in an accurate manner
2. Describe the gustatory pathway and discuss the physiology of perception of taste sensation in an accurate manner
PY10.15 Describe and discuss functional anatomy of ear and auditory pathways and physiology of hearing 1. Describe the functional anatomy of ear in relation to hearing in an accurate manner
2. Describe the Auditory pathway for perception of sound in an accurate manner
3. Discuss the physiology of Hearing in an accurate manner
1. https://www.entlecture.com/physiology-of-hearing/
PY10.16 Describe and discuss pathophysiology of deafness. Describe hearing tests 1. Describe and discuss pathophysiology of deafness in an accurate manner
2. Enumerate the various hearing tests used to assess hearing
3. Discuss the Tuning fork tests and Pure tone Audiometry in an accurate manner
1. https://www.entlecture.com/evaluation-of-deaf-child/
PY10.20 Demonstrate (i) hearing, (ii) testing for smell, and (iii) taste sensation to volunteer in simulated environment 1. Demonstrate the Tuning fork tests in an correct manner in volunteer/ simulated environment
2. Demonstrate the test for Smell in correct manner in volunteer/ simulated environment
3. Demonstrate the test for Taste sensation in correct manner in volunteer/ simulated environment
1. https://www.entlecture.com/assessment-of-hearing/

2. https://www.entlecture.com/audiometry-objective-tests-for-hearing-assessment/

Community Medicine
CM3.1 Describe the health hazards of air, water, noise, radiation pollution. 1. Describe the various health hazards of air, water, and noise pollution in relation to ENT in an accurate manner
2. Describe the various methods of prevention of health hazards of air, water, and noise pollution in relation to ENT in an accurate manner
3. Describe the various health hazards of Radiation in relation to ENT in an accurate manner
1. https://www.entlecture.com/noise-induced-trauma/
Dentistry
DE4.1 Discuss the prevalence of oral cancer and enumerate the common types of cancer that affect tissues of the oral cavity 1. Discuss the prevalence of oral cancer in India and also mention the prevalence of oral cancer in Vidarbha in an accurate manner
2. Enumerate the common types of cancer that can affect tissues of the oral cavity in an accurate manner
DE4.2 Discuss the role of etiological factors in the formation of precancerous/cancerous lesions 1. Enlist the etiological factors and discuss their role in the formation of precancerous /cancerous lesions in Oral cavity in an accurate manner
DE4.3 Identify potential precancerous/cancerous lesions 1. Counsel patients about the risks of oral cancer with respect to tobacco, smoking and alcohol in appropriate manner
DE4.4 Counsel patients re role of cancer risk with respect to tobacco, smoking, alcohol, and other causative factors
General Medicine
IM24.17 Describe and discuss the etiopathogenesis, clinical presentation, identification, functional changes, acute care, stabilization, management, and rehabilitation of hearing loss in the elderly 1. Describe the etiopathogenesis of hearing loss in the elderly in an accurate manner
2. Discuss the clinical presentation of patients with Hearing loss in an accurate manner
3. Describe how to identify patients with hearing loss in an accurate manner
4. Describe the functional changes in patients with Hearing loss in an accurate manner
5. Describe the acute care required for patients with Hearing loss in an accurate manner
6. Describe how to stabilize patients with hearing loss in an accurate manner
7. Describe the management of hearing loss in the elderly in an accurate way
8. Describe the various modalities of rehabilitation of hearing loss in the elderly in an accurate way
Paediatrics
PE14.2 Discuss the risk factors, clinical features, evaluation, and management of kerosene ingestion 1. Discuss the risk factors and diagnosis for Kerosene ingestion in an accurate manner
2. Describe the role of clinical features and management of Kerosene ingestion in an accurate manner
PE28.1 Discuss the etiopathogenesis, clinical features, and management of nasopharyngitis 1. Discuss the Etio-pathogenesis, Clinical features and Management of Naso pharyngitis in children in an accurate way
PE28.2 Discuss the etiopathogenesis of pharyngotonsillitis 1. Describe etiology of Pharyngo tonsillitis precisely
2. Discuss pathophysiology of pharyngo tonsillitis in paediatric Age group correctly.
PE28.3 Discuss the clinical features and management of pharyngotonsillitis 1. Enlist signs and symptoms, investigations and discuss in detail medical and surgical management of Pharyngo Tonsillitis correctly.
PE28.4 Discuss the etiopathogenesis, clinical features, and management of acute otitis media (AOM) 1. Describe Etiopathogenesis and Clinical Features of Acute Otitis Media (AOM) correctly.
2. Discuss in detail various modalities of management of Acute Otitis Media (AOM) correctly.
PE28.5 Discuss the etiopathogenesis, clinical features, and management of epiglottitis 1. Describe etiopathogenesis of Epiglottitis precisely
2. Describe clinical features of Epiglottitis correctly.
3. Discuss in detail various modalities of management of Epiglottitis correctly.
PE28.6 Discuss the etiopathogenesis, clinical features, and management of acute laryngo-tracheo-bronchitis 1. Describe etiopathogenesis of Acute laryngo- trachea- bronchitis precisely
2. Describe clinical features of Acute laryngo- trachea-bronchitis precisely
3. Discuss in detail various modalities of management of Epiglottitis Acute laryngo- trachea-bronchitis correctly.
PE28.7 Discuss the etiology, clinical features, and management of stridor in children 1. Enumerate causes of stridor in children precisely
2. Describe clinical features of patient having stridor in children correctly.
3. Discuss in detail various modalities of management of stridor in children precisely
PE28.8 Discuss the types, clinical presentation, and management of foreign body aspiration in infants and children 1. Classify and enumerate various foreign bodies aspirated in pediatrics age group precisely
2. Describe clinical features of patient having foreign bodies aspiration in air passage precisely
3. Discuss in detail various modalities of management of foreign bodies’ aspiration in air passage correctly.
PE28.9 Elicit, document, and present age-appropriate history of a child with upper respiratory problem including stridor 1. Classify and enumerate various pathologies of upper airway leading to stridor precisely
2. Describe clinical features of patient having various pathologies of upper airway leading to stridor precisely
3. Discuss in detail various modalities of management of various pathologies of upper airway leading to stridor correctly.
PE28.10 Perform otoscopic examination of the ear 1. Identify parts of otoscope accurately
2. Hold the otoscope in correct position precisely
3. Perform and demonstrate otoscopic examination on patient accurately
PE28.11 Perform throat examination using tongue depressor 1. Identify and hold tongue depressor correctly.
2. Perform and demonstrate examination of oral cavity using tongue depressor on patient precisely
PE28.12 Perform examination of the nose 1. Enumerate steps involved in nasal examination precisely
2. Comment on osseo cartilaginous framework and symmetry rightly
3. Perform and demonstrate tip raising test accurately
4. Perform and demonstrate anterior rhinoscopy precisely
5.Perform and demonstrate posterior rhinoscopy precisely
6. Elicit paranasal sinus tenderness precisely
7. Examine smell testing correctly.
PE28.17 Interpret X-ray of the paranasal sinuses and mastoid; and/or use written report in case of management. Interpret CXR in foreign body aspiration and lower respiratory tract infection, understand the significance of thymic shadow in paediatric chest X-rays 1. Identify, comment and provide diagnosis radiograph rightly
General Surgery
SU20.1 Describe etiopathogenesis of oral cancer, symptoms, and signs of pharyngeal cancer. Enumerate the appropriate investigations and discuss the principles of treatment 1. Describe etiopathogenesis of oral cancer correctly
2. Describe symptoms and signs of pharyngeal cancer correctly
3. Enumerate the appropriate investigations for oral and pharyngeal cancer correctly
4. Describe the principles of treatment of oral and pharyngeal cancers correctly
m

Author:

Dr. Rahul Bagla ENT Textbook

Dr. Rahul Bagla
MBBS (MAMC, Delhi) MS ENT (UCMS, Delhi)
Fellow Rhinoplasty & Facial Plastic Surgery.
Renowned Teaching Faculty
Mail: msrahulbagla@gmail.com
India

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