Chapter 17 Flashcards
What is the name of the wax that is normally produced and found within the ear canal?
A. cerumen
B. septum
C. sputum
D. tympanum
A. cerumen
What is the term for creating a surgical opening into the tympanic membrane?
A. antrostomy
B. myringotomy
C. septoplasty
D. turbinectomy
B. myringotomy
Which of the following is NOT an ossicle found in the middle ear?
A. cochlea
B. incus
C. malleus
D. stapes
A. cochlea
Which cranial nerve may be damaged by growth of a cholesteatoma?
A. third (lll)
B. fifth (V)
C. seventh (Vll)
D. tenth (X)
C. seventh (Vll)
Walters, Caldwell, lateral, and submental radiographic views are used to establish diagnosis for which anatomical area?
A. inner ear canal
B. oropharynx
C. sinus cavities
D. temporomandibular
C. sinus cavities
What tissue type are the palatine tonsils?
A. fascial
B. lymphoid
C. mucosal
D. serosal
B. lymphoid
Which of the following is NOT a category of tonsil tissue?
A. palatine
B. pharyngeal
C. laryngeal
D. lingual
C. laryngeal
Which of the following are classified as tonsils but are routinely referred to as adenoids and tend to atrophy with age?
A. palatine
B. pharyngeal
C. laryngeal
D. lingual
B. pharyngeal
In which of the following procedures would the surgical technologist need to have a spreader and a hook ready for use?
A. myringotomy
B. septoplasty
C. tonsillectomy
D. tracheotomy
D. tracheotomy
A TMJ decompression procedure is performed in which anatomical area?
A. anterior face
B. anterior neck
C. lateral jaw
D. lateral sinus
C. lateral jaw
Which procedure is performed for treatment of sleep apnea?
A. BMT
B. FESS
C. SMR
D. UPPP
D. UPPP
Which structure is often blocked with stones in the parotid gland, possibly necessitating surgical removal of the gland?
A. canal of Schlemm
B. nasolacrimal duct
C. paranasal
D. Steno’s duct
D. Steno’s duct
What is the name of the double-action, cupped, forward-angled forceps used to resect portions of the nasal septum?
A. Aufricht
B. Cottle
C. Jansen-Middleton
D. Kerrison
C. Jansen-Middleton
Topical cocaine 4% is used in nasal surgery for:
A. anesthesia
B. dilation
C. lubrication
D. prepping
A. anesthesia
Antrostomy rasps would be used in procedures involving which anatomical structure(s)?
A. external auditory meatus
B. facial sinuses
C. lacrimal ducts
D. semicircular canals
B. facial sinuses
Which of the following descriptions and classifications of laryngeal cartilage pertains to the epiglottis?
A. paired and hyaline
B. paired and elastic
C. individual and hyaline
D. individual and elastic
D. individual and elastic
Which laryngeal cartilage is commonly known as the “Adam’s Apple”?
A. cricoid
B. thyroid
C. arytenoid
D. cuneiform
B. thyroid
A procedure sometimes performed in the ICU, ER, or PACU is a(n):
A. cochlear implant
B. bilateral myringotomy tubes (BMT)
C. submucosal resection (SMR)
D. tracheotomy
D. tracheotomy
What is the name of the long, thin, cupped, pistol-grip type handled forceps used in many nasal procedures?
A. Aufricht
B. Cottle
C. McIvor
D. Takahashi
D. Takahashi
Which cranial nerve carries information related to equilibrium to the cerebral cortex?
A. third (lll)
B. fifth (V)
C. eighth (Vlll)
D. tenth (X)
C. eighth (Vlll)
Which of the following procedures would require use of an operating microscope?
A. septoplasty
B. stapedectomy
C. tracheostomy
D. turbinectomy
B. stapedectomy
How should micro ear instruments be cleaned intraoperatively?
A. soaked in sterile saline
B. soaked in sterile water
C. wiped with a micro-wipe sponge
D. wiped with a Ray-Tec 4x4 sponge
C. wiped with a micro-wipe sponge
Baron, Frazier, House, and Rosen are names of which type of instrument?
A. forceps
B. knife
C. pick
D. suction
D. suction
Which gas can cause expansion of the middle ear and therefore is contraindicated in tympanic graft cases?
A. argon
B. carbon dioxide
C. nitrous oxide
D. oxygen
C. nitrous oxide
which of the following is the MOST commonly used autograft in otologic procedures?
A. flexible cartilage
B. hyaline cartilage
C. temporalis fascia
D. transversalis fascia
C.temporalis fascia
Which type of study would be used to diagnose sleep apnea?
A. CT scanning
B. polysomnography
C. videostroboscopy
D. electronystagmography
B. polysomnography
Which surgical procedure would be performed for excision of a cholesteatoma?
A. adenoidectomy
B. Caldwell-Luc
C. mastoidectomy
D. radical neck dissection
C. mastoidectomy
Which instrument is used to measure the distance from incus to stapes footplate for selection of a prosthesis in stapedectomy?
A. caliper
B. depth gauge
C. sound
D. trail/sizer
B. depth gauge
Which name is common to knives, needles, picks, and suction tips used in otologic procedures?
A. alligator
B. Bellucci
C. house
D. Rosen
D. Rosen
Which of the following is NOT a compartment of the bony labyrinth of the inner ear?
A. cochlea
B. semicircular canals
C. sphenoid sinus
D. vestibule
C. sphenoid sinus
In which instrument tray would you find a Ballenger swivel knife, Cottle elevator, Knight scissors and Takahashi forceps?
A. BMT
B. FESS
C. SMR
D. T&A
SMR
What is the name of the sharp-tipped, handheld retractor that can be either single or double and often is found in nasal trays?
A. Aufricht
B. Joseph
C. Senn
D. Weitlaner
B. Joseph
An otorhinolaryngologist is more commonly known as which type of specialist?
A. allergist
B. ENT
C. OB/GYN
D. pediatrician
B. ENT
Which type of laser is useful for procedures involving the stapes and middle ear?
A. argon
B. carbon dioxide
C. holmium: YAG
D. Nd: YAG
A. argon
Which type of mechanical action of a drill attachment is MOST commonly used in otologic procedures?
A. oscillating
B. reciprocating
C. rotary
D. sagittal
C. rotary
What is the name of the structure that separates the outer and middle ear canals from one another?
A. epiglottis
B. external auditory meatus
C. turbinate’s
D. tympanic membrane
D. tympanic membrane
Which part of the tympanic membrane is fibrous, largest, and where drainage tubes are inserted?
A. annulus
B. pars flaccida
C. pars tensa
D. umbo
C. pars tensa
In myringotomy procedures what does “PE” stand for?
A. pus exudate
B. partial expulsion
C. pressure equalizing
D. peripheral examination
pressure equilizing
What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears?
A. otitis media
B. rhinitis
C. sinusitis
D. tracheitis
A. otitis media
Which of the following is all that is necessary for instrument setup for bilateral myringotomy tube (BMT) placement?
A. back table
B. basin set
C. Mayo stand
D. kick bucket
mayo stand
Which acute infection appears in bony air cells after approximately 10-14 days following an otitis media infection, and if untreated, it may result in meningitis or encephalitis?
A. adenoiditis
B. mastoiditis
C. rhinitis
D. tonsillitis
B. mastoiditis
What is an important step for the surgical technologist to remember to perform when changing burrs on a pneumatic drill?
A. place drill in reverse position
B. place drill in forward position
C. put hand piece on safety
D. disconnect hand piece from hose
C. put hand piece on safety
What is the term for bony overgrowth of the stapes?
A. arteriosclerosis
B. atherosclerosis
C. multiple sclerosis
D. otosclerosis
otosclerosis
Which diagnostic study is best at delineating between soft tissue and bony structures for diagnosing sinus conditions?
A. angiogram
B. audiogram
C. CT scan
D. MRI scan
C. CT scan
Why is a scapular or shoulder roll used in procedures involving the oropharynx?
A. prevent pressure necrosis
B. tilt head to increase exposure
C. reduce intraoperative bleeding
D. provide comfort for awake patient
B. tilt head to increase exposure
What is the term that describes a nasal septum that typically causes obstructed breathing in older patients?
A. collateral
B. deviated
C. ossified
D. sclerotic
B. deviated
What is the surgical technologist often asked to do for the surgeon during septal procedures?
A. insert cocaine-soaked cottonoids into the nose
B. extract fragments with the Takahaski
C. suture the nasal mucosa closed
D. tap the chisel with the mallet lightly
D. tap the chisel with the mallet lightly
What is an alternate name for the bony projections known as turbinates?
A. cochlea
B. conchae
C. ossicles
D. ostia
B. conchae
All of the following are methods of performing a turbinectomy EXCEPT?
A. inferior
B. laser
C. microdebrider
D. percutaneous
D. percutaneous
Where is the soft palate located in relation to the nasal cavity?
A. anterior and superior
B. anterior and inferior
C. posterior and superior
D. posterior and inferior
D. posterior and inferior
What is the MOST common cause nasal polyps?
A. allergic rhinitis
B. arid environment
C. cocaine use
D. smoking
A. allergic rhinitis
Which of the paranasal sinuses are numerous, small, and located on either side of the bridge of the nose, between the eyes?
A. ethmoid
B. frontal
C. maxillary
D. sphenoid
A. ethmoid
Which of the paranasal sinuses are MOST superior and can be singular or divided?
A. ethmoid
B. frontal
C. maxillary
D. sphenoid
frontal
Which procedure would require 4 mm or 5 mm, 0°, or angled lenses and a navigation system for intraoperative guidance?
A. Caldwell-Luc
B. FESS
C. radical neck dissection
D. SMR
B. FESS
Davis and Mclvor are names of which type of instruments?
A. handheld retractor
B. micro instruments
C. mouth gags
D. powered drills
C. mouth gags
Which of the following is a curved, serrated tonsil knife?
A. Beaver
B. Button
C. Fisher
D. Sexton
C. Fisher
Which objective-power lens is MOST frequently used for microlaryngoscopy?
A. f-200
B. f-300
C. f-350
D. f-400
D. f-400
Which of the following statements comparing rigid bronchoscopes and esophagoscopes to rigid laryngoscopes is correct?
A. Bronchoscopes are longer than laryngoscopes, and the distal end is straight
B. Bronchoscopes are longer than laryngoscopes, and the distal end is flared
C. Esophagoscopes are sorter than laryngoscopes, and the distal end is flared
D. Esophagoscopes are shorter than laryngoscopes, and the distal end is straight
A. Bronchoscopes are longer than laryngoscopes, and the distal end is straight
Which of the following is frequently used as an autograft to replace the mandible in a radical neck dissection?
A. clavicle
B. fibula
C. humerus
D. radius
B. fibula
Diagnostic method that uses cool and warm water introduced into the ear canal to assess balance function
Electronystagmography
Congenital defect that results in a bony or membranous occlusion of the passageway between the nose and the pharynx
Choanal atresia
Position achieved by placement of a scapular roll to proved enhanced visualization of the oropharyngeal area
Hyperextension
The membranous opening in the wall of the cochlea that receives vibrations from the stapes in the middle ear
oval window
Diagnostic method that assesses the amount of damage to the sound conduction system and determines course of treatment
audiography
