CRQ Otorhinolaryngology Flashcards

1
Q

Facial nerve trauma can be decreased by use of

A) computerized nerve monitor

B) flouroscopy

C) Berman locator

D) Doppler

A

A) computerized nerve monitor

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2
Q

After the anterior pillar of a tonsil in incised with a #12 blade, the tonsil is freed from the attachments with…

A) sluder guillotine

B) LaForce guillotine

C) Hurd Dissector

D) Boettcher scissors

A

C) Hurd Dissector

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3
Q

What is the primary reason for performing a thyroplasty?

A) facial nerve paralysis

B) Unilateral vocal cord paralysis

C) Goiter

D) Tumor in the lymph nodes

A

B) Unilateral vocal cord paralysis

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4
Q

Which degree endoscope is used only in maxillary sinus surgery?

A) 30 degrees

B) 70 degrees

C) 90 degrees

D) 120 degrees

A

D) 120 degrees

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5
Q

Cholesteatoma is treated by doing a

A) tympanoplasty

B) myringotomy

C) stapedectomy

D) mastoidectomy

A

D) mastoidectomy

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6
Q

A perforated eardrum is corrected by

A) myringotomy

B) stapedectomy

C) stapedotomy

D) tympanoplasty

A

D) tympanoplasty

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7
Q

Maxillomandibular fixation (MMF) is a procedure used to realign the teeth or to maintain the patients normal bite position. Which of the following is used during MMF?

A) Arch bars

B) Bicoronal plate

C) Bicortical screw

D) plates and screws

A

A) Arch bars

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8
Q

The majority of benign salivary gland tumors occur in which gland?

A) sublingual

B) submaxillary

C) Parotid

D) Submandibular

A

C) Parotid

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9
Q

If archbars remain in the patient postoperatively, what must be kept with the patient at all times to access the airway in case of emergency?

A) endotracheal tube

B) Naso endotracheal tube

C) wirecutter

D) tracheostomy tray

A

C) wirecutter

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10
Q

In cochlear implantation, the receiver is placed into which bone of the skullto gather impulsesand send it along to the cerebral cortex?

A) Parietal

B) Mastoid

C) Occipital

D) Frontal

A

B) Mastoid

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11
Q

During ear surgery, pledgets generally used to control bleeding are soaked in

A) saline

B) heparin

C) thrombin

D) epinephrine

A

D) epinephrine

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12
Q

Temporal Mandibular Joiunt (TMJ) arthroplasty is performed for all of these disorders EXCEPT?

A) grinding of teeth

B) trauma

C) wisdom teeth

D) arthritis

A

C) wisdom teeth

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13
Q

During a parotidectomy, what cranial nerve is carefully elevated and retracted in order to preserve it?

A) Vagus

B) Optic

C) Occulomotor

D) Facial

A

D) Facial

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14
Q

Lesion of the larynx and vocal cords can be addressed surgically using which laser?

A) Nd:YAG

B) Holmium

C) CO2

D) Argon

A

C) CO2

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15
Q

What is the facial bone that makes up the chin?

A) Frontal

B) Zygomatic

C) Maxilla

D) Mandible

A

D) Mandible

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16
Q

Which position is used following a tonsillectomy?

A) Dorsal Recumbent

B) On side, horizontally

C) Reverse Trendelenberg

D) Supine

A

B) On side, horizontally

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17
Q

Plates and screws are the primary means of repairing facial fractures. What is the order of instrumentation used for this procedure?
(1) Power drill and drill bit (2) placement of plate (3) placement of screws (4) depth gauge

A) 1,2,3,4

B) 2,3,4,1

C) 3,4,1,2

D) 2,1,4,3

A

D) 2,1,4,3

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18
Q

A surgical schedule would describe the procedure to treat otitis media as a

A) myringotomy

B) stapes mobilization

C) fenestration operation

D) Wullstein procedure

A

A) myringotomy

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19
Q

Irrigation is used with the ear drill

A) to remove bone fragments

B) to minimize transfer of heat from burr to surrounding structures

C) to add moisture

D) to control bleeding

A

B) to minimize transfer of heat from burr to surrounding structures

20
Q

Which medication is found on a tracheostomy setup to reduce the coughing reflex at tube insertion?

A) Covaine 4%

B) Lidocaine 1%

C) Cocaine 10%

D) Lidocaine 10%

A

B) Lidocaine 1%

21
Q

The most common topical anesthetic agent used in ENT surgery is?

A) Xylocaine

B) procaine

C) cocaine

D) surfacaine

A

C) cocaine

22
Q

Which of the following endotracheal tubes can prevent a fire?

A) stainless steel

B) silicone

C) latex

D) red rubber

A

A) stainless steel

23
Q

Severe vertigo may be relieved by

A) stapedectomy

B) myringotomy

C) labyrinthectomy

D) endolymphatic shunt

A

C) labyrinthectomy

24
Q

During a thyroidectomy, the surgeon identifies and preserves which of the following structure(s)?

A) recurrent laryngeal

B) parathyroid glands

C) superior laryngeal

D) all of the above

A

D) all of the above

25
Q

Which dressing is used after nasal surgery?

A) Collodian

B) Moustache

C) Pressure

D) Telfa

A

B) Moustache

26
Q

When a tracheotomy tube is inserted, the obturator is quickly removed and the trachea is suctioned with a

A) catheter

B) Frazier

C) Poole

D) Yankauer

A

A) catheter

27
Q

Which of the following medications would be used as a topical anesthetic before nasal surgery?

A) Numorphan

B) Codiene

C) Cocaine

D) Marcaine

A

C) Cocaine

28
Q

A trifurcate neck incision is done for a/n?

A) parotidectomy

B) submaxillary gland excision

C) uvulopalatopharyngoplasty

D) radical neck dissection

A

D) radical neck dissection

29
Q

Which surgery requires an inciaion under the upper lip above the teeth?

A) Caldwell-Luc

B) Submucous resection

C) Frontal sinus operation

D) Frontal sinus Trephination

A

A) Caldwell-Luc

30
Q

What type of fracture is associated with the leakage of cerebrospinal fluid into the nasal sinus?

A) LeFort I

B) LeFort II

C) LeFort III

D) LeFort IV

A

B) LeFort II

31
Q

What combination of lasers are particularly useful in surgery of the larynx and vocal cords?

A) CO2 and argon

B) CO2 and helium-neon

C) CO2 and Nd:YAG

D) Argon and helium-neon

A

B) CO2 and helium-neon

32
Q

Total laryngectomy includes all of the following except?

A) soft palate

B) strap muscle

C) hyoid bone

D) larynx

A

A) soft palate

33
Q

A benign tumor arising from the eighth cranial nerve, which may grow to a size that produces neurologic symoptoms, is a/n?

A) myoma

B) acoustic neuroma

C) teratoma

D) fibroma

A

B) acoustic neuroma

34
Q

To establish a tracheostomy, a midline incision is created in the neck, below the

A) suprasternal notch

B) hyoid bone

C) cricoid cartilage

D) corniculate cartilage

A

C) cricoid cartilage

35
Q

What is the instrument used to effect removal of the septal cartilage in a rhinoplasty?

A) knight nasal scissor

B) joseph nasal scissor

C) Jansen Middleton forceps

D) Freer septum knife

A

C) Jansen Middleton forceps

36
Q

Middle ear ventalation is facilitated by

A) antrostomy

B) myringotomy

C) stapedectomy

D) turbinectomy

A

B) myringotomy

37
Q

Nasal polyps are removed with either a polyp forceps or a/n?

A) antrum rasp

B) coakley curette

C) freer elevator

D) nasal snare

A

D) nasal snare

38
Q

What mode would be utilized to mainatain drainage postoperatively in radical neck surgery?

A) penrose drain

B) hemovac

C) sump drain

D) t-tube

A

B) hemovac

39
Q

Which sinus is entered during an intranasal antrostomy (antral window)?

A) ethmoid

B) sphenoid

C) maxillary

D) frontal

A

C) maxillary

40
Q

What is the most effective barrier to stop laser energy from penetrating healthy tissue

A) proper use of goggles

B) Covering reflective windows

C) Checking laser equipment after each use

D) Moist padding of surrounding tissue

A

D) Moist padding of surrounding tissue

41
Q

A safer alternative laser retardant endotracheal tube used for CO2 laser surgery of the larynx is made of

A) copper

B) stainless steel

C) silicone

D) Both A and B

A

D) Both A and B

42
Q

In myringotomy, the tube to facilitate drainage is placed into the tympanic membrane with a /an

A) alligator forcep

B) Castroviejo

C) wire loop curette

D) Tobey Forcep

A

A) alligator forcep

43
Q

A forceps used in nasal surgery is a/n

A) bayonet

B) Russian

C) rat-tooth

D) alligator

A

A) bayonet

44
Q

Surgical correction of a deviated septum is known as a/n?

A) antrostomy

B) submucous resection

C) rhinoplasty

D) turbinectomy

A

B) submucous resection

45
Q

Another name for submucous resection is

A) septoplasty

B) rhinoplasty

C) antroplasty

D) trephination

A

A) septoplasty