Gutteral Pouch Disease Flashcards

1
Q

Which surgical approach to the gutteral pouches does not provide ventral drainage?

a. hyovertebrotomy
b. Viborg’s triangle
c. Whitehouse
d. modified Whitehouse

A

A

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2
Q

Which surgical approach is best suited for treating gutteral pouch mycosis?

a. a low hyovertebrotomy
b. Viborg’s triangle
c. Whitehouse
d. modified Whitehouse

A

A

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3
Q

What is the most common complication of gutteral pouch surgery?

a. blindness
b. dysphagia
c. facial nerve paralysis
d. abnormal respiratory noise

A

B

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4
Q

Mycotic lesions of the gutteral pouch have a propensity for developing in the ___ artery

a. maxillary
b. external carotid
c. internal carotid
d. palatine

A

C

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5
Q

Which organisms are most commonly grown from diphtheritic plaque in cases of guttural pouch mycosis?

a. A.fumigatus and Streptococcus equi
b. E.nidulans and Histoplasma capsulatum
c. E.nidulans and A.fumigatus
d. Candida albicans and Blastomyces dermatitis

A

C

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6
Q

What is the most common presenting sign of guttural pouch mycosis?

a. dysphagia
b. bilateral epistaxis, especially after work
c. facial nerve paralysis
d. unilateral epistaxis at rest

A

D

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7
Q

Which ancillary procedure is most effective in diagnosing guttural pouch mycosis?

a. endoscopy
b. radiography
c. ultrasonagraphy
d. fluoroscopy

A

A

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8
Q

What is the recommended therapy for guttural pouch mycosis?

a. scraping the fungal plaque off the guttural pouch membrane
b. irrigation with antifungal medication
c. surgery
d. systemic antifungal medication

A

C

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9
Q

Which artery is most likely to cause retrograde blood flow to mycotic lesions in the external carotid and maxillary arteries?

a. linguofacial
b. major palatine
c. infraorbital
d. external ophthalmic

A

B

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10
Q

Current surgical techniques for arterial occlusion in treating guttural pouch mycosis include

a. ligation
b. balloon catheterization
c. transarterial coil embolization
d. all of the above

A

D

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