Midterm

Question 1

Cholesteatoma

Answer 1

4-6 hours long. Hearing loss big issue. TIVA cases

Question 2

Leave on 50%, helps to bulge the drum in ear surgeries

Answer 2

N2O

Question 3

Head up 15 degrees reduces venous pressure and bleeding…

Answer 3

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Question 4

Use _________ to maintain depth w/o NMR

Answer 4

Remifentanil

Question 5

look at slide 12

Answer 5

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Question 6

ASA I hypotensive technique :

Answer 6

• MAP 50-60
• intraop systolic > preop diastolic
• HR 60

Question 7

antiemetic prophylaxis for EENT

Answer 7

• serotonin antagonists
• butyrophenones
• scopolamine
• dexamethasone
• metoclopramide

Question 8

Samter’s triad (Aspirin Exacerbated Respiratory Disease)

Answer 8

NSAID sensitivity in pts w/ asthma and nasal polyps leading to severe bronchospasm

Question 9

look at slide 18.

Answer 9

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Question 10

TheWaldeyer’s ring:

Answer 10

The palatine tonsils, nasopharyngeal tonsil (adenoid) and lingual tonsil constitute the major part ofWaldeyer’s ringor nasal-associated lymphoid tissue (NALT), with the tubal tonsils and lateral pharyngeal bands as less prominentcomponents

Question 11

OSA S/E in kids

Answer 11

Severe hypoxemia
hypercarbia
pulmonary htn
cor pulmonale

Question 12

Single dose dexamethasone 0.05 to 0.15 mg/kg.(PONV dosage) Some surgeons use 0.5mg-1mg/kg up to max of 20mg for ENT procedures….

Answer 12

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Question 13

Larsons maneuver

Answer 13

Gentle positive pressure with anterior pressure at angle of the ramus check

Question 14

Look at slide 31 and 33

Answer 14

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Question 15

look at slide 36-37

Answer 15

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Question 16

TheReinke’sspace is sometimes referred to as the superficial lamina propria. Reinke’s edemais characterized by the “sac-like” appearance of the fluid-filled vocal cords. Theswellingof the vocal folds causes the voice to become deep and hoarse…

Answer 16

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Question 17

Color lenses for each laster type, YAG, Argon, Co2:

Answer 17

YAG laser = Green Lens Goggles
Argon laser = Amber Lens Googles
Co2 = Clear Lens

Question 18

Complications of esophagoscopy (3)

Answer 18

• perforation of hypopharynx
• massive hemorrhage
• dysrhythmia as heart is stimulated by passage of scope

(If Food Bolus in esophagus, crichoid pressure can cause perforation esp if object is sharp. can cause collapse of trachea if it presses on post tracheal wall)

Question 19

Look at slide 76

Answer 19

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Question 20

S/S epiglottitis: 4 D’s.

Often in what position?

Answer 20

• dysphagia
• dysphonia
• dyspnea
• drooling

(Often in tripod position)

Question 21

Epiglottitis. Intubate orally or nasally with tube 0.5-1.0 size smaller than usual…

Answer 21

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Question 22

look at slide 83-84

Answer 22

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