ORL HOPE Finals (2016) Flashcards
What is the most common type of skin cancer?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Malignant melanoma
D. Angiosarcoma
B. Squamous cell carcinoma
Squamous cell carcinoma is the most common tumor found on sun exposed areas in older people such as the head and the neck (Robbins, et al., 1999). [LU4 SIM E33]
What specific branch of the facial nerve does the Schirmer’s test evaluate?
A. Lacrimal nerve
B. Chorda tympani
C. Greater superficial petrosal nerve
D. Auricular nerve
C. Greater superficial petrosal nerve
Which specific branch of the facial nerve does the taste test evaluate?
A. Lacrimal nerve
B. Chorda tympani
C. Greater superficial petrosal nerve
D. Auricular nerve
B. Chorda tympani
Where does the facial nerve exit as it becomes extracranial?
A. Mastoid tip
B. Stylomastoid foramen
C. Mental foramen
D. Internal auditory canal
B. Stylomastoid foramen
Which nerve is impaired if one has decreased cutaneous sensation over the tip of the nose?
A. Anterior ethmoidal nerve
B. Superior labial nerve
C. Nasociliary nerve
D. Second branch of the trigeminal nerve
C. Nasociliary nerve
LUIII SILM
Which muscle conveys displeasure as it pulls down the corners of the mouth?
A. Mentalis
B. Platysma
C. Orbicularis oris
D. Risorius
B. Platysma
LUIII SILM
An abnormal form or position of the body caused by nondisruptive mechanical forces is called
A. Disruption
B. Malformation
C. Deformation
D. Abomination
C. Deformation
LU IV SILM (Losing Face, E-5)
Deformation: An abnormal form or position of the body caused by nondisruptive mechanical forces.
Malformation: A morphologic defect of an organ, part of an organ, or a larger area of the body resulting from an intrinsically abnormal developmental process.
Disruption: A morphologic defect of an organ, part of an organ, or a larger region of the body resulting from a breakdown of, or interference with, an originally normal developmental process.
A morphologic defect of an organ, part of an organ, or a larger region of the body resulting from a breakdown or interference with, an originally normal developmental process is called
A. Disruption
B. Malformation
C. Deformation
D. Abomination
A. Disruption
LU IV SILM (Losing Face, E-5)
Disruption: A morphologic defect of an organ, part of an organ, or a larger region of the body resulting from a breakdown of, or interference with, an originally normal developmental process.
Malformation: A morphologic defect of an organ, part of an organ, or a larger area of the body resulting from an intrinsically abnormal developmental process.
Deformation: An abnormal form or position of the body caused by nondisruptive mechanical forces.
A morphologic defect of an organ, part of an organ, or a larger region of the body resulting from an intrinsically abnormal developmental process is called
A. Disruption
B. Malformation
C. Deformation
D. Abomination
B. Malformation
LU IV SILM (Losing Face, E-5)
Disruption: A morphologic defect of an organ, part of an organ, or a larger region of the body resulting from a breakdown of, or interference with, an originally normal developmental process.
Malformation: A morphologic defect of an organ, part of an organ, or a larger area of the body resulting from an intrinsically abnormal developmental process.
Deformation: An abnormal form or position of the body caused by nondisruptive mechanical forces.
Vascular endothelium and muscle are of which embryonic origin?
A. Ectodermal
B. Mesodermal
C. Endodermal
D. Tegadermal
B. Mesodermal
LU IV SILM (Losing Face, E-5)
A cleft palate may result when there is
A. Excessive growth of palatal shelves
B. Full contact between palatal shelves
C. Failure of palatal shelves to attain a horizontal position
D. Failure of palatal shelves to attain a vertical position
C. Failure of palatal shelves to attain a horizontal position
LU IV SILM (Losing Face, E-5,6)
Cleft Palate is a partial or total lack of fusion of palatal shelves. It can occur in a number of ways:
- Defective growth of palatal shelves
- Failure of the shelves to attain a horizontal position
- Lack of contact between shelves
- Rupture after fusion of shelves
Which vitamin when given before and during pregnancy has been found to reduce the risk of cleft lip and palate from developing in the baby?
A. Folic acid
B. Iron
C. Glucosamine
D. Zinc
A. Folic acid
LU IV SILM (Losing Face, E-7)
Shaw in 1995 reported periconceptional use of multivitamins containing 0.4 mg or more of folic acid reduced the occurrence of cleft lip and palate by 27-50%.
Which classification system is used to categorize cleft lip and palate defects?
A. TNM staging classification system
B. Thallwitz classification
C. Breslow’s classification
D. Lahshal’s classification
B. Thallwitz classification
LU IV SILM (Losing Face, E-8)
Between 0-6 months of age, which is not part of management of a cleft palate baby?
A. Application of a palatal obturator for feeding
B. Parent counseling especially on speech
C. Insertion of a ventilation tube
D. Immunizations
C. Insertion of a ventilation tube
LU IV SILM (Losing Face, E-11)
At 0-6 months:
- Initial evaluation/documentation
- Fabrication of intra-oral appliance with monthly modification – feeding instruction (A)
- Otologic Evaluation/Examination
- Vocal play and initial parent counseling on speech (B)
- General Pediatric evaluation and immunizations (D)
After all procedures have been done, at what age is orthognathic surgery recommended for cleft palate patients?
A. 1-5 years old
B. 5-10 years old
C. 10-15 years old
D. Above 16 years old
D. Above 16 years old
LU IV SILM (Losing Face, E-11)
Orthognatic surgery at 16-18
Aesthetic surgery at 19
What do you call an abnormal condition that is caused by multiple factors?
A. Congenital disorder
B. Sequence
C. Syndrome
D. Abomination
C. Syndrome
Sequence > Single
Syndrome > Multiple
LU IV SILM (Losing Face, E-13)
Syndrome: condition that is recognised by multiple factors that are present and related to the same genetic condition. It is a group of anomalies which contain multiple malformations and/or sequences.
Sequence: pattern of morphology (or problems) that are seen to have come from a single factor.
What do you call an abnormal condition that is caused by a single factor?
A. Congenital disorder
B. Sequence
C. Syndrome
D. Abomination
B. Sequence
Sequence > Single
Syndrome > Multiple
LU IV SILM (Losing Face, E-13)
Sequence: pattern of morphology (or problems) that are seen to have come from a single factor. It occurs when a single developmental defect results in a chain of secondary defects, which may, in turn, lead to tertiary defects. The result is a variably expressed group of defects, all of which can be traced back to the original event.
Syndrome: condition that is recognised by multiple factors that are present and related to the same genetic condition.
What rare congenital disorder is characterized by abducens and facial nerve palsy, oftentimes accompanied by mental retardation, limb malformation, and “Poland” anomaly?
A. Orofacialdigital syndrome
B. Mobius sequence
C. Pierre robin sequence
D. Sticker syndrome
B. Mobius sequence
LU IV SILM (Losing Face, E-12)
What is not part of the Pierre Robin Sequence triad?
A. Mandibular microretrognathia
B. Glossoptosis with macroglossia
C. Microtia
D. Cleft palate
C. Microtia
LU IV SILM (Losing Face, E-12)
Triad of:
- Mandibular micro-retrognathia
- Glossoptosis with macroglossia
- Cleft of the secondary palate
What cell groups and material predominate during the inflammatory stage of wound healing?
A. Collagen
B. Platelets
C. Fibroblasts
D. Lymphocytes
D. Lymphocytes
LU IV SILM (Losing Face, E-23, 24)
Wound healing:
1) constriction of blood vessels to control bleed,
2) WBC clean the wounds of debris and bacteria (inflammatory stage)
3) fibroblast make collagen fill the wound (proliferative stage)
4) new blood vessels form (proliferative stage)
5) new collagen forms (maturation and remodelling stage)
What cell groups and material predominate during the proliferative stage of wound healing?
A. Collagen
B. Platelets
C. Fibroblasts
D. Lymphocytes
C. Fibroblasts
LU IV SILM (Losing Face, E-23, 24)
Wound healing:
1) constriction of blood vessels to control bleed,
2) WBC clean the wounds of debris and bacteria (inflammatory stage)
3) fibroblast make collagen fill the wound (proliferative stage)
4) new blood vessels form (proliferative stage)
5) new collagen forms (maturation and remodelling stage)
What event occurs during the remodeling phase of bone healing?
A. Formation of cartilage
B. Expression of nitric oxide
C. Repopulation of the medullary canal
D. Predominance of macrophages and mast cells
C. Repopulation of the medullary canal
(A), (B) - Reparative Phase
(D) - Inflammatory Phase
What is the House-Brackman grade of a patient with complete loss of facial nerve movement and tone?
A. Grade 4
B. Grade 5
C. Grade 6
D. Grade 7
C. Grade 6
LU IV SILM (Losing Face, E-40, 41)
How is sound defined?
A. It is a measure of loudness.
B. It is a change in intensity within a confined space.
C. It is a change in pressure within an elastic medium.
D. It refers to the number of cycles of a vibrating body per unit of time.
C. It is a change in pressure within an elastic medium.
LU III SILM (H-1)
What is the average human threshold for sound to be “painful”?
A. 80 decibels
B. 120 decibels
C. 160 decibels
D. 200 decibels
B. 120 decibels
LU III SILM (H-2)
The “threshold of pain” is most often defined as 120130 dB
The highest frequency perceived by human hearing is at:
A. 10,000 Hz
B. 20,000 Hz
C. 50,000 Hz
D. 100,000 Hz
B. 20,000 Hz
LU III SILM (H-5)
Humans: 20-20,000 Hz range
What test compares a patient’s air and bone conduction hearing?
A. Weber
B. Rinne
C. Schwabach
D. Tympanometry
B. Rinne
What forms the roof of the middle ear space?
A. Tegmen tympani
B. Pyramidal prominence
C. Eustachian tube
D. Scutum
A. Tegmen tympani
LU III SILM (H-10)
Which muscle control the opening of the Eustachian Tube?
A. Palatopharyngeus
B. Tensor veli palatini
C. Nasopharyngeus
D. Stapedius
B. Tensor veli palatini
LU III SILM (H-11)
The semicircular canals are oriented at ___ degrees to each other?
A. 30
B. 45
C. 90
D. 180
C. 90
LU III SILM (B-2)
What audiometric test is employed as part of the newborn hearing screening?
A. ABR (auditory brainstem response)
B. Tympanometry
C. Pneumatic Otoscopy
D. OAE (Otoacoustic emissions)
D. OAE (Otoacoustic emissions)
LU IV SILM (Hearing Loss, H-28)
“Given the thigh incidence of deafness among infants, most first world countries have included hearing screening in their new born screening programs. The OAE test is the preferred examination.”
What is true of the anatomy of the external auditory canal?
A. Its outer two thirds is cartilaginous
B. It contains sweat glands and ceruminous glands
C. Its inner one third is bony
D. It contains sebaceous glands
D. It contains sebaceous glands
LUIV SILM (Hearing Loss, H-19)
B:
EAC has SEBACEOUS and cerimunous glands, not sweat glands.
A & C:
Remember: (1221, cbcb)
From most lateral to medial:
> Outer 1⁄3 of the EAC is cartilaginous, inner 2⁄3 is bony.
> Anteromedial 2⁄3 of eustachian tube is cartilaginous, and the posterolateral is 1⁄3 bony.
What is the most common organism involved in diffuse otitis externa?
A. Staphylococcus aureus
B. Staphylococcus epidermis
C. Pseudomonas group
D. Streptococcus pneumoniae
C. Pseudomonas group
LUIV SILM (Hearing Loss, H-19)
“Staphylococcus aureus is the usual infecting organism in localized otitis externa, while diffuse otitis externa is usually caused by the Pseudomonas group.”