Otorhinolaryngology Yellow Book Flashcards
Which dressing is used after nasal surgery
Moustache
What combination of lasers is particularly useful in surgery of the larynx and vocal cords
CO2 and helium-neon
The most common topical anesthetic agent used in ENT surgery is
cocaine
Irrigation is used with the ear drill
to minimize transfer of heat from burr to surrounding structures
A surgical schedule would describe the procedure to treat acute otitis media as a
myringotomy
In myringotomy, the tube to facilitate drainage is placed into the tympanic membrane with a/an
alligator forceps
A perforated eardrum is corrected by
tympanoplasty
All surgical procedures can be used to treat vertigo associated with Meniere’s disease EXCEPT
stapedectomy
Middle ear ventilation is facilitated by
myringotomy
Cholesteatoma is treated by doing a
mastoidectomy
A benign tumor arising from the eight cranial nerve, which may grow to a size that produces neurological symptoms, is a/an
acoustic neuroma
Facial nerve trauma can be decreased by use of
computerized nerve monitor
Another name for submucous resection is
septoplasty
Surgical correction of a deviated septum is known as a/an
submucous resection
A forceps used in nasal surgery is a/an
bayonet
Which sinus is entered during an intranasal antrostomy (antral window)
Maxillary
Nasal polyps are removed with either a polyp forceps or a/an
nasal snare
Which of the following medications would be used as a topical anesthetic before nasal surgery
Cocaine
Which surgery requires an incision under the upper lip above the teeth
Caldwell-Luc
To establish a tracheostomy, a midline incision is created in the neck, below the
cricoid cartilage
Which medication is found on the tracheostomy setup to reduce the coughing reflex at tube insertion
Lidocaine 1%
When a tracheostomy tube is inserted, the obturator is quickly removed and the trachea is suctioned with a
catheter
The majority of benign salivary gland tumors occur in which gland
Parotid
Which position is used following a tonsillectomy
On side, horizontally
Total laryngectomy includes all of the following EXCEPT
soft palate
What type of drain is used for a radical neck dissection
Jackson-Pratt and Hemovac drain
A trifurcate neck incision is done for a/an
radical neck dissection
During ear surgery, pledgets generally used to control bleeding are soaked in
epinephrine
In cochlear implantation, the receiver is placed into which bone of the skull to gather impulses and send it along to the cerebral cortex
Mastoid
Which of the following endotracheal tubes can prevent a fire
Stainless steel
Lesions of the larynx and vocal cords can be addressed surgically using which laser
CO2
Which of the following surgical procedures would require the use of a microscope
Stapedectomy
What is the instrument used to effect removal of the septal cartilage in a rhinoplasty
Jansen-Middleton forceps
After the anterior pillar of the tonsil is incised with a #12 blade, the tonsil is freed from its attachments with a
Hurd dissector
A blockage in Wharton’s duct involves the
submandibular gland
What cartilage is commonly known as the Adam’s apple
Thyroid
What is the visible external portion of the ear
Auricle and Pinna
Maxillomandibular fixation (MMF) is a procedure used to realign the teeth or to maintain the patient’s normal bite position. Which of the following is used during MMF
Arch bars
If arch bars remain in the patient postoperatively, what must be kept with the patient at all times to access the airway in case of emergency
Wire cutter
What type of facial fracture is associated with the leakage of cerebrospinal fluid into the nasal sinus
Le Fort II
What is the facial bone that makes up the chin
Mandible
Temporomandibular joint (TMJ) arthoplasty is performed for all of these disorders EXCEPT
wisdom teeth
During a thyroidectomy, the surgeon identifies and preserves which of the following structures
All of the above
Recurrent laryngeal
Parathyroid glands
Superior laryngeal
What is the primary reason for performing a thyroplasty
Unilateral vocal cord paralysis
During a parotidectomy, what cranial nerve is carefully elevated and retracted in order to preserve it
facial
Epistaxis can be defined as
bleeding from the nose
The vocal cords are located in the
larynx
The function of the trachea is to
conduct air to and from the lungs
The nasal cavity is divided into two portions by the
septum
When repairing a simple nasal fracture closed reduction, the surgeon uses
his hands and a Boies elevator
The bone located in the neck between the mandible and the larynx that supports the tongue and provides attachment for some of its muscles is the
hyoid bone
The structure that connects the middle ear and the throat, allowing the eardrum to vibrate freely, is the
Eustachian tube
All are treatments for epistaxis EXCEPT
Forgarty arterial balloon catheter
Which of the following structures transmits sound vibrations from the middle ear to the inner ear
Ossicles
The winding, cone-shaped tube of the inner ear is the
cochlea
Which of the following is not an auditory ossicle
Cochlea
Why would an aspirated foreign body be more likely to enter the right bronchus rather than the left bronchus
The right bronchus is more vertical, shorter, and wider than the left
Adenoids are also called
pharyngeal tonsils
The function of the molar teeth is to
tear and crush food
Mumps occur in the
parotid glands
All apply to a glossectomy EXCEPT
the tongue can regenerate and partially grow back
An orbital floor fracture is also called a
blowout fracture and Le Fort III
The zygomatic bone is also called the
cheek bone
All are true facts regarding MMF EXCEPT
standard protocol is to insert the wires counterclockwise and remove them clockwise
Maxillomandibular advancement is performed
All of the above
1. to correct deformities of the upper and lower jaw
2. for malocclusion
3. for sleep apnea
The inside of the mouth is termed _______. The area under the tongue is termed ________. And the space between your teeth and lips and sides of the mouth are _________.
1. Buccal
2. Labial
3. Lingual
1,3,2
The bony labyrinths in the inner ear are responsible for
equilibrium
The external ear terminates at the
tympanic membrane
The congenital disorder where the passage between the nose and pharynx is blocked by an abnormal bony tissue that failed to rupture during fetal development is termed
choanal atresia
All are paranasal sinuses EXCEPT
nasopharynx
The submandibular duct is also known as
Wharton’s duct
The tubular structure that extends from the nose to the esophagus and is separated into three divisions is termed
pharynx
The part of the larynx where the true vocal cords are located is the
glottis
The three incisions or approaches that can be used to remove an acoustic neuroma/vestibular schwannoma are
translabyrinthine/middle fossa/suboccipital
During a T&A, the uvula is retracted with
Robinson
The graft used for a tympanoplasty procedure is taken from the
temporalis fascia
All apply to the stapedectomy procedure EXCEPT
the prosthesis used for a stapedectomy includes silicone and plastic; stainless steel is contraindicated for use
All are true regarding Meniere’s disease EXCEPT
it is a disease of the middle ear
The virus that affects the seventh cranial nerve and caused stiffness and drooping of one side of the face is termed
Bell’s palsy
Slow-growing tumors of the eight cranial nerve are
acoustic neuroma and vestibular schwannomas
The procedure performed for sensory neural deafness is
cochlear implants
The procedure performed to improve nasal air-flow caused by congestion and rhinorrhea is
turbinectomy
When performing a functional endoscopic sinus surgery (FESS), it becomes more difficult if a second surgery is needed because
the surgical landmarks have been altered by performing the first procedure
The right and left lobes of the thyroid gland are connected by the
isthmus
The thyroid gland produces
thyroxine and T3
When performing a thyroid scan, ______ is used to determine the size, shape, and position of the gland
radioactive iodine and technetium-99m
The condition associated with hyperthyroidism is
Grave’s disease
One of the most common complications of head and neck surgery is
laryngeal spasms
During a thyroid procedure, the ______ and _______ muscles are incised, and the _______ muscle is retracted
platysma and strap/sternocleidomastoid
A congenital cyst found in the neck formed from embryonic structure arising from the thyroid gland is termed
thyroglossal cyst
An instrument used to elevate the thyroid lobe during surgical excision is a
Lahey
In a thyroidectomy, a loop retractor retracts the
sterncleidomastoid muscle
Which structure(s) is/are identified and preserved in thyroid surgery
Parathyroid glands
Indications for a tracheotomy include
thyroid nodules
Which bone is transected with bone-cutting forceps before removal of a thyroglossal cyst
Hyoid
Place the procedural steps of inserting a tracheostomy tube in the correct order
1. Remove the obturator
2. Place the trach tube
3. Place the inner cannula
2,1,3
A biopsy performed for diagnosis of disease of the intrathoracic cavity by removing the cervical lymph node is
scalene
Frontal sinus trephination includes all EXCEPT
a small opening is made in the maxillary sinus
Following a radical neck dissection in which a portion of the mandible is removed, the bone graft is commonly taken from the
fibula
A stone in the palatine tonsils is termed
tonsillolith