Deck 17: Otorhinolaryngologic Surgery

Question 1

Which structure is often blocked with stones in the parotid gland, possibly necessitating surgical removal of the gland?

A) canal of Schlemm
B) nasolacrimal duct
C) paranasal ostia
D) Stensen's duct

Answer 1

D

Question 2

What is the term for creating a surgical opening into the tympanic membrane?

A) antrostomy
B) myringotomy
C) septoplasty
D) turbinectomy

Answer 2

B

Question 3

A TMJ decompression procedure is performed in which anatomical area?

A) anterior face
B) anterior neck
C) lateral jaw
D) lateral sinus

Answer 3

C

Question 4

Which cranial nerve may be damaged by growth of a cholesteatoma?

A) third (III)
B) fifth (V)
C) seventh (VII)
D) tenth (X)

Question 5

A procedure sometimes performed in the ICU, ER, or PACU is a(n):

A) cochlear implant
B) bilateral myringotomy tubes (BMT)
C) submucosal resection (SMR)
D) tracheotomy

Question 6

What is the name of the long, thin, cupped, pistol-grip type handled forceps used in many nasal procedures?

A) Aufricht
B) Cottle
C) McIvor
D) Takahashi

Question 7

What tissue type are the palatine tonsils?

A) fascial
B) lymphoid
C) mucosal
D) serosal

Question 8

Which of the following descriptions and classification of laryngeal cartilage pertains to the epiglottis?

A) paired and hyaline
B) paired and elastic
C) individual and hyaline
D) individual and elastic

Question 9

Which laryngeal cartilage is commonly known as the "Adam's apple"?

A) cricoid
B) thyroid
C) arytenoid
D) cuneiform

Question 10

Antrostomy rasps would be used in procedures involving which anatomical structure(s)?

A) external auditory meatus
B) facial sinuses
C) lacrimal ducts
D) semicircular canals

Question 11

What is the name of the double-action, cupped, forward-angled forceps used to resect portions of the nasal septum?

A) Aufricht
B) Cottle
C) Jansen-Middleton
D) Kerrison

Question 12

What is the name of the wax that is normally produced and found within the ear canal?

A) cerumen
B) septum
C) sputum
D) tympanum

Question 13

Topical cocaine 4% is used in nasal surgery for:

A) anesthesia
B) dilation
C) lubrication
D) prepping

Question 14

Which procedure is performed for treatment of sleep apnea?

A) BMT
B) FESS
C) SMR
D) UPPP

Question 15

Which of the following is NOT an ossicle found in the middle ear?

A) cochlea
B) incus
C) malleus
D) stapes

Question 16

Waters, Caldwell, lateral, and submental radiographic views are used to establish diagnosis for which anatomical area?

A) inner ear canal
B) oropharynx
C) sinus cavities
D) temporomandibular joint

Question 17

In which of the following procedures would the surgical technologist need to have a spreader and a hook ready for use?

A) myringotomy
B) septoplasty
C) tonsillectomy
D) tracheotomy

Question 18

Which of the following are classified as tonsils but are routinely referred to as adenoids and tend to atrophy with age?

A) palatine
B) pharyngeal
C) laryngeal
D) lingual

Question 19

Which of the following is NOT a category of tonsil tissue?

A) palatine
B) pharyngeal
C) laryngeal
D) lingual

Question 20

Which cranial nerve carries information related to equilibrium to the cerebral cortex?

A) third (III)
B) fifth (V)
C) eighth (VIII)
D) tenth (X)

Question 21

Which of the following procedures would require use of an operating microscope?

A) septoplasty
B) stapedectomy
C) tracheostomy
D) turbinectomy

Question 22

Which part of the tympanic membrane is fibrous, largest, and where drainage tubes are inserted?

A) annulus
B) pars flaccida
C) pars tensa
D) umbo

Question 23

Which type of mechanical action of a drill attachment is MOST commonly used in otologic procedures?

A) oscillating
B) reciprocating
C) rotating
D) sagittal

Question 24

Which of the following is all that is necessary for instrument setup for bilateral myringotomy tube (BMT) placement?

A) back table
B) basin set
C) Mayo stand
D) kick bucket

Question 25

In myringotomy procedures, what does "PE" stand for?

A) pus exudate
B) partial expulsion
C) pressure equalizing
D) peripheral examination

Question 26

Which gas can cause expansion of the middle ear and therefore is contraindicated in tympanic graft cases?

A) argon
B) carbon dioxide
C) nitrous oxide
D) oxygen

Question 27

What is the name of the sharp-tipped, handheld retractor that can be either single or double and often is found in nasal trays?

A) Aufricht
B) Joseph
C) Senn
D) Weitlaner

Question 28

Baron, Frazier, House, and Rosen are names of which type of instrument?

A) forceps
B) knife
C) pick
D) suction

Question 29

What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears?

A) otitis media
B) rhinitis
C) sinusitis
D) tracheitis

Question 30

Which instrument is used to measure the distance from incus to stapes footplate for selection of a prosthesis in stapedectomy?

A) caliper
B) depth gauge
C) sound
D) trial/sizer

Question 31

How should micro ear instruments be cleaned intraoperatively?

A) soaked in sterile saline
B) soaked in sterile water
C) wiped with a microinstrument wipes
D) wiped with a Ray-Tec 4 x 4 sponge

Question 32

In which instrument tray would you find a Ballenger swivel knife, Cottle elevator, Knight scissors, and Takahashi forceps?

A) BMT
B) FESS
C) SMR
D) T&A

Question 33

Which name is common to knives, needles, picks, and suction tips used in otologic procedures?

A) alligator
B) Bellucci
C) house
D) Rosen

Question 34

Which surgical procedure would be performed for excision of a cholesteatoma?

A) adenoidectomy
B) Caldwell-Luc
C) mastoidectomy
D) radical neck dissection

Question 35

Which of the following is NOT a compartment of the bony labyrinth of the inner ear?

A) cochlea
B) semicircular canals
C) sphenoid sinus
D) vestibule

Question 36

Which of the following is the MOST commonly used autograft in otologic procedures?

A) flexible cartilage
B) hyaline cartilage
C) temporalis fascia
D) transversalis fascia

Question 37

What is the name of the structure that separates the outer and middle ear canals from one another?

A) epiglottis
B) external auditory meatus
C) turbinates
D) tympanic membrane

Question 38

Which type of study would be used to diagnose sleep apnea?

A) CT scanning
B) polysomnography
C) videostroboscopy
D) electronystagmography

Question 39

An otorhinolaryngologist is more commonly known as which type of specialist?

A) allergist
B) ENT
C) OB/GYN
D) pediatrician

Question 40

Which type of laser is useful for procedures involving the stapes and middle ear?

A) argon
B) carbon dioxide
C) holmium: YAG
D) Nd:YAG

Question 41

Which diagnostic study is best at delineating between soft tissue and bony structures for diagnosing sinus conditions?

A) angiogram
B) audiogram
C) CT scan
D) MRI scan

Question 42

What is the term for bony overgrowth of the stapes?

A) arteriosclerosis
B) atherosclerosis
C) multiple sclerosis
D) otosclerosis

Question 43

Which of the following is frequently used as an autograft to replace the mandible in a radical neck dissection?

A) clavicle
B) fibula
C) humerus
D) radius

Question 44

What is the surgical technologist often asked to do for the surgeon during septal procedures?

A) Insert cocaine-soaked Cottonoids into the nose.
B) Extract fragments with the Takahashi.
C) Suture the nasal mucosa closed.
D) Tap the chisel with the mallet lightly.

Question 45

Where is the soft palate located in relation to the nasal cavity?

A) anterior and superior
B) anterior and inferior
C) posterior and superior
D) posterior and inferior

Question 46

What is an important step for the surgical technologist to remember to perform when changing burs on a pneumatic drill?

A) place drill in reverse position
B) place drill in forward position
C) put hand piece on safety
D) disconnect hand piece from hose

Question 47

What is an alternate name for the bony nasal projections known as turbinates?

A) cochlea
B) conchae
C) ossicles
D) ostia

Question 48

Which of the paranasal sinuses are numerous, small, and located on either side of the bridge of the nose, between the eyes?

A) ethmoid
B) frontal
C) maxillary
D) sphenoid

Question 49

Which of the following is a curved, serrated tonsil knife?

A) Beaver
B) Button
C) Fisher
D) Sexton

Question 50

What is the MOST common cause of nasal polyps?

A) allergic rhinitis
B) arid environment
C) cocaine use
D) smoking

Question 51

All of the following are methods of performing a turbinectomy EXCEPT:

A) inferior
B) laser
C) microdebrider
D) percutaneous

Question 52

What is the term that describes a nasal septum that typically causes obstructed breathing in older patients?

A) collateral
B) deviated
C) ossified
D) sclerotic

Question 53

Which objective-power lens is MOST frequently used for microlaryngoscopy?

A) 200 mm
B) 300 mm
C) 350 mm
D) 400 mm

Question 54

Which of the paranasal sinuses are MOST superior and can be singular or divided?

A) ethmoid
B) frontal
C) maxillary
D) sphenoid

Question 55

Which procedure would require 4 mm or 5 mm, 0°, or angled lenses and a navigation system for intraoperative guidance?

A) Caldwell-Luc
B) FESS
C) radical neck dissection
D) SMR

Question 56

Which acute infection appears in bony air cells after approximately 10 to 14 days following an otitis media infection, and if untreated, it may result in meningitis or encephalitis?

A) adenoiditis
B) mastoiditis
C) rhinitis
D) tonsillitis

Question 57

Davis and McIvor are names of which type of instrument?

A) handheld retractor
B) micro instruments
C) mouth gags
D) powered drills

Question 58

Epistaxis is more commonly known as an acute:

A) allergic reaction
B) ear infection
C) nose bleed
D) upper respiratory inflammation

Question 59

Why is a scapular or shoulder roll used in procedures involving the oropharynx?

A) prevent pressure necrosis
B) tilt head to increase exposure
C) reduce intraoperative bleeding
D) provide comfort for awake patient

Question 60

Which of the following statements comparing rigid bronchoscopes and esophagoscopes to rigid laryngoscopes is correct?

A) Bronchoscopes are longer than laryngoscopes, and the distal end is straight.
B) Bronchoscopes are longer than laryngoscopes, and the distal end is flared.
C) Esophagoscopes are shorter than laryngoscopes, and the distal end is flared.
D) Esophagoscopes are shorter than laryngoscopes, and the distal end is straight.

Question 61

Rhinoplasty procedures are often considered "plastic surgery" cases rather than otorhinolaryngological.

Question 62

PE tubes placed during myringotomy procedures must be removed following resolution of otitis media.

Question 63

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
Condition of being enlarged due to chronic inflammation; may cause obstruction

Question 64

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
Diagnostic method that uses cool and warm water introduced into the ear canal to assess balance function

Question 65

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
The membranous opening in the wall of the cochlea that receives vibrations from the stapes in the middle ear

Question 66

Powered equipment such as ear drills and irrigation and aspiration units should always be tested prior to use to prevent delay or possible patient injury.

Question 67

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
The process of cutting up tissue into small pieces to extract it through a small opening

Question 68

A tuning fork is a useful tool during parotidectomy to safely identify branches of the seventh (VII) cranial nerve.

Question 69

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
Diagnostic method that assesses the amount of damage to the sound conduction system and determines course of treatment

Question 70

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
A series of hair cells that directly contact fibers of the cochlear nerve

Question 71

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
A device attached to suction that uses gravity to capture specimens such as washings for laboratory analysis

Question 72

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
Position achieved by placement of a scapular roll to provide enhanced visualization of the oropharyngeal area

Question 73

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
The anatomic structure that connects the middle ear to the nasopharynx

Question 74

Match each term below with its description.
a.Morcellatioin
b.Hypertrophy
c.Audiography
d.Oval window
e.Lukens tube
f.Electronystagmography
g.Organs of Corti
h.Hyperextension
i.Choanal atresia
j.Eustachian tube
Congenital defect that results in a bony or membranous occlusion of the passageway between the nose and the pharynx

Question 75

The pinna of the ear is the visible external portion that collects sound waves and channels them into the middle and inner ear.