Deck 41: Otorhinolaryngologic and Head and Neck Surgery

Question 1

Which procedure involves the removal of the fixed footplate?

A)Partial stapedectomy
B)Total stapedectomy
C)Stapedotomy
D)Left stapedectomy

Answer 1

A
Conductive hearing loss can result from fixation of the stapes,most often caused by otosclerosis.A partial stapedectomy involves only the removal of the fixed footplate to try to restore vibration.

Question 2

Which type of mastoidectomy removes air cells using a small burr by opening the mastoid process behind the ear?

A)Simple mastoidectomy
B)Modified radical mastoidectomy
C)Radical mastoidectomy
D)Simple mastectomy

Answer 2

A
By opening the mastoid process behind the ear,air cells are removed by drilling through bone with small burrs,without involving the middle ear or external canal.

Question 3

In a case involving the ear,nose,or throat,the laser of choice to shrink or debulk a tissue by use of coagulation would be a

A)CO2 laser.
B)Nd:YAG laser.
C)KTP laser.
D)argon beam laser.

Answer 3

C
Potassium titanyl phosphate (KTP)lasers coagulate to shrink or debulk tissue.

Question 4

Communication is a major problem for patients with hearing loss.What is an effective means of showing concern?

A)Sign language
B)Smile
C)Touch
D)Ignore them

Question 5

What type of procedure involves the removal of the tongue and the use of a free flap?

A)Uvulopalatopharyngoplasty
B)Glossectomy
C)Laryngectomy
D)Mucogingivoplasty

Question 6

Which instrument can be a fire hazard if oxygen builds up under the drapes?

A)Microscope
B)Scissors
C)Cautery
D)Forceps

Question 7

The internal receiver of a cochlear bone conduction implant is implanted over the

A)zygomatic bone.
B)temporal bone.
C)parotid gland.
D)middle turbinate bone.

Question 8

Which procedure removes the anterior frontal sinus wall through an external excision above the eye?

A)Osteoplastic flap procedure
B)Caldwell-Luc procedure
C)Killian procedure
D)Turbinectomy

Question 9

Which type of anesthesia agent is contraindicated while placing a graft in the middle ear?

A)Carbon dioxide
B)Carbon monoxide
C)Lidocaine and epinephrine
D)Nitrous oxide

Question 10

Which is a sign and symptom of an acoustic neuroma?

A)External ear pain
B)Bilateral hearing loss
C)Increased hearing sensitivity
D)Mild vertigo

Question 11

What type of surgeon may have OR privileges to perform surgical procedures in and around the mouth?

A)Pathologist
B)Oral surgeon
C)Gynecologist
D)Dermatologist

Question 12

What kind of craniofacial defect is characterized by an abnormal distance in the bony orbits between the eyes?

A)Treacher Collins syndrome
B)Apert syndrome
C)Crouzon disease
D)Hypertelorism

Question 13

Which area of the ear is responsible for conductive hearing loss?

A)Pinna
B)Middle ear
C)Inner ear
D)Cochlea

Question 14

Which of the following is a test of hearing sensitivity?

A)Acoustical radiogram test
B)Acoustic reflex latency test
C)Audio refractive potential test
D)Auditory brainwave test

Question 15

Which endoscopic sinus procedure clears the ethmoidal compartments of disease?

A)Functional endoscopic sinus procedure (FESS)
B)Wigand procedure
C)Sphenoidotomy
D)Rhinoplasty

Question 16

Which type of tympanoplasty is a closure of a perforated tympanic membrane with erosion of the malleus?

A)Type I
B)Type II
C)Type III
D)Type IV

Question 17

Primary hyperparathyroidism is diagnosed by which lab result?

A)High potassium
B)High vitamin D
C)Hypercalcemia (high calcium)
D)Anemia

Question 18

From what area is autograft frequently taken for a mandibular reconstruction?

A)Femur
B)Humerus
C)Ilium
D)Tibia

Question 19

What procedure is performed to correct obstructive sleep apnea (OSA)?

A)Tracheotomy
B)Uvulopalatopharyngoplasty
C)Laryngectomy
D)Adenoidectomy

Question 20

Special endotracheal tubes are used for general anesthesia when a laser is used.What solution is used to detect a perforated endotracheal cuff?

A)Normal saline
B)Methylene blue dye
C)Indigo Carmine
D)Lymphazurin

Question 21

Otorhinolaryngology is the surgical treatment of the ear,nose,and throat.

Question 22

A Le Fort III fracture involves a transverse fracture of the maxilla,which results in a fragmentation of the palate and upper alveoli.

Question 23

What procedure is done as an emergency to help the patient breathe?

A)Tonsillectomy
B)Septoplasty
C)Turbinectomy
D)Tracheotomy

Question 24

Patients having a procedure,such as a laryngoscopy,that involves the use of a laser should have their eyelids ______________ and their face covered with a _________________.

Question 25

A nasal fracture needs to be repaired immediately after the trauma to avoid malunion or nonunion.

Question 26

Which is a type of major salivary glands?

A)Suboral
B)Subarticular
C)Submandibular
D)Suborbital

Question 27

Which is a potential complication of a thyroidectomy?

A)Decreased visual acuity
B)Increased calcium levels
C)Decreased muscle rigidity
D)Glottis edema

Question 28

A ball or cyst known as cholesteatoma can cause permanent hearing loss,balance disturbances,and infection.

Question 29

Which is a diagnostic tool used to determine the extent of a craniofacial deformity?

A)MRI
B)CT scan
C)Manual sketches of the facial formations
D)PET scan

Question 30

Which type of bite disorder presents as a receding chin when one or both jaws are more posterior?

A)Retrognathism
B)Prognathism
C)Apertognathism
D)Micrognathism

Question 31

The mouth is considered contaminated,so sterile equipment and a sterile technique is not necessary.