Chapter 17 ENT Exam Flashcards Preview

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Flashcards in Chapter 17 ENT Exam Deck (57)
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1
Q

What is the term for bony overgrowth of the stapes?

A) arteriosclerosis

B) atherosclerosis

C) multiple sclerosis

D) otosclerosis

A

D) otosclerosis

2
Q

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

A) palatine

B) pharyngeal

C) laryngeal

D) lingual

A

C) laryngeal

3
Q

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

A

B) Joseph

4
Q

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

A

D) posterior and inferior

5
Q

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

A) Beaver

B) Button

C) Fisher

D) Sexton

A

C) Fisher

6
Q

Davis and McIvor are names of which type of instrument?

A) handheld retractor

B) micro instruments

C) mouth gags

D) powered drills

A

C) mouth gags

7
Q

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

A) ethmoid

B) frontal

C) maxillary

D) sphenoid

A

B) frontal

8
Q

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

A

A) cerumen

9
Q

Epistaxis is more commonly known as an acute:

A) allergic reaction

B) ear infection

C) nose bleed

D) upper respiratory inflammation

A

C) nose bleed

10
Q

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

A

C) Mayo stand

11
Q

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

A

C) pars tensa

12
Q

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

A) third (III)

B) fifth (V)

C) seventh (VII)

D) tenth (X)

A

C) seventh (VII)

13
Q

Walters, 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

A

C) sinus cavities

14
Q

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

A

B) fibula

15
Q

What is the MOST common cause of nasal polyps?

A) allergic rhinitis

B) arid environment

C) cocaine use

D) smoking

A

A) allergic rhinitis

16
Q

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

A

C) Jansen-Middleton

17
Q

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

A) antrostomy

B) myringotomy

C) septoplasty

D) turbinectomy

A

B) myringotomy

18
Q

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

A

D) tympanic membrane

19
Q

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

A

A) otitis media

20
Q

Which procedure is performed for treatment of sleep apnea?

A) BMT

B) FESS

C) SMR

D) UPPP

A

D) UPPP

21
Q

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

A) oscillating

B) reciprocating

C) rotary

D) sagittal

A

C) rotary

22
Q

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

A

C) put hand piece on safety

23
Q

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

A

D) individual and elastic

24
Q

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

A) third (III)

B) fifth (V)

C) eighth (VIII)

D) tenth (X)

A

C) eighth (VIII)

25
Q

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

A) forceps

B) knife

C) pick

D) suction

A

D) suction

26
Q

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

A) adenoidectomy

B) Caldwell-Luc

C) mastoidectomy

D) radical neck dissection

A

C) mastoidectomy

27
Q

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

A

C) CT scan

28
Q

Topical cocaine 4% is used in nasal surgery for:

A) anesthesia

B) dilation

C) lubrication

D) prepping

A

A) anesthesia

29
Q

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

A) CT scanning

B) polysomnography

C) videostroboscopy

D) electronystagmography

A

B) polysomnography

30
Q

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

A

B) depth gauge

31
Q

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

A) cochlea

B) conchae

C) ossicles

D) ostia

A

B) conchae

32
Q

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

A

D) Takahashi

33
Q

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

A

B) facial sinuses

34
Q

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

A) inferior

B) laser

C) microdebrider

D) percutaneous

A

D) percutaneous

35
Q

What tissue type are the palatine tonsils?

A) fascial

B) lymphoid

C) mucosal

D) serosal

A

B) lymphoid

36
Q

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

A

B) deviated

37
Q

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

A) allergist

B) ENT

C) OB/GYN

D) pediatrician

A

B) ENT

38
Q

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

A

B) mastoiditis

39
Q

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.

A

A) Bronchoscopes are longer than laryngoscopes, and the distal end is straight.

40
Q

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

A

C) temporalis fascia

41
Q

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

A) septoplasty

B) stapedectomy

C) tracheostomy

D) turbinectomy

A

B) stapedectomy

42
Q

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

A

D) tracheotomy

43
Q

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

A) argon

B) carbon dioxide

C) nitrous oxide

D) oxygen

A

C) nitrous oxide

44
Q

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

A

C) SMR

45
Q

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

A

A) ethmoid

46
Q

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

A) 200 mm

B) 300 mm

C) 350 mm

D) 400 mm

A

D) 400 mm

47
Q

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

A

B) FESS

48
Q

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

A

A) argon

49
Q

In myringotomy procedures, what does “PE” stand for?

A) pus exudate

B) partial expulsion

C) pressure equalizing

D) peripheral examination

A

C) pressure equalizing

50
Q

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) Steno’s duct

A

D) Steno’s duct

51
Q

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.

A

D) Tap the chisel with the mallet lightly.

52
Q

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

A

B) pharyngeal

53
Q

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

A) cochlea

B) incus

C) malleus

D) stapes

A

A) cochlea

54
Q

A TMJ decompression procedure is performed in which anatomical area?

A) anterior face

B) anterior neck

C) lateral jaw

D) lateral sinus

A

C) lateral jaw

55
Q

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

A

B) tilt head to increase exposure

56
Q

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

A

C) sphenoid sinus

57
Q

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

A

D) tracheotomy