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Chapter 17 L-Exam
Otorhinolaryngologic Surgery
| Question | Answer |
|---|---|
| What is cerumen and where would you find it? | cerumen=ear wax ; it is found in the external auditory canal (ear canal) |
| What is the external auditory canal? | Also known as the ear canal or external auditory meatus. Extends from the pinna to the tympanic membrane (outer ear to ear drum) |
| What is a Myringotomy? | A Myringotomy is the a surgery done to treat the build up fluid in the middle ear (Otitis Media). An incision is made into the inferior portion of the tympanic membrane with a myringotomy knife. Any visible drainage is suction and a PE tube is placed. |
| What is a PE tube? | PE tube= Pressure equalization tube. A PE tube is inserted in the tympanic membrane to allow fluid to drain while the incision heals. The tube will usually fall out on its own. |
| What instrument do you use to pass a PE tube? | alligator forceps. Try not to touch the tube while grasping the tube to avoid powder contamination. |
| What is the wound classification for a Myringotomy? | Class II: Clean-Contaminated. This surgery is not a sterile procedure. |
| What OR furniture is needed for a Myringotomy? | Only a Mayo stand is needed. |
| What are the bones of the middle ear? | auditory ossicles= malleus (hammer), Incus (anvil), Stapes (stirrup) malleus is the most lateral & rests up against the tympanic membrane footplate of the stapes rests on the oval window. ossicles have movable synovial joints |
| How many tonsils are there and what are their names? | 3 tonsils Lingual, palatine, pharyngeal |
| A TMJ decompression procedure is preformed in which anatomical area | Lateral Jaw |
| In which of the following procedures would the surg tech need to have a spreader ready for use | Tracheotomy |
| What are classified as tonsils but are routinely referred to as adenoids and tend to atrophy with age | Pharyngeal |
| What tissue type are the palatine tonsils | lymphoid |
| Walters, Caldwell, lateral and submental radiograpihic views are used to establish diagnosis for which anatomical area | Sinus cavity |
| From the following: palatine, pharyngeal, laryngeal, lingual, Which one is NOT a category of tonsil tissue | laryngeal |
| Which cranial nerve may be damaged by growth of a cholesteatoma? | facial |
| Name the ossicles found in the middle ear | malleus, incus, stapes |
| What is the term for creating a surgical opening into the tympanic membrane | Myringotomy |
| What is the name of the wax that is normally produced and found within the ear canal | cerumen |
| Which cranial nerve carries information related to equilibrium to the cerebral cortex | Vestibulocochlear |
| What is the name of the long thin, cupped, pistol-grip type handled forceps used in many nasal procedures | Takahashi |
| A procedure sometimes performed in the ICU, ER, PACU is a | Tracheotomy |
| Antrostomy rasps would be used in procedures involving which anatomical structure | facial sinus |
| Which laryngeal cartilage is commonly known as the "Adams Apple | thyroid |
| Topical cocaine 4% is used in nasal surgery for | local anesthetic |
| What is the name of the doubled action, cupped, forward- angled forceps used to resect portions of the nasal septum | Jansen-Middleton |
| Which structure if often blocked with stones in the parotid gland, possibly necessitating surgical removal of the gland | Steno's duct (parotidectomy) |
| Which procedure is performed for treatment of sleep apnea | UPPP |
| Of the following: paired/hyaline, paired/elastic, individual/hyaline, individual/elastic, are descriptions and classification pertains to the epiglottis | individual/elastic |
| In which instrument tray would you find a Ballenger swivel knife, Cottle elevator, Knight scissors and Takahashi forceps | SMR/ submucosal resection |
| Which of the following: alligator, Bellucci, house, Rosen are common names to knives, needles, picks and suction tips used in otologic procedures | Rosen |
| What instrument is used to measure the distance from the incus to stapes footplate for selection of a prosthesis in stapedectomy | Depth gauge |
| Which surgical procedure would be performed for a excision of a cholesteatoma | Mastoidectomy |
| Which type of study would be used to diagnose sleep apnea | Polysomnography |
| What is the most commonly used autograph in otologic procedures | Temporalis fascia |
| Which gas can cause expansion of the middle ear and therefore is contraindicated in tympanic graft cases | Nitrous oxide |
| Baron, Frazier, House and Rosen are names of which type of instruments | Suction |
| How should micro ear instruments be cleaned intraoperatively | Micro wipe sponge |
| Of the following procedures: septoplasty, stapedectomy, tracheostomy, turbinectomy, requires the use of an operating microscope | Stapedectomy |
| What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears | otitis media |
| In myringotomy procedures what does "PE" stand for | Pressure- equalizing |
| What is the name of the structure that separates the outer and middle ear canals from one another | Tympanic membrane |
| Which type of mechanical action of a drill attachment is Most commonly used in otologic procedure | rotating |
| Which type of laser is useful for procedures involving the stapes and middle ear | Argon |
| An otorhinolaryngologist is more commonly known as which type of specialist | ENT- ears, nose, and throat |
| What is the name of the sharp-tipped, handheld retractor that can be either single or doubled and often is found in nasal trays | Joseph skin hooks |
| Of the following: Cochlea, semicircular canals, sphenoid sinus, vestibule, is not a compartment of the bony labyrinth of the inner ear | sphenoid sinus |
| Which of the following: inferior, laser, microdebrider, percutaneous are methods of performing a turbinectomy | percutaneous |
| What is an alternate name for the bony projections known as turbinates | conchae |
| What is the term that describes a nasal septum that typically causes obstructed breathing in older patients | deviated |
| What is the surgical tech often asked to do for the surgeon during septal procedures | tape the chisel lightly |
| Why is a scapular or shoulder roll used in procedures involving the oropharynx | increase exposure |
| Which diagnostic study is best at delineating between soft tissue and bony structures for diagnosing sinus condition | CT scan |
| What is the term for bony overgrowth if the stapes | otosclerosis |
| Which acute infection appears in bony air cells after approximately 10-14 days following an otitis media infection, and if untreated, it may result in meningitis or encephalitis | Mastoiditis |
| Which of the following: clavicle, fibula, humerus, radius is frequently used as an autograft to replace the mandible in a radical neck dissection | fibula |
| Which objective-power lens is MOST frequently used for microlaryngoscopy | 400 |
| Which of the following : Bever, Botton, Fisher, Sexton is a curved, serrated tonsil knife | fisher |
| Davis and Mclvor are names of which type of instruments | mouth gags |
| Which procedure would require 4mm or 5mm 0 degree, or angled lenses and a navigation system for intraoperative guidance | FESS- functional endoscopic sinus surgery |
| Which of the paranasal sinuses are MOST superior and can be singular or divided | frontal |
| Which of the paranasal sinuses are numerous, small, and located on either side of the bridge of the nose, between the eyes | ethmoid |
| What is the MOST common cause of nasal polyps | allergic rhinitis |
| Where is the soft palate located in relation to the nasal cavity | posterior and inferior |
| The pinna of the ear is the visible external portion that collects sound waves and channels them into the middle and inner ear | true |
| Rhinoplasty procedures are often considered "plastic surgery" cases rather than otorhinolaryngological | true |
| Powered equipment such as drills and irrigation and aspiration units should always be tested prior to use to prevent delay or possible patient injury | true |
| PE tubes placed during myringotomy procedures must be removed following resolution of otitis media | false |
| A tuning fork is a useful tool during parotidectomy to safely identify branches of the seventh cranial nerve | false |
| How many salivary glands are there and what are their names? | 3; sublingual, submandibular, and parotid |
| Which salivary gland is the largest? | parotid |
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ashleyslewis