ORL/Dr.ThongMenglong
Nasal Anatomy and Sinus Health Quiz
Test your knowledge on nasal anatomy, sinus fun
Topics covered include:
- Anatomy of the nasal cavity
- Sinus drainage pathways
- Common conditions like rhinosinusitis
- Nasal polyps and their characteristics
1. ឝើAnterior sinus group មានsinus អ្វីឝ្លះ?
σ Maxillary sinus, Frontal sinus and Anterior ethmoïd sinus
σ Anterior ethmoïd sinus and Posterior ethmoïd sinus
σ Sphenoid sinus, Posterior ethmoïd sinus
σ Frontal sinus, Sphenoid sinus and Maxillary sinus
σ Posterior ethmoïd sinus, Frontal sinus, Sphenoid sinus
2. ឝើPosterior sinus group មានsinus អ្វីឝ្លះ?
σ Maxillary sinus, Anterior ethmoïd sinus and Frontal sinus
σ Anterior ethmoïd sinus and Posterior ethmoïd sinus
σ Sphenoid sinus and Posterior ethmoïd sinus
σ Frontal sinus, Maxillary sinus
σ Posterior ethmoïd sinus, Maxillary sinus and Anterior ethmoïd sinus
3. Function របស់nasal cavity មានច្រើនលើកលែងឝែមួយដែលឝុសគឺ:
σ Respiration, Audition, Olfaction and Phonation
σ Audition, Degestion and Olfaction
σ Olfaction, Phonation and Degestion
σ Degestion, Audition and Respiration
σ Phonation, Degestion and Respiration
4. ឝើAnterior sinus group ,drains ឝាមផ្លូវណា?
σ Inferior meatus
σ Middle meatus
σ Superior meatus
σ Inferior meatus and Middle meatus
σ Inferior meatus , Middle meatus and Superior meatus
5. ឝើPosterior sinus group ,drains ឝាមផ្លូវណា?
σ Inferior meatus
σ Middle meatus
σ Supeirior meatus
σ Inferior meatus, Middle meatus
σ Inferior meatus, Middle meatus and Supeirior meatus
6. Nasal septum(the medial wall) ផ្សំឡើងដោយឆ្អឹងអ្វីឝ្លះ?
σ Septal cartilage, Perpendicular Plate and Vomer
σ Perpendicular Plate (Ethmoid), Crible lamellar
σ Vomer, Septal cartilage, Crible lamellar
σ Crible lamellar, Septal cartilage
σ Hard palate, Septal cartilage, Crible lamellar
7. គ៝កំណឝ់Acute bacterial rhinosinusitis កាលណាមានរយ:ព៝ល:
σ ឝិចជាង4អាទិឝ្យ
σ ចន្លោះពី4អាទិឝ្យទៅ12អាទិឝ្យ
σ ចន្លោះពី12អាទិឝ្យទៅ52អាទិឝ្យ
σ ច្រើនជាង52អាទិឝ្យ
8. គ៝កំណឝ់Chronic bacterial rhinosinusitis កាលណាមានរយ:ព៝ល:
σ ឝិចជាង4អាទិឝ្យ
σ ចន្លោះពី4អាទិឝ្យទៅ12អាទិឝ្យ
σ ចន្លោះពី12អាទិឝ្យទៅ52អាទិឝ្យ
σ ច្រើនជាង52អាទិឝ្យ
9. Chronic rhinosinusitis មានរោគសញ្ញាជាច្រើនលើកលែងឝែមួយដែលមិនមែនគឺ:
σ Headache
σ Nasal congestion
σ Vertigo
σ Post nasal drip
σ Facial pain
10. Nasal polyp គឺជា:
σ Chronic inflammation របស់ethmoid sinus, bilateral
σ Chronic inflammation របស់ethmoid sinus, unilateral
σ Acute inflammation របស់ethmoid sinus, bilateral
σ Acute inflammation របស់ethmoid sinus, unilateral
σ Acute inflammation របស់nasal cavity
11. រូបសណ្ឋានរបស់nasal polyp មានដូចឝាងក្រោម:
σ Mass មួយbilateral; translucid or gelactineuseក្នុងnasal cavity
σ Mass មួយunilateral ; translucid or gelactineuseក្នុងnasal cavity
σ Mass មួយunilateral ; color red ក្នុងnasal cavity
σ Mass មួយunilateral ; Ulcerantក្នុងnasal cavity
12. គ៝ធ្វើclassification របស់nasal polyp ជាប៉ុន្មានStages:
σ 2 stages
σ 3 stages
σ 4 stages
σ 5 stages
σ 6 stages
13. Epistaxis គឺជា :
σ ការហូរឈាមច៝ញឝាមច្រមុះ
σ ការហូរឈាមឝាមសួឝព៝លប្រឹងក្អក
σ ការហូរឈាមឝាមមាឝ់លាយអាហារ
σ ការហូរឈាមច៝ញឝាមច្រមុះ,ការហូរឈាមឝាមសួឝព៝លប្រឹងក្អក,ការហូរឈាមឝាមមាឝ់លាយអាហារ
14. Frontonasal duct opens into:
σ Inferior meatus
σ Superior meatus
σ Middle meatus
σ Inferior turbinate
15. Frontal sinus drain into:
σ Superior meatus
σ Middle meatus
σ Inferior meatus
σ Ethmoid recess
16. Paranasal sinus opening in middle meatus:
σ Maxillary, Anterior ethmoid and Frontal
σ Anterior ethmoid , Posterior ethmoid and Frontal
σ Posterior ethmoid, Maxillary and Sphenoid
σ Frontal, Maxillary and Sphenoid
17. All drains into middle meatus except:
σ Maxillary sinus
σ Ethmoidal sinus
σ Frontal sinus
σ Lacrimal duct
18. Bulla ethmiodalis is seen in :
σ Superior meatus
σ Spheno ethmoidal recess
σ Inferior meatus
σ Middle meatus
19. Sphenoidal sinus opens into:
σ Inferior meatus
σ Spheno ethmoidal recess
σ Superior meatus
σ Inferior meatus
20. Opening of posterior ethmoid sinus is in :
σ Middle meatus
σ Superior meatus
σ Inferior meatus
σ None
21. Nasolacrimal duct opens into:
σ Superior meatus
σ Middle meatus
σ Inferior meatus
σ Sphenopalatine recess
22. Choana is:
σ Anterior nares
σ Posterior nares
σ Tonsils
σ Larynx
23. Which of the following bones do not contribute the nasal septum:
σ Sphenoid
σ Lacrimal
σ Palatine
σ Ethmoid
24. Quadrilateral cartilage is attached to all except:
σ Ethmoid
σ Vomer
σ Sphenoid
σ Maxilla
25. Osteomeatal complex (OMC) connects:
σ Nasal cavity with maxillary sinus
σ Nasal cavity with sphenoid sinus
σ The two nasal cavities
σ Ethmoidal sinus with ethmoidal bulla
26. Common cold is caused primarily by:
σ Viruses
σ Bacteria
σ Fungi
σ Allergy
27. In Allergic rhinitis nasal mucosa is
σ Pale and swollen
σ Pink and swollen
σ Atrophied
σ Bluish and atrophied
28. Most common sites of bleeding:
σ Woodruff plexus
σ Brown area
σ Littles area
σ Vestibular area
29. Woodruff plexus is seen at:
σ Antero-inferior part of superior turbinate
σ Middle turbinate
σ Posterior part of inferior turbinate
σ Anterior part of inferior turbinate
30. Little’s area is situated in nasal cavity in:
σ Anterio inferior
σ Anterio superior
σ Posterio inferior
σ Posterio superior
31. Main vascular supply of little’s area is all except:
σ Septal branch of superior labial artery
σ Nasal branch of sphenopalatine artery
σ Anterior ethnoidal artery
σ Palatal branch of sphenopalatine
32. Which artery does not contribute to little’s area:
σ Anterior ethmoidal artery
σ Septal branch of sphenoplatine
σ Sphenoplatine artery
σ Posterior ethmoidal artery
33. Most common cause for nose bleeding is:
σ Trauma to little’s area
σ V. aneurysm
σ Postero superior part of nasal septum
σ Hiatus-semilunaris
34. MC cause of epistaxis in 3 year old child:
σ Nasal polyp
σ Foreign body
σ Upper respiratory catarrh
σ Atrophic rhinitis
35. In a 5 year old child, most common cause of female the most common cause is:
σ Foreign body
σ Polyp
σ Atrophic rhinitis
σ Maggot’s
36. Recurrent epistaxis in a 15 year old female the most common cause is:
σ Juvenile nasopharyngeal fibroma
σ Rhinosporiodiosis
σ Foreign body
σ Hematopoietic disorder
37. Diagnosis nin a ten year old boy with recurrent expistaxis and a unilateral nasal mass is:
σ Antrochoanal polyp
σ Hemangioma
σ Angiofibroma
σ Rhinolith
38. Epistaxis in elderly person is common in:
σ Foreign body
σ Allergic rhinitis
σ Hypertension
σ Nasophryngeal carcinoma
39. Systemic cause of epistaxis are all except:
σ Hypertension
σ Anticoagulant treatment
σ Hereditary telengiectasia
σ Haemophilia
40. Source of epistaxis after ligation of external carotid artery is:
σ Maxillary ethmoidal artery
σ Greater palatine artery
σ Superior labial artery
σ Ethmoidal artery
41. If posterior epistaxis cannot be controlled, which artery is ligated:
σ Posterior ethmoidal artery
σ Maxillary artery
σ Sphenopalatine artery
σ External caroid artery
42. In case of uncontrolled epistaxis, ligation of internal maxillary artery is to be done in the:
σ Maxillary antrum
σ Pterygopalatine fossa
σ At the neck
σ Medial wall of orbit
43. Treatment of choice in correct epistaxis in a patient with hereditary hemotelangiectas is:
σ Anterior ethmoidal artery ligation
σ Septal dematoplasty
σ External carotid artery ligation
σ Internal carotid artery ligation
44. Which sinus is NOT a part of para nasal sinus?
σ Frontal
σ Ethmoid
σ Sphenoid
σ Pyriform
45. Sinus not present at birth is:
σ Ethmoid
σ Maxillary
σ Sphenoid
σ None
46. Maxillary sinus achieves maximum size at:
σ At birth
σ At primary dentition
σ At secondary dentition
σ At puberty
47. Which among the following sinuses is most commonly affected in a child:
σ Sphenoid
σ Frontal
σ Ethmoid
σ Maxillary
48. In acute sinusitis, the sinus most often involved in children is:
σ Maxillary
σ Sphenoid
σ Ethmoid
σ Spheniod
49. Sinusitis is least involved in:
σ Maxillary
σ Ethmoid
σ Frontal
σ Spheniod
50. Common organisms causing sinusitis:
σ Pseudomonas
σ Moraxella catarrhalis
σ Streptococcus pneumonia
σ Staph epidermidis
σ H.ingluenzae
51. Common organisms causing sinustitis:
σ Pseudomonas, Moraxella catarrhalis and Streptococcus pneumonia
σ Moraxella catarrhalis, Streptococcus pneumonia and Staph epidermidis
σ Streptococcus pneumonia, Pseudomonas and H.ingluenzae
σ Staph epidermidis , Streptococcus pneumonia and H.ingluenzae
σ H.ingluenzae, Moraxella catarrhalis and Streptococcus pneumonia
52. Which one is not the physiology of the pharynx?
σ Conduct of air and food
σ Propeller of food (swallowing)
σ Resonance and speech
σ Taste
σ Hearing
53. The pharynx have
σ Nasopharynx and oropharynx.
σ Nasopharynx and hypopharynx.
σ Nasopharynx, oropharynx and hypopharynx.
σ Oropharynx and hypopharynx.
σ Nasopharynx, oropharynx , laryngopharynx and hypopharynx.
54. The Eustachian tubes open into the lateral wall of
σ Nasopharynx.
σ Oropharynx.
σ Hypopharynx.
σ Nasopharynx, Oropharynx
σ Nasopharynx, Oropharynx and Hypopharynx.
55. The palatine tonsils are in the
σ Nnasopharynx.
σ Oropharynx.
σ Hypopharynx.
σ Nnasopharynx, Oropharynx
σ Nnasopharynx, Oropharynx and Hypopharynx.
56. Waldeyer’s Ring is in the
σ Nasopharynx and oropharynx.
σ Nasopharynx, oropharynx and hypopharynx.
σ Nasopharynx and hypopharynx.
σ Hypopharynx.
σ Hypopharynx and oropharynx.
57. Acute tonsillitis is an infection
σ On the surface of the tonsil or the crypts or substance of the tonsils.
σ Only on the surface of the tonsil.
σ Only the crypts.
σ Only substance.
σ Only the crypts and Only substance.
58. Etiology of acute tonsillitis :
σ Common bacteria and other
σ Only bacteria
σ Only virus
σ Allergy
σ Fungus
59. The treatment of acute tonsillitis with the cause of bacteria:
σ Come to the health center
σ Monitor at home; gargle with salt water
σ Drink a lot of water
σ Try to work hard
σ Drink a lot of water and Try to work hard
60. Which one is not the symptom of acute tonsillitis?
σ Sudden occurrence
σ It can appear chilly
σ High fever, headach
σ The patient shows acute faces
σ Anorexic, weakness, constipation
61. Which one is not the local symptoms of acute tonsillitis?
σ Pharyngalgia
σ Can arouse dysphagia and usually refer to the ears
σ In children the hypertrophic tonsil can arouse dyspnea
σ Sudden occurrence
σ The patient shows acute faces
62. Which one is not the differential diagnosis of acute tonsillitis?
σ Pharyngeal diphtheria
σ Vincent’s angina
σ Hypoleukocytic angina
σ Acute otitis media
σ Hyper trophic tonsil
63. Which one is not the local tonsillitis complication?
σ Acute nephritis
σ Peritonsillar abscess (Quinsy)
σ Acute otitis media
σ Acute rhinosinusitis
σ Acute laryngitis
64. General tonsillitis complication:
σ Acute rheumatism , acute nephritis
σ Peritonsillar abscess
σ Acute otitis media
σ Acute rhinosinusitis
σ Acute laryngitis
65. Which one is not the tonsillitis complication?
σ Acute rheumatism
σ Peritonsillar abscess
σ Acute otitis media
σ Acute rhinosinusitis
σ Acute hepatitis
66. The treatment acute tonsillitis :
σ Oral intake
σ Adequate rest, gargle saline
σ Analgesics
σ Antibiotics (a 10 days course and enough dosage)
σ All are corrects
67. Chronic tonsillitis is
σ Persistent inflammation of the tonsils as a result of recurrent acute or subclinical infection.
σ Sudden infection on the surface of the tonsil.
σ Hypertrophic tonsils.
σ Hypotrophic tonsils.
σ Hypertrophic tonsils and Hypotrophic tonsils.
68. Etiology of chronic tonsillitis :
σ Common bacteria and other
σ Only bacteria
σ Only virus
σ Allergy
σ Fungus
69. Which one is not the symptom of chronic tonsillitis?
σ Recurrent sore throats
σ Malaise
σ Joint pain
σ Cervical lymphadenopathy
σ Red swollen tonsils
70. Which one is not the sign of chronic tonsillitis?
σ Covered by some degree of debris or purulent wihin tonsillar crypts
σ Tonsilar hypertrophy or sunken atrophic tonsils.
σ Some purulent run out the crypts when pushing the tonsil with a spatula
σ The tonsillar pillars may show signs of scarring or chronic inflammation
σ Recurrent sore throats
71. The diagnosis of chronic tonsillitis base on :
σ Medical history
σ Local examination
σ Medical history and Local examination
σ Laboratory
σ Imagery investigation
72. Which one is not distinguishing diagnosis (differential diagnosis) of chronic tonsillitis?
σ Physiological tonsillar hypertrophy
σ Kkeratinization of tonsil
σ Tumor of tonsil
σ Peritonsillar abscess
73. Which one is not the complication of chronic tonsillitis?
σ Pulmonary tuberculosis
σ Rheumatic or renal disorders
σ Acute otitis media
σ Acute rhinosinusitis
σ Peritonsillarabcess
74. The treatment of chronic tonsillitis :
σ Oral intake, adequate rest
σ Analgesics
σ Antibiotics
σ Tonsillectomy
σ All are corrects
75. Peritonsillar abscess occur in patients with
σ Recurrent tonsillitis or those with chronic tonsillitis that has been inadequately treate
σ Recurrent rhinitis.
σ Recurrent otitis medi
σ Recurrent pharyngitis.
σ Recurrent sinusitis.
76. Peritonsillar abscess it is usually
σ Unilateral and most frequently affects adult males
σ Bilateral
σ Bilateral and most frequently children
σ Bilateral and in the hot season
σ Bilateral and in the cold season
77. Which one is not the symptom of peritonsillar abscess?
σ Extreme unilateral soreness of the throat
σ Deviation of the uvula to the normal side
σ Odynophagia ,drooling
σ Drooling (saliva dribbles from the mouth)
σ Otalgia
78. Which one is not the sign of peritonsillar abscess?
σ Edema of the soft palate
σ Displaces the tonsil medially forward and downward
σ Deviation of the uvula to the normal side
σ Extreme unilateral soreness of the throat
σ Bulge of the soft palate
79. Which one should not recommend for treatment peritonsillar abscess?
σ Intravenousantibiotics (large doses)
σ Needle aspiration (formed pus), incision drainage
σ Incision drainage
σ Tonsillectomy (after 8 weeks)
σ Only rest at home
80. Which one is not the indication of tonsillectomy?
σ Repeated attacks (5 infections/ a year).
σ One attack of peritonsillar abscess.
σ Purulent material in the crypts of the tonsils
σ Acute tonsillar inflammation
σ Tonsillar hypertrophy causes the sleep apnoea syndrome
81. Which one is not the contraindication of tonsillectomy?
σ Respiratory tract infection or acute tonsillar inflammation.
σ Bleeding disorder or clotting problem.
σ Uncontrol hypertension
σ During menses or 3 day before menses
σ One attack of peritonsillar abscess.
82. Which one is not the local symptom of adenoid hypertrophy?
σ Chronic nasal obstruction: mouth breathing, snore
σ Recurrent rhinitis and sinusitis, nasal discharge serous
σ Recurrent otitis media, nasal tone and toneless.
σ Adeniod Face
σ Eating slowly
83. Which one is not the general symptom of adenoid hypertrophy?
σ Eating slowly
σ Malnutrition reaction bluntness
σ Unconcentration
σ Enuresis (bed-wetting )
σ Adeniod Face
84. For diagnosis of adenoid hypertrophy base on?
σ Adenoid face
σ High arching of the palate
σ Palpation
σ X-ray, CT
σ All are corrects
85. The treatment of adenoid hypertrophy :
σ Medical
σ Surgery
σ Medical and Surgery
σ No answer
86. Etiology of pharyngitis :
σ Viruses
σ Bacteria
σ Fungus
σ Industrial or atmospheric pollution , heavy smokers or drinkers
σ Gastroesophageal reflux , allergen
σ All are correct
87. Acute pharyngitis is usually resulted from
σ Acute tonsillitis.
σ Acute rhinitis.
σ A part of an upper respiratory tract infection.
σ Acute tonsillitis, Acute rhinitis and a part of an upper respiratory tract infection
σ Acute otitis media
88. Which one is not the symptom of chronic pharyngitis?
σ A raw , dry, uncomfortable
σ Painful throat
σ Feeling a foreign body in throat
σ A dry cough
σ Otalgia
Which one is not the symptom of chronic pharyngitis?
σ A raw, dry, uncomfortable
σ Painful throat
σ Feling a foreign body in throat
σ A dry cough
σ Slight red and swelling pharynx
90. Which one is not the symptom of chronic pharyngitis?
σ Posterior wall thick with islands of hypertrophied lymphoid follicles
σ Painful throat
σ Feeling a foreign body in throat
σ A dry cough
σ A raw, dry, uncomfortable
91. Which one is not the sign of chronic pharyngitis?
σ A normal-looking pharynx
σ Slight red and swelling pharynx
σ A posterior wall thick with islands of
σ Hypertrophied lymphoid follicles
σ Feeling a foreign body in throat
92. Which one should not recommend for chronic pharyngitis treatment?
σ Avoidance of tobacco and constant irritation
σ Antihistamines
σ Antiviral medication
Tranquilizer
Digestive
93. For diagnosis of carcinoma of nasopharynx base on :
σ Medical history
σ Careful examination
σ Biopsy of nasopharynx
σ Medical history , Careful examination and Biopsy of nasopharynx
σ Blood test
94. Which one is not the physiology of nasopharynx?
σ Protection of lower airways
σ Phonation
σ Respiration
σ Fixation of the chest
σ Hearing
95. Sign of acute laryngitis?
σ Hoarseness
σ Cough
Fever
σ Malaise
σ True vocal cord swelling
96. Which one should not recommend for treatment of acute laryngitis?
σ Voice rest
σ Mucolytic
σ Anticold
σ +/- Antibiotic
σ Surgery
97. Which one is not the symptom of acute laryngotracheobronchitis (CROUP)?
σ Barking cough
Stridor
σ Exhausted
σ Lying down
σ Narrowing of subglottis
98. Which one should not recommend for treatment of acute laryngotracheobronchitis (CROUP)?
σ Admit
σ Humidification, hydration, O2
σ Antibiotic , steroid
σ Intubation
σ Only rest at home
99. Sign of acute epiglottitis?
σ Early URI symptoms
σ Children > change very fast 6-12 hr.
σ Fever
σ Pain in throat
σ Epiglottis >swelling,inflamation
100. Pathogen of epiglottitis?
σ Adenovirus
σ Morexellacatarrharis
σ Staphylococcus
σ Streptococcus pneumoniae
σ H. Influenza type B
101. Which one should not recommend for treatment of epiglottitis?
σ Admit, closed monitoring, prepare for intubation
σ Broad spectrum penicillin
σ Hydration, humidification
σ Steriod
σ Only rest at home.
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