Quiz surgery

How many parts has pharynx?
1. 1
2. 2
3. 3
4. 4
Glottis is the opening between:
1. False cords
2. Vocal Cords
3. False cords and true cords
4. Vestibule and ventricle
5. Ventricle and subglottic space
Symptoms of Acute tonsilitis?
1. Hearing loss
2. Pain during swallowing
3. None of the above
Which is the most common symptom of acute tonsilitis
1. Swallowing problem
2. Headache
3. Hearing loss
What kind of hearing loss do you know?
1. Conductive
2. Sensory neuro
3. Mixed
4. All the above
How many parts does the ear have?
1. 1
2. 2
3. 3
4. 4
What is the best choice for acute tonsilitis?
1. Ear drops
2. Nasal drop
3. Pharyngeal spray
Pharyngitis is:
A. Mostly viral infection
B. Mostly bacterial infection
C. Acute disease
D. Paranasal infection
E. Chronic disease
Epistaxis is
1. Bleeding from the pharynx
2. Bleeding from the nose
3. Bleeding from the mouth
4. Bleeding from the sinus
5. Bleeding from the larynx
Which of the following symptoms for acute sinitis media?
1. Headache
2. Ear pain
3. Fever
What is the main symptom of acute otitis media?
1. Headache
2. Fever
3. Hearing loss
What change we will find on the tympanic membrane during acute otitis media
1. Discharge
2. Perforation
3. Redness
4. All the above
Types of sinuses
1. Maxillar
2. Fronter
3. Ethmoid
4. All of the above
What is the common fungal infection for patients with otitis externa?
1. Exogenous
2. Candida
3. Aspergillus (more than candida)
What is the most common infection for tonsilitis?
1. Beta haemolytic strep
2. Aires
3. Candida
4. Epidermises
What is the main symptom of acute laryngitis?
1. Hearing loss
2. Sore throat
3. Voice change
4. Fever
What kind of symptoms do patient have with acute laryngitis
1. Redness of vocal cord
2. Changed voice
3. Fever
4. All the above
What type of otitis do you know?
1. Viral
2. Bacterial
3. Fungal
4. All the above
Which kind of tonsil test do you know?
1. Viber
2. Rinne
3. All of the above + SP
Indication for tonsillectomy is:
1. Hemophilia
2. Cleft palate
3. Persistent or recurrent tonsillar haemorrhage
4. Leukemia
5. Agranulocytosis
Pharynx is divided in
1. Trachea and larynx
2. Rhino and nasopharynx
3. Laryngopharynx, oropharynx an hypopharynx
4. Nasopharynx, oropharynx an hypopharynx
The most common cause of bacteria infection in the pharynx is:
1. Group B B-hemolytic streptococcus (BABHS)
2. Group C B-hemolytic streptococcus (CABHS)
3. Group D B-hemolytic streptococcus (DABHS)
4. Group A B-hemolytic streptococcus (GABHS)
Types of acute tonsillitis are:
1. Acute residual
2. Chronic putrid
3. Acute obstructive
4. Acute catarrhal/superficial + [[[[[Acute follicular, Acute parenchymatous, Acute
Types of acute tonsillitis are:
1. Acute membranous
2. Chronic phlegmonous
3. Acute obstructive
4. Chronic putrid
5. Acute Residual
Contraindication for tonsillectomy is:
1. Systematic diseases (diabetes, TB) [[[[[+ cleft palate, acute infection]]]]]
2. Suspected malignancy
3. Persistent or recurrent tonsillar hemorrhage
4. Tonsillitis resulting in febrile convulsions
5. Tonsillar hyperplasia resulting in SBD or OSA associated with cor-pulmonale
Cavity of larynx is:
1. Cavity from laryngeal inlet above to upper border of cricoid cartilage
2. Cavity from laryngeal inlet downward to lower border of cricoid cartilage
3. Cavity from laryngeal inlet above to lower border of cricoid cartilage
Larynx is:
1. Cartilaginous structure
2. Mucosal structure
3. Bony-cartilaginous structure
4. Bone structure
5. Musculocartilaginous structure
What is the major cause of upper airway obstruction in children?
1. Adenoids and tonsils
2. Adenoids
3. Larynx
4. Tonsils
5. Trachea
Middle ear venitaltion disorder is caused by
A. Tonsils
B. Turbinate
C. Adenoids
Which 3 masses of tissue are tonsils?
1. Palatine, laryngeal and rhinal tonsils
2. Lingual, palatine and rhinal tonsils
3. Tracheal, laryngeal and rhinal tonsils
4. Lingual, pharyngeal and palatine tonsils
Lymphoid tissue of waldeyer ring is the most immunologically active between:
1. 2 and 5 years of age
2. 3 and 8 years of age
3. 5 and 9 years of age
4. 4 and 10 years of age
5. 6 and 8 years of age
What muscles are necessary to raise the arm above the shoulder
A) First the supraspinatus, next deltoid, then serratus anterior
B) First deltoid, next supraspinatus, then serratus anterior
C) First supraspinatus, next serratus anterior, then deltoid
D) First serratus anterior, next deltoid, then supraspinatus
E) First deltoid, next serratus anterior, then supraspinatus
Surgical treatment of adenoids is:
A. Adenoidectomy by shaver
B. Septoplasty
C. Turbinectomy
D. Tonsillectomy
Select all Chronic Tonsillitis (multiple ans)
A. Follicular tonsillitis
B. Parenchymatous tonsillitis
C. Fibroid tonsillitis
D. Chronic membranous
Select all Acute Tonsillitis (multiple ans)
A. Catarrhal/superficial
B. Follicular
C. Parenchymous
D. Membranous
Typical for chronic tonsillitis is:
A. 2 tonsillitis per year
B. 1 tonsillitis per year
C. More than 3-4 tonsillitis per year
Which level of lymph nodes are removed during radical neck dissection?
A. V
B. I-V
C. I-IV
D. II-V
Sternocleidomastoid muscle is inserted on: (not sure if this is Maxillo)
A. Mastoid process
B. Zygomatic process
C. clavicle
D. sternum
E. mandible
Which one is not a part of the four strap muscles?
A. Levator scapula
B. Sternohyoid
C. Thyrohyoid
D. Sternothyroid
E. Omohyoid
Select the 4 Stap Muscles
Thyrohyoid: deep and lateral.
Omohyoid: superficial and lateral.
Sternohyoid: superficial and medial.
Sternothyroid: deep and medial
How many type of neck dissection do you know?
A. 5
B. 3
C. 4 (Radical, Modified, Extended, Selective)
D. 7
Muscle of the neck that moves the head is:
A. Hyoid muscle
B. Sternocleidomastoid
C. Tracheal muscle
D. Palatine muscle
Which one is a classification of neck dissection?
A. Radical Neck Dissection
B. Modified Neck Dissection
C. All of them
D. Selective Neck Dissection
Which one are different type of selective neck dissections (SND) based on nodal levels
removed? (the other one which makes five SND is Anterior/Central)
A. Lateral
B. Posterolateral
C. Supraomohyoid
D. Extended Supraomohyoid
E. Inferior
Which one are not different type of selective neck dissections (SND) based on nodal levels
removed?
A. Lateral
B. Posterolateral
C. Supraomohyoid
D. Extended Supraomohyoid
E. Inferior
Which is not a part of the 3 semispinalis muscles?
A. Semispinalis capitis
B. Longissimus capitis
C. Splenius Capitis
D. Sternocleidomastoid
Contraindication of bilateral SOHND (supraomohyoid neck dissection) is?
A. Unfit for major surgery
B. All of them
C. Inoperable neck disease
D. Primary tumors are untreatable
E. Distant metastases
What’s the type of incisions of SND?
A. Extended (full word is Extended Thyroid)
B. H incision
C. All of them
D. Utility (full word is Lateral Utility)
E. Visor
What doesn’t remove in a modified radical neck dissection?
A. Lymph nodes from level I-V
B. Spinal Accessory Nerve
C. Sternocleidomastoid
D. Internal Jugular Vein
E. Additional LN groups or non-lymphatic
Main function of deep anterior muscle of neck is:
A. Protect the neck
B. Move the head
C. Move the forehead
D. Control the position of the larynx
Injury perturbs the microenvironment and leads to the autoamplifying inflammatory phase.
As a result of these processes, three changes occur in the wound: Which is extra?
A. The environment becomes hypolactated.
B. The environment becomes hypoxic.
C. The environment becomes acidotic.
D. The environment becomes hyperlactated.
How many muscle create facial expression
A. 8
B. 5
C. 6
D. 4
Which isn’t the four muscles of facial expression?
A. Platysma
B. Sternocleidomastoid
C. Orbicularis oculi
D. Orbicularis oris
E. Zygomaticus major
Which muscle make you smile?
A. Platysma
B. Depressor anguli oris
C. Orbicularis oris
D. Zygomaticus major
In which anatomic area are incisions oriented less for it aesthetic reasons and more with a
goal of avoiding scar contractures and subsequent functional compromise?
A. Cranial
B. Face
C. Chest
D. Neck
Which external tensions affect the skin?
A. Joint extension and flexion
B. Forces generated by underlying muscles.
C. Gravity and clothing
D. Tethering of fibrous tissues from the zones of adherence
Which technique is the best for cleft palate correction
A. Furlow palatoplasty
B. V-Y plasty
C. V-plasty
D. W-plasty
Who established a center in France for the treatment of facial injuries incurred in World
War 2
A. V. H. Kazanjian
B. John Staige Davis
C. Sushruta Samhita
D. Gaspara Tagliacozzi
Who established the name of the specialty with the 1919 publication Plastic Surgery
A. V. H. Kazanjian
B. John Staige Davis
C. Sushruta Samhita
D. Gaspara Tagliacozzi
While wound healing regeneration process which materials attract epidermal cells?
A. Prostaglandins
B. Cytokines
C. Thromboplastin
D. Fibrin
What kind of surgical treatment was described in Sushruta’s writing?
A. The reconstruction of an amputated nose with a pedicled forehead flap
B. Reconstruction of ear with autograft
C. Reconstruction of lip with a pedicled cheek flap
D. Reconstruction of the nose with a pedicled arm flap
What kind of graft include the whole entire epidermis and dermis?
A. Larger than 15cm
B. Full-thickness graft
C. Split-thickness graft
D. Composite tissue
What kind of graft include the whole entire epidermis and dermis with subcutaneous tissue?
A. Split-thickness graft intermediate
B. Full-thickness graft
C. Split-thickness graft thick
D. Composite tissue
CMs (capillary malformations) are effectively treated with
A. Interferon and vincristine
B. pulsed-dye laser
C. Systemic corticosteroid therapy
D. Local corticosteroid therapy
Which material is released by injured cells in wound firstly
A. factor IV
B. factor III
C. factor I
D. factor II
This is a disorder of unknown etiology, beginning in childhood or adolescence, in which
hemifacial atrophy of the skin, subcutaneous fat, muscle, bone, and cartilage progresses for
a variable period of time before spontaneously ceasing or “burning out” 2 to 10 years after
beginning. What is this disease?
A. Fibrous dysplasia
B. Romberg
C. Pierre Robin
D. Treacher
What is the name of the bridge of tissue connecting the central and lateral lip elements of
uncomplete cleft?
A. Robbin’s line
B. Treacher’s spot
C. Simonart’s band
D. Romberg’s band
This autosomal dominant disorder with variable penetrance has the following
manifestations: hypoplasia of the zygomas, asymmetry and hypoplasia of the mandible, ear
anomalies, and colobomas of the lower eyelids. Which syndrome is described?
A. Romberg
B. Fibrous dysplasia
C. Pierre Robin
D. Treacher
If there is lateral orbital wall fracture, which area will be damages alsoe?
A. Zygomatic
B. Lips
C. Mandibular
D. Nose
1. A 50-year-old male patient complained of right earache of 2 days duration.
The pain was especially severe on chewing food and during speech. There
was also marked edema of the right side of the face. On examination,
pressure on the tragus was painful; and there was red swelling of external
meatus walls. Rinne test was positive in the right ear. The patient gave a
history of 2 previous similar attacks in the same ear during the last six
months but less severe. What is approximately diagnose?
1. Diffuse otitis externa
2. Acute otitis media
3. Othematoma
4. Conductive hearing loss
2. A 10 year old child complained of a right mucopurulent otorrhea for the last 2
years. He suddenly became feverish and this was associated with diminution
of the ear discharge. There was also tenderness on pressure behind the
auricle. The retro auricular sulcus was preserved. There was no retro
auricular fluctuation. What is approximately diagnose?
1. Diffuse otitis externa
2. Perichondritis
3. Erysipelas
4. Chronic otitis media and mastoiditis
3. A 9-year-old child has been complaining of right continuous offensive ear
discharge for the last 3 years. Discharge is foul smelling. By otoscopy
mucopurulent discharge and marginal perforation of tympanic membrane.
What is approximately diagnose?
1. Acute otitis media
2. Atticoantral chronic otitis media
3. Tubotympanic chronic otitis media
4. Diffuse otitis externa
4. A 6-year-old child developed severe pain in both ears together with a rise of
temperature (39 C) following an attack of common cold. By Otoscopy
tympanic membrane in both sides are redness. Rhine test is
1. Otitis media with effusion
2. Acute otitis media
3. Chronic otitis media
4. Diffuse otitis externa
5. A 3 year old boy presented to the ENT specialist because of an inability to
close the right eye and deviation of the angle of the mouth to the left side
upon crying of 2 days duration. His mother reported that he had severe pain
in the right ear 5 days prior to his present condition.
1. Malignant otitis externa
2. Acute otitis media
3. Chronic otitis media and facial nerve palsy
4. Otomicosis
6. A 30 year old female complained of bilateral hearing loss more on the right
side following the delivery of her first child; hearing loss was marked in quiet
places but hearing improved in a noisy environment. Both tympanic
membranes showed a normal appearance. Rinne tuning fork test was
negative. What is approximately diagnose?
1. Malignant otitis externa
2. Otosclerosis
3. Acute otitis media
4. Othematoma
7. A 28 year old male has been complaining of hearing loss in the left ear for the
last 6 years. The hearing loss was progressive in nature and accompanied by
tinnitus. During the last 6 months there was swaying during walking to the
left side and an inability to close the left eye with deviation of the angle of the
mouth to the right side. Otologic examination showed no abnormality. What
is approximately diagnose?
1. Acute otitis media
2. Otitis media with effusion
3. Acoustic neuroma
4. Serumen
8. A 35-year-old female suddenly complained of an attack of bleeding from her
right ear. An ENT specialist packed the ear and after removal of the pack
found an aural polyp. The patient also complained of pulsatile tinnitus in the
right ear of 2 years duration. What additional examination method need for
diagnosis?
1. Ear swab
2. Biopsy
3. Temporal bone CT scan
9. After a car accident a young male complained of inability to close the right
eye and deviation of the angle of the mouth to the left side together with
dribbling of saliva from the right angle of the mouth. There was also a right
hearing loss and a blood clot was found in the right external auditory canal.
What additional examination method need for diagnosis?
1. Biopsy
2. Pure Tone Audiometry
3. Temporal bone CT scan
10. A 9 year old child has been complaining of right continuous offensive ear
discharge for the last 3 years. Discharge is foul smelling. By otoscopy
mucopurulent discharge and marginal perforation of tympanic membrane.
What is method of treatment?
1. Antibiotic therapy
2. Syringing
3. Radical mastoidectomy
11. Patient 34-year-old man. Complains of mild, periodic pain in the left ear,
hearing loss. Start 1 mouth ago from periodic itching and hearing was
normal. Used ear drops with antibiotic during 7 days. After treatment felt
worse. Started hearing improvement and pain. Debris from ear is coloured.
What is approximate diagnosis?
1. Otitis media with effusion
2. Mastoiditis
3. Otomycosis
4. Chronic otitis media
12. Patient 30 years old women, presents with severe right ear ache, which
started yesterday morning, normal hearing, temperature 37.8-38.0. Some
days ago, patient had ear itching and used car keys. Objective signs: Tragus
palpation is painful. Otoscope pictures: swelling and hyperaemia of external
meatus walls. What is approximate diagnosis?
1. Acute otitis externa
2. Diffuse otitis externa
3. Chronic otitis media
4. Otosclerosis
13. Patient 25 years old present with ear pain, hearing loss, tinnitus, temperature
38. This complains start 3 days ago. Before patient had purulent discharge
from nose. Otoscopic signs: Hyperaemia of eardrum. What is approximate
diagnosis?
1. Otitis media with effusion
2. Acute otitis media
3. Mastoiditis
4. Chronic otitis media
14. Patient 60 years old have hearing loss during last two months in left side.
Tympanic membrane is yellow, corn of light absent, by Weber test sound is
lateralized on left ear. Patient have some difficulties with breathing from left
part of nose. Seldom has bleeding left side of nose. What additional
examination method is necessary?
1. Otoacoustic emission
2. Ear swab
3. Endoscopy of nose
4. Rhinomanometry
15. Patient 70 years old come with severity pain on left ear, hearing loss, facial
nerve peripheral palsy on same side, t-38°C. By otoscopy external auditory
canal is normal, tympanic membrane is redness and bulging. What is right
treatment method?
1. Ear drops only
2. Steroids only
3. Antibiotics only
4. Antibiotics, steroids and myringotomy
16. Patient 2 years old boy. Three days ago, got nose trauma at home during
play. Patient presents with fever 38.5, bilateral nasal obstruction and nasal
pain. Skin over the nose red and swollen. Fluctuation is in this swelling.
Submandibular lymph nodes enlarged and painful. What is approximate
diagnosis
1. Septal hematoma
2. Acute rhinitis
3. Septal abscess
4. Sinusitis
17. Patient 65 years old man presents with nasal obstruction mucoid discharge,
postnasal discharge. This signs patient has more than 1 year after upper
respiratory infection. By anterior rhinoscopy: Nasal mucosa and inferior
turbinates are red and swollen. What is approximate diagnosis?
1. Acute rhinitis
2. Athrophic rhinitis
3. Chronic simple rhinitis
4. Foreign body
18. Patient 70 years old woman presents with nasal obstruction, anosmia,
collect crusts in nasal cavity and epistaxis after removing the crusts. This
signs had long time. Clinical features: foul small from nose, wide nasal
chambers, lot of crusts on the mucosa. What is approximate diagnosis?
1. Acute rhinitis
2. Atrophic rhinitis
3. Chronic simple rhinitis
4. Epistaxis
19. Patient 55 years old woman present with watery rhinorrhoea from left side
of nose. Endoscopic surgery was performed two weeks ago with a
diagnosis hemi sinusitis. Discharge started after removing of nasal tampon.
Breathing is normal. What additional examination we need for conform the
diagnosis?
1. Swab from nasal cavity
2. Coagulograme
3. CT scan
4. Posterior rhinoscopy
20. Patient 28 years old woman present with nasal obstruction during about 1
year. The patient began to use decongestants and in the beginning she had a
result. Last time this nasal drops had not result. By anterior rhinoscopy :
inferior turbinates are hypertrophied . What is approximate diagnosis?
1. Septum perforation
2. Hypertrophic rhinitis
3. Athrophic rhinitis
4. Septal absces
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