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Chapter 17: Otorhino
| Question | Answer |
|---|---|
| What is another name for the eardrum? | Tympanic membrane |
| The organs of hearing are contained within the | Cochlea |
| The pre-op diagnosis of ____ requires a myringotomy to be performed. | Serous otitis media |
| The structure that rests on the tympanic membrane is the | Malleus |
| Cochlea is another name for the | Turbinate bones |
| ______ is found in the cochlea | Neuroepithelium |
| In the physiology hearing, sound waves collect in the | Auricle |
| The proper term for the bones of the ear is | Ossicles |
| _____ is also known as the hammer | malleus |
| _____ is also known as the stirrup | stapes |
| The ____ is the 5th cranial nerve | Trigeminal nerve |
| ____ is the precancerous whitening of the mucous membrane | Leukoplasia |
| A typical "Y" shaped incision used for an ________ | radical neck dissection |
| The pillar dissector used in tonsillectomies is called the | hurd pillar retractor |
| The fluid found in the cochlea is called | Perilymph |
| _____ is the hemostatic agent used during most ear procedures | Gelfoam |
| Argon laser is especially useful in the middle ear for _____ and stapedotomy procedures | Stapedectomy |
| The ____ attaches to the rail at the side of the operating table for stability and to free the surgeon's hands | Speculum holder |
| A nerve stimulator should be available for identification of the ____ | Facial and vestibulocochlear nerves |
| For procedures on ____ patients, the temperature of the operating room may be raised and specialized anesthesia equipment employed | Pediatric |
| ____ is a very common acute inflammation of the middle ear, usually caused by blockage of the eustachian tube causing an accumulation of fluid that normally drains into the nasopharynx | Otitis media |
| The fibrous ring surrounding the tympanic membrane is the | annulus |
| The major portion of the membrane is fibrous tissue called the | pars tensa |
| Which of the following is not a category of tonsil tissue? | Laryngeal |
| Davis and McIvor are names of which type of instrument? | Mouth gags |
| Which gas can cause expansion of the middle and therefore is contraindicated in tympanic graft cases? | Nitrous oxide |
| Where is the soft palate located in relation to the nasal cavity? | posterior and inferior |
| True or False: The pinna of the ear is the visible external portion that collects sound waves and channels them into the middle and inner ear. | 'True'. |
| Which procedure would require 4 mm or 5 mm, 0°, or angled lenses and a navigation system for intraoperative guidance? | FESS |
| Which of the following is all that is necessary for instrument setup for bilateral myringotomy tube (BMT) placement? | Mayo stand |
| What is the name of the wax that is normally produced and found within the ear canal? | cerumen |
| Which objective-power lens is MOST frequently used for microlaryngoscopy? | 400 mm |
| What is the MOST common cause of nasal polyps? | allergic rhinitis |
| What tissue type are the palatine tonsils? | lymphoid |
| An otorhinolaryngologist is more commonly known as which type of specialist? | ENT |
| What is the surgical technologist often asked to do for the surgeon during septal procedures? | Tap the chisel with the mallet lightly. |
| Which procedure is performed for treatment of sleep apnea? | UPPP |
| Which instrument is used to measure the distance from incus to stapes footplate for selection of a prosthesis in stapedectomy? | depth gauge |
| True or false: PE tubes placed during myringotomy procedures must be removed following resolution of otitis media. | 'False'. |
| Which type of laser is useful for procedures involving the stapes and middle ear? | argon |
| True or false: Powered equipment such as ear drills and irrigation and aspiration units should always be tested prior to use to prevent delay or possible patient injury. | 'True'. |
| Which laryngeal cartilage is commonly known as the "Adam's apple"? | thyroid |
| Which cranial nerve may be damaged by growth of a cholesteatoma? | seventh (VII) |
| Davis and McIvor are names of which type of instrument? | mouth gags |
| Which diagnostic study is best at delineating between soft tissue and bony structures for diagnosing sinus conditions? | CT scan |
| What is the term for bony overgrowth of the stapes? | otosclerosis |
| A TMJ decompression procedure is performed in which anatomical area? | lateral jaw |
| Which of the paranasal sinuses are MOST superior and can be singular or divided? | frontal |
| Which cranial nerve carries information related to equilibrium to the cerebral cortex? | eighth (VIII) |
| What is an alternate name for the bony nasal projections known as turbinates? | conchae |
| Antrostomy rasps would be used in procedures involving which anatomical structure(s)? | facial sinuses |
| A procedure sometimes performed in the ICU, ER, or PACU is a(n): | tracheotomy |
| What is the term for creating a surgical opening into the tympanic membrane? | myringotomy |
| Which of the following descriptions and classification of laryngeal cartilage pertains to the epiglottis? | individual and elastic |
| All of the following are methods of performing a turbinectomy EXCEPT: | percutaneous |
| Baron, Frazier, House, and Rosen are names of which type of instrument? | suction |
| Which of the following is NOT a compartment of the bony labyrinth of the inner ear? | sphenoid sinus |
| How should micro ear instruments be cleaned intraoperatively? | wiped with a micro-wipe sponge |
| What is the name of the double-action, cupped, forward-angled forceps used to resect portions of the nasal septum? | Jansen-Middleton |
| Epistaxis is more commonly known as an acute: | nose bleed |
| Which gas can cause expansion of the middle and therefore is contraindicated in tympanic graft cases? | nitrous oxide |
| Which of the following is NOT an ossicle found in the middle ear? | cochlea |
| Which name is common to knives, needles, picks, and suction tips used in otologic procedures? | Rosen |
| What is the name of the sharp-tipped, handheld retractor that can be either single or double and often is found in nasal trays? | Joseph |
| What is the name of the structure that separates the outer and middle ear canals from one another? | tympanic membrane |
| In myringotomy procedures, what does "PE" stand for? | pressure equalizing |
| What is an important step for the surgical technologist to remember to perform when changing burrs on a pneumatic drill? | put hand piece on safety |
| Which of the following is frequently used as an autograft to replace the mandible in a radical neck dissection? | fibula |
| In which of the following procedures would the surgical technologist need to have a spreader and a hook ready for use? | tracheotomy |
| What is the term that describes a nasal septum that typically causes obstructed breathing in older patients? | deviated |
| Which of the following procedures would require use of an operating microscope? | stapedectomy |
| 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? | mastoiditis |
| Which of the paranasal sinuses are numerous, small, and located on either side of the bridge of the nose, between the eyes? | ethmoid |
| Which of the following statements comparing rigid bronchoscopes and esophagoscopes to rigid laryngoscopes is correct? | Bronchoscopes are longer than laryngoscopes, and the distal end is straight. |
| Which of the following is NOT a category of tonsil tissue? | laryngeal |
| Walters, Caldwell, lateral, and submental radiographic views are used to establish diagnosis for which anatomical area? | sinus cavities |
| In which instrument tray would you find a Ballenger swivel knife, Cottle elevator, Knight scissors, and Takahashi forceps? | SMR |
| Which type of mechanical action of a drill attachment is MOST commonly used in otologic procedures? | rotary |
| Which of the following are classified as tonsils but are routinely referred to as adenoids and tend to atrophy with age? | pharyngeal |
| Rhinoplasty procedures are often considered "plastic surgery" cases rather than otorhinolaryngological. | True |
| Which of the following is the MOST commonly used autograft in otologic procedures? | temporalis fascia |
| True or False: A tuning fork is a useful tool during parotidectomy to safely identify branches of the seventh (VII) cranial nerve. | 'False'. |
| What is the name of the long, thin, cupped, pistol-grip type handled forceps used in many nasal procedures? | Takahashi |
| Which part of the tympanic membrane is fibrous, largest, and where drainage tubes are inserted? | pars tensa |
| What chronically occurring condition is often the reason for placement of myringotomy tubes in one or both ears? | otitis media |
| Condition of being enlarged due to chronic inflammation; may cause obstruction | - Hypertrophy, |
| Diagnostic method that assesses the amount of damage to the sound conduction system and determines course of treatment | Audiography |
| Which type of study would be used to diagnose sleep apnea? | polysomnography |
| Why is a scapular or shoulder roll used in procedures involving the oropharynx? | tilt head to increase exposure |
| Which of the following is a curved, serrated tonsil knife? | Fisher |
| Which structure is often blocked with stones in the parotid gland, possibly necessitating surgical removal of the gland? | Steno's duct |
| Topical cocaine 4% is used in nasal surgery for: | anesthesia |
| The process of cutting up tissue into small pieces to extract it through a small opening | Morcellation |