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Surgical Technology
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Subjects
:
health-sciences
,
surgery
Instructions:
Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Patients with a 'TM' ______ - may complain of pain - hearing loss - drainage - and dizziness. A small opening (_________) resolves spontaneously.
1. labyrinth 2. bony osseous 3. membranous labyrinth
Perforation; tympanotomy
The course of the facial nerve - because it travels through the gland dividing the superficial portion from the deeper portion. Majority of benign tumors are located here.
Septal perforation
2. Cartilage is incised and mucous membrane is elevated during a SMR with a ___________
Turbinectomy
Vestibulocochlear
External nares
Freer elevator
3. Internal nose:The ____________are the openings from the nasal cavity into the pharynx.
Internal nares
Cochlear implants
1. 3 2. epithelium 3. fibrous connective tissue 4. mucous membrane
Freer elevator
4. Autographs(from the same person) - allografts (from the same species) - xenografts (from animals) - or synthetic grafts are several options available for repair or replacement of damaged or diseased _____ or the ____>
Ossicles; tympanic membrane
Rhinitis
Conchae or turbinate
Vestibulocochlear nerve
5. Branches of both the internal and external carotid arteries provide the blood supply to the nose. The main source is the _________ - Which is one of the terminal divisions of the external carotid.
Cottonoids
Children
Internal maxillary artery
Stapedotomy or stapedectomy
6. Is characterized by a sudden onset of obstruction of the respiratory tract that progresses very rapidly. The cardinal sign is the presence of a 'cherry-red' epiglottis.
Stapedotomy or stapedectomy
Yes - nitrous oxide causes expansion of the middle ear and can cause dislocation of a tympanic membrance graft.
Ampullary crests
Acute epiglottitis
7. Windpipe - joins the cricoid cartilage of the larynx to the main stem or primary bronchi leading to each lung.
Trachea
1. vestibular apparatus 2. ampullae 3. utricle 4. saccule
Sensorineural deafness
Otosclerosis
8. TM - malleus - and incus are affected. The replacement tympanium is placed directly against the intact stapes - permitting the transmission of sound to the oval window. In addition to the damaged tympanic membrane - both the malleus and incus have be
Type 3: Tympanoplasty
True vocal cords (lower)
Conchae or turbinate
Turbinectomy
9. The lymphoid elements (pharyngeal - palatine - and lingual tonsils - and the pharyngeal band) contained with the pharynx are collectively known as
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10. Secretes saliva - 3 glands - parotid - submandibular - and sublingual
Salivary glands
Haemophilus influenzae
Ampullary crests
Mastoidectomy
11. Removal of the bony partitions that form the mastoid aire cells. Would be indicated for cholesteatoma or mastoidits. You will need a microscope - power drill - and microscopic instruments.
Ossicles; tympanic membrane
Olfaction: olfactory epithelium
Mastiodectomy
Auricle and the external auditory canal (meatus)
12. Often for ear surgery - is the operating table reversed?
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13. A coiled portion of the bony labyrinth extending from the vestibule
Cochlea
Nerve stimulator
Apex
Tympanic Antrum; Eustachian
14. Is inflammation of the pharyngeal tonsils. Usually bacterial - although it may be viral or due to allergies.
Sinustitis
Earwax and presence foreign body
Adenoiditis
Pinna
15. The three components of the osseous labyrinth are the : 1. _____ - 2. ______ - and the 3. ____ - which are named according to their shapes.
1. vestibule 2. semicircular canals 3. cochlea
1. 3 2. epithelium 3. fibrous connective tissue 4. mucous membrane
Ala
Pharynx
16. Pinna consists of 2 parts
Earwax and presence foreign body
Auricle and the external auditory canal (meatus)
Zenker's diverticulum
Pharyngeal tonsils
17. Most superior portion (above the palate) of the pharynx - located posterior to the nasal cavity.
Olfaction: olfactory epithelium
Nasopharynx
Mucous membrane
Bony growths (oxostoses) and soft tissue growth (polyps)
18. The ______separated the cochlea from the semicircular canals and is centrally located.
Vestibule
Hypertrophied turbinates
Deafness
Oval
19. Posteriorly - the septum has bony attachments to the ________ and _______ bones.
1. labyrinth 2. bony osseous 3. membranous labyrinth
Frontal
Sphenoid
Ethimoid and vomer
20. Auditory or Pharyngotympanic - enter the nasopharynx from the middle ear. Their function is to equalize the pressure on both sides of the tympanic membrane - preventing rupture of the TM. Opens during yawning - chewing and swallowing and blowing the
Tympanoplasty and mastoidectomy
Auricle: External auditory meatus
Ampullae
Eustachian tubes
21. Treatment for intractable snoring and obstructive sleep apnea. Redundant tissue of the fauces - teh tonsils (if present) and a portion fo teh soft palate including the uvula are removed. Removal of adenoids - if necessary. Surgeon uses a #12 Curved k
External trauma or excess pressure from within the middle ear.
Uvulopalatopharyngoplasty (UPPP) - UP3
Quadrilateral cartilage
Tracheotomy
22. Each ampulla contains ridges called _____that possess cristae.
Radial neck dissection
Children
Panendoscopy
Ampullary crests
23. The polyp is connected to the mucous membrane by a _________
Trachea
Direct pressure
Virus
Pedicle
24. Maybe benign or malignant. Evidence may include changes in voice quality and pain. May arise form any structure within the larynx and is not limited to the vocal coreds. Laryngectomy - radical neck dissection - radiation therapy.
1. fibrous ring 2. annulus 3. pars flaccida 4. umbo 5. tympanic membrane
Salivary glands
Parotid gland; lateral
Laryngeal neoplasm
25. The 'Tm' can easily rupture. The perforation can be caused by either _____ or _____ from within the middle ear.
Internal component of cochlear implants
External trauma or excess pressure from within the middle ear.
Type 4: Tympanoplasty
Nose: respiratory system
26. The external auditory canal can easily become obstructed - especially in ____
Osseus ridges
Children
1. malleus (hammer) 2. incus (anvil) 3. stapes (stirrup)
Myringotomy
27. The only cartilage in the upper digestive tract to form a complete circle and is found at the base of the larynx. It is the most inferior of the laryngeal cartilages and attaches to the trachea.
Tonsillectomy and adenoidectomy (T&A)
Stapedotomy
Swimmers ear
Cricoid cartilage
28. ___________bleeding is more profuse and more difficult to control. Packing and electrosurgery may need to be performed.
Cartilaginous
Traum
Nasopharynx
Posterior
29. A _______should be available for identification of the facial and vestibulocochlear nerves.
Nerve stimulator
Olfaction: olfactory epithelium
External auditory canal; tympanic membrane
Mastoidectomy
30. Permanent enlargement of the turbinates or nasal conchae may occur as a result of chronic rhinitis.
Hypertrophied turbinates
Laryngitis
Turbinectomy
Sinustitis
31. The largest and most superior of the single cartilage is the ______
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32. The eithmoid air cells are destroyed and all affected tissue is removed
Laryngitis
Tympanic membrane or eardrum
Ethmoidectomy
Zenker's diverticulum
33. What is the 8th cranial nerve?
Vestibulocochlear nerve
Cochlea
Tympanoplasty and mastoidectomy
Tonsillectomy and adenoidectomy (T&A)
34. Another word for a nosebleed
Ossicles
Otosclerosis
Epistaxis
Tympanic membrane : concave
35. Conditions of the external auditory canal are usually dianosed using ______ - possibly with the assistance of an _____
Base; root - superiorly
Pharynx
Direct vision - otoscope
Children
36. The conchae are ________ ________ on the lateral walls of the cavity. Their names are indicative of their location--supreme - superior - middle - and inferior.
Ethmoidectomy
Zenker's diverticulum
Perilymph; endolymph
Osseus ridges
37. During swallowing - the superior movable portion of the epiglottis fold over the opening into the larynx is called the _____. The superior opening into the larynx is the _______( space between true vocal cords).
Cottonoids
Glottis
1. fibrous ring 2. annulus 3. pars flaccida 4. umbo 5. tympanic membrane
Vestibule
38. The _____normally is _____ and has a diameter of about 1cm.
Tympanic membrane : concave
Cricoid cartilage
Tonsillectomy and adenoidectomy (T&A)
Internal component of cochlear implants
39. Most often done to straighten a deviated nasal septum - and to improve air flow through the nasal cavity. It is also used to repair a perforated septum or one damaged by trauma.
Septoplasty
Mastoidectomy
Glottis
Adenoidectomy
40. A feeling of fullness - dizziness - and tinnitus aka ______ - maybe symptoms of ear obstructions
Quadrilateral cartilage
Middle ear
Sleep apnea
Ringing in the ear
41. The ______come together to form the utricle.
Olfaction: olfactory epithelium
Ampullary crests
Ampullae
Posterior
42. Used to remove hypertrophic turbinate - usually inferior. It is also achieved with a submucosal approach. The nasal mucosa along the edge of the edge of the affected turbinate is incised. All or some of the bones of the turbinate are removed. The muc
Turbinectomy
1. vestibule 2. semicircular canals 3. cochlea
Freer elevator
Decongestants; myringotomy
43. Voice box - is located between the pharynx and the trachea.
Larynx
Base; root - superiorly
Waldeyer's ring
Vestibule
44. There are several landmarks on the tympanic membrance. They are 1. _____ - surrounding the 'TM' is referred to as the 2. _____. A small superior is less tense and is called 3._____ - because it lacks the central fibrous connective tissue. The 4._____
2
External trauma or excess pressure from within the middle ear.
1. fibrous ring 2. annulus 3. pars flaccida 4. umbo 5. tympanic membrane
Nasopharynx
45. Not breathing. Numerous - brief interruptions in respiration during sleep - leaving the patient feeling sleepy during the day. Life threatening - can lead to irregualr hear beats - high blood pressure - heart attach and stroke. Pharmacologic treatmen
Tonsillectomy and adenoidectomy (T&A)
Sleep apnea
Olfaction: olfactory epithelium
Ossicles
46. External nose: The _____includes the openings or nares and the _____joins the nasal bones to the skull _______.
Sleep apnea
Sclerosing agent
Pharmaceutical agents that may be used during ear surgery
Base; root - superiorly
47. Beginning at the posterior nares - the nasopharynx extends inferiorly to the _______
Sensorineural deafness
Uvula
1. 3 2. epithelium 3. fibrous connective tissue 4. mucous membrane
Internal component of cochlear implants
48. The pinna consists of _____ _____ that is covered with thick skin.
Flexible cartilage
Synovial
Mastoidectomy
Sinustitis
49. Is defined as any reduction of hearing - no matter how slight.
Radial neck dissection
Pinna
Deafness
Cottonoids
50. An alternative procedure to stapedectomy. A small opening is created in the fixed stapes footplate with a small drill or laser. This allows for transmission of sound waves or placement of prosthesis.
Petrous Portion
Nose: respiratory system
Stapedotomy
External trauma or excess pressure from within the middle ear.
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