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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.
Pharynx
Perforation; tympanotomy
Peritonsillar abscess formation
Eardrum
2. ________may assist inn opening the eustachian tube - facilitaitng drainage of the middle ear cavity. The 'TM' may rupture spontaneously or may require surgical incision - called a ________
1. labyrinth 2. bony osseous 3. membranous labyrinth
Conchae or turbinate
Decongestants; myringotomy
Yes - nitrous oxide causes expansion of the middle ear and can cause dislocation of a tympanic membrance graft.
3. The _______is the portion of the ear that is visible on each side of the head: it encircles the opening into the ________________.
Ethmoid
Turbinectomy
Children
Auricle: External auditory meatus
4. The ossicles have moveable _______joints between them.
Internal nares
Cartilaginous
Sinus endoscopy
Synovial
5. Permanent enlargement of the turbinates or nasal conchae may occur as a result of chronic rhinitis.
Carina
Acute epiglottitis
Hypertrophied turbinates
Auricle: External auditory meatus
6. To remove a foreign body - obtain diagnosis - or treat a condition. For flexible - the patient is often given a topical anesthetic - for rigid - general is the treatment of choice.
Bronchoscopy
Deafness
Tympanic membrane or eardrum
Internal and external
7. A _______should be available for identification of the facial and vestibulocochlear nerves.
Cristae; cupula
Petrous Portion
Nerve stimulator
Apex
8. Internal nose:The ____________are the openings from the nasal cavity into the pharynx.
Nerve stimulator
Internal nares
Esophagitis
Laryngoscopy
9. Infectious disease that can affect any age group - although it is most commonly seen in the 2-5 year old. May be viral or bacterial.
Epiglottitis
Ethmoid
Swimmers ear
Hyerpertrophic
10. The largest and most superior of the single cartilage is the ______
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11. 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).
Trachea
Glottis
Uvulopalatopharyngoplasty (UPPP) - UP3
Nasopharynx
12. _______tissue can cause snoring due to nasal obstruction or hearing impairment due to eustachian tube blockage.
Hyerpertrophic
Adenoiditis
Cochlear implants
External auditory canal
13. The polyp is connected to the mucous membrane by a _________
1. 3 2. epithelium 3. fibrous connective tissue 4. mucous membrane
Pharynx
Sphenoid
Pedicle
14. Bronchitis - may be acute(virus) or chronic (irritants)
Cochlear implants
Tracheitis
Laryngeal neoplasm
Salivary glands
15. The most inferior tracheal cartilage is called the ______ - Which bifurcates into the 2 primary larynx.
Carina
Dynamic equilibrium
Salivary glands
Stapedotomy
16. Sinuses located within the frontal bone behind the eyebrows - and may be on cavity or divided.
Acute epiglottitis
Frontal
Adenoiditis
External component of cochlear implants
17. Local anesthetics (with or without epinephrine). Gelfoam - bone wax - anitibotics (systemic and topical-wound irrigation - ointments drops - or suspension) and antiflammatory agents are a variety of ___________
Bronchoscopy
Sphenoid
Pharmaceutical agents that may be used during ear surgery
Parotid gland; lateral
18. Is nitrous oxide restricted during reconstructive ear surgery?
2
Yes - nitrous oxide causes expansion of the middle ear and can cause dislocation of a tympanic membrance graft.
Tracheotomy
Tympanic Antrum; Eustachian
19. To examine the larynx and can be direct or indirect. Also accomplished the same way as bronchoscopy.
Haemophilus influenzae
Panendoscopy
Laryngoscopy
Salivary glands
20. The organs of hearing aka _____ or _____ are contained within the cochlea.
Radial neck dissection
Cricoid cartilage
Internal maxillary artery
Spiral organs or organs of Corti
21. Occurs when there is an interference with the transmission of sounds from the external or middle ear - preventing sound waves from entering the inner ear. Ex. a peanut in the ear - perforated 'TM' - fluid in middle ear
Conductive-type deafness
Septoplasty
Pharynx
Spiral organs or organs of Corti
22. The ______is a facial feature that serves as the organ for the sense of smell and as the upper portion of the ___________.
Nose: respiratory system
Epiglottitis
External nares
Perforation; tympanotomy
23. The most commonly used autograft for Tympanoplasty is the _____________because it is easily accessible and provides a think - well vascularized graft that easily epithelializes.
Conchae or turbinate
Seventh - cholesteatoma
Temporalis fascia
Base; root - superiorly
24. Ear ache - headache - purulent discharge from the ear - hearing loss - dizziness - and weakness of the facial muscle due to damage of the ______ cranial nerve are evidence of _______
Yes....because the patient may have hemorrhage bleeding and need suction to create an airway.
Tracheotomy
Auricle: External auditory meatus
Seventh - cholesteatoma
25. Anteriorly - the septum is ________.
Cartilaginous
Adenoidectomy
Flexible cartilage
Auditory
26. Consists of a microphone - a speech processor that converts sound onto electrical impulses - and connecting cables.
Yes....because the patient may have hemorrhage bleeding and need suction to create an airway.
External trauma or excess pressure from within the middle ear.
Yes - nitrous oxide causes expansion of the middle ear and can cause dislocation of a tympanic membrance graft.
External component of cochlear implants
27. 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.
Stapedotomy or stapedectomy
Perforation; tympanotomy
Mastiodectomy
Bony growths (oxostoses) and soft tissue growth (polyps)
28. The 'Tm' can easily rupture. The perforation can be caused by either _____ or _____ from within the middle ear.
Ethmoid
Haemophilus influenzae
Larynx
External trauma or excess pressure from within the middle ear.
29. Possesses several electrodes which enter and circle around inside the cochlear. Implanted under the patients skin behind the ear. The electrodes receive signals transmitted from the external portion of the devise to the cochlea activating fibrs of th
Haemophilus influenzae
Internal component of cochlear implants
Unilateral
Sinus endoscopy
30. Referes to a procedure that may involve inspection of several portions of the upper aerodigestive tract.
Type 3: Tympanoplasty
Panendoscopy
Synovial
Internal component of cochlear implants
31. Another word for a nosebleed
Epistaxis
Uvulopalatopharyngoplasty (UPPP) - UP3
Myringoplasty
SMR/NSR (Submucous Resection)
32. A type of Tympanoplasty - has 5 classifications - which are determined by the extent of the damage to the eardrum and the middle ear.
Myringoplasty
Carina
Posterior
Polyps
33. The orifice of each eustachian tube enters the nasal cavity ________to the turbinates - warming and filtering inspired air and allows for cellular respiration.
Stapedectomy
Hypertrophied turbinates
Glottis
Posterior
34. Indicates that the mucous membrance lining the nasal cavity will be incised - and the underlying perichondrium or periosteum lifted.
Tracheotomy
SMR/NSR (Submucous Resection)
Sensorineural deafness
Petrous Portion
35. Sinuses located between the eyes and have a honeycomb appearance.
Sphenoid
Traum
Ethmoid
Deafness
36. 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.
Acute epiglottitis
Earwax and presence foreign body
Myringoplasty
Eustachian tubes
37. Posteriorly - the septum has bony attachments to the ________ and _______ bones.
Ethimoid and vomer
External auditory canal
Vestibulocochlear nerve
Ostia
38. May affect the pharyngeal - palatine - or lingual tonsils. Usually refers to the palatine tonsils and it is the palatine tonsils that are removed during the procedure - tonsillectomy. Most often caused by streptococcal organisms.
Esophagitis
Tonsillitis
External trauma or excess pressure from within the middle ear.
Virus
39. Similar to 4. the reamianing foot plate of the stapes is fixed. All ossicles are removed. A window is made into the horizontal semicircular canal and the tympanic graft seals offf the middle ear and provides protection for the oval window.
Parotid gland; lateral
Type 5: Tympanoplasty
1. epithelium 2. ceruminous glands 3. earwax
Pharynx
40. Each ampulla contains ridges called _____that possess cristae.
Ostia
Parotid gland; lateral
Type 5: Tympanoplasty
Ampullary crests
41. The _____ - aka tympanic cavity is an air-filled chamber located within the temporal bone.
Children
Haemophilus influenzae
Glottis
Middle ear
42. Infections and abscesses may affect the pinna and the canal - otis externa - which would apply to any general inflammation of the __________
External auditory canal
Carina
Tonsillectomy
Internal and external
43. 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.
Ringing in the ear
Ostia
Internal maxillary artery
Posterior
44. External nose: The _____includes the openings or nares and the _____joins the nasal bones to the skull _______.
Tonsillectomy
Adenoidectomy
Base; root - superiorly
Olfaction: olfactory epithelium
45. 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._____
Radial neck dissection
1. fibrous ring 2. annulus 3. pars flaccida 4. umbo 5. tympanic membrane
Epistaxis
Myringoplasty
46. The most common bacterial agent responsible for epiglottitis is...
Otosclerosis
Cochlea
Seventh - cholesteatoma
Haemophilus influenzae
47. All of the ossicles are affected - in addition to the perforated tympanum. The only remaining natural structure of the middle ear is the intact and mobile footplate of the stapes. Only an air pocked remains as protection for the round window - as the
Sleep apnea
Yes - nitrous oxide causes expansion of the middle ear and can cause dislocation of a tympanic membrance graft.
Type 4: Tympanoplasty
Pharyngeal tonsils
48. Conditions of the external auditory canal are usually dianosed using ______ - possibly with the assistance of an _____
Otis media; nasopharynx
True vocal cords (lower)
Mastiodectomy
Direct vision - otoscope
49. The chemoreceptors for _______ are located in the __________ __________ in the most superior region of each nasal cavity just above the superior turbinate near the cribriform plate of the ethmoid bone.
Earwax and presence foreign body
Ethmoidectomy
Larynx
Olfaction: olfactory epithelium
50. Does the surgical tech need to stay sterile until the patient leaves the room after nasal and oral surgery?
SMR/NSR (Submucous Resection)
Yes....because the patient may have hemorrhage bleeding and need suction to create an airway.
Conductive-type deafness
Rhinoplasty
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