ENT

LONG QUIZ MIDTERM | 2021

1. Turribrachycephaly with syndactyl of the digits is a  CN 9, proximal ICA, ECA

common feature in Treacher Collins Syndrome  CN 5 Recurrent Laryngeal Nerve, Pulmonary Artery
 True
 False 11. True regarding Tracheal anatomy
 Nerve supply via glossopharyngeal nerve
2. Dentin is a Modified bone encasing the root  Attached to the esophagus via Trachealis Muscle
 True  Blood supply of the upper portion is from the Middle
 False Thyroid Artery
 Blood supply of the lower tracheal segment is from
3. Tongue is Smooth to nodular with elevated or depressed the Inferior Thyroid Artery
area devoid of papillae can be seen in Median Rhomboid  Drained via upper jugular LN groups
Glossitis
 True
 False 12. The Bronchial Artery supplies the Superior 2/3 portion of
the Trachea
4. Soft palate muscle that comprise the posterior tonsillar  True
pillar  False
 Musculus Uvulae
 Palatopharyngeus 13. Tracheomalacia
 Palatoglossus  Cauterization used to relieve symptoms
 Levator Veli Palatini  Also called Tracheal webs
 Tensor Veli Palatini  Absence of tracheal cartilages
 Flaccid tracheal cartilages
5. The Foramen Cecum on the Posterior 3rd of the tongue  Responds to cryotherapy
corresponds to the origin of the Thyroid gland
 True 14. The Arch of the Aorta is on the right side of the Trachea
 False  True
 False
6. Which among the papillae of the tongue has no taste
function? 15. Violent paroxysms of coughing and gagging characterizes
 Filiform papillae the second stage of Foreign body aspiration
 Folate  True
 Fungiform papillae  False
 Circumvalate papillae
16. Indication for tracheostomy
7. True regarding head and neck embryology  Bacterial Pharyngitis
 Structural development starts at the 10th week AOG  Nasopharyngeal CA
 Has 5 pairs of branchial arches  Stage 2 maxillary sinus CA
 Pharyngeal pouches are ectoderm lined  Exudative Tonsillitis
 The 1st pharyngeal arch is called Hyoid arch  Ludwigs Angina
 Each branchial arch has 5 layers
17. The Trachealis muscle attaches the Trachea to the
8. Which among the surface anatomy of the tongue is the Sternum
etiology of thyroglossal duct cyst?  True
 Sulcus terminalis  False
 frenulum
 Circumvallate papillae 18. Tracheal webs are thin membranous tissues located on
 Foramen cecum the tracheal lumen which leads to partial obstruction and
narrowing
9. The Trumpeteer’s muscle comprises the muscular portion  True
of the lips  False
 True
 False 19. The best tool to remove Foreign body lodged in the
Trachea is a Flexible bronchoscope with instrument port
10. Neurovascular deivatives of the 3rd pharyngeal arch  True
 CN 7 , Stapedial Artery  False
 Superior Laryngeal Nerve, Arch of Aorta

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 ENT
LONG QUIZ MIDTERM | 2021

20. Seen in the 3rd stage of FB aspiration 30. Consideration of malignancy is considered an absolute
 Gagging indication for tonsillectomy.
 Hemorrhage and Perforation  True
 Drooling  False
 Violent coughing
 Symptomless interval 31. Lymph node anterior to the cricoids is the:
 Pretracheal node
21. Angiofibroma in the nasopharynx usually occurs in  Commissural node
adolescent males and is thus commonly called Juvenile  subglottic node
nasopharyngeal angiofibroma.  Delphian node
 True
 False 32. Conus elasticus protects the sides of the larynx from the
epiglottis to aryepiglottic fold
22. Oral leukoplakia can be defined as a white patch or plaque  True
that cannot be otherwise characterized clinically as  False
representing any other disease entity.
 True 33. The main bulk of the vocal cord is the thyroarytenoid and
 False the:
 aryepiglottic muscle
23. Tonsil and adenoid hypertrophy associated with orofacial  medial cricoarytenoid
or dental abnormalities that narrow the upper airway are  vocalis
considered as absolute indications for tonsillectomy.  Cricothyroid
 True 34. this laryngeal muscle is considered as strap muscle but
 False acts as an elevator of the larynx.
 Sternohyoid
24. Ankyloglossia is due to a congenital cyst in the patient’s  omohyoid
lingual mucosa.  sternohyoid
 True  Thyrohyoid
 False
35. The main problem with a large epiglottic mass on the
25. A dentigerous cyst by definition must be associated with laryngeal side is:
the crown of an unerupted tooth, developing tooth or  difficulty in swallowing
odontoma.  hoarseness of voice
 True  airway compromise
 False  bleeding

26. Most congenital cases of macroglossia are due to tongue 36. Posterior cricoarytenoid is the muscle for opening the
CA. glottis
 True  True
 False  False
37. Ventricular band is also known as the:
27. Patients with a peritonsillar abscess usually present with a  true vocal cord
muffled voice or a “hot potato” voice.  conus elasticus
 True  quadrangular membrane
 False  false vocal cord

28. Chronic use of inhalational and topical corticosteroids may 38. three-sided pyramidal cartilage is the:
be a risk factor for developing oral candidiasis.  arytenoid
 True  corniculate
 False  Cuneiform
29. The most common congenital anomaly of the head and  epiglottis
neck is cleft lip and cleft palate.
 True 39. There are only 2 bony structure in the laryngeal skeleton
 False  True
 False

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 ENT
LONG QUIZ MIDTERM | 2021

40. the internal branch of the superior laryngeal nerve pierces  With huge thyroid cancer
the:
 Quadrangular membrane 49. One of these is Not included in the management of
 conus elasticus laryngitis.
 thyrohyoid membrane  Steroids
 cricothyroid membrane  Cold liquids
41. Glottic cancer usually manifest initially as…  Antitussives
 Hoarseness  Voice rest
 Dysphagia
 Pain
 Bleeding 50. NOT TRUE regarding laryngeal trauma
 Commonly caused by steering wheel injuries while
driving
42. One of these does not characterize vocal cord polyps.  Repair of fractures/laceration should be done within
 maybe pedunculated 7 days to prevent infection
 Solid masses  Cricoarytenoid joint may get subluxated
 Maybe due to allergy  Dyspnea may be caused by edema and bleeding
 Unilateral
51. A 9 month old baby accidentally swallowed a foreign body
43. Which is NOT TRUE regarding laryngeal cancer and lodged in the upper esophageal sphincter . How many
 Entire larynx can be removed in the advanced stage centimeter from the upper incisor?
 Ear pain is suggestive of advanced stage  25-30 cm
 Smoking and tobacco is still the most common cause  35-40 cm
 Supraglottic cancer manifests early on as hoarseness  20 -25 cm
 15-20 cm
44. A 50 y/o male trumpeter exhibiting lateral neck
enlargement when blowing the trumpet most probably 52. A congenital disorder of the trachea and esophagus with
has… fistula occur between cricoid and tracheal bifurcation
 Laryngeal cancer  Esophageal Atresia with proximal Tracheoesophageal
 Laryngocoele fistula
 Vocal cord polyp  Esophageal Atresia without Tracheoesophageal
 Subglottic cyst Fistula
 Esophageal Atresia with distal Tracheoesophageal
45. The main difference between a vocal cord polyp and a fistula
vocal cord nodule is that  Tracheoesophageal Fistula without Atresia
 A polyp is often bilateral
 Hoarseness is more severe in polyps 53. A 50 yo patient experienced chest pain , esophageal colic
 Polyps are best treated with surgical removal during swallowing and precipitated by emotional stress.
 Vocal cord nodules are pedunculated The x ray findings reveals
 No peristalsis on barium study
46. This is Not True of vocal cord nodules.  Dilated esophagus
 Painless hoarseness  Cork screw esophagus
 Like callus formation of the cords  Birds beak deformity
 Usually bilateral
 Surgery is the treatment of choice 54. Phases of deglutition
 Oral , Oropharyngeal , Esophageal phase
 Oral , Pharyngeal , Esophageal phase
47. Prolonged intubation may lead to…  Oral , Nasopharyngeal ,Esophageal phase
 Pneumonia  Oral, Hypopharyngeal , Esophageal phase
 Laryngeal web 55. A 5 1/2 year old baby boy swallowed a coin that lodged in
 granuloma Dyspnea the cricopharyngeus which is at the level of C6 . What is
 Intubation granuloma the diameter of a the esophagus?
 15 mm
48. This is Not a characteristic of a bilateral recurrent  5 mm
laryngeal nerve (RLN) paralysis.  10 mm
 Hoarseness  20 mm
 Dyspnea 56. During swallowing the cranial nerves involve are:
 Good voice  5,7,9 ,10,11

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 ENT
LONG QUIZ MIDTERM | 2021

 5,7,8,9,12
 5, 7 ,8 ,9,11
 5,7,9,10 ,12

57. Birds beak deformity of barium swallow of a pt with a

motility disorder called Achalasia.What are the presenting
symptoms of this pt?
 A&C
 Regurgitation
 Odynophagia
 Halitosis

58. A tracheoesophageal disease were infant will aspirate,

symptoms predictable and fluids returning through the
nose & mouth during feeding
 Esophageal Atresia without Fistula
 Esophageal atresia with proximal tracheoesophageal
fistula
 Tracheoesophageal fistula without Atresia
 Distal Tracheoesophageal fistula with Esophageal
Atresia
59. Function of Cranial nerves in swallowing
 Afferent only ( Facial Nerve)
 Efferent only ( Vagus Nerve)
 Afferent /Efferent (Glossopharyngeal Nerve)
 Afferent , Efferent ( Hypoglossal Nerve)

60. A weakness in pharyngoesophageal segment between the

inferior pharyngeal constrictor muscle and
cricopharyngeus muscle
 Zenkers Diverticula
 Laimer haeckerman area
 Killians Dehiscence
 Killian Jamieson

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