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larynx and trachea

ENT mcqs questions

Questions starts with :-

Which of the following is the indication for Type I thyroplasty? Vo...

Subject :-

ENT

Correct answer :- *** Hidden ***

Explanation :-

implant is placed between the thyroid cartilage and the vocalis muscle to medialize the membranous vocal fold. Ref: Otolaryngology: Basic Science and Clinical Review By

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2013-06-04 21:46:19
following indication for Type thyroplasty Vocal cord medialization Vocal cord lateralizationVocal cord shorteningVocal cord lengthening Type thyroplasty isformmedialization laryngoplastyan implantplaced betweenthyroid cartilage andvocalis muscle medializemembranous vocal fold Ref: Otolaryngology: Basic Science and Clinical Review Thomas Van Wate Page 548
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Subject :-ENT

Topic :- larynx and trachea


Laryngocele arises herniation laryngeal mucosa through following membrane Thyrohyoid CricothyroidCricosternalCricotracheal external laryngocele arises result herniation laryngeal mucosa through thyrohyoid membrane and presents neck Ref: Diseases Ear Nose and Throat Dhingra 4th Edition Page 282 .......


Subject :-ENT

Topic :- larynx and trachea


middle aged male comes outer patient depart­ment (OPD) with only complaint hoarseness voice for past years has been chronic smoker for years examination reddish area mucosal irregularity overlying portion both cords was seen Management would include all except: Cessation smokingBilateral cordectomy Microlaryngeal surgery for biopsyRegular follow-up Since patient chronic smoker and there reddish irregular lesion both vocal cords may pre malignant condition best next step management would microlaryngeal surgery and specimen should send for histopathology patient should advised quit smoking Regular follow should also done Bilateral cordectomy not indicated early stages laryngeal malignancies Ref: Diseases Ear Nose and Throat Dhingra 4th Edition Page 286 .......


The treatment choice T1N0M0 glottic carcinoma? SurgeryBrachytherapyChemotherapy

Subject :-ENT

Topic :- larynx and trachea


The treatment choice T1N0M0 glottic carcinoma SurgeryBrachytherapyChemotherapyExternal beam radiotherapy T1N0M0 glottic cancer tumor confined vocal cord with normal mobility without any regional lymph node involvement distant metastasis this stage treatment choice external beam radiotherapy has about 90% cure rate vocal cord mobility not impaired added benefit this procedure that voice production preserved certain cases radiotherapy refused not available excision cord endoscopic CO2 laser laryngofissure performed Ref: Diseases Ear Nose and Throat Dhingra 4th Edition Page 286 .......


year old male chronic smoker complaints hoarseness voice for the past month

Subject :-ENT

Topic :- larynx and trachea


year old male chronic smoker complaints hoarseness voice for past months Microlaryngoscopic biopsy shows keratosis larynx All suggested treatment modalities for this condition EXCEPT: Stop smokingLaser vaporizerPartial laryngectomy Stripping vocal cord Laryngeal keratosis precancerous condition Treatment modalities includes avoidance aetiological factors such smoking stripping vocal cords and examination tissues for malignancy and use laser vaporization The treatment Keratosis larynx conservative involving microsurgical excision Partial laryngectomy may used presence certain stage malignancy Larynx Ref: Diseases Ear Nose and Throat Dhingra 4th Edition Page 281 Larynx Harvey Tucker 2nd Edition Page 290 Cancer Precursors: Epidemiology Detection and Prevention Eduardo Franco Page Flexible Bronchoscopy Pen Wang 2nd Edition Page .......


Rajesh, month old child, presents with failure gaining weight and noisy breathing

Subject :-ENT

Topic :- larynx and trachea


Rajesh month old child presents with failure gaining weight and noisy breathing becomes worse child cries Laryngoscopy showed reddish mass subglottis Treatment modality may include all EXCEPT: Radiation SteroidsTracheostomyCarbon dioxide laser treatment Child question suffering from subglottic hemangioma treatment choice this condition CO2 laser Shrinking lesion achieved single laser spots placed adequate distances apart via mucosal incision followed enucleation angioma lesion also shrinks size with use steroids Radiation not modality treatment this condition Ref: Ent-Head and Neck Surgery Essential Procedures Juergen Theissing Chapter Textbook Clinical Pediatrics Elzouki Volume 2nd Edition Pages 2197-8 .......


Which the following Lasers most commonly used Laryngeal surgery? Co2 laser

Subject :-ENT

Topic :- larynx and trachea


following Lasers most commonly used Laryngeal surgery Co2 laser YAG laserArgon laserKTP laser The Carbon dioxide (CO2) laser one most powerful and efficient lasers available and commonly used device for laryngeal surgery Its prime benefit its precision surgical scalpel and lack deep tissue penetration leading lesser subsequent scarring Ref: Laser fundamentals William Thomas Silfvast Page 511 Head and Neck Surgery Thieme 2nd Edition Page 341 .......


Drug choice Laryngeal stenosis is: CyclophosphamideDoxorubicinAdriamycinMitomycin

Subject :-ENT

Topic :- larynx and trachea


Drug choice Laryngeal stenosis is: CyclophosphamideDoxorubicinAdriamycinMitomycin Topical Mitomycin drug choice for treatment Laryngeal Stenosis greatly increases success rate after endoscopic treatment subglottic and tracheal stenosis Ref: Practical Pediatric Gastrointestinal Endoscopy George Gershman Pages 167 168; Current Diagnosis and Treatment Otorrhinology 2nd Edition Page 506; Operative Techniques Laryngology Simpson 2008 Page 190 .......


child presents with stridor, barking cough and difficulty breathing since 2-3 days.

Subject :-ENT

Topic :- larynx and trachea


child presents with stridor barking cough and difficulty breathing since 2-3 days has fever and elevated leukocyte count All following statements about his condition true EXCEPT: Subglottis stenosis and hypopharyngeal dilatation may seen X-raysBoys more commonly affected than girlsSymptoms predominantly caused involvement subglottisAntibiotics form mainstay treatment Antibiotics not form mainstay treatment for Acute Laryngotracheobronchitis Croup childs presentation with stridor barking cough and difficulty breathing suggests diagnosis Acute laryngotracheobronchitis Croup Ref: Rapid Pediatrics and Child Health Helen Brough Ram Nataraj Page 44; Current Diagnosis and Treatment Otolaryngology 2nd Edition Page 472 .......


All the following structures can viewed through bronchoscope, EXCEPT: TracheaVo

Subject :-ENT

Topic :- larynx and trachea


All following structures can viewed through bronchoscope EXCEPT: TracheaVocal cordsSubcarinal lymph nodes First segmental division bronchi Subcarinal lymph nodes mediastinal lymph nodes located around the carina other side tracheal wall and hence not visualized bronchoscopy Involvement subcarinal nodes may suspected bronchoscopy widening and fixity carina and/or paralysis the vocal cords but these nodes cannot 'directly visualized' Ref: Diseases Ear Nose and Throat Dhingra 4th Edition Page 485 .......


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