Trivia Questions On Otolaryngology (ENT) Procedures! Quiz
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Explanation The blood sac in Ticks Ear FBs does not move medially.
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2.
When sewing an ear laceration, sew skin rather tightly to ensure proper healing
A.
True
B.
False
Correct Answer
B. False
Explanation Sew loosely for draining and healing.
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3.
Kiesselbach's area or plexus is located posteriorly in the nose
A.
True
B.
False
Correct Answer
B. False
Explanation anteriorly
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4.
Likely source of bleeding from nostrils
A.
Choroid plexus
B.
Kiesselbach's plexus
C.
Anterior ethmoid a.
D.
Posterior ethmoid a.
Correct Answer
B. Kiesselbach's plexus
Explanation Kiesselbach's plexus is a highly vascular area in the nasal septum where several arteries converge. It is a common site of nosebleeds, also known as epistaxis. The plexus is formed by branches of the anterior ethmoid artery, posterior ethmoid artery, sphenopalatine artery, and greater palatine artery. Bleeding from the nostrils is likely to originate from Kiesselbach's plexus due to its rich blood supply and its location in the nasal septum.
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5.
Name the term of lateral nasal anatomy that is "Back opening of the nose"
Correct Answer Choana choana CHOANA
Explanation The term "choana" refers to the back opening of the nose. It is a passage that connects the nasal cavity to the nasopharynx. This opening allows for the passage of air from the nose into the throat. The term "choana" can be spelled with different capitalizations, but it still refers to the same anatomical structure.
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6.
Which turbinate is hypertrophied with the deviated nasal septum?
A.
Inferior
B.
Superior
C.
Middle
D.
Ethmoid
Correct Answer
A. Inferior
Explanation When the nasal septum is deviated, it can cause an obstruction in the nasal passage. This obstruction can lead to increased airflow through the opposite side of the nose, causing the turbinate on that side to become hypertrophied or enlarged. In this case, the deviated nasal septum would cause the inferior turbinate to become hypertrophied.
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7.
MC location of epistaxis
A.
Posterior septum
B.
Posterior Nasal
C.
Anterior septum
D.
Anterior nasal
Correct Answer
C. Anterior septum
Explanation The correct answer is "Anterior septum." The anterior septum refers to the front part of the nasal septum, which is the wall that separates the two nostrils. Epistaxis, or nosebleeds, commonly occur in this area due to the rich blood supply and the presence of fragile blood vessels. Therefore, the anterior septum is a common location for nosebleeds.
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8.
Which artery is associated with a posterior epistaxis
A.
Kiesselbach's plexus
B.
Anterior ethmoid a.
C.
Sphenopalatine a.
D.
Posterior ethmoid a.
Correct Answer
C. SpHenopalatine a.
Explanation The sphenopalatine artery is associated with a posterior epistaxis. The sphenopalatine artery is a branch of the maxillary artery and supplies blood to the nasal cavity. Posterior epistaxis refers to bleeding from the back part of the nose, which is usually caused by bleeding from branches of the sphenopalatine artery. This artery is located in the posterior part of the nasal cavity, making it the most likely source of bleeding in cases of posterior epistaxis.
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9.
Location of nose bleed that is profuse, does not stop and ALWAYS requires treatment
A.
Keisselbachs plexus
B.
Sphenopalatine a.
C.
Inferior ethmoid
D.
Posterior ethmoid
Correct Answer
B. SpHenopalatine a.
Explanation The sphenopalatine artery is the correct answer because it is a major blood vessel located in the back of the nose that supplies blood to the nasal cavity. When this artery is damaged or ruptured, it can result in profuse and uncontrollable nosebleeds that require immediate medical treatment. The other options listed, such as Keisselbach's plexus and the ethmoid arteries, are also involved in nosebleeds but are not always as severe or difficult to stop as a bleed from the sphenopalatine artery.
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10.
What is not a treatment option for posterior nasal /sphenopalatine a. bleed?
A.
Artery ligation/embolization
B.
Posterior pack
C.
Surgery
D.
Electrocauterization
Correct Answer
D. Electrocauterization
Explanation Silver nitrate cautery stick may be used though.
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11.
How long do you leave epistaxis packing "tampons" in for? (Depending on comorbidities, etc)
A.
1-3 d
B.
5-7 d
C.
2-7 d
D.
7-10 d
Correct Answer
C. 2-7 d
Explanation Epistaxis packing "tampons" are left in for a duration of 2-7 days. The length of time may vary depending on comorbidities and other factors.
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12.
What is the Abx ointment that is used on gauze packing for epistaxis treatment?
A.
Bactroban
B.
Salicylate
C.
Mupirocin
D.
Erthromycin
Correct Answer
C. Mupirocin
Explanation Mupirocin is the correct answer because it is an antibiotic ointment commonly used for the treatment of skin infections. It is effective against a wide range of bacteria, including those that may cause epistaxis or nosebleeds. When applied on gauze packing, Mupirocin helps to prevent infection and promote healing in the nasal cavity, which can help in the treatment of epistaxis. Bactroban, Salicylate, and Erthromycin are not specifically indicated for this purpose.
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13.
What is the correct method for using an Epistat for epistaxis treatment?
A.
Slide it in, place up to 10 ml fluid in posterior portion and up to 15 ml fluid in anterior portion.
B.
Slide it in, place up 10 ml fluid in posterior portion and up to 20ml fluid in anterior portion
C.
Slide it in, place up to 10ml fluid in anterior portion and 20 ml fluid in posterior portion
D.
Slide it in, place up to 20 mL in anterior portion and up to 20 mL posterior portion
Correct Answer
B. Slide it in, place up 10 ml fluid in posterior portion and up to 20ml fluid in anterior portion
14.
Patient must be discharged home after epistatic is administered
A.
True
B.
False
Correct Answer
B. False
Explanation MUST be admitted
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