The Pharynx,Larynx And Neck

Question 1

Where does Eustachian tubes opens ?

Answer 1

Leading from middle ear cleft Opens in the posterior superior aspect of the lateral wall of nasopharynx

Question 2

Tonsil is supplied by

Answer 2

Facial Artery and laterally a plexus of paratonsillar veins

Question 3

Source of significant bleeding following tonsillectomy

Answer 3

Plexus of paratonsillar veins

Question 4

In process of swallowing afferent fibres passing to

Answer 4

Medulla oblongata through V2 of V nerve , IX and X nerves

Question 5

The efferent pathway in process of swallowing passing to

Answer 5

Neucleus Ambiguus via IX , X and XII nerves

Question 6

What is the only complete ring in the entire airway?

Answer 6

The cricoid cartilage

Question 7

What is the most narrow point of the airway and most common site for damage from an endotracheal tube?

Answer 7

Cricoid Cartilage

Question 8

What nerve gives the sensory supply to the larynx above the true vocal folds?

Answer 8

Internal branch of the superior laryngeal nerve

Question 9

What nerve gives the Sensory supply to the larynx below the true vocal folds ?

Answer 9

The recurrent laryngeal nerve

Question 10

Which nerve supply the cricothyroid muscle?

Answer 10

External branch of superior laryngeal nerve

Question 11

Which muscle abduct the vocal folds during respiration?

Answer 11

The posterior cricoaretynoid

Question 12

What nerve injury causes failure of production of high pitch sound?

Answer 12

External branch of superior laryngeal nerve injury

Question 13

Unilateral recurrent laryngeal nerve injury causes

Answer 13

Hoarseness of voice

Question 14

Bilateral incomplete recurrent laryngeal nerve injury causes

Answer 14

Failure of abduction of vocal cords leading to cessation of breath. It is the most dangerous one.

Question 15

Bilateral complete recurrent laryngeal nerve injury causes

Answer 15

Stridor and hoarseness of voice

Question 16

What should be avoided in obstructive sleep apnoea?

Answer 16

Sedative pre-medications and opiate analgesic postoperatively because they may further depressed the child’s respiratory drive

Question 17

The etiology factors of nasopharyngeal carcinoma are

Answer 17

Cantonese population, EBV infection, salted fish eating and tobacco smoking

Question 18

Nasopharyngeal carcinoma is highly

Answer 18

Radio sensitive

Question 19

The most common cause of acute tonsillitis is

Answer 19

Pyogenic group A Streptococcus

Question 20

What is the most important epithelial tumour of oropharynx ?

Answer 20

Squamous cell carcinoma

Question 21

The main cause of oropharyngeal squamous cell carcinoma is

Answer 21

HPV

Question 22

What is the malignant tumours of hypopharynx?

Answer 22

Squamous cell carcinoma

Question 23

A two year children having by biphasic strider hoarse with a typical barking cough the diagnosis is

Answer 23

Laryngotracheobronchitis / Croup

Question 24

What type of incision is made in emergency tracheostomy?

Answer 24

Vertical

Question 25

How much is the anatomical dead space?

Answer 25

150 ML

Question 26

What is the most common tumour of larynx ?

Answer 26

Squamous cell carcinoma

Question 27

From where does the branchial cyst develops?

Answer 27

Vestigial remnants of the second branchial cleft

Question 28

Where can we find the BRANCHIAL cyst?

Answer 28

At the junction of upper third and middle third of sternomastoid muscle at its anterior border. It is trans illuminate.

Question 29

A persistent second Branchial cleft

Answer 29

Branchial fistula

Question 30

A neonate is born the mother has obstructed labour and the cyst are having a single layer of epithelium with a Mosaic appearance. The swelling is present at the submandibular region. On examination it is brilliantly transilluminate. What is the diagnosis?

Answer 30

Cystic HYGROMA

Question 31

Where does the ISTHMUS lies?

Answer 31

Over the second and third tracheal rings

Question 32

Where do we find thyroglossal duct cyst ?

Answer 32

Found anywhere in or adjust to the midline from the tongue base to the thyroid isthmus

Question 33

Thyroglossal duct cyst moves

Answer 33

Upwards on swallowing and with tongue protrusion

Question 34

What is a discharging sinus of THYROGLOSSAL cyst?

Answer 34

When it become infected and rapture onto the skin of the neck

Question 35

What is the name of operation of excision of the whole thyroglossal tract which also involves the removal of the body of hyoid bone ?

Answer 35

SISTRUNK’s operation