lARYNX
 The most common congenital laryngeal anomaly leading to respiratory distress-- The 1st line of ttt in a child with croup is: ------ on auscultation,Child with unilateral localized wheeze indicates -------------- Apnea immediately after opening of the trachea during tracheostomy is due to:
( Increase CO2 level – Increase O2 level- Wash of blood CO2 – None of above)
 Silent areas in head & neck except:
(vocal folds – Nasopharynx – pyriform fossa – Maxillary sinus)
 Granuloma of the larynx that cause dysphagia because of pain:
(Scleroma – Syphilis – T.B. – Intubational granuloma)
 Dysphonia is a major complaint of the following except:
(Bulbar paralysis – unilateral abductor paralysis
unilteral abductor paralysis – paralysis caused by nasopharyngeal carcinoma)
 Commonest cause of dyspnea following tracheostomy is -------- Muscle which is not supplied by the RLN is -------------------- Dead space is ------------------ The first line of ttt in a patient with cancer larynx and severe respiratory distress is:- The following are causes of inspiratory stridor except:
1. Acute epiglotittis
2. Glottic carcinoma
3. Bronchial asthma
4. Recurrent laryngeal papilloma
 F.B inhalation occurs more commonly in the:
(larynx – trachea – right main bronchus – left main bronchus)
 The following are manifestations of respiratory obstruction except:
1. Stridor
2. Hoarseness
3. Suction of suprasternal notch
4. Working ala nasi
 Most accurate investigation for confirming the diagnosis of cancer esophagus is:
 Glottic lesions of cancer larynx on a mobile vocal fold are ttted by:
1. Laryngofissure and cordectomy
2. Microlaryngosurgery and excision by laser
3. Radiotherapy
4. All of the above
5. Non of the above
 Weak breathy voice in a patient with tender larynx and history of cough and
expectoration of two years duration is: (T.B – Syphilis – cancer larynx)
 A tender diffuse swelling of the floor of the mouth and the upper neck following
tooth infection with mild stridor requires an immediate:
(tooth extraction --- antibiotics ---- tracheostomy ------ incision & drainage)
1
 In a case of superior laryngeal nerve paralysis only, the patient complains of:
1. Repeated cough and choking
2. Respiratory distress
3. Throaty muffled voice
4. Loss of straining power
 Backache following esophagoscopy with suprasternal surgical emphysema is an
indication of:
1. Tracheal injury
2. Pneumothorax
3. Esophageal perforation
4. Mediastinitis
 The position of the neck during tracheostomy is:
1. Trendlenberg
2. Head-up position
3. Neck extension
4. Neck flexion
 The virus incriminated with the etiology of nasopharyngeal carcinoma:???
 Hoarseness of voice followed by progressive resp distress over a period of 6
months in a 5yr old child is suspicious of:
1. Recurrent laryngeal papilloma
2. Croup
3. Abuse of voice with minor associated path lesions in the larynx
4. Laryngomalacia
 Lt local throat pain, a firm swelling in the lt upper neck, lt earache and difficulty
of speech of 2 months, on examination an enlarged ulcerated lt tonsil is seen the
condition is:
1. Cancer tonsil
2. Vincent’s angina
3. Ludwig’s angina
4. Postcricoid carcinoma
 Recurrent fever, cough and expectoration of 2m duration in 5yr old child that
does not resolve completely by medical ttt is:
1. Acute laryngotracheobronchitis
2. Laryngoscleroma
3. Vegetable F.B inhalation
4. Non-vegetable F.B inhalation
 The 1st measure to be carried out in a child with fever, rt ear ache and deviation
of angle of mouth to the left and inability to close the right eye is:
( Intravenous antibiotics – Myringotomy – lumber puncture – steroids)
2
ANSWERS:
 The most common congenital laryngeal anomaly leading to respiratory distress—
CONGENITAL LARYNGOMALACIA The 1st line of ttt in a child with croup is: ------Ensure patent airway ( steroids +
tracheostomy)  on auscultation,Child with unilateral localized wheeze indicates ------Forign body
inhalation-------- Apnea immediately after opening of the trachea during tracheostomy is due to:
( Increase CO2 level – Increase O2 level- Wash of blood CO2 – None of above)
 Silent areas in head & neck except:
(vocal folds – Nasopharynx – pyriform fossa – Maxillary sinus)
 Granuloma of the larynx that cause dysphagia because of pain:
(Scleroma – Syphilis – T.B. – Intubational granuloma)
 Dysphonia is a major complaint of the following except:
(Bulbar paralysis – unilateral abductor paralysis
unilateral abductor paralysis – paralysis caused by nasopharyngeal carcinoma)
 Commonest cause of dyspnea following tracheostomy is ----tubal complications---- Muscle which is not supplied by the RLN is --------cricothyroid muscle------------ Dead space is -----------150------- The first line of ttt in a patient with laryngeal carcinoma and severe respiratory
distress is:--tracheostomy
 The following are causes of inspiratory stridor except:
1. Acute epiglotittis
2. Glottic carcinoma
3. Bronchial asthma
4. Recurrent laryngeal papilloma
 F.B inhalation occurs more commonly in the:
(larynx – trachea – right main bronchus – left main bronchus)
 The following are manifestations of respiratory obstruction except:
1. Stridor
2. Hoarseness
3. Suction of suprasternal notch
4. Working ala nasi
 Glottic lesions of laryngeal carcinoma on a mobile vocal fold are ttted by:
1. Laryngofissure and cordectomy
2. Microlaryngosurgery and excision by laser
3. Radiotherapy
4. Any of the above
5. Non of the above
3
 Weak breathy voice in a patient with tender larynx and history of cough and
expectoration of two years duration is: (T.B – Syphilis – cancer larynx)
 A tender diffuse swelling of the floor of the mouth and the upper neck following
tooth infection with mild stridor requires an immediate: (= Ludwig's angina)
(tooth extraction --- antibiotics ---- tracheostomy ------ incision & drainage)
 In a case of superior laryngeal nerve paralysis only, the patient complains of:
1. Repeated cough and choking
2. Respiratory distress
3. Throaty muffled voice
4. Loss of straining power
 Backache following esophagoscopy with suprasternal surgical emphysema is an
indication of:
1. Tracheal injury
2. Pneumothorax
3. Esophageal perforation
4. Mediastinitis
 The position of the neck during tracheostomy is:
1. Trendlenberg
2. Head-up position
3. Neck extension
4. Neck flexion
 The virus incriminated with the etiology of nasopharyngeal carcinoma:??EBV
 Hoarseness of voice followed by progressive resp distress over a period of 6
months in a 5yr old child is suspicious of:
1. Recurrent laryngeal papilloma
2. Croup
3. Abuse of voice with minor associated path lesions in the larynx
4. Laryngomalacia
 Lt local throat pain, a firm swelling in the left upper neck, left earache and
difficulty of speech of 2 months, on examination an enlarged ulcerated left tonsil
is seen the condition is:
1. Tonsillar carcinoma.
2. Vincent’s angina
3. Ludwig’s angina
4. Postcricoid carcinoma
 Recurrent fever, cough and expectoration of 2m duration in 5yr old child that
does not resolve completely by medical ttt is:
1. Acute laryngotracheobronchitis
2. Laryngoscleroma
3. Vegetable F.B inhalation
4
4. Non-vegetable F.B inhalation
 The 1st measure to be carried out in a child with fever, rt ear ache and deviation
of angle of mouth to the left and inability to close the right eye is:
( Intravenous antibiotics – Myringotomy – lumber puncture – steroids).
5