Surgical Tech (Appleton & Lange) Part 10
This quiz is specifically designed for all surgical tech students and professionals who seek to test and advance their know how on the art. Part 10 of the Surgical Tech book is tested below. All the best.
Questions and Answers
- 1.
What procedure cannot be performed through a pelviscope?
- A.
Ovarian cystectomy
- B.
Hysterectomy
- C.
Oophorectomy
- D.
Adhesiolysis
Correct Answer
B. HysterectomyExplanation
A hysterectomy is the surgical removal of the uterus. This procedure cannot be performed through a pelviscope because a pelviscope is a minimally invasive instrument used for visualizing and performing procedures within the pelvis, specifically through small incisions in the abdomen. However, a hysterectomy typically requires a larger incision in the abdomen or vagina, making it incompatible with the use of a pelviscope.Rate this question:
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- 2.
Endometrial ablation is performed to correct
- A.
Amenorrhea
- B.
Metrorrhagia
- C.
Menorrhagia
- D.
Endometriosis
Correct Answer
C. MenorrhagiaExplanation
Endometrial ablation is a surgical procedure performed to correct menorrhagia, which is excessive or prolonged menstrual bleeding. This procedure aims to remove or destroy the lining of the uterus, reducing or stopping the heavy bleeding. Amenorrhea refers to the absence of menstrual periods, metrorrhagia is irregular bleeding between periods, and endometriosis is a condition where the tissue lining the uterus grows outside of it. However, the question specifically asks for the reason for performing endometrial ablation, which is to address menorrhagia.Rate this question:
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- 3.
Endoscopic visualizaion of the uterine cavity is called
- A.
Pelviscopy
- B.
Laparoscopy
- C.
Hysteroscopy
- D.
Colposcopy
Correct Answer
C. HysteroscopyExplanation
Hysteroscopy is the correct answer because it refers to the endoscopic visualization of the uterine cavity. This procedure involves inserting a thin, lighted tube called a hysteroscope into the uterus through the vagina and cervix, allowing the doctor to examine the inside of the uterus. It is commonly used to diagnose and treat various uterine conditions such as abnormal bleeding, fibroids, polyps, and infertility issues. Pelviscopy, laparoscopy, and colposcopy are different procedures that involve visualizing other areas of the pelvic region, but they do not specifically focus on the uterine cavity like hysteroscopy does.Rate this question:
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- 4.
Marsupialization of a Bartholin cyst involves the
- A.
Suturing the posterior wall of the cyst to the skin edges
- B.
Removal of anterior wall of cyst
- C.
Draining cyst contents
- D.
A and B
Correct Answer
D. A and BExplanation
The correct answer is A and B. Marsupialization of a Bartholin cyst involves suturing the posterior wall of the cyst to the skin edges and removal of the anterior wall of the cyst. This procedure helps to create a new opening for the cyst to drain, preventing the re-accumulation of fluid and reducing the risk of infection. By suturing the posterior wall to the skin edges and removing the anterior wall, the cyst is effectively drained and the risk of recurrence is minimized.Rate this question:
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- 5.
What is the self-retaining retractor used in vaginal procedures?
- A.
O'Sullivan - O'Conner
- B.
Gelpi
- C.
Graves
- D.
Auvard
Correct Answer
C. GravesExplanation
The Graves self-retaining retractor is commonly used in vaginal procedures. It consists of two curved blades that can be adjusted to hold the vaginal walls apart, providing optimal visibility and access to the surgical site. This retractor is designed to stay in place without the need for constant manual holding, allowing the surgeon to focus on the procedure.Rate this question:
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- 6.
Extrauterine disease of the female reproductive system may utilize any of the following lasers via a colposcope or laparoscope EXCEPT
- A.
CO2
- B.
Nd:YAG
- C.
Candela
- D.
Argon
Correct Answer
C. CandelaExplanation
The Candela laser is not typically used for treating extrauterine diseases of the female reproductive system. While CO2, Nd:YAG, and argon lasers can be used via a colposcope or laparoscope for various procedures such as laser ablation, coagulation, or vaporization, the Candela laser is more commonly used for cosmetic procedures like hair removal or skin rejuvenation. Therefore, the correct answer is Candela.Rate this question:
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- 7.
A sponge used in brain surgery is a (n)
- A.
Cottonoid patty
- B.
Kitner
- C.
Impregnated gauze
- D.
Porcine
Correct Answer
A. Cottonoid pattyExplanation
A cottonoid patty is a type of sponge that is commonly used in brain surgery. It is made of cotton and is designed to be absorbent and non-irritating to the delicate tissues of the brain. The cottonoid patty is used to gently clean or manipulate the brain during surgery, and its soft texture helps to minimize the risk of damage to the surrounding tissues.Rate this question:
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- 8.
A sponge that is cotton-filled gauze with a cotton thread attached is a
- A.
Patty
- B.
Tonsil
- C.
Kitner
- D.
Peanut
Correct Answer
B. TonsilExplanation
A sponge that is cotton-filled gauze with a cotton thread attached is commonly used in tonsil surgeries. The cotton-filled gauze helps in absorbing blood and other fluids during the surgery, while the cotton thread allows easy retrieval of the sponge after the procedure. Tonsil surgery involves the removal of tonsils, and this type of sponge is specifically designed for this purpose. It ensures effective absorption and easy handling during the surgery.Rate this question:
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- 9.
In cataract surgery, a vesicoelastic drug sometimes used to occupy space in the posterior cavity of the eye is
- A.
Alpha-chymotrypsin
- B.
Mannitol
- C.
Healon
- D.
Wydase
Correct Answer
C. HealonExplanation
Healon is a vesicoelastic drug that is commonly used in cataract surgery to occupy space in the posterior cavity of the eye. It helps maintain the shape of the eye during the surgery and prevents the collapse of the eye's structure. Healon is a clear, viscous substance that is injected into the eye and provides temporary support and protection to the delicate tissues during the surgical procedure. It is an important tool in ensuring successful cataract surgery outcomes.Rate this question:
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- 10.
A miotic drug is
- A.
Pilocarpine
- B.
Homatropine
- C.
Atropine
- D.
Scopolamine
Correct Answer
A. PilocarpineExplanation
Pilocarpine is a miotic drug because it causes constriction of the pupil. Miotic drugs are used to treat conditions such as glaucoma, where increased pressure in the eye can damage the optic nerve. Pilocarpine works by stimulating the muscles in the eye that control the size of the pupil, leading to a decrease in intraocular pressure. Homatropine, atropine, and scopolamine are not miotic drugs, as they have different mechanisms of action and are used for different purposes such as dilating the pupil or preventing motion sickness.Rate this question:
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- 11.
What topical anesthetic is used most frequently for preoperative ocular instillation?
- A.
Lidocaine
- B.
Tetracaine
- C.
Cocaine
- D.
Dorsacaine
Correct Answer
B. TetracaineExplanation
Tetracaine is the most frequently used topical anesthetic for preoperative ocular instillation. It is a local anesthetic that works by blocking nerve signals in the area where it is applied, providing temporary numbness and pain relief. Tetracaine is commonly used in ophthalmology because it has a rapid onset of action and a longer duration of effect compared to other topical anesthetics. It is well-tolerated and has a low risk of side effects, making it a preferred choice for ocular procedures. Lidocaine and Dorsacaine are also topical anesthetics, but tetracaine is used most frequently in this context.Rate this question:
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- 12.
The drug added to a local ophthalmic anesthetic to increase diffusion is
- A.
Alpha-chymotrypsin
- B.
Hyaluronidase
- C.
Epinephrine
- D.
Varidase
Correct Answer
B. HyaluronidaseExplanation
Hyaluronidase is added to a local ophthalmic anesthetic to increase diffusion. Hyaluronidase is an enzyme that breaks down hyaluronic acid, a substance found in the extracellular matrix of tissues. By breaking down hyaluronic acid, hyaluronidase increases the permeability of tissues, allowing the anesthetic to diffuse more easily and quickly into the surrounding area. This helps to enhance the effectiveness of the anesthetic by ensuring a wider distribution and faster onset of action.Rate this question:
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- 13.
A solution used for eye irrigation is
- A.
Phenylephrine HCI
- B.
Normal saline
- C.
Alpha-chymotrypsin
- D.
Balanced salt solution
Correct Answer
D. Balanced salt solutionExplanation
A balanced salt solution is a solution used for eye irrigation. It is specifically designed to mimic the natural composition of tears, containing a balanced concentration of electrolytes and other essential components. This solution helps to cleanse and soothe the eyes, providing relief from irritation or foreign particles. Phenylephrine HCI is a vasoconstrictor used for eye redness, not irrigation. Normal saline is a sterile solution of salt and water, but it does not have the balanced composition of tears. Alpha-chymotrypsin is an enzyme used for certain eye conditions, but not for irrigation.Rate this question:
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- 14.
A synthetic local anesthetic that is effective on the mucous membrane and is used as a surface agent in ophthalmoology is
- A.
Miochol
- B.
Zolyse
- C.
Dibucaine
- D.
Tetracaine
Correct Answer
D. TetracaineExplanation
Tetracaine is a synthetic local anesthetic that is commonly used in ophthalmology as a surface agent. It is effective on the mucous membrane and helps to numb the area, providing relief from pain and discomfort. Tetracaine is often used during eye examinations, surgeries, and other procedures to ensure patient comfort and minimize any potential discomfort. Miochol, Zolyse, and Dibucaine are not specifically used as surface agents in ophthalmology, making tetracaine the correct answer.Rate this question:
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- 15.
Dilating eye drops are called
- A.
Mydriatics
- B.
Miotics
- C.
Myopics
- D.
Oxytocics
Correct Answer
A. MydriaticsExplanation
Dilating eye drops are called mydriatics because they are used to dilate the pupil of the eye. This helps to improve the visibility of the back of the eye during certain eye examinations or surgeries. Mydriatics work by relaxing the muscles that control the size of the pupil, allowing it to open wider. This allows more light to enter the eye, making it easier for the healthcare professional to examine the structures at the back of the eye. Miotics, on the other hand, are eye drops that constrict the pupil and are used to treat conditions such as glaucoma. Myopics refer to individuals with nearsightedness, and oxytocics are medications that stimulate uterine contractions during labor.Rate this question:
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- 16.
Which of the following uses ultrasonic energy to fragment the lens in extracapsular cataract extraction?
- A.
Keratome
- B.
Ocutome
- C.
Cystotme
- D.
Phacoemulsifier
Correct Answer
D. PhacoemulsifierExplanation
A phacoemulsifier is a device that uses ultrasonic energy to fragment the lens in extracapsular cataract extraction. This device is commonly used in modern cataract surgery to break up the cloudy lens into smaller pieces, which are then removed through a small incision. The ultrasonic energy generated by the phacoemulsifier helps to emulsify the lens material, making it easier to remove. This technique is less invasive compared to traditional extracapsular cataract extraction methods, as it requires a smaller incision and allows for faster recovery times.Rate this question:
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- 17.
A chalazion is a chronic inflammation of the
- A.
Lacrimal gland
- B.
Meibomian gland
- C.
Eyelid
- D.
Conjuctiva
Correct Answer
B. Meibomian glandExplanation
A chalazion is a chronic inflammation of the meibomian gland. The meibomian gland is located in the eyelid and produces an oily substance that helps lubricate the eye. When the meibomian gland becomes blocked or infected, it can lead to the formation of a chalazion. This condition is characterized by a painless lump or swelling on the eyelid. Treatment options include warm compresses, gentle massage, and in some cases, surgical drainage.Rate this question:
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- 18.
What procedure is done for chromic dacrocystitis?
- A.
Extirpation
- B.
Lacirmal duct probing
- C.
Myectomy
- D.
Dacrocystohinostomy
Correct Answer
D. DacrocystohinostomyExplanation
Dacrocystohinostomy is the procedure performed for chromic dacrocystitis. This surgical procedure involves creating a new drainage opening for the lacrimal sac, allowing the tears to bypass the blocked or infected lacrimal duct. It is done to relieve the symptoms and prevent recurrent infections in patients with chronic inflammation of the lacrimal sac. Extirpation refers to the complete removal of an organ or tissue, lacrimal duct probing is a diagnostic procedure to assess the patency of the lacrimal duct, and myectomy is the surgical removal of a portion of a muscle.Rate this question:
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- 19.
A procedure to treat retinal detachment is
- A.
Scleral buckling
- B.
Trabeculectomy
- C.
Goniotomy
- D.
Vitrectomy
Correct Answer
A. Scleral bucklingExplanation
Scleral buckling is a procedure used to treat retinal detachment. It involves the placement of a silicone band or sponge around the eye, which applies pressure to the sclera (the white part of the eye) and helps reattach the detached retina. This procedure is effective in cases where the retina has detached due to a tear or hole. Trabeculectomy, goniotomy, and vitrectomy are not related to the treatment of retinal detachment, making them incorrect options.Rate this question:
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- 20.
Sagging and eversion of the lower lid is
- A.
Entropion
- B.
Blepharitis
- C.
Ectropion
- D.
Ptosis
Correct Answer
C. EctropionExplanation
Ectropion refers to the sagging and eversion of the lower eyelid. This condition causes the eyelid to turn outward, exposing the inner surface of the eyelid and leading to symptoms such as watery eyes, redness, and irritation. Entropion, on the other hand, is the opposite condition where the eyelid turns inward. Blepharitis is inflammation of the eyelid, and ptosis refers to drooping of the eyelid. Therefore, the correct answer for the given question is ectropion.Rate this question:
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- 21.
Removal of the entire eyeball is
- A.
Keratoplasty
- B.
Exenteration
- C.
Enucleation
- D.
Evisceration
Correct Answer
C. EnucleationExplanation
Enucleation refers to the surgical removal of the entire eyeball. This procedure is typically performed in cases of severe eye trauma, tumors, or certain eye diseases. During enucleation, the eye is carefully removed from its socket, including all of its surrounding tissues. After the procedure, an artificial eye (prosthesis) can be fitted to restore the appearance of the eye socket.Rate this question:
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- 22.
A noninvasive process to treat glaucoma by means of a slit lamp is a (n)
- A.
Argon or Nd:YAG laser
- B.
Cavitron I&A
- C.
Phacoemulsifier
- D.
Cryoprobe
Correct Answer
A. Argon or Nd:YAG laserExplanation
The correct answer is argon or Nd:YAG laser. These lasers are commonly used in a noninvasive process to treat glaucoma. They work by using focused beams of light to target and treat specific areas of the eye, helping to reduce intraocular pressure and manage the symptoms of glaucoma. The use of lasers in this treatment method is considered noninvasive because it does not require any surgical incisions or invasive procedures.Rate this question:
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- 23.
Removal of a portion of an ocular muscle with reattachment is called
- A.
Recession
- B.
Resection
- C.
Strabismus
- D.
Myomectomy
Correct Answer
B. ResectionExplanation
Resection refers to the surgical removal of a portion of an ocular muscle with subsequent reattachment. This procedure is commonly performed to correct strabismus, a condition characterized by misalignment of the eyes. By removing a portion of the muscle and reattaching it, the tension and position of the muscle can be adjusted to improve the alignment of the eyes. Therefore, resection is the correct term to describe this surgical technique.Rate this question:
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- 24.
Opacity of the vitreous humor is treated by performing a
- A.
Cataract removal
- B.
Scleral buckling procedure
- C.
Vitectomy
- D.
Goniotomy
Correct Answer
C. VitectomyExplanation
Vitectomy is the correct answer for treating the opacity of the vitreous humor. Vitectomy is a surgical procedure that involves removing the vitreous humor, the gel-like substance that fills the eye. By removing the vitreous humor, the opacity is eliminated, restoring clear vision. This procedure is commonly performed to treat conditions such as vitreous hemorrhage or floaters caused by vitreous opacities.Rate this question:
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- 25.
Miocol solution is prepared for a cataract procedure no more than __________ minutes before the actual instillation.
- A.
5
- B.
15
- C.
30
- D.
60
Correct Answer
C. 30Explanation
Miocol solution is prepared for a cataract procedure no more than 30 minutes before the actual instillation. This time frame ensures that the solution remains sterile and effective for the procedure. If the solution is prepared too far in advance, there is a risk of contamination or degradation of the solution, which could potentially lead to complications during the procedure. Therefore, it is important to prepare Miocol solution within the recommended time frame of 30 minutes before instillation.Rate this question:
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- 26.
Molteno implants are used surgically to reduce intraocular pressure during
- A.
Goniotomy
- B.
Trabeculectomy
- C.
Argon laser iridotomy
- D.
Laser trabeculoplasty
Correct Answer
B. TrabeculectomyExplanation
Trabeculectomy is a surgical procedure used to treat glaucoma by creating a new drainage channel for the fluid inside the eye to reduce intraocular pressure. Molteno implants are often used during trabeculectomy to help maintain the new drainage pathway and prevent scarring. Therefore, the correct answer is trabeculectomy.Rate this question:
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- 27.
A drug used as a lubricant and as vesicoelastic support to maintain separation of tissues before removal of lens during cataract surgery is
- A.
5-fluorouracil
- B.
Healon
- C.
Mitomycin
- D.
Miostat
Correct Answer
B. HealonExplanation
Healon is a drug commonly used as a lubricant and vesicoelastic support during cataract surgery. It helps to maintain separation of tissues and provides a clear view for the surgeon. Healon is a viscoelastic substance that creates space and protects the delicate tissues of the eye during the surgical procedure. It is injected into the eye and helps to maintain the shape of the anterior chamber, making it easier for the surgeon to perform the surgery.Rate this question:
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- 28.
A drug used to contract the sphincter of the iris during an intracapsular cataract extraction is
- A.
Zolyse
- B.
Healon
- C.
Miocol
- D.
Mitomycin
Correct Answer
C. MiocolExplanation
Miocol is the correct answer because it is a drug used to contract the sphincter of the iris during an intracapsular cataract extraction. This drug helps to constrict the iris muscles, which can improve surgical outcomes and prevent complications during the procedure.Rate this question:
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- 29.
What procedure accomplishes correction of myopia?
- A.
Keratoplasty
- B.
Keratophakia
- C.
Keratotomy
- D.
B and C
Correct Answer
D. B and CExplanation
The procedure that accomplishes correction of myopia is a combination of keratoplasty and keratotomy. Keratoplasty involves reshaping the cornea through surgical intervention, while keratotomy involves making incisions in the cornea to reshape it. By combining these two procedures, the shape of the cornea is altered to correct myopia, which is a condition where the eye is unable to focus on distant objects. Therefore, the correct answer is B and C.Rate this question:
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- 30.
An enzymatic drug commonly used with anesthetic solutions to increase tissue diffusion is
- A.
Viscoat
- B.
Epinephrine
- C.
Ophtheaine
- D.
Wydase
Correct Answer
D. WydaseExplanation
Wydase is an enzymatic drug commonly used with anesthetic solutions to increase tissue diffusion. It works by breaking down the extracellular matrix, which allows for better penetration of the anesthetic solution into the surrounding tissues. This increased tissue diffusion helps to enhance the effectiveness of the anesthetic and improve its overall efficacy.Rate this question:
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- 31.
Injection of anesthetic solution into the base of the eyelids or behind the eyeball to block the ciliary ganglion and nerves is known as
- A.
Retrobulbar
- B.
Van Lint block
- C.
O'Block akinesia
- D.
Bier block
Correct Answer
A. RetrobulbarExplanation
Retrobulbar refers to the injection of an anesthetic solution into the base of the eyelids or behind the eyeball to block the ciliary ganglion and nerves. This technique is commonly used in ophthalmic surgeries to provide anesthesia and akinesia (loss of movement) to the eye and surrounding structures. It involves injecting the anesthetic solution directly into the retrobulbar space, which is located behind the eyeball. This block effectively numbs the eye and prevents pain during surgery.Rate this question:
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- 32.
A fleshy, trriangular encroachment onto the cornea is surgically termed a (n)
- A.
Pterygium
- B.
Chalazion
- C.
Ectropion
- D.
Entropion
Correct Answer
A. PterygiumExplanation
A fleshy, triangular encroachment onto the cornea is surgically termed a pterygium. A pterygium is a growth of pink, fleshy tissue on the conjunctiva, which is the clear tissue that lines the eyelids and covers the white part of the eye. It usually starts on the side closest to the nose and can gradually grow onto the cornea, affecting vision. Surgical intervention may be required to remove the pterygium if it causes discomfort or affects vision significantly. Chalazion, ectropion, and entropion are different conditions that involve the eyelids and are not related to a fleshy growth on the cornea.Rate this question:
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- 33.
A procedure performed when the cornea is thickened or opacified is called a
- A.
Keratomileusis
- B.
Keratotomy
- C.
Corneal trephining
- D.
Keratoplasty
Correct Answer
D. KeratoplastyExplanation
Keratoplasty is a surgical procedure performed when the cornea is thickened or opacified. It involves removing a portion of the damaged cornea and replacing it with a healthy donor cornea. This procedure is commonly used to improve vision in patients with conditions such as corneal scarring, keratoconus, or corneal dystrophy.Rate this question:
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- 34.
What is the proceduce used to correct accidental vitreous loss during a catatact extraction?
- A.
Posteior vitrectomy
- B.
Anterior vitrectomy
- C.
Pars plana vitrectomy
- D.
All of the above
Correct Answer
B. Anterior vitrectomyExplanation
Anterior vitrectomy is the procedure used to correct accidental vitreous loss during a cataract extraction. This involves removing the vitreous gel from the anterior chamber of the eye to prevent complications such as retinal detachment or infection. Posterior vitrectomy and pars plana vitrectomy are not specifically used for correcting vitreous loss during cataract extraction, but for other conditions involving the vitreous humor. Therefore, the correct answer is anterior vitrectomy.Rate this question:
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- 35.
A surgical treatment for chronic wide angle closure glaucoma that re-establishes communication between the posterior and anterior chamber of the eye is
- A.
Iridectomy
- B.
Elliot trephination
- C.
Cyclodialysis
- D.
Posterior lid sclerectomies
Correct Answer
A. IridectomyExplanation
Iridectomy is a surgical treatment for chronic wide angle closure glaucoma that involves the removal of a portion of the iris. By creating a hole in the iris, this procedure allows for the re-establishment of communication between the posterior and anterior chamber of the eye. This helps to relieve the pressure buildup caused by the closure of the angle, thereby reducing the risk of glaucoma-related complications. Elliot trephination, cyclodialysis, and posterior lid sclerectomies are not specifically indicated for re-establishing communication between the chambers of the eye in cases of wide angle closure glaucoma.Rate this question:
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- 36.
Which of the following hyperosmotic drugs is given preoperaticely solely by oral administration ot induce osmotic pressure and thereby reduce intraocular pressure in surgery?
- A.
Diamox
- B.
Glycerol
- C.
Mannitol
- D.
Urea
Correct Answer
B. GlycerolExplanation
Glycerol is a hyperosmotic drug that is given orally before surgery to increase osmotic pressure and lower intraocular pressure. It works by drawing fluid out of the eye, reducing the pressure inside the eye. This can be beneficial in eye surgeries where high intraocular pressure can cause complications. Glycerol is administered orally, unlike other hyperosmotic drugs like mannitol or urea, which may be given intravenously. Diamox is not a hyperosmotic drug and is typically used to treat glaucoma by reducing the production of fluid in the eye.Rate this question:
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- 37.
What eye disease uses the argon slit lamp with a noninvasive procedure, which if successful, prevents the need for more invasive surgery?
- A.
Catatract
- B.
Retinal detachment
- C.
Glaucoma
- D.
Pterigium
Correct Answer
C. GlaucomaExplanation
Glaucoma is the correct answer because it is an eye disease that can be diagnosed and monitored using the argon slit lamp, a noninvasive procedure. If the treatment for glaucoma is successful, it can prevent the need for more invasive surgeries such as trabeculectomy or laser surgery. Cataract, retinal detachment, and pterygium are not typically associated with the use of the argon slit lamp or noninvasive procedures for diagnosis or treatment.Rate this question:
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- 38.
Which dressing is used after nasal surgery?
- A.
Collodian
- B.
Moustache
- C.
Pressure
- D.
Telfa
Correct Answer
B. MoustacheExplanation
After nasal surgery, a moustache dressing is used. This dressing helps to provide support and stability to the nasal area. It is applied over the upper lip and extends up to the base of the nose. The moustache dressing helps to control bleeding, reduce swelling, and protect the surgical site. It also helps to keep the nasal packing in place and provides comfort to the patient during the healing process.Rate this question:
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- 39.
What combination of lasers are particularly useful in surgery of the larynx and vocal cords?
- A.
CO2 and argon
- B.
CO2 and helium-neon
- C.
CO2 and Nd:YAG
- D.
Argon and helium-neon
Correct Answer
B. CO2 and helium-neonExplanation
CO2 and helium-neon lasers are particularly useful in surgery of the larynx and vocal cords. CO2 lasers are commonly used for cutting and vaporizing tissue, while helium-neon lasers are used for precise targeting and coagulation. The combination of these two lasers allows for both cutting and sealing of blood vessels, making them ideal for surgical procedures in delicate areas like the larynx and vocal cords.Rate this question:
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- 40.
The most common topical anesthetic agent used in ENT surgery is
- A.
Xylocaine
- B.
Procaine
- C.
Cocaine
- D.
Surfacaine
Correct Answer
C. CocaineExplanation
Cocaine is the most common topical anesthetic agent used in ENT surgery. It is a powerful local anesthetic that provides rapid and effective numbing of the mucous membranes in the ear, nose, and throat. Its vasoconstrictive properties also help to reduce bleeding during surgery. However, due to its potential for abuse and addiction, the use of cocaine as an anesthetic agent is strictly regulated and controlled. It is only used in medical settings under strict supervision.Rate this question:
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- 41.
Irrigation is used with the ear drill
- A.
To remove bone fragments
- B.
To minimize transfer of heat from burr to surrounding structures
- C.
To add moisture
- D.
To control bleeding
Correct Answer
B. To minimize transfer of heat from burr to surrounding structuresExplanation
The correct answer is "to minimize transfer of heat from burr to surrounding structures." When using an ear drill, it is important to minimize the transfer of heat generated by the burr to the surrounding structures. Irrigation is used to achieve this by continuously cooling the area and preventing overheating. This helps to protect the delicate tissues and structures around the drilling site from potential damage caused by excessive heat.Rate this question:
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- 42.
A surgical schedule would describe the procedure to treat acute otitis media as a
- A.
Myringotomy
- B.
Stapes mobilization
- C.
Fenestration operation
- D.
Wullstein procedure
Correct Answer
A. MyringotomyExplanation
A myringotomy is a surgical procedure that involves making a small incision in the eardrum to relieve pressure and drain fluid from the middle ear. This procedure is commonly used to treat acute otitis media, which is an infection of the middle ear. It allows for the removal of fluid and reduces pain and pressure in the ear. The other options, stapes mobilization, fenestration operation, and Wullstein procedure, are not typically used to treat acute otitis media.Rate this question:
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- 43.
In myringotomy, the tube to facilitate drainage is placed into the tympanic membrane with a (n)
- A.
Alligator forceps
- B.
Castroviejo
- C.
Wire loop curette
- D.
Tobey forceps
Correct Answer
A. Alligator forcepsExplanation
In myringotomy, a procedure to relieve pressure and drain fluid from the middle ear, an alligator forceps is used to place a tube into the tympanic membrane. Alligator forceps are commonly used in surgical procedures to grasp and manipulate delicate tissues. They have a scissor-like design with serrated jaws that can securely grip the tympanic membrane without causing damage. This allows for precise placement of the drainage tube, ensuring effective drainage of fluid from the middle ear.Rate this question:
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- 44.
A perforated eardrum is corrected by
- A.
Myringotomy
- B.
Stapedectomy
- C.
Stapedotomy
- D.
Tympanoplasty
Correct Answer
D. TympanoplastyExplanation
Tympanoplasty is a surgical procedure used to repair a perforated eardrum. It involves grafting a piece of tissue onto the eardrum to close the hole and restore its function. This procedure is performed to improve hearing, prevent ear infections, and reduce symptoms such as pain and discharge. Myringotomy is a different procedure that involves making a small incision in the eardrum to relieve pressure or drain fluid. Stapedectomy and stapedotomy are surgeries performed to treat hearing loss caused by a damaged stapes bone in the middle ear.Rate this question:
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- 45.
Severe vertigo may be relieved by
- A.
Stapedectomy
- B.
Myringotomy
- C.
Labyrinthectomy
- D.
Endolymphatic shunt
Correct Answer
C. LabyrinthectomyExplanation
Labyrinthectomy is the correct answer because it involves the surgical removal of the labyrinth, which is the inner ear structure responsible for balance and hearing. Severe vertigo can be caused by problems in the inner ear, such as Meniere's disease, which can be treated by removing the affected labyrinth. This procedure eliminates the source of vertigo and can provide relief for the patient. Stapedectomy, myringotomy, and endolymphatic shunt are not appropriate treatments for severe vertigo.Rate this question:
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- 46.
Middle ear ventilation is facilitated by
- A.
Antrostomy
- B.
Mytingotomy
- C.
Stapedectomy
- D.
Turbinectomy
Correct Answer
B. MytingotomyExplanation
Mytingotomy is the correct answer because it is a surgical procedure that involves making an incision in the eardrum to relieve pressure and improve ventilation in the middle ear. This procedure is commonly used to treat conditions such as chronic otitis media with effusion or Eustachian tube dysfunction, which can cause a buildup of fluid or pressure in the middle ear. By creating a small hole in the eardrum, mytingotomy allows for the equalization of pressure between the middle ear and the external environment, promoting better ventilation and reducing the risk of complications.Rate this question:
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- 47.
Cholesteatoma is treated by doing a
- A.
Tympanoplasty
- B.
Myringotomy
- C.
Stapedectomy
- D.
Mastoidectomy
Correct Answer
D. MastoidectomyExplanation
Cholesteatoma is a condition characterized by the growth of abnormal skin cells in the middle ear. It can lead to hearing loss, dizziness, and recurrent ear infections. Mastoidectomy is the surgical procedure used to remove the infected and damaged mastoid bone, which is often necessary to treat cholesteatoma. This procedure helps to eliminate the infection, prevent its recurrence, and preserve or restore hearing. Tympanoplasty, myringotomy, and stapedectomy are not specifically aimed at treating cholesteatoma and are usually performed for other ear conditions.Rate this question:
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- 48.
A benign tumor arising from the eighth cranial nerve, which may grow to a size that produces neurologic symptoms is a (n)
- A.
Myoma
- B.
Acoustic neruroma
- C.
Teratoma
- D.
Fibroma
Correct Answer
B. Acoustic neruromaExplanation
An acoustic neuroma is a benign tumor that develops from the eighth cranial nerve. This tumor has the potential to grow to a size that can cause neurological symptoms. It commonly presents with symptoms such as hearing loss, tinnitus, and balance problems. Treatment options for an acoustic neuroma may include observation, surgery, or radiation therapy, depending on the size and symptoms of the tumor.Rate this question:
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- 49.
Facial nerve trauma can be decreased by use of
- A.
Computerized nerve monitor
- B.
Fluoroscopy
- C.
Berman locator
- D.
Doppler
Correct Answer
A. Computerized nerve monitorExplanation
A computerized nerve monitor can help decrease facial nerve trauma during surgery or other medical procedures. This device is designed to monitor the facial nerve in real-time, providing feedback to the surgeon about the proximity and integrity of the nerve. By using this monitor, the surgeon can make more precise and informed decisions, reducing the risk of accidental damage to the facial nerve. Fluoroscopy, Berman locator, and Doppler are not specifically designed for monitoring facial nerves and may not provide the same level of accuracy and real-time information as a computerized nerve monitor.Rate this question:
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- 50.
Another name for submucous resection is
- A.
Septoplasty
- B.
Rhinoplasty
- C.
Antrostomy
- D.
Trephination
Correct Answer
A. SeptoplastyExplanation
Submucous resection is another term for septoplasty. Septoplasty is a surgical procedure that aims to correct a deviated septum, which is the displacement of the wall between the nostrils. During septoplasty, the surgeon removes or reshapes the cartilage and bone to straighten the septum, improving airflow and reducing symptoms such as nasal congestion. Therefore, septoplasty is the correct answer as it accurately represents the alternative name for submucous resection.Rate this question:
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Mar 20, 2023Quiz Edited by
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Nov 11, 2012Quiz Created by
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