1.
Which is not true about Ticks Ear FBs?
Correct Answer
A. Blood sac moves medially
Explanation
The blood sac in Ticks Ear FBs does not move medially.
2.
When sewing an ear laceration, sew skin rather tightly to ensure proper healing
Correct Answer
B. False
Explanation
Sew loosely for draining and healing.
3.
Kiesselbach's area or plexus is located posteriorly in the nose
Correct Answer
B. False
Explanation
anteriorly
4.
Likely source of bleeding from nostrils
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.
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.
6.
Which turbinate is hypertrophied with the deviated nasal septum?
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.
7.
MC location of epistaxis
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.
8.
Which artery is associated with a posterior epistaxis
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.
9.
Location of nose bleed that is profuse, does not stop and ALWAYS requires treatment
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.
10.
What is not a treatment option for posterior nasal /sphenopalatine a. bleed?
Correct Answer
D. Electrocauterization
Explanation
Silver nitrate cautery stick may be used though.
11.
How long do you leave epistaxis packing "tampons" in for? (Depending on comorbidities, etc)
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.
12.
What is the Abx ointment that is used on gauze packing for epistaxis treatment?
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.
13.
What is the correct method for using an Epistat for epistaxis treatment?
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
Correct Answer
B. False
Explanation
MUST be admitted