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Worksheetsotorhinolaryngology
Total questions: 70
Worksheet time: 35mins
Not one of esophagus physiologic constrictions is
in the area of the esophageal inlet
where the aortic arch crosses over the tracheal bifurcation
At crossing of left primary bronchus
At crossing of right primary bronchus
where the esophagus pierces the diaphragm
Allergic rhinitis is a
type I allergic response
type II allergic response
type III allergic response
type IV allergic response
All the above answers are incorrect
Not one of otogenic extracranial complications is
postauricular subperiosteal abscess
Bezold abscess
labyrinthitis
peripheral facial paralysis
thrombophlebitis of the sigmoid sinus
Which one isn’t the character of the onset of Meniere disease?
Most cases present rotation
Nausea, vomiting, sweating, etc are accompanied when vertigo onset frequently
The time of vertigo onset is 1 minute.
Usually, more long history of the disease is, more frequently vertigo attack
Balance dysfunction during vertigo in remission
Subject to the average 500~2000Hz hearing threshold, the threshold of moderate deafness is
41-60dB
26-40dB
≤25dB
61-80dB
≥81dB
On the classification of deafness, which one is incorrect?
According to its pathological quality, deafness can be divided into organic deafness and functional deafness
According to its pathological location, deafness can be divided into conductive deafness, sensorineural deafness and mixed deafness
According to its severity, deafness can be divided into 4 grades: slight deafness, moderate deafness, severe deafness and profound deafness
According to age of deafness occurrence, deafness can be divided into preadult deafness and adult deafness
According to time of deafness appearance, deafness can be divided into acquired deafness and congenital deafness
Which one can’t be seen in X-ray examination of botany foreign body in trachea and bronchus?
atelectasis
emphysema
pulmonary inflammation
shadow of foreign body
non apparent abnormality
The functions of pharynx don’t include
immunity
balance
pressure regulation of the middle ear
participation in the formation of language
breathing
On the opening of nasal sinuses, which one is wrong?
maxillary sinus-middle meatus
frontal sinus-middle meatus
anterior ethmoid sinus-middle meatus
posterior ethmoid sinus-middle meatus
sphenoid sinus-spheno-ethmoic recess
The common pathogenic bacteria causing furuncle of nose is
beta hemolytic streptococcus
staphylococcus aureus
Staphylococcus epidermidis
pseudomonas aeruginosa
colibacillus
The main symptom of acute laryngitis is
coughing
laryngospasmus
hoarseness
dyspnea
fever
The primary treatment of laryngeal carcinoma is
surgery
radiotherapy
chemotherapy
immune therapy
herb therapy
On laryngeal obstruction, which one is incorrect?
Lesions of larynx or its adjacent tissues lead to stenosis or occlusion of laryngeal passage (especially at the glottis), which then cause dyspnea
laryngeal obstruction is a independent disease
laryngeal obstruction is a symptom caused by various etiologies
Obstructive dyspnea caused by laryngeal obstruction often lead to hypoxia and CO2 accumulation
laryngeal obstruction can led to death from suffocation.
A male patient, 35 years old, have had a clogging sensation in throat for 1 hour. Examination: epiglottis was obvious swollen. The primary treatment is
large dose of antibiotic plus dexamethasone
antibiotic
tracheotomy
laryngeal intubation
incision on the site with obvious swelling
The symptom that will not occur in laryngeal obstruction is
inspiratory dyspnea
expiratory dyspnea
inspiratory stridor
depression of soft tissue while inspiration
hypoxia
Female, 17 years old, complained of otodynia, burning sensation, pain gradually aggravating, with tenderness of the tragus and auricular traction pain, diffuse hyperemia, swelling and dampness of the external auditory canal, several small pustules can be seen, which should be diagnosed as
furuncle of external auditory canal
necrotizing otitis externa
acute suppurative otitis media
acute mastoiditis
acute external otitis
The narrowest site in respiratory tract is
posterior nares
anterior nostrils
laryngeal inlet
glottis
subglottis
The narrowest part of the nasal vestibule is
posterior nares
anterior nostril
pyriform aperture
olfactory sulcus
nasal limen
Of the following statements, which one is completely wrong
anterior nasal sinus include the maxillary sinus, anterior ethmoid sinus and frontal sinus
the openings of anterior nasal sinus are located in the middle nasal meatus
posterior nasal sinus include posterior ethmoid sinus and sphenoid sinus
the opening of posterior ethmoid sinus is located in the superior meatus, and opening of sphenoid sinus is located in spheno-ethmoic recess behind and above superior meatus
the presence of purulent secretion in olfactory sulcus suggests the infection of anterior sinuses
The internal ring of pharyngeal lymph does not include
lateral pharyngeal band
palatine tonsil
lingual tonsil
eustachian tube tonsil
retropharyngeal lymph nodes
Choice of treatment for nasopharyngeal carcinoma is
surgery
chemotherapy
radiotherapy
symptomatic treatment
traditional Chinese medicine treatment
The following one structure is not membrane labyrinth
utricle
saccule
part of cerebral dura mater
membranous cochlear duct
membranous semicircular duct
The main symptom of laryngeal obstruction is
inspiratory dyspnea
hoarseness
expiratory dyspnea
cyanosis
paroxysmal barking cough and dyspnea
The most effective treatment in the early stage of acute suppurative otitis media is
systemic application of antibiotics and corticosteroid
systemic application of antibiotics
ear drops of antibiotics
2% phenol glycerin
eustachian tube blowing
The main cause of acute suppurative otitis media in children is
the eustachian tube is short, wide and straight
the isthmus of the eustachian tube is wide
the eustachian tube is immature
infants’ immunity is low
all of the above
Deafness caused by middle ear diseases is
conductive deafness
sensorineural deafness
neural deafness
mixed deafness
central deafness
For the pharyngeal division, which option is correct:
nasopharynx, oropharynx, laryngopharynx
nasopharynx, oropharynx, glossopharynx
oropharynx, laryngopharynx, posterior nares
isthmus, pharynx, mouth
glossopharynx, oropharynx, laryngopharynx
As for the treatment of secretory otitis media, which of the following treatment does not belong to the removal of effusion in the middle ear,
tympanocentesis and aspiration
tympanotomy
myringectomy tube
eustachian tube blowing and dilation
adenoidectomy
The structure with the function of regulating middle ear air pressure is
eustachian tube
pharyngeal tonsil
palatine tonsil
inferior turbinate
lateral pharyngeal cord
Cartilage scaffold of larynx does not include
thyroid cartilage
cricoid cartilage
epiglottis cartilage
hyoid
arytenoid cartilage
Tympanic perforations in cholesteatoma of middle ear is usually located in
central area of pars tensa
posterior and inferior pars tensa
posterior and superior pars tensa or pars flaccida
anterior and inferior pars tensa
posterior and superior pars tensa
Female patient, 40 years old, saleswoman. In the past six months, hoarseness and throat discomfort, were relieved after rest. Examination: the double vocal cords are congested and the mucosa is hypertrophic, but the surface is still smooth. There is a small gap behind the double vocal cords when they are closed. The most likely diagnosis is
acute laryngitis
chronic laryngitis
laryngeal nodal tuberculosis
vocal cord paralysis
laryngeal carcinomia
A patient with furuncle of nose suddenly appeared chill, high fever, severe headache. The likely complication the patient had was
buccal cellulitis
eye cellulitis
upper lip cellulitis
cavernous sinus thrombophlebitis
cephalomeningitis
In term of the composition of pharyngeal wall, the correct choice is
mucosa, submucosa, muscularis, adventitia
mucosa, submucosa, lamina propria, muscularis
mucosa, fibrous layer, muscularis, outer membrane layer
mucosa, fibrous layer, muscularis, adventitia
mucosa, lamina propria, muscularis, outer membrane layer
Peripheral facial paralysis refers to facial paralysis caused by the lesion of below which segment of facial nerve?
labyrinth segment
tympanum segment
mastoid segment
facial nucleus segment
cone segment
In chronic suppurative otitis media, part of the edge of the perforation of the tympanic membrane has reached the tympanic sulcus, where there is no residual tympanic membrane. The perforation is called
A central perforation
B tension perforation
C marginal perforation
D relaxation perforation
E none of the above
In patients with acute suppurative otitis media, 2% glycerin carbonate ear drops were stopped immediately after tympanic membrane perforation because glycerin carbonate
A has only analgesic effect
B has no better effect than antibiotic water solution
C has corrosive effect on tympanic mucosa and tympanic membrane
D oil is not easy to enter the middle ear through perforation
E none of the above
The main basis for the diagnosis of chronic sinusitis is
A empyema in middle meatus
B headache aggravation in the afternoon
C purulent secretion in maxillary sinus puncture
D sinus cavity blur in X-ray examination
E all of the above
Which of the following is the main basis for the diagnosis of chronic tonsillitis
A recurrent attacks of acute tonsillitis
B unsmooth surface of tonsil
C chronic congestion of tonsil and lingual and palatal arch
D pus thrombus discharged when tonsillar crypts are compressed.
E lymphadenopathy of mandibular angle
The most common site of epistaxis is
A inferior meatus
B middle meatus
C top of nose
D anterior inferior area of nasal septum
E anterior superior part of nasal septum
There is often intermittent alternating nasal obstruction. Consider
A acute rhinitis
B chronic simple rhinitis
C chronic hypertrophic rhinitis
D allergic rhinitis
E atrophic rhinitis
It does not conform to the clinical manifestations of chronic hypertrophic rhinitis
A unilateral or bilateral persistent nasal obstruction
B tinnitus and hearing impairment may occur
C The mucosa of inferior turbinate is nodular or mulberry
D the probe has a sense of firmness
E it is sensitive to vasoconstrictor
Which of the following is the main cause of acute suppurative otitis media
A bacteria infect through eustachian tube
B ear digging damages tympanic membrane
C malnutrition
D blood infection
E improper transformation of secretory otitis media
Which of the following is not a clinical manifestation of secretory otitis media
A hearing loss
B tinnitus
C inner ear occlusion
D a small amount of secretion intermittently from external auditory meatus
E self hearing enhancement
Chronic suppurative maxillary sinusitis generally does not appear
A nasal obstruction
B massive purulent discharge
C dizziness and headache
D olfactory decline or disappearance
E vision decline
The main pathogens causing acute tonsillitis are
A hemolytic streptococcus
B non hemolytic streptococcus
C staphylococcus
D pneumococcus
E influenza virus
The main cause of acute epiglottis is
A bacterial infection
B trauma
C viral infection
D inhalation of harmful gas
E foreign body
The common symptoms of acute epiglottis are not
A chills, fever
B sore throat
C hoarseness
D dyspnea
E dysphagia
The main symptoms of chronic laryngitis are
A hoarseness
B throat discomfort
C cough
D dyspnea
E fever
The most frequent occurrence part of vocal nodule is
A anterior 2/3 of vocal cords
B posterior 1/3 of vocal cords
C the whole vocal cords
D at the junction of the anterior and middle 1/3 of the vocal cords
E at the junction of the middle and posterior 1/3 of the vocal cords
More than 90% of laryngeal malignant tumors are pathological types
A adenocarcinoma
B squamous cell carcinoma
C basal cell carcinoma
D lymphosarcoma
E malignant neurofibroma
Typical clinical symptoms of Meniere's disease do not include
A paroxysmal vertigo
B fluctuating hearing loss
C tinnitus
D ear fullness
E consciousness disorder during paroxysmal period
Necessary for diagnosis of Meniere's disease
A history
B glycerin test positive
C imaging test
D displacement test positive
E one vestibular dysfunction
Based on the average hearing threshold of 500-2000hz, the hearing threshold of severe deafness is
A 41-60dB
B 26-40dB
C ≤25dB
D 61-80dB
E ≥81dB
The lesions of sensorineural hearing loss can be found in
A external auditory meatus
B tympanic membrane
C ossicular chain
D middle ear
E cochlea
The most common clinical ototoxic antibiotics are
A aminoglycoside antibiotics
B sulfanilamide antibiotics
C macrolide antibiotics
D penicillin antibiotics
E tetracyclines
The most common pathogens causing furuncle are
A hemolytic streptococcus
B Staphylococcus aureus
C epidermidis
D Pseudomonas aeruginosa
E colibacillus
Choice of treatment for nasopharyngeal carcinoma is
A surgery
B chemotherapy
C radiotherapy
D symptomatic treatment
E traditional Chinese medicine treatment
In the treatment of acute sinusitis, the following mistakes are made
A keep the drainage of the paranasal sinus unobstructed
B control infection
C prevent complications
D puncture and wash the maxillary sinus after the control of acute inflammation
E perform endoscopic surgery as early as possible
The necessary symptoms of chronic suppurative sinusitis are
A nasal obstruction
B headache
C anosmia
D purulent discharge
E halitosis
It is not the local factor that causes chronic pharyngitis
A recurrent acute pharyngitis turns into chronic
B chronic inflammation of upper respiratory tract stimulates
C long term excessive smoking and drinking
D voice abuse by teachers and singers
E irregular diet
Dyspnea caused by laryngeal obstruction is divided into
A one degree
B two degrees
C three degrees
D four degrees
E five degrees
The most unlikely clinical manifestations of patients with chronic hypertrophic rhinitis are
A open nasal sound
B tinnitus
C tear overflow
D headache
E olfactory decline
The four depression signs in soft tissue of dyspnea are
A inspiratory soft tissue depression of the suprasternal fossa, the supraclavicular fossa, the upper abdomen and the intercostal space
B inspiratory soft tissue depression of the infrasternal fossa, the supraclavicular fossa, the upper abdomen and the intercostal space
C inspiratory soft tissue depression of the suprasternal fossa, the supraclavicular fossa, the infraclavicular fossa and the intercostal space
D inspiratory soft tissue depression of the suprasternal fossa, the infrasternal fossa, the supraclavicular fossa and the intercostal space
E inspiratory soft tissue depression of the suprasternal fossa, the supraclavicular fossa, infraclavicular fossa and intercostal space
The patient, 19 years old, has the habit of digging ear. The otalgia was severe. When chewing or speaking, the pain was more severe. There was obvious tenderness of the tragus and auricle traction pain. Localized swelling and swelling could be seen in the cartilage of the external auditory meatus. The best diagnosis is
A acute mastoiditis
B acute suppurative otitis media
C necrotizing otitis externa
D furuncle of external auditory meatus
E diffuse external otitis
A 6-year-old boy suffered from fever, chills and anorexia 3 days ago. He said that he suffered from sore throat, pain in both ears and yellow ear leakage. No special treatment was given. Physical examination shows that there is no redness and swelling in the external auditory canal, and there is a lot of pus in the external auditory canal, which appears rapidly after being cleaned. The skin of mastoid is slightly swollen and flushed, and the tenderness of mastoid tip is obvious. The most likely diagnosis of this child is
A acute suppurative otitis media, acute mastoiditis
B chronic suppurative otitis media, acute mastoiditis
C acute suppurative otitis media
D chronic suppurative otitis media
E furuncle of external auditory meatus
The common pathogenic bacteria of chronic suppurative otitis media are
A aureus
B Pseudomonas aeruginosa
C Proteus
D Klebsiella
E all of the above
In the following theories of etiology of Meniere's disease, it is possible that
A theory of endolymphatic dysfunction
B theory of semicircular calculus
C theory of crest calculus
D theory of injury
E theory of trace element deficiency
The correct treatment of furuncle of external auditory meatus is
A all should be cut to discharge pus
B if the furuncle is large and has obvious fluctuation, it should not be cut and drained
C the incision should be parallel to the longitudinal axis of the external auditory meatus
D if it needs to be cut, the cut should be as deep as possible
E it cannot be treated with microwave because microwave treatment will lead to the spread of inflammation
The following that are not the main causes of sensorineural hearing loss is
A noise deafness
B ototoxic deafness
C idiopathic sudden deafness
D secretory otitis media
E senile deafness
