WorksheetsQuiz on Respiratory Conditions
Total questions: 73
Worksheet time: 1hrs 9mins
A 25-year-old man visits an ENT clinic, complaining of intermittent nasal congestion for the past 5 years. The complaint is accompanied by a runny nose, no nasal itching, and no sneezing, worsening at work. The patient works as a chemical plant analyst and often takes cold medicine to alleviate symptoms. Due to his complaints, he frequently wakes up at night. What mediator causes the runny nose in this case?
Acetylcholine
Nitric Oxide
Noradrenaline
Neuropeptide Y
Vasoactive Intestinal Peptide
A 25-year-old woman complains of a continuous runny nose, accompanied by nasal itching, watery eyes, and itchy eyes. The symptoms are felt after contact with her pet cat and last for 2 hours after exposure. What inflammatory mediator is released during the late-phase allergic reaction?
IL-4, IL-13
GM-CSF, TNF-α
Interferon gamma, IL-10
Prostaglandin, LTC4, LTD4
Platelet Activating Factor, Bradykinin
A 3-year-old child is brought to the ENT clinic by his mother with complaints of intermittent nasal congestion for the past 3 months. The patient has no complaints of difficulty sleeping and snoring. Previously, the patient complained of a full sensation in the ear and was examined by a doctor with the result of a type B tympanogram. The patient has often complained of sneezing in the morning, clear runny nose, and itchy eyes since childhood. These complaints are felt daily without disrupting daily activities. In this case, the most likely multimorbidity found in this patient is:
Allergic rhinitis
Non-allergic rhinitis
Otitis media with effusion
Adenotonsillar hypertrophy
Allergic conjunctivitis
A 20-year-old woman is referred from the asthma clinic, with the main complaint of nasal congestion for the past 6 months, accompanied by sneezing, clear watery nasal discharge, and nasal itching. Anterior rhinoscopy shows bilateral edema, pale mucosa, and serous secretions in the inferior and middle turbinates. Due to her complaints, the patient often wakes up at night. What is the main substance causing sleep disturbances in this case?
Prostaglandin
Leukotriene
Bradykinin
Serotonin
Histamine
A 6-year-old child is brought to the ENT clinic by his mother with complaints of intermittent nasal congestion for the past 3 months. The patient also complains of difficulty sleeping and snoring. Previously, the patient complained of a full sensation in the ear and was examined by an ENT doctor with the result of a type A tympanogram. The patient has often complained of sneezing in the morning, clear runny nose, and itchy eyes since childhood. These complaints are felt daily without disrupting daily activities. The management to address the primary disease and the multimorbidity that occurs is:
Avoidance of allergens and nasal irrigation
Nasal irrigation and intranasal corticosteroids
Avoidance of allergens, antihistamines, and nasal irrigation
Antihistamines, nasal irrigation, and intranasal corticosteroids
Antihistamines, intranasal decongestants, and intranasal corticosteroids
The hypothesis that best explains the interaction between the upper and lower airways in the concept of United Airway Disease is?
Autonomic nervous system
Bronchial nasal reflex
Inf
Which hypothesis best explains the interaction between the upper and lower respiratory tracts in the concept of United Airway Disease?
Autonomic respiratory system
Bronchial nasal reflex
Systemic inflammation
Neural regulation
Vagal reflex
A 16-year-old male student complains of nasal congestion and clear runny nose, especially when exposed to dust, with a frequency of more than 4 times a week, affecting his concentration. The skin prick test is positive for house dust mites. What is the correct diagnosis according to Aria 2020?
Mild intermittent allergic rhinitis
Moderate-severe intermittent allergic rhinitis
Mild persistent allergic rhinitis
Moderate-severe persistent allergic rhinitis
Non-allergic rhinitis
A woman presents with nasal congestion for 10 days accompanied by runny nose affecting her work. She is a textile worker, and anterior rhinoscopy shows normal nasal mucosa with increased clear watery secretion. The SPT result is negative. What is the pathophysiology in this case?
Mucosal atrophy
Th2 immune response
Type 1 hypersensitivity reaction
Neurogenic inflammation
Hormonal imbalance
Which statement is true regarding allergic rhinitis and asthma?
There is no evidence of inflammation in the upper and lower airways in patients with allergic rhinitis or asthma.
Medical treatment of allergic rhinitis in patients with concurrent asthma does not affect asthma symptoms.
Allergic rhinitis is an independent risk factor for the development of asthma.
Targeted/specific immunotherapy in patients with allergic rhinitis without asthma does not seem to slow or prevent the subsequent development of asthma.
Forget
A 42-year-old man complains of continuous clear nasal discharge, accompanied by itchy nose, watery eyes, and itchy eyes. Symptoms are felt after contact with a pet cat and last for 2 hours after exposure. What allergic process may occur in this case?
Late phase process occurring more than 2 hours after exposure
Early phase process occurring minutes after exposure
Decreased vascular permeability after exposure
Remodeling process occurring minutes after exposure
Bronchial hyperresponsiveness in the late phase
What is allergy?
Forget
Forget
In the allergic process, what role do basophils play?
Produce mediators such as histamine, tryptase, cystein leukotrienes (LTC4, LTD4, LTE4), and prostaglandins.
Forget
A patient comes to the emergency department suspicious of having swallowed a coin or battery. What is the characteristic finding for a battery on a lateral and AP thorax X-ray?
Step off and double rim
Double rim and step off
Thumb sign and double rim
Double rim and thumb sign
Step off and halo sign
What are the natural barriers possessed by the esophagus?
Saliva, SEA, SEB, peristalsis, clearance
Carbonic anhydrase, SEA, SEB, peristalsis, clearance
Saliva, SEA, transient relaxation SEB, clearance
Carbonic anhydrase, transient relaxation SEB, SEA, peristalsis, clearance
In cases where a foreign body cannot be removed on the first attempt, when should the next plan for esophagoscopy be performed?
Within 24 hours
Wait for the patient's condition to improve
In the next 6 hours
After 48 hours
After a repeat cervical X-ray
What is the gold standard for oropharyngeal dysphagia?
VFSS
FEES
SEES
A and B
A, B, and C
A patient complains of being unable to swallow and has hypersalivation. The patient is suspected of having swallowed several packets of heroin. What is the appropriate action?
Administer a laxative
Wait for it to pass in feces
Immediate esophagoscopy
Discharge the patient
Push the heroin into the stomach
A patient comes in with complaints of inability to swallow for several hours. The history shows they swallowed meatballs about 2 hours ago. What findings are expected from the cervical X-ray?
Thickening in the retrotracheal area
Radiopaque finding in the retrotrachea on soft tissue cervical X-ray
Air bubble finding
Radiolucent finding in the retrotrachea
Lordosis curve
A 25-year-old female attempted suicide by ingesting poison, after which the poison was attempted to be expelled, resulting in severe coughing. The patient has erythema on the lips and oropharynx. Currently, there are no complaints from the patient. What is the management for this patient?
Discharge with medication
Observation for 24 hours due to risk of laryngeal edema
Esophagoscopy
ICU observation
Forget
A 22-year-old woman was brought to the emergency department after ingesting toilet cleaner in a suicide attempt 1 hour ago. According to her friend, the patient vomited after ingesting the cleaner. The information on the cleaner's packaging indicates that the active ingredient is hydrochloric acid. The patient appears conscious but weak, with redness and blisters around her lips. Which of the following statements is correct?
Which of the following statements is most appropriate for the above case?
The corrosive substance causes the mucosa and muscle layer of the esophagus to appear to dissolve
Severe burns on the patient's lips do not indicate severe esophageal damage
Damage to the esophagus is worse than that to the patient's stomach
The nature of the corrosive substance and tissue reaction allows it to penetrate to the deepest layers of the esophagus
The mechanism of damage is dehydration and necrosis of the esophageal and gastric mucosa
A 35-year-old man complains of difficulty swallowing for 6 months, worsening, with a weight loss of 10 kg. He feels a lump in his chest. He can eat and drink a little, but shortly after, he vomits again. Currently, he has not been able to eat or drink for 2 weeks but vomits shortly after.
What is the diagnosis?
What supporting examination?
What is expected from the examination results?
What is the treatment?
A study will be conducted where the population is given a serial number and then taken randomly. The appropriate sampling technique used in this study is...
Simple random sampling
Cluster sampling
Stratified random sampling
Total sampling
Non-random sampling
A nurse working at an athlete's dormitory suffers from fever, cough, and cold. The entire family of the nurse is examined and a PCR swab is performed. This action is a prevention...
Primary prevention (for the nurse's family)
Secondary prevention (for the nurse)
Tertiary prevention
Partial prevention
Total prevention
At the age of 3 years, a child can speak 10-15 words. Sometimes the words formed cannot be understood. The child can follow 1-2 instructions. What is the language development that is not appropriate?
Semantics
Morphology
Phonology
Sequence
Pragmatics
A 3-year-old child with speech disorders and a history of febrile seizures has a wave V obtained at 20 dB in further examination?
Cochlear microphonic
Cognitive examination
EEG
A doctor at a textile factory conducts hearing screening for employees.
What is the wave V at 20dB follow-up examination?
Cochlear microphone
Cognitive examination
EEG
A factory doctor conducts hearing screening for employees. No hearing impairment is found. What is the next step?
Mapping noise locations
Counseling to use hearing protection
Job rotation
Hearing screening twice a year
Forget
Tertiary prevention for allergic rhinitis patients:
Avoiding dust
Avoiding forgetfulness
Forget
Cleaning and washing carpets
Forget
A 16-year-old school child experiences academic decline. Difficulty understanding several commands (forget).
Attention deficit disorder
Auditory neuropathy
Visual processing disorder
Auditory processing disorder
Forget
Which OAE results are correct?
1 and 2
2 and 3
3 and 4
4 and 5
5 and 6
A student complains of dizziness for the past 2 months, symptoms worsen at work. Ears feel full. The complaint corresponds to:
Hennebert Sign
Tullio Sign
Hypoacusis
Forget
Forget
A boy (forget) with enlarged adenoids and deviated septum? Experiences nasal consonant production disorders while speaking. What consonant disorder is likely occurring in this child?
Hypernasal with issues in the letter 'M'
Hypernasal with issues in the letter 'N'
Hypernasal with issues in the letter 'NG'
Hypo nasal with issues in the letter 'M'
Hypo nasal with issues in the letter 'L'
JCIH 2019 updates the hearing screening scheme to include interventions at 3 months of age.
When should screening be conducted for a patient undergoing Cisplatin-5FU chemotherapy?
2 weeks
1 month
4 months
6 months
1 year
A boy complains of declining learning performance. Unable to follow instructions sequentially (similar to the question above). Recommended examination --> P300.
A 30-month-old child with a history of seizures has not been able to speak like children of the same age.
A 7-month-old boy is brought by his parents with complaints of frequent choking while drinking since he started breastfeeding. He has a cough and is having difficulty making sounds. What is the possible diagnosis for this patient?
Laryngomalacia
Vocal cord paresis
Laryngeal cleft
Laryngeal stenosis
A woman comes to the ENT emergency department with complaints of pain while swallowing, difficulty opening her mouth, and swelling in the right side of her neck for the past week. On examination, she is found to have moderate pain, blood pressure 150/100, pulse 100 beats/min, respiratory rate 25 breaths/min, temperature 38 C. There is swelling in the right submandibular region, hard on palpation, hyperemic, tender, and fluctuating. What is the appropriate management?
3rd generation cephalosporin + sulfa
Amoxiclav + ampicillin
Quinolone (CIPRO / LEVO) + metronidazole
A 23-year-old man comes to the emergency department with complaints of severe throat pain and difficulty eating and drinking. The pain has been present for 4 days accompanied by high fever. On physical examination, the left palatine tonsil is larger than the right, T4-T2, and the uvula is deviated to the contralateral side. What is the likely diagnosis for this patient?
Sialadenitis
Ludwig's angina
Chronic tonsillitis
Diphtheritic pharyngitis
A 6-year-old boy has had a hoarse voice for the past 6 months. He often shouts while playing soccer with his friends. What is the diagnosis?
Laryngitis
Forget
Forget
Vocal cord nodules
Forget
A patient snores while sleeping, has a slight deviation of the septum, hypertrophy of the turbinates T3-T3, Friedman Tongue Position 3, AHI 85. What is the appropriate management?
Septoplasty
CAPSO
UPPP
Tongue reduction
Sleeping pills
A male patient comes to the sleep clinic with complaints of snoring and feeling sleepy and weak at work. A polysomnography shows an apnea index AHI of 2.1. What is happening to this patient?
Snoring
Sleep Apnea
Upper airway resistance (UARS)
OSA
A 30-year-old man complains of a hoarse voice that sometimes feels tight. He was previously treated in the ICU with a ventilator for 1 week. What is the grade of the condition in the above patient?
Grade 1
Grade 2
Grade 3
Grade 4a
Grade 4b
A child has a picture of the larynx with nodules and lesions on the anterior vocal cord. What is the diagnosis?
Laryngeal TB
Laryngeal papilloma
Laryngeal cyst
Laryngeal nodules
Laryngeal polyp
A 16-year-old woman has had a sore throat for the past week. She appears slightly weak, pulse 100 beats per minute, temperature 37.5 degrees C, and there is a grayish pseudomembrane on the tonsils. The submandibular lymph nodes are palpable and not tender. What is the next management?
Tracheostomy
Antibiotics
Observation for 5-7 days
Culture and swab of the tonsils
A child comes in with difficulty breathing, stridor on inspiration, and intercostal retractions. The immunization history is incomplete. What is the emergency in this case?
What is the emergency condition in the above case?
Sumbatan jalan nafas bawah
Sumbatan jalan nafas atas
Infeksi saluran nafas atas
What is the management for post-thyroid dyspnea, with bilateral abduction examination results?
Aritenoidektomi
Lateralisasi
Injeksi botulinum
Medialisasi
Lupa
What is the management for a patient with adduction paresis?
Aritenoidektomi
Lateralisasi
Injeksi botulinum
Medialisasi
lupa
An 8-month-old baby weighing 4800g comes with noisy breathing while crying and breastfeeding, worsening for 1 month. What is the next management?
Oksigen
Intubasi rawat nicu
AB 10 hari
Lupa
Supraglotoplasti
An 18-year-old teenager is brought to the ER with complaints of sore throat for 2 days, noisy breathing, shortness of breath, and difficulty swallowing. Diagnosis?
Croup
Laringitis akut
epiglotitis akut
Laringiris trakeobronkial
A baby with continuous cough and fever. Diagnosis?
Laringitis
Epiglotitis
Laringomalasia
Croup
A baby since birth often cries while breastfeeding, has shortness of breath, suprasternal retraction, and inspiratory stridor. The saturation is 93%. Endoscopy shows the arytenoid drawn to the rima glottis during inspiration. What determines the severity of the above case?
gangguan nafas
Gangguan napas dan gangguan makan
Tipe laringomalasia
Stridor inspirasi
retraksi suprasternal
A 6-year-old child is brought by his parents with complaints of hoarse voice, cough, and frequent epigastric pain for 1.5 months, also accompanied by a feeling of obstruction. What do you expect to find in fiber optic laryngoscopy?
Eritem, pseudosulcus vocalis
Eritem, edema posterior laring
Eritem, edema posterior laring, edema reinke
Eritem, edema aritenoid, edema reinke
Eritem, edema aritenoid, edema reinke, granuloma bilateral pada laring posterior
A man is brought by his wife with complaints of snoring... Sometimes wakes up due to choking. Polysomnography shows AHI 20 and LSAT 75%. Based on this, what is the stage of OSA that the man suffers from?
OSA berat
OSA ringan
OSA sedang
OSA berat
OSA sangat berat
An 8-month-old baby girl comes to the emergency unit with the main complaint of noisy breathing for the past 3 days. The complaint is accompanied by shortness of breath and frequent choking while breastfeeding.
A female infant, 8 months old, comes to the emergency unit with the main complaint of noisy breathing for the past 3 days. The complaint is accompanied by shortness of breath and frequent choking while breastfeeding. There is no fever, cough, or cold previously. The patient has a history of PDA surgery. Physical examination reveals inspiratory stridor and mild retraction in the suprasternal area. Radiologic examination of the soft tissue of the neck shows narrowing in the supraglottic area. The same complaint was experienced 2 months ago but resolved on its own. What is the most accurate diagnosis for this patient?
Acute epiglottitis
Laryngomalacia
Laryngeal papilloma
Tracheobronchitis
Unilateral paresis
What is the drug of choice for low dose long term macrolide for chronic rhinosinusitis?
(a)
What is the drug of choice for low dose long term macrolide for chronic rhinosinusitis?
Erythromycin
Azithromycin
Clarithromycin
Gentamycin
Kanamycin
A 42-year-old woman comes to the clinic with complaints of left cheek pain for 1 week accompanied by a blocked right nose with thick mucus for 6 months, DM-, upper left molar tooth 11 is painful. Naso: appears to be left middle meatus edema with purulent secretions, CT Scan shows isodense lesions in the left maxillary sinus and hyperdense lesions in the center of the lesion. Possible diagnosis?
ECRS
RSK Fungus ball
AFRS
RSK odontogenic
Inverted papilloma
A 9-year-old boy is referred from the eye clinic with complaints of swelling in the right eye for 2 days. Upon examination, the right eye is difficult to open, vision is good, and the eyeball can move in all directions. There is a history of thick yellow mucus for the past 3 weeks. Nasal endoscopy shows edema and hyperemia of the right middle meatus with mucopurulent secretions. What is the diagnosis of this patient?
Acute rhinosinusitis with orbital complication Chandler 1
Acute rhinosinusitis with orbital complication Chandler 2
Acute rhinosinusitis with orbital complication Chandler 3
Acute rhinosinusitis with orbital complication Chandler 4
Acute rhinosinusitis with orbital complication Chandler 5
A 30-year-old man comes with complaints of total nasal obstruction for 2 days after being hit by his friend. Fever +, Pain. Anterior rhinoscopy shows hyperemic, bulging nasal septum with fluctuation. Diagnosis?
Septal abscess
Septal hematoma
Vestibulitis
A 50-year-old man comes to the emergency department with complaints of active bleeding from the right nose for the past 30 minutes and suddenly. Blood pressure measured twice is 170/100 and 180/100. Possible source of bleeding:
Anterior ethmoidal artery
Woodruff's area
Descending palatine artery
Little's area
Kieselbach's plexus
A 40-year-old woman has a nosebleed flowing back into the throat, for the past 30 minutes and suddenly. Blood pressure measured twice is 170/100 and 180/100. Possible source of bleeding:
Posterior nasal septum
Posterior middle concha
Sphenopalatine
A 43-year-old man presented with a 3 weeks history of facial pain, nasal congestion, fever 38.7°C and purulent nasal discharge. Symptoms were slowly improving following 10 days of antibiotic prescription, but remained persistent. He had these symptoms 6-7 times per year. Which of the following statements is the most correct for ancillary test:
MRI to exclude malignancy
CT scan has no indication
CT scan is necessary to seek for implications
CT scan is necessary to determine which sinus is involved
A woman comes with complaints of nasal obstruction on the right and left. Anterior rhinoscopy shows the presence of
