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Quiz on Respiratory Conditions

Total questions: 73

Worksheet time: 1hrs 9mins

Name
Class
Date
1.

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?

a)

Acetylcholine

b)

Nitric Oxide

c)

Noradrenaline

d)

Neuropeptide Y

e)

Vasoactive Intestinal Peptide

2.

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?

a)

IL-4, IL-13

b)

GM-CSF, TNF-α

c)

Interferon gamma, IL-10

d)

Prostaglandin, LTC4, LTD4

e)

Platelet Activating Factor, Bradykinin

3.

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:

a)

Allergic rhinitis

b)

Non-allergic rhinitis

c)

Otitis media with effusion

d)

Adenotonsillar hypertrophy

e)

Allergic conjunctivitis

4.

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?

a)

Prostaglandin

b)

Leukotriene

c)

Bradykinin

d)

Serotonin

e)

Histamine

5.

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:

a)

Avoidance of allergens and nasal irrigation

b)

Nasal irrigation and intranasal corticosteroids

c)

Avoidance of allergens, antihistamines, and nasal irrigation

d)

Antihistamines, nasal irrigation, and intranasal corticosteroids

e)

Antihistamines, intranasal decongestants, and intranasal corticosteroids

6.

The hypothesis that best explains the interaction between the upper and lower airways in the concept of United Airway Disease is?

a)

Autonomic nervous system

b)

Bronchial nasal reflex

c)

Inf

7.

Which hypothesis best explains the interaction between the upper and lower respiratory tracts in the concept of United Airway Disease?

a)

Autonomic respiratory system

b)

Bronchial nasal reflex

c)

Systemic inflammation

d)

Neural regulation

e)

Vagal reflex

8.

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?

a)

Mild intermittent allergic rhinitis

b)

Moderate-severe intermittent allergic rhinitis

c)

Mild persistent allergic rhinitis

d)

Moderate-severe persistent allergic rhinitis

e)

Non-allergic rhinitis

9.

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?

a)

Mucosal atrophy

b)

Th2 immune response

c)

Type 1 hypersensitivity reaction

d)

Neurogenic inflammation

e)

Hormonal imbalance

10.

Which statement is true regarding allergic rhinitis and asthma?

a)

There is no evidence of inflammation in the upper and lower airways in patients with allergic rhinitis or asthma.

b)

Medical treatment of allergic rhinitis in patients with concurrent asthma does not affect asthma symptoms.

c)

Allergic rhinitis is an independent risk factor for the development of asthma.

d)

Targeted/specific immunotherapy in patients with allergic rhinitis without asthma does not seem to slow or prevent the subsequent development of asthma.

e)

Forget

11.

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?

a)

Late phase process occurring more than 2 hours after exposure

b)

Early phase process occurring minutes after exposure

c)

Decreased vascular permeability after exposure

d)

Remodeling process occurring minutes after exposure

e)

Bronchial hyperresponsiveness in the late phase

12.

What is allergy?

a)

Forget

b)

Forget

13.

In the allergic process, what role do basophils play?

a)

Produce mediators such as histamine, tryptase, cystein leukotrienes (LTC4, LTD4, LTE4), and prostaglandins.

b)

Forget

c)
14.

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?

a)

Step off and double rim

b)

Double rim and step off

c)

Thumb sign and double rim

d)

Double rim and thumb sign

e)

Step off and halo sign

15.

What are the natural barriers possessed by the esophagus?

a)

Saliva, SEA, SEB, peristalsis, clearance

b)

Carbonic anhydrase, SEA, SEB, peristalsis, clearance

c)

Saliva, SEA, transient relaxation SEB, clearance

d)

Carbonic anhydrase, transient relaxation SEB, SEA, peristalsis, clearance

16.

In cases where a foreign body cannot be removed on the first attempt, when should the next plan for esophagoscopy be performed?

a)

Within 24 hours

b)

Wait for the patient's condition to improve

c)

In the next 6 hours

d)

After 48 hours

e)

After a repeat cervical X-ray

17.

What is the gold standard for oropharyngeal dysphagia?

a)

VFSS

b)

FEES

c)

SEES

d)

A and B

e)

A, B, and C

18.

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?

a)

Administer a laxative

b)

Wait for it to pass in feces

c)

Immediate esophagoscopy

d)

Discharge the patient

e)

Push the heroin into the stomach

19.

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?

a)

Thickening in the retrotracheal area

b)

Radiopaque finding in the retrotrachea on soft tissue cervical X-ray

c)

Air bubble finding

d)

Radiolucent finding in the retrotrachea

e)

Lordosis curve

20.

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?

a)

Discharge with medication

b)

Observation for 24 hours due to risk of laryngeal edema

c)

Esophagoscopy

d)

ICU observation

e)

Forget

21.

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?

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22.

Which of the following statements is most appropriate for the above case?

a)

The corrosive substance causes the mucosa and muscle layer of the esophagus to appear to dissolve

b)

Severe burns on the patient's lips do not indicate severe esophageal damage

c)

Damage to the esophagus is worse than that to the patient's stomach

d)

The nature of the corrosive substance and tissue reaction allows it to penetrate to the deepest layers of the esophagus

e)

The mechanism of damage is dehydration and necrosis of the esophageal and gastric mucosa

23.

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.

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24.

What is the diagnosis?

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25.

What supporting examination?

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26.

What is expected from the examination results?

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27.

What is the treatment?

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28.

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...

a)

Simple random sampling

b)

Cluster sampling

c)

Stratified random sampling

d)

Total sampling

e)

Non-random sampling

29.

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...

a)

Primary prevention (for the nurse's family)

b)

Secondary prevention (for the nurse)

c)

Tertiary prevention

d)

Partial prevention

e)

Total prevention

30.

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?

a)

Semantics

b)

Morphology

c)

Phonology

d)

Sequence

e)

Pragmatics

31.

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?

a)

Cochlear microphonic

b)

Cognitive examination

c)

EEG

32.

A doctor at a textile factory conducts hearing screening for employees.

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33.

What is the wave V at 20dB follow-up examination?

a)

Cochlear microphone

b)

Cognitive examination

c)

EEG

34.

A factory doctor conducts hearing screening for employees. No hearing impairment is found. What is the next step?

a)

Mapping noise locations

b)

Counseling to use hearing protection

c)

Job rotation

d)

Hearing screening twice a year

e)

Forget

35.

Tertiary prevention for allergic rhinitis patients:

a)

Avoiding dust

b)

Avoiding forgetfulness

c)

Forget

d)

Cleaning and washing carpets

e)

Forget

36.

A 16-year-old school child experiences academic decline. Difficulty understanding several commands (forget).

a)

Attention deficit disorder

b)

Auditory neuropathy

c)

Visual processing disorder

d)

Auditory processing disorder

e)

Forget

37.

Which OAE results are correct?

a)

1 and 2

b)

2 and 3

c)

3 and 4

d)

4 and 5

e)

5 and 6

38.

A student complains of dizziness for the past 2 months, symptoms worsen at work. Ears feel full. The complaint corresponds to:

a)

Hennebert Sign

b)

Tullio Sign

c)

Hypoacusis

d)

Forget

e)

Forget

39.

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?

a)

Hypernasal with issues in the letter 'M'

b)

Hypernasal with issues in the letter 'N'

c)

Hypernasal with issues in the letter 'NG'

d)

Hypo nasal with issues in the letter 'M'

e)

Hypo nasal with issues in the letter 'L'

40.

JCIH 2019 updates the hearing screening scheme to include interventions at 3 months of age.

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41.

When should screening be conducted for a patient undergoing Cisplatin-5FU chemotherapy?

a)

2 weeks

b)

1 month

c)

4 months

d)

6 months

e)

1 year

42.

A boy complains of declining learning performance. Unable to follow instructions sequentially (similar to the question above). Recommended examination --> P300.

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43.

A 30-month-old child with a history of seizures has not been able to speak like children of the same age.

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44.

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?

a)

Laryngomalacia

b)

Vocal cord paresis

c)

Laryngeal cleft

d)

Laryngeal stenosis

45.

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?

a)

3rd generation cephalosporin + sulfa

b)

Amoxiclav + ampicillin

c)

Quinolone (CIPRO / LEVO) + metronidazole

46.

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?

a)

Sialadenitis

b)

Ludwig's angina

c)

Chronic tonsillitis

d)

Diphtheritic pharyngitis

47.

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?

a)

Laryngitis

b)

Forget

c)

Forget

d)

Vocal cord nodules

e)

Forget

48.

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?

a)

Septoplasty

b)

CAPSO

c)

UPPP

d)

Tongue reduction

e)

Sleeping pills

49.

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?

a)

Snoring

b)

Sleep Apnea

c)

Upper airway resistance (UARS)

d)

OSA

50.

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?

a)

Grade 1

b)

Grade 2

c)

Grade 3

d)

Grade 4a

e)

Grade 4b

51.

A child has a picture of the larynx with nodules and lesions on the anterior vocal cord. What is the diagnosis?

a)

Laryngeal TB

b)

Laryngeal papilloma

c)

Laryngeal cyst

d)

Laryngeal nodules

e)

Laryngeal polyp

52.

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?

a)

Tracheostomy

b)

Antibiotics

c)

Observation for 5-7 days

d)

Culture and swab of the tonsils

53.

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?

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54.

What is the emergency condition in the above case?

a)

Sumbatan jalan nafas bawah

b)

Sumbatan jalan nafas atas

c)

Infeksi saluran nafas atas

55.

What is the management for post-thyroid dyspnea, with bilateral abduction examination results?

a)

Aritenoidektomi

b)

Lateralisasi

c)

Injeksi botulinum

d)

Medialisasi

e)

Lupa

56.

What is the management for a patient with adduction paresis?

a)

Aritenoidektomi

b)

Lateralisasi

c)

Injeksi botulinum

d)

Medialisasi

e)

lupa

57.

An 8-month-old baby weighing 4800g comes with noisy breathing while crying and breastfeeding, worsening for 1 month. What is the next management?

a)

Oksigen

b)

Intubasi rawat nicu

c)

AB 10 hari

d)

Lupa

e)

Supraglotoplasti

58.

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?

a)

Croup

b)

Laringitis akut

c)

epiglotitis akut

d)

Laringiris trakeobronkial

59.

A baby with continuous cough and fever. Diagnosis?

a)

Laringitis

b)

Epiglotitis

c)

Laringomalasia

d)

Croup

60.

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?

a)

gangguan nafas

b)

Gangguan napas dan gangguan makan

c)

Tipe laringomalasia

d)

Stridor inspirasi

e)

retraksi suprasternal

61.

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?

a)

Eritem, pseudosulcus vocalis

b)

Eritem, edema posterior laring

c)

Eritem, edema posterior laring, edema reinke

d)

Eritem, edema aritenoid, edema reinke

e)

Eritem, edema aritenoid, edema reinke, granuloma bilateral pada laring posterior

62.

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?

a)

OSA berat

b)

OSA ringan

c)

OSA sedang

d)

OSA berat

e)

OSA sangat berat

63.

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.

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64.

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?

a)

Acute epiglottitis

b)

Laryngomalacia

c)

Laryngeal papilloma

d)

Tracheobronchitis

e)

Unilateral paresis

65.

What is the drug of choice for low dose long term macrolide for chronic rhinosinusitis?

(a)  

66.

What is the drug of choice for low dose long term macrolide for chronic rhinosinusitis?

a)

Erythromycin

b)

Azithromycin

c)

Clarithromycin

d)

Gentamycin

e)

Kanamycin

67.

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?

a)

ECRS

b)

RSK Fungus ball

c)

AFRS

d)

RSK odontogenic

e)

Inverted papilloma

68.

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?

a)

Acute rhinosinusitis with orbital complication Chandler 1

b)

Acute rhinosinusitis with orbital complication Chandler 2

c)

Acute rhinosinusitis with orbital complication Chandler 3

d)

Acute rhinosinusitis with orbital complication Chandler 4

e)

Acute rhinosinusitis with orbital complication Chandler 5

69.

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?

a)

Septal abscess

b)

Septal hematoma

c)

Vestibulitis

70.

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:

a)

Anterior ethmoidal artery

b)

Woodruff's area

c)

Descending palatine artery

d)

Little's area

e)

Kieselbach's plexus

71.

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:

a)

Posterior nasal septum

b)

Posterior middle concha

c)

Sphenopalatine

72.

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:

a)

MRI to exclude malignancy

b)

CT scan has no indication

c)
d)

CT scan is necessary to seek for implications

e)

CT scan is necessary to determine which sinus is involved

73.

A woman comes with complaints of nasal obstruction on the right and left. Anterior rhinoscopy shows the presence of

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