Asian Medical Institute Memorial S.

Tentishev
Department of Therapeutic Sciences
Subject “otorinolaryngology” 4rd Year 8th Semester
Shergasiev M.N.
1. What anatomical formation is a continuation of the pharyngeal space?

a) Anterior mediastinum;

b) Posterior mediastinum;

c) Parapharyngeal space;

d) Okolomindikovo space;

e) Paravertebral space.

2. How many lymphoid formations make up the lymphoid ring?

a) 2;

b) 8;

c) 6;

d) 10;

e) 4.

3. At what age are the pharyngeal abscesses?

a) The first year of life;

b) 10 years old;

c) 30 years old;

d) 50 - age;

e) Over 70 years old.

4. What large arterial vessel is located near the lower pole of the tonsil?

a) Internal carotid artery;

b) External carotid artery;

c) Common carotid artery;

d) Thyroid artery;
e) Basic.

5. Name the forms of hypertrophic pharyngitis:

a) Granular, lateral;

b) Catarral;

c) Edematous;

e) Compensated.

6. What are the levels of anatomical narrowing of the esophagus?

a) Entrance to the esophagus, the level of the trachea bifurcation, the level of the diaphragm;

b) The level of trachea bifurcation, the level of the diaphragm;

c) Aortic arch level, diaphragm level;

d) Entry into the stomach, aortic arch level, diaphragm level.

7. List the methods of research of nasopharynx in children?

a) Back rhinoscopy, digital examination;

b) Anterior rhinoscopy;

c) X-ray, posterior rhinoscopy, digital examination, sensing;

d) Indirect laryngoscopy;

e) Sounding.

8. Indicate the characteristic causes of recurrence of adenoids:

a) Violation of the protein metabolism of the body;

b) Allergic reactivity of the body, technical errors when performing adenotomy;

c) Technical errors when performing adenotomy;

d) Removal of the tonsil in early childhood.

9. Indicate the most characteristic objective signs of chronic adenoiditis:

a) "Gray-colored" and "white" spots of Voyachek on the mucous, nose;

b) Mucous or mucous - purulent discharge in the nose;

c) Thickening of the side rollers;

d) Smoothness of the central furrow;

e) Gothic palate, mucous or muco-purulent discharge in the nose, thickening of the side ridges.

10. Symptomatology for ulcerative-necrotic angina, except:

a) The presence of an ulcer at the upper pole of the tonsils;

b) Dirty - gray color of plaque;

c) Putrid odor from the mouth;

d) Lack of pain;

d) Grayish - yellow bloom.

11. Specify the formations where foreign bodies are most often trapped in the hypopharynx, except:

a) Palatine tonsils;

b) Valecules;

c) The tongue tonsil;

d) Laryngeal ventricles;

e) Pear-shaped sinuses.

12. Specify the clinical forms of vulgar angina, except:

a) Catarrhal;

b) follicular;

c) Lacunar;

d) Phlegmonous;

e) Gangrenous.

13. What infectious diseases can occur with angina, except for:

a) Mononucleosis;

b) Diphtheria;

c) Scarlet fever;
d) Measles;

e) Epidemic meningitis.

14. Specify the muscles that raise the throat, except:

a) Stylopharyngeal;

b) palatine pharyngeal;

c) Heavenly - lingual;

d) Pharynx constrictors;

e) lingua - pharyngeal.

15. List the conservative treatment of chronic tonsillitis, except:

a) washing lacunae;

b) Rinsing and soaking the tonsils with medicinal substances;

c) Physiotherapy;

d) Hyposensitization therapy;

e) Removal of the tonsils.

16. Methods for the study of the pharynx include, with the exception of:

a) Back rhinoscopy;

b) Mesopharyngoscopy;

c) Finger studies of the nasopharynx;

d) Indirect laryngoscopy;

e) Tracheobronchoscopy.

17. Indicate the main functions of the lymphadenoid pharyngeal Waldeyer-Pirogov ring, except:

a) accommodative;

b) Reflex;

c) Protective;

d) Immunological;

e) Hematopoietic.
18. Therapeutic tactics for paratonsely abscess, except:

a) Diagnostic puncture;

b) Rinsing the mouth;

c) Opening the abscess;

d) Conservative therapy;

e) Abscessstonestillectomy.

19. List the layers of the pharynx, except:

a) Mucous membrane;

b) fibrous layer;

c) the vascular layer;

d) Throat muscles;

e) Fascia of the pharynx.

20. List the most common symptoms of a foreign body of the cervical esophagus, except:

a) Pain when swallowing;

b) Dysphagia;

c) Epigastric pain;

d) Increased salivation;

e) Refusal to eat.

21. Specify the methods of diagnosis of foreign bodies of the cervical esophagus, except:

a) Indirect pharyngolaryngoscopy;

b) Review radiography of the cervical esophagus;

c) Contrast radiography of the esophagus;

d) Fibroesophagoscopy;

e) Rigid esophagoscopy.
22. List the possible complications arising from the long-term presence of a foreign body in the
esophagus and during its removal, except:

a) Esophagitis, abscess of the esophageal wall;

b) Bleeding from large vessels;

c) Perforation of the esophagus wall;

d) Mediastinitis;

e) Spontaneous pneumothorax.

23. List the most frequent clinical and radiological signs of parapharyngeal abscesses, except:

a) Neck asymmetry;

b) infiltration and soreness of the neck tissues, often one-sided;

c) hyperemia;

d) On radiographs of the neck along, expansion of the prevertebral space and the presence of gas
bubbles;

e) Stiff neck.

24. Specify the symptoms of juvenile angiofibroma of

nasopharynx, except:

a) Obstructed nasal breathing;

b) nosebleeds;

c) Gothic palate, face deformation;

d) Substitution of surrounding tissues.

25. What diseases of blood are observed

secondary angina, with the exception of:

a) Agranulocytosis;

b) Leukemia;

c) capillary toxicosis.

26. What are the degree of hypertrophy in nasopharyngeal

tonsils, except:

a) 1st;

b) 2nd;

c) 3rd;

d) 4 st.

27. Name the vessels and nerves passing through the parapharyngeal space, except:

a) External carotid artery. Vertebral artery;

b) Internal carotid artery;

c) Internal jugular artery;

d) Vagus nerve.

28. In which areas of the esophagus are observed the most profound chemical burns, except:

a) In places of physiological contractions;

b) In places of anatomical contractions;

c) Esophageal mucosa.

29. Name the upper and lower boundaries of the larynx:

a) The epiglottis;

b) Vestibular folds and VI cervical vertebra;

d) The epiglottis and VII cervical vertebra;

e) IV and VI cervical vertebra;

f) VII cervical vertebra and thyroid cartilage.

30. What type of tracheotomy is performed for stenosis of the larynx in children?

a) Lower tracheotomy;

b) Upper tracheotomy;

c) Mean tracheotomy;

d) Conicotomy.
31. What are the boundaries of the trachea:

a) VI cervical vertebra, V thoracic vertebra;

b) VII cervical vertebra, IV — V thoracic vertebra;

c) V thoracic vertebra and V cervical vertebra;

d) The lower edge of the thyroid cartilage and the V cervical vertebra;

d) The lower edge of the thyroid cartilage and VI cervical vertebra.

32. What groups are the internal muscles of the larynx divided into?

a) Raising and lowering the larynx;

b) Narrowing the glottis, widening the glottis, pulling the vocal folds;

c) Tensioning vocal folds, narrowing the glottis;

d) Expanding and narrowing the glottis;

e) Tensioning and widening vocal folds.

33. In which department of the larynx is the lymphatic network most pronounced?

a) Vestibular department;

b) Middle department;

c) Podskladochny department.

34. Which muscle expands the larynx?

a) Thyroido - cricoid;

b) Thyroido - scaly, internal;

c) Posterior scoop - cricoid muscle;

d) Voice muscle;

d) Thyroido - sublingual.

35. List the main functions of the larynx:

a) Respiratory, vocal, protective;

b) Voice-forming, reflex;

c) Reflex, protective;

d) Respiratory, food-borne, vocal;

e) Respiratory, reflex.

36. In the classification of laryngeal cancer, there are:

a) 4 stages;

b) stage 3;

c) stage 2;

d) 5 stages.

37. Indicate signs of mutational changes in the larynx in young men:

a) Reducing the angle between the plates of the thyroid cartilage, the protruding upper edge of the
thyroid cartilage, the increase in the hyoid bone;

b) Increase of the hyoid bone, the mucous membrane of the larynx is brightly hyperemic, non-closure of
the glottis, change in the strength and timbre of the voice;

c) The mucosa of the larynx is brightly hyperemic, non-closure of the glottis, change in the strength and
timbre of the voice;

d) Painful swallowing;

e) Cough and hemoptysis.

38. What are the joints of the larynx:

a) scooped-nadgorny;

b) The ring - thyroid, scooped - nadgortany;

c) Ring - cherpaloid, ring - thyroid;

d) Shchito - nadgortany;

e) Nadgortno-cricoid.

39. What are the precancerous diseases of the larynx, except:

a) Papilloma;

b) fibroma;

c) Tuberculosis;
d) ventricular cysts;

d) Angioma.

40. The clinical picture of laryngeal chondroperichondritis is characterized, except for:

a) Pain in the larynx, painful swallowing;

b) Increased laryngeal volume, thickening of its cartilage;

c) Puffiness and infiltration of the laryngeal mucosa;

d) The presence of films of gray - dirty color in the larynx and pharynx;

d) Violation of mobility of the larynx and stenosis.

41. Laryngoscopic picture in acute laryngitis, except:

a) Infiltration of the mucous membrane;

b) point hemorrhages;

c) Hyperemia of vocal folds;

d) swelling of the folds;

e) Knots of singers.

42. What are the causes of acute laryngitis, except:

a) Infectious diseases;

b) hypothermia;

c) Over-tension of vocal folds;

d) occupational hazards;

e) Angina.

43. What cartilages of the larynx are hyaline, except:

a) Thyroid;

b) Scallophoid;

c) Horny;

d) The epiglottis;

e) Ringed.
44. What are the external muscles of the larynx, except:

a) Grudino - sublingual;

b) Thyroido - cricoid;

c) Antero-palpal;

d) Grudino - thyroid;

e) thyroido - sublingual.

45. What is the threshold of the larynx formed, except:

a) Valecules;

b) The epiglottis;

c) aryepiglottic lygament;

d) Cholesterol cartilage;

e) Ventricular lygament .

46. The method of treatment of acute laryngitis, except:

a) Antibacterial;

b) Infusion of medicinal substances into the larynx;

c) Inhalation;

d) Cauterization of the mucous membrane;

e) Anti-edema therapy.

47. What are the clinical forms of chronic laryngitis, except:

a) Catarrhal laryngitis;

b)Subchordal laryngitis;

c) Hyperplastic laryngitis;

d) Atrophic laryngitis;

e) Hypertrophic laryngitis.
48. How is the innervation of the larynx carried out, except for:

a) Toplaryngeal nerve;

b) the vagus nerve;

c) lingua - pharyngeal nerve, hypoglossal nerve;

d) Lower laryngeal nerve.

49. What are the forms of chronic hypertrophic laryngitis, except:

a) Limited;

b) Hypertrophic;

c) Diffuse.

50. Specify the anatomical formations of the middle part of the larynx, except:

a) Vestibular folds;

b) voice folds;

c) scooped the epiglottis;

d) Laryngeal ventricles.

51. In which diseases are infectious granulomas of the ENT organs, except:

a) Tuberculosis;

b) Wegener's granulomatosis;

c) Syphilis;

d) scleroma;

e) Lupus.

52. Specify the cause of false croup, except:

a) Allergic background;

b) exudative diathesis;

c) Adenoids;

d) Adenovirus infection.
53. The diagnostic methods for foreign bodies of the trachea and bronchi include, in addition to:

a) X-ray;

b) Tomography;

c) Direct laryngoscopy;

d) Tracheobroscopy.

54. In what areas of the respiratory tract are scleroma infiltrates and scars located, except for:

a) Entrance to the nose;

b) Choana;

c) Nasopharynx;

d) Throat, epiglottis;

55. which tonsillas present in nasopharyngs?

a)adenoid, tubarian tonsillas

b)palatine tonsilla

c)Tongue tonsilla

56.Pott’s puffy tumour is related to:

a) Inflected cell in middle turbinate
b) Tuberculous sinusitis
c) Pyogenic infection of frontal sinus
d) Cavernous sinus thrombosis

57. Laryngeal web most commonly involves region of:

a) Supraglottis
b) Glottis
c) Subglottis
d) Both (a) and (b)
58.An infant after is noticed to have stridor and a hoarse cry.All of the following diagnosis
are possible except:
a) Laryngeal web
b) Laryngeal paralysis
c) Congenital laryngeal cyst
d) Laryngomalacia

59.Anteroposterior size of glottis in males is:

a) 16 mm
b) 20 mm
c) 24 mm
d) 28 mm
60.Type of epithelium lining the vocal cords is:
a) Keratinising stratified squamous
b) Non-keratinising stratified squamous
c) Pseudostratified ciliated columnar
d) Cuboidal
61.Laryngeal crepitus is seen in:
a) Normal persons
b) Fractures of thyroid cartilage
c) Post-cricoid carcinoma
d) Prevertebral abscess