OTORHINOLARYNGOLOGY

RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

1. A 45 year old man was brought to the ER C

after sustaining a blow to the neck from an
unknown assailant. The patient had
progressive dyspnea, hemoptysis, and
hoarseness. CT scan of the neck showed a
comminuted fracture of the thyroid cartilage.
Which problem will you manage first?
A. Hemoptysis
B. Hoarseness
C. Dyspnea
D. Thyroid fracture

2. The left Recurrent Laryngeal Nerve hooks D

around what structure?
A. Subclavian artery
B. Subclavian vein
C. Brachiocephalic artery
D. Arch of the Aorta

3. A child was diagnosed as having left-sided D

congenital Recurrent Laryngeal Nerve
Paralysis?
A. Midline
B. Fully Abducted
C. Variable
D. Partially abducted

4. In cases of Recurrent Laryngeal Nerve C

Paralysis, the affected true vocal cord is in
the adducted position because of
A. Its inherent elastic recoil
B. The Bernoulli effect

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

C. An intact cricothyroid
D. The pull of the arytenoid

5. The Rima Glottidis is assessed in which of C

the following examinations?
A. Anterior Rhinoscopy
B. Posterior Rhinoscopy
C. Indirect Laryngoscopy
Ponka, D., & Baddar, F. (2013). Indirect laryngoscopy. Canadian
D. Direct Nasopharyngoscopy Family Physician, 59(11), 1201-1201.

6. A patient complains of inability to talk but C

upon examination of the larynx, the vocal
cords look and move normally. This is
probably due to
A. Vocal cord dysplasia
B. Dysphonia plica ventricularis
C. Psychogenic Aphonia
D. Subacute laryngitis

7. A breathy voice is a characteristic of A

A. Unilateral Recurrent Laryngeal Nerve
Paralysis
B. Bilateral Recurrent Laryngeal Nerve
Paralysis
C. Unilateral Superior Laryngeal Nerve
Paralysis
D. Bilateral Superior Laryngeal Nerve
Paralysis

8. In the absence of proper instruments, a B

case of supraglottitis may be documented by
a/an
A. Chest PA radiograph
B. Soft tissue lateral x-ray, neck
C. Upright Water’s view
D. Mirror Laryngoscopy

9. Acquired subglottic stenosis is most D

commonly the result of

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

A. An autoimmune disease
B. Complication of thyroid surgery
C. A low tracheostomy placement
D. Prolonged endotracheal intubation

10. A patient came in after injuring his neck in A

a vehicular accident. He is presently
complaining of dyspnea if you are to evaluate
the adequacy of the upper airway, which view
would you ask for?
A. Soft tissue lateral, neck
B. Neck anteroposterior
C. Neck lateral oblique
D. Chest PA to include neck

11. Corniculate cartilages of the larynx are A

also known as:
A. Cartilage of Santorini
B. Cartilage of Wrisberg
C. Triticeous Cartilage
D. Epiglottic cartilages

12. A 56-year old female came in due to B

difficulty in speaking. She also complains of
breaks in her voice and she feels that talking
takes more effort than before. Flexible
laryngoscopy revealed involuntary
hyperadduction of the true and false vocal
cords. She probably has
A. Spasmodic Croup
B. Spastic Dysphonia
C. Dysphonia Plica Ventricularis
D. Psychogenic Aphonia

13. Vocal cord tension is maintained by which D.

of the following muscles?
A. Posterior Cricoarytenoid
B. Interarytenoid
C. Lateral Cricoarytenoid
D. Vocalis

14. The only muscle innervated by the D.

External Branch of the Superior Laryngeal

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

Nerve.
A. Posterior Cricoarytenoid
B. Interarytenoid
C. Lateral Cricoarytenoid
D. Cricothyroid

(2018 ENT Trans 3.01 Larynx)

15. Which of the following is a form of a Direct D.

Laryngoscopic Examination?
A. Examination using a laryngeal mirror
B. Video laryngoscopy
C. Stroboscopy
D. Laryngeal visualization during
endotracheal intubation
● Direct laryngoscopy refers to viewing the
larynx directly, in a straight line, through a
hollow, lighted tube, with the patient typically
under general anesthesia.
● Indirect laryngoscopy refers to visualization
of the larynx with the patient sitting in a chair,
by using a mirror, fiberscope, video-
endoscope, or laryngeal telescope more in
the manner of a perisocope that “looks
around the corner”.
(https://laryngopedia.com/indirect-versus-
direct-laryngoscopy/)

Lahat ng examination na gumagamit ng medium

(or mirror), that is indirect laryngoscopy. Direct
laryngoscopy is when you intubate to visualize the
vocal cords.
- Doc

16. Hoarseness is a predominant complaint in D.

A. Subglottic stenosis
B. Vallecular cyst
C. Laryngocele

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

D. Laryngitis

17. Which of the following is NOT a C.

characteristic of Unilateral Vocal Cord Dyspnea is a characteristic of bilateral vocal cord
Paralysis? paralysis.
A. Hoarseness
B. Breathy voice
C. Dyspnea
D. Aphonia

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

18. Which of the following condition is NOT a A.

predisposing factor to vocal cord nodule
formation?
A. Thyroidectomy
B. Smoking
C. Voice abuse
D. Acid reflux

Contact ulcers also can be caused by GERD or

heartburn. Reflux is when acidic stomach
contents flow back up the esophagus and irritate
the larynx. (https://www.health.harvard.edu/a_to_z/vocal-cord-
disorders-a-to-z)

19. A 2-week old child was referred to you D.

due to respiratory stridor. On flexible
laryngoscopy you noted that the arytenoid
tissue and epiglottis prolapse into the airway
with inspiration. What is the possible
problem?
A. Laryngocoele

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

B. Epiglottitis
C. Laryngeal web
D. Laryngomalacia

20. Your Diagnosis in no.19 is mainly treated C

by:
A. Surgery
B. Antibiotic therapy
C. Expectant observation
D. Tracheostomy

21. In order to camouflage surgical scars, A.

skin incisions must be done in what direction?
A. Along the least tension lines
B. Along the greatest tension lines
C. Perpendicular the crease lines
D. Against the tension lines

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

22. With regards to soft tissue defects A.

following cancer surgery, which
characteristics of the donor site are primarily
considered when deciding on whether to use
a graft or a flap to cover the defect?
A. Size and location
B. Shape and contour
C. Skin color and thickness
D. Texture and dryness

23. What technique is done to alter the A.

direction of a wound that falls perpendicular
to the relaxed skin tension lines?
A. Z plasty
B. W plasty
C. X plasty
D. Y plasty

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

24. Which type of flap is expected to provide A.

greatest durability and survivability?
A. Axial-pattern
B. Random-pattern
C. Mixed-pattern
D. Microvascular free

(2018 ENT Trans 4.2 Facial Plastic and Reconstructive Surgery)

The circulation of an axial flap is supplied by

specific, identifiable blood vessels. Circulation
based on specific vessels results in a highly
reliable blood supply and a reliable flap. You can
be confident that unless there is an injury to the
vessels, the majority of the flap tissue should
survive in its new position.
(http://practicalplasticsurgery.org/docs/Practical_13.pdf)

25. The Pectoralis Major myocutaneous flap B.

is based on what artery?
A. Temporal
B. Thoracoacromial
C. Supratrochlear
D. Subclavian

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

Cummings 6th ed

26. In an ideal set-up, which view would you D.

request for to thoroughly assess a mandibular
fracture?
A. Parasymphysis Mandible AP-L
B. Mandibular lateral oblique
C. Modified Towne’s view
D. Mandibular Panorex

27. Numbness over the lateral aspect of the C.

lower lip following mandibular fractures
involving the parasymphysis probably due to Parasymphysis houses the mental foramen where
A. Soft tissue swelling the mental nerve passes through.
B. Traumatic Trigeminal Neuralgia
C. Mental nerve injury
D. A hematoma of the oral floor

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

28. Diplopia on upward gaze may be seen in B.

which of the following fractures
A. Zygomatic Arch
B. Blow-out
C. Le fort I
D. Frontal Sinus

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

29. Bleeding from the ear was seen in a 36 C.

year old male who hit his chin on the
dashboard of his car. It is probably due to a
suspected fracture of the
A. Symptoms
B. Ascending Ramus
C. Condyle
D. Angle

30. Palpable crepitus over the nasal bone B.

noted following trauma to that area is
indicative of
A. Septal hematoma
B. Fracture
C. Soft tissue edema
D. CSF Leak

31. Which of the following fractures may be B.

managed by closed reduction?
A. Frontal sinus
B. Mandibular condyle
C. Temporal bone
D. Infraorbital rim

32. Open reduction with fixation is the rule in C.

managing fractures of the
A. Nasal Bone
B. Mandibular coronoid
C. Zygomaticomaxillary complex
D. Temporal bone

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 OTORHINOLARYNGOLOGY
RECALLS
2nd Shifting Exam
SE2
Diseases of the Larynx, Head & Neck Reconstruction, Maxillofacial Trauma

33. Which of the following symptoms suggest C.

the presence of a mandibular condyle fracture
in the face of an otherwise normal
examination?
A. Malocclusion
B. Tooth pain
C. Ear bleeding
D. Drooling of saliva

34. Ipsilateral epistaxis in cases of B.

Zygomaticomaxillary Complex fractures is
managed merely by Antral packing is not done in cases of
A. Antral packing zygomaticomaxillary complex fractures. It is
B. Observation usually for severe epistaxis.
C. Topical decongestant Antrostomy- A maxillary antrostomy is an FESS
D. Antrostomy (Functional Endoscopic Sinus Surgery) procedure
that clears the sinus opening, allowing the
maxillary sinuses to drain properly.

https://www.ncbi.nlm.nih.gov/pubmed/3285450

35. The most important parameter that has to B.

be evaluated during the initial management of
a patient with maxillofacial inquiries is
A. Maintenance of normal cardiac output
B. Patency of an adequate airway
C. Repair of soft tissue injuries
D. Immediate reduction of fractures

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