The most common congenital laryngeal anomaly leading to respiratory distress



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lARYNX
The most common congenital laryngeal anomaly leading to respiratory distress---

  • The 1st line of ttt in a child with croup is: -------

  • on auscultation,Child with unilateral localized wheeze indicates ---------------

  • Apnea immediately after opening of the trachea during tracheostomy is due to:

( Increase CO2 level – Increase O2 level- Wash of blood CO2 – None of above)

  • Silent areas in head & neck except:

(vocal folds – Nasopharynx – pyriform fossa – Maxillary sinus)

  • Granuloma of the larynx that cause dysphagia because of pain:

(Scleroma – Syphilis – T.B. – Intubational granuloma)

  • Dysphonia is a major complaint of the following except:

(Bulbar paralysis – unilateral abductor paralysis

unilteral abductor paralysis – paralysis caused by nasopharyngeal carcinoma)



  • Commonest cause of dyspnea following tracheostomy is ---------

  • Muscle which is not supplied by the RLN is ---------------------

  • Dead space is -------------------

  • The first line of ttt in a patient with cancer larynx and severe respiratory distress is:--

  • The following are causes of inspiratory stridor except:

  1. Acute epiglotittis

  2. Glottic carcinoma

  3. Bronchial asthma

  4. Recurrent laryngeal papilloma

  • F.B inhalation occurs more commonly in the:

(larynx – trachea – right main bronchus – left main bronchus)

  • The following are manifestations of respiratory obstruction except:

  1. Stridor

  2. Hoarseness

  3. Suction of suprasternal notch

  4. Working ala nasi

  • Most accurate investigation for confirming the diagnosis of cancer esophagus is:

  • Glottic lesions of cancer larynx on a mobile vocal fold are ttted by:

  1. Laryngofissure and cordectomy

  2. Microlaryngosurgery and excision by laser

  3. Radiotherapy

  4. All of the above

  5. Non of the above

  • Weak breathy voice in a patient with tender larynx and history of cough and expectoration of two years duration is: (T.B – Syphilis – cancer larynx)

  • A tender diffuse swelling of the floor of the mouth and the upper neck following tooth infection with mild stridor requires an immediate:

(tooth extraction --- antibiotics ---- tracheostomy ------ incision & drainage)

  1. Repeated cough and choking

  2. Respiratory distress

  3. Throaty muffled voice

  4. Loss of straining power

  • Backache following esophagoscopy with suprasternal surgical emphysema is an indication of:

  1. Tracheal injury

  2. Pneumothorax

  3. Esophageal perforation

  4. Mediastinitis

    • The position of the neck during tracheostomy is:

  1. Trendlenberg

  2. Head-up position

  3. Neck extension

  4. Neck flexion

  • The virus incriminated with the etiology of nasopharyngeal carcinoma:???

  • Hoarseness of voice followed by progressive resp distress over a period of 6 months in a 5yr old child is suspicious of:

  1. Recurrent laryngeal papilloma

  2. Croup

  3. Abuse of voice with minor associated path lesions in the larynx

  4. Laryngomalacia

  • Lt local throat pain, a firm swelling in the lt upper neck, lt earache and difficulty of speech of 2 months, on examination an enlarged ulcerated lt tonsil is seen the condition is:

  1. Cancer tonsil

  2. Vincent’s angina

  3. Ludwig’s angina

  4. Postcricoid carcinoma

  • Recurrent fever, cough and expectoration of 2m duration in 5yr old child that does not resolve completely by medical ttt is:

  1. Acute laryngotracheobronchitis

  2. Laryngoscleroma

  3. Vegetable F.B inhalation

  4. Non-vegetable F.B inhalation

  • The 1st measure to be carried out in a child with fever, rt ear ache and deviation of angle of mouth to the left and inability to close the right eye is:

( Intravenous antibiotics – Myringotomy – lumber puncture – steroids)
ANSWERS:

  • The most common congenital laryngeal anomaly leading to respiratory distress—CONGENITAL LARYNGOMALACIA-

  • The 1st line of ttt in a child with croup is: ------Ensure patent airway ( steroids + tracheostomy) -

  • on auscultation,Child with unilateral localized wheeze indicates ------Forign body inhalation---------

  • Apnea immediately after opening of the trachea during tracheostomy is due to:

( Increase CO2 level – Increase O2 level- Wash of blood CO2 – None of above)

  • Silent areas in head & neck except:

(vocal folds – Nasopharynx – pyriform fossa – Maxillary sinus)

  • Granuloma of the larynx that cause dysphagia because of pain:

(Scleroma – Syphilis – T.B. – Intubational granuloma)

  • Dysphonia is a major complaint of the following except:

(Bulbar paralysis – unilateral abductor paralysis

unilateral abductor paralysis – paralysis caused by nasopharyngeal carcinoma)



  • Commonest cause of dyspnea following tracheostomy is ----tubal complications-----

  • Muscle which is not supplied by the RLN is --------cricothyroid muscle-------------

  • Dead space is -----------150--------

  • The first line of ttt in a patient with laryngeal carcinoma and severe respiratory distress is:--tracheostomy

  • The following are causes of inspiratory stridor except:

  1. Acute epiglotittis

  2. Glottic carcinoma

  3. Bronchial asthma

  4. Recurrent laryngeal papilloma

  • F.B inhalation occurs more commonly in the:

(larynx – trachea – right main bronchus – left main bronchus)

  • The following are manifestations of respiratory obstruction except:

  1. Stridor

  2. Hoarseness

  3. Suction of suprasternal notch

  4. Working ala nasi

  • Glottic lesions of laryngeal carcinoma on a mobile vocal fold are ttted by:

  1. Laryngofissure and cordectomy

  2. Microlaryngosurgery and excision by laser

  3. Radiotherapy

  4. Any of the above

  5. Non of the above

  • Weak breathy voice in a patient with tender larynx and history of cough and expectoration of two years duration is: (T.B – Syphilis – cancer larynx)

  • A tender diffuse swelling of the floor of the mouth and the upper neck following tooth infection with mild stridor requires an immediate: (= Ludwig's angina)

(tooth extraction --- antibiotics ---- tracheostomy ------ incision & drainage)

  • In a case of superior laryngeal nerve paralysis only, the patient complains of:

  1. Repeated cough and choking

  2. Respiratory distress

  3. Throaty muffled voice

  4. Loss of straining power

  • Backache following esophagoscopy with suprasternal surgical emphysema is an indication of:

  1. Tracheal injury

  2. Pneumothorax

  3. Esophageal perforation

  4. Mediastinitis

    • The position of the neck during tracheostomy is:

  1. Trendlenberg

  2. Head-up position

  3. Neck extension

  4. Neck flexion

  • The virus incriminated with the etiology of nasopharyngeal carcinoma:??EBV

  • Hoarseness of voice followed by progressive resp distress over a period of 6 months in a 5yr old child is suspicious of:

  1. Recurrent laryngeal papilloma

  2. Croup

  3. Abuse of voice with minor associated path lesions in the larynx

  4. Laryngomalacia

  • Lt local throat pain, a firm swelling in the left upper neck, left earache and difficulty of speech of 2 months, on examination an enlarged ulcerated left tonsil is seen the condition is:

  1. Tonsillar carcinoma.

  2. Vincent’s angina

  3. Ludwig’s angina

  4. Postcricoid carcinoma

  • Recurrent fever, cough and expectoration of 2m duration in 5yr old child that does not resolve completely by medical ttt is:

  1. Acute laryngotracheobronchitis

  2. Laryngoscleroma

  3. Vegetable F.B inhalation

  4. Non-vegetable F.B inhalation

  • The 1st measure to be carried out in a child with fever, rt ear ache and deviation of angle of mouth to the left and inability to close the right eye is:

( Intravenous antibiotics – Myringotomy – lumber puncture – steroids).





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