Download Foreign Bodies in the Food Pathway: Diagnosis and Treatment and more Exercises Otorhinolaryngology in PDF only on Docsity!
OTORHINOLARYNGOLOGY - DIGESTIVE SYSTEM
ANOMALIES||EP
Q.
Which age group is most prone to choking on bones in Vietnam: A. Kindergarten children B. Children C. Adults D. Elderly E. Women raising children Q. The most common nature of foreign bodies in our country's food pathways is: A. Living foreign bodies B. Various types of bones in food C. Various types of fruit seeds D. Children's toys E. Materials accidentally ingested during work Q. Which of the following food foreign bodies is most likely to cause early inflammation? A. Sewing needles, screws... B. Fish bones, chicken bones, duck bones...
C. Plastic toy fragments. D. Zinc-coated pills E. Tooth or denture fragments. Q. Which of the following symptoms is not suitable for a patient with a bone stuck in the throat: A. Swollen esophagus, straight cervical spine, loss of physiological curvature. B. High fever, pain in the neck, limited neck rotation. C. History of bone ingestion, pressing the Adam's apple causes pain. D. Pain when swallowing saliva, but normal when eating rice, drinking water. E. Swelling in the neck, high fever, chills, and possible difficulty breathing... Q. Which of the following signs is not a complication of bone choking: A. Swelling, compression of the trachea. B. Rupture of major blood vessels. C. Gradually increasing difficulty swallowing and pain over the past few months. D. High fever and chills due to blood infection. E. Inflammatory compression around the esophagus. Q. Which prevention measure for foreign bodies in the food pathway is unreasonable?
Q.
Where is the most common location for fish bone foreign bodies in the food pathway system: A. Throat and nose region B. Esophagus region C. Lower throat - larynx region D. Mouth and throat region E. Neck esophagus region Q. Where is the most common location for fish bone foreign bodies in the throat: A. Behind the throat B. Tongue base C. Both tonsils' base D. Nasal cavity E. Esophageal mouth Q. Which disease requires X-ray examination for diagnosis among the following diseases: A. Esophageal motility disorder B. Acute tonsillitis
C. Early-stage laryngopharyngeal cancer D. Oral cavity and esophageal cancer E. Choking on bones Q. What is the most accurate distribution of foreign bodies in the esophagus in clinical practice: A. Cervical esophagus 80%; thoracic esophagus 12%; lower thoracic esophagus to cardiac sphincter 8%. B. Cervical esophagus 80%, thoracic esophagus 8%, lower thoracic esophagus to cardiac sphincter 12% C. Cervical esophagus 8%, thoracic esophagus 12%, lower thoracic esophagus to cardiac sphincter 80% D. Cervical esophagus 12%, thoracic esophagus 80%, lower thoracic esophagus to cardiac sphincter 8% E. Cervical esophagus 12%, thoracic esophagus 8%, lower thoracic esophagus to cardiac sphincter 80%. Q. The most accurate diagnostic measure for foreign bodies in the food pathway is: A. Based on medical history B. Based on clinical examination of fever, painful swallowing, limited neck rotation C. Based on X-ray images of the tilted cervical esophagus D. Based on endoscopy of the esophagus with bones
Q.
Which of the following complications is not caused by foreign bodies in the food pathway: A. Inflammatory compression around the esophagus B. Inflammatory compression in the trachea C. Lung collapse, lung compression D. Esophageal gas exploration E. Rupture of major blood vessels Q. Which of the following measures is most important in the treatment of foreign bodies in the food pathway: A. Endoscopic removal of the foreign body B. Attention to nutrition, intravenous fluids to improve the condition C. High-dose, broad-spectrum antibiotics D. Continuous X-ray checks to detect foreign bodies and complications E. Placing a gastric tube for feeding to promote esophageal healing Q. Which of the following signs rules out the possibility of inflammation, compression around the cervical esophagus: A. High fever B. Difficulty breathing C. Painful swallowing
D. No signs of spine touch (normal spine touch filter). E. Limited neck rotation Q. The most accurate position of the esophageal mouth during endoscopy in adults is how many centimeters from the upper incisor (UI): A. 27 cm UI B. 25 cm UI C. 15 cm UI D. 20 cm UI E. 10 cm UI Q. The most accurate position of the junction of the aortic arch and left main bronchus squeezing through the esophagus is in which range from the upper incisor (UI): A. 20 cm UI B. 27 cm UI C. 30 cm UI D. 43 cm UI E. 15 cm UI Q. The prognosis of foreign body choking does not depend on which of the following factors:
Q.
Clinical significance of the sign "reduced or lost spine touch filter": A. Definitely have foreign body ingestion B. Immediate emergency esophagoscopy is needed C. There is swelling in the soft part of the cervical spine - throat region D. Surgery is needed to drain pus or remove foreign bodies E. High-dose antibiotic treatment is needed Q. Which of the following diseases does not have "Reduced or lost spine touch filter": A. Foreign body in the cervical esophagus in the inflammatory stage B. Complication of inflammatory compression around the cervical esophagus C. Choking on bone in the thoracic esophagus causing tracheal compression D. Acute thyroiditis E. Esophageal diverticulitis ANSWERS Q.1 C. Adults Q.2 B. Various types of bones in food Q.3 B. Fish bones, chicken bones, duck bones... Q.4 D. Pain when swallowing saliva, but normal when eating rice, drinking water Q.5 B. Rupture of major blood vessels Q.6 D. Processing food with bones is really good.
Q.7 B. Properly process food with bones Q.8 C. Esophageal constriction due to functional muscle disorders Q.9 D. Mouth and throat region Q.10 C. Both tonsils' base Q.11 E. Choking on bones Q.12 A. Cervical esophagus 80%; thoracic esophagus 12%; lower thoracic esophagus to cardiac sphincter 8%. Q.13 D. Based on endoscopy of the esophagus with bones Q.14 E. Based on ultrasound diagnosis Q.15 B. Straight cervical spine, loss of physiological curvature Q.16 C. Lung collapse, lung compression Q.17 A. Endoscopic removal of the foreign body Q.18 D. No signs of spine touch (normal spine touch filter). Q.19 C. 15 cm UI Q.20 B. 27 cm UI Q.21 E. Quantity of foreign bodies stuck Q.22 D. See a specialist doctor immediately Q.23 A. History of bone choking Q.24 C. There is swelling in the soft part of the cervical spine - throat region Q.25 C. Choking on bone in the thoracic esophagus causing tracheal compression
