Management of Epistaxis and Foreign Bodies: Medical Procedures Quiz
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Questions and Answers

What is the gold standard for diagnosis, qualification, and treatment planning in laryngeal stenosis?

  • Laryngospasm
  • Direct laryngotracheobronchoscopy (correct)
  • Radiographs
  • Supraglottitis
  • What is the recommended treatment duration for patients with supraglottitis?

  • 3 to 5 days
  • 5 to 7 days
  • 7 to 10 days (correct)
  • 10 to 14 days
  • Which of the following is NOT a possible differential diagnosis for inpatients with possible supraglottitis?

  • Foreign body ingestion (correct)
  • Acute tonsillitis
  • Bacterial tracheitis
  • Viral croup
  • Which type of antibiotic therapy is initiated intraoperatively for supraglottitis patients?

    <p>Second- or third-generation cephalosporin</p> Signup and view all the answers

    What are the hallmark features of supraglottitis?

    <p>Dysphagia, drooling, and respiratory distress</p> Signup and view all the answers

    Which artery ligation is indicated as a last resort option for control of refractory, severe epistaxis?

    <p>Ligation of the External Carotid Artery</p> Signup and view all the answers

    What should always be prepared alongside a tracheotomy set for patients with supraglottitis?

    <p>Appropriate tracheostomy tube sizes</p> Signup and view all the answers

    What position do patients with supraglottitis usually prefer due to their symptoms?

    <p>Sitting leaning forward or in the 'tripod' position</p> Signup and view all the answers

    What is the most common esophageal foreign body found according to the text?

    <p>Coins</p> Signup and view all the answers

    What is an appropriate method for converting patients from intravenous to oral antibiotic therapy after extubation?

    <p>Continuing the same intravenous antibiotics orally</p> Signup and view all the answers

    What is the main factor that determines whether an esophageal foreign body must be removed or can be observed?

    <p>The elapsed time since ingestion</p> Signup and view all the answers

    What may occur with aspiration of secretions into an already compromised airway in supraglottitis?

    <p>Respiratory arrest due to laryngospasm</p> Signup and view all the answers

    Which imaging technique may be helpful for mildly symptomatic cases of supraglottitis?

    <p>Radiographs</p> Signup and view all the answers

    'Cold steel' techniques mentioned in the text are used in the context of:

    <p>'Cold' surgical techniques without laser or heat elements</p> Signup and view all the answers

    Which radiographic views are helpful in differentiating tracheal from esophageal foreign bodies?

    <p>Both PA and lateral views</p> Signup and view all the answers

    For moderate to severe symptoms of supraglottitis, what is the recommended course of action regarding radiologic testing?

    <p>Forego radiologic testing and proceed directly to the operating room</p> Signup and view all the answers

    Why are button battery ingestions particularly dangerous among foreign body ingestions?

    <p>They contain harmful chemicals that can cause burns.</p> Signup and view all the answers

    What is the most likely complication of prolonged presence of sharp metallic caustic foreign bodies in the esophagus?

    <p>Mediastinitis</p> Signup and view all the answers

    Why is the right main bronchus more commonly where aspirated foreign bodies become lodged?

    <p>It has a wider lumen and more vertical path.</p> Signup and view all the answers

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