Management of Epistaxis and Foreign Bodies: Medical Procedures Quiz

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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?

Second- or third-generation cephalosporin Signup and view all the answers

What are the hallmark features of supraglottitis?

Dysphagia, drooling, and respiratory distress Signup and view all the answers

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

Ligation of the External Carotid Artery Signup and view all the answers

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

Appropriate tracheostomy tube sizes Signup and view all the answers

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

Sitting leaning forward or in the 'tripod' position Signup and view all the answers

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

Coins Signup and view all the answers

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

Continuing the same intravenous antibiotics orally 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?

The elapsed time since ingestion Signup and view all the answers

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

Respiratory arrest due to laryngospasm Signup and view all the answers

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

Radiographs Signup and view all the answers

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

'Cold' surgical techniques without laser or heat elements Signup and view all the answers

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

Both PA and lateral views Signup and view all the answers

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

Forego radiologic testing and proceed directly to the operating room Signup and view all the answers

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

They contain harmful chemicals that can cause burns. Signup and view all the answers

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

Mediastinitis Signup and view all the answers

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

It has a wider lumen and more vertical path. Signup and view all the answers