Immunology Review Corner

Chapter 77 of the 6th edition of Middleton’s Allergy Principles and Practice, edited by N. Franklin Adkinson, et al.

Prepared by Drs. Karla R. Davis, Landstuhl Regional Medical Center in Germany; Anne K. Ellis, McMaster University; and Soo Kim-Delio, Walter Reed Army Medical Center.

Chapter 77: Endoscopy of the Upper Airway

1. Which of the following structures delimits the anterior border of the hiatus semilunaris?
A. Ethmoid bulla
B. Pasolacrimal duct
C. Sphenoid sinus ostium
D. Uncinate process

2. Ostia of anterior ethmoid cells empty into which of the following?
A. Middle meatus
B. Nasofrontal duct
C. Superior meatus
D. Supreme meatus

3. Which of the following sinuses is posterior to the orbit?
A. Frontal sinus
B. Ethmoid sinus
C. Piriform sinus
D. Sphenoid sinus

4. Ostia of posterior ethmoid cells empty into which of the following?
A. Middle meatus
B. Nasofrontal duct
C. Piriform sinus
D. Superior meatus

5. Which of the following refers to a potential midline space, formed by communication between the embryologic notochord and the epithelium of the pharyngeal wall?
A. Antra of Highmore
B. Rathke’s pouch
C. Rosenmuller’s fossa
D. Tornwaldt’s bursa

6. Which of the following forms the medial border of the choanae?
A. Cribiform plate
B. Ethmoid
C. Maxilla
D. Vomer

7. Which of the following is the only normal opening in the inferior meatus?
A. Antral window
B. Hiatus semilunaris
C. Nasolacrimal duct
D. Uncinate process

8. In an adult, which are the largest of the paranasal sinuses?
A. Ethmoid
B. Frontal
C. Maxillary
D. Sphenoid

9. Which of the following defines and protects the orifice of the Eustachian tube?
A. Antra of Highmore
B. Bulla ethmoidalis
C. Sphenoethmoidal recess
D. Torus tubarius

10. What percentage of normal adults has a straight nasal septum?
A. 10 percent
B. 20 percent
C. 40 percent
D. 80 percent

11. What is the name of the triangular inlet of the larynx, formed by the superior margin of the epiglottis, the aryepiglottic folds, and the arytenoid cartilages?
A. Aditus laryngis
B. Choana
C. Hypopharynx
D. Valleculae

12. Polyps from the anterior and middle ethmoid air cells, or the maxillary sinuses, enter the nasal cavity from which of the following?
A. Inferior meatus
B. Middle meatus
C. Nasal vestibule
D. Superior meatus

13. Which of the following sinuses comprise three walls of the orbit?
A. Frontal, Ethmoid, Maxillary
B. Frontal, Sphenoid, Ethmoid
C. Frontal, Sphenoid, Maxillary
D. Sphenoid, Ethmoid, Maxillary

Answers:
1. D, page 1412
2. A, page 1413
3. D, page 1413
4. D, page 1413
5. D, page 1416
6. D, page 1411
7. C, page 1412
8. C, page 1413
9. D, page 1413
10. B, page 1414
11. D, page 1411
12. B, page 1415
13. A, page 1413