<2012 1 100,,R-type>

1. . Superficial parotidectomy
frozen Bx. mucoepidermoid carcinoma . tumor marginal mandibular
nerve invasion . ?
1 total parotidectomy .
2 total parotidectomy .
3 total parotidectomy .
4 superficial parotidectomy .
5 .
1 or 2
2. facial nerve trunk . Marginal mandibular nerve
landmark?
1 Tragal pointer
2 Tympanomastoid suture line
3 Stensens duct
4 Superficial temporal artery
5 Posterior facial vein
5
3. ?
(1)
(2)
(3)
(4)
(5)
:5
4.
.
?(2)
1 excision
2 sublingual gland excision
3 I&D
4 marsupialization
5 sclerosing therapy
2
5. Frey syndrome iodien startch test
?
1. .
2. .
3. sialogue .
4. .
(1) 1-2-3-4 (2) 2-3-4-1 (3) 4-1-2-3 (4) 4-1-3-2 (5) 4-3-2-1
3
6. 55 . MRI
?
(Parapharyngeal space tumor MRI . Prestyloid vessel
)
(1) .
(2)

(3)
(4) beta blocker
(5) (Poststyloid tumor)
: 1(pre) or 4(post)
7. MBS
, vallecular area .
?
(1) Supraglottic swallowing
(2) Super supraglottic swallowing
(3) Effortful swallowing
(4) Mendelshon maneuver
(5)
3
8. 34 swelling .
total IgE , . ,
neutrophil . ?
1) castleman
2) infectious mononucleous
3) kawasaki
4) kikuchi
5) kimura
5
9. forment frequency ?
(1)( F0)
(2) Closed quotient
(3) Subglottic pressure
(4) Air flow rate
(5) (Vocal tract shape)
5
10. 36 ,
. .
?
(1) acoustic waveform analysis
(2) spectrum
(3) EGG
(4) Laryngeal EMG
(5)
4
11. 45 .
( : granuloma LPRD ) . ?
1) .
2) , .
3) asthma steroid .
4) 2 .
5) , , .
2
12. ?
1) Grade
2) Roughness
3) Breathy

4) Asthenic
5) Straind
3
13. ?
1) , .
2) , .
3) .
4) , .
5) .
4
14. laryngeal papilloma ?
1) laser vapolarization .
2) debrider .
3) lamina propria intermediate layer .
4) mitomycin-C .
5) cidofovir .
:5
15. CO2 ?
1) .
2) halotane, enflurane
3)
4) 40%
5)
1
16. 1 ?
1)
2)
3) ,
4)
5) .
: 4
17. ?
) presbyphonia
) puberphonia
) sulcus vocalis
) spasmodic dysphonia
) vocal tremor
2
18. 4 , , .
? (laryngomalacia )
) .
) .
) , .
) LPR .
)
2 or 4
19. 57 , L-tube .
?
)

)
)
) gag reflex
)
5
20. LPR ?
. PPI .
. PPI .
. H2 blocker prokinetics PPI .
. PPI 2 1 .
. PPI .
4
21. . ?
1) chin down, Lt rotation
2) chin down, Rt rotation
3) Lt. tilting
4) chin up
5)
1
22. 65 tracheotomy . .
4cm ?
1. ant cricoid spilit
2. thyro-tracheal ~ c augmentation
3. laryngeal stent
4. End to end anastomosis
5. though
<>

1.
a. ant cricoid spilit
b. combined laryngofissure c post cricoid spilit
c. augmentation
2.

1. - 1~2cm
2. though - (laryngotracheal stenosis)
23. 3 . 3
,
. ?
1) chest X-ray CT
2) ,
.
3) .
4) .
5) ,
.
2
24. 54 CT
. ?
(CT finding: Rt retroesophageal subclavian artery)

1) Recurrent laryngeal N
2) Hypoparathyroidism
3)Tracheo arterial fistula
4) Pharyngeal perforation
5) esophageal perforation
1
25. paramedian mandibulotomy
?
1) median incisor
2) lateral incisor
3) canine
4) 1st premolar
5) 2nd premolar
3

plate & screw

26. total laryngectomy 7 , drain .

?
1) amylase
2)
3) (pharyngogram)
4) (compression dressing)
5) methylen blue swallowing test
1
27. flap ?
1) Fibular osteocutaneous free flap .
2) Iliac crest osteocutaneous free flap ... ) )
3) Radial forearm osteocutaneous free flap .
4) ...
5) ...
1953p 23-32 : .
1
28. , ?
1) Deltopectoreal flap feeding artery thoracoacromial artery .
2)
3) , ? ?
4) (?)
)
<> PMMCF, , deltopectoral flap .
PMMCF , 3 4 ( )
4 . ( ^^)
3 . PMMCF
. 4 .. .. .
29.(oral cavity tongue ca.) (diameter) ?
1)
2)
3)
4)
5) ~( )
--> p 1596
.
p 1597 .

 p 1614 .
--> 3 !
30. Human Papilloma vius ?
1) field cancerization secondary primary ca.
2) HPV 6,11
3) E6, E7 p53 pRb
4) .
5) 20% .
2011
4
31.
1) . -> x ,
.
2) . -> x preepiglottic
space valleculae .
3) . -> x .
4) . -> 0 perichondrium cancer
barrier .
5) . -> x preepiglottic space
.
4
32. cystic neck metastasis MUO FNA PTC .
?
1) BRAF -> PTC w/u 0
2) HPV -> oral cavity ca
3) EBV -> nasophx. Ca
4) p53 -> SCC
5) pRB ->
1
33. . ?
.
1) marked hypoechoic
2) microcalcification
3)
4) taller than wide
5)

34. . coservative sergery ?

1) cervical esophagus involve
2) arytenoid involve
3) piryform sinus apex
4) aryepiglottic fold and medial wall of piryform sinus
5) cricoid level involve (?)
4
35. . .
?

( mass axcial CT

. ventricle invasion .)
1) lateral pharyngotomy & suprahyoid pharyngotomy
2) Vertical partial laryngectomy
3) Supraglottic horizontal partial laryngectomy
4) Supracricoid laryngectomy
5) Total laryngectomy
3
<> : ventricle
.
36. ?
1) 40 .
2) .
3) PGE1, .
4) , lidocaine .
5) , .
<>:
40

PGE1,
,
4
37. ?
1.
2. .
3.
4. (menthol) .
5. .
5
38. ?
1. UPSIT (discrimination)
2. CCCRC .
3. .
4. EEG .
5. KVSS .
2
39. UPPP ?



2
40. ?
1) caldwell-luc - infraorbital n.
2) - medial canthal lig.
3) frontal sinusotomy - ant.ethmoidal a.
4) TSA - post. ethmoidal a.
5) MMA - nasolacrimal duct
4 post.ethmoidal a. sphenopalatine a. post. septal br..
41. Revision FESS ?
1) septum
2) post choanal arch
3) frontal recess
4) middle turbinate
5) lamina papyracea
3
42. FESS ?
1) CSF leakage
2) epiphora
3) infection
4) synechia
5) Bleeding
4
43. Gustatory rhinorrhea ?
anticholinergic topical nasal spray .
44. Lt maxillary sinus fibrous dysphasia ?
( Maxillary sinus .)
RT,
.
45. CT ?
1.nasolabial cyst
2.odontogenic cyst
3.?
4.nasopalatine cys
5.idiopathic bone cyst
1
46.septoplasty killian incision hemitransfixion incision ?
1.?
2.inf. flap extension .
3.caudal portion .
4.convex side .
5. .
3
47.

2011 . .
1.
2.
3.
4. ESS
5. ESS ()
5
48. , hx hx TSA CT
?
CT maxillary retesion cyst (PNS CT coronal view)
1. .
1
49. allograft ?
1. tip
2. skin incision
3. graft tissue graft 2cm .
4. medpore .( ..)
: 2 2007 . .
50. ?
1.
2.
3.
4.
: 4 2009 .
51. 14 .
swelling . CT .
?

1. .
2. .
3. .
4. Gelform packing .
5. .
: 4
52. ?
< alar rim graft 2010 82 >
1. Alar rim graft
2. Alar base graft
3. Alar batten graft
4. Lateral crural strut graft
5. Lateral crural onlay graft
: 1
53. ?
1. weed pollen
2. grass pollen
3. tree pollen
4.
5.
: Grass pollen
54. topical steroid ?
:
55. Olfactory neuroblastoma PNS MRI . ?
(PNS MRI skull base frontal lobe mass)
1. Chemotherapy + Radiotherapy
2. Endoscopic sinus surgery
3. Total maxillectomy
4. Radiotherapy
5. Craniofacial resection + Radiotherapy
: 1 or 5
56. ?
1. 4KHz 25dB .
2. .
3. (cerumen) .
4. .
5. lysozome .
:3

57. .
, (?) eosinophilia
?
1. prostaglandin
2.
3.
4.
5. cycloxygenase
:5
58. 8 .
. .
?
1.
2.
3. +
4. +
:2
59-60
61. ?
1.
2.
3.
4.
5.
: 3
62. PTERYGOID PLATE OSTEOTOMY ?
1.
2.
3. ( ) +
4.
5.
: 4
63. NS TSA .
. OMU CT . ?

(OMU CT coronal view retention cyst

)
3
1.2 reconsult
2. ESS TSA
3. TSA
4. ESS TSA
5. 4 TSA
: 3
64. ?
1. 24~48 .
2.
3.
4. .
5. .
: 1
65. ?

(CT olfactory neuroblastoma .)

1. CTx.
2. RTx.
3. Endoscopic excision
4. CCRTx.
5. CFR + postop. RTx

66. ?
1.
2.
3. .
4.
5. .
3
67. (thermal injury)
.
.
.
. 38~42
. Oral steroid .
: 1
68. 19 , .
?

.
.
.
.
.
:

Otitis externa
EAC malignancy
EAC cholesteatoma
Keratosis obturans
Otomycosis
3

69. 3 . ,
70dB, 60dB ?

.
.
.
.
.
:

3

.

BAHA .
??

70. CT CT
- > cochlea . ( coronal view bone )
> CT
: 2 () -> facial nerve segment (labyrinth segment)
71. Pas flaccida Pars tensa ?

: keratin() - (,)-fiber()-()
( .)
:
72. CT . ?
TM : inf. bluish colored TM
CT : High jugular bulb
1. .
2. .
3. .
4. .
5. , .
:
73. . ?
:

1.
2.
3.
4.
5.
:

.
.
.
.
.

74. 1 H-B scale III , 2 , 1,2

60%,50%. , ?
1. .
2. Exploration .
3. , .
4. 1 .
5. .
:
75. 36 . 2
, . .
( CHL, better ear) ?
.
.
.
.
.
:

76. ?
1. .
2. 2mm matrix .
3. only hearing ear matrix .
4. 2mm matrix .
5. 5mm matrix .
:4
77. CI . ?
1) 3.0 tesla MRI .
2) .
3) .
4) .
5)

 : 4)
78. ?
bone wax .
(herniation) .
, .
S surgicel .
.
:
79. ( 2010- 48 )
1 5 2 TV
. 1
45dB HL . ?
1.
2. -
3.
4.
5. +
:5
80
4 local . 1
edema , fluctuation .
?

1.
2.
3.
4.
5.

CT . soft tissue swelling CT. CT

mastoid destruction soft tissue density
) or

590~591
3~5 CT

.

81. perilymph ?
1. cochlear aqeuduct
2. Scala media
3. vestibular aqueduct
4. endolymphatic sac
5. Ductus reunion
: 1
82. Lt. PSCC slow component .

: 1 (a, 4) -> , .
83. scala tympani .
?
1. Vestibular aqueduct
2. Cochlear aqueduct
3. Internal auditory canal
4. Glasserian fissure
5. Hyrtl fissure
: 2
84. (step velocity) (T1)
(TVOR). () ?

. .
. .
. .
. .
. .
: 3

85. ?
1. furosemid
2. vacomycin
3. cisplatin
4. aspirin
5. gentamicin
: 5
86. 48F dizziness Sup SCCDS Hx
?





: 3
87. VEMP ?
1. - (sacculo-colic)
2. SCM
3. 65
4.
5.
: 5
88. 40 1 1 1-2 1 .
, . 1 . 10
, 40dB, 20dB . EcoG AP/SP 0.32
0.54 . ?
1.
2.
3.
4.
5.
: 2
89. ?

1. , .
2. 10dB
3. .
4. .
5. 20 dB HL .
: 1 ( 4, 5 )

90. 20 , . 40dB
( ) , . ?
1. .
2.
3. 10~20% .
4. , .
5. .
:4
91. ,
?

.
.
.
.
.
92. electrode ?

1. A
2. B
3. C
4. D
5. E
: 4 D (spiral ganglion)
93. ?
Ling 6 test

CAP(category of auditory performance)
SEL-SI(sequential language scale for infant)
IT-MAIS(infant toddler meaningful auditory integration scale)
:5
94. 3 . .
?
ABR : no response (Rt,Lt)-> 85,90dB flat
OAE : response (+) (Rt,Lt)
. 1 F/U .
. .
. PET
.
. MRI
: 5
95. ?

 3
96. , .
?
: 1 -> -> ->
.
: . masking
97. CI . ?
1) .
2) 3.0 MR .
3) .
4) .
5) .
: 4
98. 45 2 , ,
. SNHL , 2 .
?
1.
2.
3.
4.
5.

.
.
.
, .
40% .

) 1
99. 38 10
90dB, 10% . ?
Temporal bone CT(axial, coronal)- s/p OCM, haziness
1.
2.
3.
4. CI
5. ABI
: 4

100. 30 . ?
SD - Rt : 92%, Lt : 90%
PTA - 25dB, 4kHz 45dB
.
.
.
.
.

MRI .
.
.
.
Steroid .
: 3

1.
1)
2)
3)

adenotonsillectomy ?
bifid uvula
post nasal spine notch
zona pellucida

2. . (2 )
( Behcets disease)
( )

3. .
intubation , tracheotomy
. procedure ? (2 )
1) cricothyroidotomy
2) emergency tracheotomy
4. ?
: Thyroglobulin, Anti-thyroglobulin antibody
5. Spinal accessory nerve
Anterolateral rotation of ( scapula )
Atrophy of ( Trapezius ) muscle
6. locoresional control
.
1)
2)
3) perineural invasion
4) lymphatic/vascular invasion
5) advanced T and N stage

) 1) ECS(extracapsular spread) 2) positive resection marging/closed margin

7.
1)
2)
3)

?(3)
bleeding
synechiae
atrophy

8.
1)
2)
3)
4)
5)

ESS MT (3 )
septum MT suture
septum MT synechia
MT nasal lateral wall occupying packing
silastic sheet
floppy middle turbinate middle turbinate

9.
1)
2)
3)

Setptoplasty (3 )
,
rhinoplasty septal cartilage harvest
TSA

10. Delivary procedure rhinoplasty incision ? (2 )

1) intercartilagenous incision
2) marginal incision
11.
1)
2)
3)

hormone related rhinitis (3 )

pregnancy related,post menopausal atrophic rhinitis

12.
1)
2)
3)
4)

nasal cavity papilloma (3 )

keratotic papilloma
fungiform papilloma
cylindrical papilloma
inverted papilloma

13. .(3 )

1)
2)
3)
4)

mastoidectomy ventilation
CI
facial nerve decompression tympanic segment

14. 42 .
1) ? Patulous E-tube
2) ?
extramural pressure ,
tensor veli palatini rhythmic contraction

15

1)
2)
3)
4)

app ? translabyrinthine approach

? facial nerve
? superior vestibular nerve
? inferior vestibular nerve

16. .
.
(3 )
1) head shaking test
2) head thrust test
3) gaze nystagmus test(allexander law )
17. 3
1)
2)
3)
18. . ?
2007 Joint Committee on Infant Hearing (JCIH)
.
( ) .
( ) .
( ) .
(
1)
2)
3)
4)
5)

1
3
6
OAE
ABR

<R-type>
(1~3)
1. Level I
2. Level II
3. Level III

), (

) .

4.
5.
6.
7.
8.

Level IV
Level V
Level VI
Level VII
Retropharyngeal LN

1. cT2N1b , level . Neck dissection

?(3)
1,7,8
2. Wartin`s duct mouth floor T2N0M0 ? (3)
1,2,3
3. 3cm frozen biopsy .
?(3)
2,3,4
(4~5)
Anterior commissure
Arythenoid cartilage
Aryepiglottic fold
Cricoid cartilage
Epiglottis
Hyoid
Thyroid cartilage
Ventricle
Glottis
4. ?(3)
Arythenoid, Cricoid cartilage, Hyoid
5. Glottic cancer Transoral laser surgery ?(3)
) Hyoid, Thyroid cartilage, cricoid cartilage
(6-7)
Azelastine
Cetrizine
Fexofenadine
Mometasone
Pseudoephedrine
Prednisolone
ciclesonide
ipratropium bromide
6. ?(2)
Pseudoephedrine, Prednisolone
7. category B ?(2)

Cetrizine, ipratropium bromide

(8~9)
EEG
EMG
EOG
ECG
SaO2
air flow
thoracic movement
Body position
8. (2)
thoracic movement, air flow
9. (2)
EEG EOG EMG
(10)
Amphotericin
Ciprofloxacin
Chlopheniramin
Pseudoephedrine
Prednisolon
Singulair
defenhydramine
ceterizine?
Ipratroprium bromide
10. 30 . polyp .
(2)
: Prednisolon, Pseudoephedrine

(11~12)

11. Air-bone gap (2)

) ,

12. ? (3)
, ,

(13~15)
simple mastoidectomy
Tympanomastoidectomy
radical mastoidectomy
subtotal petrosectomy
translabyrinthine approach
transcochlear approach
Middle cranial fossa approach
Infratemporal fossa approach type A
suboccipital approach
retrograde supralabyrinthine approach
13. ? (2)
translabyrinthine approach
transcochlear approach
14. ? (3)
translabyrinthine approach
Infratemporal fossa approach type A
transcochlear approach
15. ? (2)
transcochlear approach
Infratemporal fossa approach type A

55~56, 65~66
59,60,