ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 20 / 20

Tracheostomy, ENT Aftercare & Integrated Safety

Recognise neck-airway emergencies and ensure safe continuity after ENT treatment.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. After total laryngectomy, which route connects to the lungs? A. Mouth and nose as normalB. Neck stomaC. Oesophagus aloneD. Either nostril alone

Question 02. Will face-mask oxygen alone effectively oxygenate a total laryngectomy patient? A. Yes, as in every other patientB. No, oxygen must reach the stomaC. Only if the patient closes the stomaD. Only if the patient speaks

Question 03. Why identify the type of neck airway immediately? A. All stomas are identicalB. It only affects cosmetic careC. Anatomy determines effective emergency managementD. It removes the need for help

Question 04. What is the priority in new respiratory distress at a neck airway? A. Try unrelated devices at randomB. Wait for routine clinic reviewC. Summon trained help and follow the emergency algorithmD. Close the stoma with a dressing

Question 05. When neck-airway anatomy is uncertain, what does emergency guidance commonly advise initially? A. Oxygen to the face only in every caseB. Occlude the stoma firstC. Oxygen to both face and stoma while clarifying anatomyD. Remove all devices without assessment

Question 06. Why is blind reinsertion into a fresh tracheostomy tract dangerous? A. It always restores the airway safelyB. It is identical to changing a dressingC. It may create a false passageD. It prevents bleeding in every case

Question 07. Should an unassessed speaking valve be applied during respiratory distress? A. Yes, to force speechB. NoC. Only if the patient is anxiousD. Only if the tube type is unknown

Question 08. Rapid postoperative neck swelling raises concern for what? A. Routine harmless bruising in every caseB. Airway-threatening haematoma or another urgent complicationC. PresbycusisD. Isolated nasal allergy

Question 09. What must accompany discharge with a temporary pack or device? A. Explicit review and removal arrangements where appropriateB. An indefinite unowned planC. No instructions if comfortableD. Automatic self-removal without advice

Question 10. Who should review pending ENT pathology after discharge? A. Whoever notices it by chanceB. No one if the wound healsC. An identified responsible clinician or teamD. Only the patient without a contact plan

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.