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Flashcards in Handout Deck (137)
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1

aka Abrikossof tumor, derived from Schwann cells

Granular Cell Myoblastoma

✔in striated muscles
✔firm, submucosal swellings in the mid 1/3 of tongue
tx: wedge excision

2

An 85 y/o hypertensive man is evaluated in the ER for recent onset of epistaxis. His BP is 150/80 mmHg, and Hct is 39%. What is most likely source of bleeding?

✔Posterior Nasal Septum

3

Arise form the dental lamina associated with impacted toot.
Xray: multilocular radioluscent appearance "soap bubble"

✔Ameloblastoma (Adamantinoma)

4

Clinically not performed;
removes: level I to V, spinal accessory nerve, IJV, and SCM,

✔Radical Neck Dissection or Crile's Procedure

5

Preserves spinal accessory nerve, IJV and SCM.

✔ Modified Radical Neck Dissection or Functional Neck Dissection

6

Preserves lymphatic structures normally removed in RND or MRND.

✔Selective Neck Dissection

For ORAL Malignancies: Supraomohyoid Dissection (I, II, and III)

For LARYNGEAL Malignancies: Laterala Neck Dissection (II, III and IV)

For THYROID Malignancies: Posterolateral Neck Dissection (II, III, IV, and V)

7

The classic complete neck dissection for palpable adenopathy in the posterior triangle of the neck includes removal of which of the following?

✔Transverse process, C2-C4

8

Most common on the lateral and ventral surface, presents with ulcerations and exophytic masses.

Cancer of the Tongue

9

Malignant Features of Salivary gland tumors.

✔rapid growth
✔paresthesia
✔pain
✔trismus

10

Horizontal fracture through the maxilla superior to the maxillary dentition.

Le fort I
✔mobile hard palate

11

Pyramidal fracture through the maxilla and orbit, outlining the nose.

Le Fort II
✔nasal
✔outer orbit

12

Fracture of the facial bones from the skull.

Le Fort III
✔complete craniofacial separation

13

2nd most common facial fracture; presents with trismus, malocclusion, numbness, and loose or missing teeth.

Mandible Fracture

14

Presents acutely with nausea, vomiting, fatigue, muscle weakness, confusion and decreased level of consciousness.

Hypercalcemic Crisis

15

Occurs among patients with chronic renal failure.

Secondary Hyperparathyroidism

16

Persistent hyperparathyroidism and hypercalcemia following successful renal transplant.

Tertiary Hyperparathyroidism

17

3 Normal areas of Narrowing in Esophagus

✔level of Cricopharyngeus: C6
✔level of Left mainstem Bronchus: T4-T5
✔level of Diaphragmatic hiatus: T10

18

Gold standard in Gerd diagnosis.

24-hr pH monitoring

19

Fundus of stomach is made to enrupt to the distal esophagus creating of new LES.

Nissen Fundoplication

✔Toupet: post
✔Dor: ant

20

Borchardt's triad

✔chest pain
✔retching with inability to vomit
✔inability to pass a ngt

21

Hallmark of Intestinal metaplasia.

presence of intestinal goblet cells in Barrett esophagus

22

Gastric pouch extending above the crural impression (at least 2cms).

Sliding hernia

23

Area of potential weakness situated behind the esophagus at the level cricopharyngeus muscle.

Killian's triangle
✔defect in Zenker's Diverticula

Symptoms:
✔dysphagia
✔regurgitation of undigested food
✔halitosis, choking and aspiration

24

Diverticula located 5cms above and below the level of carina; associated with both traction and pulsion.

Mid thoracic Diverticula

25

Pulsion diverticula that occurs at the distal 10cms of the esophagus.

Epiphrenic Diverticula
✔usually single and occurs at the right side

26

A 79 y/o retired opera singer presents with dysphagia, which has become progressively worse during the last 5 years. He states that he is sometimes aware of a lump on the left side of his neck and that he hears a gurgling sounds during swallowing. He sometimes regurgitates food during eating. What is most likely the diagnosis?

Zenker's (pharyngoesophageal) syndrome

27

A 30 y/o psychiatric patient has barium swallow after removal of a foreign body to rule out a small perforation of the esophagus. No perforation is seen, but an epiphrenic diverticula is visualized. An epiphrenic diverticulum may be associated with?

Hiatal hernia

28

Primary motility disorder characterized by loss of peristaltic waveform in the esophageal body and failure of LES to relax.

Achalasia
✔occur at any age
✔causes functional obstruction


Triad of LES:
✔Hypertensive LES
✔Aperistalsis of Esophageal body
✔Failure of LES to relax

29

Gold standard test for achalasia.

Manometry

Endoscopy: to r/o malignancy
Tx: Heller's myotomy + patial fundoplication

✔pneumatic dilatation: most effective non surgical tx

30

Most common primary esophageal disorder.

Nutcracker esophagus

✔Mean peristaltic amplitude of distal: >180 mmHg
✔Increased mean duration of contraction (>7s)
✔Normal peristaltic sequence