Head and Neck

Question 1

[branchial cleft anomalies]

preauricular area to middle ear

Answer 1

1st

Question 2

[branchial cleft anomalies]

lateral neck at SCM to tonsillar fossa

Answer 2

2nd

Question 3

[branchial cleft anomalies]

lateral neck at SCM to pyriform sinus

Answer 3

3rd

Question 4

most common branchial cleft anomaly

Answer 4

2nd

complete excision

Question 5

Sclerosing agent for cystic hygroma

Answer 5

bleomycin

Question 6

[diagnosis]

submucosal
due to rupture of the ductal system
less than 1cm, smooth with bluish hue

Answer 6

mucous retention cyst

Question 7

[diagnosis]

mucus retention cyst involving the sublingual gland

Answer 7

ranula

marsupialization

Question 8

[diagnosis]

anterior maxilla, exaggerated inflammatory response, granulomatous

Answer 8

epulis

Question 9

[diagnosis]

polypoid, can ulcerate, expansile endosteal lesion of the mandible

Answer 9

giant cell reparative granuloma

currettage (if bony origin)

excision (if peripheral)

Question 10

also called abrikoss tumor

from schwann cell tumor

Answer 10

granular cell myoblastoma

wide excision

Question 11

[diagnosis]

adolescent
highly expansile, destructive, epistaxis can be massive,

Answer 11

juvenile nasopharyngeal angiofibroma

angioembolization

Question 12

[diagnosis]

arise from the true vocal cord
juvenile type, hoarseness

Answer 12

laryngeal papilloma

excision/laser ablation

Question 13

[diagnosis]

herniation of the laryngeal ventricles due to chronic increase in intralaryngeal pressure

Answer 13

larygocoele

ligation of stalk and repair of ventricles

Question 14

[diagnosis]

from progenitors of tooth development; involves the maxilla and the mandible

Answer 14

odontogenic tumor

Question 15

[diagnosis]

from the dental lamina
impacted tooth
painless mandibular mass but can erode bone cortex

Xray: soap bubble

Answer 15

amenoblastoma

resection

Question 16

[diagnosis]

Andy-Gump deformity

Answer 16

amenoblastoma (adamantinoma)

Question 17

head and neck tumor staging

T2
N3
M0

means?

Answer 17

T2: >2 to 4 cm
N3: metastasis in a LN >6cm
M0: no distant mets

T1: <2cm
T3: >4cm

N1: <3cm
N2: <6cm

Question 18

[cervical lymph node level]

submental/submandibular

Answer 18

level 1

Question 19

[cervical lymph node level]

upper jugular

Answer 19

level 2

Question 20

[cervical lymph node level]

mid jugular

Answer 20

level 3

Question 21

[cervical lymph node level]

lower jugular

Answer 21

level 4

Question 22

[cervical lymph node level]

suboccipital

Answer 22

level 5

Question 23

[cervical lymph node level]

Central

Answer 23

level 6

Question 24

[cervical lymph node level]

suprasternal

Answer 24

level 7

Question 25

[neck dissections] removal of level I to 5 cervical LN, spinal accessory nerve, IJV, SCM

Answer 25

radical neck dissection

Question 26

[neck dissections] removal of level 1 to 5 cervical LN preserve spinal accessory nerve, IJV, SCM

Answer 26

modified radical neck dissection

Question 27

[selective neck dissection] for oral cavity malignancy

Answer 27

supraomohyoid dissection (level 1, 2, 3)

Question 28

[selective neck dissection] for laryngeal neck dissection

Answer 28

laryngeal malignancy

Question 29

[selective neck dissection] for thyroid malignancies

Answer 29

posterolateral neck dissection

Question 30

[cancer of the tongue] T1 to T2 treatment

Answer 30

partial glossectomy supraomohyoid dissection if N0 or MRND if N+

Question 31

[cancer of the tongue] with mandibular involvement

Answer 31

partial glossectomy floor of the mouth mandibulectomy

Question 32

[cancer of the base of the tongue] treatment for early lesions

Answer 32

surgery + RT | bilateral neck dissection

Question 33

[cancer of the base of the tongue] treatment for advanced lesons

Answer 33

total resection fo the base of the tongue with or without laryngectomy

Question 34

[cancer of the alveolus] Panorex CT scan is used to demonstrate ___

Answer 34

gross cortical invasion

Question 35

[cancer of the alveolus] MRI is used to check for ____

Answer 35

invasion of the medullary cavity

Question 36

[cancer of the hypopharangeal area] surgery must not include these structures

Answer 36

apex of the pyriform sinus | vocal cords

Question 37

80% of the metastatatis neoplasm of unknown neck primary come from _____

Answer 37

above the clavicle

Question 38

the parapharyngeal space spans from the ___ to ___

Answer 38

skull base to hyoid inverted pyramid

Question 39

this divides the parapharyngeal space into 2 compartments

Answer 39

styloid process

Question 40

salivary gland tumors are usually ___ (benign/malignant)

Answer 40

benign

Question 41

tumors arising in the sublingual gland are moslty ___ (benign/malignant)

Answer 41

malignant parotid glands are usually benign

Question 42

most common benight epithelial tumor of the salivary glands

Answer 42

pleomorphic adenoma

Question 43

the second most common benign parotid gland tumor is

Answer 43

papillary cystadenoma usually bilateral

Question 44

___is a triangle that points to the facial nerve. helpful in finding the facial nerve

Answer 44

external auditory canal cartilage

Question 45

what is the most common malignant salivary gland tumor

Answer 45

mucoepidermoid CA

Question 46

what is the second most common malignant salivary gland tumors which is common in adults

Answer 46

adenoid cystic CA

Question 47

what is the second most common malignant salivary gland tumor in children?

Answer 47

acinic cell CA

Question 48

facial nerve sacrifice can be done if ___

Answer 48

encased by the tumor | non-functional pre-operatively