Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery Boards Set 2 > Head & Neck > Flashcards

Head & Neck Flashcards

1
Q

Branchial cleft anomalies

A 
1st
External opening - pre-auricular area
Internal opening: middle ear
2nd
EO: lateral neck at SCM
IO: tonsillar fossa
3rd 
EO: lateral neck at SCM
IO: pyriform sinus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Treatment of branchial cleft anomalies

A

Comoplete excision once inflmmation subsides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where do we do blind biopsies in unknown primaries of the head and neck

A

Base of tongue
Tonsillar fossa
Pyriform sinus
Nasopharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ranula

A

Mucous retention cyst involving the sublingual gland

Tx: excision or marsupialization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Epulis

A

Granulomatous lesions on the gingival or alveolar mucosa

literally means growth on the gingiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe granular cell myoblastoma

A

“SAS”

  • firm, submucosal swellings in the mid 1/3 of the tongue
  • aka Abrikossoff tumor
  • derived from Schwann cells
  • tx: wedge excision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe juvenile nasopharyngeal angiofibroma

A

“FAME”

  • highly expansile and destructive Fibrovascular neoplasms
  • typically occurs in Adolescent males
  • presents with Massive Epistaxis
  • tx: angioembolization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lateral rhinotomy eponym

A

Weber-Ferguson procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Anterior epistaxis is from

A

Kisselbach’s plexus in the little’s area

  • ICA branches (anterior and post ethmoidal br’s)
  • ECA (sphenopalatine and greater palatine arteries, septal branch of the superior labial artery)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Posterior epistaxis is from

A

Woodruff’s plexus
Formed by branches of internal maxillary artery
-posterior nasal sphenopalatine
-ascending pharyngeal arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe laryngocele

A
  • herniation of the laryngeal ventricles d/t chronic increaes in intralaryngeal presure
  • tx: lligation of stalk and repair of ventriccles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe ameloblatoma

A
  • aka adamantinoma
  • assoc’d with impacted tooth
  • painless benign but localy aggressive mandibula mass THAT MAY ERODE THE BONE CORTEX
  • (+) soap-bubble appearance on radiographs
  • tx: excision with 1-2cm margin of normal mandible
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Marginal vs segmental mandibulectomy

A

Marginal - inf alveolar nerve is NOT invloved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe HNSCC

A
  • HPV-negative is more commone (80%) but it’s the one that carries a poor porgnosis
  • TP53 mutation occurs early (vs colon CA’s late TP53 mutation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cervical lymph node (CLN) 1a

A

Submental nodes (medial to anterior belly of digastric)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CLN 1b

A

Submandibular node (posterior to anterior belly of diagstric)

17
Q

CLN 2a

A

Upper jugular chain

Inferior to SAN

18
Q

CLN 2b

A

Submuscular recess

Superior to SAN

19
Q

CLN 3

A

Midjugular ln

Hyoid to cricoid

20
Q

CLN 4

A

Lower jugulrn ln

Cricoid to clvicle

21
Q

Cln 5

A

Posterior triangle / suboccipital ln

SAN is the divider

22
Q

Cln6

A

Anterior / central lymph nodes
Inferior to hyoid, superior to superasternal notch, medial to strap muscles
- removed in total thyroidectomy in cases of MTC

23
Q

Cln 7

A

Superior mediastinal / paratracheal / suprasternal ln

-inferior to suprasternal notch

24
Q

Cancer cells in thyroid malignancy will metastasize first to this group of cln

A

Cln V

25
Q

SUPRAOMOHYOID DISSECTION

A
  • for oral cavity and lip malignancies

- I, II, III

26
Q

Lateral neck dissection

A
  • for laryngeal, oropharyngeal, hypopharngeal malignancies

- II, III, and IV

27
Q

Central neck dissection

A
  • for thyroid malignancy (MTC?)

- VI

28
Q

Posterolateral neck dissection

A
  • for thyroid and posterior malignancies
  • nasopharynx (?)
  • II, III, IV, and V
29
Q

Boundaries of the hypopharnyx

A

Suprior: hyoid bone, glossoepiglottic and pharyngoepiglottic folds
Inferior: cricoid cartilage, cricopharyngeus
Anterior: posteriro cricoarytenoid muscle
Posterior: mucosal wal, middle and inferior constrictor muscles

30
Q

Subsites of hypopharynx

A

Pyriform sinus
Postcricoid region
Posterior wall
(3 subsites of the hypopharynx are pertinent to localize where SCC arises)

Surgery Boards Set 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions