Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

IPAP Senior ENT > Head & Neck > Flashcards

Head & Neck Flashcards

(57 cards)

Start Studying
1
Q

normal lymph node size

A

1cm

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

Enlarged lymph nodes are what size

A

> 1.5cm

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

rapid growth & tenderness of a lymph node suggests

A

inflammatory process

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

Slow growing / painless & firm lymph node suggests

A

neoplasm

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

neck mass rule of 7’s

A

7 days - infammatory
7 wks-7months - neoplastic
7 yrs - congenital

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

neck mass DDx in children to young adults

A

most benign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

neck mass DDx in > 40y/o

A

MC cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

neck mass DDx in < 30 & >70

A

consider Lymphoma

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

Most common neck space infection

A

Ludwig’s angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Bilateral infection of submandibular space

A

Ludwig’s angina

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

Ludwig’s angina is typically caused by

A

dental infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the most common cause of Deep neck abscesses

A

Odontogenic infections (dental)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what neck masses are considered ENT emergancies

A

Ludwigs angina

Deep neck Abscesses

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

what makes Ludwigs angina an ENT emergency

A

tongue is pushed up & back obstructing airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

This causes Ludwig Angina in ICU Pt’s?

A

Lemierre syndrome: Thrombophlebitis of IJV r/t IJ central line

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

suppurative lymphacdenopathy in middle aged Pt w/ tobacco/EtOH Hx should consider what

A

malignancy

(metastatic SCC) until proven otherwise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

PE findings of Ludwigs Angina & Deep Neck Abcess

A

Edema
erythema
Pain upper neck under chin/floor of mouth
Tongue displace

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

MC bacteria for Ludwigs Angina & Deep Neck Abcess

A

Strep
Staph
Bacteroides
Fus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

studies needed for Ludwigs Angina & Deep Neck Abcess

A

CT w/contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tx of Ludwigs Angina

A

Penicillin + Metronidazole
Dental consult
External drainage if airway compromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Tx of Deep Neck Abscess

A

secure airway (intubate / Trach)
IV ABX
I&D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Tx of Lemierre Syndrome

A

ABX for Fusobacterium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Most common cause of neck mass in any age

Study These Flashcards
A

Reactive Cervical Lymphadenopathy (LAD)

24
Q

Reactive Cervical Lymphadenopathy (LAD) is a?

Study These Flashcards
A

painful enlargement of lymph nodes respone to infection/inflammation

25
Reactive Cervical Lymphadenopathy (LAD) is most commonly caused by infections of
pharynx salivary glands scalp
26
when for consider FNA in Reactive Cervical Lymphadenopathy (LAD)
1) >1.5cm not associated w/ infection 2) H/o tobacco/EtOH/ or cancer 3) Persistent / continued enlargement
27
Clinical presentation of Reactive Cervical Lymphadenopathy (LAD)
firm / mobile / tender | rapid increase in size
28
older Pt w/ 1 enlarged lymph node, h/o TB exposure & POSITIVE TB. you should do what?
FNA Biopsy anti-TB ABX 6-12 months
29
young Pt w/ 1 enlarged lymph node, w/o h/o TB exposure & nonreactive PPD. what should you do?
FNA Biopsy Surgical removal
30
Pt gets 1 node enlargement wks-months after cat scratch what do you do
Self limiting may be Tx with ABX though
31
immunocompetent Pt has single node enlargement in posterior triangle after eating under cooked meat
Toxoplasmosis; | ABX not needed
32
Nodal enlargement in this area is highly suggestive of Syphilis?
Epitrochlear
33
Tx of Syphilis
Pen G (2.4 million unit IM) once a week x 3 weeks
34
What is snoring/OSA attributed to
narrow upper aerodigestive tract r/t position change/ muscle tone/ soft tissue hypertrophy/ laxity
35
Signs/Sx's of OSA
snoring excessive daytime somnolence daytime HA weight gain
36
A score > 10 on the Epworth Sleepiness Scale is?
abnormal suggestive of daytime sleepiness (EDS)
37
Sleep study known as
Polysomnography
38
Tx of OSA?
Weight loss/ position change Mandibular advancement CPAP/BiPAP Surgical (UPPP)
39
emergancy requiring intubation but unable to get should recieve what
cricothyrotomy
40
Primary indications for Tracheotomy
1. Airway obstruction @/above larynx | 2. Respiratory Failure needing prolonged mechanical vent (MCC)
41
what suggest foreign body in the esophagus & what imaging is needed
drooling X-ray
42
Treatment of foreign body in esophagus
non-sharp- 2hr monitor endoscopic removal
43
Most common congenital mas of lateral neck
Branchial Cleft Cyst
44
A soft / slow-growing/ painless mass; appears along SCM/face/auricle that is non mid line & doesnt move when swallowing
Branchial Cleft Cyst
45
Diagnosis of Branchial Cleft Cyst
CT cystic mass medial to SCM
46
Tx of Branchial Cleft Cyst
Excise completely along w/ fistulous tract(s) | r/o malignancy
47
Most Common congenital mas of central neck
Thyroglossal Duct Cyst
48
20ish y/o Pt w/ midline mass below hyoid bone & will move w/ swallowing & tongue protrusion
Thyroglossal Duct Cyst
49
Diagnosis of Thyroglossal Duct Cyst
TSH if abnormal --> thyroid scan | CT
50
Tx of Thyroglossal Duct Cyst
Surgical removal of cyst & fistulous tract
51
What does the Sistrunk procedure do
resection of Thyroglossal Duct to base of tongue w/ removal of cyst & medial segment of hyoid bone
52
Most common Head and neck cancer
SCC
53
suspected Head & Neck cancer Pt needs
ENT Consult | triple endoscopy
54
What is included in triple endoscopy
direct leryngoscopy Bronchoscopy Esophagoscopy
55
this is used to evaluate primary tumors
Endoscopy
56
Presentation of SCC
``` Sore throat referred otalgia hoarseness +/- airway obstruction fixed reactive LAD, +/- tender Constitutional Sx's ```
57
group of cancer that present @ peak age of 20 & >50, multiple rubbery nodes
Hodgkins & nonhodgkins lymphoma

IPAP Senior ENT (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions