16-Clinical head and neck 1

Question 1

Dysosmia

Answer 1

change in smells ie. rose smells like garbage

Question 2

phantosomia

Answer 2

smelling things that aren’t actually there

Question 3

hyposmia/ anosmia

Answer 3

decreased sense of smell/ no sense of smell can correlate neurodegenerative disorders can be early predictor of Alzheimer’s

Question 4

what type of tumor can compress CNI

Answer 4

meningioma esthesioneuroblastoma AKA olfactory neuroblastoma malignant tumor of sinonasal tract tx: surgery + radiation (rarely chemo) 85% survival rate

Question 5

pituitary tumor invades cavernous sinus

Answer 5

can lead to complete opthalmic plegia or inability to move the eye

Question 6

3rd nerve palsy sign

Answer 6

down and out with dilated pupil also ptosis (droopy eye)

Question 7

V3 motor innervation

Answer 7

muscles of mastication mylohoid anterior belly of digastric tensor veli palatini tensor tympani

Question 8

trigeminal neuralgia (other name and what is it)

Answer 8

Tic douloureux pain caused by inflamation/comrpession excrusiating pain TX extreme case cut nerve

Question 9

CNVII other than motor

Answer 9

parasympathetics to lacrimal and salivary glands (SMG and SLG) Taste to anterior 2/3rds of tongue (via chordaei tympani)

Question 10

hemi facial palsy danger to eye

Answer 10

exposure karytopathy that can lead to blindness

Question 11

marginal mandibular palsy

Answer 11

injury during submandibular gland surgery gives you assymetric smile problems with drooling if both sides affected

Question 12

bells palsy

Answer 12

dx of exclusion 80% of cases linked to herpes simplex tx is steroids and antivirals

Question 13

other causes of facial palsy

Answer 13

parotid tumor, lyme disease, etc

Question 14

what sign decrease chances of bells palsy?

Answer 14

twitching, slowly progressive paralysis, associated nauro sx’s

Question 15

semi circular canals detect what? saccule and Utricle?

Answer 15

rotational linear accelaration

Question 16

benign tumor of 8th nerve

Answer 16

Vestibular schwannoma can cause hearing loss, tinnitus, facil palsy, facial numbness, brainstem compression

Question 17

glossopharyngeal innervation

Answer 17

to parotid muscles within the neck (big one is in pharyngeal plexus for eating and swallowing)

Question 18

tongue deviation

Answer 18

hypoglossal affected muscles pull forward from jaw

Question 19

cartilage betweeen nostrils

Answer 19

columella

Question 20

kiesselbachs area or plexus

Answer 20

most common minor nose bleeds

Question 21

paranasal ninuses (names and drainage)

Answer 21

Question 22

sinus infections

Answer 22

mostly viral

if dont resolve in 6-7 days, may need abx

chronic need abx or surgery

Question 23

JNA

Answer 23

juvenile NAsopharyngeal angiofibroma

tumor in back of the nose

Question 24

CSF rhinorrhea causes

Answer 24

spontanoeous

traumatic

Iatrogenic (surgical)

Question 25

robotic surgery for nasal sinuses

Answer 25

too big right now

Question 26

Blood and nerve supply to nasal cavity

Answer 26