adult neck masses

Question 1

fine needle aspiration biopsy requires how many passes?

Answer 1

4

Question 2

what is the standard of dx for head and neck masses

Answer 2

fine needle aspiration biopsy

Question 3

use CT instead of FNA to distinguish what

Answer 3

cystic from solid

Question 4

for what type of masses is MR better than CT?

Answer 4

upper neck and skull base masses

Question 5

asymptomatic cervical mass in adult - what % are likely to be cancer?

Answer 5

12%

Question 6

ipsilateral otalgia with normal otoscopy warrants direct exam of what?

Answer 6

phaynx and tongue base

Question 7

unilateral serous otitis warrants direct exam of?

Answer 7

nasopharynx

Question 8

after open excisional biopsy, if frozen section is lymphoma or adenocarcinoma, then?

Answer 8

close the wound

Question 9

most common neoplastic condition in children

Answer 9

thyroid masses

Question 10

are thyroid masses more likely to be malignant in children or adutls

Answer 10

higher chance of being malignant in children

Question 11

dx of thyroid masses

Answer 11

FNAB

Question 12

lateral neck mass only, fever, HSM, diffuse adenopathy

Answer 12

lymphoma

Question 13

dx of lymphoma if neck mass present

Answer 13

FNAB

Question 14

enlarging mass anterior/inferior to ear or at mandible angle

Answer 14

salivary gland tumors

Question 15

dx of salivary gland tumors

Answer 15

open excisional biopsy

Question 16

possible consquence of excision of salivary gland tumor

Answer 16

facial nerve excision & paralysis

Question 17

pulsatile, compressible mass that is mobile medial/lateral

Answer 17

carotid body tumor

Question 18

confirmatory dx of carotid body tumor

Answer 18

angiogram or CT

Question 19

asymptomatic, soft ill defined mass in ppl >35 yo

Answer 19

lipoma

Question 20

medial tonsillar displacement, hoarseness, horner’s syndrome

Answer 20

schwannoma

Question 21

location of schwanoma on neck

Answer 21

mid-neck in poststyloid compartment

Question 22

most common congenital/developmental mass

Answer 22

epidermal and sebaceous cyst

Question 23

elevation and movement of overlying skin, skin dimple or pore; in older person

Answer 23

epidermal and sebaceous cyst

Question 24

which branchial cleft cyst is most common

Answer 24

2nd cleft (tract b/w internal and external carotids)

Question 25

most common congenital neck mass

Answer 25

thyroglossal duct cyst

Question 26

which type of neck mass elevates on swallowing/protrusion of tongue

Answer 26

thyroglossal duct cyst

Question 27

tender node with signs of systemic infxn

Answer 27

lymphadenitis

Question 28

dx of lymphadenopathy

Answer 28

suspicious FNAB warrants open excisional biopsy

Question 29

common etiologies of granulomatous lymphadenitis

Answer 29

TB, atypical TB, cat scratch fever, actinomycosis, sarcoidosis

Question 30

granulomatous lymphadenitis from TB is seen in which nodes

Answer 30

posterior triangle nodes

Question 31

granulomatous lymphadenitis from atypical TB is seen in which nodes

Answer 31

anterior triangle nodes

Question 32

granulomatous lymphadenitis from cat scratch fever is seen in which nodes

Answer 32

preauricular and submandibular nodes

Question 33

tx of cat scratch fever granulomatous lymphadenitis

Answer 33

spontaneous resolution