Chapter 106 : Malignant Tumors of the Larynx

Question 1

WHAT IS THE EMBRYONIC ORIGIN OF THE SUPRAGLOTTIS

Answer 1

BUCCOPHARYNGEAL PRIMORDIUM FROM 3RD AND 4TH BRANCHIAL ARCHES

Question 2

WHAT IS THE EMBRYONIC ORIGIN OF THE GLOTTIS AND SUBGLOTTIS

Answer 2

SIXTHBRANCIAL ARCH

Question 3

THE SUPERIOR AND INFERIOR EXTENT OF THE GLOTTIS

Answer 3

MIDPORTION OF THE VESTIBULE AND 1CM INFERIOR TO THAT

Question 4

IN GENERAL, THE SUGGESTED TREATMENT MODALITY FOR EARLY GLOTTIC CANCER

Answer 4

SINGLE MODALITY (RT OR SURGERY)

Question 5

THE STRUCTURES PRESERVED IN SUPRACRICOID PARTIAL LARYGECTOMY

Answer 5

ONE ARYTENOID, HYOID AND CRICOID

Question 6

THIS IS PROCEDURE WHERE IN THE HYOID AND THE TONGUE BASE IS TIGHTLY APPOSED TO THE CRICOID AFTER SCPL

Answer 6

CRICOHYOIDOPEXY

Question 7

THE SINGLE GREATEST RISK FACTOR FOR HEAD AND NECK SCC

Answer 7

PRIOR HEAD AND NECK SCC

Question 8

THE STANDARD NON-SURGICAL ORGAN-PRESERVATION PROTOCOL

Answer 8

CCRT

Question 9

THE SINGLE MOST IMPORTANT PREDICTOR OF PROGNOSIS FOR LARYNGEAL CA

Answer 9

CLINICAL STAGE

Question 10

TRUE OR FALSE:

PRESENCE OF NODAL METASTASIS IS MORE IMPORTANT THAN T STAGE IN PREDICTING SURVIVAL

Answer 10

TRUE

Question 11

TRUE OR FALSE:

ADJUVANT THERAPY IS WARRANTED IN T3 TUMORS WITHOUT ADVERSE FEATURES AND NEGATIVE FOR NODAL METASTASIS

Answer 11

FALSE

Question 12

WHAT IS THE MAJOR DISADVANTAGE OF SCPL

Answer 12

POOR VOICE QUALITY

Question 13

THE TWO MOST COMMON TREATMENT MODALITIES IN EARLY SUPRAGLOTTIC CA

Answer 13

SGPL AND RT

Question 14

WHAT NEW CHEMOTHERAPEUTIC AGENT CAN BE USED IN CONJUNCTION WITH RT FOR PATIENTS WITH T4 TUMORS AND UNWILLING TO UNDERGO TOTAL LARYGNECTOMY

Answer 14

CETUXIMAB

Question 15

THIS CONSERVATION LARYNGEAL SURGERY REMOVES THE IPSILATERAL TRUE AND FALSE VOCAL FOLDS AND EXTEND LATERALLY TO THE PERICHONDRIUM OF THE THYROID CARTILAGE

Answer 15

VERTICAL HEMILARYNGECTOMY

Question 16

TRUE OR FALSE:

CT HAS HIGHER PREDICTIVE VALUE IN DETECTING CARTILAGE INVASION THAN MRI

Answer 16

FALSE

Question 17

THE MOST COMMON SITE OF DISTANT HEMATOGENOUS METASTSIS

Answer 17

LUNG

Question 18

THIS CAN BE MISTAKEN AS SCC, WHEREIN THERE IS ELONGATION OF THE RETE EDGES OF THE EPITHELIUM BUT DOES NOT SHOW CYTOLOGIC EVIDENCE OF MALIGNANCY

Answer 18

PSEUDOEPITHELIOMATOUS HYPERPLASIA

Question 19

RESULTS FROM INFARCTION OF SALIVARY TISSUE IN THE LARYNX

Answer 19

NECROTIZING SIALOMETAPLASIA

Question 20

THE SECOND MOST COMMON UPPER AERODIGESTIVE TRACT MALIGNANCY

Answer 20

LARYGNEAL SCCA

Question 21

TRUE OR FALSE:

ALCOHOL CONSUMPTION IS MORE IMPORTANT RISK FACTOR IN GLOTTIC SCCA

Answer 21

FALSE

Question 22

A PREMALIGNANT LESION WHICH SHOWS CYTOLOGIC FEATURES OF MALIGNANCY BUT DOES NOT INVADE THE BASEMENT MEMBRANE

Answer 22

CIS

Question 23

TRUE OR FALSE:

TUMORS CROSSING THE ANTERIOR COMMISSURE DETERMINES DEEP TISSUE INVASION

Answer 23

FALSE