Chapter 21 - Surgical Subspecialties

Question 1

Divides the neck into the anterior and posterior triangles.

Answer 1

sternocleidomastoid (SCM)

Question 2

Treatment for benign salivary tumors

Answer 2

Superficial parotidectomy

Question 3

Injury to auricotemporal nerve after parotidectomy manifesting as gustatory sweating

Answer 3

Frey’s syndrome

Question 4

Most common cancer of oral cavity

Answer 4

Squamous cell carcinoma

Most commonly affecting the tongue

Question 5

Most common laryngeal cancer

Answer 5

Squamous cell carcinoma

Question 6

Modified radical neck dissection preserves what 3 structures

Answer 6

Internal jugular vein
CN XI
SCM

Question 7

Polymicrobial infection commonly caused by extension of acute tonsillitis and with presenting symptoms of trismus, odynophagia, dysphagia, dehydration, voice change (“hot potato” voice),uvular deviation toward the contralateral side, and bulging of the anterior tonsillar pillar.

Answer 7

PERITONSILLAR ABSCESS

Question 8

Symptoms of this disease can include fever, irritability, drooling, nuchal rigidity, dyspnea, dysphagia, and airway obstruction (Ludwig’s angina), and patient may hold neck rigidly towards the unaffected side.

Answer 8

Retropharyngeal abscess

Question 9

Most common malignancy of the female reproductive tract

Answer 9

ENDOMETRIAL CANCER

Question 10

Most common endometrial cancer

Answer 10

Adenocarcinoma

Question 11

A solid, irregular, fixed pelvic mass, particularly one in a peri- or postmenopausal woman that is enlarging or that is found in conjunction with an upper abdominal mass or ascites, is highly suggestive of

Answer 11

ovarian malignancy

Question 12

Metastatic lesions to the ovaries

Answer 12

Krukenberg tumors

Question 13

Ovarian tumor that is most sensitive to chemoradiation

Answer 13

Dysgerminoma

Question 14

Syndrome of Hydrothorax, Ascites, Ovarian tumor

Answer 14

Meig’s syndrome

Question 15

Extension of mucinous tumors (ovarian, appendiceal) to the peritoneal surfaces, filling abdomen with mucin.

Answer 15

Pseudomyxoma peritonei

Question 16

Pseudomyxoma peritonei is found in what ovarian tumor

Answer 16

Mucinous cystadenoma

Question 17

Most common malignant germ cell tumor of the ovary

Answer 17

Dysgerminoma

Question 18

Malignant trophoblastic proliferation, most commonly following hydatiform molar pregnancy

Answer 18

Choriocarcinoma

Question 19

Sex cord stromal tumor of the ovary that results in precocious puberty and transformation of estrogen-responsive tissues.

Answer 19

Granulosa-thecal tumor

Question 20

Sex cord stromal tumor of the ovary that produces excess testosterone →virilization.

Answer 20

Sertoli-Leydig tumor

Question 21

Second most common cancer of the female reproductive system

Answer 21

CERVICAL CANCER

Question 22

Most common cervical cancer

Answer 22

SCC

Question 23

Most common cancer in the vulva and vagina

Answer 23

SCC

Question 24

Cells of the testes that are involved in spermatogenesis.

Answer 24

Sertoli cells

Question 25

Formed by the vas deferens and the seminal vesicles.

Answer 25

Ejaculatory duct

Question 26

Testicular cells that are involved in testosterone production.

Answer 26

Leydig cells

Question 27

Most common cancer in men aged 20–35 years.

Answer 27

TESTICULAR TUMORS

Question 28

Most common cause of struvite stone

Answer 28

Proteus mirabilis (urease-producing bacteria)

Question 29

Most common renal neoplasm

Answer 29

Renal cell carcinoma

Question 30

Most common cancer in men

Answer 30

Prostate cancer

Question 31

Most common carcinoma of the prostate

Answer 31

Adenocarcinoma

Question 32

Middle cerebral artery is a branch of? Anterior cerebral artery is a brach of? Posterior cerebral artery is a branch of?

Answer 32

Anterior and middle - Internal carotid artery

Posterior - vertebral artery

Question 33

Basilar artery is a branch of

Answer 33

Vertebral artery

Question 34

Artery found in the T10-L2 region that supplies the lower thoracic cord and conus medullaris.

Answer 34

artery of Adamkiewicz

Question 35

Unilateral hemisection resulting to ipsilateral loss of motor function, deep touch, vibration, and proprioception; and contralateral loss of light touch, temperature, and pain.

Answer 35

Brown-Sequard syndrome

Question 36

Caused by hyperextension injury that results in weakness of the upper extremities (relative to lower extremities) with variable sensory loss below the affected level.

Answer 36

Central cord syndrome

Question 37

Results in bilateral loss of motor function as well as pain and temperature sensation. Proprioception, vibration, and deep touch sensation are intact.

Answer 37

Anterior cord syndrome

Loss of blood supply to anterior spinal cord.

Question 38

Type of collagen that is primarily found in the bone

Answer 38

Type 1

Question 39

Involved nerves in Erb’s palsy

Answer 39

C5 and C6

Question 40

Waiter tip position (shoulder adducted, internally rotated elbow extended with wrist flexed).

Answer 40

Erb’s palsy

Question 41

Nerve involved in Klumpke’s palsy (claw hand)

Answer 41

C8-T1

Question 42

Involved nerve in winged scapula

Answer 42

Long thoracic nerve

Serratus anterior weakness

Question 43

Injured nerve when there is weakness of the thenar muscle

Answer 43

Median nerve

Question 44

Injured nerve where there is weakness in elbow flexion and supination

Answer 44

Musculocutaneous nerve

Question 45

Involved nerve in Saturday night palsy (wrist drop)

Answer 45

Radial nerve

Question 46

2 Most common sites for lumbar disc herniation

Answer 46

L5-S1 and L4-L5

Question 47

Renal cell carcinoma, pheochromocytoma, retinal angioma

Answer 47

Von Hippel-Lindau syndrome