ENT 4SE external neck diagnostics

Question 1

3 cardinal symptoms of external neck

Answer 1

shape changes; pain; limitation of neck motion

Question 2

how to palpate cervical soft tissues

Answer 2

preferable from behind; bimanually; deep palpation

Question 3

how to evaluate pulsating masses

Answer 3

by auscultation AND palpation

Question 4

standard method for investigating SOFT TISSUE LESIONS in the neck

Answer 4

2D B-Mode UTZ

Question 5

for evaluating extracranial cerebral arteries and vascular tumors

Answer 5

Doppler UTZ

Question 6

shows as COMPLEX pattern on UTZ

Answer 6

abscess; necrotic tumor (differentiate clinically)

Question 7

shows as CYSTIC pattern on UTZ

Answer 7

lymphoma; hyperplastic node (do A-mode pattern or aspiration)

Question 8

shows as SOLID pattern on UTZ

Answer 8

crystalline or colloid cyst (do A-mode pattern or aspiration)

Question 9

undiagnosed neck masses (elderly, unilateral, fixed) are _______________ unless proven otherwise

Answer 9

METASTATIC CARCINOMA

Question 10

direct and indirect evaluation made by

Answer 10

flexible nasopharyngoscope

Question 11

imaging scan for “RADIOLOGIC TISSUE DIAGNOSIS”

Answer 11

axial CT scan

Question 12

for defining location and relations of SOFT TISSUE LESIONS

Answer 12

coronal and sagittal images on MRI

Question 13

locates mass within or outside the gland

Answer 13

radionucleide scan

Question 14

for evaluating cervical spine and laryngeal fractures

Answer 14

plain radiograph

Question 15

demonstrates inc uptake of fluorodeoxyglucose by tumors

Answer 15

PET scan

Question 16

cytologic evaluation of CYSTIC masses

Answer 16

percutaenous needle aspiration

Question 17

cytologic evaluation of SOLID masses

Answer 17

fine needle aspiration biopsy

Question 18

histologic evaluation of tissue core

Answer 18

Core Biopsy

Question 19

for long standing neck mass unresponsive to conservative tx

Answer 19

OPEN biopsy

Question 20

removes jugulosubclavian LN

Answer 20

prescalene biopsy (DANIEL biopsy)

Question 21

look for primary CA at ____ if with neck mass at POSTERIOR CERVICAL NODES

Answer 21

nasopharynx

Question 22

look for primary CA at ____ if with neck mass at NECK HIGHER and MID JUGULAR

Answer 22

tonsil

Question 23

look for primary CA at ____ if with neck mass at MID JUGULAR nodes

Answer 23

tongue base, pyriform sinus

Question 24

look for primary CA at ____ if with neck mass at SUPRACLAVICULAR NODES

Answer 24

below the clavicles