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ENT > Fascial Spaces, Salivary Glands, Wound Healing > Flashcards

Fascial Spaces, Salivary Glands, Wound Healing Flashcards

1
Q

TRUE OR FALSE:

The strenohyoid lies underneath the deep component of the deep cervical fascia

A

FALSE

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2
Q

TRUE OR FALSE:

The platysma lies underneath the superficial component of the deep cervical fascia.

A

FALSE

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3
Q

TRUE OR FALSE:

Papillary Cystadenoma Lymphomatosum is another name of Pleomorphic

A

FALSE

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4
Q

TRUE OR FALSE:

The Intercalated ducts drains directly into the acinus.

A

FALSE

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5
Q

TRUE OR FALSE:

Adequate supply of oxygen and vitamin C is needed for proper collagen synthesis.

A

TRUE

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6
Q

In this method of wound closure, the wound is left open for a short period of time before it is closed.

a) Third intention
b) Skin grafting
c) Primary intention
d) Secondary intention

A

a) Third intention

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7
Q

This is an example of a free flap.

a) Radial forearm flap
b) Latissimus dorsi flap
c) Transposition flap
d) Pectoralis major myocutaneous flap

A

a) Radial forearm flap

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8
Q

True with the early phase of collagen synthesis EXCEPT:

a) Low strength/mass ratio
b) None of the above
c) Poorly organized
d) Low tensile strength

A

b) None of the above

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9
Q

TRUE OR FALSE:

The middle component of the deep cervical fascia is continuous with the danger space.

A

FALSE

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10
Q

TRUE OR FALSE:

In retropharyngeal abscess, there is a suppurative process occurring in between the submucous pharyngeal fascia and the posterior pharyngeal wall.

A

FALSE

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11
Q

TRUE OR FALSE:

In parapharyngeal abscess, there is a suppurative process occurring in between the submucous pharyngeal fascia and the posterior pharyngeal wall

A

FALSE

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12
Q

TRUE OR FALSE:

The superficial component of the deep cervical fascia splits to enclose the muscles of mastication and the mandible.

A

TRUE

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13
Q

Malignant tumor of the salivary gland that rarely metastasizes.

a) Acinar Cell Carcinoma
b) Adenoid Cystic Carcinoma
c) Mucoepidermoid Carcinoma
d) Squamous Cell Carcinoma

A

a) Acinar Cell Carcinoma

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14
Q

Essential factors for the survival of a graft:

a) Viable recipient bed, close contact between graft
and bed, immobilization of the graft, time of graft
placement
b) Viable recipient bed
c) Viable recipient bed, close contact between graft and bed, immobilization of the graft
d) Viable recipient bed and close contact between graft and bed

A

c) Viable recipient bed, close contact between graft and bed, immobilization of the graft

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15
Q

Which among the following sutures exhibit less resistance to passage through tissue?

a) Braided sutures
b) None of the above
c) Multifilament sutures
d) Monofilament sutures

A

d) Monofilament sutures

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16
Q

This gland lies beneath the horizontal ramus of the mandible and lies within the digastric triangle.

a) Sublingual gland
b) Submandibular gland
c) Parotid gland
d) Minor salivary gland

A

b) Submandibular gland

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17
Q

TRUE OR FALSE:

Monofilament sutures are less stiff and have a higher coefficient of friction when used in wound closure.

A

FALSE

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18
Q

A 5-year-old boy was diagnosed with mumps. How is this best managed?

a) Oral antibiotics
b) Gentian violet painted over the affected side
c) Antiviral medications
d) Supportive treatment

A

d) Supportive treatment

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19
Q

This type of flap has its base located at some distance from the defect, the pedicle must pass over or under the intervening tissue.

a) Transposition flap
b) Rotational flap
c) Interpolated flap
d) Pedicled flap

A

c) Interpolated flap

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20
Q

At the emergency room, a patient came in with a lacerated wound on the upper lip area, with the knowledge on hand on application of local anesthesia, what will you incorporate with lidocaine to control further bleeding?

a) Lidocaine alone will do since it has vasodilator effect
b) Epinephrine, since it is vasodilator
c) Lidocaine alone will do since it has vasoconstrictor
effect
d) Epinephrine, since it is vasoconstrictor

A

d) Epinephrine, since it is vasoconstrictor

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21
Q

Structure that drains the parotid:

a) Rivinus duct
b) Wharton’s duct
c) Secretory duct
d) Stensen’s duct

A

d) Stensen’s duct

22
Q

Best describes Myoepithelial Cells:

a) Drains the acini
b) Necessary for saliva production
c) Surrounds the acini and intercalated ducts
d) Contracts to the express saliva from the excretory
duct

A

c) Surrounds the acini and intercalated ducts

23
Q

TRUE OR FALSE:

Transmission of Mumps or acute viral sialadenitis is primarily airborne.

A

FALSE

24
Q

TRUE OR FALSE:

One absolute contraindication to doing sialography is the presence of inflammation.

A

TRUE

25
Q

TRUE OR FALSE:

The middle component of the deep cervical fascia is continuous with the pericardium.

A

TRUE

26
Q

TRUE OR FALSE:

The styloid process and the carotid arteries are found within the confinement of the parapharyngeal space.

A

TRUE

27
Q

TRUE OR FALSE:

The carotid sheath is found in between the layers of the superficial component and the middle component of the deep cervical fascia.

A

FALSE

28
Q

TRUE OR FALSE:

The thyroid gland is encapsulated by the middle component of the deep cervical fascia.

A

TRUE

29
Q

A 36-year-old man presented with diffuse enlargement of both parotid glands for several months. He claims that it remains the same whenever he eats and is not painful. What is the likely diagnosis?

a) Sialadenosis
b) Suppurative sialadenitis
c) Sialolithiasis
d) Viral sialadenitis

A

a) Sialadenosis

30
Q

What is the best initial test to perform in patients who need histologic diagnosis of their salivary gland tumor?

a) Ultrasound
b) Minimally Invasive Incision Biopsy
c) Core Needle Biopsy
d) Fine Needle Aspiration Biopsy

A

d) Fine Needle Aspiration Biopsy

31
Q

Type of advancement flap that is used to improve symmetry of the wound.

a) V-Y advancement flap
b) Unilateral advancement flap
c) Y-V advancement flap
d) Bilateral advancement flap

A

b) Unilateral advancement flap

32
Q

This flap is supplied by the thoracoacromial artery.

a) Temporal flap
b) Radial forearm flap
c) Pectoralis major myocutaneous flap
d) Latissimus dorsi flap

A

c) Pectoralis major myocutaneous flap

33
Q

Types of local flap are always used with another flap or grafts to provide external defect coverage.

a) Hinge flap
b) Free flap
c) Rotational flap
d) Advancement flap

A

a) Hinge flap

34
Q

TRUE OR FALSE:

The middle component of the deep cervical fascia anteriorly overlies the scalene muscles.

A

FALSE

35
Q

TRUE OR FALSE:

The deep component of the deep cervical fascia extends posteriorly above the hyoid bone only as the layer encircling the muscles of mastication

A

FALSE

36
Q

Your brother asked you why he drools when he sleeps. You know for a fact that even as a kid, he is a snorer and frequently sleeps in a prone position with his mouth open. Which of the following is the LIKELY reason why he has sialorrhea while he sleeps?

a) The parotid glands are typically more active at rest
b) He snores which dries up the oral cavity which in turn stimulates minor salivary glands to produce
more saliva for lubrication
c) He produces more saliva at night
d) He sleeps in a prone position with his mouth open

A

d) He sleeps in a prone position with his mouth open

37
Q

A patient came into the emergency room because of a draining abscess on his post-surgical wound. Upon removal of the sutures and debridement, what will be your next best step?

a) Close the wound via delayed primary intention
b) Will admit the patient and put the patient in high dose antibiotics, wound debridement delayed for a week
c) Will not remove the sutures and delay the debridement to decrease further wound infection
d) Close the wound primarily

A

a) Close the wound via delayed primary intention

38
Q

TRUE OR FALSE:

The parotid gland is encapsulated by the visceral layer.

A

FALSE

39
Q

TRUE OR FALSE:

The superficial component of the deep cervical fascia overlies the thyro-hyoid muscle.

A

TRUE

40
Q

TRUE OR FALSE:

A parotid mass that is painless, but movable is likely malignant.

A

FALSE

41
Q

TRUE OR FALSE:

The surgeon can place the incision on a wrinkle or skin crease to minimize the visual impact of scars when doing surgery.

A

TRUE

42
Q

The choice of proper flap and graft selection will be based on the following EXCEPT:

a) Available local tissue
b) Patient in critical state and needs urgent
management
c) Cosmesis
d) Experience of the medical team

A

c) Cosmesis

43
Q

Which of the following heals via re-epithelization only.

a) Tertiary intention
b) Delayed primary intention
c) Primary intention
d) Secondary intention

A

b) Delayed primary intention

44
Q

TRUE OR FALSE:

An advantage of a split-thickness skin graft is that they are able to retain more of the characteristics of the normal skin (color,texture, etc) compared to when a full thickness skin graft is used

A

FALSE

45
Q

Saliva secretion is primarily controlled by

a) Parasympathetic cholinergic stimulus
b) Parasympathetic adrenergic stimulus
c) Sympathetic cholinergic stimulus
d) Sympathetic adrenergic stimulus

A

a) Parasympathetic cholinergic stimulus

46
Q

This cutaneous flap is supplied by the internal mammary arteries

a) Latissimus dorsi flap
b) Temporal flap
c) Pectoralis major myocutaneous flap
d) Deltopectoral flap

A

d) Deltopectoral flap

47
Q

TRUE OR FALSE:

The Wharton’s Duct drains the sublingual gland

A

FALSE

48
Q

TRUE OR FALSE:

The superficial component of the deep cervical fascia overlies the sterno-hyoid muscle.

A

TRUE

49
Q

TRUE OR FALSE:

The superficial component of the deep cervical fascia splits to enclose the sternocleidomastoid and trapezius muscle

A

TRUE

50
Q

TRUE OR ALSE:

The deep component of the deep cervical fascia extends posteriorly above the hyoid bone only as the layer encircling the pharyngeal muscles

A

FALSE

ENT (2 decks)

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