Head And Neck

Question 1

For unknown primary tumors, where do you perform your biopsies? (4)

Answer 1

Base of tongue
Tonsillar fossa
Pyriform sinus
Nasopharynx

Question 2

Rule of 80

Answer 2

80% neoplastic
80% malignant
80% metastatic
80% above the clavicle

Question 3

Most common malignant salivary gland tumor

Answer 3

Muco-epidermoid carcinoma

Question 4

Second most commonly malignant salivary gland in ADULTS

Answer 4

Adenoid cystic carcinoma

Question 5

Second most common malignant salivary gland tumor in CHILDREN

Answer 5

Acinar cell carcinoma

Question 6

Most common benign epithelial tumor in salivary gland

Answer 6

Pleomorphic adenoma

Question 7

Malignant features of the salivary gland tumors (4)

Answer 7

Rapid growth, painful, parethesia and trismus

Question 8

What do you remove in radical neck dissection? (4)

Answer 8

Levels I-V cervical nodes, spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle

Question 9

Most common type of thyroid malignancy

Answer 9

Papillary carcinoma

Question 10

(+) orphan annie nuclei
(+) Psammoma bodies

Answer 10

Papillary carcinoma

Question 11

Single most important test in evaluation of thyroid nodules

Answer 11

FNAB (Fine Needle Aspiration)

Question 12

First to order in evaluation of thyroid nodules

Answer 12

TSH

Question 13

Most common inflammatory disorder of the thyroid gland and leading cause of hypothyroidism in iodine sufficient region

Answer 13

Hashimoto’s disease

Question 14

Most important prognosticating factor in malignant thyroid disease

Answer 14

Age

Question 15

Pentad for primary hyperparathyroidism

Answer 15

Kidney stones
Painful bones
Abdominal groans
Psychic moans
Fatigue overtones

Question 16

Management for symptomatic primary hyperparathyroidism

Answer 16

Parathyroidectomy

Question 17

Most common cause of hypercalcemia in hospitalized patients

Answer 17

Cancer

Question 18

Most common cause of hypercalcemia in outpatient

Answer 18

Hyperparathyroidism

Question 19

Mainstay treatment for hypercalcemic crisis

Answer 19

IV 0.9% Saline hydration

Question 20

Persistent hyperparathyroidism and hypercalcemia following successful renal transplant or resolution of underlying disorder

Answer 20

Tertiary hyperparathyroidism

Question 21

Difference between secondary hyperparathyroidism and tertiary hyperparathyroidism

Answer 21

Hyperparathyroidism in tertiary is autonomous

Question 22

Skeletal disorder caused by excess parathyroid hormone from overactive parathyroid glands

Answer 22

Osteitis fibrosa cystica

Question 23

Most frequently reported after chemotherapy for lymphoma or germ cell tumors

Answer 23

Thymic hyperplasia

Question 24

Most frequently encountered neoplasia of the anterior mediastinum in adults

Answer 24

Thymoma

Question 25

True or false:
Myasthenia gravis with thymoma - 50% resolve
Myasthenia gravis without thymoma - 50% remission and 90% improve

Answer 25

False
With thymoma - 25% resolve

Question 26

Most common location of ectopic parathyroids

Answer 26

Paraesophageal