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Surgery head and Neck > Head And Neck > Flashcards

Head And Neck Flashcards

1
Q

lymphatic drainage from the middle and posterior third of the tongue

A

submandibular and internal jugular nodes

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2
Q

most common cause of laryngeal stenosis

A

Trauma

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3
Q

MC thyroid ca

A

Papillary thyroid ca

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4
Q

Supraomohyoid neck dissection
Removes

A

LN level 1-3
SMG

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5
Q

MRND Type I
Preserves _______

A

CN XI

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6
Q

MRND type II
Preserves

A

CN XI
SCM

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7
Q

MRND type III
Preserves _____

A

CN XI
SCM
IJ

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8
Q

Radical neck dissection
Preserves

A

None

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9
Q

Radical neck dissection
Removes the ______

A

CN XI
IJ
SCM
SMG

*CISS

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10
Q

Extended Supraomohyoid neck dissection
Removes

A

LN level 1-4
SMG

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11
Q

Removal of LN level 2-4

A

Jugular / Anterolateral neck dissection

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12
Q

Removes LN level 2-5

A

Posterolateral neck dissection

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13
Q

Removes LN level 6-7

A

Central neck dissection

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14
Q

LN dissection for oral cavity ca

A

Level I-III

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15
Q

LN dissection for oropharyngeal ca

A

Level II-IV

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16
Q

LN dissection for ca of larynx

A

LN level II-IV, VI

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17
Q

MC parotid Ca

A

Mucoepidermoid

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18
Q

A 2nd tumor detected w/in 6 mos of the diagnosis of initial primary lesion

A

Synchronous neoplasm

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19
Q

A 2nd tumor detected more than 6 mos of the diagnosis of initial primary lesion

A

Metachronous neoplasm

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20
Q

MC location of lip ca

A

Lower lip

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21
Q

Basal cell ca more frequently presents in:
Upper lip or lower lip

A

Upper lip

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22
Q

Lip cancer:
Paresthesia in area of lesion

A

Mental nerve involvement

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23
Q

Cervical dysphasia
Iron deficiency anemia
Atrophic oral mucosa
Brittle spoon finger nails

A

Plummer Vinson syndrome

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24
Q

Tongue ca:
Ipsilateral paresthesia

A

Lingual nerve

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25
Q

Tongue ca:
Tongue deviation and fasciculations

A

Hypoglossal nerve

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26
Q

Tongue ca
Location: base of the tongue
Tx?

A

Partial glossectomy + SOND
*MRND if (+)LN

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27
Q

Tongue ca:
T1-2
Tx?

A

Wide excision

28
Q

Alveolar or gingival ca with minimal bone invasion
Tx?

A

Mandibular resection

29
Q

Alveolar or gingival ca with medullary cavity invasion
Tx?

A

Segmental mandibulectomy

30
Q

MC nasopharyngeal malignancy in adults

A

Squamous cell ca

31
Q

MC nasopharyngeal malignancy in pedia

A

Lymphoma

32
Q

Asymmetrical enlargement of tonsils and tongue base
Dx?

A

Lymphoma

33
Q

Tongue ca
Location: base, crossing the midline
Tx?

A

Total glossectomy + possible total laryngectomy

34
Q

Thyroglossal duct cyst
Tx?

A

Sistrunk procedure

35
Q

Thyroglossal duct cyst
Tx?

A

Sistrunk procedure

36
Q

MC benign neoplasm of the salivary gland

A

Pleomorphic adenoma

37
Q

MC nerve injured in Parotid surgery

A

Greater auricular nerve

38
Q

Numbness lower portion of auricles and preauricular area

A

Greater auricular nerve

39
Q

Frey syndrome
What nerve?

A

Auriculo temporal nerve

40
Q

EBV infection
What head and neck ca?

A

Nasopharyngeal ca

41
Q

(+) Level V cervical LN
What head and neck ca?

A

Nasopharyngeal ca

42
Q

Innervates the cricothyroid muscles

A

Ext Laryngeal nerve

43
Q

Innervates the intrinsic muscles of the larynx

A

RLN

44
Q

Injury to RLN, the vocal cord is _____

A

ABDucted (ineffective cough)

45
Q

Injury leads to inability to hit HIGH NOTES

A

external branch of SUPERIOR Laryngeal nerve

46
Q

Calcitonin
Wat thyroid dx?

A

Medullary Thyroid ca

47
Q

Thyroid ca:
C cells

A

Medullary thyroid ca

48
Q

Thyroid ca:
parafollicular cells

A

Medullary Thyroid Ca

49
Q

autoimmune hyperthyroidism

A

Grave’s disease

50
Q

Thyroid stimulating antibodies

A

Grave’s disease

51
Q

subacute thyroiditis

A

De Quervain’s thyroiditis

52
Q

URTI + painful thyroid

A

De Quervain’s thyroiditis

53
Q

Chronic Thyroiditis

A

Hashimoto’s thyroiditis

54
Q

patho: Hurthle cells
Dx?

A

Hashimoto’s thyroiditis

55
Q

patho: Askanazy cells
Dx?

A

Hashimoto’s thyroiditis

56
Q

hard woody thyroid

A

Reidel’s thyroiditis

57
Q

RET proto oncogene

A

Medullary Thyroid Ca

58
Q

orphan Annie nuclei

A

Papillary thyroid Ca

59
Q

Psammoma bodies

A

Papillary thyroid ca

60
Q

Thyroid ca
hematogenous spread

A

Follicular Thyroid Ca

61
Q

Thyroid mass
scalp mass
skull mass
bone lesions
lung mass

A

Follicular Thyroid Ca

62
Q

Medullary thyroid ca
pheochromocytoma
parathyroid hyperplasia

A

MEN 2 A

63
Q

Medullary Thyroid Ca
pheochromocytoma
neuroma

A

MEN 2 B

64
Q

Thyroid mass
patho: Amyloid

A

Medullary thyroid ca

65
Q

Thyroid mass
Patho: giant multinucleated cells
spindle cells

A

Anaplastic

Surgery head and Neck (2 decks)

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