Head and Neck

Question 1

what is thyroid bruit?

Answer 1

vascular murmur heard over hyperactive thyroid gland, due to increased blood flow.

Question 2

what is Carotid bruit?

Answer 2

systolic sound heard over the carotid artery area during auscultation

Question 3

what does a Reactive lymph node feel like?

Answer 3

Oval
Soft
Smooth
Mobile
Tender

Question 4

what could be the cause of hoarseness?

Answer 4

Nodules
Cysts
Vocal abuse
Laryngitis
Infection
Smoking
Reflux
Laryngeal cancer

Question 5

how localised is Dysphagia in the neck?

Answer 5

Well Localised in Neck

Question 6

what could be the cause of dysphagia in the:

• lumen
• wall
• Extra luminal

Answer 6

Lumen: foreign body
Wall: tumour, stricture, neuromuscular, pouch
Extra luminal: Thyroid, Heart, Mediastinal mass

Question 7

what is “FOSIT” - Globus Pharyngeus

Answer 7

subjective feeling of a lump or foreign body in the throat with no obvious cause

Question 8

what could be a cause of FOSIT?

Answer 8

Cricopharyngeus-excess muscle tension in pharyngeal muscles
Acid Reflux “silent” (Laryngopharyngeal reflux)
Stress/Anxiety

Question 9

what does a Malignant neck node feel like?

Answer 9

Round
Firm
Irregular
Fixed
Non-tender (bad sign)