Head and Neck

Question 1

Ophthalmic artery platelet embolisation from ipsilateral carotid artery plaque

Answer 1

amaurosis fugax

Question 2

thyroid CA with predilection for hematogenous spread

Answer 2

Follicular

Question 3

occupational avulsion injury of prominent spinous processes of C7/T1; sudden onset of pain between the shoulder blades or base of neck; reduced head/neck ROM

Answer 3

Clay shoveller’s injury

Question 4

Blow to the cheek or side of face causing binocular diplopia, depressed cheek contour is suggestive of____

Answer 4

depressed fracture of zygomatic arch

Question 5

glossal atrophy with atrophic glossitis; tongue not midline

Answer 5

CN XII palsy

Question 6

supplies sensation to tongue via lingual nerve

Answer 6

CN V

Question 7

Most common cause of early postoperative fever and tachycardia after surgery (e.g. thyroidectomy)

Answer 7

pulmonary atelectasis

Question 8

Rinne test findings in conductive deafness

Answer 8

BC > AC

Question 9

Weber test findings in conductive deafness

Answer 9

Bad ear > Good Ear (decreased ambient sound)

Question 10

Inflammation of nasal mucosa due to adenovirus, Type I HSR

Answer 10

Rhinitis

Question 11

Protrusion of edematous inflammed nasal mucosa secondary to recurrent rhinitis

Answer 11

nasal polyps

Question 12

Benign, rare tumor of nasal mucosa causing profuse epistaxis

Answer 12

angiofibroma

Question 13

malignant tumor of nasopharyngeal epithelium

Answer 13

nasopharyngeal CA

Question 14

Virus associated w NPCA

Answer 14

EBV

Question 15

H. Influenza type B upper airway infection, causing fever, sore throat, drooling, muffled voice, inspiratory stridor

Answer 15

Acute Epiglottitis

Question 16

Caused by parainfluenza virus, “barking” cough

Answer 16

laryngotracheobronchitis (croup)

Question 17

Focal parotid lump with involvement of the buccal branches of the facial nerve causing focal facial nerve palsy

Answer 17

adenoid cystic carcinoma (or any infiltrative malignant tumor)

Question 18

Clinical syndrome associated with lump in throat in the absence of physical abnormality; psychogenic origin

Answer 18

globus pharyngeus

Question 19

Diagnistic test for stone in submandibular duct

Answer 19

intraoral plain radiograph

Question 20

Treatment for periorbital cellulitis

Answer 20

IV flucloxacillin and ceftriaxone

Question 21

Periodic episodes of rotary vertigo/dizziness, fluctuating low-frequency progressive hearing loss, tinnitus, sensation of fullness in ear

Answer 21

Meniere disease

Question 22

Sudden unilateral hearing loss, unilateral tinnitus, vestibular symptoms, may present with facial weakness, hypoaesthesia and diplopia

Answer 22

Cerebellopontine angle tumors (lateral angle = internal auditory canal, CN VII and VIII compartment)

Question 23

Dizziness due to debris in canal system, with Calcium carbonate crystals from utricle

Answer 23

BPPV