Head And Neck

Question 1

Rule of 7 for evaluating neck mass

Answer 1

7 days: inflammatory
7months: neoplastic
7 years; congenital

Question 2

Most common branchial cleft anomaly

Answer 2

2nd branchial cleft
External opening: lateral neck at Scm
Internal opening: tonsillar fossa

Question 3

Tx for thyroglossal duct cyst

Answer 3

SISTRUNK PROCEDURE

Question 4

Tx for branchial cleft anomaly

Answer 4

Complete excision

Question 5

Painless mandibular mass with radiographic characteristic: “SOAP BUBBLE”

Answer 5

AMELOBLASTOMA (ADAMANTINOMA)

Tx: excision or resection with 1 to 2 cm normal mandible

Question 6

Structures removed during radical neck dissection

Answer 6

Cervical lymphatics 1 to 5
3 non lympathic structure
 *IJV
 *SCM
 *SPINAL ACCESSORY NERVE

Question 7

Most common benign salivary gland tumor

Answer 7

Pleomorphinc adenoma 80%

Question 8

2nd most common tumor children and adult salivary gland

Answer 8

Children: acinic cell ca
Adult: adenoid cystic ca

Question 9

Structures removed in modified radical neck dissection

Answer 9

CLN 1 TO 5

Question 10

Structures removed in posterolateral neck dissection in thyroid malignancie

Answer 10

CLN 2,3,4 AND 5

Question 11

Half life of iodine 123

Answer 11

12 to 14 hours

Question 12

Half life of iodine 131

Answer 12

8 to 10 days

Question 13

Useful for monitoring of thyroid cancer recurrence

Answer 13

Serum THYROGLOBULIN

Question 14

Sensitivie marker for MEDULLARY THYROID CA

Answer 14

Serum calcitonin

Question 15

Thyroid function test that reflects the output from thyroid gland

Answer 15

Total T4

Question 16

Thyroid function test most specific and sensitive for the diagnosis of hyperthyroidisim abd hypothyroidism

Answer 16

ultrasesitive tsh assay

Question 17

Most common malignancy that metastasize to the thyroid gland

Answer 17

Renal cell ca

Question 18

Treatment for thyroid

Answer 18

R-chop regimen