Head and Neck

Question 1

ant to posterior

Answer 1

sub v, phrenic n, ant scalene, subclavian artery, middle scalene

Question 2

ant triangle ant border

Answer 2

ant border midline neck

Question 3

post boundery anterior triangle

Answer 3

SCM

Question 4

inferior/apex of ant triangle

Answer 4

sternal notch

Question 5

superior border of ant triangle

Answer 5

lower border of mandible

Question 6

contents of anterior triangle

Answer 6

carotid sheath

Question 7

post neck triangle boundaries

Answer 7

ant- SCM, post- trapezius, base middle third clavicle, apex- intersection of SCM and trapezius

Question 8

main content post triangle

Answer 8

spinal accessory nerve

Question 9

recurrent laryngeal n fxn

Answer 9

all muscles of larynx except cricothyroid muscle which is innervated by superior laryngeal nerve

Question 10

RLN on left

Answer 10

loops behind aortic arch

Question 11

RLN on right

Answer 11

loops behind subclavian artery

Question 12

SCC of head and neck risks

Answer 12

alcohol and tobacco, Male > female

Question 13

SCC tx stage 1 or 2

Answer 13

surgery or radiation

Question 14

SCC tx stage 3 or 4

Answer 14

surgery followed by radiation or chemo

Question 15

size cut off for oral SCC

Answer 15

4 cm or other concerning features

Question 16

if concerning features of > 4cm

Answer 16

resection with MRND, post op radiation

Question 17

malignant salivary gland

Answer 17

usually small glands

Question 18

MC salivary malignant tumor

Answer 18

mucoepidermoid cancer

Question 19

MC benign salivary tumor

Answer 19

pleomorphic adenoma

Question 20

mucoepidermoid salivary tumor tx

Answer 20

resection, modified radical neck dissection, post op radiation

Question 21

adenoid cystic cancer

Answer 21

slow growing with local invasion especially nerves

Question 22

tx adenoid cystic cancer

Answer 22

resection, MRND, radiation (very sensitive to radiation)

Question 23

isolated cancer in lymph node

Answer 23

neck exam, fiberoptic laryngoscopy, biopsies of LN or excision, CT of head and neck, then consider PET scan, then OR for ipsilateral tonsillectomy

Question 24

if no primary found after isolated + LN

Answer 24

ipsilateral MRND, bilateral XRT