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MRCS A > Head And Neck > Flashcards

Head And Neck Flashcards

1
Q

Superior orbital Fissure

A 
Lacrimal nerve 
Frontal nerve- branch of ophthalmic nerve of trigeminal nerve
Superior ophthalmic vein
Trochlear nerve
Superior division of N3
Nasociliary nerve-branch of of ophthalmic nerve - CN 5
Inferior decision of oculomotar nerve
Abducens nerve 
A branch of the inferior ophthalmic vein
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2
Q

Foramen rotundum

A

Maxillary nerve

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3
Q

Foramen ovale

A

Mandibular nerve

Accessory meningeal artery

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4
Q

Internal acoustic m’étais

A

Facial and vestibulocholear nerve
Vestibular ganglion
Labyrinth artery

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5
Q

Jugular foramen

A

Anterior-inferior petrosal sinus
Middle -IX, X, cranial part of accesory nerve
Posterior- sigmoid sinus, meningeal branches of occipital and ascending pharyngeal arteries

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6
Q

Foramen spinosum

A

Middle méningeal artery+vein

The meningeal branch of CNV3

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7
Q

Berry’s sign

A

Absence of carotid pulse due to malignant thyromegaly

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8
Q

MEN I

A

Pancreatic Islet cell tumour
Pituitary adenoma
Primary Hyperpathyroidism

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9
Q

MEN II a

A

3*C
Cathecolamine( Pheochromocytoma)
Calcium( Primary Hyperpathyroidism)
Calcitonin( Medullary carcinoma)

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10
Q

MENII b

A

Cathecolamine( Pheochromocytoma)

Calcitonin( Medullary carcinoma)

Marfanoid Habitus
Multiple Neuromas

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11
Q

Mikulitz vs Sjogren

A

Sjogren is associated with inflammatory disease

If pt has Mickulicz- high risk of developing lymphoma

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12
Q

Classics signs Miculitz

A

Dry mouth+ dry eye

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13
Q

Malignant otitis externa

A 
Pseudomonas
Diabetes/immunosuppressive
Severe, unrelenting, deep-seared otalgie
Temporal headache
Purulent pyorrhoea
Possibly dysphagia, hoarseness, and/or facial nerve dysfunction
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14
Q

Facial beach at the middle ear

A

Greater petrosal nerve
Nerve to stapedius
Chords tympani

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15
Q

Facial nerve branches from the parotid

A 
Temporal branch
Zygomatic branch
Buccal branch
Marginal mandibular branch
Cervical branch
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16
Q

Palliative treatment in pancreatic cancer

A

liver mets

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17
Q

Treatment in Hyperpathyroidism

A 
Elevated Ca> 1 mg/dl than normal
Hypercalciuria 
Creatinine Clarence < 30% compared with normal
Life threatening hyper Alvarado’s
Nephrolithiasis
Age <50
Neuromuscular symptoms 
Reduction in bone mineral density of the genital neck, lumbar spine, or distal radius of more than 2.5 standard deviation below peak bone mass
18
Q

Surgery for secondary Hyperpathyroidism

A

Bone pain
Persistent pruritus
Soft tissue calcifications

19
Q

Oxyphil cells

A

Parathyroid

20
Q

Nerves injury during endarterectomy

A

Hypoglossal nerve
Greater auricular nerve
Superior laryngeal nerve

21
Q

Internal carotid artery relations in the carotid canal

A

Internal carotid plexus
Cochlea and middle ear cavity
Trigeminal ggl
Leaves canal lies above the foramen lacerum

22
Q

Anaplastic carcinoma

A

Elderly females
Local invasion is a common feature
Account 10% of thyroid cancer

23
Q

Parasympathetic fibres for lacrimal apparatus

A

Pterygopalatine

24
Q

Sensory innervation of the lateral aspect of the nose

A

Ethomoid n.

25
Q

Nasopharyngeal carcinoma triad

A

Trotter triad- unilateral conductive hearing loss
Ipsilateral facial and ear pain
Ipsilateral paralysis of soft palate

26
Q

Virus associated with nasopharyngeal carcinoma

A

EBV

27
Q

Lymphatic drainage of the auricle

A

The lateral upper half - superficial parotid nodes
The cranial surface of the superior half - mastoid nodes and deep cervical lymph nodes
The lower half and lobule- superficial cervical lymph nodes

28
Q

Vascularisation of lacrimal gland

A

Ophthalmic artery and vein

29
Q

Tonsil vascularisation

A

Tonsilarbatrery

30
Q

Choanal atresia

A

Worse cyanosis during feeding

Cry back to normal

31
Q

Choanal atresia

A

Worse cyanosis during feeding

Cry back to normal

32
Q

Cavernous syndrome components

A 
Lateral wall - oculomoteur nerve
Trochlear nerve
Ophthalmic nerve
Maxillary nerve
Contents: - internal carotid artery+ and une a nerve
33
Q

Nerves at risk during branchial cyst excision

A

Mandibular branch of facial nerve
Greater auriculaire nerve
Accessory nerve

34
Q

Hyperparathyroidism Surgery

A 
Serum Ca> 1 over upper limit
Hypercalciuria > 400 mg/day
Cr Cl< 30%
Episode of life threatening hypercalcaemia
Nephrolithiasis
Age <50
Neuromuscular symptoms 
Reduction in bone mineral density of the femoral neck, lumbar spine, or distal radius of more that 2.5 standard deviation below peak bone mass
35
Q

She is pain in the medial ear after tonsillectomy

A

Glossopharyngiennes nerve supplies the tonsils and the medial ear

36
Q

Kocher criteria

A 
Septic arthritis 
Non weight bearing on affected site
ESR>40
Fever
WBC> 12
37
Q

Innervation done by laryngeal nerve

A

All the intrinsic larynx muscle except cricothyroid

38
Q

Superior laryngeal function

A

Crycothyroid

Singing voice

39
Q

Middle thyroid vein drain

A

Internal jugular

40
Q

Parasympathetic CN

A

X IX VII III

MRCS A (16 decks)

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