Head And Neck

Question 1

Which of the following are true about leukoplakia of the vocal cords?

A. Up to 40% risk of progression to invasive carcinoma.
B. Ulceration is particularly suggestive of possible malignancy.
C. Initial therapy includes antihistamines.
D. Biopsy should be considered only after 6 months of conservative therapy.

Answer 1

B. Ulceration is particularly suggestive of possible malignancy.

Question 2

Factors associated with increased incidence of head and neck cancers include all of the following EXCEPT

A. Human papillomavirus (HPV) exposure
B. Ultraviolet light exposure
C. Plummer-Vinson syndrome
D. Refux esophagitis

Answer 2

D. Refux esophagitis

Question 3

Features of oral tongue carcinoma include all of the following EXCEPT

A. Presentation as ulcerated exophytic mass
B. May involve submandibular and upper cervical lymph nodes
C. Can result in contralateral paresthesias
D. CO2 laser useful for excision of small early tumors

Answer 3

C. Can result in contralateral paresthesias

Question 4

Branchial cleft cysts, if enlarged, should be removed because of which of the following

A. Prone to becoming secondarily infected
B. Prone to cause acute airway obstructions
C. Possible premalignant concerns
D. Association with severe halitosi

Answer 4

A. Prone to becoming secondarily infected

Question 5

All of the following are FALSE about salivary gland neoplasms EXCEPT

A. Account for less than 2% of all head and neck neoplasms
B. If in minor salivary glands, less likely to be malignant than if in the parotid gland
C. Computed tomography (CT) scanning is more accurate than magnetic resonance imaging (MRI) in detecting lesions
D. Oncocytomas are usually malignant

Answer 5

A. Account for less than 2% of all head and neck neoplasms

Question 6

All of the following are true about tracheostomy EXCEPT

A. Should be performed in patients anticipated to be intubated more than 2 weeks
B. Improves patient discomfort as compared to long term oropharyngeal intubation
C. Usually spontaneously close within 2 months of removal
D. Does not obligate patient to loss of speech

Answer 6

C. Usually spontaneously close within 2 months of removal