Head and Neck Formative

Question 1

A patient presents with a midline neck swelling that moves on tongue protrusion. What is the most likely lesion?

Answer 1

Thyroglossal duct cyst

Question 2

Swollen red tympanic membrane? Whats the diagnosis?

Answer 2

Acute otitis media?

Question 3

On going epistaxis after a nasal fracture is most likely to be originating from which artery?

Answer 3

Anterior ethmoid artery

Question 4

An 18 month old boy presents with malaise and a history of a painful ear. A CT scan shows an intracranial abscess. What is the intracranial abscess most likely a complication of?

Answer 4

Acute mastoiditis

Question 5

A 58 year old gentleman presents with hearing loss affecting his left ear. Weber’s test localises to the right side and Rinne’s test is positive on both sides. What is the likely hearing issue

Answer 5

Left sensorineural hearing loss

Question 6

Which of the following contacts the oval window as the last bone in the ossicular chain?

Answer 6

Stapes

Question 7

A patient with diabetes presents with necrotising otitis externa having had multiple courses of topical antibiotics. What is the likely causative organism?

Answer 7

Pseudomonas Aeruginosa

Question 8

A patient with a family history of MEN (multiple endocrine neoplasia) presents with an anterior neck swelling and weight loss. She is found to have a high calcitonin on blood tests. What is the likely diagnosis

Answer 8

Medullary thyroid cancer

Question 9

The corda tympani provides innervation to which of the following?

Answer 9

Taste sensation to the anterior 2/3 of the tongue

Question 10

A patient is diagnosed as having oropharyngeal cancer. After further investigation they are staged as T1N2M0. What does the N2 mean the patient has?

Answer 10

Metastases in their neck

Question 11

A 65 year old male presents with a 3 month history of hoarseness and weight loss. He smokes 20 a day. Examination reveals a suspicious vocal cord lesion which is confirmed on biopsy to be cancer. Which imaging modality is commonly used to help stage the patient?

Answer 11

CT of the neck and chest

Question 12

A post thyroidectomy patient presents with a hoarse voice and is found to have a paralysed left vocal cord. Which nerve has been damaged?

Answer 12

Recurrent laryngeal nerve

Question 13

Presbycusis is often referred to as ‘age related hearing loss’. What is the most common finding on audiogram?

Answer 13

Sloping sensorineural hearing loss with hearing worse in higher frequencies

Question 14

A 60 year old patient presents with a right sided lower motor neurone facial nerve palsy and some vesicle around his external auditory canal. What is the likely diagnosis?

Answer 14

Ramsey Hunt syndrome