HEAD & NECK

Question 1

Damage to what during surgical airway can result in vocal cord dysfunction

Answer 1

Thyroid cartilage - vocal cords are attached anteriorly to this (and posteriorly to arytenoids)

Question 2

Anterior midline, moves with swallowing

Answer 2

thyroglossal duct cyst

Question 3

Boundaries of submandibular triangle

Answer 3

Level 1B LN station
Anterior belly of digastric, posterior belly of digastric and mandible

Question 4

Weakness of extension adduction and internal rotation of arm

Answer 4

Injury to thoracodorsal nerve (lat dorsi) OR medial pectoral n

Question 5

MC tumor of upper lip

Answer 5

BCC

Question 6

MCC lower lip

Answer 6

SCC

Question 7

Submental triangle

Answer 7

anterior bellies of digastric,body of hyoid, symphysis menti
mylohyoid muscle makes up the floor of the triangle

Question 8

which nerve carries parasympathetic postganglionic nerve fibers to parotid gland?

Answer 8

auriculotemporal

Question 9

MC site of minor salivary gland tumor

Answer 9

Palate

Question 10

MC minor salivary gland tumor

Answer 10

Adenoid cystic

Question 11

Where is accessory nerve found

Answer 11

Posterior triangle of neck

Question 12

Boundaries of posterior triangle of neck

Answer 12

SCM, middle 1/3 of clavicle, and trapezius

Question 13

MC benign tumor of salivary gland

Answer 13

pleomorphic adenoma

Question 14

when is emergent tracheotomy preferred over cricothyroidotomy?

Answer 14

true subglottic stenosis (also kids)

Question 15

greater auricular nerve provides sensory to

Answer 15

lower earlobe, pre and post auricular skin
usually sacrificed during mobilization of inferior pole of parotid

Question 16

MC incision for parotidectomy

Answer 16

Modified blair- starts in preauricular skin and extends lobule over mastoid tip. then gently curved around SCM down to neck crease

Question 17

When to do neck dissection in oral cavity tumors?

Answer 17

T2N0 (aka 2-4 cm)
OR
node+

If T3N0 or T4N0 adjuvant XRT will take care of it!!!!

Question 18

Radical neck dissection removes?

Answer 18

IJ vein
Accessory nerve
SCM

Question 19

Modified neck dissection removes?

Answer 19

1 or 2 of:
IJ vein
Accessory nerve
SCM

Question 20

“Functional” neck dissection removes?

Answer 20

All 5 LN groups
SPARES ALL 3 of IJ vein, acccessory nerve, SCM

Question 21

MCC of lip overall

Answer 21

SCC

Question 22

Calcification in thyroid lobe

Answer 22

Could be calcific necrosis due to MNG
Papillary thyroid CA

Question 23

Posterior triangle LN - primary sites?

Answer 23

Nasopharyngeal
Thyroid

Question 24

Preauricular LN – primary sites?

Answer 24

scalp
eyelid

Question 25

Jugulodigastric LN -- primary sites?

Answer 25

Tonsils Base of tongue

Question 26

Tx of choice for pleomorphic adenoma

Answer 26

Removal (due to conversion to CA risk) superficial parotidectomy with preservation of facial nerve

Question 27

Strongest risk factor for lip SCC

Answer 27

sunlight

Question 28

What provides sensation to lower earlobe, pre and post auricular skin

Answer 28

Greater auricular nerve

Question 29

What provides sensation to upper lobe of ear

Answer 29

auriculotemporal

Question 30

Injury to what nerve assoc with Frey syndrome

Answer 30

Auriculotemporal