Neck Flashcards

1
Q

ant vs post triangles

A

The posterior triangle is largely muscular. The anterior triangle which contains most of the vital structures, can be divided into smaller triangles by muscles.

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2
Q

neck vascular supply

A

Carotid Artery - bifurcates into:
Internal (intracranial) - no branches in the neck
External (extracranial) - branches: so many

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3
Q

thryoid blood supply

A

Superior thyroid artery (branch of external carotid)
Inferior thyroid artery (branch of thyrocervical trunk)
Thyroid “ima” artery (variable)

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4
Q

tongue and lips lymph drainage

A

zone I

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5
Q

tonsils lymph drainage

A

zone II

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6
Q

naso- and oropharynx, oral cavity, hypopharynx, larynx all drain lymph via

A

zone III

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7
Q

hypopharynx, subglottic larynx, thyroid, and esophagus all drain lymph via

A

zone IV

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8
Q

scalp/back of ears drains lymph via

A

zone V

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9
Q

facial nerve (CN 7) passes through

A

parotid gland

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10
Q

most common cause of viral salivary gland infection

A

mumps

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11
Q

occurs in dehydrated, debilitated patients. There is a rapid onset of swelling and fever, with erythema and warmth over the affected gland. You can sometimes see pus coming from the duct. Staph. Aureus is the most common organism

A

sialadenitis

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12
Q

associated with sudden pain or swelling with eating, relieved by a sudden gush of fluid into the mouth

A

sialolithiasis

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13
Q

salivary neoplasms

A

80% occurring in the parotids, and almost 20% occurring in the submandibular glands. Parotid tumors are benign 80% of the time, and malignant 20%. One-half of submandibular tumors are malignant. 80% of minor salivary gland tumors are malignant. The most common site of minor salivary glands is the hard palate

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14
Q

most common benign salivary gland tumor

A

pleomorphic adenoma, which is also known as mixed tumor

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15
Q

the most common malignant neoplasm of the parotid gland.

A

Mucoepidermoid carcinoma

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16
Q

most common malignant tumor of the submandibular gland.

A

Adenoid cystic carcinoma

17
Q

A mass present for 7 days is
7 weeks is
7 months is

A

infectious
neoplastic
congenital

18
Q

Midline mobile cyst that goes up and down on swallowing

A

thyroglossal duct cyst

19
Q

these cysts are identified along the anterior border of the upper third of the sternocleidomastoid muscle, adjacent to the muscle and drain into the palatine tonsi

A

second branchial cleft cyst

20
Q

MC thyroid malignancy

A

papillary carcinoma

21
Q

medullary cancer

A

c-cells, check calcitonin

22
Q

high Ca, think

A

hyperparathyroid

23
Q

occurs when jugular lymph vessels are obstructed due to a lack of communication between the cervical lymphatic vessels and the jugular venous system.

A

cystic higroma, associated with chromosome abnormalities

24
Q

Cervical tuberculous lymphadenitis is also known as scrofula. It is often bilateral and presents as painless masses. The adenopathies are initially homogeneous, but show later central necrosis.

A

TB

25
Q

Placed surgically through the trachea between the 2nd and 3rd tracheal rings.

A

tracheotomy

26
Q

OSA associated problems

A

Can cause heart disease (low O2 sat causing HTN)

27
Q

what can cause OSA

A

Retrognathia
Grossly enlarged tonsils
Obesity (due to pharyngeal narrowing)
Acid Reflux

28
Q

OSA tx

A

Weight loss
Oral appliance
CPAP (Continuous positive airway pressure)
Surgical

29
Q

Bleeding painful nasal area for a month=

A

staph infection, give mupirocin 2 weeks +saline rinse

30
Q

Right ear pain-no S/S on PE

A

TMJ

31
Q

Sudden unilateral hearing loss, nothing on PE, do an audiogram

A

CN 8 palsy, give steroids

32
Q

46 YO woman w/recent dizziness, room spinning

A

BPV….turn their head to the side of dizziness……give exercises……long history of this think menieres