Neck Lumps

Question 1

what is the superior boundary of the anterior triangle?

Answer 1

mandible

Question 2

what is the medial boundary of the anterior triangle?

Answer 2

midline

Question 3

what is the lateral boundary of the anterior triangle?

Answer 3

anterior border of SCM

Question 4

what is the anterior boundary of the posterior triangle?

Answer 4

posterior border of SCM

Question 5

what is the lateral boundary of the posterior triangle?

Answer 5

anterior border of trapezius

Question 6

what is the inferior boundary of the posterior triangle?

Answer 6

clavicle

Question 7

what superficial swellings do you get in the neck?

Answer 7

sebaceous cysts
lipomas
neurofibromas

Question 8

how do you tell the difference between a sebaceous cyst & a lipoma?

Answer 8

sebaceous cyst will move with the skin but the skin will move over a lipoma

Question 9

what midline swelling can you get in the neck?

Answer 9

thyroid
thyroglossal cyst
dermoid cyst

Question 10

which midline swelling moves on swallowing and on sticking out the tongue?

Answer 10

thyroglossal cyst

Question 11

which midline swelling moves only on swollen?

Answer 11

throid

Question 12

which middline swelling doesn’t move on swallowing or sticking out your tongue?

Answer 12

dermoid cyst

Question 13

what swellings can you get in the anterior triangle of the neck?

Answer 13

lymph nodes
branchial cyst
salivary glands
carotid body tumour

Question 14

what’s another name for a carotid body tumour?

Answer 14

chemodacter

Question 15

what swellings do you get in the posterior triangle?

Answer 15

lymph nodes

cystic hygroma

Question 16

in which triangle of the neck is it more common to get swellings?

Answer 16

anterior triangle

Question 17

what are the 2 most common causes of neck lumps?

Answer 17

lymph nodes

goitre

Question 18

what can cervical lymphadenopathy be due to?

Answer 18

infective
malignant
haematological

Question 19

what are the haematological causes of cervical lymphadenopathy?

Answer 19

leukaemia

lymphoma

Question 20

what does hoarseness in a patient with cervical lymphadenopathy suggest?

Answer 20

recurrent laryngeal palsy

Question 21

what does recurrent laryngeal palsy suggest?

Answer 21

cancer of thyroid

pancoast tumour

Question 22

what type of carcinoma do you get in the oropharynx?

Answer 22

squamous carcinoma

Question 23

MNG

Answer 23

multi-nodular goitre

Question 24

where do thyroglossal cysts occur?

Answer 24

anywhere in the thyroglossal tract

Question 25

in relation to which bone are thyroglossal cysts described?

Answer 25

hyoid | - supra or infra

Question 26

in which age group do thyroglossal cysts present?

Answer 26

teenage years

Question 27

what is a dermoid cyst?

Answer 27

a rare congenital cyst

Question 28

in which age group do dermoid cysts present?

Answer 28

teendage years

Question 29

what do dermoid cysts feel like?

Answer 29

soft | non-fluctuant

Question 30

what is a branchial cyst?

Answer 30

uncommon congenital cyst - persisting second branchial arch

Question 31

where in the anterior triangle does a branchial cyst arise?

Answer 31

in upper part of anterior triangle

Question 32

what is found on FNA of a branchial cyst?

Answer 32

cholesterol crystals

Question 33

in which age group do branchial cysts usually present?

Answer 33

teenage years

Question 34

in which age group do cystic hygromas usually present?

Answer 34

usually present in first year

Question 35

what can cystic hygromas cause?

Answer 35

pressure symptoms

Question 36

what are cystic hygromas filled with?

Answer 36

lymph

Question 37

what happens to a cystic hygromas look like under a torch?

Answer 37

transilluminate

Question 38

what can a swelling in the submandibular salivary gland be?

Answer 38

stone | pleomorphic adenoma

Question 39

what is the most likely diagnosis of a swelling submandibular salivary gland & why?

Answer 39

more mucous in saliva so stones more common whereas parotid gland produces more serous saliva

Question 40

what can a swelling in the parotid salivary gland be?

Answer 40

infective pleomorphic adenoma stone

Question 41

what is the most likely diagnosis of a parotid salivary gland?

Answer 41

tumour e.g. pleomorphic adenoma

Question 42

what would facial nerve involvement in a swelling of a salivary gland suggest?

Answer 42

cancer