PreTest Surgery: Otolaryngology

Question 1

Describe the treatment for nasopharyngeal carcinoma.

Answer 1

Chemoradiation

Surgical resection can be used for local recurrences.

Question 2

A patient presents with oropharyngeal trauma and respiratory distress. Describe the assessment protocol.

Answer 2

• First, assess for safety of nasopharyngeal intubation or oropharyngeal intubation.
• Second, if intubation cannot be safely attempted or is attempted but failed, perform emergent tracheostomy or cricothyroidotomy.

Question 3

Because of the high chance of co-occurrence, you should do an esophagoscopy if you see ______________ cancer.

Answer 3

oral SCC

Question 4

How do you treat pleomorphic adenomas?

Answer 4

Superficial resection with preservation of the facial nerve

Question 5

A child has an infected branchial cleft cyst. What do you do?

Answer 5

First incise and drain it. Fully resect it following resolution of the infection.

Question 6

True or false: asymptomatic thyroglossal duct cysts do not require intervention.

Answer 6

False

Because of the risk of infection it is recommended to remove the cyst along with the central portion of the hyoid bone (the Sistrunk procedure).

Question 7

Tongue SCC should be treated how?

Answer 7

Wide local excision and lymph node biopsy (for tumors < 2 cm) or neck dissection (for tumors > 2 cm)

Question 8

True or false: hoarseness following thyroidectomy results from unilateral recurrent laryngeal nerve damage.

Answer 8

True

Bilateral damage results in a more serious picture, with airway obstruction possible.

Question 9

The most common cause of an asymptomatic enlarged neck lymph node is ______________.

Answer 9

metastatic SCC

Question 10

The first step in diagnosing an enlarged lymph node is ______________.

Answer 10

FNA

Although in OnlineMedEd he says excisional biopsy is the standard because you need to see the structure of the lymph node… maybe that is for suspected lymphoma only.