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1
Q

tx actinomycoses in pcn allergic pt?

A

doxy (tetracycline)

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2
Q

SCC of preauricular area, what tx?

A

WLE, PET and if postive do parotid, ipsi ND

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3
Q

Gorlin sd inheritance pattern?

A

AD

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4
Q

Pt with h/o xrt 6 years ago w chronically draining neck after dental procedure, what does he have?

A

ORN, actinomycosis???

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5
Q

MC complication after RLN transection for adductor spasmodic dysphonia

A

rebound spasm (reinnervates)

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6
Q

pt w periorbital trauma, what check first?

A

visual acuity

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7
Q

obese girl failed CPPA, has turbinate hypertrophy, MP IV, wants dental appliance, what do first?

A

fix nasal obstruction, then send to dentist

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8
Q

where on the scalp does female pattern bladness develop?

A

diffuse thinning over vertex (not relaly temporal regions)

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9
Q

norwood classification

A

1: normal young guy
2: normal older guy (line behind a coronal plane 2cm anterior to EAC)
3. even more behind 2, +vertex thinning
4- worse vertex
5- still bridge between vrtex and temporal
5- no bridge
7- even less hair

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10
Q

What hair color best for follicular unit grafting?

A

blonde (brown, white, grey also work; drank skin w dark hair best, light skin w dark hair worst)

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11
Q

What increases and decreases with successful allergen immunotherapy?

A

IgE decreases, IgG4 increases

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12
Q

20M with VPS develops fever, irritability, stridor. Why stridor?

A

VPS malfunction–>vagus stretch–> stridor

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13
Q

EMG signals

A

fasiculations–damage but can recover w nerve reinput
fibrillations– deinnervation
polysynaptic signals: reinnervation

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14
Q

when stop rivoraxban prior to surgery?

A

xarelto-48 hrs for mod bleed risk, 24 hrs prior for small bleed risk

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15
Q

adults have what food allergy more common than kid?

A

shellfish

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16
Q

last laryngeal cartilage to chondrify?

A

first: thyroid (inferior to superior), cricoid, arytenoid

last; epiglottis

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17
Q

what’s the deepest penetrating laser?

A

Nd:YAG

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18
Q

what treat relapsing polychondritis with?

A

dapsone and steroid

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19
Q

esophageal pH testing is positive if pH abruptly dips below what?

A

pH <4 for over 5% of time

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20
Q

what direction do you move knife to disarticulate IS joint?

A

superior to inferior

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21
Q

gray granulation in TM perf, cultures negative, persistent otorrhea, what next?

A

PCR for AFB

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22
Q

what space is medial of mandible ramus?

A

masticator space

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23
Q

cancer pt 6 years out from treatment complains of hypersomnolence, what do?

A

PSG

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24
Q

NP mass with glandular tissue, squamous cells, glial cells?

A

dermoid (vs not teratoma bc not involving >1 germ layer)

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25
Q

if have power blast injury, to which layer dermabrade?

A

papillary dermis

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26
Q

adenoid cystic of parotid, resected w clear margins, need adjuvant?

A

yes xrt

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27
Q

when debulking tongue for amyloidosis, what look out for?

A

cardiac arrhythmia

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28
Q

Thornwaldt cyst derived from what?

A

cystic remnant of caudal notochord (aka pharyngeal bursa)

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29
Q

which sinonasal lymphoma has best prognosis?

A

b-cell

30
Q

what regulates IgE production?

A

t cell

31
Q

what acts like antibotics in cells

A

defensis–bind to cell membrane and puncture hole–> ion efflux, cel ldeath
vs opsonins coat bacteria for phagocytosis

32
Q

post tymp/mastoid have complete facial paralysis what do?

A

wait 72 hrs and do ENoG, immediate exploration if postiive

33
Q

FN transected in mastoid segment and repaired primarily, no movement in 4 months what do?

A

EMG

34
Q

How treat oral kaposi?

A

chemo

35
Q

baby with recurrent croup, DL normal what do next?

A

pH testing

36
Q

zofran MC side effect

A

HA

37
Q

most common cause of hair thinning in 48yo F

A

androgenic alopecia

38
Q

Pt s/p TL with difficulty phonating w air insuflation, improves with topical lido, what need to do?

A

myotomy

39
Q

location of cochlestomy relative to round window

A

anterior, inferior

40
Q

infant with multiple inner and external ear abnormalities, what suspect

A

CHARGE

41
Q

65M with migratory arthralgia, nose bx with mixed lymphocytic infiltrate

A

polyarteritis nodosa

42
Q

pcn resistence for strep vs staph

A

strep PBP

staph beta lactamase

43
Q

best way to predict pattern of hair loss for35 yo M

A

maternal grandfather

44
Q

sinus tymp and facial recess relative to FN

A

ST medial to FN, FR lateral to FN

45
Q

how long does vasoconstriction of 1:200k epi last?

A

2-3 hours

46
Q

what condition a/w cartilaginous sleeve trachea?

A

apert

47
Q

27 F with dyspnea, voice change, cervical LAD, diffuse supraglottic thickening, what dx suspect?

A

sarcoid, need laryngeal bx

48
Q

why is meatal segment of FN most vulnerable to ischemia?

A

tneuous blood supply

49
Q

what is the 5 year laryngeal preservation rate for T3N0 treated with chemoxrt?

A

80%

50
Q

what tumor location has highest risk of occult neck mets?

A

oral tongue–> BOT –> HP

51
Q

how treat Merkel cell of cheek?

A

excision, parotid, neck, postop XRT

52
Q

what symptom most likely to improve with laryngeal innervation?

A

dysphagia

53
Q

pt treated for PTC, what do for surveillance? what if TG elevated?

A

survailance: Rh-TSH + TG + annual US

if elevated TG: whole body iodine scan

54
Q

TB of mastoid, what do?

A

RIPE then bilateral mastoidectomies

55
Q

MCC saddle nose?

A

trauma

56
Q

1mo after closed nasal, pt has deviation of lower 1/3 of nose, why?

A

ULC detachment

57
Q

mccune albright sd?

A

polyostotic fibrous dysplasia, precocious puberty, pigmented lesions

58
Q

what med has been shown to reduce AHI in kid with OSA?

A

montelukast and intranasal steroids

59
Q

bacteria most responsible for brain abscesses from acute sinusitis?

A

if can choose strep, right answer; if not, anaerobic

60
Q

which lip recon allows to minimize microstomia?

A

bernard-burrow flap

61
Q

mechanism of injury causing dysphagia after C2 fuion via ACDF? C2, C3-4, below C5

A

above C2 damage IX or XII
C3-4, superior laryngeal
below C5 recurrent

62
Q

Pt undergoing SCIT should take prior to tx to prevent severe reactions?

A

antihistamines before

63
Q

Sisson stages of stomal recurrence?

A

stage 1- above stoma
stage 2- involves trachea and esophagus
stage 3- trachea + mediastinum
stage 4: trachea + great vessels (inoperable)

64
Q

what do if see massateric spasms during induction?

A

stop anesthetic–malignant hyperthermia, give 2.5mg/kg dantrolene, dx with muscle bx for those w family history

65
Q

first common complement in extrinsic and intrinsic pathway?

A

c3

66
Q

how is SCC via HPV different histologically than regular SCC?

A

HPV is more nonkeratinizing, poorly differentiated

67
Q

dilated pupil after ethmoidectomy. what’s happenning? mgmt?

A

wait–epi via nasolacrimal duct

68
Q

what’s the primary dilator of the eustachian tube?

A

salpingopharyngeus

69
Q

where place silastic block for type I thyroplasty?

A

5mm from midline, 3 mm from inf border

70
Q

max dose of topical cocaine that may be given

A

3mg/kg

71
Q

If have 1cm diameter scalp defect, how big should base of tissue expander be?

A

2.5x

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