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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
if have power blast injury, to which layer dermabrade?
papillary dermis
26
adenoid cystic of parotid, resected w clear margins, need adjuvant?
yes xrt
27
when debulking tongue for amyloidosis, what look out for?
cardiac arrhythmia
28
Thornwaldt cyst derived from what?
cystic remnant of caudal notochord (aka pharyngeal bursa)
29
which sinonasal lymphoma has best prognosis?
b-cell
30
what regulates IgE production?
t cell
31
what acts like antibotics in cells
defensis--bind to cell membrane and puncture hole--> ion efflux, cel ldeath vs opsonins coat bacteria for phagocytosis
32
post tymp/mastoid have complete facial paralysis what do?
wait 72 hrs and do ENoG, immediate exploration if postiive
33
FN transected in mastoid segment and repaired primarily, no movement in 4 months what do?
EMG
34
How treat oral kaposi?
chemo
35
baby with recurrent croup, DL normal what do next?
pH testing
36
zofran MC side effect
HA
37
most common cause of hair thinning in 48yo F
androgenic alopecia
38
Pt s/p TL with difficulty phonating w air insuflation, improves with topical lido, what need to do?
myotomy
39
location of cochlestomy relative to round window
anterior, inferior
40
infant with multiple inner and external ear abnormalities, what suspect
CHARGE
41
65M with migratory arthralgia, nose bx with mixed lymphocytic infiltrate
polyarteritis nodosa
42
pcn resistence for strep vs staph
strep PBP | staph beta lactamase
43
best way to predict pattern of hair loss for35 yo M
maternal grandfather
44
sinus tymp and facial recess relative to FN
ST medial to FN, FR lateral to FN
45
how long does vasoconstriction of 1:200k epi last?
2-3 hours
46
what condition a/w cartilaginous sleeve trachea?
apert
47
27 F with dyspnea, voice change, cervical LAD, diffuse supraglottic thickening, what dx suspect?
sarcoid, need laryngeal bx
48
why is meatal segment of FN most vulnerable to ischemia?
tneuous blood supply
49
what is the 5 year laryngeal preservation rate for T3N0 treated with chemoxrt?
80%
50
what tumor location has highest risk of occult neck mets?
oral tongue--> BOT --> HP
51
how treat Merkel cell of cheek?
excision, parotid, neck, postop XRT
52
what symptom most likely to improve with laryngeal innervation?
dysphagia
53
pt treated for PTC, what do for surveillance? what if TG elevated?
survailance: Rh-TSH + TG + annual US | if elevated TG: whole body iodine scan
54
TB of mastoid, what do?
RIPE then bilateral mastoidectomies
55
MCC saddle nose?
trauma
56
1mo after closed nasal, pt has deviation of lower 1/3 of nose, why?
ULC detachment
57
mccune albright sd?
polyostotic fibrous dysplasia, precocious puberty, pigmented lesions
58
what med has been shown to reduce AHI in kid with OSA?
montelukast and intranasal steroids
59
bacteria most responsible for brain abscesses from acute sinusitis?
if can choose strep, right answer; if not, anaerobic
60
which lip recon allows to minimize microstomia?
bernard-burrow flap
61
mechanism of injury causing dysphagia after C2 fuion via ACDF? C2, C3-4, below C5
above C2 damage IX or XII C3-4, superior laryngeal below C5 recurrent
62
Pt undergoing SCIT should take prior to tx to prevent severe reactions?
antihistamines before
63
Sisson stages of stomal recurrence?
stage 1- above stoma stage 2- involves trachea and esophagus stage 3- trachea + mediastinum stage 4: trachea + great vessels (inoperable)
64
what do if see massateric spasms during induction?
stop anesthetic--malignant hyperthermia, give 2.5mg/kg dantrolene, dx with muscle bx for those w family history
65
first common complement in extrinsic and intrinsic pathway?
c3
66
how is SCC via HPV different histologically than regular SCC?
HPV is more nonkeratinizing, poorly differentiated
67
dilated pupil after ethmoidectomy. what's happenning? mgmt?
wait--epi via nasolacrimal duct
68
what's the primary dilator of the eustachian tube?
salpingopharyngeus
69
where place silastic block for type I thyroplasty?
5mm from midline, 3 mm from inf border
70
max dose of topical cocaine that may be given
3mg/kg
71
If have 1cm diameter scalp defect, how big should base of tissue expander be?
2.5x

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