skin, ophth, ENT: ch: 8-10

Question 1

margins for basal cell carcinoma

Answer 1

1 mm margins

Question 2

margins for SCC

Answer 2

0.5-2 cm

Question 3

disseminated melanoma treatment

Answer 3

interferon

dacarbazine (chemo)
pembrolizumab (immuno)

Question 4

strabismus with parents that are reliable and say child did not have it in early years but developed later in infancy then what is problem and treatment

Answer 4

exaggerated convergence

corrective glasses

Question 5

congenital cataract management

Answer 5

remove so do not develop amblyopia

Question 6

orbital cellulitis with fixed dilated pupl and limited eye ROM what do you do next

Answer 6

CT and drain

Question 7

treament for embolic occlusion of retinal artery

Answer 7

hypervent in paper bag

press on eye

then surgery

Question 8

mushy ill defined mass that occupies supraclavicular area and extends deeper into the chest is what

what must be done

Answer 8

cystic hygroma

CT scan then surgery to remove

Question 9

most recently discovered enlarged LNs are what and workup

Answer 9

benign

H and P then f/u in 3-4 weeks to see if still there

Question 10

multiple larger LNs with B symptoms

workup

tx

Answer 10

lymphoma

node removal and path study

chemo is treatment

Question 11

first manifestation of SCC of head and neck and pt pop

and diagnoses

Answer 11

old men: smoke, drink, bad teeth

metastatic node in neck (jugular chain)

triple endoscopy

biopsy tumor

CT scan stage

Question 12

treatment SCC head and neck

Answer 12

resect, radical neck dissection and radiotherapy (platinum based)

Question 13

persistent painless ulcer in floor of mouth, persistent hoarseness and persistent unilataeral earache may be what

Answer 13

SCC of head and neck

Question 14

adult with sensory hearing loss in one ear but not other with no risk factors and diagnosis

Answer 14

acoustic nerve neuroma

MRI

Question 15

diagnosing facial nerve tumor

Answer 15

gadolinium enhanced MRI

Question 16

parotid tumors main type

Answer 16

pleomorphic adenoma

Question 17

treatment parotid tumor

Answer 17

superficial parotidectomy (deep too if tumor is deep to facial nerve)

Question 18

treatment foregin body pediatric

Answer 18

endoscopy under anesthesia

Question 19

abscess of floor of mouth from bad tooth infection is what and what can be complication

Answer 19

ludwig angina

airway compromise, may need to intubate or use tracheostomy

Question 20

bells palsy can use what meds

Answer 20

antiviral or steroids

Question 21

diplopia, facial pain and high fever in pt with frontal or ethmoid sinusitis

what is this and dx and tx

Answer 21

cavernous sinus thrombosis

MRI

IV Abx for 3-4 weeks
-3rd or 4th gen ceph and penicillinase

can drain paranasal sinuse

Question 22

nose bleed from 18 year old probably what 2 things and treatment

Answer 22

China white use: septal perforation need posterior packing

nasopharyngeeal angiofibroma: surgery

Question 23

inner ear or cerebral dizziness? and treatment

1) room spinning
2) pt unsteady but room stable

Answer 23

1) inner ear, meclizine, promethazine, diazepam

2) cerebral, neuro workup

Question 24

vertigo, tinnitus, hearing loss and treatmetn

Answer 24

meniere

diuretics