19 Head and Neck ANATOMY AND PHYSIOLOGY
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Questions and Answers

What is the most common injured nerve with parotid surgery?

  • Greater auricular nerve (correct)
  • Hypoglossal nerve
  • Facial nerve
  • Glossopharyngeal nerve
  • Which tumor is the #1 tumor overall of the salivary glands?

  • Warthin’s tumor
  • Pleomorphic adenoma (correct)
  • Hemangioma
  • Cholesteatoma
  • What is the primary treatment for a Warthin’s tumor?

  • Radiation therapy
  • Superficial parotidectomy (correct)
  • Chemotherapy
  • Total parotidectomy
  • What is the most common injured nerve with submandibular gland resection?

    <p>Marginal mandibular nerve (B)</p> Signup and view all the answers

    Which is the most common salivary gland tumor in children?

    <p>Hemangiomas (A)</p> Signup and view all the answers

    What is the most common cause of suppurative parotitis?

    <p>Dehydration (A)</p> Signup and view all the answers

    Which tumor is the most common childhood aural malignancy?

    <p>Rhabdomyosarcoma (D)</p> Signup and view all the answers

    What is the recommended treatment for cauliflower ear to avoid complications?

    <p>Drain undrained hematomas (B)</p> Signup and view all the answers

    What is the primary diagnostic method for detecting acoustic neuroma?

    <p>MRI (B)</p> Signup and view all the answers

    What is the recommended treatment for ear cholesteatoma?

    <p>Surgical excision (B)</p> Signup and view all the answers

    What is the most common cause of epistaxis (nosebleed)?

    <p>Posterior nasal bleeding (D)</p> Signup and view all the answers

    Which condition is associated with a failure of tongue fusion?

    <p>Median rhomboid glossitis (A)</p> Signup and view all the answers

    What is the most common distant metastasis for primary head and neck tumors?

    <p>Lung (B)</p> Signup and view all the answers

    What is the recommended treatment for sleep apnea in obese individuals with micrognathia/retrognathia?

    <p>CPAP (A)</p> Signup and view all the answers

    What is the first recommended step when epidermoid carcinoma (SCCA variant) is found in a cervical node without a known primary?

    <p>Panendoscopy to look for primary (B)</p> Signup and view all the answers

    What may be needed as a last resort to secure the airway in the case of laryngeal foreign body?

    <p>Cricothyroidotomy (D)</p> Signup and view all the answers

    What risk increases with the length of time an esophageal foreign body remains in place?

    <p>Perforation risk (B)</p> Signup and view all the answers

    Which condition may result as a complication of untreated acute supportive otitis media?

    <p>Mastoiditis (B)</p> Signup and view all the answers

    What may be considered in patients who will require intubation for more than 7-14 days?

    <p>Tracheostomy (A)</p> Signup and view all the answers

    [difficult] What should be used to rule out perforation after fever and pain following rigid esophagogastroduodenoscopy (EGD) for foreign body?

    <p><strong>Gastrografin</strong> (B)</p> Signup and view all the answers

    [difficult] What type of infection is mastoiditis?

    <p>Bacterial infection (A)</p> Signup and view all the answers

    Where are the false vocal cords located in relation to the true vocal cords?

    <p>Superior (B)</p> Signup and view all the answers

    Which nerve runs between the internal jugular (IJ) vein and the carotid artery?

    <p>Vagus nerve (D)</p> Signup and view all the answers

    Which gland secretes mostly serous fluid?

    <p>Parotid gland (C)</p> Signup and view all the answers

    Where does the long thoracic nerve run?

    <p>Posterior to the middle scalene muscle (C)</p> Signup and view all the answers

    What is the distribution of serous and mucin secretion in the submandibular glands?

    <p>50% serous, 50% mucin (D)</p> Signup and view all the answers

    Which muscle does the accessory nerve innervate?

    <p>Trapezius (C)</p> Signup and view all the answers

    The trigeminal nerve gives sensation to most of the face and innervates which muscle group?

    <p>Mastication muscles (C)</p> Signup and view all the answers

    Where is the marginal mandibular nerve located in relation to the mouth?

    <p>Medial (D)</p> Signup and view all the answers

    Which nerve provides motor function to the face?

    <p>Facial nerve (D)</p> Signup and view all the answers

    Which triangle contains the carotid sheath?

    <p>Anterior neck triangle (B)</p> Signup and view all the answers

    Which cranial nerve injury is associated with the deviation of the tongue to the same side?

    <p>Hypoglossal nerve (A)</p> Signup and view all the answers

    What is the most common cancer of the oral cavity, pharynx, and larynx?

    <p>Squamous cell carcinoma (C)</p> Signup and view all the answers

    Which nerve innervates all of the larynx except the cricothyroid muscle?

    <p>Recurrent laryngeal nerve (B)</p> Signup and view all the answers

    What is the primary diagnostic method for detecting nasopharyngeal squamous cell carcinoma?

    <p>Nasopharyngeal biopsy (B)</p> Signup and view all the answers

    What is considered more premalignant than leukoplakia in the oral cavity?

    <p>Erythroplakia (D)</p> Signup and view all the answers

    Which malignancy presents with hoarseness and early metastases?

    <p>Hypopharyngeal squamous cell carcinoma (C)</p> Signup and view all the answers

    What is the primary treatment for verrucous ulcer?

    <p>$1^{st}$ line surgical resection (D)</p> Signup and view all the answers

    Which benign tumor presents with obstruction or epistaxis in males younger than 20 years?

    <p>$1^{st}$ branchial cleft cyst (A)</p> Signup and view all the answers

    Which salivary gland tumor has a propensity to invade nerve roots and is very sensitive to radiation therapy?

    <p>Adenoid cystic carcinoma (B)</p> Signup and view all the answers

    Which cancer of maxillary sinus requires maxillectomy as treatment?

    <p>Squamous cell carcinoma (D)</p> Signup and view all the answers

    Which benign neoplasm presents with nose bleeding or obstruction and occurs predominantly in males younger than 20 years?

    <p>Juvenile nasopharyngeal angiofibroma (C)</p> Signup and view all the answers

    What is the primary diagnostic method for detecting oropharyngeal squamous cell carcinoma?

    <p>Tonsillectomy (C)</p> Signup and view all the answers

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