Head & Neck

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Author:
sandy2696
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259647
Filename:
Head & Neck
Updated:
2014-02-01 15:00:57
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Head Neck
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Head & Neck
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Head & Neck
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  1. poor dental hygiene & non healing ulcers are 2 clinical detection symptoms of what H&N site
    Oral Cavity
  2. Sore Throat, painful swallowing & referred otalgia are all symptoms of what H&N site
    Oropharynx
  3. sore throat, neck mass, weight loss, painful neck nodes dysphagia are symptoms of what H&N cancer site
    Hypopharynx
  4. Bloody discharge, Auditory dysfunction, respiratory dysfunction, cranial nerve involovemet (III, V, VI, IX, XII) are symptoms of what H&N cancer site
    Nasopharynx
  5. persistant sore throat & Hoarseness is symptoms of what H&N cancer site
    Larynx
  6. Displacement of the eye, Longstanding sinusitis, Nasal obstruction & bloody discharge are symptoms of which H&N cancer site
    Maxillary sinus
  7. Landmarks:

    The roof of the orbit
    Superior orbital margin
  8. Landmark:

    Forms the lateral margin of the bony orbit
    Inferior orbital margin
  9. Landmark:

    The central prominence in the occipital bone
    External occipital proturberance
  10. Landmark:

    The most lateral and inferior extension of the temporal bone
    mastoid process
  11. Landmark:

    The bony prominence of the cheek
    Zygomatic arch
  12. Landmark:

    Located between the orbits
    Glabella
  13. Landmark:

    The depression at the base of the nose
    Nasion
  14. Landmark:

    Located at the medial aspect of the eye where the upper and lower eyelids meet
    Inner Canthus
  15. Landmark:

    Located at the outer aspect of the eye where the upper & lower eyelids meet
    Outer Canthus
  16. landmark:

    Located near the external auditory meatus
    Tragus
  17. Landmark:

    located at the junction of the upper and lower lip
    commissure of the mouth
  18. Landmark:

    Lies inferior to the mastoid process
    C1
  19. Landmark:

    Located at the level of the angle of the mandible
    C2
  20. Landmark:

    Lies at the level of the  hyoid bone
    C3
  21. landmark:

    Corresponds to the level of the thyroid cartlidge
    C4
  22. Landmark:

    Located at the level of the cricoid cartlidge
    C6
  23. Landmark:

    The first prominent process of the cervical vertebrae
    C7
  24. Landmark:

    A thick band attached to the mastoid and occipital bones superiorly and serna and clavicle heads inferiorly
    Sternocleidomastoid muscle
  25. This area accounts for 65% of all larynx cancers.  Lesions in this area are well to moderately differentiated.  Most of these lesions appear on the anterior  2/3 of one of the cords.  It contains the true vocal cords. Lymphatic involvement is very rare in this area
    Glottis
  26. cranial Nerve I

    Olfactory
    Smell
  27. cranial nerve II

    Optic
    Sight
  28. Cranial nerve III

    Oculomotor
    Eye Movement  (up & down)
  29. cranial nerve IV

    Trochlear
    Eye Movement  (rotation)
  30. cranial nerve V

    Trigeminal
    sensory (facial) and motor (jaw)
  31. cranial nerve VI

    Abducens
    Eye Movement (lateral)
  32. cranial nerve VII

    Facial (masticator)
    Expression, muscle contractions, and mouthing
  33. cranial nerve VIII

    Acoustic
    Hearing
  34. Cranial nerve IX

    glossopharyngeal
    Tongue & throat movement
  35. cranial nerve X

    Vagus
    Talking and sounds
  36. cranial nerve XI

    Spinal accessory
    movement of the head & shoulder
  37. cranial nerve XII

    Hypoglossal
    movement of the tongue & chewing
  38. About _______ of the bodys lymph nodes are located in the head & neck area
    1/3
  39. ______ cartlidges make up the larynx
    9
  40. The ____________ muscles divides the neck into anterior and posterior triangles
    sternocleidomastoid
  41. The ______ nodal group below the mastoid tip, receives nearly all of the lymph from the head & neck area and is often included in the treated area
    Jugulodigastric
  42. What is the function of the hyoid bone?
    Acts as an attachment site for muscles associated with swallowing
  43. Which of the following is typically the largest vascular structure located in the neck
    Internal Jugular vein
  44. The jugulodigastric node may also be referred to as
    subdigastric node
  45. postcricoid and pyrifoam sinuses are located in the
    hypopharynx
  46. the ____________ is not considered art of the oral cavity
    soft palate
  47. the  tonsils are the most common site of disease in the
    oropharynx
  48. In treating the oropharynx area with conformal treatment (IMRT) the ___________ can not be avoided
    tonsils
  49. Many structures of the soft tissues of the aerodigestive track within the facial/cervical region can be directly examined by
    palpation, direct inspection & biposy
  50. the lymph node area, __________ is a very high risk area for dissemination of disease, is inaccessible for surgery, and therefore must be included as the minimum target volume when treating the nasopharygeal area
  51. Rouviere Nodes
  52. ________ - referred pain to ear
                      due to tumor in the  oropharynx  area
    Otalgia
  53. _______ - difficulty swallowing
    Dysphagia
  54. ______ - hharsy, raspy breathing
    stridor
  55. _____________ - double vision
    Diplopia
  56. _____________ - red, velvety particles on the mucous membrane of the mouth
    Erythroplasia
  57. ________ - small, white raised  patches on the mucous membrane
    leukoplakia
  58. ___________ - a lesion on the epidermis marked by the presence of circumcised over growth of the horny layer
    keratosis
  59. _________ - abnormal tissue development
    Dysplasia
  60. ___________ - painful swallowing
    odynophagia
  61. The majority of the head & neck cancers arise from epithelial surfaces and mucosal linings of the upper digestive tract and are mostly
    Squamous Cell Carcinoma
  62. The 2 most common etiological factors contributing to head  neck cancers are ___________ & ___________
    smoking & alcohol
  63. The main goals in treating head & neck cancers and determining the best modality of treatment are to _______________ & _______________
    maintain physiologic function & preservation of social cosmesis
  64. Plummer-Vinson syndrome (iron defiency in women)is considered an important etiologic factor in which h&n cancer?
    oral cavity
  65. In some head & neck cancer, the supraclavicular area is often treated if there is advanced disease or lower involved nodes.  The normal dosage of irradiation to this area is ______
    5000 cGy
  66. The __________ is found at the base fo the tongue
    vallecula
  67. The treatment field for a primary tumor in the hypopharynx includes the nodes of rouviere.
    A sharp field edge is necessary to avoid and protect the ___________
    spinal cord
  68. ____________: This region includes the posterior and lateral pharyngeal walls above the soft palate and the superior surface of the soft palate extending to the posterior choana
    Nasopharynx
  69. ________: This region includes the anterior tonsillar pillar, soft palate, uvalla, tonsillar fossa, tonsils, base of tongue and pharyngeal walls
    Oropharynx
  70. _________: This region includes the posterior and lateral pharyngeal walls below the base of the tongue, the pyrifoam sinus, and post-cricoid region
    Hypopharynx
  71. Tumors of the head & neck may involve the cranial nerves that control our major senses.  This may lead to signs & symptoms that can point to a possible location of the tumor.
    Which area would be the most common for involvement of cranial nerves?
    Nasopharynx
  72. What is the most common site of distant metastatic disease from the head & neck area?
    Lung
  73. More the 80% of head & neck cancers arise from the surface epithelium of the mucosal linings of the upper digestive track and are _____________
    squamous cell carcinoma
  74. The usual wedge-pair technique most often used in treatment of the parotid gland is _________________
    superior/inferior oblique combo
  75. The most commonly involved sire for malignancy of the sinuses would be _________
    Maxillary

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