H&N-Mosby Board Review questions
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Clinical detection for oral cavity cancer is
non healing ulcers
Clinical detection for oropharynx cancer
- sore throat
- referred otalgia
Clinical detection for hypopharynx
- sore throat
- neck mass
Clinical detection for nasopharynx
- bloody discharge
- auditory and respiratory dysfunction
Clinical detection for larynx
- sore throat
Clinical detection for maxillary sinus
- displacement of eyes
- nasal obstruction
Where does C1 lie inferior to?
What is the nasion?
- depression at the base of the nose
What is the 1st prominent process of cervical vertebrae?
Which vertebrae is located at the level of the angle of the mandible?
What is the roof of the orbit called
Superior orbital margin
What is the sternocleidomastoid muscle
- A thick band attached to the mastoid and occipital bones superiorly and sterna and calvicular heads inferiorly
Which vertebrae is at the level of the thyroid cartilage?
What is the bony prominence of the cheek called?
Where is the glabella located?
- Between the orbits
- (right above the nasion)
What is located at the junction of the upper and lower lip
- commissure of the mouth
Which vertebrae is located at the cricoid cartilage
Which vertebrae is located at the level of the hyoid bone
Where is the inferior orbital margin?
It forms the lateral margin of the bony orbit
Where is the inner canthus
Medial aspect of the eye where the upper and lower eyelids meet
What is the central prominence in the occipital bone
- External occipital protuberance
Where is the tragus
- by the EAM
What is lateral and inferior extension of the temporal bone
- Mastoid process
Where are 65% of all larynx cancers?
How much lymphnode involvement does the glottis have
it is very rare
Name the cranial nerves and what they do
- II-Optic- sight
- III-Oculomotor- up and down eye movement
- IV-trochlear- rotational eye movement
- V- trigeminal- sensory (facial) & motor(jaw)
- VI-abducens- lateral eye movement
- VII-facial- expressions, muscle contractions
- VIII- acoustic- hearing
- IX- glossopharyngeal- tongue and throat movement
- X-vagus- talking and sounds
- XI-spinal accessory- movement of shoulder and head
- XII-hypoglossal-tongue and chewing movement
- Oprah Owned Orange Tall Trousers And Felt Absolutely Glamorous Vacationing Since Hanukkah
About ___ of the body's lymphnodes are located in the head and neck area
How many cartilages make up the larynx
What muscle divides the neck into anterior and posterior triangles?
Which nodal group, below the mastoid tip, receives nearly all of the lymph from the head and neck area and is often included in the treated areas?
- jugulodigastric nodes
What is the function of the hyoid bone
It acts as an attachment site for the muscles assoc with swallowing.
What is typically the largest vascular structure located in the neck?
- Internal Jugular vein
The jugulodigastric node is also called the
Postcricoid and pyriform sinuses are located in the
Which of the following is not considered part of the oral cavity?
floor of mouth
Tonsils are the most common site of disease in the
In treating the oropharynx with IMRT, which structure cannot be avoided?
Many structures and soft tissue of the aerodigestive track within the facial/cervical regions can be directly examined by
- direct inspection
Nodes of Rouviere are also called the
- lateral retropharyngeal
Which lymphnodes area is a very high risk for dissemination of disease, is inaccessible for surgery, and therefore must be included as min target volume when treating the nsopharyngeal wall?
What is Erythroplasia
- red, velvety patches on the mucous membrane of the mouth
- usually involved with oral cavity cancers or oropharynx cancers.
What is leukoplakia
Small, white raised patches on the mucous memebrane
What is keratosis
- lesion on the epidermis marked by the presences of overgrowth of the horny layer
- Like a wart or mole
What is dysplasia
Abnormal tissue development
EBV is most common with
Epstein Barr Virus is most common with nasopharyngeal cancers
What are the 2 most common etiological factors for head and neck cancers
The main goals in treating head and neck cancer and determining the best tx modality are
- eradication of disease
- maintenance of physiologic function
- preservation of social cosmesis
Plummer Vinson Syndrome is ___ and most common in males or females?
- iron deficiency anemia
Plummer Vinson Syndrome is considered an important etiologic factor in
oral cavity cancers
SCV dose is typically
Where is the vallecula located
- behind the base of tongue
The tx field for a primary tumor in the hypopharynx includes the nodes of rouviere. A sharp field edge is necessary to avoid and protect the
- Posterior and lateral phayngeal walls
- eustacian tubes
- Base of tongue
- soft palate
- oropharyngeal walls
- pyriform sinus
- post cricoid and lower posterior pharyngeal walls below tongue
Oral cavity includes
- ant 2/3 of tongue
- floor of mouth
- retormolar trigone
- buccal mucosa
- gingival ridge
Which head and neck cancers is # 1 for nodal metastasis
Which head and neck cancer has the #1 site for cranial 1 nerve involvment?
Mouth stent or tongue blade can be used to separate or displace the
What is the most common site of distant met disease from head and neck
More than ____ of head and neck are squamous cell
What is the usual wedge pair technique often used to treat parotid gland?
- superior/inferior oblique combo
- ***ASK PAM***
The most common site for malignancy of the sinuses
What would you like to do?
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