H&N-Mosby Board Review questions

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Author:
jaxkaty5437
ID:
259845
Filename:
H&N-Mosby Board Review questions
Updated:
2014-03-08 09:44:57
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Radiation therapy
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Mosby Board Review questions,RTT Board Review
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H&N-Mosby Board Review questions
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  1. Clinical detection for oral cavity cancer is
    non healing ulcers
  2. Clinical detection for oropharynx cancer
    • sore throat
    • referred otalgia
    • odynophagia
  3. Clinical detection for hypopharynx
    • sore throat
    • odynophagia
    • neck mass
    • dysphagia
  4. Clinical detection for nasopharynx
    • bloody discharge
    • auditory and respiratory dysfunction
  5. Clinical detection for larynx
    • sore throat
    • hoarseness
    • stridor
  6. Clinical detection for maxillary sinus
    • displacement of eyes
    • sinusitis
    • nasal obstruction
  7. Where does C1 lie inferior to?
    mastoid process
  8. What is the nasion?
    • depression at the base of the nose
  9. What is the 1st prominent process of cervical vertebrae?
    C7
  10. Which vertebrae is located at the level of the angle of the mandible?
    C2
  11. What is the roof of the orbit called
    Superior orbital margin
  12. What is the sternocleidomastoid muscle
    • A thick band attached to the mastoid and occipital bones superiorly and sterna and calvicular heads inferiorly
  13. Which vertebrae is at the level of the thyroid cartilage?
    C4
  14. What is the bony prominence of the cheek called?
    zygomatic arch
  15. Where is the glabella located?
    • Between the orbits
    • (right above the nasion)
  16. What is located at the junction of the upper and lower lip
    • commissure of the mouth
  17. Which vertebrae is located at the cricoid cartilage
    C6
  18. Which vertebrae is located at the level of the hyoid bone
    C3
  19. Where is the inferior orbital margin?
    It forms the lateral margin of the bony orbit
  20. Where is the inner canthus
    Medial aspect of the eye where the upper and lower eyelids meet
  21. What is the central prominence in the occipital bone
    • External occipital protuberance
  22. Where is the tragus
    • by the EAM
  23. What is lateral and inferior extension of the temporal bone
    • Mastoid process
  24. Where are 65% of all larynx cancers?
    glottis
  25. How much lymphnode involvement does the glottis have
    it is very rare
  26. Name the cranial nerves and what they do
    • I-Olfactory-smell
    • 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
  27. About ___ of the body's lymphnodes are located in the head and neck area
    1/3
  28. How many cartilages make up the larynx
    9
  29. What muscle divides the neck into anterior and posterior triangles?
    • sternocleidomastoid
  30. 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
  31. What is the function of the hyoid bone
    It acts as an attachment site for the muscles assoc with swallowing.
  32. What is typically the largest vascular structure located in the neck?
    • Internal Jugular vein
  33. The jugulodigastric node is also called the
    subdigastric node
  34. Postcricoid and pyriform sinuses are located in the
    hypopharynx
  35. Which of the following is not considered part of the oral cavity?
    buccal mucosa
    hard palate
    soft palate
    floor of mouth
    Soft palate
  36. Tonsils are the most common site of disease in the
    oropharynx
  37. In treating the oropharynx with IMRT, which structure cannot be avoided?
    tonsils
  38. Many structures and soft tissue of the aerodigestive track within the facial/cervical regions can be directly examined by
    • palpation
    • direct inspection
    • biopsy
  39. Nodes of Rouviere are also called the
    • lateral retropharyngeal
    • rouvier
  40. 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?
    Rouviere Nodes
  41. What is Erythroplasia
    • red, velvety patches on the mucous membrane of the mouth
    • usually involved with oral cavity cancers or oropharynx cancers.
  42. What is leukoplakia
    Small, white raised patches on the mucous memebrane
  43. What is keratosis
    • lesion on the epidermis marked by the presences of overgrowth of the horny layer
    • Like a wart or mole
  44. What is dysplasia
    Abnormal tissue development
  45. EBV is most common with
    Epstein Barr Virus is most common with nasopharyngeal cancers
  46. What are the 2 most common etiological factors for head and neck cancers
    • smoking
    • alcohol
  47. 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
  48. Plummer Vinson Syndrome is ___ and most common in males or females?
    • iron deficiency anemia
    • Females
  49. Plummer Vinson Syndrome is considered an important etiologic factor in
    oral cavity cancers
  50. SCV dose is typically
    45-50 GY
  51. Where is the vallecula located
    • behind the base of tongue
  52. 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
    spinal cord
  53. Nasopharynx lncludes
    • Posterior and lateral phayngeal walls
    • eustacian tubes
    • adenoids
  54. Oropharynx includes
    • Base of tongue
    • soft palate
    • tonsils
    • oropharyngeal walls
  55. hypopharynx includes
    • pyriform sinus
    • post cricoid and lower posterior pharyngeal walls below tongue
  56. Oral cavity includes
    • ant 2/3 of tongue
    • floor of mouth
    • lip
    • retormolar trigone
    • buccal mucosa
    • gingival ridge
  57. Which head and neck cancers is # 1 for nodal metastasis
    hypopharynx
  58. Which head and neck cancer has the #1 site for cranial 1 nerve involvment?
    nasopharynx
  59. Mouth stent or tongue blade can be used to separate or displace the
    palate
  60. What is the most common site of distant met disease from head and neck
    lungs
  61. More than ____ of head and neck are squamous cell
    80%
  62. What is the usual wedge pair technique often used to treat parotid gland?
    • superior/inferior oblique combo
    • ***ASK PAM***
  63. The most common site for malignancy of the sinuses
    maxillary

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