Transcript Jeopardy Template

Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
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Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column One 100
A 65-year old man has had a painless, gradually enlarging mass in the
region of the left parotid for 6 months. He can no longer depress the
left corner of his mouth or close his left eye fully
He is a heavy smoker and drinker, but has no aerodigestive symptoms.
Examination reveals a firm nontender mass overlying the left angle of
the jaw. The next step in management is:
Metastatic workup
Radical parotidectomy with neck dissection
Superficial parotidectomy
MRI of the head and neck and FNA
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column One 200
A 54-year old man with a 30-pack year hx of smoking and
heavy alcohol use has a painless 2-cm nodule on the anterior
border of the SCM inferior to the angle of the mandible.
What is the MOST appropriate means of obtaining a tissue
diagnosis
Excisional biopsy
Fine-needle aspiration
Core needle biopsy
Incisional biopsy
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column One 300
A 45-year old female smoker has a painless 1-cm nodule in her right
anterior cercival triangle found to be squamous cell ca. Physical
examination of the head and neck is otherwise remarkable.
The most likely source for the primary tumor is
pharynx
Tonsil
Tongue
palate
larynx
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column One 400
Regarding the diagnosis and management of
the solitary neck mass, which of the following
statements is true?
Incisional or excisional biopsy is the first step in management
About 20% of metastatic cervical lymph nodes are from
primary tumors in the chest or abdomen
Midline nonthyroid neck masses are usually neoplastic
FNA is particularly helpful in diagnosing lymphomas and
sarcomas
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Two 100
Papillary thyroid cancer
Derived from thyroid C-cells
Thyroidectomy not indicated
Most common type of thyroid cancer
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Two 200
Lateral aberrant thyroid
Abnormally descended thyroid tissue in the lateral
neck
Associated with thyroglossal duct cyst
Cervical lymph node metastases from papillary
cancer
Cervical lymph node enlargement as a
result of Hashimoto’s disease
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Two 300
Secondary
Hyperparathyroidism
Associated with nickel accumulation
in bones
Surgery resection of single adenoma
Most do not need surgery (90%)
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Two 400
With regard to thyroid anatomy, which is/are true?
Delphian lymph nodes are located along the
internal jugular
Injury to the loop of Galen is associated with ligation of the
superior thyroid artery
The tubercle of Zuckernakdl is the most lateral posterior extension
of thyroid and is closely associated with the recurrent LN
2 and 3
All of the above
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Three 100
Which of the following
statements is true
Lymphoma is the most common
nasopharyngeal neoplasm
Bleeding or obstruction are the most common
presenting symptoms of nasopharyngeal carcinoma
There is an unusually high incidence of
nasopharyngeal carcinoma in the Chinese
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Three 200
A 76-yo man has a slowly growing lump in his left
neck, anterior to the SCM, just below the angle of the
mandible. No hx of cancer, no constitutional sx.
Cytology from FNA is squamus cell ca
Which test will most likely identify the primary
lesions?
Panendoscopy under anesthesia with random biopsies
Chest x-ray
Contrasted CT soft tissue of the neck
Pet scan
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Three 300
In a classical radical neck
dissection, which structure is
spared?
Spinal accessory nerve
Lingual nerve
Sternocleidomastoid
Internal jugular vein
Submandibular gland
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Three 400
Mucoepidermoid carcinoma
Biologic aggressiveness varies widely according to
tumor grade
The most common salivary gland tumor
Exhibits a marked male predominance
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Four 100
Which of the following statements about the treatment of
Warthin’s tumor is TRUE?
Postoperative radiation therapy is necessary
for high-grade lesions
Superficial parotidectomy is inadequate
because of the high rate of recurrence
Observation in sufficient
Total parotidectomy involves resection of the
facial nerve
Surgical enucleation is contraindicated
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Four 200
Thyroglossal duct cyst
Appears as a draining sinus lateral to the SCM
From the descent of the thyroid gland
from the foramen cecum
Excision spares the hyoid bone
Presents as a lateral cervical mass
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Four 300
Le Fort II
Pyramidal fractures
Transverse maxillary fracture
Craniofacial dissociation
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Column Four 400
Which tumor of the jaw is a slowgrowing malignancy with a “soapbubble” radiograpic appearance?
Osteogenic sarcoma
Radicular cyst
Carcinoma
Ameloblastoma
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Final Jeopardy
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke
Final Jeopardy Category
Place answer here.
What is?
What is?
What is?
Created by Patrick Dierschke 2001 E-mail Patrick Dierschke