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The Neck cervical cysts and fistula. Deep neck infections (Phlegmonas)

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The Neck- Surgical Diseases 4th Year- PMU

Question 1 of 13

1

If you want Flashcards go to
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Select one of the following:

  • True
  • False

Explanation

Question 2 of 13

1

Most cystic hygromas involve the lymphatic jugular sacs and present in the posterior neck region. What are the other common sites?

Select one of the following:

  • axillary and retroperitoneal regions

  • thoracic wall and abdominal wall

  • mediastinum and bones

  • they can be found only the posterior neck region

Explanation

Question 3 of 13

1

Where do we search for a thyroglossal duct cyst?

Select one of the following:

  • the posterior neck region

  • along the midline of the neck

  • along the sternocleidomastoid muscle border

  • all of the above

Explanation

Question 4 of 13

1

In the embryonic stage of development the thyroid gland descends to its normal pretracheal position. Failure of normal caudal migration of the thyroid gland results in

Select one of the following:

  • agenesis of the thyroid gland

  • formation of two thyroid glands

  • thyroid hemiagenesis

  • a lingual thyroid

Explanation

Question 5 of 13

1

What is the standard operation for thyroglossal duct cysts?

Select one of the following:

  • no treatment is needed if the cyst is asymptomatic

  • a simple incision of the cyst is enough

  • complete excision of the cyst in continuity with its tract together with the central portion of the hyoid bone

  • complete excision of the cyst in continuity with its tract and removal of the whole hyoid bone

Explanation

Question 6 of 13

1

Where do we search for the branchial cleft remnants?

Select one of the following:

  • along the midline of the neck

  • the lateral neck region

  • the posterior neck region

  • just below the hyoid bone

  • none of the above

Explanation

Question 7 of 13

1

All branchial remnants are present at the time of birth: however, they are often not recognized until later in life. How can these lesions manifest?

Select one of the following:

  • sinuses

  • fistulas

  • cartilaginous rests

  • cysts

  • all of the above

Explanation

Question 8 of 13

1

How many pairs of branchial arches form the structures of the head and neck?

Select one of the following:

  • four pairs

  • five pairs

  • six pairs

  • seven pairs

Explanation

Question 9 of 13

1

The second branchial cleft remnants are the most common type. What is their location?

Select one of the following:

  • in the front or back of the ear

  • in the upper neck near the mandible

  • along the anterior border of the sternocleidomastoid muscle

  • in the suprasternal notch

  • in the clavicular region

Explanation

Question 10 of 13

1

What is the most common etiologic factor leading to deep neck infections?

Select one of the following:

  • dental infections

  • tonsillitis

  • peritonsillar abscesses

  • traumas

  • foreign body penetration

Explanation

Question 11 of 13

1

Which of these statements is true for Ludwig’s angina?

Select one of the following:

  • generally without abscess formation

  • it is a unilateral infection

  • it is a slowly evolving cellulitis with lymphatic involvement

  • it is a rapidly spreading cellulitis without lymphatic involvement

Explanation

Question 12 of 13

1

Suppurative parotitis is a condition typically occurring in

Select one of the following:

  • infants

  • small children

  • adults

  • elderly postoperative patients

Explanation

Question 13 of 13

1

Nonoperative management of penetrating neck injuries has been. advocated as an alternative to mandatory: exploration In asymptomatic patients. Which of the following findings would constitute a relative, rather than an absolute, indication for formal neck exploration?

Select one of the following:

  • expanding hematoma

  • dysphagia

  • dysphonia

  • pneumothorax

  • hemoptysis

Explanation