Head and Neck Lecture Test

For a given stage, HPV-related with head and neck squamous cell carcinoma should be treated differently than traditional with head and neck squamous cell carcinoma.

Patients with well-differentiated thyroid malignancy presenting with distant metastases:

The most important principle of neuroplasticity as it relates to swallowing function in head and neck cancer patients is:

Facial nerve rehabilitative procedures (i.e. cable grafting) are best considered:

Which of the following is not routinely used while managing CUP of the neck?

What percent of oropharyngeal cancers were HPV positive among the patients treated with TORS clinical trial at the James?

Patients with adenoid cystic carcinoma of the salivary glands with known distant metastatic disease:

Contraindication to traditional open supraglottic (horizontal) laryngectomy include:

Which of the following two sites are found to be the ultimate site origin of Carcinoma of Unknown Primary (CUP) in the neck more than 80% of the time?

HPV-related head and neck squamous cells carcinoma is associated with improved outcomes

Presentation of pain in a patient with a parotid mass:

According the AJCC nodal staging system for H&N SCCa of the oropharynx, what N-stage would be given for a single, metastatic lymph node measuring 5cm LN ipsilateral to the primary lesion?

Are the indications for chemo radiation therapy following surgery in HPV + SCC the same as for HPV - SCC?

Indications for surgery in HPV + tonsil cancer include:

True or False: the adverse effect of radiation to the head and neck, dysphagia, can manifest > 5 years post-treatment.

A 79 year old male has been recently diagnosed with a squamous cell carcinoma of the anterior right floor of mouth. On CT, there is an abnormal lymph node noted in the submental region located above the hyoid bone and medial to the anterior bellies of the digastric muscles suspicious for a nodal metastasis. Which of the following is the correct classification for the location of this lymph node based on the 2010 AAOHNS-AHNS guidelines?

A videofluorscopic swallow study on a total laryngectomy can:

A patient with newly diagnosed right base of tongue cancer undergoes a neck CT scan. Regarding standard imaging size criteria for cervical lymph nodes, which of the following is INCORRECT?

A patient presents with locally advanced hypopharyngeal squamous cell cancer undergoes a neck CT revealing ipsilateral metastatic lymphadenopathy with extracapsular spread of disease (ECS) which is confirmed on pathology. Largest metastatic lymph node measured 3.5cm. Which of the following is true about extracapsular spread of disease?

A patient is referred for newly diagnosed right hypopharyngeal squamous cell carcinoma and provides an outside neck CT examination for review. Which of the following would be considered suspicious for pathologic lymphadenopathy based on imaging findings?

Possible surgical options to manage laryngeal carcinoma that involves bilateral vocal cords including anterior commissure could include all of the following except:

Which neck levels oropharynx carcinoma usually metastasize?

A 45 year old female presents with a nodular glandular lesion on imaging. Statistically, in which of the following glands would the nodule most likely represent a malignancy?

The incidence of which of the following two head and neck cancer types have been increasing in the last few decades in the U.S.?

Da Vinci Robotic system has the benefit of all of the following as MIS tool except:

Patients with suspected thyroid malignancy presenting with hoarseness:

A 57 year old male with newly diagnosed carcinoma ex pleomorphic adenoma of the left parotid gland is referred for evaluation. On examination, the patient is found to have left facial nerve paralysis. What imaging landmark is used to estimate the location of the facial nerve within the parotid gland?

Reasonable options to consider in patients with high-grade mucoepidermoid parotid carcinoma that are clinically N0 include:

The most significant prognostic feature of well-differentiated thyroid malignancy is:

Visceral (mucosal) involvement by well-differentiated thyroid malignancy:

What is the most significant prognostic indicator of disease recurrence and death from melanoma?

A baseline FEES allows for all of the following EXCEPT:

In the presence of unilateral pharyngeal weakness the following compensatory strategy may improve swallowing function:

Management of supraglottic tumors involving the petiole:

Cancers in the following head and neck subsites are commonly HPV-related (circle all correct answers):

Contraindications to open partial (conservation) laryngectomy include all of the following except:

Standard of care in the management of Stage 3 BOT, HPV + SCC includes:

Fine needle aspiration biopsy/cytology for salivary masses:

Human Papilloma Virus is responsible for a significant percentage of head and neck squamous cells carcinoma

The HPV type most associated with head and neck squamous cell carcinoma is:

See path report below:

Malignant melanoma
Type: Superficial spreading
Level of invasion: Clark's level II/early III
Depth of invasion: Approximately 0.46 mm
Radial growth phase: Present
Vertical growth phase: Present
Mitotic count: Greater than 1 per mm2
Regression: Present in the papillary dermis (Clark's level II-III;
approximately 0.48 mm)
Precursor lesion: Not identified
Blood vessel, lymphatic and neural invasion: Not identified
Tumor infiltrating lymphocytes: Present; non-brisk
Satellite nodule: Not identified
Ulceration: Not identified

What is the appropriate T stage?

A 44 year old female presents with a palpable mass in the right parotid gland. Patient is unsure of how long the mass has been present, as it was discovered during a routine examination by her primary care physician. Cross sectional imaging reveals a solitary, 14mm, cystic (T2 hyperintense), heterogeneously enhancing right parotid lesion demonstrating well-defined and mildly lobulated margins. Left parotid gland appears normal. What is the most likely diagnosis?

Vocal cord fixation in patients with laryngeal carcinoma is most commonly due to:

What is the preoperative gold standard imaging modality for CUP neck?