ABSTRACT

INCIDENCE/ETIOLOGIC FACTORS 1. What is the most common tumor type in head and neck cancers?

A. Adenoid cystic B. Squamous cell C. Adenocarcinoma

D. Lymphoma E. Melanoma

EXAMINATION/WORKUP 2. A 50-year-old male smoker presents with a 4-week history of a 3 cm diameter

left-sided neck mass without any other obvious signs or symptoms. After the initial history and examination, what would the next most appropriate investigation be? A. Excision biopsy of the mass B. Incision biopsy to the tongue base C. CT scan of the head, neck, and chest D. Panendoscopy to view the pharynx, larynx, esophagus, and bronchial tree E. Fine-needle aspiration cytology of the mass in the clinic

LEVELS OF THE NECK 3. When undertaking a selective neck dissection (I through III), which one of the

following represents the inferior limit of the dissection? A. Carotid bifurcation B. Clavicle C. Omohyoid

D. Posterior belly of digastric E. Hyoid bone

4. You are undertaking a neck dissection for a patient with a floor-of-mouth SCC. Your professor has asked you to include level IIa within the dissection but says that IIb can be preserved. Which structure will subdivide these two areas? A. Hypoglossal nerve B. Marginal mandibular nerve C. Phrenic nerve D. Spinal accessory nerve E. Vagus nerve

See Essentials of Plastic Surgery, second edition, pp. 371-381.