Head and Neck Surgery Practice Questions

Question 1

Second primary tumor of head and neck is most commonly seen in malignancy of:

Accepted Answer

Oral cavity

Answer

Paranasal sinuses

Answer

Hypopharynx

Answer

Larynx

Question 2

Field carcinogenesis theory is commonly seen in

Accepted Answer

Head and neck cancer

Answer

Cervical cancer

Answer

Prostate cancer

Answer

Breast cancer

Question 3

A 30-year-old woman undergoing elective surgery is noted to have a difficult airway. Which management technique is essential to ensure safe airway control?

Accepted Answer

Using a fiberoptic bronchoscope for intubation while the patient is awake.

Answer

Inducing anesthesia rapidly without prior airway assessment.

Answer

Using a laryngeal mask airway as the primary method of airway management.

Answer

Administering a muscle relaxant before securing the airway.

Question 4

A 40-year-old man with total nasal reconstruction using paramedian forehead flap develops partial flap necrosis at the tip on post-op day 5. Doppler shows absent flow in distal 1 cm. Previous history reveals he is a heavy smoker (20 cigarettes/day). What would be the best surgical strategy if this procedure were to be revised?

Accepted Answer

Perform two-stage delay procedure before flap transfer and continue smoking cessation

Answer

Use a wider pedicle with earlier division at 2 weeks

Answer

Convert to free radial forearm flap with microsurgical anastomosis

Answer

Use bilateral nasolabial flaps instead of forehead flap

Question 5

Supraomohyoid dissection is a type of?

Accepted Answer

Selective neck dissection

Answer

Modified radical neck dissection

Answer

Radical neck dissection

Answer

Posterolateral dissection

Question 6

Secondaries in the neck with no obvious primary malignancy is most often due to which of the following?

Accepted Answer

Carcinoma of the Nasopharynx

Answer

Carcinoma of the Stomach

Answer

Carcinoma of the Larynx

Answer

Carcinoma of the Thyroid

Question 7

What clinical appearance is associated with bilateral TMJ ankylosis?

Accepted Answer

All of the above

Answer

Bird face appearance

Answer

Vogel gesicht appearance

Answer

Andy gump appearance

Question 8

Which of the following is/are a contraindication for supraglottic laryngectomy?

Accepted Answer

Poor pulmonary reserve, Tumor involving pre-epiglottic space, Vocal cord fixation, Postcricoid area extension

Answer

Poor pulmonary reserve, Tumor involving pyriform sinus, Tumor involving pre-epiglottic space, Vocal cord fixation

Answer

Tumor involving pyriform sinus, Tumor involving pre-epiglottic space, Vocal cord fixation, Postcricoid area extension

Answer

Poor pulmonary reserve, Vocal cord fixation, Postcricoid area extension

Question 9

What is the most common tumor that produces metastasis to cervical lymph nodes?

Accepted Answer

Nasopharyngeal carcinoma

Answer

Glottic carcinoma

Answer

Carcinoma of the base of the tongue

Answer

Carcinoma of the lip

Question 10

Which of the following statements regarding branchial anomalies is true?

Accepted Answer

Most commonly, the second branchial arch is involved.

Answer

Branchial cysts are less common than branchial sinuses.

Answer

First arch branchial anomalies are never seen.

Answer

Internal draining sinuses are the most common type.

Head and Neck Surgery

Study Resources

Lessons

Questions

Flashcards

Lessons

Neck Spaces and Fasciae

Congenital Neck Lesions

Neck Masses: Differential Diagnosis

Thyroid Nodules and Cancer

Parathyroid Disorders

Cervical Lymphadenopathy

Neck Dissection Principles

Deep Neck Space Infections

Carotid Body Tumors

Reconstruction Principles in Head and Neck

Management of Head and Neck Cancer

Complications in Head and Neck Surgery

Practice Questions

Flashcards

About Head and Neck Surgery for NEET-PG

Lessons in Head and Neck Surgery

Master Head and Neck Surgery