‫اختبارات االند‬

‫لدفعه سنه ‪ 3‬الحالية‬

‫عام ‪2022‬‬
‫‪Head and neck surgery‬‬
 Round 10 H&N
1)What is the following instrument ?
Cecil Joll self retractor
2)What is the following instrument ?
Mastoid self retractor
3)after the thyroidectomy , female patient
complains of loss of the ability to elevate the voice>>
External laryngeal nerve
4)the following picture the pointing structure is >
> External carotid artery

5)The following picture

indicates

>> Submandibular stone

6)All of the following are true about the Branchial cyst

except >>send Lymphatic metastases
7)The Thyroid gland >> Main Lymphatic drainage is area 6
8)MENIIA,B is accompanied by RET oncogene
9)Immediate deal with reactionary haemorrhage is >>
Reopenning and decompression

10) The following CT indicates

>> sternomastoid muscle

11)The following CT indicates

>> Thyroid cartilage
12) Radio active therapy is effective in treatment of lymph
node metastasis of:
A)PTC
B)FTC
c)Medullary
D)Anaplastic
13)The following X Ray indicates >> Tracheal deviation
14) After thyroidectomy , The patient suffers from
Aphonia >> Bilateral complete injury of the RLN
15 ) After thyroidectomy , the patient suffers from
circumoral numbness due to >> Hypocalcemia
1- Mandibular surgery which is false ?

- The incision below mandible is unsafe

- platysma incision may cause injiry to lingual nerve

2- anaesthesia below mandible of the ear ? GREAT auricular nerve

3- we can use radioiodine to treat metastatic LN of wich ?

- follicular adenoma

- follicular carcinoma

- Papillary carcinoma

- Hurthles tumour

4- in Frey syndrome regeneration occurs in ?

- parasymp.fibres

- sympathetic fibres

- autonomic fibres

5- Which is false about brachial cyst ?

- may cause metastasis By LN

- its fistula presented at lower border of sternomastoid muscle

6- Bidigital

7- which of the following we make a prophylactic LN dissection ?

- TONGUE CANCER

- PAPILLARY CANCER

- LIP CANCER
8- collar stud abscess ?

- can be presented by an acid fast bacilli

9- parathyroid can be implanted in ? Brachioradialis

10- Pheochromocytoma can be present in which gene mutation ?

- RET oncogene

11- MC type of cancer in salivary gland ? Mucoepidermoid carcinoma

Head and neck

1- Babcock
2- Needle holder
3- Mastoid retractor
4- Scalpel holder
5- CT : internal jugular vein
6- CT : trachea
7- CT : tracheal deviation
8- CT : thyroid cartilage
9- Muscle responsible for tensening of the vocal cords :
cricothyroid muscle
10- Nerve supply of the sternomastoid : 11th cranial nerve
11- Left vocal cord found in a paramedian position after
thyroidectomy the cause is : complete injury to the left RLN
12- Most common cause of injury to the RLN : during incision
and ligation to the berry’s ligament
13- Cause of high pitched voice : injury to the ELN
14- Ligation of the inferior thyroid artery away from the thyroid
gland causes : hypocalcemia
15- Loss of sensation of the skin on the lower part of the ear
after thyroidectomy is due to : injury of the great auricular
nerve
16- Frey’s syndrome is due to : injury to the auriculotemporal
nerve
17- Secondary hemorrhage is due to : infection
Complications:
1. Thyroidectomy Wound:
-Clean wound
-Dirty wound

2. Reactionary Hemorrhage is due to:

-slippage of ligature
-Infection

3. Patient can’t close his eyes after surgery:

-Injury of Zygomatic Branch of Facial Nerve
-Injury of Temporal Branch of Facial Nerve
‫وجايب برانشات تانية‬

4. Patient presented after thyroidectomy by circumoral numbness, how to manage?

-give IV calcium (‫)في اختيار طويل كدة في كالسيوم هو دا‬
(This is hypoparathyroidism)

5. Investigations showed that patient’s left vocal cord was totally adducted: (=dyspnea
on exercise)
-Left RLN completely injured
-Left RLN partially injured
-Both RLN partially injured

6. Patient complaining that she can’t raise her voice:

-ELN injury
7. Using Technatium sestamibi
detects:
- Primary hyperparathyroidism
-Secondary hyperparathyroidism
-Tertiary hyperparathyroidism

8. Patient complains of sweating

and redness of face on eating:
-Frey’s syndrome
(Due to auriculotemporal nerve injury)

Instruments
)‫ ماجابش نفس الصور ده بالظبط بس شبهها‬،‫(بيجيب الصورة ده ويسأل ده ايه‬

9. Mastoid Retractor
 10. Cecil Joll Retractor

11. Kocher

12. Scalpel handle

Radiology
(‫)جاب صورة األشعة وسأل ده ايه‬

13. Carotid Body Tumor

14.
‫جاب السهم اللي معلمة عليه باألحمر‬
-Thyroid Cartilage
-Cricoid Cartilage
‫جاب صورة شبه ده و السهم اللي ‪15.‬‬
‫معلمة عليه باألحمر‬
‫‪-Esophagus‬‬
‫‪-Trachea‬‬

‫‪16.‬‬

‫جاب صورة شبه ده و ماشاورش على‬

‫حاجة‪ ،‬وسأل ده ايه‬
‫‪Tracheal Deviation‬‬
‫‪17.‬‬

‫جاب صورة شبه ده‬

‫وشاور زي السهم األحمر‬
‫اللي عاماله‬
‫‪Sternocledomastoid‬‬
‫‪Muscle‬‬