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Pd Exam #1 - ENT
Fall Semester - 2010
56
Medical
Graduate
10/28/2010

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Cards

Term
What is the most common cancer of the mouth?
Definition
Squamous cell carcinoma
Term
What two risk factors predispose pts to oral CA?
Definition
tobacco and alcohol use
Term
What is the most common area of malignancy on the tongue?
Definition
lateral borders
Term
What is the most common PRE-cancerous lesion of the oral cavity?
Definition
leukoplakia
Term
When Leukoplakia is involved with the floor of the mouth or the lips is it most likely benign or malignant?
Definition
Malignant
Term
Which is the most common lesion, Leukoplakia or Erythroplakia?
Definition
Leukoplakia
Term
What is the most common oral lesion in heavy smokers/drinkers > 40y/o?
Definition
Erythroplakia
Term
What is the most common site of involvement for salivary gland neoplasms?
Definition
Posterior hard palate
Term
What are the two most common neoplasms of the accessory salivary glands?
Definition
Adenoid Cystic Carcinoma
Mucoepidermoid Carcinoma
Term
What lesion is described as white plague-like lesion in the oral cavity that cannot be rubbed off?
Definition
Leukoplakia
Term
What oral lesion is described as red velvety tissue that may have white patches with irregular borders?
Definition
Erythroplakia
Term
Which oral lesion is described as a non-healing, painless red ulceration with white rolled borders?
Definition
Squamous Cell Cancer
Term
Which oral lesion is described as slow growing, non-ulcerated, painless mass seen in women between 30-60 y/o and usually located on the palate?
Definition
Pleomorphic Adenoma
Term
Term that means - bilateral sensorineural hearing loss associated with aging?
Definition
Presbycusis
Term
Term that means - hard, dense connective tissue growth on or around ossicles in the middle ear?
Definition
Tympanosclerosis
Term
Term that means - stones in the salivary glands (may block the wharton's duct) and are associated with swelling of the gland under the tongue at times especially after eating or chronically?
Definition
Sialolithiasis
Term
Term that means - midline groove from the nose to the top of the upper vermillion border?
Definition
Philthrum
Term
Term that means - inflammation of the mucous membrane lining in the nose that is commonly seen in URI/common colds?
Definition
Coyza
Term
A condition described as severe inflammation (cellulitis) if the floor of the mouth (usually in adults who have dental infections) and one of the most common deep neck infections?
Definition
Ludwig's Angina
Term
If a pt presents with sx of edema, erythema of the upper neck and mouth, pain, stridor, dysphagia, raising of the tongue, malaise and fever?
Definition
Ludwig's Angina
Term
Which condition is described as an acute ulcerative necrotizing gingivitis infection causing sloughing of dead tissue from upper GI and is due to an infection of the gums?
Definition
Vincent's Angina
Term
What condition is indicated by the sx of unilateral ulcer of the tonsil, bleeds easily, bad taste in the mouth, fever and halitosis?
Definition
Vincent's Angina
Term
A disease that is characterized by tinnitus, vertigo (lasting for long periods), and sensorineural hearing loss that may also be accompanied by N/V?
Definition
Meniere's Dx
Term
What is a non-cancerous tumor that develops ON the nerve that connects the ear to the brain (CN VIII) and grows slowly. As it grows it may cause disturbances in hearing or balance depending on what part of the nerve it affects?
Definition
Acoustic Neuroma
Term
What is the condition that is characterized by transient attacks of vertigo induced by movement of the head and trunk?
Definition
BPPV
Term
What condition is described as swelling of the vestibular nerve in your inner ear that usually occurs after a recent URI and can present with sx of vertigo?
Definition
Vestibular Neuritis
Term
What is the Schirmer's Test?
Definition
Test used to determine tear production levels in the eye by placing a piece of filter paper on the eye and record the amount of moisture after 5 min (less than 10mm = postive test)
Term
With what condition is anterior cervical adenitis a characteristic finding of?
Definition
Tonsilitis, Pharyngitis
Term
With what condition is acute posterior lymphadenitis a characteristic sign of?
Definition
Acute Otitis Externa, Scalp Infections
Term
With what condition is pre-auricular lymphadenopathy a characteristic sign of?
Definition
Acute Otitis Externa
Term
With what conditions are deep cervical lymphadenopathy a characteristic sign of?
Definition
Thyroid CA, Laryngeal CA, Systemic Dx
Term
With what condition will supraclavicular lymphadenopathy be present?
Definition
Virchow's nodes, Lung CA
Term
If the thyroid is diffusely enlarged, soft and freely moveable, what conditions do you expect?
Definition
Endemic Goiter, Graves Dx, Hashimoto's Thyroiditis
Term
What are multiple nodules on a thyroid exam indicative of?
Definition
Multinodular Goiter
Term
What is a single nodule found on a thyroid exam indicative of?
Definition
Adenoma, Cyst, CA
Term
Which type of cyst is localized in the midline, is firm and moves with tongue protrusion?
Definition
Thyroglossal cyst
Term
What meds are ototoxic?
Definition
Tobramycin, Gentamycin, ASA
Term
What two conditions can bloody otorrhea be caused by?
Definition
Carcinoma and trauma
Term
What can clear otorrhea be a result of?
Definition
CSF leak from trauma
Term
What is Bullous myringitis?
Definition
Hemorrhagic vesicles on the eardrum
Term
What is an indication on PE of Tympanosclerosis?
Definition
Retraction of the eardrum
Term
With conduction deafness, to which ear will Weber lateralize to?
Definition
The affected ear
Term
With nerve deafness where will the Weber test lateralize to?
Definition
lateralizes to good ear
Term
With nerve deafness what will the findings of Rinne be?
Definition
AC > BC
Term
With conductio deafness what will the findings of Rinne be?
Definition
BC > AC
Term
What disease causes a "saddle nose"?
Definition
Wegener's granulomatis
Term
In iron deficient anemia, what abnormality do you see regarding hair distribution?
Definition
diffuse hair thinning
Term
The nasal mucous membrane is pale, boggy and swollen. What is the most likely probability?
Definition
Maxillary Sinusitis
Term
Which ducts are located at the base of the frenulum in the floor of the mouth?
Definition
Submandibular (Wharton) ducts
Term
In the oral cavity/oropharynx, the structures we refer to as the tonsils are actually a part of what group of structures?
Definition
Waldeyer's Ring
Term
The parotid duct, Stensen's duct, is located next to which teeth?
Definition
Upper first molar
Term
The presence of varices found on the ventral surface of the tongue is most often a sign of what condition?
Definition
Normal variations
Term
Melanoplakia of the gingiva is considered what type of finding?
Definition
Considered a normal finding
Term
A bifid uvula may be associated with pathology in which system?
Definition
Cardiovascular system
Term
Unilateral parotid gland enlargement can be seen in which set of condition?
Definition
Parotid gland tumors such as Cystadenocarcinoma of parotid gland
Term
Where can the submandibular gland be palpated?
Definition
At the inferior border of the body of the mandible.
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