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CMI - Fall 2011

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
90% of head and neck CA is?   show
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show Squamous cells  
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Head and neck CAs that start in glandular cells are called?   show
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show Is considered CA, until proven otherwise (must do MULTIPLE BXs)  
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show BCC (least likely to develop metastases)  
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show To lymph>Lungs, liver, bones  
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What is the benign tumor that arises from the vestibular division of the 8th CN from the Schwann cells which produce myelin?   show
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What are some sxs of acoustic neuroma?   show
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show Weber/RInne test, Audiogram  
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show CT w/contrast, MRI of brain  
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TX for acoustic neuroma?   show
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show Smaller things...  
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show Facial nerve (facial drooping, sxs)  
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show 85% of the auricle  
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Types of cancer of auricle and external ear?   show
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TYpe of CA of middle ear?   show
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What are some possible causes for nasal/sinus CA?   show
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show SCC  
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Risks for nasopharyngeal CA?   show
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If an adult has an ear infex with no prior URI sxs, think...?   show
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show Ethmoid sinus - in pts under 40 (slow-growing)  
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When would you think of adenocarcinoma of ethmoid sinus?   show
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show Esthesioneuroblastoma  
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show Unilateral nasal obstrux, loss of smell, epistaxis  
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show Juvenile nasopharyngeal angiofibroma  
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show Smoking and drinking  
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Lymph node involvement in laryngeal CA?   show
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Most of laryngeal CA is of where?   show
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To determine CA of larynx, must do 5 of which 6 things?   show
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15% of those with laryngeal CA also have?   show
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Laryng CA at the Glottic area is where?   show
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show Hoarseness, scratchy pain, dyspahgia, cough, stridor(late in dz)  
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To look for subglottic CA, what can you have to pt do, to see below the VCs?   show
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show Aryepiglottic folds  
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show Glottic, Subglottic, Marginal Zone  
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In the asian and Indian populations, what kind of CA accounts for 50% of all?   show
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show Tobacco use = #1!! -Heavy alc, Chewing betel nut, nutritional fxs, genetics, sun exposure (lip CA)  
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Lip CA is mostly found in men age 50-70...who?   show
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SCC of the lip is usually foudn where? mets?   show
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BCC of the lip is usually found where? mets?   show
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show Non-healing, painless, red ulceration w/ rolled borders (irregular shape; canker sores are usually more rounded)  
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show Ant 2/3 of tongue --most often assoc w/ mets and usually presents at advanced stage  
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show Leukoplakia (painless and will not scrape off w/ tongue blade)  
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show Erythroplakia -- REFER TO ENT  
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