Peds
Patient complains of multiple recent throat infection. Upon questioning patient states that during the last year patient has had 9 infection treated with antibiotic PO by primary care provider. Name the criteria for surgical intervention.
Paradise Criteria
Patient presents with Glossy tongue and lip commissure fissures; additional complaints include dysphagia. You perform esophagogram and esophageal web is observed. Name the syndrome.
What is Plummer Vinson Syndrome
45 year old female patient arrives to your office. Patient underwent external rhinoplasty 8 months prior to visit and is unhappy with results. Name the deformity
What is Pollybeak deformity
Which subtypes of HPV are associated with recurrent respiratory papillomatosis?
What is HPV 6 and 11
10 year old patient presents to your clinic because mother is concern of hearing loss. Patient mother states that there is family history of heart disease and use of hearing aids at early age. What is the most likely diagnosis?
What is Jervell Lange Neilsen?
32 year old male patient comes to the clinic with bilateral preauricular swelling. Patient denies any toxic habits including smoking and drinking. Additional questioning reveals multiple sexual partners in last year. You decide to perform CT scan and order and FNA which results lymphoreticular infiltrates and cluster of lymphoid tissue, acinar atrophy and ductal metaplasia. What is his diagnosis associated with?
What is HIV.
45 year old female patient arrives to your office. Patient underwent external rhinoplasty 8-months prior to visit and is unhappy with results. Name the deformity
What is Inverted V deformity.
A patient with persistent achalasia says she has heard there are hormones she can take which can help relax the pressure of her lower esophageal sphincter (LES). Which hormones are known to reduce pressure at the LES?
What is Glucagon
Most common cause for congenital profound sensorineural hearing loss?
What is Connexin 26 deficiency (G2BJ gene)
Patient was referred by endocrinologist due to 2x1 cm right thyroid nodule. Patient complaints of dysphagia, no hoarseness. Endocrinologist work-up included U/S, Neck and Chest CT scan. FNA results are positive for Papillary thyroid carcinoma. Upon careful evaluation of Neck and Chest CT Scan you identify Retroesophageal Right subclavian artery. Failure of what embryological arch occur during development
What is fourth branchial arch.
66 year old female is being evaluate for posible neck rejuvenation. Upon physical examination you notice that the patient has increase skin laxity, fat accumulation and accentuation of platysmal bands. What is her DEDO classification?
DEDO Classifcation type 4
A 55-year-old smoker with a 42-pack year history presents with severe polypoid corditis (“Reinke’s edema”; see Figure below) of the larynx, affecting both her voice and his breathing. What layer of the vocal fold is likely most deranged in this patient?
What is Superficial Lamina Propia
Patient present with congenital auricular atresia, mother would like to know if he is a surgical candidate. What criteria is used to determine surgical candidacy?
What is Jahrsdoerfer criteria
40 year old male patient comes to the clinic with right neck mass. Patient denies any compressive symptoms. Physical evaluation including examination of oral cavity, neck and flexible laryngoscopy is within normal limits. You decide to order Neck CT scan to further evaluate the mass. CT scan reveals cystic mass anterior to sternocleidomastoid measuring 5x 4 cm. Before you order and FNA biopsy you discuss with patient the differential diagnosis. What are your two top diagnosis?
What is branchial Cleft type 2 and HPV oropharyngeal SCC.
18 year old male patient presents to the clinic for scar revisión. Upon evaluation patient has scar that is 60 degrees from relax skin tensión lines. Name the procedure used to reorient the scar with the relax skin tensión lines and the angle needed to achieve adequate rotation.
What is Z-Plasty and a 45 degree angle.
Best treatment option for a patient with chronic, unstable COPD and a T1bN0M0 laryngeal cancer?
What is Radiation (narrow field to larynx only)
22 year old male patient presents to the clinic due to ear deformity. Patient underwent otoplasty by facial plastic but is not happy with results. At examination Superior and inferior portion of auricle are prominent compared to the middle portion. Name the deformity
What is Telephone Ear
Patient comes with right preauricular mass. Patient states he has no symptoms and physical examination reveals no induration upon palpation or facial asymmetry. You order a neck ct scan and FNA biopsy with the below histologic slide. Name the diagnosis.
What is pleomorphic adenoma (epithelial/ myoepithelial regions punctuated by myxochondroid areas).
57 year old female is referred by a general OPH due to decrease visión on upper and lateral visual fields. You perform a physical exam and observed that her browline is at the orbital rim. Forehead examination shows no prominent rhytids or assymetric brows. You discuss the procedure with patient and agree that she would benefit from an Endoscopic brow lift. What surgical plane would you need to reach in order to perform this approach?
What is a subperiosteal plane?
A 70 year old female with severe mitral valve stenosis and atrial fibrillation develops progressive dyspnea on exertion, dysphonia and palpitations. On clinic examination she is noted to have a left vocal fold paralysis. Name the Syndrome
What is Cardiovocal Syndrome (Ortner’s Syndrome)