Bailey's Head and neck surgery

The optimal treatment of advanced-stage nasopharyngeal (NP) carcinoma is:

• Surgery and postoperative radiotherapy

• Induction chemotherapy and radiotherapy (CRT)

• Concomitant CRT

• Adjuvant CRT

• Radiotherapy and brachytherapy

A 62-year-old man presents with a mass extending from the right true vocal cord

superiorly into the ventricle and false vocal cord, which is biopsy-proven squamous

cell carcinoma. The true vocal cord is fixed. There is only unilateral disease. What is the

best treatment option?

• Chemoradiation therapy

• Laser resection

• Supraglottic laryngectomy

• Supracricoid laryngectomy

What is not part of MEN Ila syndrome?

• Medullary thyroid carcinoma

• Pheochromocytoma

• Primary hyperparathyroidism

• Marfanoid habitus

A 48-year-old has surgery for a T2NO squamous cancer of the lateral tongue. Pathology

reveals the margins are negative. There is no perineural tumor and 5 of 24 nodes are

involved with extracapsular extension. Best evidence suggests that the patient needs:

• No further therapy

• Conventional radiation

• Hyperfractionated radiation

• Chemoradiation therapy

Which laryngeal site is the most at risk of developing radionecrosis?

• Cricoid

• Thyroid lamina

• Arytenoid

• Epiglottis

The utility of sentinel node biopsy is higher in patients with tumors in:

• Floor of the mouth

• Oral tongue

• Lower gum

• Base of the tongue

• Larynx

What is the most common cause for failed tracheoesophageal (TE) voice?

• Microstomia

• Valve failure

• Hypopharyngeal bar

• Granuloma

Which of the following is the first priority in selecting reconstructive options for any

size full-thickness lip defect?

• Preserve or restore the dynamic function of the lip

• Restore competence of the oral sphincter

• Optimize the cosmetic result

• Retain ability to use dentures

• Single-stage reconstruction

A 47-year-old presents with a firm submucosal mass adjacent to the maxillary first molar. What is the most likely diagnosis?

• Squamous cancer

• Minor salivary gland tumor

• Odontogenic tumor

• Pseudoepitheliomatous hyperplasia

What structures does the head and neck surgeon have to include when resecting a tumor of the posterior pharyngeal wall that can lead to significant dysphagia?

• Prevertebral fascia

• Pharyngeal constrictors

• Pharyngeal plexus

• Cricoarytenoid muscles