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WorksheetsLaryngeal Carcinoma
Total questions: 22
Worksheet time: 15mins
Symptoms of Laryngeal Carcinoma include:
hoarseness
stridor
facial pain
headache
Risk factor for Laryngeal tCarcinoma include:
shouting
tobacco consumption
alcohol consumption
Herpes virus
True or False:
Glottic Carcinoma most commonly present with cervical nodal metastasis
True
False
The most common site of Laryngeal Carcinoma is:
Supraglottic
Glottic
Subglottic
Hypopharynx
True or False?
Laryngeal Carcinoma presents more commonly in Men than Women:
True
False
According to AJCC Classification;
A T4a Supraglottic Carcinoma may involve the following structures:
trachea
prevertebral muscle
base of tongue
esophagus
The most common histology in Laryngeal Carcinoma is:
Verrucous Carcinoma
Malignant Melanoma
High Grade Dysplasia
Squamous Cell Carcinoma
Complications of Total laryngectomy include:
bleeding
hypercalcemia
salivary leak
pulmonary embolism
Post operative care post laryngectomy include:
Respiration
Olfaction
Voice Rehabilitation
Swallowing
Choices of voice rehabilitation post laryngectomy include:
Esophageal Speech
Electrolarynx
Provox insertion
Cricomyotomy
According to AJCC,
N2 regional lymph node means:
metastasis in a lymph node, 3cm or smaller
metastasis in a lymph node, larger than 6cm in greatest dimension
metastasis in a lymph node, larger than 3cm but not 6cm in greatest dimension
no regional lymph node metastasis
According to AJCC,
a stage T4 Laryngeal Carcinoma may invade the following structures
mediastinum
hyoid bone
carotid artery
parathyroid glands
High output chyle leak is defined as
more than 100mls /day
more than 200mls /day
more than 50mls /day
more than 500mls /day
Complications of chyle leak include
flap failure
electrolyte imbalance
wound breakdown
hyperglycemia
In an ideal setting,
once a laryngeal carcinoma patient is tracheostomised, how soon should we perform a total laryngectomy?
within 24hours
within 48hours
within one week
within 2 weeks
Histological features on H&E staining of a Laryngeal Carcinoma is:
Orphan Annei Nuclei
keratin pearl formation
Reed-Sternberg cells
tumor nests arranged in pseudorosette
Patient post total laryngectomy complains of difficulty breathing. What are the possible causes?
Pulmonary embolism
Aspiration pneumonia
Nasal block
Tracheostomy blocked
Patients blood result are the following:
Buse 135/3.2/101/4.5
Creat 55 Calcium 2.11
PO4 3.4 Mg 1.8 Albumin 30
Calculate patient's corrected calcium level.
2.11
1.91
2.31
2.71
Post total laryngetomy Day1, noted patient's radivac drain is not functioning. What could be the possible causes?
Kinked tubing
Wall suction not turned on
Blood clot within tubing
No vacuum seal
The following are symptoms of hypocalcemia:
diplopia
perioral numbness
muscle spasm
droopig angle of mouth
Clinical methods to examine for hypocalcemia
tapping the eyelids
tapping the zygomatic arch
inflating the blood-pressure cuff to a level above systolic pressure for 3 minutes.
perform an ECG
Which ENT Surgeon is this?
Mr. Kibin
Mr. Kelvin
Mr. Chris
Mr. Kevin
