2. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Scroll to next slide to modify the game board This is a template for you to use in your classroom. These notes will not appear on the actual slide show. This is a template for you to use in your classroom. These notes will not appear on the actual slide show.

3. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke 100 200 300 400 This button goes to Final Jeopardy answer Choose a Daily Double answer: Right click on a button, go to action settings, choose hyperlink to Slide…, select Slide 3, OK. Scroll to the next slide to link to the appropriate category slide Choose a Daily Double answer: Right click on a button, go to action settings, choose hyperlink to Slide…, select Slide 3, OK. Scroll to the next slide to link to the appropriate category slide Change category names by double clicking on them and typing in new category

4. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Create a hyperlink to the appropriate category slide

5. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column One 100 A 65-year old man has had a painless, gradually enlarging mass in the region of the left parotid for 6 months. He can no longer depress the left corner of his mouth or close his left eye fully He is a heavy smoker and drinker, but has no aerodigestive symptoms. Examination reveals a firm nontender mass overlying the left angle of the jaw. The next step in management is: Superficial parotidectomy Radical parotidectomy with neck dissection MRI of the head and neck and FNA Click on What is to enter questions Right click each black box, action settings, choose play sound, and select sound for either right or wrong answers Click on column heading to enter category name Click on Place answer here to enter answer Selecting sounds: right click on box, check box for play sound, click on Other sound… Navigate to sound folder in Jeopardy folder, click on sound to be used. Metastatic workup

6. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column One 200 A 54-year old man with a 30-pack year hx of smoking and heavy alcohol use has a painless 2-cm nodule on the anterior border of the SCM inferior to the angle of the mandible. What is the MOST appropriate means of obtaining a tissue diagnosis Fine-needle aspiration Core needle biopsy Incisional biopsy Excisional biopsy

7. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column One 300 A 45-year old female smoker has a painless 1-cm nodule in her right anterior cercival triangle found to be squamous cell ca. Physical examination of the head and neck is otherwise remarkable. The most likely source for the primary tumor is Tonsil Tongue palate pharynx larynx

8. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column One 400 Regarding the diagnosis and management of the solitary neck mass, which of the following statements is true? About 20% of metastatic cervical lymph nodes are from primary tumors in the chest or abdomen Midline nonthyroid neck masses are usually neoplastic Incisional or excisional biopsy is the first step in management FNA is particularly helpful in diagnosing lymphomas and sarcomas

9. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Two 100 Papillary thyroid cancer Derived from thyroid C-cells Thyroidectomy not indicated Most common type of thyroid cancer

10. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Two 200 Lateral aberrant thyroid Associated with thyroglossal duct cyst Cervical lymph node metastases from papillary cancer Cervical lymph node enlargement as a result of Hashimoto’s disease Abnormally descended thyroid tissue in the lateral neck

11. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Two 300 Secondary Hyperparathyroidism Most do not need surgery (90%) Surgery resection of single adenoma Associated with nickel accumulation in bones

12. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Two 400 With regard to thyroid anatomy, which is/are true? The tubercle of Zuckernakdl is the most lateral posterior extension of thyroid and is closely associated with the recurrent LN Delphian lymph nodes are located along the internal jugular Injury to the loop of Galen is associated with ligation of the superior thyroid artery 2 and 3 All of the above

13. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Three 100 Which of the following statements is true There is an unusually high incidence of nasopharyngeal carcinoma in the Chinese Bleeding or obstruction are the most common presenting symptoms of nasopharyngeal carcinoma Lymphoma is the most common nasopharyngeal neoplasm

14. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Three 200 A 76-yo man has a slowly growing lump in his left neck, anterior to the SCM, just below the angle of the mandible. No hx of cancer, no constitutional sx. Cytology from FNA is squamus cell ca Which test will most likely identify the primary lesions? Chest x-ray Panendoscopy under anesthesia with random biopsies Pet scan Contrasted CT soft tissue of the neck

15. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Three 300 In a classical radical neck dissection, which structure is spared? Lingual nerve Sternocleidomastoid Internal jugular vein Spinal accessory nerve Submandibular gland

16. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Three 400 Mucoepidermoid carcinoma Biologic aggressiveness varies widely according to tumor grade The most common salivary gland tumor Exhibits a marked male predominance

17. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Four 100 Which of the following statements about the treatment of Warthin’s tumor is TRUE? Surgical enucleation is contraindicated Observation in sufficient Total parotidectomy involves resection of the facial nerve Postoperative radiation therapy is necessary for high-grade lesions Superficial parotidectomy is inadequate because of the high rate of recurrence

18. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Four 200 Thyroglossal duct cyst Excision spares the hyoid bone From the descent of the thyroid gland from the foramen cecum Presents as a lateral cervical mass Appears as a draining sinus lateral to the SCM

19. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Four 300 Le Fort II Pyramidal fractures Transverse maxillary fracture Craniofacial dissociation

20. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Column Four 400 Which tumor of the jaw is a slow- growing malignancy with a “soap- bubble” radiograpic appearance? Ameloblastoma Radicular cyst Carcinoma Osteogenic sarcoma

21. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Final Jeopardy

22. Created by Patrick Dierschke 2001 E-mail Patrick DierschkeE-mail Patrick Dierschke Final Jeopardy Category Place answer here. What is?