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1. This is a template for you to use in your classroom. These notes will not appear on the actual slide show. This is ... Jeopardy! Scroll to next slide to modify the game board

2. Change category namesby double clicking on them and typing in new category 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 The neck mass The Thyroid/ Parathyroid Neck cancer Grab Bag 100 100 100 100 200 200 200 200 300 300 300 300 400 400 400 400

3. Create a hyperlink to the appropriate category slide Daily Double!

4. Click on column heading to enter category name Click on Place answer here to enter answer 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: 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 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 Radical parotidectomy with neck dissection Superficial parotidectomy MRI of the head and neck and FNA

5. 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 Excisional biopsy Fine-needle aspiration Core needle biopsy Incisional biopsy

6. 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 pharynx Tonsil Tongue palate larynx

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

8. Column Two 100 Papillary thyroid cancer Derived from thyroid C-cells Thyroidectomy not indicated Most common type of thyroid cancer

9. Column Two 200 Lateral aberrant thyroid Abnormally descended thyroid tissue in the lateral neck Associated with thyroglossal duct cyst Cervical lymph node metastases from papillary cancer Cervical lymph node enlargement as a result of Hashimoto’s disease

10. Column Two 300 Secondary Hyperparathyroidism Associated with nickel accumulation in bones Surgery resection of single adenoma Most do not need surgery (90%)

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

12. Column Three 100 Which of the following statements is true Lymphoma is the most common nasopharyngeal neoplasm Bleeding or obstruction are the most common presenting symptoms of nasopharyngeal carcinoma There is an unusually high incidence of nasopharyngeal carcinoma in the Chinese

13. 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? Panendoscopy under anesthesia with random biopsies Chest x-ray Contrasted CT soft tissue of the neck Pet scan

14. Column Three 300 In a classical radical neck dissection, which structure is spared? Spinal accessory nerve Lingual nerve Sternocleidomastoid Internal jugular vein Submandibular gland

15. Column Three 400 Mucoepidermoid carcinoma Biologic aggressiveness varies widely according to tumor grade The most common salivary gland tumor Exhibits a marked male predominance

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

17. Column Four 200 Thyroglossal duct cyst Appears as a draining sinus lateral to the SCM From the descent of the thyroid gland from the foramen cecum Excision spares the hyoid bone Presents as a lateral cervical mass

18. Column Four 300 Le Fort II Pyramidal fractures Transverse maxillary fracture Craniofacial dissociation

19. Column Four 400 Which tumor of the jaw is a slow-growing malignancy with a “soap-bubble” radiograpic appearance? Osteogenic sarcoma Radicular cyst Carcinoma Ameloblastoma

20. Final Jeopardy Final Jeopardy!

21. Final Jeopardy Category Place answer here. What is? What is? What is?