High-Yield NEET SS Surgery Head and Neck Questions

Preparing for the NEET SS exam can feel like navigating a maze, but fear not! We have got the perfect strategy to help you gauge your readiness by giving you a sneak peek into the exam format.

Dive into the NEET SS high-yield questions to gain insight into what to expect. Get started by practicing the questions below, boost your confidence and fine tune your NEET SS Surgery preparation.

1. A 3-year-old boy is brought to the OPD by his mother, who says that his right ear is shaped abnormally. Examination reveals that the right ear is only 22 mm long and shaped like a peanut, with no ear canal. He is diagnosed with grade 3 microtia and scheduled for right-sided alloplastic ear reconstruction with a polyethylene implant. Which of the following is a long-term complication of this procedure?

1. Resorption of the implant
2. Hematoma formation
3. Infection
4. Implant fracture

2.A 6-month-old male baby is brought to the OPD by his parents, who say that the child's ears do not have a normal shape. Examination reveals that the upper poles are partially buried into the side of the mastoid. The child is diagnosed with mild cryptotia without any cartilage abnormalities. What is the first line of treatment for this condition?

1. Surgical correction of skin flaps

2.Surgical correction using a cartilage graft

3. Surgical correction using an alloplastic material

4. Ear moulding

3.A 21-year-old woman arrives at the clinic with complaints about the appearance of her neck. She claims that learning makeup contouring techniques and routine makeup application takes time. Her work performance is starting to suffer as a result of her frequent trips to the restroom to check her appearance in the mirror. Her skin appears normal on examination, with slight laxity but no fat accumulation. Her body mass index (BMI) is 20 kg/m². Which of the following is the most appropriate next step?

1. Reassure her that her neck looks normal
2. Cognitive behavioural therapy
3. Botulinum toxin injection
4. Neck-lift surgery

4.A patient is brought to the operation room for facial lift surgery. The role of anesthesia is of utmost importance to maintain a pain-free field and hemodynamic stability. Which of the following dosages of lidocaine is recommended for local anesthesia for facial uplift surgery?    

1. 5.5 mg/kg

2. 7.5 mg/kg

3. 35 mg/kg

4. 10 mg/kg

5.After being injured in a high-speed car accident for 30 minutes, a 24-year-old male is rushed to the emergency room. On arrival, he was alert and oriented. His blood pressure is 100/60 mm Hg, his respirations are 29 per minute, and his pulse is 112 beats per minute. A 3 cm laceration over the forehead and multiple bruises over the trunk. An infusion of 0.9% saline is begun, and intravenous acetaminophen is administered. Two hours later, blood-tinged fluid spontaneously drained from both nostrils and was made worse by leaning forward. On a piece of gauze, it shows up as a rapidly expanding, clear ring of fluid surrounding blood. Further evaluation of this patient over the next 24 hours will likely show which of the following findings?

 

1. Cranial nerve XII palsy
2. Bilateral periorbital ecchymosis
3. An upper cheek region numbness
4. Trismus

6.An 85-year-old patient sustained facial trauma during a motor vehicle accident. His maxillary and mandibular bones are fractured. He needs mechanical ventilator support. The patient has had an endotracheal tube placed. On examination, his pulse is 110/min, his respirations are 23/min, and his blood pressure is 112/70 mmHg. Reduced air entry is visible on a medical exam of the chest. The intensive care unit (ICU) attendant elects to perform a tracheostomy at the bedside. During the procedure, copious dark blood is encountered. Which of the following structures is the most likely reason for this bleeding? 

1. Anterior jugular vein
2. Middle thyroid vein
3. Internal jugular vein
4. External jugular vein

7.A 35-year-old man presents at the emergency department after being punched in the face. He complains of severe pain in his left cheek and swelling around his eye. Physical examination reveals tenderness over the left zygomatic arch with a limited range of motion of the jaw. A CT scan reveals a displaced fracture of the left zygomatic arch. Which of the following is the most appropriate management option for this patient?

1. Observation and symptomatic treatment

2. Closed reduction and internal fixation

3. Open reduction and internal fixation

4. Zygomatic arch reconstruction

8. A 25-year-old man returning from a hiking trip developed a low-grade fever, headache, malaise, and rash, as shown in the image below. His fever was resolved by using oral paracetamol. However, 2-weeks later, he developed facial weakness and could not close his eyes. Which of the following is the most likely diagnosis?

1. Guillain-Barré syndrome

2. Miller fisher syndrome

3. Lyme disease

4. Primary syphilis

9. A 33-year-old G3P1A1 in the third trimester of pregnancy presented with a history of sudden onset facial drooping on the left side of her face, was unable to completely close her left eye, and had an absent frown on the left side of her forehead. Her B.M.I. is 24.3. Her vital signs are within the normal range. Which of the following is a risk factor for her underlying condition?

1. Pregnancy

2. Age

3. Female gender

4. BMI

10. While considering an eyebrow lift, an ideal brow is considered, according to which the deformed eyebrow is treated to get an aesthetically pleasing brow that looks natural and gives a youthful appearance. It may differ according to era, region, and individual needs; however, which of the following themes is least considered?

1. Absolute height of the eyebrow

2. The shape of the eyebrow

3. The relationship between eyebrow position and eyelid

4. Pupils at the equator of the oval shape formed by nasojugal fold and eyebrow

11. A 46-year-old female came to the plastic surgeon with complaints of sagging eyebrows. She showed serious concerns regarding this problem affecting her social life. She was advised to have an endoscopic brow lift procedure performed. Which one of the following is least associated with an endoscopic approach?

1. Great surgical exposure

2. Magnification of surgeon’s view

3. Scalp denervation

4. Short and undetectable incision

12. A 7-year-old boy presented to the OPD with a nasal-sounding voice and abrupt stops in speech. He recently underwent an adenoidectomy for his chronic nasopharyngeal airway obstruction. An examination shows hypernasal speech. What is the most probable diagnosis for this child?

 1. Recurrent nasal obstruction

2. Velopharyngeal insufficiency

3. Velopharyngeal incompetence

4. Velopharyngeal mislearning

13. A 23-year-old male is being shifted to the postoperative recovery room after undergoing posterior pharyngeal flap surgery for his velopharyngeal insufficiency. Which of the following is essential for postoperative monitoring for this patient:

1. Urine output

2. Respiratory rate

3. Pulse oximetry

4. Pulse rate

14. A 55-year-old female patient presents to the plastic surgery clinic with a history of a right-sided nasal defect following skin cancer excision. Vital signs are within normal limits. On examination, the patient has a right-sided nasal defect measuring 4 x 3 cm with visible cartilage. Imaging studies reveal no evidence of recurrent cancer. What is the most appropriate reconstruction option for this patient's nasal defect:

1. Nasal foreshortening

2. Nasal skin flap

3. Nasal cartilage graft

4. Nasal rotation flap

15. A 45-year-old man presents to the plastic surgery clinic with a history of basal cell carcinoma of the nose. He underwent wide local excision and is now seeking reconstruction of the nasal defect. On examination, the patient has a moderate-sized defect involving the right ala and the right nasal sidewall. Vital signs are stable, and there are no significant laboratory or imaging findings. Which of the following is the most appropriate option for nasal reconstruction for this patient?

 1. Delayed primary closure

2. Forehead flap reconstruction

3. Nasal septal cartilage graft

4. Full-thickness skin graft

16. A 20-year-old man is referred to the oral and maxillofacial surgery clinic with a history of trauma to the mandible resulting in a fracture. He reports difficulty speaking and eating and is seeking reconstruction options. What is the best option for oral and mandibular reconstruction for this patient?
 

1. Open reduction and internal fixation

2. Free fibula flap reconstruction

3. Mandibular reconstruction plate and screws

4. Mandibular distraction osteogenesis

17. A newborn baby presents with an unusual appearance in the head and face. The baby has a triangular-shaped face, a short forehead, and a raised brow ridge. Further examination reveals that the baby has a premature fusion of the cranial sutures, resulting in a small head circumference. Further evaluation confirms the diagnosis of Saethre-Chotzen syndrome. What is the gene involved in the cause of Saethre-Chotzen syndrome

1. FGFR 2

2. TWIST 1

3. PTH1R

4. FGF8

18. A 3-year-old boy was brought to the hospital for his regular check-up. The patient had an abnormal contour on the right side of his face. Examination revealed that the patient has a cyst near his right eye and lateral displacement of the mouth commissure on the right side. A CT scan revealed hypoplasia of the mandible, zygoma, and maxilla, along with hypoplasia of the middle ear. Echocardiography revealed the tetralogy of Fallot. What is the likely diagnosis for this child?

1. Klinefelter syndrome

2. Neurofibromatosis type 1

3. Triple X syndrome

4. Craniofacial microsomia

19. A 45-year-old male patient has undergone surgery for laryngeal cancer and is now concerned about the potential impact on his voice. What is the least beneficial approach for voice rehabilitation following laryngeal cancer surgery?

1. Voice rest for some time post-surgery

2. Speech therapy with a speech-language pathologist

3. Use of a voice prosthesis

4. Doing voice exercises

20. A 45-year-old man diagnosed with nasopharyngeal carcinoma undergoes a biopsy and imaging studies. The biopsy reveals the presence of Epstein-Barr virus (EBV) and imaging studies show the presence of multiple nodal metastases. In addition, the patient has a history of smoking and heavy alcohol consumption. What is the most important prognostic factor for this patient's survival?

1. Tumor stage

2. Epstein-Barr virus (EBV) status

3. Patient's age

4. Patient's overall health

21. A 59-year-old male presents to the physician with difficulty swallowing solids and liquids. He also complains of numbness and a tingling sensation on the left side of his face. Physical examination reveals an exophytic mass on the left buccal surface. The size of the lesion is approximately 3cm in size. Biopsy shows squamous cell carcinoma, and it is HPV positive. The tumour has not spread to the nearby lymph nodes or distant organs. Which of the following is the staging of this patient’s cancer?

1. Stage 4

2. Stage 3

3. Stage 2

4. Stage 1

22. A 59-year-old man comes to the clinic with complaints of dysphagia, sore throat and swelling in the mouth for 1 year. He smokes two packs of cigarettes per day. The physical examination revealed a 4 cm ulcerating lesion on the anterior tongue. Cervical lymphadenopathy is noted. Biopsy reveals squamous cell carcinoma. A partial glossectomy is planned. Which of the following postoperative complications is the most likely to occur in this patient based on the location of the primary lesion?

1. Swallowing dysfunction

2. Speech problems

3. Submental skin anesthesia

4. Secondary Hemorrhage

23. A male patient has undergone right upper eyelid blepharoplasty for upper eyelid steato-blepharon. Now he presents with a complaint of an inability to close the eyelids completely and a feeling of grittiness in the right eye. On examination, there is a persistent right scleral show when he closes his eyes; the lid crease is at its normal position. What is the likely diagnosis?

1. Retrobulbar hematoma

2. Blepharospasm

3. Blepharoptosis

4. Lagophthalmos

24. A 30-year-old male patient presents to the plastic surgery clinic with a history of nasal obstruction and aesthetic concerns related to the shape of his nose. On examination, the patient has a deviated septum, a bulbous nasal tip, and a slightly drooping nasal tip. Vital signs are stable. An imaging study shows a deviated septum with a slight overprojection of the nasal tip. Which of the following surgical techniques is most appropriate for the correction of this patient's nasal deformity?

1. Open technique septorhinoplasty

2. Closed technique septorhinoplasty

3. Cartilage grafting

4. Nasal tip suture techniques

25. A surgeon performed brow lift procedures on many patients. While some patients reported decreased sensation in the scalp, others reported a loss of sensation on the central or lateral part of the forehead. He realized one of the following nerves is rarely damaged during the brow lift procedure. Which of the following nerves is it?

1. Supratrochlear nerve

2. Supraorbital nerve

3. Infratrochlear nerve

4. Zygomaticotemporal nerve

Hope you found this blog helpful for your NEET SS Surgery head and neck preparation. For more informative and interesting posts like these, keep reading PrepLadder’s blogs.