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Chapter 37. Neck Spaces and Fascial Planes

The prestyloid parapharyngeal space contains all of the following except

A. Fat

B. Lymph nodes

C. Glossopharyngeal nerve

D. Deep lobe of parotid

E. Medial and lateral pterygoid muscles

Masticator space infections can spread directly to all the following spaces except

A. Parotid space

B. Parapharyngeal space

C. Pterygomaxillary space

D. Retropharyngeal space

E. Buccal space

An 18-month-old child presents with fever, dysphagia, drooling, and neck tenderness. The most likely organism is

A. Pneumococcus


C. Moraxella catarrhalis

D. Haemophilus influenzae

E. Peptostreptococcus

A patient presents with fever, dysphagia, and odynophagia. Transoral examination is within normal limits. Pulse oximetry is 100%. The most appropriate next step in management is

A. Modified barium swallow

B. PO antibiotic therapy

C. Antifungal therapy for likely esophageal thrush

D. Fiberoptic laryngoscopy

E. Reflux management

An emergency room physician calls you concerning a 48-year-old man with poor dentition, unilateral neck swelling, sore throat, odynophagia, and asymmetric tonsils. The neck CT shows a large level II lymph node with rim enhancement just deep to the skin. The next most appropriate step includes

A. Surgical I&D of the neck abscess

B. Transoral I&D of presumed peritonsillar abscess

C. Repeat oral antibiotics with follow-up in 2 to 3 weeks

D. Dental referral for likely odontogenic infection

E. Full head and neck examination with FRNA of neck mass for cytopathology

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