PathMD Quizes, Head & Neck Head & Neck – 01 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. All of the following are true with regards to spindle cell carcinoma of the larynx EXCEPT:High mitotic rate Usually exophytic Must be positive for cytokeratinMay have cartilaginous differentiationCells are pleomorphic 2. Which of the following is not correct in the pathology of allergic fungal sinusitis:Dematiaceous fungi are a known causeFungal organisms may not be identified Charcot-Layden crystals may be presentMay be caused by invasive Aspergillus Composed of a thick eosinophilic mucus 3. Which of the following lesions is associated with dust exposure in the wood or furniture industry?Squamous cell carcinoma of the head and neck Olfactory neuroblastoma Angiocentric T-cell lymphoma Nasopharyngeal carcinoma Sinonasal adenocarcinoma 4. A 50 y/o man presents with a palpable cervical lymph node and nasal fullness. Representative images from a nasal mucosal biopsy are shown. Cytokeratin stains are positive in the malignant cells. Based on the findings, all of the following are true EXCEPT: Head & Neck - Part 1, Case #5 Head & Neck - Part 1, Case #5 Head & Neck - Part 1, Case #5Most present with metastatic diseaseChemotherapy is first line treatment Most common in Asians Relatively good prognosis relative to other subtypes in this category Is associated with EBV infection 5. A 30 y/o male presents to an ENT doctor complaining of hearing loss. On examination white debris is found within the middle ear. Surgery is performed and a boney destructive lesion is found. Representative histologic sections are available for review. Based on these findings, the best diagnosis is: Head & Neck - Part 1, Case #1 Head & Neck - Part 1, Case #1 Head & Neck - Part 1, Case #1None of the answersKeratosis with mild dysplasiaSquamous Cell Carcinoma Odontogenic keratocyst Cholesteatoma 6. A 45 y/o female presents with a thyroid nodule. After examination and studies, it was decided to surgically excise the nodule. Representative images are available for review. Based on the findings, the best diagnosis is: Head & Neck - Part 1, Case #4 Head & Neck - Part 1, Case #4 Head & Neck - Part 1, Case #4Warthin’s Tumor Hashimoto’s Thyroiditis MALT Lymphoma Hurthle Cell Adenoma Mantle Cell Lymphoma 7. Which of the following is the most common translocation partner with the FKHR gene in alveolar rhabdomyosarcoma?PAX 7PAX 3PAX 9PAX 1EWS 8. The images for this case come from an invasive head & neck lesion. Based on the histology, the best diagnosis is: Head & Neck - Part 1, Case #6 Head & Neck - Part 1, Case #6 Head & Neck - Part 1, Case #6Adenoid cystic carcinomaAdenoid squamous cell carcinomaBasal cell carcinoma AdenocarcinomaMucoepidermoid carcinoma 9. A 52 y/o man with facial nerve paralysis and a parotid mass undergoes a FNA. Representative images are shown. Based on the history and cytology findings, the best diagnosis is: Head & Neck - Part 1, Case #3 Head & Neck - Part 1, Case #3 Head & Neck - Part 1, Case #3Adenoid Cystic Carcinoma Acinic Cell Carcinoma Mucoepidermoid Carcinoma Low Grade Polymorphous Carcinoma Salivary Duct Carcinoma 10. A nasal mass is removed from a 40 y/o male. Based on the image for this question, which of the following is the best diagnosis: Head & Neck - Part 1, Case #2 Head & Neck - Part 1, Case #2 Head & Neck - Part 1, Case #2Inverted Papilloma Oncocytic Schniderian papillomaCylindrical Cell Papilloma Oncocytic Schniderian papilloma or Cylindrical Cell Papilloma are correctAll answers could be correct Loading...