PathMD Quizes, Head & Neck Head & Neck – 03 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A 50 y/o male presents with a nasal mass, which is excised. Representative images of the lesion are shown. Immunohistochemistry of the lesions shows positivity for CD34. Based on these findings, what is the most likely diagnosis? Head & Neck - Part 3, Case #1 Head & Neck - Part 3, Case #1 Head & Neck - Part 3, Case #1Inflammatory myofibroblastic tumorFibrosarcomaMyofibroblastomaFibromatosisSolitary fibrous tumor 2. A 40 y/o female presents with a nasal obstruction. A mass is removed from the lateral wall, and representative hisotlogic images are shown. Based on the findings, the best diagnosis is: Head & Neck - Part 3, Case #4 Head & Neck - Part 3, Case #4 Head & Neck - Part 3, Case #4Endophytic Schneiderian papillomaExophytic Schneiderian papilloma Cylindrical cell papilloma Squamous cell carcinomaPapillary caricinoma 3. A 50 y/o female presents with a parotid mass. Based on representative images of this lesion shown on the website, which of the following is the best diagnosis? Head & Neck - Part 3, Case #6 Head & Neck - Part 3, Case #6 Head & Neck - Part 3, Case #6Granular cell tumorAcinic cell carcinoma Salivary duct carcinomaMucoepidermoid carcinomaPleomorphic adenoma 4. A mass was found in adjacent to the parotid gland. An excision was performed and representative sections are shown. Based on the findings, what is the best diagnosis? Head & Neck - Part 3, Case #2 Head & Neck - Part 3, Case #2 Head & Neck - Part 3, Case #2FibromatosisNeurofibromatosis type 2 Malignant peripheral nerve sheath tumor Neurofibromatosis type 1 Myxoma 5. All of the following are true about acinic cell carcinoma EXCEPT:>80% 5-year survival rate 35% of cases recur locally Most common malignant salivary gland tumor in children 80% involve the parotid gland 6% of salivary gland tumors 6. All of the following are true with regards to cholesteatomas, EXCEPT:Usually occur in the third or fourth decade Is a neoplastic lesion Collagenase is responsible for destructive properties Occur more frequently in menOccur in the middle ear 7. A 30 y/o male is found to have a buccal lesion. An excision was performed and representative images are shown. The best diagnosis is: Head & Neck - Part 3, Case #5 Head & Neck - Part 3, Case #5 Head & Neck - Part 3, Case #5Irritation fibromaHairy leukoplakia Keloid scarKeratosis with mild dysplasia Squamous cell carcinoma 8. Which of the following subtypes of nasopharyngeal carcinoma has the best prognosis?Keratinizing nasopharyngeal carcinoma All have the same prognosisNon-keratinizing nasopharyngeal carcinoma Basaloid nasopharyngeal carcinoma 9. A 41 y/o male presents with a nasal obstruction and septal perforation. Multiple biopsies are taken which shows predominately necrosis. Serologic studies are positive for a high c-ANCA titer. Based on these findings, what is the most likely diagnosis?Wegner’s granulomatosisChurg-Strauss syndrome NK/T cell lymphomaHypercoaguable state with thrombosis Cocaine abuse 10. A 40 y/o male presents with a parotid mass. Based on the histologic images, the best diagnosis is: Head & Neck - Part 3, Case #3 Head & Neck - Part 3, Case #3 Head & Neck - Part 3, Case #3 Head & Neck - Part 3, Case #3MyoepitheliomaAdenoid cystic carcinomaMucoepidermoid carcinomaPleomorphic adenoma Acinic cell carcinoma Loading...