PathMD Quizes, Head & Neck Head & Neck – 04 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A 20 y/o female presents with a palpable thyroid mass. Based on the histologic findings, what is the diagnosis? Head & Neck - Part 4, Question #2 Head & Neck - Part 4, Question #2 Head & Neck - Part 4, Question #2Medullary thyroid carcinoma Papillary thyroid carcinomaFollicular thyroid carcinoma Diffuse nodular hyperplasiaHurthle cell adenoma 2. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?Anti-dsDNAp-ANCAAnti-AMA (M2) c-ANCAAnti-smooth muscle Ab 3. All of the following are true with regards to the lesion represented in the histologic images for this case EXCEPT: Head & Neck - Part 4, Question #6 Head & Neck - Part 4, Question #6 Head & Neck - Part 4, Question #6Most common benign salivary gland tumor Contains papillary and cystic structuresThought to arise from entrapped salivary gland tissue in a lymph node Most common bilateral salivary gland tumorAssociated with cigarette smoking 4. A 50 y/o male presents with a rapidly growing parotid mass. Representative images are shown. Based on the findings, the best diagnosis is: Head & Neck - Part 4, Question #5 Head & Neck - Part 4, Question #5 Head & Neck - Part 4, Question #5Invasive adenocarcinoma Polymorphous low-grade adenocarcinoma Ductal carcinoma in situ Squamous cell carcinoma Salivary duct carcinoma 5. A 37 y/o man presents with an enlarge parotid gland. A mass was identified and removed. Based on the histologic findings, what is the best diagnosis? Head & Neck - Part 4, Question #4 Head & Neck - Part 4, Question #4 Head & Neck - Part 4, Question #4Acinic cell carcinoma Mucoepidermoid carcinoma Chondrosarcoma Carcinoma ex pleomorphic adenomaPleomorphic adenoma 6. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?Ocnocytic Schniderian papillomaSeptal type papillomaInverted papilloma Cylindrical cell papilloma None of the answers are correct 7. A 20 y/o female with a “family history of thyroid cancers” presents with a thyroid mass represented in the images for this case. What is the most likely diagnosis? Head & Neck - Part 4, Question #3 Head & Neck - Part 4, Question #3 Head & Neck - Part 4, Question #3 Head & Neck - Part 4, Question #3Diffuse nodular hyperplasiaFollicular thyroid carcinoma Medullary thyroid carcinoma Papillary thyroid carcinomaHurthle cell adenoma 8. All of the following are true with regards to nasopharyngeal carcinoma EXCEPT:Undifferentiated subtype has the worst prognosisUndifferentiated subtype is the most commonRadiation is treatment of choiceTumor may not be recognized due to extensive inflammatory infiltrate Keratinizing subtype is not associated with EBV infection 9. A red-pink friable nasal polypoid lesion is biopsied in a 45 y/o Indian male. Histologic examination shows a hyperplastic epithelium with an underlying dense lymphoplasmacytic infiltrate containing scattered large cysts (~300µm), which have thick birefringent walls. Based on the description, the best diagnosis is:Schneiderian papillomaWhipple’s diseaseRhinosporidiumAllergic polypsCoccidioides 10. A 35 y/o black female presents with a tongue lesions illustrated in the histologic images for this question. Based on the findings, the best diagnosis is: Head & Neck - Part 4, Question #1 Head & Neck - Part 4, Question #1 Head & Neck - Part 4, Question #1 Head & Neck - Part 4, Question #1Congenital epilus AngiofibromaGranular Cell Tumor OncocytomaSquamous Cell Carcinoma Loading...