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. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?Cylindrical cell papilloma Ocnocytic Schniderian papillomaInverted papilloma Septal type papillomaNone of the answers are correct 2. 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 papillomaAllergic polypsRhinosporidiumWhipple’s diseaseCoccidioides 3. 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 #3Hurthle cell adenomaMedullary thyroid carcinoma Diffuse nodular hyperplasiaPapillary thyroid carcinomaFollicular thyroid carcinoma 4. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?p-ANCAAnti-smooth muscle AbAnti-AMA (M2) Anti-dsDNAc-ANCA 5. 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 #1Granular Cell Tumor OncocytomaCongenital epilus AngiofibromaSquamous Cell Carcinoma 6. 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 carcinomaDiffuse nodular hyperplasiaHurthle cell adenoma Follicular thyroid carcinoma 7. 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 #5Polymorphous low-grade adenocarcinoma Invasive adenocarcinoma Squamous cell carcinoma Ductal carcinoma in situ Salivary duct carcinoma 8. All of the following are true with regards to nasopharyngeal carcinoma EXCEPT:Undifferentiated subtype is the most commonKeratinizing subtype is not associated with EBV infectionRadiation is treatment of choiceTumor may not be recognized due to extensive inflammatory infiltrate Undifferentiated subtype has the worst prognosis 9. 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 Carcinoma ex pleomorphic adenomaChondrosarcoma Mucoepidermoid carcinoma Pleomorphic adenoma 10. 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 bilateral salivary gland tumorAssociated with cigarette smoking Contains papillary and cystic structuresThought to arise from entrapped salivary gland tissue in a lymph node Most common benign salivary gland tumor Loading...