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. 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 carcinomaAdenocarcinomaMucoepidermoid carcinomaAdenoid squamous cell carcinomaBasal cell carcinoma 2. Which of the following is not correct in the pathology of allergic fungal sinusitis:Dematiaceous fungi are a known causeComposed of a thick eosinophilic mucusMay be caused by invasive Aspergillus Charcot-Layden crystals may be presentFungal organisms may not be identified 3. All of the following are true with regards to spindle cell carcinoma of the larynx EXCEPT:Cells are pleomorphicMay have cartilaginous differentiationUsually exophytic High mitotic rate Must be positive for cytokeratin 4. 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 #3Acinic Cell Carcinoma Mucoepidermoid Carcinoma Low Grade Polymorphous Carcinoma Adenoid Cystic Carcinoma Salivary Duct Carcinoma 5. 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 #2Oncocytic Schniderian papilloma or Cylindrical Cell Papilloma are correctAll answers could be correctCylindrical Cell Papilloma Oncocytic Schniderian papillomaInverted Papilloma 6. Which of the following lesions is associated with dust exposure in the wood or furniture industry?Angiocentric T-cell lymphoma Olfactory neuroblastoma Nasopharyngeal carcinoma Sinonasal adenocarcinoma Squamous cell carcinoma of the head and neck 7. Which of the following is the most common translocation partner with the FKHR gene in alveolar rhabdomyosarcoma?PAX 9PAX 3EWSPAX 7PAX 1 8. 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 #4Hurthle Cell Adenoma MALT Lymphoma Warthin’s Tumor Mantle Cell Lymphoma Hashimoto’s Thyroiditis 9. 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 #1Odontogenic keratocyst Squamous Cell Carcinoma None of the answersKeratosis with mild dysplasiaCholesteatoma 10. 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 common in Asians Is associated with EBV infection Relatively good prognosis relative to other subtypes in this category Most present with metastatic diseaseChemotherapy is first line treatment Loading...