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