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 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 #5Squamous cell carcinoma Polymorphous low-grade adenocarcinoma Ductal carcinoma in situ Invasive adenocarcinoma Salivary duct carcinoma 2. 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 #2Follicular thyroid carcinoma Hurthle cell adenoma Medullary thyroid carcinoma Papillary thyroid carcinomaDiffuse nodular hyperplasia 3. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?Septal type papillomaNone of the answers are correctOcnocytic Schniderian papillomaCylindrical cell papilloma Inverted papilloma 4. 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 Pleomorphic adenomaMucoepidermoid carcinoma Chondrosarcoma Carcinoma ex pleomorphic adenoma 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 #1OncocytomaAngiofibromaGranular Cell Tumor Squamous Cell Carcinoma Congenital epilus 6. 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 #6Contains papillary and cystic structuresMost common bilateral salivary gland tumorThought to arise from entrapped salivary gland tissue in a lymph node Most common benign salivary gland tumor Associated with cigarette smoking 7. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?p-ANCAAnti-AMA (M2) c-ANCAAnti-dsDNAAnti-smooth muscle Ab 8. All of the following are true with regards to nasopharyngeal carcinoma EXCEPT:Undifferentiated subtype has the worst prognosisKeratinizing subtype is not associated with EBV infectionTumor may not be recognized due to extensive inflammatory infiltrate Undifferentiated subtype is the most commonRadiation is treatment of choice 9. 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 #3Follicular thyroid carcinoma Medullary thyroid carcinoma Hurthle cell adenomaPapillary thyroid carcinomaDiffuse nodular hyperplasia 10. 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:Whipple’s diseaseAllergic polypsSchneiderian papillomaCoccidioidesRhinosporidium Loading...