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 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 #3Papillary thyroid carcinomaDiffuse nodular hyperplasiaMedullary thyroid carcinoma Hurthle cell adenomaFollicular thyroid carcinoma 2. 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 #1Squamous Cell Carcinoma Congenital epilus AngiofibromaOncocytomaGranular Cell Tumor 3. 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 #2Hurthle cell adenoma Follicular thyroid carcinoma Diffuse nodular hyperplasiaPapillary thyroid carcinomaMedullary thyroid carcinoma 4. 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:RhinosporidiumWhipple’s diseaseAllergic polypsSchneiderian papillomaCoccidioides 5. 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 structuresAssociated with cigarette smoking Most common benign salivary gland tumor Most common bilateral salivary gland tumorThought to arise from entrapped salivary gland tissue in a lymph node 6. All of the following are true with regards to nasopharyngeal carcinoma EXCEPT:Keratinizing subtype is not associated with EBV infectionUndifferentiated subtype has the worst prognosisTumor may not be recognized due to extensive inflammatory infiltrate Undifferentiated subtype is the most commonRadiation is treatment of choice 7. 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 #4Chondrosarcoma Mucoepidermoid carcinoma Carcinoma ex pleomorphic adenomaPleomorphic adenomaAcinic cell carcinoma 8. 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 #5Salivary duct carcinoma Invasive adenocarcinoma Ductal carcinoma in situ Squamous cell carcinoma Polymorphous low-grade adenocarcinoma 9. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?Anti-smooth muscle Abp-ANCAAnti-AMA (M2) Anti-dsDNAc-ANCA 10. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?Ocnocytic Schniderian papillomaCylindrical cell papilloma Inverted papilloma Septal type papillomaNone of the answers are correct Loading...