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 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 diseaseCoccidioidesSchneiderian papillomaAllergic polyps 2. 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 #6Associated with cigarette smoking Contains papillary and cystic structuresThought to arise from entrapped salivary gland tissue in a lymph node Most common bilateral salivary gland tumorMost common benign salivary gland tumor 3. 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 #5Ductal carcinoma in situ Polymorphous low-grade adenocarcinoma Invasive adenocarcinoma Squamous cell carcinoma Salivary duct carcinoma 4. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?Anti-smooth muscle Abp-ANCAAnti-dsDNAAnti-AMA (M2) c-ANCA 5. 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 #4Mucoepidermoid carcinoma Pleomorphic adenomaAcinic cell carcinoma Chondrosarcoma Carcinoma ex pleomorphic adenoma 6. 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 Papillary thyroid carcinomaDiffuse nodular hyperplasiaFollicular thyroid carcinoma 7. 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 #2Diffuse nodular hyperplasiaHurthle cell adenoma Papillary thyroid carcinomaMedullary thyroid carcinoma Follicular thyroid 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 infectionTumor may not be recognized due to extensive inflammatory infiltrate Undifferentiated subtype has the worst prognosisRadiation is treatment of choice 9. 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 #1AngiofibromaGranular Cell Tumor Congenital epilus OncocytomaSquamous Cell Carcinoma 10. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?Inverted papilloma None of the answers are correctSeptal type papillomaCylindrical cell papilloma Ocnocytic Schniderian papilloma Loading...