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. Which of the following sub-classifications of sinonasal papillomas are most often associated with carcinomas?Ocnocytic Schniderian papillomaNone of the answers are correctInverted papilloma Septal type papillomaCylindrical cell papilloma 2. All of the following are true with regards to nasopharyngeal carcinoma EXCEPT:Undifferentiated subtype has the worst prognosisRadiation is treatment of choiceTumor may not be recognized due to extensive inflammatory infiltrate Undifferentiated subtype is the most commonKeratinizing subtype is not associated with EBV infection 3. 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:Allergic polypsCoccidioidesSchneiderian papillomaRhinosporidiumWhipple’s disease 4. 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 #1Congenital epilus AngiofibromaGranular Cell Tumor OncocytomaSquamous Cell Carcinoma 5. 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 Papillary thyroid carcinomaDiffuse nodular hyperplasiaMedullary thyroid carcinoma Follicular thyroid carcinoma 6. 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 Acinic cell carcinoma Chondrosarcoma Pleomorphic adenomaCarcinoma ex pleomorphic adenoma 7. 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 carcinomaMedullary thyroid carcinoma Follicular thyroid carcinoma Hurthle cell adenomaDiffuse nodular hyperplasia 8. Which of the following tests is the most sensitive and specific for Wegner’s Granulomatosis?Anti-smooth muscle Abc-ANCAAnti-dsDNAp-ANCAAnti-AMA (M2) 9. 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 #6Most common bilateral salivary gland tumorAssociated with cigarette smoking Most common benign salivary gland tumor Thought to arise from entrapped salivary gland tissue in a lymph node Contains papillary and cystic structures 10. 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 Ductal carcinoma in situ Invasive adenocarcinoma Squamous cell carcinoma Polymorphous low-grade adenocarcinoma Loading...