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 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 #3Adenoid Cystic Carcinoma Acinic Cell Carcinoma Low Grade Polymorphous Carcinoma Mucoepidermoid Carcinoma Salivary Duct Carcinoma 2. All of the following are true with regards to spindle cell carcinoma of the larynx EXCEPT:Cells are pleomorphicUsually exophytic May have cartilaginous differentiationHigh mitotic rate Must be positive for cytokeratin 3. Which of the following is not correct in the pathology of allergic fungal sinusitis:Fungal organisms may not be identified May be caused by invasive Aspergillus Composed of a thick eosinophilic mucusCharcot-Layden crystals may be presentDematiaceous fungi are a known cause 4. Which of the following lesions is associated with dust exposure in the wood or furniture industry?Sinonasal adenocarcinoma Nasopharyngeal carcinoma Angiocentric T-cell lymphoma Olfactory neuroblastoma Squamous cell carcinoma of the head and neck 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 squamous cell carcinomaMucoepidermoid carcinomaAdenocarcinomaAdenoid cystic carcinomaBasal cell carcinoma 6. 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 #1None of the answersSquamous Cell Carcinoma Keratosis with mild dysplasiaCholesteatomaOdontogenic keratocyst 7. Which of the following is the most common translocation partner with the FKHR gene in alveolar rhabdomyosarcoma?PAX 7PAX 9EWSPAX 3PAX 1 8. 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 correctInverted Papilloma Oncocytic Schniderian papillomaOncocytic Schniderian papilloma or Cylindrical Cell Papilloma are correctCylindrical Cell Papilloma 9. 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 MALT Lymphoma Hurthle Cell Adenoma Hashimoto’s Thyroiditis Mantle Cell Lymphoma 10. 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 #5Most present with metastatic diseaseRelatively good prognosis relative to other subtypes in this category Most common in Asians Chemotherapy is first line treatment Is associated with EBV infection Loading... Share this: Share on X (Opens in new window) X Share on WhatsApp (Opens in new window) WhatsApp Share on Facebook (Opens in new window) Facebook Email a link to a friend (Opens in new window) Email Print (Opens in new window) Print Share on LinkedIn (Opens in new window) LinkedIn Related