#8 Zaman - Upper Respiratory Diseases

Question 1

Identify

Answer 1

Infectious Mononucleosis

No scarlatina

Tongue is pale yellow and not swollen

Epstein-Barr Virus (EBV)

Question 2

Identify

Answer 2

Nasopharyngeal Non keratinizing Carcinoma

undifferentied

B cell - small nucleus

cytokeratin - carcinoma

Question 3

Identify

Answer 3

Diptheria

Cartilage and debris

Question 4

Identify

Answer 4

Laryngeal Papillomatosis

Laryngitis

Seen on true vocal cords

Benign neoplasm

HPV 6 and HPV 11

Question 5

Identify

Answer 5

Singer’s Nodule

Polypoid nodules and lesions cause by chronic irritation

On true vocal cords

Also seen in heavy smokers

Question 6

Identify

Answer 6

Carcinoma of Larynx

Squamous cell carcinoma (95%)

Found on true and false vocal cords

Associated with smoking (50% survival)

Change in voice and hoarseness

Glottic - remains in larynx

Supraglottic - metastasize

Subglottic - lethal

Question 7

Identify

Answer 7

Cholesteatoma

large nuclei

Middle ear Squamous cell carcinoma

non-neoplastic tumor-like condition

Hx: otitis media

Cystic mass filled with cholesterol and keratin debris

Hearing loss

Question 8

Identify

Answer 8

Acoustic Neuroma-Schwannoma

Swirling pallisading

Derived from Schwann cells of CN VIII

Near cerebellar-pontine angle

Causes deafness

Question 9

Identify

Answer 9

Carcinoma of the Ear

Associated with sun exposure

Basal - will heal with surgery (large rat bite ulcer)

Squamous cell - need clean margins