Head And Neck Flashcards

0
Q

Most important risk of sq cell ca

A

Smoking and alcoholism

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1
Q

95% of cancers of the head and neck

A

Squamous cell cancer

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2
Q

Favored location of sq cell ca

A

Ventral surface of the tongue

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3
Q

Cyst that often originates around crown of unerupted tooth

A

Dentigerous cysts

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4
Q

Impacted third molar of the teeth

A

Dentigerous Cyst

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5
Q

Most common type of odontogenic tumor
Arises from epithelium
Depositions of enamel and dentin

A

Odontoma

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6
Q

Syncytium like array of large epithelial cells admixed with lymphocytes

A

NPCA

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7
Q

Palisading basaloid cells with stellate reticulum

Odontogenic epithelium without ectomesenchymal differentiation

A

Ameloblastoma

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8
Q

Smooth excrescences on TRUE VIVAL CORDS

Smoking and singing

A

Reactive nodules and polyps

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9
Q

Epithelial hyperplasia of the TRUE vocal cords

Pearly gray wrinkled plaques on the mucosal surface ultimately ulcerating and fungating

A

Laryngeal carcinoma

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10
Q

CSOM Complications

Intracranial

A

Meningitis
Abscess
Thrombosis of venous sinus
Hydrocephalus

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11
Q

CSOM Complications

Extracranial

A
Facial nerve paralysis
Labyrinthitis
Acute mastoiditis
Petrositis
Sensorineural hearing loss
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12
Q

Remnants of second branchial arch

Upper lateral neck cyst

A

Branchial cleft cyst

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13
Q

Remnants of thyroid anlagen

A

Thryoglossal duct cyst

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14
Q

Clusters neuroendocrine cells associated with ANS commonly located in the ADRENAL MEDULLA

A

Paraganglioma

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15
Q

Carotid body tumor

A

Paraganglioma

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16
Q

Nests of round chief cells surrounded by delicate vascular septae

A

Zellballen
Carotid body tumor
Paraganglioma

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17
Q

Most common lesion of salivary glands
Lower lip
Trauma

A

Mucocoele

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18
Q

Cystlike cavity with mucinous material at lower lip

A

Mucocoele

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19
Q

Ductal obstruction produced by stones in SUBMANDIBULAR GLANDS

A

Sialolithiasis

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20
Q

Most common parotid tumors

A

Pleomorphic adenoma

Benign mixed tumors

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21
Q

Second most common salivary gland neoplasm

Parotid gland

A

Warthin tumor

Papillary cystadenoma lymphomatosum

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22
Q

Most common form of primary malignant tumor of the salivary glands

A

Mucoepodermoid tumor

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23
Q

Cribriform pattern enclosing secretions
Perineural invasion
Minor salivary glands particularly palate

A

Adenoid cystic carcinoma

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24
Q

Double layer of eosinophilic epithelial cells
Follicular germinal centers
Cystic spaces

A

Warthin tumor

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25
Q

Cords sheets or cystic config of sq mucous or intermediate cells

A

Mucoepidermoid ca

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26
Q

Slightly raised plaques with pebbly surface

Target like lesion with darker raised center and irregular flat periphery

A

Dysplastic Nevus

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27
Q

Lentiginous hyperplasia

A

Dysplastic nevus

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28
Q

Most rapidly increasing cancer worldwide

A

Melanoma

29
Q

Most important risk factor of melanoma

A

Sun exposure

30
Q

Melanoma

ABC

A

Asymmetry
Border irregularity
Color variation

31
Q

Horizontal spread of melanoma within epidermis and sup dermis

A

Radial growth phase

32
Q

Malignant cells penetrate reticular dermis

Heralded by appearance of nodule

A

Vertical Growth Phase

33
Q

Most common type of melanoma

Develops on Lower extremities and back

A

Superficial Spreading Melanoma

34
Q

Occurs in sun exposed parts of the face

A

Lentigo maligna melanoma

35
Q

No radial growth phase

Poor prognosis

A

Nodular melanoma

36
Q

Palm sole beneath the nail
Blacks
Poor prognosis

A

Acral lentiginous melanoma

37
Q

Coin like stuck on skin lesion

Dermatosis papulosa nigra

A

Seborrheic keratoses

38
Q

Rapid increase in number of keratoses

Gastric adenoca

A

Leser Trelat sign

39
Q

Hyperkeratosis
Small keratin filled cysts
Invaginations of keratin

A

Horn cysts
Invagination cysts

Basaloid cells
Seborrheic keratoses

40
Q

Velvet like hyperpigmentation at the nape

A

Acanthosis nigricans

41
Q

Undulation of dermal papillae
Hyperkeratosis and basal cell hyperpigmentation
No melanocytic hyperplasia

A

Acanthosis nigricans

42
Q

Sandpaper like consistency with cutaneous horn

Sun damaged skin

A

Actinic keratosis

43
Q

Cytologic atypia in basal epidermis
Blue gray elastic fibers - elastosis
Cells in stratum corneum retain their nuclei - parakeratosis

A

Actinic Keratosis

44
Q

Second most common tumor arising on sun exposed sites in older people

A

Sq cell carcinoma

45
Q

Cells with atypia in all levels of the epidermis

A

Sq cell carcinoma

46
Q

Symmetric cup shaped tumor filled with keratin debris

Spontaneous regression

A

Keratoacanthoma

47
Q

Most common invasive cancer in humans

A

Basal cell ca

48
Q

Telangiectasias
Rodent ulcers
Palisading pattern

A

Basal cell ca

49
Q

Red oozing papulovesicular lesions with raised scaling plaques

A

Acute eczematous dermatitis

50
Q

Intraepidermal vesicles caused by shearing desmosomes

Spongiosis

A

Acute eczematois dermatitis

51
Q

Interface dermatitis: inflammation in epidermal-dermal junction
Targetoid lesions

A

Erythema multiforme

52
Q

Salmon colored plaques with silvery white scales
Trauma induced by Koebner phenomenon
Bleeding Auspitz sign

A

Psoriasis

53
Q

Acanthosis with downward elongation of rete ridges
Dilated tortuous vessels within papillae
Neutrophils in spongiotic foci of sup epidermis
Neutrophils within parakeratotic stratum corneum

A

Test tubes in a rack appearance
Spongiform pustules of Kagoj
Munro microabscesses

Psoriasis

54
Q

Mounds of parakeratosis containing neutrophils and serum at ostia of hair follicles

A

Follicular lipping

Psoriasis

55
Q

Itchy violaceous papules with white lines

A

Wickham striae

Lichen planus

56
Q

Interface dermatitis
Sawtoothing of DE junction
Anucleate necrotic basal bodies

A

Civatte or colloid bodies

Lichen planus

57
Q

Easily ruptured bullae

+ Nikolsky

A

Pemphigus

58
Q

Dissolution of intercellular adhesions
Suprabasal
Subcorneal

A

Acantholysis
Pemphigus vulgaris
Pemphigus foliaceous

59
Q

Netlike immunofluorescence

A

Pemphigus

60
Q

Tense bullae

- Nikolsky sign

A

Bullous pemphigoid

61
Q

Subepidermal nonacantholytic blisters

A

Bullous pemphigoid

62
Q

Linear immunofluorescence

A

Bullous pemphigoid

63
Q

Subepidermal blister

Microabscesses and granular IgA deposits at the tips of dermal papillae

A

Dermatitis Herpetiformis

64
Q

Celiac disease

A

Dermatitis herpetiformis

65
Q

Chronic inflammation of pilosebaceous unit

A

Acne vulgaris

66
Q

Keratin plug
Hypertrophy of sebaceous glands
Propionibacterium
Follicular inflammation

A

Acne vulgaris

67
Q

Central umbilication

A

Molluscum contagiosum

68
Q

Honey colored crusts

A

Impetigo

69
Q

Impetigo contagiosa

Impetigo bullosa

A

GABHS

Staphylococcus aureus

70
Q

Accumulation of neutrophils beneath stratum corneum

A

Subcorneal pustule

Impetigo