head&neck-respiratory tract

Question 1

what type of hypersensitivity rxn is allergic rhinitis?

Answer 1

type I

Question 2

when you see nasal polyps in a kid, what do you worry about?

Answer 2

cystic fibrosis

Question 3

what is aspirin intolerant asthma characterized by? (triad)

Answer 3

asthma
aspirin induced bronchospasms
nasal polyps

seen in 10% of adults with asthma

Question 4

what disease

“adolescent male with profuse epistaxis”

Answer 4

angiofibroma (benign tumor of nasal mucosa composed of large blood vessels & fibrous tissue)

Question 5

what virus is nasopharyngeal carcinoma assoc with

Answer 5

EBV

Question 6

what does the biopsy of a nasopharyngeal carcinoma reveal?

Answer 6

pleomorphic keratin positive epithelial cells in the background of lymphocytes

Question 7

what virus is associated with acute epiglotitis?

Answer 7

H influenzae

Question 8

what are some presenting symptoms of acute epiglotitis?

Answer 8

drooling with dysphagia
muffled voice
inspiratory stridor
high fever
sore throat

Question 9

what makes up vocal cord nodules

Answer 9

degenerative (myxoid) connective tissue

Question 10

what causes laryngeal papilloma

Answer 10

HPV types 6 and 11

Question 11

what is laryngeal carcinoma?

Answer 11

squamous cell carcinoma arising from the epithelial lining of the vocal cord

Question 12

what are 3 risk factors for laryngeal carcinoma?

Answer 12

alcohol
tobacco
laryngeal papilloma (small risk)

Question 13

whats the diff between laryngeal papilloma in adults vs children

Answer 13

adults-single papilloma

children-multiple

Question 14

In what disease associated with what pathogen, do you see mikulicz cells?

Answer 14

rhinoscleroma - kelbsiella

Question 15

What pathogen causes layrngotracheobronchitis, also known as croup?

Answer 15

parainfluenza

Question 16

What are the key symptoms of laryngotracheobronchitis?

Answer 16

barking cough with inspiratory stridor