Nasopharynx

Question 1

What is Rhinitis?

Answer 1

Inflammation of the nasal mucosa.

Question 2

What is the nasal mucosa lined with?

Answer 2

Respiratory type epithelium

Question 3

What is the most common cause of Rhinitis?

Answer 3

Adenovirus

Question 4

What does Rhinitis present with?

Answer 4

-Sneezing
-Congestion
-Runny nose
(common cold)

Question 5

What is a common subtype of Rhinitis? What type of hypersensitivity is it?

Answer 5

Allergic rhinitis

Type I hypersensitivity

Question 6

What is an example of allergic rhinitis?

Answer 6

Pollen

Question 7

What conditions is Allergic Rhinitis associated with?

Answer 7

Asthma & Eczema (Atopic disorders)

Question 8

What histology characterizes Allergic Rhinitis?

Answer 8

An inflammatory infiltrate with eosinophils

Question 9

What is a Nasal Polyp?

Answer 9

Protrusion of edematous, inflamed nasal mucosa

Question 10

What is a Nasal Polyp usually secondary to?

Answer 10

Repeated bouts of rhinitis

Question 11

In what two conditions does Nasal Polyp often occur?

Answer 11

1. Cystic fibrosis

2. Aspirin-intolerant asthma

Question 12

If you encounter a child with nasal polyps, what should you check for?

Answer 12

Cystic Fibrosis

Question 13

What triad characterizes Aspirin-intolerant asthma?

Answer 13

1. Asthma
2. Aspirin-induced bronchospasms
3. Nasal Polyps

Question 14

What is Aspirin-intolerant asthma seen in?

Answer 14

10% of asthmatic adults

Question 15

What does Angiofibroma stand for?

Answer 15

Angio = Blood vessel
fibr = fibrous tissue
oma = mass

Question 16

What is an Angiofibroma?

Answer 16

Benign tumor of nasal mucosa composed of large blood vessels and fibrous tissue

Question 17

What population is Angiofibroma classically seen in?

Answer 17

Classically seen in adolescent males (extremely rare in females)

Question 18

What does Angiofibroma classically present with?

Answer 18

Presents with profuse epistaxis

Question 19

What is carcinoma?

Answer 19

A cancer that develops from epithelial cells

Question 20

What is Nasopharyngeal Carcinoma?

Answer 20

Malignant tumor of nasopharyngeal epithelium

Question 21

What condition is Nasopharyngeal Carcinoma associated with?

Answer 21

EBV (Epstein-Barr Virus)

Question 22

What populations is Nasopharyngeal Carcinoma classically seen in?

Answer 22

• African children

- Chinese adults

Question 23

What is seen on biopsy of Nasopharyngeal Carcinoma?

Answer 23

Pleomorphic Keratin-Positive epithelial cells (poorly differentiated squamous cell carcinoma) in a background of lymphocytes

Question 24

What does Nasopharyngeal Carcinoma often present with?

Answer 24

Involvement of cervical lymph nodes

Question 25

Chinese adults w/ cervical lymph nodes. You do a biopsy. What condition is it?

Answer 25

Nasopharyngeal Carcinoma