ORL - Dx HEAD & NECK

Question 1

Causative agent for VERRUCA VULGARIS (WARTS)

Answer 1

HPV2 and HPV3

Question 2

Most common facial warts

Answer 2

Common warts (filiform)
Flat warts

Question 3

VERRUCA VULGARIS (WARTS) lesions are

Answer 3

HYPERKERATOTIC

Question 4

ACTINIC KERATOSIS also called

Answer 4

SOLAR KERATOSIS

Question 5

ACTINIC KERATOSIS is precancerous
True or False?

Answer 5

True

Question 6

ACTINIC KERATOSIS can develop to SCCa
True or FALSE?

Answer 6

True

Question 7

ACTINIC KERATOSIS lesions are

Answer 7

erythematous with adherent scale and show little or no infiltration

Question 8

ACTINIC KERATOSIS usually seen in

Answer 8

sun-exposed areas of the skin,
usually in 4th decade of life;
fair-skinned individuals

Question 9

most common malignancy in the HN/ region (nasal tip and
nasal ala; cheeks and forehead)
More common in men and in ages 40-60 years

Answer 9

BCC

Question 10

BCC Primary risk factor

Answer 10

exposure to sunlight (UV-B spectrum)

Question 11

SCC

Answer 11

Second most common in H/N

Thick, scaling, hyperkeratotic plaques (lip, ear or nose)
If the crust is removed, the base is often ulcerated and has a rolled margin.
Lesion may also present as PERSISTENT ULCER

Question 12

Parotid neoplasms most commonly occur in the

Answer 12

TAIL of the gland

Question 13

SUBMANDIBULAR neoplasms often appear with

Answer 13

DIFFUSE ENLARGEMENT of the gland

Question 14

SUBLINGUAL tumors produce a

Answer 14

PALPABLE FULLNESS in the floor of the mouth

Question 15

BENIGN PLEOMORPHIC ADENOMA

Answer 15

also known as BENIGN MIXED TUMOR

Question 16

Most common benign neoplasm

Answer 16

BENIGN PLEOMORPHIC ADENOMA

Question 17

gross evaluation: smooth, multilobular, and encapsulated
Histology: epithelial and chondromyxoid component and areas of squamous metaplasia

Answer 17

BENIGN PLEOMORPHIC ADENOMA

Question 18

most common ‘monomorphic’ adenoma of the major salivary glands

Answer 18

WARTHIN’S TUMOR

Question 19

most common ‘monomorphic’ adenoma of the major salivary glands

Answer 19

WARTHIN’S TUMOR

Question 20

Characteristically: oncocytic epithelial cells without atypia admixed with polymorphous lymphocytes and cellular debris

Answer 20

WARTHIN’S TUMOR

Question 21

have a smooth capsule; when incised, multiple cystic
spaces that contain mucinous material are appreciated

Answer 21

WARTHIN’S TUMOR

Question 22

smooth and firm, with a rubbery consistency

Answer 22

ONCOCYTOMA

Question 23

most common malignant salivary gland tumor

Answer 23

MUCOEPIDERMOID CARCINOMA (MEC)

Question 24

2nd most common among all salivary gland tumors

Answer 24

MUCOEPIDERMOID CARCINOMA (MEC)

Question 25

slightly more common in women age range is 3rd to 7th decades with a mean in the 5th decade of life.

Answer 25

MUCOEPIDERMOID CARCINOMA (MEC)

Question 26

divided into low, intermediate, and high grades; these tumors contain two types of cells, as the name implies, mucous and epidermoid cells;

Answer 26

MUCOEPIDERMOID CARCINOMA (MEC)

Question 27

Grossly: monolobular and nonencapsulated; they have a gray-pink color and infiltrate the surrounding normal tissue

Answer 27

ADENOID CYSTIC CARCINOMA

Question 28

Tumors are formed of serous cells grossly: they are encapsulated, hard, gray- white tumors

Answer 28

ACINIC CELL CARCINOMA

Question 29

Gross tumors appear firm, unencapsulated, and nodular, with areas of central necrosis and hemorrhage

Answer 29

Carcinoma ex-pleomorphic adenoma

Question 30

This is an indolent tumor that can be confused on pathology with adenoid cystic carcinoma and has been previously recognized as lobular carcinoma, trabecular adenocarcinoma, and terminal duct carcinoma

Answer 30

Polymorphous low-grade adenocarcinoma

Question 31

The nuclei of the neoplastic epithelium are large, with prominent nucleoli giving “Orphan Annie eye” appearance.

Answer 31

PAPILLARY THYROID CARCINOMA

Question 32

This lesion arises from parafollicular C cells (not thyroid follicular cells).

Answer 32

Medullary thyroid carcinoma

Question 33

believed to occur from a terminal dedifferentiation of previously undetected long-standing differentiated thyroid carcinoma.

Answer 33

Anaplastic thyroid cancer (ATC)

Question 34

Midline lesion anywhere from foramen cecum at base of tongue to pyramidal lobe of thyroid gland. Extensive branching of ductal system especially above hyoid bone.

Answer 34

Thyroglossal duct cyst

Question 35

Elevates with tongue protrusion.

Answer 35

Thyroglossal duct cyst

Question 36

Thyroglossal duct cyst treatment

Answer 36

Sistrunk surgery