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ORL > ORL - Dx HEAD & NECK > Flashcards

ORL - Dx HEAD & NECK Flashcards

1
Q

Causative agent for VERRUCA VULGARIS (WARTS)

A

HPV2 and HPV3

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2
Q

Most common facial warts

A

Common warts (filiform)
Flat warts

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3
Q

VERRUCA VULGARIS (WARTS) lesions are

A

HYPERKERATOTIC

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4
Q

ACTINIC KERATOSIS also called

A

SOLAR KERATOSIS

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5
Q

ACTINIC KERATOSIS is precancerous
True or False?

A

True

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6
Q

ACTINIC KERATOSIS can develop to SCCa
True or FALSE?

A

True

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7
Q

ACTINIC KERATOSIS lesions are

A

erythematous with adherent scale and show little or no infiltration

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8
Q

ACTINIC KERATOSIS usually seen in

A

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

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9
Q

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

A

BCC

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10
Q

BCC Primary risk factor

A

exposure to sunlight (UV-B spectrum)

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11
Q

SCC

A

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

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12
Q

Parotid neoplasms most commonly occur in the

A

TAIL of the gland

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13
Q

SUBMANDIBULAR neoplasms often appear with

A

DIFFUSE ENLARGEMENT of the gland

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14
Q

SUBLINGUAL tumors produce a

A

PALPABLE FULLNESS in the floor of the mouth

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15
Q

BENIGN PLEOMORPHIC ADENOMA

A

also known as BENIGN MIXED TUMOR

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16
Q

Most common benign neoplasm

A

BENIGN PLEOMORPHIC ADENOMA

17
Q

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

A

BENIGN PLEOMORPHIC ADENOMA

18
Q

most common ‘monomorphic’ adenoma of the major salivary glands

A

WARTHIN’S TUMOR

19
Q

most common ‘monomorphic’ adenoma of the major salivary glands

A

WARTHIN’S TUMOR

20
Q

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

A

WARTHIN’S TUMOR

21
Q

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

A

WARTHIN’S TUMOR

22
Q

smooth and firm, with a rubbery consistency

A

ONCOCYTOMA

23
Q

most common malignant salivary gland tumor

A

MUCOEPIDERMOID CARCINOMA (MEC)

24
Q

2nd most common among all salivary gland tumors

A

MUCOEPIDERMOID CARCINOMA (MEC)

25
Q

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

A

MUCOEPIDERMOID CARCINOMA (MEC)

26
Q

divided into low, intermediate, and high grades;

these tumors contain two types of cells, as the name implies, mucous and epidermoid cells;

A

MUCOEPIDERMOID CARCINOMA (MEC)

27
Q

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

A

ADENOID CYSTIC CARCINOMA

28
Q

Tumors are formed of serous cells

grossly: they are encapsulated, hard, gray- white tumors

A

ACINIC CELL CARCINOMA

29
Q

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

A

Carcinoma ex-pleomorphic adenoma

30
Q

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

A

Polymorphous low-grade adenocarcinoma

31
Q

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

A

PAPILLARY THYROID CARCINOMA

32
Q

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

A

Medullary thyroid carcinoma

33
Q

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

A

Anaplastic thyroid cancer (ATC)

34
Q

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.

A

Thyroglossal duct cyst

35
Q

Elevates with tongue protrusion.

A

Thyroglossal duct cyst

36
Q

Thyroglossal duct cyst treatment

A

Sistrunk surgery

ORL (4 decks)

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