Osler

Question 1

An aids related neck mass will show what kind of histopathology

Answer 1

-follicular hyperplasia

Question 2

Cystic neck mass differential?

Answer 2

-Congenital: cystic hygroma, thyroglossal duct cyst, branchial cleft cyst -Malignancy: PTC, tonsil cancer

Question 3

DDx for granulomatous neck mass?

Answer 3

-TB -Toxo -Sarcoid -Atypical TB -Deep fungal infection -Actino and cat scratch could appear as a granulomatous disease but not true granulomatous

Question 4

Age cutoff where you start thinking neoplasia/malignancy at top of ddx in neck mass?

Answer 4

40 yo

Question 5

What size of mass for PET can lead to false negatives?

Answer 5

<1cm

Question 6

For unknown primary and negative PET, what would you bx?

Answer 6

-Tonsillectomy and directed bx of lingual tonsils or stage the lingual tonsillectomy

Question 7

DDx for posterior triangle neck mass?

Answer 7

-Thyroid or NPC met -TB

Question 8

Tonsil w white exudative plaque rather than purulence, consider?

Answer 8

mono

Question 9

What conditions have mono like sx?

Answer 9

-mono -CMV -Toxo

Question 10

Hearing loss and neck mass, consider which cancers?

Answer 10

-NPC or parapharyngeal space

Question 11

Indications for neck dissection in parotid ca?

Answer 11

Question 12

Amplication magnitude of TM?

Answer 12

17:1

Question 13

Which Ig’s rise with iT?

Answer 13

• first rise in specific IgE, then it falls
• then rise in IgG4 and IgA

Question 14

Which diuretics can you use to lower ca++ levels?

Answer 14

loops

Question 15

how to remember which anesthetics are amides vs esters?

Answer 15

amide has “i” and their names have two “i”s

Question 16

Carotid body afferent innervation?

Answer 16

glossopharyngeal

Question 17

Staging of mucosal melanoma

Question 18

staging of mucosal melanoma

Answer 18