Pathoma: Nasopharynx

Question 1

What is the most common cause of rhinitis?

Answer 1

adenovirus

Question 2

How does rhinitis present?

Answer 2

• sneezing
• congestion
• runny nose (common cold)

Question 2

What other conditions is allergic rhinitis associated with?

Answer 2

asthma, eczema

Question 3

How do angiofibromas present?

Answer 3

profuse epistaxis

Question 4

This is a malignant tumor of the nasopharyngeal epi.

Answer 4

nasopharyngeal carcinoma

Question 5

Who gets nasopharyngeal carcinoma?

Answer 5

African children and Chinese adults

Question 5

A sample from a cervical lymph node shows pleomorphic keratin-positive epi cells in a background of lymphocytes. Dx?

Answer 5

nasopharyngeal carcinoma

Question 6

What is nasopharyngeal carcinoma?

Answer 6

a malignant tumor of the nasopharyngeal epi

Question 7

What is rhinitis?

Answer 7

inflammation of the nasal mucosa

Question 8

What is inflammation of the nasal mucosa called?

Answer 8

rhinitis

Question 10

What is allergic rhinitis?

Answer 10

rhinitis due to a type I hypersensitivity reaction (usually to pollen, etc)

Question 11

This is a rhinitis due to a type I hypersensitivity reaction (usually to pollen, etc).

Answer 11

allergic rhinitis

Question 12

Repeated bouts of rhinitis can lead to _____ formation.

Answer 12

polyp

Question 13

What should be biopsied to detect nasopharyngel carcinoma?

Answer 13

cervical lymph nodes

Question 14

Nasal polyps can be seen in ____, _____, and ____ patients.

Answer 14

• repeated rhinitis
• cystic fibrosis
• ASA-intolerant asthma

Question 15

This is a protrusion of edematous, inflamed nasal mucosa.

Answer 15

nasal polyp

Question 16

This is a benign tumor of the nasal mucosa composed of large BVs and fibrous tissue.

Answer 16

angiofibroma

Question 17

What is angiofibroma?

Answer 17

a benign tumor of the nasal mucosa composed of large BVs and fibrous tissue

Question 18

What is a nasal polyp?

Answer 18

a protrusion of edematous, inflamed nasal mucosa

Question 19

What characterizes allergic rhinitis?

Answer 19

inflammatory infiltrates with eosinophils

Question 20

Who gets angiofibromas?

Answer 20

adolescent males

Question 21

Nasopharyngeal carcinoma is associated with _____.

Answer 21

Epstein-Barr virus (EBV)

Question 22

What do repeated rhinitis, cystic fibrosis, and ASA-intolerant asthma patients have in common?

Answer 22

they can develop nasal polyps

Question 24

What will the biopsy show that is diagnostic for nasopharyngeal carcinoma?

Answer 24

pleomorphic keratin-positive epi cells in a background of lymphocytes

Question 25

DX?

• teenage male -
• repeated, profuse nosebleeds

Answer 25

angiofibroma