Pulmonary: 9.1: Nasopharynx

Question 1

DX?

• teenage male
• repeated, profuse nosebleeds

Answer 1

angiofibroma

Question 2

What is the most common cause of rhinitis?

Answer 2

adenovirus

Question 3

How does rhinitis present?

Answer 3

• sneezing
• congestion
• runny nose
  
  • aka the common cold

Question 4

What should be biopsied to detect nasopharyngel carcinoma?

Answer 4

cervical lymph nodes

Question 5

_____ is the intermediate filament in epithelial cells.

Answer 5

Keratin

Question 6

What is a nasopharyngeal carcinoma?

Answer 6

• a malignant tumor of the nasopharyngeal epi
• from EBV
• seen in African children and Chinese adults
• enlarged cervical lymph nodes

Question 7

What kind of cell lines the nasal mucosa?

Answer 7

respiratory epi

Question 8

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

Answer 8

• repeated rhinitis
• cystic fibrosis
• ASA-intolerant asthma

Question 9

What is the triad of aspirin-intolerant asthma?

Answer 9

1. asthma
2. aspirin-induced bronchospasm
3. nasal polyps

Question 10

What is inflammation of the nasal mucosa called?

Answer 10

rhinitis

Question 11

What is a nasal polyp?

Answer 11

a protrusion of edematous, inflamed nasal mucosa

Question 12

This is a malignant tumor of the nasopharyngeal epi.

Answer 12

nasopharyngeal carcinoma

Question 13

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

• Dx?

Answer 13

nasopharyngeal carcinoma

Question 14

What is allergic rhinitis?

Answer 14

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

Question 15

How do angiofibromas present?

Answer 15

profuse epistaxis in an adolescent male

Question 16

What is an angiofibroma?

Answer 16

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

Question 17

Who gets angiofibromas?

Answer 17

adolescent males

Question 18

If you see nasal polyps in a child, think _____.

Answer 18

cystic fibrosis

Question 19

Nasopharyngeal carcinoma is associated with _____.

Answer 19

Epstein-Barr virus (EBV)

Question 20

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

Answer 20

angiofibroma

Question 21

Repeated bouts of rhinitis can lead to _____ formation.

Answer 21

polyp

Question 22

What is rhinitis?

Answer 22

inflammation of the nasal mucosa

Question 23

This is a protrusion of edematous, inflamed nasal mucosa.

Answer 23

nasal polyp

Question 24

What characterizes allergic rhinitis?

Answer 24

• inflammatory infiltrates with eosinophils
• usu. assoc. with asthma and eczema

Question 25

Who gets nasopharyngeal carcinoma?

Answer 25

• African children
• Chinese adults

Question 26

What other conditions is allergic rhinitis associated with?

Answer 26

• asthma
• eczema

Question 27

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

Answer 27

allergic rhinitis

Question 28

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

Answer 28

pleomorphic keratin-positive epi cells in a background of lymphocytes

Question 29

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

Answer 29

they can develop nasal polyps