Pathoma: Chapter 9 Questions and Answers
Biopsy of pleomorphic keratin-positive epithelial cells in a background of lymphocytes is
typical of what disease? Correct Ans-Nasopharyngeal carcinoma
Biopsy of nasopharyngeal carcinoma Correct Ans-Shows pleomorphic keratin-positive
epithelial cells in a background of lymphocytes
What lymph nodes does nasopharyngeal carcinoma typically involve/present with?
Correct Ans-Cervical lymph nodes
Chinese adult male with large cervical lymph nodes Correct Ans-Typical presentation of
nasopharyngeal carcinoma
What is the intermediate filament of epithelial cells? Correct Ans-Keratin
Acute epiglottitis definition Correct Ans-Inflammation of the epiglottis
Name the two risk factors for laryngeal carcinoma Correct Ans-Tobacco and alcohol
Inflammation of the epiglottis Correct Ans-Acute epiglottitis (medical emergency)
, Pathoma: Chapter 9 Questions and Answers
What is the most common cause of acute epiglottitis? Correct Ans-H influenzae type B (in
both immunized and non-immunized children)
How does acute epiglottitis present? Correct Ans-High fever, sore throat, drooling with
dysphagia, muffled voice, inspiratory stridor
What is the main risk of acute epiglottitis? Correct Ans-Airway obstruction (medical
emergency!)
What's another name for croup Correct Ans-Laryngotracheobronchitis
What is the most common cause of Laryngotracheobronchitis (croup) Correct Ans-
Parainfluenza virus
Inflammation of the upper airway Correct Ans-Laryngotracheobronchitis (croup)
How does Laryngotracheobronchitis (croup) present? Correct Ans-Hoarse, "barking" cough
and inspiratory stridor
Nodule that arises on the true vocal cord Correct Ans-Vocal cord nodule (singer's nodule)
Is vocal cord nodule usually bilateral or unilater? Correct Ans-Bilateral
, Pathoma: Chapter 9 Questions and Answers
What causes vocal cord nodule? Correct Ans-Excessive use of vocal cords
What is vocal cord nodule composed of histologically? Correct Ans-Myxoid (degenerative)
connective tissue
Inflammation of the nasal mucosa Correct Ans-Rhinitis
What is the most common cause of rhinitis? Correct Ans-Rhinovirus (adenovirus??)
What lines the nasal mucosa? Correct Ans-Respiratory epithelium
How does rhinitis present? Correct Ans-Sneezing, congestion, runny nose (common cold)
Subtype of rhinitis Correct Ans-Allergic rhinitis (Type I Hypersensitivity)
What type of hypersensitivity reaction is allergic rhinitis? Correct Ans-Type I
What is allergic rhinitis associated with (2)? Correct Ans-Asthma
Eczema
, Pathoma: Chapter 9 Questions and Answers
What is allergic rhinitis characterized by? Correct Ans-Characterized by inflammatory
infiltrate with eosinophils
What is the consequence of repeated bouts of rhinitis? Correct Ans-Nasal polyp
Protrusion of edematous, inflamed mucosa Correct Ans-Nasal polyp
What causes nasal polyps (3 things)? Correct Ans-Repeated rhinitis, CF, aspirin-intolerant
asthma
What do you test a child with nasal polyps for? Correct Ans-Cystic fibrosis
Triad of aspirin-intolerant asthma Correct Ans-1. Asthma
2. Aspirin-induced bronchospasms
3. Nasal polyps
What percentage of asthmatic adults have aspirin-intolerant asthma? Correct Ans-10%
Benign tumor of nasal mucosa composed of large blood vessels and fibrous tissue Correct
Ans-Angiofibroma
Classic age/sex of angiofibroma Correct Ans-Teenage male
Biopsy of pleomorphic keratin-positive epithelial cells in a background of lymphocytes is
typical of what disease? Correct Ans-Nasopharyngeal carcinoma
Biopsy of nasopharyngeal carcinoma Correct Ans-Shows pleomorphic keratin-positive
epithelial cells in a background of lymphocytes
What lymph nodes does nasopharyngeal carcinoma typically involve/present with?
Correct Ans-Cervical lymph nodes
Chinese adult male with large cervical lymph nodes Correct Ans-Typical presentation of
nasopharyngeal carcinoma
What is the intermediate filament of epithelial cells? Correct Ans-Keratin
Acute epiglottitis definition Correct Ans-Inflammation of the epiglottis
Name the two risk factors for laryngeal carcinoma Correct Ans-Tobacco and alcohol
Inflammation of the epiglottis Correct Ans-Acute epiglottitis (medical emergency)
, Pathoma: Chapter 9 Questions and Answers
What is the most common cause of acute epiglottitis? Correct Ans-H influenzae type B (in
both immunized and non-immunized children)
How does acute epiglottitis present? Correct Ans-High fever, sore throat, drooling with
dysphagia, muffled voice, inspiratory stridor
What is the main risk of acute epiglottitis? Correct Ans-Airway obstruction (medical
emergency!)
What's another name for croup Correct Ans-Laryngotracheobronchitis
What is the most common cause of Laryngotracheobronchitis (croup) Correct Ans-
Parainfluenza virus
Inflammation of the upper airway Correct Ans-Laryngotracheobronchitis (croup)
How does Laryngotracheobronchitis (croup) present? Correct Ans-Hoarse, "barking" cough
and inspiratory stridor
Nodule that arises on the true vocal cord Correct Ans-Vocal cord nodule (singer's nodule)
Is vocal cord nodule usually bilateral or unilater? Correct Ans-Bilateral
, Pathoma: Chapter 9 Questions and Answers
What causes vocal cord nodule? Correct Ans-Excessive use of vocal cords
What is vocal cord nodule composed of histologically? Correct Ans-Myxoid (degenerative)
connective tissue
Inflammation of the nasal mucosa Correct Ans-Rhinitis
What is the most common cause of rhinitis? Correct Ans-Rhinovirus (adenovirus??)
What lines the nasal mucosa? Correct Ans-Respiratory epithelium
How does rhinitis present? Correct Ans-Sneezing, congestion, runny nose (common cold)
Subtype of rhinitis Correct Ans-Allergic rhinitis (Type I Hypersensitivity)
What type of hypersensitivity reaction is allergic rhinitis? Correct Ans-Type I
What is allergic rhinitis associated with (2)? Correct Ans-Asthma
Eczema
, Pathoma: Chapter 9 Questions and Answers
What is allergic rhinitis characterized by? Correct Ans-Characterized by inflammatory
infiltrate with eosinophils
What is the consequence of repeated bouts of rhinitis? Correct Ans-Nasal polyp
Protrusion of edematous, inflamed mucosa Correct Ans-Nasal polyp
What causes nasal polyps (3 things)? Correct Ans-Repeated rhinitis, CF, aspirin-intolerant
asthma
What do you test a child with nasal polyps for? Correct Ans-Cystic fibrosis
Triad of aspirin-intolerant asthma Correct Ans-1. Asthma
2. Aspirin-induced bronchospasms
3. Nasal polyps
What percentage of asthmatic adults have aspirin-intolerant asthma? Correct Ans-10%
Benign tumor of nasal mucosa composed of large blood vessels and fibrous tissue Correct
Ans-Angiofibroma
Classic age/sex of angiofibroma Correct Ans-Teenage male
