
Weekly Quiz 7 - Head and Neck
Quiz by Miguel Dorante
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An otherwise healthy 19-year-old man is referred to the office for evaluation of two biopsy-proven skin basal cell carcinomas. Physical examination shows an asymmetry of the jaw. His father died of extensive skin cancer at 40 years of age. CT scan of the mandible is shown. Which of the following is the most likely cause of the asymmetry?
Which of the following is characteristic of a Merkel cell tumor of the head and neck?
A 55-year-old man is referred because of a 1-year history of ear and throat pain. Physical examination shows a 1-cm exophytic tumor of the anterior tonsillar pillar within the oropharynx. Biopsy of the tumor shows squamous cell carcinoma. Which of the following cervical lymphatic levels is most likely to be first involved in this patient?
A 57-year-old man undergoes superficial parotidectomy. Facial nerve neuropraxia results in gustatory sweating and which of the following additional symptoms?
A 65-year-old man comes to the office because of slow-growing, painless masses within each of the parotid glands. He has smoked 10 cigarettes daily for the past 25 years. Superficial parotidectomies are performed, and pathologic examination shows papillary cysts and mucoid fluid as well as nodules of lymphoid tissue in both tumor specimens. Which of the following is the most likely diagnosis?