Name:
Date:
Exam number 3
1. Generally most thyroid nodules are
biopsied if they
A. are > 1 cm
B. are < 1 cm
C. are between 1 and 2 mm or larger
D. are palpated and felt to be benign
E. cause cosmetic deformity
2. Most parathyroid glands
A. are vascularized by the superior thyroid
artery
B. are in the mediastinum
C. are close to or on the thyroid gland
D. are often found to be adenomatous at
thyroid surgery
E. are removed and autotransplanted at
surgery
3. Papillary thyroid cancer
A. prognosis is worse in the young adult
B. is associated with frequent nodal
metastasis at presentation
C. is associated with capsular invasion
D. is typically associated with C-cell
hyperplasia
E. cannot occur in the pyramidal lobe
4. Medullary cancers
A. may be associated with RET oncogene
mutation
B. are always inherited
C. result in decrease of calcitonin and
carcinoembryonic antigen (CEA)
D. never spread to liver or lung
E. are always associated with parathyroid
disease
5. Graves disease
Year Level:
Score: /20
A. is associated with focal increased uptake
in the thyroid
B. can be managed with surgery
C. cannot usually be treated with radioactive
iodine
D. is always associated with eye disease
E. generally can be operated on without
preoperative medical management
6. Which of the following is the most likely
diagnosis to require no treatment?
A. Keratocystic odontogenic tumor
B. Ameloblastoma
C. Eruption cyst
D. Osteomyelitis
E. Periapical cyst
7. Which of the following lesions is
radiopaque?
A. Aneurysmal bone cyst
B. Odontogenic myxoma
C. Sta ne bone cyst
D. Ossifying fibroma
E. Nasopalatine duct cyst
8. Which of the following radiolucent
lesions is classically associated with the
crown of an unerupted third molar?
A. Lateral periodontal cyst
B. Calcifying odontogenic cyst
C. Ameloblastoma
D. Dentigerous cyst
E. Glandular odontogenic cyst
9. Which of the following lesions has
epithelium consisting of columnar cells with
reversed polarization in a “piano key”
appearance?
A. Cementoblastoma
B. Ossifying fibroma
C. Cemento-osseous dysplasia
D. Fibrous dysplasia
E. Ameloblastoma
10. The presence of a nonvital tooth is a
requirement or the diagnosis of
A. dentigerous cyst
B. glandular odontogenic cyst
C. calcifying odontogenic cyst
D. periapical cyst
E. lateral periodontal cyst
11. A patient presents with a lateral neck
mass demonstrating a ‘lyre sign’ on CT
angiogram. The most likely diagnosis is
A. vagal paraganglioma
B. carotid body tumor
C. vagal schwannoma
D. sympathetic schwannoma
E. glomus jugulare
12. A child with PHACES syndrome would
have all of the following findings except
A. choanal atresia
B. segmental hemangiomas
C. eye abnormalities
D. intracranial or cervical artery
abnormalities
E. cardiac defects
13. An infant presents to your office with 3
weeks of increasing stridor but no cyanosis
or apneic episodes. A large red lesion is
noted on his right cheek, extending to the
oral commissure. The next appropriate step
would be
A. intralesional dexamethasone injection in
the office
B. oral propranolol and reevaluation in 2
days
C. airway endoscopy
D. contrast-enhanced C
E. biopsy with staining or GLU 1
14. Which of the following is the most
common vascular tumor o the head and
neck?
A. carotid body tumor
B. jugular paraganglioma
C. infantile hemangioma
D. vascular malformation
15. Histologic indings in carotid body
tumors include all of the following except
A. physaliferous cells.
B. Zellballen configuration.
C. sustentacular cells.
D. chief cells.
E. all of the above findings are seen in
carotid body tumors.
16. A 65-year-old patient with hoarseness is
noted to have a 1-cm lesion on the left vocal
cord, extending toward the anterior
commissure. The vocal cord is mobile and
no neck masses are noted on examination or
imaging. A computed tomography (CT)
chest is unremarkable. Biopsy reveals
squamous cell carcinoma. Which answer
best describes the TNM staging?
A. T1N0M0
B. T1N1M0
C. T2N0M0
D. TXN0M0
E. Unable to determine based on the
information provided
17. A 70-year-old former smoker presented
with hoarseness and dysphagia
for 3 months. Laryngoscopy shows a tumor
of the right false vocal cord
extending to true vocal cord and medial wall
of pyriform sinus on the
same side. The vocal cord is mobile and
there is no contralateral spread.
CT of the neck reveals a right larynx mass
with extension into the paraglottic
space and a 1.8-cm lymph node on the right Imaging shows no evidence of spread to
at level III. Biopsy confirms regional lymph nodes or beyond. At surgery,
squamous cell carcinoma. Chest and brain the tumor is noted not to extend beyond the
imaging are negative. parotid parenchyma. Final histology reveals
Which answer best describes the TNM adenoid cystic carcinoma. Which answer
staging? best describes the TNM staging?
A. T1N0M0 A. T1N0M0
B. T1N1M0 B. T1N1M0
C. T2N1M0 C. T2N0M0
D. T2N2M0 D. T2N1M0
E. T3N1M0 E. T3N0M0

18. A 49-year-old woman is evaluated for a

left-sided thyroid mass. On
ultrasound, it measures 16 mm × 14 mm and
no enlarged lymph nodes
are identified. A chest x-ray (CXR) is
negative and needle aspiration
confirms papillary thyroid cancer. Which
answer best describes the TNM staging?
A. T1aN0M0
B. T1bN0M0
C. T2N0M0
D. T3N0M0
E. T4N0M0

19. A 75-year-old smoker is seen for an

ulcerative mass of the right oral
tongue and floor of mouth. It measures 3.5
cm in greatest diameter and invades through
cortical bone of the mandible. here are
multiple right-only cervical lymph nodes,
the largest of which is 2 cm. A positron
emission tomography (PET) scan shows no
evidence of distant disease. A biopsy shows
squamous cell carcinoma. Which answer
best describes the TNM staging?
A. T3N1M0
B. T3N2aM0
C. T3N2bM0
D. T4N2aM0
E. T4N2bM0

20. A 25-year-old man is evaluated or a right

parotid mass. It measures 3 cm in greatest
dimension.