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Chapter 12. Granulomatous Diseases of the Head and Neck

Which disease is often associated with a bony septal perforation?

A. Tuberculosis

B. Leprosy

C. Syphilis

D. Blastomycosis

E. Langerhan histiocytosis

An 8-year-old patient presents with a history of several weeks of a violaceous, submandibular mass showing sulfur granules on fine needle aspiration. What is your definitive management?

A. PO antibiotics only

B. IV antibiotics only

C. Surgical curettage only

D. Surgical curettage and IV, then PO antibiotics

E. Conservative management

“Heerfordt syndrome” is a variant of what condition?


B. Sjogren

C. Lyme disease

D. Melkersson-Rosenthal syndrome

E. Sarcoidosis

Which of the following facts about Churg-Strauss is incorrect?

A. A small- and medium-vessel necrotizing vasculitis

B. aka eosinophilic granulomatosis with polyangiitis

C. Classic triad of airway necrotizing granulomas, systemic vasculitis, and focal glomerulonephritis

D. Associated with pANCA

E. Can be divided into allergic, eosinophilic, and vasculitic stages

Which of the following is not one of the five diagnostic criteria for cat scratch disease?

A. History of exposure to a cat

B. Inoculation site

C. Fever

D. Adenopathy

E. Biopsy showing necrotic granuloma

F. Warthin-Starry-Sky stain showing intracellular pleomorphic gram-negative bacillus

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