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Chapter 31. Diseases of the Nasal Cavity

Of the neurogenic tumors, congenital encephaloceles may demonstrate which of the following characteristics during physical examination?

A. Positive Fursternberg test

B. Nasal pit that may contain hair

C. Mass covered by nasal mucosa or skin

D. Noncompressible, nonpulsatile midline mass

Rathke pouch cyst forms due to which of the following embryologic pathways?

A. Failed closure of anterior neuropore or poor migration of neural crest cells

B. Failure of obliteration of diverticulum of ectoderm that forms the anterior lobe of the pituitary and pars intermedius

C. Failure of opening of distal nasolacrimal duct leading to accumulation of secretions and expansion of the nasolacrimal duct

D. Nasal epithelium trapped between maxillary, median, and lateral nasal processes.

Granulomatosis with polyangiitis (GPA) presents with severe nasal crusting and epistaxis. Which of the following would be most likely to be elevated in GPA patients?

A. IgA

B. p-ANCA

C. c-ANCA

D. Serum ACE

Rhinophyma is associated with all of the following except

A. Dermodex folliculorum

B. Acne rosacea

C. Squamous cell carcinoma

D. Klebsiella ozaenae

Diagnosis of hereditary hemorrhagic telangiectasia (HHT) using Curacao criteria includes all of the following except

A. Spontaneous or recurrent epistaxis

B. Telangiectasia of multiple visceral sites including GI, pulmonary, hepatic, cerebral, and spinal AVMs

C. Telangiectasia of multiple mucosal or skin sites

D. Autosomal recessive pattern of inheritance

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