Quiz: Recurrent Respiratory Papillomatosis

 

  1. True or False.  12 years represents the upper age limit for diagnosis of JORRP.

 

  1. True or False.  Both adults and children may carry a diagnosis of JORRP.

 

  1. The best candidate for a prophylactic Cesarean section to prevent JORRP is
    1. A Pregnant woman with visible genital warts
    2. A Primiparous woman
    3. A teenage, primiparous woman with visible genital warts and newly acquired HPV infection
    4. Any female student from the University of Texas, Texas A&M, or Davidson College

 

  1. Which of the following terms refers to cytoplasmic vacuolization within HPV-infected epithelial cells?
    1. Parakeratosis
    2. Koilocytosis
    3. Acanthosis
    4. Cellular atypia

 

  1. Risk factors for malignant transformation of papillomas include
    1. Tobacco
    2. Prior history of external beam radiation
    3. History of bleomycin use
    4. Infection with HPV 16
    5. All of the above

 

  1. Complications of the CO2 laser when used to treat RRP include
    1. Webbing
    2. Alteration of mucosal wave
    3. Airway fire
    4. Delusions that the operating surgeon is Hank Rogers, evil twin of Buck Rogers
    5. All of the above
    6. A,B, and C

 

  1. When comparing Indole-3-Carbinol (I3C) to alpha-interferon
    1. I3C administered IV
    2. Alpha-interferon is derived from cruciferous vegetables
    3. I3C is well tolerated with minimal side effects
    4. Alpha-interferon is well tolerated with few side effects

 

 

 

 

  1. Caution should be exercised when using intralesional Cidofovir because
    1. It burns
    2. There is no data available regarding long-term effectiveness or tumorigenic effects
    3. It caused adenocarcinoma in the Rhesus monkey
    4. Intralesional use is associated with renal failure and neutropenia

 

  1. All of the following are true regarding an HPV vaccine EXCEPT
    1. Current Phase III trials are ongoing
    2. Optimism is guarded because of failure of a similar vaccine for HSV-2
    3. The current effort uses E6 and E7 protein antigens, the same viral proteins associated with oncogenesis
    4. An HPV vaccine is already commercially available in Europe

 

  1. The “limen vestibuli” refers to
    1. The junction between the nasal vestibule and nasal cavity proper
    2. A new, affordably priced, family Italian sports car
    3. HPV-infected mucus
    4. My favorite flavor of Smoothie

 

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Answer Key

  1. True
  2. True
  3. C
  4. B
  5. E
  6. F
  7. C
  8. B
  9. D
  10. A