with no fever or sputum production.

Which of the followingcells are responsible for the pathogenesis of his *Eosinophils *Mast cells *Macrophages *Neutrophils complained of persistent nonproductivecough observed gain of weight especially in the trunk over the past 5 months . Thechest x ray shows an ill defined 3 cm mass involving the right hilum of the lung.Cytological examination of the bronchial washings from bronchoscopy revealedround to oval cells with little cytoplasm and increased mitotic figures. He wasadvised to stop smoking and begin a course of chemotherapy. Which is thepossible diagn *Adenocarcinoma *Large cell carcinoma *Squamous cell carcinoma *Small cell carcinoma *It doesn't destroy the alveolar wall *It mimics bronchopneumonia on chest x ray *It is formed of small to oval sheets of cells having high number of mitoticfigures *It has a better prognosis than other lung cancers contributes in the pathogenesis of emphysema by all except: *Attracts neutrophils into the lung *Stimulates the release of neutrophil elastase *Inhibits the ability of pulmonary neutrophils to clear bacteria *Directly inhbits alpha 1 antiyrypsin *Stimulates macrophage elastase activity *It may resemble an adenocarcinoma histologically *It may resemble sarcoma histologically *It is related to asbestos exposure *It is related to cigarette smoke showed glistening semitransluscent polypoid masses filling the nasalcavity. Microscopic examination of the excised masses revealed polypoid tissuecovered by respiratory epithelium with underlying oedematous stroma heavilyinfiltrated by acute & chronic inflammatory cells with scattered plasma cells &eosinophils. The possible associated condition is:a) Infection by corynaebacterium Diphtheriae b) Increased serum Ig E level c) Infection by papilloma virus d) Fever,chills& enlarged painful cervical lymph nodes A 70 year old man complained of persistent hoarseness of voice for the last 6months. On examination there was an enlarged nontender anterior cervical lymphnode. On laryngoscopy an irregular fungating mass was seen on the vocal cordwith infraglottic extension. Laryngeal biopsy followed by laryngectomy was done.Which of the following a) Human Papilloma virus b) Type I Hypersensitivity c) Smoking Tobacco d) Corynaebacterium Diphtheria

voice. On examination multiple masses were seenon the vocal cords extending to the subglottic region. Microscopic examination of the excised masses showed fingerlike polypoid tissue covered by orderly arrangedstratified squamous epithelium overlying a fibrovascular connective tissue core.Which of the following a)Laryngectomy is necessary b)The boy should not overuse his voice c)The lesions are likey to recur d)Poststreptococcal glomerulonehritis may follow primary stage school teacher had noticed that her voice had changedfor the past 3 years. On examination there were no palpable head & neck massesbut there were two tiny hemispherical smooth surfaced masses about fewmillimeters in diameter seen on both vocal cords. The teacher was unfortunatelyasmoker. Excisional biopsy was recommended by her otolaryngologist because themost likely diagnosis was: a)Laryngeal Polyp b)Juvenile Papillomatosis c)Squamous cell Papilloma d)Squamous cell Carcinoma