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Quiz von Med Student , aktualisiert more than 1 year ago
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Frage 1
Frage
Indicate the correct statement(s)
Antworten
-
granulation tissue is rich of capillaries and cells
-
granulation tissue is rich in collagen fibres and fibroblasts and contains less blood vessels
-
granulation tissue is the immature connective tissue
-
fibrous tissue is immature connective tissue
Frage 2
Frage
What is hyper-granulation?
Antworten
-
mature connective tissue
-
hypertrophic tumor-like cicatrix/scar
-
greater amount of granulation tissue
-
none of the above
Frage 3
Frage
What is a scar?
Antworten
-
hypertrophic granulation tissue
-
mature connective tissue
-
hypertrophic tumor-like cicatrix
-
none of the above
Frage 4
Frage
What is a keloid?
Antworten
-
hypertrophic tumor-like cicatrix
-
mature connective tissue
-
greater amount of granulation tissue
-
none of the above
Frage 5
Frage
Which stain can be used to prove of scarring (cicatrix) of the heart?
Antworten
-
Van Gieson
-
Peris
-
Congo Red
-
PAS
Frage 6
Frage
Which of the could not be seen in rheumatoid nodules?
Antworten
-
Fibrinoid necrosis
-
Epitheloid cells
-
Langhans cells
-
Lymphocytes
Frage 7
Frage
Indicate the correct statement(s) for the polyarteriitis nodosa.
Antworten
-
it is an autoimmune disease
-
it affects mostly the elastic arteries
-
there is accumulation of glucosaminoglycans in the vessel walls which can be demonstrated with metachromasia with Toluidin Bleu
-
the branches of the pulmonary arteries are affected
Frage 8
Frage
Anaphylactic hypersensitivity reactions are related to:
Antworten
-
Hemolytic anemia
-
Hashimoto thyroiditis
-
Allergic rhinitis
-
Bronchial asthma
Frage 9
Frage
Cytotoxic hypersensitivity reactions are related to:
Antworten
-
hashimoto thyroiditis
-
hemolytic anemia
-
allergic rhinitis
-
nodosal poyarteriitis
Frage 10
Frage
Immune complexes mediated hypersensitivity reactions are related to:
Antworten
-
polyartheriitis nodosa
-
rheumatoid arthritis
-
hemolytic anemia
-
tuberculosis
Frage 11
Frage
Cell mediated hypersensitivity reactions are related to:
Antworten
-
Tuberculosis
-
Polyarteriitis nodosa
-
Bronchial asthma
-
Hashimoto thyroiditis
Frage 12
Frage
Indicate characteristics of the benign tumors.
Antworten
-
expansive type of growth
-
fast speed of growth
-
invading and destroying the adjacent tissues
-
in general they have good prognosis
Frage 13
Frage
Indicate characteristics of the benign tumors
Antworten
-
infiltrative growth
-
slow, long term developntcnt
-
usually they don't recur after complete surgery
-
their microscopic structure shows only tissue atypia
Frage 14
Frage
Indicate correct characteristics of the malignant tumors.
Antworten
-
expansive growth
-
fast speed of growth
-
they have poor prognosis in general
-
composed of differentiated, mature cells
Frage 15
Frage
Indicate correct characteristics of the malignant tumors.
Antworten
-
infiltrative growth
-
microscopic structure shows both tissue and cells atypia
-
good prognosis in general
-
metastasizing
Frage 16
Frage
Which is the most common way of metastasizing of epithelial tumors?
Antworten
-
by lymphatics (lymphogenic metastases)
-
with blood (hematogenic metastases)
-
by cerebrospinal fluid
-
none of the above
Frage 17
Frage
What is papilloma?
Antworten
-
malignant tumor of the covering epithelium
-
benign tumor of glandular epithelium
-
benign tumor of cover type epithelium
-
benign soft tissue tumor
Frage 18
Frage
Indicate the correct characteristic(s) for papilloma
Antworten
-
it has tree-like stroma covered by differentiated stratified squamous epithelium
-
it has tree-like stroma covered by undifferentiated squamous epithelium with signs of cell atypia
-
stroma and parenchyma are difficult to distinguish
-
it doesn't have a capsule
Frage 19
Frage
What is the term used for malignant tumors of cover type epithelium?
Antworten
-
adenocarcinoma
-
papilloma
-
carcinoma
-
sarcoma
Frage 20
Frage
What is the term used for malignant tumors of glandular type epithelial origin?
Antworten
-
adenocarcinoma
-
adenoma
-
carcinoma
-
carcino-adenoma
Frage 21
Frage
What is the term used for benign tumors of glandular type epithelial origin?
Antworten
-
papilloma
-
adenoma
-
teratoma
-
adenocarcinoma
Frage 22
Frage
Point the correct statement(s) about basal cell carcinoma.
Antworten
-
it develops only on the skin
-
it can develop at any place with squamous epithelium
-
it characterizes with early lymphogenic and hematogenic metastases
-
very often it recurs at the same place after surgery
Frage 23
Frage
Keratinized squamous cell carcinoma:
Antworten
-
develops only on the skin
-
can develop at any place with squamous epithelium
-
is highly undifferenciated malignant tumor
-
is a tumor composed of more differenciated cells with keratin production
Frage 24
Frage
What kind of structures are the cancer perls?
Antworten
-
accumulation of keratin produced by more differentiated malignant cells originating from squamous epithelium
-
pink-coloured homogenous substance located in the centre of the tumor nests
-
accumulation of mucus produced by highly undifferentiated malignant cells located in the centre of the tumor nests
-
pink homogenous substance that accumulates in the stroma of the tumor
Frage 25
Frage
The gross appearance of which tumor is called "ulcus rodens"?
Antworten
-
squamous cell carcinoma
-
melanoma
-
basal cell carcinoma
-
adenocarcinoma
Frage 26
Frage
Squamous cell carcinoma develops in the lung after:
Antworten
-
acute bronchitis
-
chronic bronchitis accompanied by metaplasia
-
bronchial asthma
-
inhalaton of a foreign body
Frage 27
Frage
Indicate the correct microscopic features of cell atypia
Antworten
-
polymorphism of cells and nuclei
-
low nucleus-cytoplasm index
-
typical mitoses
-
monster cells, hyperchromasia and polychromasia of nuclei
Frage 28
Frage
What are the characteristics of the nuclei of the malignant tumors?
Antworten
-
polychromasia
-
normal staining pattern
-
hyperchromasia
-
increased nucleo-cytoplasmic index
Frage 29
Frage
Papillary carcinoma of the urinary bladder arises from:
Antworten
-
squamous epithelium
-
transitional epithelium
-
glandular epithelium
-
smooth musculature
Frage 30
Frage
What is carcinoma in situ?
Antworten
-
malignant tumor limited to the epithelium above the basal membrane
-
malignant tumor destroying the basal membrane but spreading no more than 5mm below it
-
benign tumor limited to the basal membrane
-
benign tumor of a great size compressing the surrounding tissues
Frage 31
Frage
What type of atypia could be seen in the benign tumors of glandular epithelium?
Antworten
-
tissue atypia
-
cell atypia
-
both tissue and cell atypia
-
none of the above
Frage 32
Frage
Which staining is used for proving mucus production from gelatinous adenocarcinoma?
Antworten
-
Congo red
-
Toluidin bleu, metachromasia is demonstrated
-
PAS reaction with amylase control
-
Van Gieson
Frage 33
Frage
Pericanalicular and intracanalicular are types of:
Antworten
-
Ductal carcinoma of the breast
-
Paget's disease
-
Renal cell carcinoma
-
Fibroadenoma
Frage 34
Frage
Kruckenberg tumors are:
Antworten
-
metastases from colon adenocarcinoma in the ovaries
-
metastases from pancreatic adenocarcinoma in the ovaries
-
metastases from gastric carcinoma in the ovaries
-
metastases from hepatocellular carcinoma in the ovaries
Frage 35
Frage
Pleomorphic adenoma could be seen mainly:
Antworten
-
in the parotid gland
-
in the minor salivary glands
-
in the stomach
-
in the thyroid gland
Frage 36
Frage
Indicate the correct statements about fibroadenoma of the breast.
Antworten
-
capsulated and lobulated tumor
-
non-capsulated malignant tumor with invasive growth
-
microscopically it has two types -- intracanalicular and pericanalicuJar
-
seen in older women
Frage 37
Frage
Mark the correct statements about papillary cystadenoma of the ovary:
Antworten
-
malignant tumor
-
has cyst-like and papillary structures
-
histological characteristics include serous and mucinous types
-
it is a physiological change related to menstrual cycle
Frage 38
Frage
'Linitis plastica' is a gross subtype of:
Antworten
-
gastric cancer
-
pancreatic cancer
-
breast cancer
-
uterine cancer
Frage 39
Frage
Grossly adenocarcinoma of the colon can be:
Antworten
-
polypoid
-
ulcerous
-
nodular
-
all of the listed above
Frage 40
Frage
The terms "early cancer" and "advanced cancer" are used for:
Antworten
-
gastric adenocarcinoma
-
adenocarcinoma of the endometrium
-
adenocarcinoma of the colon
-
breast cancer
Frage 41
Frage
Malignant tumors from soft tissue are called:
Antworten
-
carcinomas
-
word for tissue origin+ suffix " —oma"
-
sarcomas
-
teratomas
Frage 42
Frage
Indicate the characteristics of the sarcomas.
Antworten
-
seen in older age
-
grossly they look like "fish meat"
-
they give early hematogenic metastases
-
parenchyma and stroma are equally distributed
Frage 43
Frage
Mark the characteristics of the carcinomas.
Antworten
-
seen in young people
-
they metastasize by the blood flow first
-
grossly they have granular surface
-
parenchyma and stroma are equally distributed
Frage 44
Frage
What kind of sarcoma could be seen in an immune deficiency?
Antworten
-
Kaposi sarcoma
-
Ewing sarcoma
-
Rhabdomyosarcoma
-
Chondrosarcoma
Frage 45
Frage
Which of the following sarcomas have the worst prognosis?
Antworten
-
liposarcoma
-
ostesarcoma
-
fibrosarcoma
-
leiomysarcoma
Frage 46
Frage
What staining can be used to distinguish leiomyoma uteri from fibroma?
Antworten
-
Congo red
-
Perls
-
PAS reaction with PAS control
-
Van Gieson
Frage 47
Frage
Point the characteristics of the leiomyosarcoma.
Antworten
-
polymorphism of cells and nuclei
-
hyper- and polychromasia of nuclei
-
typical mytoses
-
monster cells
Frage 48
Frage
What is hybernoma?
Antworten
-
benign tumor of vascular origin
-
benign tumor originating from brown fat tissue
-
benign tumor originating from striated muscles
-
malignant tumor originating from pigment tissue
Frage 49
Frage
What are the signs of the atypia in a nevus?
Antworten
-
asymmetry of the lesion, irregular borders
-
dark color, irregular color of the lesion
-
diameter less than 5mm
-
regular borders
Frage 50
Frage
How should a biopsy be done if there is a suspicion for the melanoma?
Antworten
-
incision biopsy
-
punch biopsy
-
excision biopsy
-
brush biopsy
Frage 51
Frage
Point the most common localizations of the teratomas.
Antworten
-
ovaries, testis
-
extremities
-
retroperitoneum
-
mediastinum
Frage 52
Frage
Which of the following are organoid teratomas
Antworten
-
nephroblastoma
-
cholesteatoma
-
dermoid cyst
-
branchiogcnic cyst
Frage 53
Frage
Which of the following is organismoid teratoma
Antworten
-
epidermoid cyst
-
teratocarcinoma
-
dermoid cyst
-
nefroblastoma
Frage 54
Frage
What is a nevus pigmentosus?
Antworten
-
tumor-like process
-
tumor process
-
microscopically it contains mature melanocytes
-
microscopically it contains cells with signs of severe atypia and some of them contain melanin
Frage 55
Frage
What is a melanoma?
Antworten
-
malignant congenital tumor
-
benign tumor composed of melanocytes
-
malignant tumor of pigment origin
-
none of the above
Frage 56
Frage
What is an achromatic melanoma?
Antworten
-
benign form of melanoma
-
melanoma without melanin in the tumor cells
-
type of melanoma which can be proved with immunohistochemical tests
-
melanoma which is more differentiated
Frage 57
Frage
Point possible localizations of the nevus pigmentosus and melanoma.
Antworten
-
skin
-
uvea
-
meninges
-
all of the above
Frage 58
Frage
Lentigo maligna, nodular, superficial, acral lentigenous are gross forms of:
Antworten
-
melanoma
-
squamous cell carcinoma of the skin
-
basal cell carcinoma of the skin
-
nevus pigmentosus
Frage 59
Frage
Indicate immunohistochemical stains to prove melanoma
Antworten
-
HMB-45
-
Ca-125
-
S-100
-
Cytokeratin
Frage 60
Frage
Which of the following tumors do not have a stroma
Antworten
-
choriocarcinoma
-
seminoma
-
nephroblstoma
-
neuroblastoma
Frage 61
Frage
Indicate types of nevus pigmentosus:
Antworten
-
acquired and congenital
-
junctional, compound, intradermal
-
benign and malignant nevus
-
ectodermal and endodermal nevus
Frage 62
Frage
Melanin is:
Antworten
-
lipidogenic pigment
-
proteinogenic pigment
Frage 63
Frage
Where is lipofuscin deposited?
Antworten
-
intracellularly
-
extracellularly
Frage 64
Frage
The frozen section ('gefrir') is:
Antworten
-
rapid 'intraoperative' histological diagnosis
-
rapid cytology method
-
type of medical imaging
-
histochemical method
Frage 65
Frage
The term „pathognomonic change" means:
Antworten
-
unexplained change
-
paradoxical change
-
sufficient to identify the diagnosis/lesion
-
diffuse inflammatory change
Frage 66
Frage
Most likely the cause of centrolobular fatty degeneration of hepatocytes is:
Antworten
-
diabetes
-
intoxication
-
hypoxia
-
overfeeding
Frage 67
Frage
Hyaline — droplet degeneration has following characteristics:
Antworten
-
extracellular
-
intracellular
-
protein accumulation
-
carbohydrate accumulation
Frage 68
Frage
What pigment is formed in the center of the hematoma?
Antworten
-
hemosiderin
-
lipofuscin
-
hemomelanin
-
hematoidin
Frage 69
Frage
In which blood vessels are formed most frequently mixed thrombi?
Antworten
-
large veins
-
arteries
-
capillaries
-
venules
Frage 70
Frage
Squamous cell carcinoma occurs most frequently in:
Antworten
-
stomach
-
skin
-
bladder
-
larynx
Frage 71
Frage
Hyperemic-hemorrhagic zone occurs in:
Antworten
-
tophi urici
-
nodular amyloidosis
-
anemic infarction
-
pneumonia
Frage 72
Frage
Which types of bleeding occur in the digestive system?
Antworten
-
hemothorax
-
hemoptysis
-
melena
-
hematemesis
Frage 73
Frage
Which of the following cell damages are irreversible?
Antworten
-
necrosis
-
apoptosis
-
vacuolar degeneration
-
cellular edema
Frage 74
Frage
Left ventricular hypertrophy can develop in:
Antworten
-
cor pulmonale
-
systemic hypertension
-
mitral stenosis
-
aortic stenosis
Frage 75
Frage
Cancer cells which show no resemblance to the tissue from which the tun originates are called:
Antworten
-
undifferentiated carcinoma
-
well-differentiated carcinoma
-
scirrhous type carcinoma
-
histioid cancer
Frage 76
Frage
Which of the following is correct for the mechanical jaundice?
Antworten
-
indirect bilirubin prevails in blood
-
elevated urine urobilinogen
-
elevated urine bilirubin
-
stools are hyperpigmented
Frage 77
Frage
Basal cell carcinoma is localized most frequently on:
Antworten
-
the skin of the forearm
-
the skin of the lower limbs
-
the skin on the palms
-
skin of the face
Frage 78
Frage
Caseous necrosis is characteristic for:
Antworten
-
specific inflammation
-
tuberculosis
-
enzyme fat necrosis
-
chronic pyelonephritis
Frage 79
Frage
Bilaterally, on the skin of the eyelids of a young woman are seen yellow nodules with the size of a grain of rice. What is it?
Antworten
-
xanthelasmas
-
nevus
-
efelides
-
hemosiderin deposition
Frage 80
Frage
Which of the following are protein accumulations?
Antworten
-
in the epithelial cells of renal tubules
-
russel bodies
-
bodies of Mallory
-
asteroid cells
Frage 81
Frage
Hemorrhagic infarction develops in:
Antworten
-
organs with end type arteries (end type blood supply)
-
blockage of arterioles
-
previous venous stasis
-
organs with double blood supply
Frage 82
Frage
How do we call the local depigmentation of the skin?
Antworten
-
vitiligo
-
hemosiderosis
-
albinism
-
ohronosis
Frage 83
Frage
What kinds of techniques are used for the detection of the lipids:
Antworten
-
freezing microtome
-
paraffin method
-
alcohol fixation
-
staining with Sudan Ill
Frage 84
Frage
The sequence of local structural changes in a disease is called
Antworten
-
sanogenesis
-
pathogenesis
-
tanatogenesis
-
morphogenesis
Frage 85
Frage
" Tiger Heart " is diagnosed when:
Antworten
-
subepicardial fat is increased
-
yellowish lines in the papillary muscles are seen
-
the interventricular septum is injured
-
infarcted area of the left ventricle in seen
Frage 86
Frage
Which of the following is correct for the mechanical jaundice:
Antworten
-
it is parenchymal jaundice
-
there is posthepatic occlusion
-
direct bilirubin is increased
-
it is also called hemolytic jaundice
Frage 87
Frage
The risks involved in fast draining of large quantities of acistes are:
Antworten
-
development of low oncotic pressure edema
-
bleeding into the abdominal cavity
-
massive arterial hyperemia in the abdominal vessels
-
hemodynamic collapse
Frage 88
Frage
"Mutilation" means :
Antworten
-
form of biological mutation
-
pendulum movement of the blood
-
zonal hair loss
-
self amputation of phalanges
Frage 89
Frage
It is true that :
Antworten
-
concentric hypertrophy is also called tonogenic
-
eccentric hypertrophy is myogenic
-
hypertrophy can be combined with hyperplasia
-
false type of hypertrophy is hyperplasia
Frage 90
Frage
Sources of fat embolism in the lung are
Antworten
-
the bone marrow in the long bones
-
subcutaneous fat
-
liver with fatty degeneration
-
ulcerated atherosclerotic plaque of the aorta
Frage 91
Frage
Which of these factors lead to nutmeg liver?
Antworten
-
short venous stasis
-
arterial hyperemia
-
chronic venous congestion
-
mitral stenosis
Frage 92
Frage
In the bronchi and nasal cavity may develop squamous cell carcinoma based on:
Antworten
-
hypoplasia
-
histological accommodation
-
anaplasia
-
metaplasia
Frage 93
Frage
Amyloid demonstates following characteristics:
Antworten
-
identified with Tioflavin S in fluorescence
-
shows metachromasia with Perls
-
identified with Congo rot in polarized light
-
ultrastructurally has fibrillary structure
Frage 94
Frage
Anaphylactic shock occurs in:
Antworten
-
hypersensitivity reactions cytotoxic type
-
response induced by immune complexes
-
atopic reactions
-
delayed type hypersensitivity
Frage 95
Frage
A basal cell carcinoma is localized most frequently on:
Antworten
-
the skin of the forearm
-
the skin of the lower limbs
-
the skin on the palms
-
the skin of the face
Frage 96
Frage
Reaction for Prussian blue is used for:
Antworten
-
tattoos
-
proof of bilirubin
-
proof of hemosiderin
-
in hemochromatosis
Frage 97
Frage
How could an air embolism be proved:
Antworten
-
in the presence of witnesses
-
autopsy in a bathtub
-
puncturing the right ventricle
-
puncturing of the left ventricle
Frage 98
Frage
Which enzymes are involved in a melanogenesis?
Antworten
-
hyaluronidase
-
tvrosinase
-
dopa oxidase
-
lipase
Frage 99
Frage
Infarctions of which organs could often lead to the death of the patient?
Antworten
-
renal infarction
-
infarction of the spleen
-
infarction of heart
-
cerebral infarction
Frage 100
Frage
In cancers with epithelial origin:
Antworten
-
cells are arranged in sheets, nests or cords
-
resemble 'fish meat'
-
metastasize primarily by blood
-
cells show atypia
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