Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU

Beschreibung

Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU
Med Student
Quiz von Med Student , aktualisiert more than 1 year ago
Med Student
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Zusammenfassung der Ressource

Frage 1

Frage
Is it true that in bronchitis the inflamation is rapidly spread over the peribronchial tissue and panbronchiolitisis?
Antworten
  • True
  • False

Frage 2

Frage
Staphylococcal pneumonia frequently occurs in adults
Antworten
  • True
  • False

Frage 3

Frage
Pyogenic membrane is the most typical structure of the chronic pulmonary abscess:
Antworten
  • True
  • False

Frage 4

Frage
In the first stage of crupous pneumonia the exudate contents leukocytes and fibrin:
Antworten
  • True
  • False

Frage 5

Frage
Acute bronchitis is characterized grossly by edematous hyperemic ulcerated mucosa, covered with mucus, fibrin and pus:
Antworten
  • True
  • False

Frage 6

Frage
Asbestosis is a precancerous condition:
Antworten
  • True
  • False

Frage 7

Frage
What is the outcome of carnification?
Antworten
  • pneumofibrosis
  • recovery

Frage 8

Frage
Cylindrical bronchiectasis can lead to communication between bronchus and pleura
Antworten
  • True
  • False

Frage 9

Frage
Pulmonary hypertension and chronic pulmonary heart are the main complications of chronic pneumonia:
Antworten
  • True
  • False

Frage 10

Frage
Crupous pneumonia affects typically lower lobes of lungs:
Antworten
  • True
  • False

Frage 11

Frage
Define which of the following gross changes refer to acute bronchitis:
Antworten
  • hyperemic and opalescent mucosa
  • catarrhal exudate in the bronchial lumen
  • fibrinous- hemorrhagic exudates
  • peribronchial fibrosis

Frage 12

Frage
What are the typical gross findings in pneumonia, caused by Klebsiella?
Antworten
  • mucus appearance of the cut surface
  • necrotic, easily torn cut surface
  • grayish-red color of the cut surface
  • hemorrhagic fluid outflows from the cut surface

Frage 13

Frage
What is the size of the most pathogenic Si02 particles?
Antworten
  • 1-2mcr
  • 5-mcr
  • 5-8mcr
  • 10mcr

Frage 14

Frage
Combination of which factors can lead to hypostatic bronchopneumonia?
Antworten
  • bed rest for a long time in one and the same position
  • activation of the saprophytic lung flora
  • massive viral infection
  • insufficiency of the surfactant

Frage 15

Frage
Which of the following processes can lead to compressive atelectasis?
Antworten
  • massive pleural effusion
  • pneumothorax
  • mediastinal tumor
  • tumor of a main bronchus

Frage 16

Frage
Which of the following factors can cause bronchial carcinoma?
Antworten
  • chronic bronchitis with epithelial metaplasia
  • smoking
  • grippe
  • congenital malformations

Frage 17

Frage
What is the pleural and pericardial exudate in Iymphogenic invasion of the lung carcinoma?
Antworten
  • fibrinous
  • purulent
  • hemorrhagic
  • no changes

Frage 18

Frage
Which gross changes are typical for senile emphysema?
Antworten
  • dilated lungs with increased volume
  • air bubbles on the lung surface
  • decreased in size lungs collapsed to the hilus
  • relaxed lungs with decreased density

Frage 19

Frage
Which are the typical histological elements of grey hepatisation?
Antworten
  • erythrocytes
  • leucocytes
  • fibrin
  • lymphocytes

Frage 20

Frage
Which are the complications of bronchial cancer?
Antworten
  • mantle pneumonia
  • brown induration of the lung
  • septicopyemia
  • massive hemorhage

Frage 21

Frage
Silicosis is a pneumoconiosis, which is due to inhalation of particles of
Antworten
  • SiO2
  • asbestos
  • coal dust

Frage 22

Frage
Macroscopic forms of lung carcinoma are:
Antworten
  • massive hilus nodule
  • large peripheral nodule
  • pneumnic form
  • tumor of Pancoast-Tobias

Frage 23

Frage
Which diseases can lead to chronic pulmonary heart:
Antworten
  • viral pneumonia
  • acute bacterial pneumonia
  • chronic obstructive emphysema
  • silicosis

Frage 24

Frage
Which diseases can lead topneumosclerosis:
Antworten
  • pneumoconiosis
  • carnification
  • total obstruction of bronchus
  • partial obstruction of bronchus

Frage 25

Frage
Which of the following gross changes are typical for focal pneumonia?
Antworten
  • affection of entire lobe
  • 1 cm sized foci with pale greyish color
  • varicolored thickened cut surface
  • 2cm sized peripheral thick greyish-white nodule

Frage 26

Frage
The autopsy of 54-years old man revealed whitish thick mass, attached to the left upper segmental bronchus, with dispersion on the smaller bronchi. Pulmonary parenchyma was thickened and opalescent liquid outflowed from the cut surface. Set the diagnosis:
Antworten
  • bronchial carcinoma
  • mantle pneumonia
  • gangrene of the lungs
  • pneumofibrosis

Frage 27

Frage
Radiography of a 46- years old man showed peripheral lesion in the left upper lung lobe. He complained of headache and dizziness. The autopsy revealed tumor mass in the left upper lung lobe and metastases in the hilus lymph nodes. Mucus- purulent plugs were seen on the cut surface. Multiple pinkish- white nodules were found in the cerebral and cerebellar hemispheres. Set the diagnosis:
Antworten
  • bronchial carcinoma
  • brain metastases of lung carcinoma
  • hydatide cyst of the lung
  • silicosis

Frage 28

Frage
The autopsy revealed large easily torn greenish lung area with an unpleasant odor, surrounded by areas with atelectasis. Histologically was revealed necrosis with many microorganisms. There was no inflammatory reaction. Set the diagnosis:
Antworten
  • emphysema
  • lung carcinoma
  • lung abscess
  • gangrene of the lung

Frage 29

Frage
The autopsy revealed bilateral pleural adhesions, cylindrical sacciform bronchiectasis, 4 small abscesses in right lower lung lobe, pneumofibrosis. Set the diagnosis:
Antworten
  • bronchiectatic disease
  • staphylococcal pneumonia
  • gangrene of lung
  • abscess of lung

Frage 30

Frage
The autopsy revealed diffuse bronchiectasis; pneumosclerosis and pleural adhesions, pulmonary heart and congestion in the internal organs; edema of leptomeninges. Brain, liver, spleen and suprarenal glandsare thickened. Kidneys- enlarged with waxy density, pale extended cortex and dark pyramids. What was the complication of the main disease:
Antworten
  • secondary amyloidosis
  • brown induration of the lungs
  • glomerulonephritis
  • pyelonephritis

Frage 31

Frage
Do we often encounter Staphylococcal pneumonia in adults?
Antworten
  • True
  • False

Frage 32

Frage
Do we observe microscopically leukocytes and fibrin in the exudate in the 1st stage of croupous pneumonia?
Antworten
  • True
  • False

Frage 33

Frage
Will you consider chronic pneumonia if at the autopsy you find: emphysema, atelectasis, pneumofibrosis, bronchiectasis and fresh inflammatory foci?
Antworten
  • True
  • False

Frage 34

Frage
Is the pulmonary abscess a possible complication of the Streptococcal pneumonia?
Antworten
  • True
  • False

Frage 35

Frage
Can hypostatic pneumonia develop in congenital anomalies of the bronchial tree?
Antworten
  • True
  • False

Frage 36

Frage
ls interstitial emphysema commonly found?
Antworten
  • True
  • False

Frage 37

Frage
Does the pleura, lying upon the involved lung lobe in croupous pneumonia, react to the inflammation?
Antworten
  • True
  • False

Frage 38

Frage
ls asbestosis considered as a precancerous condition?
Antworten
  • True
  • False

Frage 39

Frage
Can Silicosis be complicated by tuberculosis?
Antworten
  • True
  • False

Frage 40

Frage
The most common localization of lung carcinoma is in the periphery.
Antworten
  • True
  • False

Frage 41

Frage
Point out the false statement in the following histological description of viral pneumonia:
Antworten
  • productive inflammation in the bronchial mucosa
  • productive inflammation in the interstitium
  • giant cells
  • leukocytic infiltration

Frage 42

Frage
Determine me pathological process in the pulmonary parenchyma, when you take into consideration the microscopic description- necrotic focus, detritus, a layer of leukocytes and macrophages:
Antworten
  • acute pulmonary abscess
  • chronic pulmonary abscess
  • bronchiectasis
  • lung carcinoma with necrosis

Frage 43

Frage
The following histological phenomena can be found in chronic bronchitis:
Antworten
  • hyperplasia of mucinous glands
  • inflammatory infiltration by lymphocytes and plasma cells
  • hypertrophied muscle fibers and torn elastic fibers
  • squamous cell metaplasia of the epithelium

Frage 44

Frage
The muscle layer of the bronchial wall in bronchial asthma is:
Antworten
  • atrophic
  • hypertrophic
  • replaced by fibrous tissue
  • with squamous cell metaplasia of the epithelium

Frage 45

Frage
Determine which of the following changes can be observed in acute bronchitis:
Antworten
  • hyperemia of the mucosa
  • desquamation of the epithelium
  • infiltration of the mucosa by leukocytes and macrophages
  • infiltration by lymphocytes, plasma cells and single leukocytes

Frage 46

Frage
Define the pathological process in pulmonary abscess:
Antworten
  • limited purulent inflammation of the lung
  • development of mature fibrous tissue
  • recurrent inflamatory process
  • cystic formation, caused by Echinococcus

Frage 47

Frage
Point out the diseases, which can lead to atelectasis:
Antworten
  • obstruction of a bronchus
  • dilation of a bronchus
  • lung edema
  • outer compression of the lung

Frage 48

Frage
The following complications can occur in bronchial carcinoma:
Antworten
  • atelectasis
  • recurring pneumonias
  • brown induration of the lungs
  • septicopyemia

Frage 49

Frage
Point out the characteristic changes in silicosis:
Antworten
  • whirl-like collagen fibers
  • irregularly situated collagen fibers
  • central caseous necrosis
  • multiple coniophages around the nodule

Frage 50

Frage
Point out the characteristic gross changes in chronic obstructive emphysema:
Antworten
  • lungs smaller in size and shrunk towards the hilum
  • lungs with increased volume
  • firmer consistency of the lungs
  • diminished elasticity and soft consistency

Frage 51

Frage
Which of the following pulmonary changes are complications of crupous pneumonia?
Antworten
  • abscess
  • chronic pneumonia
  • gangrene
  • brown induration of the lungs

Frage 52

Frage
Which of the following are complications of bronchiectasis?
Antworten
  • chronic hepatitis
  • secondary amyloidosis
  • septicopyemia
  • chronic corpulmonale

Frage 53

Frage
Hypostatic bronchopneumonia develops in combination of the some of the following factors:
Antworten
  • surfactant insufficiency
  • activation of the saprophytes in the lungs
  • massive viral infection
  • in bedridden patients

Frage 54

Frage
Which size of Silicon dioxide dust particles possesses the strongest disease-causing potential:
Antworten
  • 1-2microns
  • 5microns
  • 5-8microns
  • 10-15microns

Frage 55

Frage
Point out the most common histological types of lung carcinoma:
Antworten
  • squamous cell
  • adenocarcinoma
  • undifferentiated small cell carcinoma
  • leiomyosarcoma

Frage 56

Frage
The cut surface of the whole lower lobe of the right lung of a 48 yrs old deceased man, is firm, finely granular, greyish and dry. The pleura is covered by a fine greyish exudate. Histologically, the alveoli and alveolar ducts are filled by a thick mixture of fibrin and leukocytes. What is the correct pathologic-anatomical dlagnosis?
Antworten
  • croupous pneumonia in state of grey hepatization
  • croupous pneumonia in state of resorption
  • pneumocystic pneumonia
  • chronic pulmonary abscess

Frage 57

Frage
At the autopsy of a 67yrs old man, the lungs are enlarged, filling the thorax, overlying the heart, with soft consistency. There are several air-filled bubbles, sizes- 0.2-3cm. What is the gross pathologic-anatomical diagnosis
Antworten
  • silicosis
  • tuberculosis
  • bronchiectasis
  • chronic diffuse obstructive emphysema

Frage 58

Frage
In a 57-yrs old man, who is cachectic, smoker, a tumor formation is seen in the upper lobe of the right lung, having a whitish colour, granular structure, with necrosis. The pleura is covered in small, firm nodules. Hemorrhagic pleuritis and pericarditis are also found. The hilum and mediastlnal lymph nodes are enlarged with a whitish color. What is the correct gross diagnosis?
Antworten
  • lung carcinoma
  • lung carcinoma with metastases
  • tuberculosis
  • bronchiectasis

Frage 59

Frage
At an autopsy, large portion of one of the lungs is teary, greyish-green, with a foul smell. The surrounding areas are atelectatic. Histologically, there is seen necrosis with abundance of microorganisms. There is no inflamatory reaction. What is the diagnosis?
Antworten
  • emphysema
  • lung carcinoma
  • abcess of the lung
  • lung gangrene

Frage 60

Frage
At an autopsy, there are found bilateral pleural adhesions, cylindrical and sacciform bronchiectasis. There are also seen four small abscesses in the lower right lung, pneumofibrosis. What is the diagnosis?
Antworten
  • bronchiectatic disease
  • staphylococcal pneumonia
  • gangrene of the lung
  • abscess of the lung
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