Quiz
Clinical Pathology (101-200) MCQs- Year 4 PMU
Questions in this quiz (100)
1Chronic bronchitis can be characterized by the following
- Ahypertrophy of the smooth muscle layer of the bronchi
- Bsquamous cell metaplasia of the respiratory epithelium
- Ccan cause cor pulmonale chronicum
- Dall of the above
2Which type of emphysema most frequently causes pneumothorax?
- Aparaseptal
- Bsenile
- Cbullous
- Dcentrolobular
3In diffuse pulmonary emphysema we can notice the following changes
- Athe lungs are with increased density
- Bthe lungs are enlarged
- Cwe observe atrophy of the interalveolar septi
- Dthere is hypertrophy of the interalveolar septi
4What is the order in which we observe the different histological stages in pneumonia crouposa?
- Acongestion, grey hepatisation, red hepatisation, resolution
- Bgrey hepatisation, congestion, red hepatisation, resolution
- Ccongestion, red hepatisation, grey hepatisation, resolution
- Dcongestion, red hepatisation, grey hepatisation, lung abscess
5Which complications can we observe in lobar pneumonia?
- Acarnification
- Bfibrinous pleuritis
- Clung abscess
- Dnone of the above
6In which stage of pneumonia crouposa (lobar pneumonia) can we hear crepitations?
- Agrey hepatisation
- Bcongestion
- Cresolution
- Dred hepatisation
7Pleural friction in pneumonia crouposa (lobar pneumonia) can be detected in
- Athe stage of congestion
- Bthe stage of grey hepatisation
- Cthere is no pleural friction in pneumonia crouposa
- Dall stages
8Characteristic features of hypostatic pneumonia
- Ait is observed in the apical lobes of the lungs
- Bit is unilateral
- Cit is observed in the lower posterior segments of both lungs
- Dthere is impaired ventilation in the segments where it occurs
9In hypostatic pneumonia
- Athere is activation of saprophytic flora
- Bit is caused by pneumococci
- Cit is caused by Pneumocystis carini
- Dthere is hypoventilation in the lower posterior segments
10In bronchopneumonia we can observe
- Ascattered grey-yellow foci in the lung parenchyma
- Bconfluent grey-yellow foci
- Ccentral collection of pus in these foci
- Drusty sputum
11Bronchopneumonia is characterized by
- Ahigh fever, weakness, cough
- Bcan be complicated by septicopyemia
- Ccan be descending from purulent bronchitis
- Dmycetoma
12Fungal pneumonia can be caused by
- Aold age
- Blong-term antibiotic treatment
- Cin autoimmune diseases, where patients are treated with corticosteroids
- Dimmune deficit
13In fungal pneumonia we can observe
- AFungal colonies
- BUncharacteristic clinical signs
- CInterstitial pneumonia
- DVan Gieson positive fungi
14In interstitial pneumonia
- Athere is involvement of only one lobe
- Bthe inflammatory infiltrate is rich in lymphocytes
- Cplasma cells are seen in the inflammatory infiltrate
- Dthe interalveolar septi are thickened
15In pneumonia crouposa (lobar pneumonia) we can observe the following histological changes
- Afocal purulent inflammation
- Bfibrino-purulent exudate in the alveoli
- Cartificial detachment of the fibrin fibrils from the alveolar walls
- Dspared alveoli filled with air
16What are the characteristic microscopic features of chronic pyelonephritis?
- Apericapsular glomerulosclerosis
- Bmesangial hyperplasia
- Clymphoid infiltrates in the interstitium
- D"thyroidization " of the tubules
17What is the most common outcome of tubal pregnancy?
- Arupture of the fallopian tube
- Bsecondary peritoneal pregnancy
- Cpregnancy with normal birth
- Dfetal transition into lithopedion
18Which of the following diseases affect the white substance of the brain?
- Apost-vaccination encephalitis
- Bpolioencephalitis
- Cmultiple sclerosis
- Dlethargic encephalitis
19Where are the first and major vascular changes in hypertension?
- Aaorta
- Bvessels of muscle type
- Carterioles
- Dveins
20Specify which stages are not found in lobar pneumonia
- Aproliferative
- Bgray hepatization
- Cred hepatization
- Dresolution
21The most common case of acute post hemorrhagic anemia are:
- Aacute hemolysis
- Btraumatic
- Cintoxication
- Dall three above
22Which are tumor-like processes in the mouth
- Apolyp
- Bfibroma
- Chemangioma
- Depulis
23In myeloma often develops
- Ahyper-para-proteinemia
- Bamyloidosis
- Crenal failure
- Dchronic pyelonephritis
24In periarteritis nodosa occur
- Acalcium deposits in the vessel wall
- Bendarteriitic changes
- Cfibrinoid necrosis in the vessel wall
- Damyloidosis
25Tubulorexis is seen in
- Aacute pyelonephritis
- Bischemic tubular necrosis
- Ctoxic tubular necrosis
- Durinary acid attack
26Which of the above pathological processes, refers to the proliferative state of rheumatism?
- Amucoid edema
- Bfibrinoid deposition
- Cgrowth of connective tissue
- Dformation of granulomas
27Basal leptomeningitis is found in
- Asepsis
- Btuberculosis
- Cinfluenza
- Dneurosyphilis
28What diseases comprise COPD
- Achronic bronchitis
- Bprimary pulmonary hypertension
- Clung carnification
- Dpulmonary emphysema
29Which of the ovarian tumors is related to transitional epithelium
- ABrenner tumor
- BAdrenoblastoma
- CMucinous cystadenoma
- DSerous cystadenoma
30Typical changes in the heart in hypertension are
- Ahypertrophy of the left ventricle
- Bhypertrophy of the right ventricle
- Cmitral stenosis
- Dbrown atrophy of the liver
31In classical nephritic syndrome is found
- Aheavy proteinuria over 3,5 g/24 h
- Berythrocytes in the urine
- Chypertension
- Dazotemia
32Which are the morphological subtypes of ameloblastoma
- Acystic
- Blaminar
- Csoft
- Dsolid
33What complications can occur at the site of chronic heart aneurysm?
- Amyocardial rupture
- Bmural thrombosis
- Cregeneration of the muscle layer
- Dadhesive pericarditis
34Indicate where the viruses of hepatitis A and B replicate after enteral or parenteral penetration
- Aintestines
- Bin mesenteric lymph nodes
- Cin other lymphoid organs
- Din liver
35Serous meningitis can be caused by
- Aherpes simplex infection
- Ba streptococcal infection
- Cinfluenza infection
- Dmumps
36"Big white kidneys " are seen in
- Achronic pyelonephritis
- Brapidly progressive glomerulonephritis
- Crenal amyloidosis
- Ddiabetic nephropathy
37Lobar pneumonia is
- Alobular
- Bfibrinous
- Ccatarrhal
- Dpleuropneumonia
38What are the complications of atherosclerosis of the femoral artery
- Athrombophlebitis
- Batrophy of the limb
- Cgangrene
- Dthrombosis
39The pathogenesis of hydrocephalus is due to
- Athe increased volume of CSF
- Bswelling of the brain
- Cimbalance between absorption and spinal fluid production
- Dischemia
40Indicate which diseases are intraepithelial neoplasms
- Apre-cancers
- Btumor-like processes
- Cinvasive tumors
- Dinflammatory diseases
41When is mostly seen the acute aneurysm of the heart?
- Ain the acute phase of myocardial infarction
- Bin diphtheria myocarditis
- Crheumatic myocarditis
- Dat aortic stenosis
42Early carcinoma of the stomach means
- Acarcinoma infiltrating submucosa
- Bcarcinoma in situ
- Ccarcinoma infiltrating muscular layer
- Dcarcinoma infiltrating the serosa
43What is abortion?
- Aan inflammatory condition
- Ba spontaneous abortion
- Cartificial interruption of pregnancy
- Dtumor
44Which of the following morphologic methods are used for classifying the lymphomas
- AStaining with van Gieson
- BPAS reaction
- CStaining with von Kossa
- DImmunohistochemistry
45Which of these tumors frequently metastasize to bone
- Aliposarcoma
- Bosteosarcoma
- Cprostate cancer
- Dbreast cancer
46Which of the following thyroid cancer is associated with amyloidosis
- AFollicular carcinoma
- BMedullary carcinoma
47Which type of lung carcinoma has the worst prognosis
- ASquamous cell carcinoma
- BSmall cell carcinoma
48Which of the following is true for medullary carcinoma of the breast
- AWorse prognosis
- BProminent lymphoid infiltrate
49Which of the following type of lipids has the highest association with atherosclerosis
- ATriglycerides
- BLow-density lipoproteins
50Calcifying sclerosis of aorta and big arteries is type of
- ADystrophic calcification
- BMetastaic calcification
51The most frequent form of primary glomerular disease in children is
- AMinimal change disease
- BAcute glomerulonephritis
52Hyperfunction of anterior pituitary in pre-pubertal children generally can result in:
- AAcromegaly
- BGigantism
53The role of external radiation in the etiology of thyroid cancer is predominant in:
- APapillary carcinoma
- BFollicular carcinoma
54The following type of carcinoma of the breast is characterized by ‘lndian file’ pattern of tumor cells
- AInfiltrating ductal carcinoma
- BInvasive lobular carcinoma
55Prostatic hyperplasia affects most often
- APeripheral prostate
- BPeriurethral prostate
56Which criteria refer to pernicious anaemia
- ALow serum B12
- BMegaloblastic anaemia
- CAntibody against intrinsic factor of stomach
- DGastric parietal cell antibody
57Which of the following tumors have association with occupational exposure to asbestosis
- ASilicosis
- BMalignant mesothelioma
- CSquamous cell carcinoma
- DLaryngeal carcinoma
58Which of the following features characterize ulcerative colitis, except
- AFormation of crypt abscess and cryptitis
- BSuperficial mucosal ulceration
- CDepletion of goblet cells and mucus
- DStricture formation in chronic cases
59Philadelphia chromosome is characterized by
- Atranslocation (8; 14)
- Btranslocation (9:22)
- Ctranslocation (22:9)
- Dtranslocation (14;8)
60Which of the following are included in classic Hodgkin’s disease
- AHistiocytic fibrosis
- BLymphocytic depletion
- CMixed cellularity
- DNodular sclerosis
61Pulseless disease is
- ATemporal arteritis
- BKawasaki’s disease
- CTakayasu arteritis
- DBuerger’s disease
62The morphologic variants of diagnostic cells in Hodgkin’s disease are
- ACells with bilobed nucleus appearing as mirror image
- BMegaloblastic cells
- CLacunar type cell
- DLarge cleaved cells
63Crohn’s disease is characterized by the following histopathologic features
- ANon-caseating sarcoid like granulomas
- BDeep transmural ulceration
- CMultiple abscesses
- DPseudopolyps
64According to monoclonal atherosclerotic hypothesis, the primary event in atherosclerosis is
- AMonoclonal proliferation of endothelial cells
- BMonoclonal proliferation of smooth muscle cells
- CMonoclonal proliferation of monocytes
- DMonoclonal proliferation of foam cells
65Barrett’s oesophagus is
- ACongenital anomaly
- BInflammatory disease
- CMetaplastic process
- DNeoplastic lesion
66The most common site of involvement of atherosclerotic aneurysm is
- AArch of aorta
- BThoracic aorta
- CSuprarenal part of abdominal aorta
- DIntrarenal part of abdominal aorta
67The following histologic types of bronchogenic carcinoma have strong association with cigarette smoking except
- ASquamous cell carcinoma
- BSmall cell carcinoma
- CLarge cell carcinoma
- DAdenocarcinoma
68The most important and common complicated atheromatous lesion in the coronary artery in route myocardial infarction is
- ACalcification
- BCoronary artery thrombosis
- CAneurysm
- DUlceration
69In hypertensive heart disease left ventricular hypertrophy is correlated with
- ADuration of hypertension
- BSeverity of hypertension
- CCause of hypertension
- DSeverity of coronary atherosclerosis
70The most common causative organism for lobar pneumonia is
- AStaphylococci
- BStreptococci
- CPneumococci
- DHaemophilus
71The common complications of gastric ulcer are
- Apenetration
- Bpneumonia
- Chemorrhage
- Dperforation
72Which of the following types of acute viral hepatitis become chronic hepatitis
- Atype A
- Btype B
- Ctype C
- Dall the tree answers are correct
73What complication can occur due to atherosclerosis of femoral artery?
- Athrombophlebitis
- Bdiabetes mellitus
- Cgangrene
- Dpulmonary thromboembolism
74Nephrotic syndrome develops in
- Aurine retention
- Bacute renal failure
- Cacute pyelonephritis
- Dglomerulonephritis
75The infection which leads to pyelonephritis may be a result of
- Ahematogenous dissemination
- Bascending dissemination
- Cimmune conflict
- Das a complication of glomerulonephritis
76Which of the following diseases does not lead to nephrosclerosis
- Aatherosclerosis
- Bdiabetes mellitus
- Cdiabetes insipidus
- Dgout
77Squamous cell carcinoma is a common tumor in the
- AUterine body
- BOvaries
- CFallopian tubes
- DUterine cervix
78Which of the morphological methods are used for subtyping lymphomas?
- AVan Gieson staining
- BPAS
- CVon Kossa staining
- DImmunohistochemistry
79Which of the following complications can develop in pulmonary carcinoma
- Amantle pneumonia
- Bbrown induration of lungs
- Cempyema
- Dmassive hemorrhage
80Determine the pathological process in the lung parenchyma, having in mind the microscopic appearance - a focus of necrosis, detritus, leukocytes and macrophages
- Aacute pulmonary abscess
- Bchronic pulmonary abscess
- Cbronchiectasis
- Dlung cancer in decay
81Point out the characteristic macroscopic changes of chronic obstructive emphysema
- Adecreased in size lungs, collapsed to the hilum
- Blungs with increased volume
- Cthick consistency of the lungs
- Dreduced elasticity and soft consistency
82What disease is endometriosis?
- AInflammation of the uterine mucosa
- BInflammation of the uterine cervix
- CDishormonal disease
- DTumor
83Gynecomastia is a disease of
- Abreast in women
- Bovaries
- Cmale breast
- Dtestes
84What is typical for the first stage of syphilis?
- Asiphilides
- Bulcus durum
- Cgumma
- Dgeneralized lymphadenitis
85For tuberculous meningitis the following histological changes are typical
- Apurulent infiltration in the meninges
- Bendarteriitis obliterans
- Cgranulomatous inflammation
- Dcaseous necrosis
86Why are occupational diseases named pneumoconiosis?
- Acor hypertonicum
- Bdisease of the lungs associated with mineral dust inhalation
- Cpneumonia
- Dinfection of the bronchial wall and lung parenchyma
87Which of the following factors play a role in the development of bronchial carcinoma?
- Achronic bronchitis
- Bsmoking
- Cinfluenza
- Dwork/ environmental factors
88What is the exudate in the pleural cavity and pericardial sac due to lymphatic spread of pulmonary carcinoma into them?
- Afibrinous
- Bserous
- Chemorrhagic
- Dpurulent
89What forms of silicosis do you know?
- Anodular
- Bdiffuse-sclerotic
- Csenile
- Dcombination of a) and b)
90Apically located peripheral pulmonary carcinoma is represented by the eponym
- AClaude-Bernard-Horner syndrome
- BPancoast-Tobias
- CPtosis and miosis
- DEnophthalmus
91Which diseases complicate siliscosis?
- Acor hypertonicum
- Bcor pulmonale chronicum
- Ctuberculosis
- Dpneumofibrosis
92Claude-Bernard-Horner syndrome includes the following:
- Aptosis, midriasis, anhydrosis
- Bptosis, miosis, increased sweating
- Cptosis. miosis, pseudoenophthalmus
- Danhydrosis
93What possible gross changes we see in lung carcinoma?
- Apneumonia-like form
- Bill-defined central node connected to a bronchus
- Clinitis plastic
- Dperipheral ill-defined node
94Chronic bronchitis is usually accompanied by
- Asquamous cell metaplasia of the respiratory epithelium
- Bphases of purulent inflammation
- Cproductive cough for at least 2 months/year for 3 consecutive years
- Dproductive cough for at least 3 months/year for 2 consecutive years
95Squamous cell lung carcinoma occurs
- Ain the middle lobe of the left lung
- Bafter squamous cell metaplasia of the respiratory epithelium of bronchi
- Cas an ill-defined node connected to a bronchus
- Dforming nests of tumor cells producing keratin
96In small cell lung carcinoma we can observe
- Anumerous tumor cells with scant stroma
- Bthe tumor cells resemble oat-grains
- Cit grows in a pneumonia-like fashion
- Dthe tumor cells have very high proliferative rate
97Bronchiolo-alveolar pulmonary carcinoma is characterized by:
- Aforms papillary folds into the alveolar lumen
- Bit is a form of squamous cell carcinoma
- Cthe cells produce keratin
- Dit is a form of adenocarcinoma
98Hodgkin lymphoma has
- AFive histological variants
- BHodgkin cells
- CReed-Stern berg cells
- DPolyclonal inflammatory background
99In Hodgkin lymphoma we can observe
- Aeffaced lymph node structure
- Bnodular sclerosis histological form
- Cmixed cellularity histological form
- Dchronic myeloleukemia
100Non-Hodgkin lymphomas can be
- ANodal
- BB-cell and T -cell types
- CExtranodal
- Dnone of the above
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- Masters Pathoanatomy Quiz on Clinical Pathology (101-200) MCQs- Year 4 PMU, created by Med Student on 10/01/2019.
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