Quiz
General Pathoanatomy Final MCQs (401-519)- 3rd Year- PMU
Perguntas do quiz (119)
1Which type of cancer corresponds with the description "develops from glandular epithelium"?
- Atransitional cell carcinoma
- Badenocarcinoma
- Csquamous cell carcinoma
- Dsarcoma
2Point an etiology of the hemorrhagic infarction in the lung:
- Athrombosis of a branch of a. bronchialis
- Bthrombosis of a branch of v. pulmonalis
- Cembolism of a branch of a. pulmonalis
- Dchronic venous stasis in the lung
3State which of the following is a macroscopic characteristic of adenocarcinoma:
- Alike a "bowl"
- Blike a "cauliflower"
- Cround non-healing ulcers on the face
- Dvery dense knot in the face
4Which of the following terms are associated with amyloid deposition?
- Aporphiric spleen
- B'sago' spleen
- Cbig white kidney
- Dflint-like liver
5The most common localization of lymphangioma is:
- Athe face
- Bin sella turcica
- Con the phalanges of the toes
- Dlips, tongue
6Presence of the lymphocytes and plasma cells in the stroma of tumors is called:
- Areactive inflammation
- Bmorphological anaplasia
- Cstromal reaction
- Dsinus histiocytosis
7Factors for collateral arterial hyperemia are:
- Aprogressive obstruction of end-artery
- Ba sudden blockage of a main blood vessel
- Cvenous stasis
- Dpresence of shunts
8Metachromasia is:
- Aimmunohistochemical reaction
- Bexpression of cellular atypia
- Cchanging the background color of the stain depending on the chemical composition of the tissue
- Dimpregnation methodology for argirophilic fibers
9Carcinoids are:
- Atumor-like process
- Bbenign tumors
- Cmalignant tumors
- Dhyperplastic process
10In course of diabetes mellitus the deposit of glycogen could be observed in:
- AC cells of islets of Langerhans
- BCardiomyocytes
- CIn epithelium of Henle's loop
- DNuclei of liver cells
11The description „signet ring" cell is used for:
- Afatty degeneration of hepatocytes
- Bmucus producing adenocarcinoma
- Cvacuolar degeneration of hepatocytes
- Dglycogen infiltration of Henle's loop
12Which of these mechanisms are NOT related to a hyaline degeneration
- Aalkalosis
- Bincreased protein synthesis
- Cenhanced rearbsorbsion
- Dacidosis
13In mechanical jaundice the following could be seen:
- Aindirect bilirubin predominates in blood
- Bin the urine is increased urobilinogen
- Cbilirubin is found in urine
- Dfeces are intensively dark
14Specify the conditions and diseases in which dystrophic calcification could be
- Aatherocalcinosis
- Bdeposition of calcium in the stomach
- Ccalcified venous thrombi
- Dcalcifications in primary tuberculotic complex
15Amyloid has following characteristics:
- Ais identified in polarized light in tioflavin S
- Bhows metahromasia with Perls
- Cno fluorescence in congorot milieu
- Dultrastructurally has fibrillary structure
16Massive embolism in the trunk of the pulmonary artery causes:
- Adeath from sudden cardiac arrest
- Balgor mortis (mortal terror)
- Chemorrhagic infarction in lung
- Dasphyxia
17There is no such embolism like:
- Aparasitic
- Btumor cell
- Cbacterial
- Dviral
18Nutmeg liver occurs in:
- Athrombosis of v. portae
- Bcor pulomonale chronicum
- Cretrograde embolism from v. poplitea
- Dchronic right heart failure
19List the elements of granulation tissue:
- Anewly formed blood vessels
- Bgiant cells
- Ccollagen fibers
- Dfibroblasts
20How does carcinoma in situ metastasize?
- Aby the lymph flow
- Bperineural
- Cby the blood flow
- Ddoes not metastasize
21The most frequent localization of neurinoma in the skull is:
- Aponto-cerebellar angle
- Bfalx cerebri
- Ctentorium cerebelli
- Dcerebellum
22It is recommended for biopsies to be taken with and from:
- Aelectric knife
- Bfrom the periphery of the lesion to the border with healthy tissue
- Cfrom the central area of lesion
- Dby cutting
23"Tiger" heart is diagnosed in terms of:
- Asubepicardial deposition of adipose tissue
- Bdeposition of adipose tissue in septal wall
- Cpapillary muscle cells with fatty change
- Din infarction area of the left ventricle
24Hyialine-drop degeneration is:
- Aextracellular degeneration
- Bfatty degeneration
- Ctype of cellular injury
- Dcarbohydrate degeneration
25Hyperemic-hemorrhagic area occurs in:
- Agout around ureic acid deposits
- Banemic infarction
- Cnodular amyloidosis
- Dpneumonia crouposa
26Which are the conditions for the development of hemorrhagic infarction of the lung?
- Athrombosis of a bronchial artery
- Bdouble circulation of the lung
- Cembolism of a pulmonary artery branch
- Dchronic venous congestion in the lung
27Which of the followings are the elements of the Virhov's triad?
- Adamage to the endothelium of vascular wall
- Bchange in the composition of blood
- Cdelay and disruption of blood flow
- Dacceleration of blood flow
28Secondary lung hemosiderosis can develop in:
- Achronic right-sided heart failure
- Bleft-sided chronic heart failure
- C'pulmonary heart'
- Dtricuspid valve insufficiency
29In which of the following pathological processes occur a deep fibrinous inflammation:
- Afibrinous tracheitis
- Bpneumonia crouposa
- Cdiphtheria of the tonsils
- Dfibrinous pericarditis
30Decide which cells are found in tuberculoid granuloma:
- Axantomal cells
- Bepitheloid cells
- Cgiant cells "foreign body" type
- Dgiant cell 'Tuton'
31Signet-ring cells are seen in:
- Ain obesity
- Bvacuolar degeneration of tubular epithelium in kidney
- Cliver steatosis
- Dadenocarcinoma accumulating mucus in tumor cells
32Squamous cell carcinoma may develop from:
- Amouth mucosa
- Blining of the bronchi
- Clining of the vaginal part of cervix
- Depithelium of gastric mucosa
33Dermoid cyst is:
- Amature teratoma, which occurrs most frequently in the ovary
- Bbenign tumor of cells of the soft meninges
- Cpigmental tumor
- Dbenign tumor associated with pregnancy
34Basal cell cancer is localized most often:
- Ain the skin of the forearm
- Bskin on palms
- Cskin of the lower limbs
- Dface
35The term "patognomonic changes' means:
- Aunexplained changes
- Bchanges specific for the diagnosis
- Cparadoxal changes
- Ddiffuse inflammatory changes
36Amyloid demonstrates the following characteristics:
- Ais a fibrillary protein
- Bis positive with Perls stain
- Cis Congo-red negative
- Dis deposited in giant cells
37Specify the correct meaning:
- Alivores — postmortem change of the color in certain (lower) parts of the body
- Brigor mortis - cooling of the body after death
- Calgor mortis — postmortem muscle stiffness
- Dautolysis — postmortem decay
38ULCUS RODENS (rodent ulcer) is a metaphor for macroscopical finding in:
- Aadenocarcinoma of the stomach
- Bluetic ulcer
- Crodent bites
- Dbasal cell carcinoma
39Complete and entire removing of a lesion applies to which type of biopsy :
- Aincision biopsy
- Baspiration biopsy
- Cexcision biopsy
- Dpuncture biopsy
40Specify the typical signs of mucoid edema
- Apositive staining for fibrin
- Bmetachromasia when staining with Toluidine blue
- Cbasophilia of extracellular matrix
- Dpreserved striation of transverse collagen fibers
41Embolus coming out of the right atrium may be found in which of these vessels?
- Aa. pulmonalis
- Bvv. pulmonalis
- Caorta
- Da. bronchialis
42Lung hemosiderosis can develop in:
- Achronic right-sided heart failure
- Bchronic left-sided heart failure
- Cmitral valve stenosis
- Dtricuspid valve insufficiency
43How to prove air embolism:
- Ain the presence of witnesses
- Bby puncture in the right ventricle
- Cautopsy should be done when the dead body is immersed in water
- Dby puncture in left ventricle
44Which are the predisposing conditions for development of hemorrhagic infarction of the lung?
- Athrombosis of a branch of bronchial artery
- Bthromboembolism of a branch of pulmonary artery
- Cdouble circulation of the lungs
- Dchronic venous congestion in the lung
45Hyperemic-haemorrhagic zone occurs in:
- Ain gout around uric acid deposits
- Banemic infarction
- Cnodular amyloidosis
- Dpneumonia 'crouposa'
46The term 'mononuclear' inflammatory infiltrate includes:
- Aeosinophils
- Bneutrophils
- Cplasma cells
- Dlymphocytes
47What type of changes predominate in proliferative (chronic) specific inflammation:
- Agranulomas
- Babscess
- Cdiffuse inflammation
- Dall of the above
48The development of a new tumor in the scarring area of previously surgically removed malignant tumor is called:
- Arecurrence
- Bectopia
- Cmalignant degeneration
- Dretrograde metastasis
49Presence of lymphocytes and plasma cells in the stroma of tumors is called:
- Areactive inflammation
- Bmorphological anaplasia
- Cstromal reaction
- Dsinus histiocytosis
50Epithelial cancers are characterized by:
- Aexpansive growth
- Bcell atypia
- Cmostly lymphogenic metastases
- Dmetastases mainly by hematogenous way
51The term "patognomonic" changes mean:
- Aunexplained changes
- Bchanges specific for the diagnosis
- Cparadoxal changes
- Ddiffuse inflammatory changes
52The following microscopic description of a liver steciment indicate: "After preparation of the specimen with paraffin method and staining with H-E, hepatocytes show empty vacuoles with different size, the nuclei are often displaced to the periphery and the cytoplasm looks empty."
- Aliver steatosis/fatty liver
- Bliver anthracosis
- Cliver jaundice
- Dliver hemosiderosis
53Which type of liver degeneration can be proved with the following description? — The specimen is prepared from fresh unfixed tissue or fixed with formalin, cut on a frozen microtom and stained with Sudan Ill in orange.
- Acarbohydrate degeneration
- Bcell edema
- Cbilirubin accumulation/jaundice in the liver
- Dfatty degeneration/liver steatosis
54The following gross description "red and yellow stripes in the papillary muscles" is characteristic for:
- Alipomatosis of the heart
- Btiger heart
- Cfatty liver
- Djaundice of the liver
55The following gross description "fatty accumulation along the coronary vessels, but in severe cases the lipid accumulation is diffusely spread under the epicardium" is characteristic for:
- Alipomatosis of the heart
- Btiger heart
- Cfatty degeneration of the heart
- Dall of the above
56The following description indicate which type of change: "Peribronchial and perivascular spaces revealled black pigment which on high magnification appears as small granules. Some of the pigment is found in the macrophages lying in the alveolar spaces (coniophages)".
- Acoal dust in lungs
- Bantracosis pulmonis
- Cbrown induration of lungs
- Dlung infarction
57What change of the lung is described? — H-E staining: The alveoli are filled with siderophages. They accumulate golden-brown pigment as a result of phagocytosis of the hemolized erytrocytes due to intra-alveolar per-diapedesin hemorrhages. Intraalveolar septa are thickened because of the development of connective tissue.
- Aantracosis pulmonis
- Bhemorrhagic infarction of the lung
- Chemosiderosis pulmonis
- Dlung edema
58The following microscopic description indicates:
"Yellow-brown-green pigment is accumulated as tiny granules in the cytoplasm of the hepatocytes, in the lumens of the biliary capillaries as bile thrombi and in the lumens of bileducts as cylinders.- Afatty degeneration of the liver
- Bmassive necrosis of the liver
- Cchronic venous congestion of the liver
- Djaundice of the liver
59The following microscopic description indicates:
H-E staining: The epithelial cells of the renal tubules accumulate yellow browm-green pigment as tiny granules in their cytoplasm. The same pigment is accumulated as cylinders in the lumens of the straight and collective renal tubules- Aargyria of the kidney
- Bjaundice of the kidney/icterus renis
- Ccarbohydrate degeneration of the kidney
- Dchronic pyelonephritis
60The following microscopic description indicates:
H-E staining: The lesion consists of nests of normal melanocytes that accumulate different quantity of brown-black pigment. These cells can be found in papillary or reticular derma of the skin.- Anaevus pigmentosus
- Bmelanoma malignum
- Cskin oedema
- Dbasal cell carcinoma
61The following gross description of the lungs is typical for:
"Brick-red to brown colour of the lungs, firm consistency, decreased elasticity"- Aantracosis pulmonis
- Bbrown induration of the lungs
- Cpneumonia developing in both lungs
- Dlung infarction
62The following clinical features: left-sided heart failure, dyspnoe (shortness of breath), frequent cough with rusty colour expectoration, can be seen in:
- Abrown induration of the lungs/hemosiderosis of lungs
- Bheart tamponade
- C1st degree AV-block
- Dall of the above
63Which heart disease can be described with the following microscopic picture'. The cuspid valve when stained with H-E shows loose area — clear and unstained spaces between fibrous structures representing interstitional mucoid
Fibroblasts are seen around this clear zone and in the periphery of the cuspid valve (sign of fibrosis). The valve contains many newly formed capillaries (the is called vascularization).- Aacute endocarditis
- Bsubacute endocarditis
- Cage-related degeneration of the valve
- Drheumatism
64Which answer is correct for the following microscopic description: I-I-E staining: The liver columns are atrophic, the sinusoids look dilated. The hepatocytes are smaller in size and contain brown-golden pigment granules with perinuclear localization.
- Anutmeg liver
- Bcyanosis hepatis
- Cacute hepatitis
- Datrophy of the liver
65"The following description of the liver is indicative for:
The liver is increased in size, with firm texture, red-purple color, congested vessels, microscopically the sinusoids are dilated and filled with erythrocytes.- Ahepar muschatum/nutmeg liver
- Bcyanosis of the liver
- Cbrown atrophy of the liver
- Dliver cirrhosis
66The following description of the liver is indicative for:
The liver is increased in size, with motley cut surface showing red areas surrounded by yellow halo:- Anutmeg liver
- Bcyanosis of the liver
- Cbrown atrophy of the liver
- Dliver cirrhosis
67The following microscopic description is indicative for:
H-E staining: Sinusoids are dilated and filled with blood. "Bloody lakes"are seen in the centro-lobular areas among the necrotic hepatocytes. The hepatocytes around them are with lipid degeneration and look like "signet-ring" cells. In the intermediate lobular areas the hepatocytes are atrophic.- Acyanosis hepatis
- Bnutmeg liver
- Cliver cirrhosis
- Dliver amyloidosis
68The following microscopic description is indicative for:
H-E staining: Alveolar spaces are filled with precipitaded homogenous pink fluid. Alveolar septi and capillaries are dilated and filled with erythrocytes. Airy bubbles can be found in the alveolar cavities and in the lumens of bronchi.- Ahemorrhagic infarction of the lung
- Bhemosiderosis pulmonis
- Cpulmofibrosis
- Dlung edema
69Indicate the cause of death according to the described test.
"After Y-shaped opening of the pericardium, the pulmonary artery is cut on 2cm after its beginning. Tweezers are inserted in the vessel and its content is taken out, which looks dry and crumblie".- Amassive thromboembolism in the trunk of a. pulmonalis (saddle embolus)
- Bair embolism
- Camniotic embolism
- Dheart tamponade
70Indicate the cause of death according to the described test:
"After Y-shaped opeing, the pericardial sac is filled with water. After puncture of the right heart ventricle with a sharp knife are seen air bubbles".- Amassive thromboembolism in the trunk of a.pulmonalis (saddle embolus)
- Bair embolism
- Camniotic embolism
- Dheart tamponade
71The following microscopic description is indicative for:
H-E staining. Thrombus formation with layered structure, occluding completely or partially the lumen of the blood vessel. In the area of disturbed endothelial layer is seen alternation of pink stripes and bands (aggregated thrombocytes and fibrin fibres) and orange accumulations (erythrocytes).- Ared thrombus
- Bwhite thrombus
- Cmixed thrombus
- Dhyaline thrombus
72The following microscopic description of the kidney is indicative for:
H-E staining: On low magnification is seen pinkish area with no nuclei or picnotic nuclei and the cytoplasms of the necrotic cells is granular and eosinophillic. Kidney structures look like shadows. This pinkish area is surrounded by blue rim, of inflammatory cells (lymphocytes and leucocyts) and thin band of erythrocytes (the so called hyperemic-hemorrhagic area).- Aacute pyelonephritis
- Banemic infarction of the kidney
- Camyloidosis of the kidney
- Dchronic pyelonephritis
73The following microscopic description of the lung indicates for:
On H-E staining: Necropsy material taken 24 hours after death. The alveoli are filled with agglutinated and hemolized erythrocytes, the alveolar walls are necrotic. The preserved alveoli are filled with edematous fluid and hemosiderophages. The latest changes are a sign for chronic venous congestion.- Ahemorrhagic infarction of the lung and hemosiderosis
- Bpneumonia and hemosiderosis
- Csmall cell cancer and hemosiderosis
- Dpneumonia and lung edema
74The following microscopic description of the lung is indicative for:
The specimen is prepared by frozen section of unfixed tissue. Sudan Ill staining shows round, oval, elongated or branched, orange stained drops in the capillaries, with complete occlusion of their lumen.- Aparasite embolism of the lung
- Bthromboembolism of the lung
- Camniotic embolism
- Dfat embolism of the lung
75What is the organ diagnosis if during autopsy are seen the following changes: Complicated atherosclerotic plaques of the aorta and renal arteries with ulceration and thrombosis, small in size right kidney showing depressed area in its middle part, which is 3x4cm in size, with pale color, firm texture and triangular shape.
- Achronic pyelonephritis
- Banemic infarction of the kidney
- Cchronic glomerulonephritis
- Dabscess of the kidney
76The following microscopic description of the heart is indicative for: H-E staining: Among the myocardium are found cavities filled with purulent exudate. In the centre of some of them are seen groups of microorganisms, stained in dark blue. The adjacent cardiomyocytes are with dystrophic changes, multitude neutrophiles are seen in the interstitium.
- Aacute purulent pericarditis
- Bacute absceding myocarditis
- Cacute viral myocarditis
- Drheumatic myocarditis
77What is the described disease in the liver?
H-E staining "Description of the wall of a cyst. Pink slender membrane is pathognomonic for the disease. It represents tick, multilayered acellular band which looks like "cigarette smoke". There is a fibrous capsule between the membrane and the normal liver tissue, compoused of collagen connective tissue. Single bile ducts and chronic inflammatory cells are included among the collagen fibres."- Aactinomycosis
- Bamebiasis
- Cchronic abscess
- Dechinococcus
78Suggest the correct answer according to the following microscopic description. H-E staining: The tumor is composed of branches and nests of basal type cells — spindle, with scanty cytoplasm and moderate atypia of nuclei. Mitoses are rarely seen. In the solid nests tumor cells have palisade peripheral arrangement The stromal reaction is presented by lymphocytes and plasma cells. The tumor nests infiltrate the deep dermal layers.
- Abasal cell papilloma of the skin
- Bsquamous cell carcinoma of the skin
- Cpigmented nevus
- Dbasal cell carcinoma of the skin
79Indicate the correct answer for the following description: "Tumor-like process located on the gingiva. Histologically, under the stratified squamous gingival epithelium are found fibroblast-like cells and giant cells looking like osteoclasts, located in optically empty spaces. Light stripe of connective tissue separates the epithelium and the tumor-like process
- Afibroma
- Bgiant cell epulis
- Cadamantinoma
- Dcementoma
80Indicate the diagnosis according to the following microscopic description: H-E staining: The thyroid gland is lavishly infiltrated by the lymphocytes and plasma cells. Plenty of lymph follicles are also formed, they are with the wide light centres. The lymphoid infiltration disrupts the lymph follicles; in the preserved ones the colloid is scanty or missing. High cubic eosinophilic cells of Hurtle type can be seen.
- AGoiter
- BRiddle thyroiditis
- CLymphoma in the thyroid gland
- DHashimoto thyroiditis
81Suggest the diagnosis according to the following microscopic description: H-E staining: Capsulated tumor with uneven, lobular structure. Different lobules are made up of cells containing optically empty vacuoles in their cytoplasm They push the cells' nuclei to the periphery under the cytoplasmic membrane.
- Afibroma
- Bleiomyoma
- Clymphangioma
- Dlipoma
82Suggest the correct diagnosis according to the following microscopic description. H-E staining: Unencapsulated intradermal tumor which is poorly distinguished from the adjacent tissue and covered by the atrophic epidermis. The tumor is composed of the capillary vessels with erythrocytes in their lumena.
- Acavernous hemangioma of the skin
- Bcapillary lymphangioma of the skin
- Ccapillary hemangioma of the skin
- Dhygroma of the skin
83Suggest the diagnosis according to the following microscopic description. H-E stining: Unencapsulated liver tumor which is well distinguished from the adjacent tissues. It is composed of the large vascular spaces resembling similar vascular structures in the penis. Erythrocytes and hemolyzed blood are seen in the lumina of these large vessels. The walls of these structures represent fibrous septi covered with one or two lines of endothelial cells.
- Acavernous hemangioma
- Bcapillary hemangioma
- Cangiosarcoma
- Dlymphangioma
84Suggest the diagnosis according to the jV)llowing microscopic description: Il-E staining: Unencapsulated uterine tumor which is composed of the spindle cells arranged in bundles. These bundles cross in different directions, Slight tissue atypia is seen, presented by chaotic bundles of spindle cells
- AIeiomyosarcoma uteri
- BIeiomyoma uteri
- Cendometrial carcinoma
- Dendometrial sarcoma
85Suggest the diagnosis according to the microscopic description. I-I-E staining: The tumor is composed of highly differentiated tissue elements from the three germinal cell layers -- mesodermal layer (connective tissue, collagen fibres, fatty tissue, cartilage and others), endodermal layer (glands) and ectodermal layer (skin, columnar epithelium, stratified squamous epithelium, brain substance). They create a variety of the morphological picture. There isn't any sign of cell atypia. Cystic changes are often seen.
- Ateratocarcinoma
- Bmature teratoma
- Cdermoid cyst
- Dpleomorphic adenoma
86A resident in surgery is looking for a consultation with regard to a breast nodule in a young woman: can a morphological examination be done prior to surgery? How the specimen should be taken and in what fixative? Which are the other options for a routine examination? What addition morphological methods can be involved?
- Acomplete excision if the tumor is small in size and frozen section during surgery
- Bincision biopsy if the tumor is bigger in size followed by frozen section during surgery
- Cthin-needle biopsy followed by cytology examination
- Dall of the listed above
87The autopsy of a 65- year old patient, alcohol addicted with diabetes, emphysema and pneumonia revealed gross changes in the liver. It's enlarged and heavy (21 10g) with smooth surface and soft consistency. The cut surface is yellowbrown and the lobular structure is unclear. What is the diagnosis?
- Afatty degeneration
- Bcarbohydrate degeneration
- Cprotein degeneration
- Dall the three are possible
88The autopsy of a patient with pernicious anemia showed dilated right heart chamber. The myocardium is loose and pale. As a result of the hypoxia, the major changes are seen under the endocardium, mainly in the area of papillary muscles. What changes do you expect to see?
- Alipomatosis of the heart
- Bcarbohydrate degeneration of the heart
- Ctiger heart/fatty degeneration of the heart
- Dheart infarction
8952-year old woman with medical history of tonsillitis, developed heart valve defect. She complained of cough, sometimes with rusty expectoration and difficulties in breathing when she is lying in bed. Auscultation revealed small moist noises in both lung bases. What is the cause for all these complains and clinical findings?
- Amitral valve stenosis
- Btricuspidal valve stenosis
- Caortic valve stenosis
- Daortic valve insufficiency
90Body of a man with total cachexia is sent for an autopsy. The skin is darkbronze. The two suprarenal glands are entirely ruined by tuberculosis. Which is the disease?
- ACohn's disease
- BAddison's disease
- CCushing's syndrome
- DWaterhouse-Fridricksen's syndrome
91Nodule measuring 2cm from the parotid gland of a 32 year old male patient was sent for the histological examination. Histological result showed jelly-like and at some areas chondroid substance which surrounds glandular structures and strands of flat cylindrical and spindle cells. Suggest the diagnosis.
- Aadenocarcinoma of the parotid gland
- Bacute syalodenitis
- Cpleomorphic adenoma
- Dmucinous carcinoma
92Autopsy of a young man died 2 days after car accident reveals fracture of the femur and massive crush of the soft tissues. Lungs are normal in shape and size but with expressive hyperemia. The cut surface is shiny with minute droplets of the size of the head of a pin. Indicate the cause of death:
- Afat embolism
- Bair embolism
- Cthromboembolism
- Dbacterial embolism
93Autopsy of a patient with pernicious anemia shows dilated right ventricle with anemic infarction. On papillary muscles are detected yellowish stripes. What pathological finding is seen in this case?
- Ahyperplasia of fat cells
- B„tiger heart" - fatty degeneration of cardiomyocites
- Clipomatosis
- Dbrown atrophy
94A tumor from the left forearm in a 39-year old woman was resected. Grossly it is well circumscribed, with a diameter of 3 cm. On histology: tumor cells are spindleshaped, grouped in bundles, nuclei form palisade structures. Set the diagnosis:
- Afibroma
- Bleiomyoma
- Cmyxoma
- Dneurinoma
95An autopsy of a 60-years all man revealed a thickened and soft wall of the stomach with indistinct layers. Cut surface showed presence of the dirty grayish -green pus-like material. What disease is this:
- Achronic gastritis
- Bphlegmonous gastritis
- Cacute gastric ulcer
- Dchronic gastric ulcer
96At an autopsy in the temporal lobe of the brain a cyst with a diameter of 2 cm, with smooth walls and clear pale yellow liquid was found .What can it be :
- Aabscess of the brain
- Bpseudocyst of the brain
- Ctumor
- Dencephalitis
97A man of 68 years is complaining of severe pain in the muscles of the legs occurring when walking fast, which disappears after a short rest. Indicate the correct diagnosis:
- Avaricose veins in the lower extremities
- Bintermittent claudication
- Cpolio-encephalitis
- Dpopliteal vein thrombosis
98A week after surgery for inguinal hernia at the site of operation appears a nodule. Microscopically there are macrophages, lymphocytes and lots of capillaries with scattered neutrophils. What is a diagnosed?
- Arepair tissue
- Bgranulation tissue
- Ctumor process
- Ddisorder of microcirculation
99During an opera performance a singer suddenly lost consciousness and after a few hours died with the signs of hemorrhagic shock without clear source of bleeding. At the autopsy are found 2.5 L. blood in the abdomen from subcapsular rupture of an unencapsulatcd tumor formation in the liver, with spongy structure, cherry -red color and size - 15 x 15cm. Which are the causes of death?
- Aruptured cavernous hemangioma of the liver
- Bmesenteric thrombosis and paralytic ileus
- Cdiffuse peritonitis due to hemorrhage
- Dhemorrhagic shock due to blood loss
100Left hemisphere of brain demonstrates a well circumscribed tumor with a diameter of 3cm, greyish- brown color and a thick consistency, attached to the dura mater. The underlying brain tissue shows a compression pit. Point the most likely macroscopic diagnosis:
- Ameningioma
- Bastrocytoma
- Cneurinoma
- Dmedulloblastoma
101On the plantar surface of a 35 year old woman there is a bluish-black tumor with lobulated uneven surface covered with bloody crusts. Histology shows epithelioid cells with different shapes and sizes with pigment granules in the cytoplasm. Infiltrative gro•vvth in respect to dermis and epidermis is present. Give a diagnosis:
- Anevus pigmentosus
- Befelides
- Cmelanoma malignum
- Dbasal cell carcinoma
102At an autopsy in the upper area of the right lung are detected changes including two foci with stone-hard density. The cut-surface is whitish and is grinding like sand. How to explain the presence of these calcium salts?
- Acalcium gout
- Bdeposits of uric acid crystals
- Cdegenerative calcification in old tuberculosis focus
- Dmetastatic calcification
10368 year-old man complains of a face ulcer with thick edges and black base covered with brownish crusts. Histologically nests of round cells that form peripheral palisade structures are seen. Which is the correct diagnosis?
- Abasal cell carcinoma
- Bsquamous cell carcinoma
- Cmalignant melanoma
- Dnevus pigmentosus
104A man of 62, smoker with obesity, treated in a dermatological clinic due to skin problems, dies suddenly after a severe chest pain . Clinicians set as the final diagnosis the skin disease for which he has been admitted to the hospital. At the autopsy a 3.5 cm clay-like area with irregular shape in the anterior wall of the left ventricle was seen. The descending left coronary artery was almost entirely occluded by atherosclerosis. What is the correct diagnosis?
- Arupture of the heart
- Bmyocardial infarction
- Cacute heart failure
- Dcerebral infarction
105The autopsy of a 43 years old man reveals brain meninges covered by the thick yellowish exudate. Meningeal vessels are hyperemic, brain tissue is edematous. What is your diagnosis?
- Aacute encephalitis
- Bpolio-encephalitis
- Ccerebellar herniation
- Dacute purulent meningitis
106A 35 year old man felt his right parotid gland enlarged, with a nodule 2 cm in diameter, well demarcated and dense. Histology shows jelly-like structures and immature cartilage and between them glandular structures and strands of cubic. cylindrical cells and ducts. Specify the diagnosis:
- Apleomorphic adenoma of the parotid gland
- Badenocarcinoma of the parotid gland
- Cmyxoma of parotid gland
- Dchondroma of parotid gland
107During the autopsy in the temporal lobe of the brain is found a cyst 2cm in diameter, with smooth walls filled with a clear pale yellow liquid. Indicate what it is:
- Abrain abscess
- Bpseudocyst of the brain
- Ctumor
- Dencephalitis
108At autopsy, in the abdominal cavity and on appendices epiploice, many "chalky" white spots are clearly seen. The finding is the same in the pancreas. Point the diagnosis:
- Asteatonecrosis in acute pancreatitis
- Bfibrino-purulent peritonitis
- Ccarcinomatosis of peritoneum
- Dserous peritonitis
109The autopsy of a young man died several hours after a car accident shows fracture of his left femur with massive smash of the soft tissues. The lungs are normal in shape and size, but intensively congested. Their cut surface is shiny and small droplets the size of a 'pin head' appear on it. Specify the cause of death:
- Afat embolism
- Bair embolism
- Cthromboembolism
- Dbacterial embolism
11069 year old male, who has suffered from varicose veins of the legs for 20 years, is admitted for surgical treatment. 15 days after surgery, when he suddenly rose up from bed, he felt sick, complained of severe shortness of breath, lost consciousness and died within a few minutes. Indicate the most likely cause of death:
- Amesenteric thrombosis
- Bcerebral infarction
- Cthromboembolism of pulmonary artery
- Dmyocardial infarction
11128 year old woman a year ago felt a 'knot' in the breast 2 centimeters in diameter, well demarcated, painless, mobile, thick. Histology shows concentric connective tissue around the ducts of the breast without compressing and distortion of the ducts. Specify the exact histologic diagnosis:
- Aadenocarcinoma
- Bpericanalicular fibroadenoma
- Cintracanalicular fibroadenoma
- Dscirrous cancer
112Bilateral on the skin of the eyelids are seen bulging above the level of the skin nodules yellow color with the size of rice grains. What is it?
- Adeposition of hemosiderin
- Bcommon mole
- Cnevus
- Dxantelasmas
113The autopsy of a deceased patient shows swollen and very soft meninges of the temporal area with greyish-green color. Microscopic examination reveals that the meninges are rich of leukocytes. What illness is concerned:
- Apurulent meningitis
- Bbrain abscess
- Ctuberculous meningitis
- Dencephalitis
114The autopsy of an old man who died suddenly found complicated atherosclerotic plaques in the aorta, coronary and cerebral arteries. The heart is enlarged with dilated heart chambers. The right atrium shows brittle grey-brown material with uneven surface, close to the endocardium. The main trunk and two main branches of the pulmonary artery show 'saddle' grey-brown brittle material. Identify the immediate cause of death:
- Amyocardial infarction
- Bembolism of the pulmonary vein
- Cthromboembolism of pulmonary artery
- Dmesenteric thrombosis
11539 year old female underwent surgery to remove a tumor from her left forearm.
The tumor is 3cm in diameter, well demarcated and dense. Histology shows fusiform (spindle) cells which are grouped in bundles, with nuclei arranged in palisades ('fence wall' pattern). Set the diagnosis:- Afibroma
- Bmixoma
- CIleiomyoma
- Dneurinoma
11639-year-old female has surgically removed tumor from her left forearm measuring 3 cm in diameter, well demarcated and dense. Histology shows fusiform (spindle) cells grouped in bundles, with palisading ('fence' type pattern) nuclei. Specify the diagnosis:
- Afibroma
- BIleiomyoma
- Cmixoma
- Dneurinoma
117At autopsy the stomach is with a large tumor with gelatinous appearance. Microscopically, the tumor cells show 'signet ring'-shaped appearance, in whose cytoplasm PAS reaction is positive. What type of degeneration is the pathological process associated the gelatinous appearance of tumor?
- Amucoid degeneration
- Bhyaline degeneration
- Cfatty degeneration
- Dfibrinoid edema
118At autopsy in the frontal lobe of the brain is found well visible and demarcated area with 3 cm in diameter, with gray-green color, well circumscribed from the surrounding tissue, filled with decaying substance. What illness is described?
- Apurulent meningitis
- Bencephalitis
- Cchronic abscess
- Dtuberculous meningitis
119At autopsy, in the abdominal cavity and on appendices epiploice, many "chalky" white spots are clearly seen. The finding is the same in the pancreas. Point the diagnosis:
- Aserous peritonitis
- Bcarcinomatosis of peritoneum
- Cfibrino-purulent peritonitis
- Dsteatonecrosis in acute pancreatiti
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- General Pathoanatomy Final MCQs (401-500)- 3rd Year- PMU
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