Clinical Pathoanatomy MCQs (Q 151-250)

Descrição

Quiz on MCQs in Clinical Pathology - 4th year PMU (Q 151-250), created by Ore iyanda on 16/01/2018.
Ore iyanda
Quiz por Ore iyanda , atualizado more than 1 year ago
Ore iyanda
Criado por Ore iyanda mais de 6 anos atrás
695
27

Resumo de Recurso

Questão 1

Questão
The most frequent form of primary glomerular disease in children is
Responda
  • Minimal change disease
  • Acute glomeruonephritis

Questão 2

Questão
Hyperfunction of anterior pituitary in pre-pubertal children generally can result in
Responda
  • Acromegaly
  • Gigantism

Questão 3

Questão
The role of external radiation in the etiology of thyroid cancer is predominant in
Responda
  • Papillary carcinoma
  • Follicular carcinoma

Questão 4

Questão
The following type of carcinoma of the breast is characterised by 'Indian file' pattern of tumour cells
Responda
  • Infiltrating distal carcinoma
  • Invasive lobular carcinoma

Questão 5

Questão
Prostatic hyperplasia affects most often
Responda
  • Peripheral prostate
  • Periurethral prostate

Questão 6

Questão
Which criteria refer to pernicious anaemia
Responda
  • Low serum B12
  • Megaloblastic anaemia
  • Antibody against internal factor of Castle
  • Gastric parietal cell antibody

Questão 7

Questão
Which of the following tumours have association with occupational exposure to asbestosis?
Responda
  • Silicosis
  • Malignant mesothelioma
  • Squamous cell carcinoma
  • Laryngeal carcinoma

Questão 8

Questão
Which of the following features characterise ulcerative colitis, except
Responda
  • Formation of crypt abscess and cryptitis
  • Superficial mucosal ulceration
  • Depletion of goblet cells and mucus
  • Stricture formation in chronic cases

Questão 9

Questão
Philadelphia chromosome is characterised by
Responda
  • Translocation (8;14)
  • Translocation (9;22)
  • Translocation (22;9)
  • Translocation (14;8)

Questão 10

Questão
Which of the following are included in classic Hodgkin's disease
Responda
  • Histiocytic fibrosis
  • Lymphocytic depletion
  • Mixed cellularity
  • Nodular sclerosis

Questão 11

Questão
Pulseless disease is
Responda
  • Temporal arteritis
  • Kawasaki's disease
  • Takayasu arteritis
  • Buerger's disease

Questão 12

Questão
The morphological variants of diagnostic cells in Hodgkin's disease are
Responda
  • Cells with bilobed nucleus appearing as mirror image
  • Megaloblastic cells
  • Lacunar type cell
  • Large cleaved cells

Questão 13

Questão
Crohn's disease is characterised by the following histopathologic features
Responda
  • Non-caseating sarcoid like granulomas
  • Deep transmural ulceration
  • Multiple abscesses
  • Pseudopolyps

Questão 14

Questão
According to monoclonal atherosclerosis hypothesis, the primary event in atherosclerosis is
Responda
  • Monoclonal proliferation of endothelial cells
  • Monoclonal proliferation of smooth muscle cells
  • Monoclonal proliferation of monocytes
  • Monoclonal proliferation of foam cells

Questão 15

Questão
Barrett's oesophagus is
Responda
  • Congenital anomaly
  • Inflammatory disease
  • Metaplastic process
  • Neoplastic lesion

Questão 16

Questão
The most common site of involvement of atherosclerosis aneurysm is
Responda
  • Arch of aorta
  • Thoracic aorta
  • Suprarenal part of abdominal aorta
  • Infrarenal part of abdominal aorta

Questão 17

Questão
The following histologic types of bronchogenic carcinoma have strong association with cigarette smoking except
Responda
  • Squamous cell carcinoma
  • Small cell carcinoma
  • Large cell carcinoma
  • Adenocarcinoma

Questão 18

Questão
The most important and common complicated atheromatous lesion in the coronary artery in acute myocardial infarction is
Responda
  • Calcification
  • Coronary artery thrombosis
  • Aneurysm
  • Ulceration

Questão 19

Questão
In hypertensive heart disease left ventricular hypertrophy is correlated with
Responda
  • Duration of hypertension
  • Severity of hypertension
  • Cause of hypertension
  • Severity of coronary atherosclerosis

Questão 20

Questão
The most common causative agent for lobar pneumonia is
Responda
  • Staphylococci
  • Streptococci
  • Pneumococci
  • Haemophilus

Questão 21

Questão
The common complications of gastric ulcer are
Responda
  • Penetration
  • Pneumonia
  • Haemorrhage
  • Perforation

Questão 22

Questão
What complication can occur due to atherosclerosis of femoral artery?
Responda
  • Thrombophlebitis
  • Diabetes mellitus
  • Gangrene
  • Pulmonary thromboembolism

Questão 23

Questão
Which of the following types of acute viral hepatitis become chronic hepatitis?
Responda
  • Type A
  • Type B
  • Type C
  • All the three answers are correct

Questão 24

Questão
Nephrotic syndrome develops in
Responda
  • Urine retention
  • Acute renal failure
  • Acute pyelonephritis
  • Glomerulonephritis

Questão 25

Questão
The infection which leads to pyelonephritis may be a result of
Responda
  • Hematogenous dissemination
  • Ascending dissemination
  • Immune conflict
  • As a complication of glomerulonephritis

Questão 26

Questão
Which of the following diseases does not lead to nephrosclerosis?
Responda
  • Atherosclerosis
  • Diabetes mellitus
  • Diabetes insipidus
  • Gout

Questão 27

Questão
Squamous cell carcinoma is a common tumour in the
Responda
  • Uterine body
  • Ovaries
  • Fallopian tubes
  • Uterine cervix

Questão 28

Questão
Which of the morphological methods are used for subtyping lymphomas?
Responda
  • Van Gieson staining
  • PAS
  • Von Kossa staining
  • Immunohistochemistry

Questão 29

Questão
Which of the following complications can develop in pulmonary carcinoma?
Responda
  • Mantle pneumonia
  • Brown induration of lungs
  • Empyema
  • Massive haemorrhage

Questão 30

Questão
Determine the pathological process in the lung emphysema, having in mind the microscopic appearance - a focus of necrosis, detritus, leukocytes and macrophages
Responda
  • Acute pulmonary abscess
  • Chronic pulmonary abscess
  • Bronchiectasis
  • Lung cancer in decay

Questão 31

Questão
What disease is endometriosis?
Responda
  • Inflammation of the uterine mucosa
  • Inflammation of the uterine cervix
  • Dishormonal disease
  • Tumour

Questão 32

Questão
Point out the characteristic macroscopic changes of chronic obstructive emphysema
Responda
  • Decreased in size lungs, collapsed to the hilum
  • Lungs with increased volume
  • Thick consistency of the lungs
  • Reduced elasticity and soft consistency

Questão 33

Questão
Gynecomastia is a disease of
Responda
  • Breast in women
  • Ovaries
  • Male breast
  • Testes

Questão 34

Questão
What is typical for the first stage of syphilis?
Responda
  • Siphilides
  • Ulcus durum
  • Gumma
  • Generalised lymphadenitis

Questão 35

Questão
For tuberculous meningitis the following histological changes are typical
Responda
  • Purulent infiltration in the meninges
  • Endarteriitis obliterans
  • Granulomatous inflammation
  • Caseous necrosis

Questão 36

Questão
Why are occupational diseases named pneumoconiosis?
Responda
  • Cor hypertonicum
  • Disease of the lungs associated with mineral dust inhalation
  • Pneumonia
  • Infection of the bronchial wall and lung parenchyma

Questão 37

Questão
Which of the following factors play a role in the development of bronchial carcinoma?
Responda
  • Chronic bronchitis
  • Smoking
  • Influenza
  • Work/environmental factors

Questão 38

Questão
What is the exudate in the pleural cavity and pericardial sac due to lymphatic spread of pulmonary carcinoma into them?
Responda
  • Fibrinous
  • Serious
  • Haemorrhagic
  • Purulent

Questão 39

Questão
What forms of silicosis do you know?
Responda
  • Nodular
  • Diffuse-sclerotic
  • Senile
  • Combination of a and b (Nodular & Diffuse-sclerotic)

Questão 40

Questão
Apically located peripheral pulmonary carcinoma is represented by the eponym
Responda
  • Claude-Bernard-Horner syndrome
  • Pancoast-Tobias
  • Ptosis and miosis
  • Enophthalmus

Questão 41

Questão
Which diseases complicate silicosis?
Responda
  • Cor hypertonicum
  • Cor pulmonale chronicum
  • Tuberculosis
  • Pneumofibrosis

Questão 42

Questão
Claude-Bernard-Horner syndrome includes the following
Responda
  • Ptosis, midriasis, anhydrosis
  • Ptosis, miosis, increased sweating
  • Ptosis, miosis, pseudoenophthalmus
  • Anhydrosis

Questão 43

Questão
What possible gross changes do we see in lung carcinoma?
Responda
  • Pneumonia-like form
  • ill-defined central node connected to a bronchus
  • Linitis plastic
  • Peripheral ill-defined node

Questão 44

Questão
Chronic bronchitis is usually accompanied by
Responda
  • Squamous cell metaplasia of the respiratory epithelium
  • Phases of purulent inflammation
  • Productive cough for at least 2 months/year for 3 consecutive years
  • Productive cough for at least 3 months/year for 2 consecutive years

Questão 45

Questão
Squamous cell lung carcinoma occurs
Responda
  • In the middle lobe of the left lung
  • After squamous cell metaplasia of the respiratory epithelium of bronchi
  • As an ill-defined node connected to a bronchus
  • Forming nests of Tumour cells producing keratin

Questão 46

Questão
In small cell lung carcinoma we can observe
Responda
  • Numerous Tumour cells with scant stroma
  • The tumour cells resemble oat-grains
  • It grows in a pneumonia-like fashion
  • The tumour cells have very high proliferative rate

Questão 47

Questão
Bronchio-alveolar pulmonary carcinoma is characterised by
Responda
  • Forms papillary folds into the alveolar lumen
  • It is a form of squamous cell carcinoma
  • The cells produce keratin
  • It is a form of adenocarcinoma

Questão 48

Questão
Hodgkin lymphoma has
Responda
  • Five histological variants
  • Hodgkin cells
  • Reed-Sternberg cells
  • Polyclonal inflammatory background

Questão 49

Questão
In Hodgkin lymphoma we can observe
Responda
  • Effaced lymph node structure
  • Nodular sclerosis histological form
  • Mixed cellularity histological form
  • Chronic myeloleukemia

Questão 50

Questão
Non-Hodgkin lymphomas can be
Responda
  • Nodal
  • B-cell and T-cell types
  • Extranodal
  • None of the above

Questão 51

Questão
In chronic lympholeukemia in the liver can be seen
Responda
  • Myeloblasts
  • Mature lymphocytes and single lymphoblasts
  • Focal leukemic infiltrates in the portal spaces
  • Leukemic infiltrates in the sinusoids

Questão 52

Questão
Chronic myeloleukemia causes the following changes in liver
Responda
  • Effaced lobular structure
  • Hypertrophy and hyperplasia of hepatocytes
  • Atrophy of hepatocytes
  • Leukaemic infiltrates in the sinusoids

Questão 53

Questão
In chronic myeloleukemia we observe the following
Responda
  • Long remissions even without treatment
  • Extreme hepato-splenomegaly
  • Anemia, hemorrhages, infections
  • Splenic infarctions

Questão 54

Questão
Which are the clinical phases of chronic myeloleukemia?
Responda
  • Chronic stable phase
  • Accelerated phase
  • Blast crisis
  • None of the above

Questão 55

Questão
In Hodgkin lymphoma, mixed cellularity type
Responda
  • There can be seen numerous eosinophils
  • We can observe area with necrosis
  • Intact histological lymph nose structure
  • Giant bi-uncleared cells, called 'mirror image'

Questão 56

Questão
Plasmocytoma has the following features
Responda
  • Reed-Sternberg Tumour cells
  • Jelly-like raspberry red osteolytic bone lesion
  • The tumour cells have a large vacuolar nucleus with prominent nucleolus
  • The tumour cells have a round eccentric nucleus with a pale halo around it

Questão 57

Questão
Which of the following are examples of pathological processes in the oral cavity that can have an effect of internal organs?
Responda
  • Scarlet fever
  • Peritonsilar abscess
  • Epilus
  • Oral squamous cell carcinoma

Questão 58

Questão
Which avitaminoses can be associated with changes in the oral cavity?
Responda
  • Vit. B6
  • Vit. B12
  • Vit. D
  • None of the above

Questão 59

Questão
Vitamin B12 deficiency can cause the following changes in the oral cavity
Responda
  • Glossomegaly
  • Hunter's tongue (atrophic gastritis)
  • Geographic tongue
  • Fibrinous gingivitis

Questão 60

Questão
What type of examination will you suggest to your patient if you diagnose him/her with atrophic glossitis (Hunter's tongue)?
Responda
  • Colonoscopy
  • Dermatoscopy
  • Gastroscopy
  • Hysteroscopy

Questão 61

Questão
If a patient with atrophic glossitis is examined with gastroscopy, what can be the findings in gastric mucosa?
Responda
  • Menetrier's disease
  • Atrophic autoimmune gastritis
  • Acute fibrinous gastritis
  • None of the above

Questão 62

Questão
The risk of which disease does atrophic autoimmune gastritis carry?
Responda
  • Acute gastritis
  • Atrophy of the colonic mucosa
  • Rectal cancer
  • Gastric cancer

Questão 63

Questão
What are the usual changes in leukoplakia?
Responda
  • The epithelium is hyperkeratotic
  • Acanthosis in the epithelium
  • Chronic inflammation
  • Dysplasia in the epithelium can be observed

Questão 64

Questão
What can we observe in leukoplakia?
Responda
  • Parakeratosis
  • Dysplasia
  • Carcinoma in situ
  • Diabetes

Questão 65

Questão
Which of the following is true of pleomorphic adenoma of the parotid gland
Responda
  • It is a benign tumour
  • It contains hyperplastic fatty tissue
  • It is firm and Lobulated
  • It is painful and inflamed

Questão 66

Questão
In chronic tonsillitis we can observe the following
Responda
  • Purulent exudate
  • Hypertrophic tonsillitis
  • Atrophic tonsillitis
  • It is a predisposing factor for the formation of epilus

Questão 67

Questão
The typical histological picture of epilus includes
Responda
  • Langhans giant multinuclear cells
  • Fresh haemorrhages and hemosiderin
  • Osteoclast-type multinuclear giant cells
  • It is a true tumour

Questão 68

Questão
Adamantinoma (amelloblastoma) is
Responda
  • A true tumour
  • An odontogenic tumour
  • When compressed the sound is described as flapping wings
  • When it is compressed the sound is described as eggshell cracking

Questão 69

Questão
Why is it necessary to comment on the presence or absence of H.pylori in gastric biopsies?
Responda
  • H.pylori is a risk factor for MALT lymphoma
  • H.pylori is a risk factor for duodenal cancer
  • H.pylori causes chronic gastritis
  • H.pylori is a severe fungal infection

Questão 70

Questão
Which of the following are possible complications of chronic gastric ulcer?
Responda
  • Penetration in the diaphragm
  • Perforation
  • Pyloric stenosis
  • Massive haemorrhage

Questão 71

Questão
Which special stain help us determine the presence of H.pylori in gastric biopsies?
Responda
  • Van Gieson
  • Giemsa
  • Congo Red
  • Immunohistochemistry

Questão 72

Questão
The following changes can be observed in acute duodenal ulcer
Responda
  • Fibrinoid necrosis at the ulcer base
  • Inflammatory infiltrate with lymphocytes and plasma cells
  • Ulceration penetrating through muscularis mucosae, reaching muscularis propria
  • It often undergoes malignant transformation

Questão 73

Questão
What histological types of gastric cancer do you recognise?
Responda
  • Adenocarcinoma
  • Signet-ring cell carcinoma
  • Squamous cell carcinoma
  • Mucinous adenocarcinoma

Questão 74

Questão
In phlegmonous appendicitis we can observe the following
Responda
  • Peri-appendicitis
  • Lymphocyte infiltration in the mucosa
  • Neutrophilic infiltration throughout the thickness of the wall of the appendix
  • Constriction of the blood vessels of the serosa

Questão 75

Questão
Phlegmonous appendicitis is characterised by
Responda
  • Purulent exudate in the lumen
  • Hypoplasia of the lymph follicles
  • Hyperplastic activated lymph follicles
  • Hyperemic blood vessels of the serosa

Questão 76

Questão
Gangrenous appendicitis is characterised by
Responda
  • Lymphocytic infiltration of the mucosa
  • Thrombosis of blood vessels
  • Necrosis of the wall of the appendix
  • Severe inflammation through the wall of the appendix

Questão 77

Questão
What are the causes which may lead to micro-nodular liver cirrhosis?
Responda
  • Acute viral hepatitis
  • Chronic viral hepatitis
  • Cardiogenic shock
  • Chronic alcoholism

Questão 78

Questão
Which of the types of necrosis are found in chronic active hepatitis?
Responda
  • Piece-meal necrosis
  • Adjacent necrosis
  • Bridging necrosis
  • Caseous necrosis

Questão 79

Questão
Why does the level of calcium in the blood has prognostic value in acute pancreatitis?
Responda
  • Calcium is deposited in the bones
  • Calcium levels in the blood slower with the progression of steato-necrosis
  • Calcium reacts with fatty acids to form soaps
  • It has no prognostic value

Questão 80

Questão
Some of the gross features of acute pancreatitis are
Responda
  • Enlarged liver
  • Steatonecrosis of the fatty tissue around and inside the pancreas
  • Haemorrhages in the tissues of the pancreas
  • Fibrosis in the tissues of the pancreas

Questão 81

Questão
What histological changes can be observed in chronic hepatitis?
Responda
  • Chronic cholecystitis
  • Inflammatory infiltrates
  • Massive necrosis of hepatocytes
  • Fibrotic septa

Questão 82

Questão
Chronic cholecystitis is characterised by the following
Responda
  • Often it is accompanied by cholelithiasis
  • It has no association with cholelithiasis
  • Can cause adhesions
  • It is caused by viral infection

Questão 83

Questão
Which is the following can be complications caused by chronic cholecystitis?
Responda
  • Peritonitis
  • Obstruction of d.choledochus
  • Cholestasis
  • Pancreatitis

Questão 84

Questão
After consuming poisonous mushrooms, a patient shows signs of acute liver failure with progressive reduction of the size of the liver. What process has developed in the liver?
Responda
  • Acute viral hepatitis
  • Massive hepatic necrosis
  • Hepatocellular carcinoma
  • None of the above

Questão 85

Questão
After consuming poisonous mushrooms, a patient shows signs of acute liver failure with progressive reduction of the size of the liver. Besides liver failure, what other complication can worsen the patient's clinical condition?
Responda
  • Left sided heart failure
  • Right sided heart failure
  • Pyelonephritis
  • Acute renal failure

Questão 86

Questão
Which of the following can occur after a streptococcal tonsillitis?
Responda
  • Post-infectious cholecystitis
  • Post-infectious glomerulonephritis
  • Minimal change disease of the kidneys
  • Acute rheumatism

Questão 87

Questão
Which types of glomerulonephritis are clinically presented by nephritic syndrome?
Responda
  • Diffuse endocapillary glomerulonephritis
  • Rapidly progressing glomerulonephritis
  • Minimal change disease
  • Membranous glomerulonephritis

Questão 88

Questão
Which types of glomerulonephritis are clinically presented by nephrotic syndrome?
Responda
  • Diffuse endocapillary glomerulonephritis
  • Rapidly progressing glomerulonephritis
  • Minimal change disease
  • Membranous glomerulonephritis

Questão 89

Questão
What findings can be observed in glomerulonephritis?
Responda
  • Klebsiella
  • E.coli
  • Streptococcus
  • The urine is sterile

Questão 90

Questão
Which type of glomerulonephritis is 'crescentic'?
Responda
  • Minimal change disease
  • Rapidly progressing glomerulonephritis
  • Membranous glomerulonephritis
  • Diffuse endocapillary glomerulonephritis

Questão 91

Questão
'Big white kidney' can be observed in the following cades
Responda
  • Rapidly progressing glomerulonephritis
  • Amyloidosis of the kidney
  • Minimal change disease
  • Nephrosclerotic glomerulonephritis

Questão 92

Questão
Which of the following histological changes are associated with tubal pregnancy?
Responda
  • Chorionic Villi and decidual Changes of the endometrium
  • Monstrous trophoblast, hydropic chorionic villi
  • Hematoma in Fallopian tube, chorionic villi invading the muscular layer of the tube, decidual changes of the endometrium
  • Cervical intraepithelial lesion, third grade

Questão 93

Questão
Which of the following histological changes are associated with mola hydatidosa?
Responda
  • Chorionic Villi and decidual Changes of the endometrium
  • Monstrous trophoblast, hydropic chorionic villi without feral blood capillaries
  • Hematoma in Fallopian tube, chorionic villi invading the muscular layer of the tube, decidual changes of the endometrium
  • Cervical intraepithelial lesion, third grade

Questão 94

Questão
Which of the following histological changes are associated with abortion (miscarriage) ?
Responda
  • Chorionic Villi and decidual Changes of the endometrium
  • Monstrous trophoblast, hydropic chorionic villi without feral blood capillaries
  • Hematoma in Fallopian tube, chorionic villi invading the muscular layer of the tube, decidual changes of the endometrium
  • Cervical intraepithelial lesion, third grade

Questão 95

Questão
Specify the associated clinical symptoms in dysplasia and carcinoma in situ of the uterine cervix
Responda
  • No clinical symptoms
  • Scarce contact bleeding
  • Fever
  • Enlarged inguinal lymph nodes

Questão 96

Questão
Why if curettage from a suspected pregnancy shows only decidual changes, the gynaecologist should be notified immediately?
Responda
  • There is an increased risk for endometrial carcinoma
  • There is an increased risk of associated mola hydatidosa
  • There is an increased risk of associated intraepithelial lesion of the cervix
  • There is a high risk of associated tubal pregnancy

Questão 97

Questão
Mola hydatidosa has the following characteristics
Responda
  • Grossly it resembles grape-like structures
  • Chorionic villi have fetal capillaries
  • Chorionic villi are with hydropic edema
  • Chorionic villi lack fetal blood vessels

Questão 98

Questão
Examples of ovarian cysts are
Responda
  • Follicular cyst
  • Cystadenoma papilliferum
  • Mature teratoma (dermoid cyst)
  • Colloid cyst

Questão 99

Questão
Which hormones play a role in breast diseases?
Responda
  • Somatropin
  • Oxytocin
  • Estrogen
  • Progesterone

Questão 100

Questão
How does the breast cancer metastasise?
Responda
  • Primarily via lymphogenic spread
  • Distantly via hematogenous spread
  • Fibro-epithelial spread
  • Apocrine spread

Semelhante

Clinical Pathology (1-100) MCQs- 4th Year- PMU
Med Student
General Pathoanatomy Final MCQs (1-110)- 3rd Year- PMU
Med Student
General Pathoanatomy Final MCQs (111-200)- 3rd Year- PMU
Med Student
General Pathoanatomy Final MCQs (401-519)- 3rd Year- PMU
Med Student
General Pathoanatomy Final MCQs (301-400)- 3rd Year- PMU
Med Student
General Pathoanatomy Final MCQs (201-300)- 3rd Year- PMU
Med Student
Clinical Pathology (101-200) MCQs- Year 4 PMU
Med Student
Clinical Pathology (301-400) MCQs- Year 4 PMU
Med Student
Clinical Pathology (501-530) MCQs- Year 4 PMU
Med Student
Fluid and Electrolyte Imbalances
D R
Clinical Anatomy of the Bony Pelvis
Matthew Coulson