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

Descrição

Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU
Med Student
Quiz por Med Student , atualizado more than 1 year ago
Med Student
Criado por Med Student aproximadamente 6 anos atrás
329
8

Resumo de Recurso

Questão 1

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

Questão 2

Questão
Staphylococcal pneumonia frequently occurs in adults
Responda
  • True
  • False

Questão 3

Questão
Pyogenic membrane is the most typical structure of the chronic pulmonary abscess:
Responda
  • True
  • False

Questão 4

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

Questão 5

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

Questão 6

Questão
Asbestosis is a precancerous condition:
Responda
  • True
  • False

Questão 7

Questão
What is the outcome of carnification?
Responda
  • pneumofibrosis
  • recovery

Questão 8

Questão
Cylindrical bronchiectasis can lead to communication between bronchus and pleura
Responda
  • True
  • False

Questão 9

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

Questão 10

Questão
Crupous pneumonia affects typically lower lobes of lungs:
Responda
  • True
  • False

Questão 11

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

Questão 12

Questão
What are the typical gross findings in pneumonia, caused by Klebsiella?
Responda
  • 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

Questão 13

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

Questão 14

Questão
Combination of which factors can lead to hypostatic bronchopneumonia?
Responda
  • 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

Questão 15

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

Questão 16

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

Questão 17

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

Questão 18

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

Questão 19

Questão
Which are the typical histological elements of grey hepatisation?
Responda
  • erythrocytes
  • leucocytes
  • fibrin
  • lymphocytes

Questão 20

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

Questão 21

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

Questão 22

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

Questão 23

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

Questão 24

Questão
Which diseases can lead topneumosclerosis:
Responda
  • pneumoconiosis
  • carnification
  • total obstruction of bronchus
  • partial obstruction of bronchus

Questão 25

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

Questão 26

Questão
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:
Responda
  • bronchial carcinoma
  • mantle pneumonia
  • gangrene of the lungs
  • pneumofibrosis

Questão 27

Questão
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:
Responda
  • bronchial carcinoma
  • brain metastases of lung carcinoma
  • hydatide cyst of the lung
  • silicosis

Questão 28

Questão
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:
Responda
  • emphysema
  • lung carcinoma
  • lung abscess
  • gangrene of the lung

Questão 29

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

Questão 30

Questão
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:
Responda
  • secondary amyloidosis
  • brown induration of the lungs
  • glomerulonephritis
  • pyelonephritis

Questão 31

Questão
Do we often encounter Staphylococcal pneumonia in adults?
Responda
  • True
  • False

Questão 32

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

Questão 33

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

Questão 34

Questão
Is the pulmonary abscess a possible complication of the Streptococcal pneumonia?
Responda
  • True
  • False

Questão 35

Questão
Can hypostatic pneumonia develop in congenital anomalies of the bronchial tree?
Responda
  • True
  • False

Questão 36

Questão
ls interstitial emphysema commonly found?
Responda
  • True
  • False

Questão 37

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

Questão 38

Questão
ls asbestosis considered as a precancerous condition?
Responda
  • True
  • False

Questão 39

Questão
Can Silicosis be complicated by tuberculosis?
Responda
  • True
  • False

Questão 40

Questão
The most common localization of lung carcinoma is in the periphery.
Responda
  • True
  • False

Questão 41

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

Questão 42

Questão
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:
Responda
  • acute pulmonary abscess
  • chronic pulmonary abscess
  • bronchiectasis
  • lung carcinoma with necrosis

Questão 43

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

Questão 44

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

Questão 45

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

Questão 46

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

Questão 47

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

Questão 48

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

Questão 49

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

Questão 50

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

Questão 51

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

Questão 52

Questão
Which of the following are complications of bronchiectasis?
Responda
  • chronic hepatitis
  • secondary amyloidosis
  • septicopyemia
  • chronic corpulmonale

Questão 53

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

Questão 54

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

Questão 55

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

Questão 56

Questão
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?
Responda
  • croupous pneumonia in state of grey hepatization
  • croupous pneumonia in state of resorption
  • pneumocystic pneumonia
  • chronic pulmonary abscess

Questão 57

Questão
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
Responda
  • silicosis
  • tuberculosis
  • bronchiectasis
  • chronic diffuse obstructive emphysema

Questão 58

Questão
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?
Responda
  • lung carcinoma
  • lung carcinoma with metastases
  • tuberculosis
  • bronchiectasis

Questão 59

Questão
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?
Responda
  • emphysema
  • lung carcinoma
  • abcess of the lung
  • lung gangrene

Questão 60

Questão
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?
Responda
  • bronchiectatic disease
  • staphylococcal pneumonia
  • gangrene of the lung
  • abscess of the lung

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