Quiz
Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU
Questions in this quiz (60)
1Is it true that in bronchitis the inflamation is rapidly spread over the peribronchial tissue and panbronchiolitisis?
- ATrue
- BFalse
2Staphylococcal pneumonia frequently occurs in adults
- ATrue
- BFalse
3Pyogenic membrane is the most typical structure of the chronic pulmonary abscess:
- ATrue
- BFalse
4In the first stage of crupous pneumonia the exudate contents leukocytes and fibrin:
- ATrue
- BFalse
5Acute bronchitis is characterized grossly by edematous hyperemic ulcerated mucosa, covered with mucus, fibrin and pus:
- ATrue
- BFalse
6Asbestosis is a precancerous condition:
- ATrue
- BFalse
7What is the outcome of carnification?
- Apneumofibrosis
- Brecovery
8Cylindrical bronchiectasis can lead to communication between bronchus and pleura
- ATrue
- BFalse
9Pulmonary hypertension and chronic pulmonary heart are the main complications of chronic pneumonia:
- ATrue
- BFalse
10Crupous pneumonia affects typically lower lobes of lungs:
- ATrue
- BFalse
11Define which of the following gross changes refer to acute bronchitis:
- Ahyperemic and opalescent mucosa
- Bcatarrhal exudate in the bronchial lumen
- Cfibrinous- hemorrhagic exudates
- Dperibronchial fibrosis
12What are the typical gross findings in pneumonia, caused by Klebsiella?
- Amucus appearance of the cut surface
- Bnecrotic, easily torn cut surface
- Cgrayish-red color of the cut surface
- Dhemorrhagic fluid outflows from the cut surface
13What is the size of the most pathogenic Si02 particles?
- A1-2mcr
- B5-mcr
- C5-8mcr
- D10mcr
14Combination of which factors can lead to hypostatic bronchopneumonia?
- Abed rest for a long time in one and the same position
- Bactivation of the saprophytic lung flora
- Cmassive viral infection
- Dinsufficiency of the surfactant
15Which of the following processes can lead to compressive atelectasis?
- Amassive pleural effusion
- Bpneumothorax
- Cmediastinal tumor
- Dtumor of a main bronchus
16Which of the following factors can cause bronchial carcinoma?
- Achronic bronchitis with epithelial metaplasia
- Bsmoking
- Cgrippe
- Dcongenital malformations
17What is the pleural and pericardial exudate in Iymphogenic invasion of the lung carcinoma?
- Afibrinous
- Bpurulent
- Chemorrhagic
- Dno changes
18Which gross changes are typical for senile emphysema?
- Adilated lungs with increased volume
- Bair bubbles on the lung surface
- Cdecreased in size lungs collapsed to the hilus
- Drelaxed lungs with decreased density
19Which are the typical histological elements of grey hepatisation?
- Aerythrocytes
- Bleucocytes
- Cfibrin
- Dlymphocytes
20Which are the complications of bronchial cancer?
- Amantle pneumonia
- Bbrown induration of the lung
- Csepticopyemia
- Dmassive hemorhage
21Silicosis is a pneumoconiosis, which is due to inhalation of particles of
- ASiO2
- Basbestos
- Ccoal dust
22Macroscopic forms of lung carcinoma are:
- Amassive hilus nodule
- Blarge peripheral nodule
- Cpneumnic form
- Dtumor of Pancoast-Tobias
23Which diseases can lead to chronic pulmonary heart:
- Aviral pneumonia
- Bacute bacterial pneumonia
- Cchronic obstructive emphysema
- Dsilicosis
24Which diseases can lead topneumosclerosis:
- Apneumoconiosis
- Bcarnification
- Ctotal obstruction of bronchus
- Dpartial obstruction of bronchus
25Which of the following gross changes are typical for focal pneumonia?
- Aaffection of entire lobe
- B1 cm sized foci with pale greyish color
- Cvaricolored thickened cut surface
- D2cm sized peripheral thick greyish-white nodule
26The 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:
- Abronchial carcinoma
- Bmantle pneumonia
- Cgangrene of the lungs
- Dpneumofibrosis
27Radiography 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:
- Abronchial carcinoma
- Bbrain metastases of lung carcinoma
- Chydatide cyst of the lung
- Dsilicosis
28The 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:
- Aemphysema
- Blung carcinoma
- Clung abscess
- Dgangrene of the lung
29The autopsy revealed bilateral pleural adhesions, cylindrical sacciform bronchiectasis, 4 small abscesses in right lower lung lobe, pneumofibrosis. Set the diagnosis:
- Abronchiectatic disease
- Bstaphylococcal pneumonia
- Cgangrene of lung
- Dabscess of lung
30The 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:
- Asecondary amyloidosis
- Bbrown induration of the lungs
- Cglomerulonephritis
- Dpyelonephritis
31Do we often encounter Staphylococcal pneumonia in adults?
- ATrue
- BFalse
32Do we observe microscopically leukocytes and fibrin in the exudate in the 1st stage of croupous pneumonia?
- ATrue
- BFalse
33Will you consider chronic pneumonia if at the autopsy you find: emphysema, atelectasis, pneumofibrosis, bronchiectasis and fresh inflammatory foci?
- ATrue
- BFalse
34Is the pulmonary abscess a possible complication of the Streptococcal pneumonia?
- ATrue
- BFalse
35Can hypostatic pneumonia develop in congenital anomalies of the bronchial tree?
- ATrue
- BFalse
36ls interstitial emphysema commonly found?
- ATrue
- BFalse
37Does the pleura, lying upon the involved lung lobe in croupous pneumonia, react to the inflammation?
- ATrue
- BFalse
38ls asbestosis considered as a precancerous condition?
- ATrue
- BFalse
39Can Silicosis be complicated by tuberculosis?
- ATrue
- BFalse
40The most common localization of lung carcinoma is in the periphery.
- ATrue
- BFalse
41Point out the false statement in the following histological description of viral pneumonia:
- Aproductive inflammation in the bronchial mucosa
- Bproductive inflammation in the interstitium
- Cgiant cells
- Dleukocytic infiltration
42Determine me pathological process in the pulmonary parenchyma, when you take into consideration the microscopic description- necrotic focus, detritus, a layer of leukocytes and macrophages:
- Aacute pulmonary abscess
- Bchronic pulmonary abscess
- Cbronchiectasis
- Dlung carcinoma with necrosis
43The following histological phenomena can be found in chronic bronchitis:
- Ahyperplasia of mucinous glands
- Binflammatory infiltration by lymphocytes and plasma cells
- Chypertrophied muscle fibers and torn elastic fibers
- Dsquamous cell metaplasia of the epithelium
44The muscle layer of the bronchial wall in bronchial asthma is:
- Aatrophic
- Bhypertrophic
- Creplaced by fibrous tissue
- Dwith squamous cell metaplasia of the epithelium
45Determine which of the following changes can be observed in acute bronchitis:
- Ahyperemia of the mucosa
- Bdesquamation of the epithelium
- Cinfiltration of the mucosa by leukocytes and macrophages
- Dinfiltration by lymphocytes, plasma cells and single leukocytes
46Define the pathological process in pulmonary abscess:
- Alimited purulent inflammation of the lung
- Bdevelopment of mature fibrous tissue
- Crecurrent inflamatory process
- Dcystic formation, caused by Echinococcus
47Point out the diseases, which can lead to atelectasis:
- Aobstruction of a bronchus
- Bdilation of a bronchus
- Clung edema
- Douter compression of the lung
48The following complications can occur in bronchial carcinoma:
- Aatelectasis
- Brecurring pneumonias
- Cbrown induration of the lungs
- Dsepticopyemia
49Point out the characteristic changes in silicosis:
- Awhirl-like collagen fibers
- Birregularly situated collagen fibers
- Ccentral caseous necrosis
- Dmultiple coniophages around the nodule
50Point out the characteristic gross changes in chronic obstructive emphysema:
- Alungs smaller in size and shrunk towards the hilum
- Blungs with increased volume
- Cfirmer consistency of the lungs
- Ddiminished elasticity and soft consistency
51Which of the following pulmonary changes are complications of crupous pneumonia?
- Aabscess
- Bchronic pneumonia
- Cgangrene
- Dbrown induration of the lungs
52Which of the following are complications of bronchiectasis?
- Achronic hepatitis
- Bsecondary amyloidosis
- Csepticopyemia
- Dchronic corpulmonale
53Hypostatic bronchopneumonia develops in combination of the some of the following factors:
- Asurfactant insufficiency
- Bactivation of the saprophytes in the lungs
- Cmassive viral infection
- Din bedridden patients
54Which size of Silicon dioxide dust particles possesses the strongest disease-causing potential:
- A1-2microns
- B5microns
- C5-8microns
- D10-15microns
55Point out the most common histological types of lung carcinoma:
- Asquamous cell
- Badenocarcinoma
- Cundifferentiated small cell carcinoma
- Dleiomyosarcoma
56The 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?
- Acroupous pneumonia in state of grey hepatization
- Bcroupous pneumonia in state of resorption
- Cpneumocystic pneumonia
- Dchronic pulmonary abscess
57At 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
- Asilicosis
- Btuberculosis
- Cbronchiectasis
- Dchronic diffuse obstructive emphysema
58In 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?
- Alung carcinoma
- Blung carcinoma with metastases
- Ctuberculosis
- Dbronchiectasis
59At 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?
- Aemphysema
- Blung carcinoma
- Cabcess of the lung
- Dlung gangrene
60At 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?
- Abronchiectatic disease
- Bstaphylococcal pneumonia
- Cgangrene of the lung
- Dabscess of the lung
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- Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU
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- Med Student
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