Quiz
Clinical Pathology (401-500) MCQs- Year 4 PMU
Questions in this quiz (100)
1Mark the correct statements about papillary cystadenoma of the ovary
- Amalignant tumor
- Bhas cyst-like and papillary structures
- Chistological characteristics include serous and mucinous types
- Dit is a physiological change related to menstrual cycle
2‘Linitis plastica’ is a gross subtype of
- Agastric cancer
- Bpancreatic cancer
- Cbreast cancer
- Duterine cancer
3Grossly adenocarcinoma of the colon can be
- Apolypoid
- Bulcerous
- Cnodular
- Dall of the listed above
4The terms “early cancer” and “advanced cancer” are used for
- Agastric adenocarcinoma
- Badenocarcinoma of the endometrium
- Cadenocarcinoma of the colon
- Dbreast cancer
5What kind of sarcoma could be seen in an immune deficiency?
- AKaposi sarcoma
- BEwing sarcoma
- CRhabdomyosarcoma
- DChondrosarcoma
6Which of the following sarcomas have the worst prognosis?
- Aliposarcoma
- Bostesarcoma
- Cfibrosarcoma
- Dleiomysarcoma
7 What staining can be used to distinguish leiomyoma uteri from fibroma?
- ACongo red
- BPerls
- CPAS reaction with PAS control
- DVan Gieson
8Point the characteristics of the leiomyosarcoma
- Apolymorphism of cells and nuclei
- Bhyper- and polychromasia of nuclei
- Ctypical mytoses
- Dmonster cells
9What is hybernoma?
- Abenign tumor of vascular origin
- Bbenign tumor originating from brown fat tissue
- Cbenign tumor originating from striated muscles
- Dmalignant tumor originating from pigment tissue
10What are the signs of the atypia in a nevus?
- Aasymmetry of the lesion, irregular borders
- Bdark color, irregular color of the lesion
- Cdiameter less than 5mm
- Dregular borders
11How should a biopsy be done if there’ is a suspicion for the melanoma?
- Aincision biopsy
- Bpunch biopsy
- Cexcision biopsy
- Dbrush biopsy
12Point the most common localizations of the teratomas
- Aovaries, testis
- Bextremities
- Cretroperitoneum
- Dmediastinum
13Which of the following are organoid teratomas
- Anephroblastoma
- Bcholesteatoma
- Cdermoid cyst
- Dbranchiogenic cyst
14Which of the following is organismoid teratoma
- Aepidermoid cyst
- Bteratocarcinoma
- Cdermoid cyst
- Dnefroblastoma
15What is a nevus pigmentosus?
- Atumor-like process
- Btumor process
- Cmicroscopically it contains mature melanocytes
- Dmicroscopically it contains cells with signs of severe atypia and some of them contain melanin
16What is a melanoma?
- Amalignant congenital tumor
- Bbenign tumor composed of melanocytes
- Cmalignant tumor of pigment origin
- Dnone of the above
17What is an achromatic melanoma?
- Abenign form of melanoma
- Bmelanoma without melanin in the tumor cells
- Ctype of melanoma which can be proved with immunohistochemical tests
- Dmelanoma which is more differentiated
18Point possible localizations of the nevus pigmentosus and melanoma
- Askin
- Buvea
- Cmeninges
- Dall of the above
19Lentigo maligna, nodular, superficial, acral lentigenous are gross forms of
- Amelanoma
- Bsquamous cell carcinoma of the skin
- Cbasal cell carcinoma of the skin
- Dnevus pigmentosus
20Indicate immunohistochemical stains to prove melanoma
- AHMB-45
- BCa-125
- CS-100
- DCytokeratin
21 Which of the following tumors do not have a stroma
- Achoriocarcinoma
- Bseminoma
- Cnephroblastoma
- Dneuroblastoma
22Indicate types of nevus pigmentosus
- Aacquired and congenital
- Bjunctional, compound, intradermal
- Cbenign and malignant nevus
- Dectodermal and endodermal nevus
23Squamous cell carcinoma occurs most frequently in
- Astomach
- Bskin
- Cbladder
- Dlarynx
24The term ,,pathognomonic change” means
- Aunexplained change
- Bparadoxical change
- Csufficient to identify the diagnosis/lesion
- Ddiffuse inflammatory change
25Which types of bleeding occur in the digestive system?
- Ahemothorax
- Bhemoptysis
- Cmelena
- Dhematemesis
26Left ventricular hypertrophy can develop in
- Acor pulmonale
- Bsystemic hypertension
- Cmitral stenosis
- Daortic stenosis
27Cancer cells which show no resemblance to the tissue from which the tumor originates are called
- Aundifferentiated carcinoma
- Bwell-differentiated carcinoma
- Cscirrhous type carcinoma
- Dhistioid cancer
28Which of the following is correct for the mechanical jaundice?
- Aindirect bilirubin prevails in blood
- Belevated urine urobilinogen
- Celevated urine bilirubin
- Dstools are hyperpigmented
29Basal cell carcinoma ts localized most frequently on
- Athe skin of the forearm
- Bthe skin of the lower limbs
- Cthe skin on the palms
- Dskin of the face
30Bilaterally, on the skin of the eyelids of a young woman are seen yellow nodules with the size of a grain of rice. What is it?
- Axanthelasmas
- Bnevus
- Cefelides
- Dhemosiderin deposition
31How do we call the local depigmentation of the skin?
- Avitiligo
- Bhemosiderosis
- Calbinism
- Dohronosis
32Which of the following is correct for the mechanical jaundice
- Ait is parenchymal jaundice
- Bthere is posthepatic occlusion
- Cdirect bilirubin Is increased
- Dit is also called hemolytic jaundice
33"Mutilation” means
- Aform of biological mutation
- Bpendulum movement of the blood
- Czonal hair loss
- Dself amputation of phalanges
34In the bronchi and nasal cavity may develop squamous cell carcinoma based on
- Ahypoplasia
- Bhistological accommodation
- Canaplasia
- Dmetaplasia
35State 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
36The most common localization of lymphangioma is
- Ain sella turcica
- Bthe face
- Con the phalanges of the toes
- Dlips, tongue
37Presence of the lymphocytes and plasma cells in the stroma of tumors is called
- Areactive inflammation
- Bmorphological anaplasia
- Cstromal reaction
- Dsinus histiocytosis
38Carcinoids are
- Atumor-like process
- Bbenign tumors
- Cmalignant tumors
- Dhyperplastic process
39How does carcinoma in situ metastasize?
- Aby the lymph flow
- Bperineural
- Cby the blood flow
- Ddoes not metastasize
40The most frequent localization of neurinoma in the skull is
- Aponto-cerebellar angle
- Bfalx cerebri
- Ctentorium cerebelli
- Dcerebellum
41Signet-ring cells are seen in
- Ain obesity
- Bvacuolar degeneration of tubular epithelium in kidney
- Cliver steatosis
- Dadenocarcinoma accumulating mucus in tumor cells
42Squamous cell carcinoma may develop from
- Amouth mucosa
- Blining of the bronchi
- Clining of the vaginal part of cervix
- Depithelium of gastric mucosa
43Dermoid cyst is
- Amature teratoma, which occurs most frequently in the ovary
- Bbenign tumor of cells of the soft meninges
- Cpigmental tumor
- Dbenign tumor associated with pregnancy
44ULCUS RODENS (rodent ulcer) is a metaphor for macroscopca finding in
- Aadenocarcinoma of the stomach
- Bluetic ulcer
- Crodent bites
- Dbasal cell carcinoma
45The 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
46The 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
47Which 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 oedema)swelling. 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 process is called vascularization)
- Aacute endocarditis
- Bsubacute endocarditis
- Cage-related degeneration of the valve
- Drheumatism
48Which answer is correct for the following microscopic description: H-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
49The 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
50 “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 crumble”.
- Amassive thromboembolism in the trunk of a. pulmonalis (saddle embolus)
- Bair embolism
- Camniotic embolism
- Dheart tamponade
51Indicate 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
52The 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
53The 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
54What 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
55The 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
56What 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
57Indicate 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
58Indicate 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
59Suggest 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 scantycytoplasm 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
60Suggest 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
61Suggest the diagnosis according to the following microscopic description. H-E staining:
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
62Suggest the diagnosis according to the following microscopic description: H-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- Aleiomyosarcoma uteri
- Bleiomyoma uteri
- Cendometrial carcinoma
- Dendometrial sarcoma
63Suggest the diagnosis according to the microscopic description. H-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
64A 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
6552-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
66Body of a man with total cachexia is sent for an autopsy. The skin is dark-bronze. 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
67Nodule measuring 2 cm from the parotid gland of a 32 year old male patient was sent are 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
68A 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 spindle-shaped, grouped in bundles, nuclei form palisade structures.
Set the diagnosis- Afibroma
- Bleiomyoma
- Cmyxoma
- Dneurinoma
69An 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
70At 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
71A 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
72During 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 unencapsulated 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
73The left 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
74On 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 growth in respect to dermis and epidermis is present. Give a diagnosis:
- Anevus pigmentosus
- Befelides
- Cmelanoma malignum
- Dbasal cell carcinoma
75At 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
7668 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
77A 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
78The 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
79A 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 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
80During 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
81At 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
- Cscarcinomatosis of peritoneum
- Dserous peritonitis
8228 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
83Bilateral 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
84The 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
8539 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 nuclej arranged in palisades (‘fence wall’ pattern). Set the diagnosis
- Afibroma
- Bmixoma
- Cleiomyoma
- Dneurinoma
86At 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
87Autopsy of a patient suffering from elevation of blood pressure, episodic diarrhea with abdominal pain, flushing, cyanosis, pulmonary stenosis with insufficiency, shows a thickened nodal end of the appendix the size of 2 cm, dense, with a characteristic yellowish color in the submucosa. Histologically the tumor is composed of rounded to polygonal cells with hyperchromatic nuclei and eosinophilic granular cytoplasm. The granules do not reduce silver salts. Tumor stroma is hyalinized. Give the histological diagnosis of the tumor:
- Agangrenous appendicitis
- Blymphoma of the appendix
- Ccarcinoid
- Dappendicocele
88The autopsy of 65 - year-old woman shows absceding pneumonia, chronic bronchitis and bronchiectasis. In the subarachnoid space, and on the surface of the brain is seen an exudate with dense yellowish color. Histology detects the presence of exudate rich in segmented leukocytes and fibrin. Diagnose the process!
- Atuberculous meningitis
- Bserous meningitis
- Cepidemic meningococcal meningitis
- Dpurulent meningitis
8934 year-old presents with enlarged cervical lymph nodes on the right side of the neck that do not seem to be affected after antibiotic treatment. The biopsy of the lymph nodes shows entirely depleted structure with numerous large mononuclear and binuclear cells, eosinophils, plasma cells, lymphocytes, epithelioid macrophages. Give diagnosis of the pathological process in the lymph nodes!
- ATuberculosis net
- BHodgkin’s lymphoma
- CNon-Hodgkin's lymphoma
- DSarcoidosis
90The upper outer quadrant of the breast shows dense node, well delimited and movable to the surrounding tissue and skin. Histological examination establishes proliferated and expanded ducts of the breast with a spherical shape and the surrounding connective tissue that does not deform them. Breast lobules are not seen. Give the diagnosis of the process!
- Achronic fibrocystic breasts
- Blipogranuloma
- Clipoma
- Dpericanalicular fibroadenoma
91Autopsy of a 67 year-old with cancer of the ascending colon. Skin, mucous membranes and internal organs are pale, the heart is a ‘tiger’ type, the bone marrow of flat bones is hyperplastic and in the long bones it is hyperplastic and ‘red’. Point out the correct diagnosis of the hematopoietic system!
- Airon deficiency anemia
- Bhemolytic anemia
- Cpernicious anemia
- Daplastic anemia
92At an autopsy, a large part of one of the lungs is soft, grey color with an unpleasant odor and the surrounding lung tissue is atelectatic. Histologically is seen necrosis with many microorganisms. No inflammatory reaction is seen. Give the correct diagnosis!
- Aemphysema
- Blung carcinoma
- Clung abscess
- Dlung gangrene
9318-year old girl is with tumor formation in the abdomen. An operation is done and a cystic tumor of the left ovary with the size of 10 cm is removed. Cutting of the tumor shows little protrusion at one pole of the cyst and the contents are fat and hair. Histologically are observed improperly mixed tissues from all three germ layers - ecto - , meso- and endoderm. Determine the type of tumor
- Aserous cystadenoma
- Bpapillary cystadenoma
- Cmucinous cystadenocarcinoma
- Dmature teratoma
94At necropsy the gastric mucosa is strongly hypertrophied. Gastric mucosal folds are large, curved , swollen resembling brain gyri. Which of the following is correct?
- Aacute gastritis
- Bchronic gastritis
- Ccarcinoma of the stomach
- Dhypertrophic gastritis of Menetrier
95Autopsy of 27 - year-old woman finds in the lungs numerous gray-yellowish nodules with the size of millet grain and dense texture. In the subaruchnoid space of the basal surface of the brain, between cruris cerebri around the optic chiasma is seen abundant gelatinous, yellowish exudate and along the blood vessels - nodules with the same characteristic as in the lungs. What is the disease of the nervous system?
- Apurulent meningitis
- Bencephalitis
- Cserous meningitis
- Dtuberculous meningitis
96An elderly with complaints of severe chest pain that spread to the left arm was admitted in emergency cardiac surgery. A surgical intervention with placement of two bypasses was performed and the patient's life was saved. What disease caused the complaints?
- Aangina pectoris
- Batherosclerosis
- Cmyoardial infarction
- Dprinzmetal angina
97If thrombosis occurs a few days after surgery of popliteal vein and causes death due to massive pulmonary embolism, the main disease is
- Awhat has given rise to surgery
- Bthe surgical operation
- Cthrombosis of v. poplitea
- Dmassive pulmonary thrombosis
98The autopsy of 27 years old woman revealed numerous grayish yellow nodules in the lungs with size of a grain and dense consistency. On the brain was found gelatinous yellowish exudate mainly on its base, around chiasm and Sylvian fissure. Around the vessels were visible single nodules with the same characteristics as in the lungs. What is the process in the lungs?
- Aabscessing pneumonia
- Bpneumonia crouposa
- Cmiliary tuberculosis
- Dsilicosis
99A 50 year old male presents with angina pectoris. Coronary angiography reveals a 75% narrowing of the anterior descending branch of the left coronary artery. Which of the following cells is least likely to be involved in the pathogenesis of his coronary artery lesion?
- Amonocytes
- Bsmooth muscle cells
- Cplatelets
- Dneutrophils
100During third trimester of pregnancy, a 28 year old woman discovers a lump in her right breast. It is a circumscribed, 2-cm, freely movable mass beneath the nipple. After delivery of a term infant the mass appears to decrease slightly In size. This breast lesion is most likely to be a (an)
- Aintraductal papilloma
- Bphyllodes tumor
- Cfibroadenoma
- Dlobular carcinoma in situ
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- Clinical Pathology (401-500) MCQs- Year 4 PMU
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