cns & endocrine

peter samuel
Quiz by peter samuel, updated more than 1 year ago
peter samuel
Created by peter samuel over 4 years ago
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cns & endocrine quiz

Resource summary

Question 1

Question
a previously healthy 31 year old wman experiences extensive subarachnoid hemorrhage at the base of the brain , she is a frebrile , the CSF protein is slightly increased but the glucose is normal , which of the following is the most likely diagnosis ?
Answer
  • acute bacterial meningitis
  • ruptured berry aneurysm
  • cerebellopontine angle tumor
  • pilocytic astrocytoma
  • meningioma

Question 2

Question
a 50 year old man has 3 cm diameter left frontal lobe mass with areas of calcification , microscopically , sheets of regular cells with spherical nuclei surrounded by clear halo of cytoplasm are seen , which of the following diagnosis is most likely to be made on microscopic examination of this mass ?
Answer
  • thrombosed berry aneurysm
  • oligodendroglioma
  • meningioma
  • schwannoma
  • organizing abscess

Question 3

Question
a 9 year old child has enlargedement of the lateral ventricles with a 4cm homogenous , well circumscribed mass within the fourth ventricle , which of the following is the most likely diagnosis ?
Answer
  • astrocytoma
  • ependymoma
  • meningioma
  • metastatic carcinoma
  • svhwannoma

Question 4

Question
a 65 year old man develops new onset seizures and headaches , a CT scan reavels a 6cm left sided intracerebral mass , which of the following is the most likely diagnoisis ?
Answer
  • meningioma
  • metastatic testicular carcinoma
  • schwannoma
  • gliobastoma multiforme

Question 5

Question
a 10 year old girl develops ataxia and hyrdocephalus ,CT scan shows a midline cerebellar mass , which of the following is the most likely diagnosis ?
Answer
  • astrocytoma
  • meningioma
  • neurofibroma
  • medulloblastoma

Question 6

Question
a multinodular goiter in a 39 year old female whose thyroid function tests are normal is best characterized by which of the following statement or condition ?
Answer
  • possible development of thyrotixicosis
  • predispostion to development of papillary carcinoma
  • presence of thyroid stimulating immunoglobulins
  • previous viral infection
  • painful enlargment

Question 7

Question
a 62 year old male with back pain and a fracture at the T8 vertebra is found to have hypercalcemina , he has renal troubles due to repeated formations of ureteric stones , which of the following disease is the least likely to have ?
Answer
  • metastatic renal cell carcinoma
  • osteitis fibrosa cystica
  • osteoprosis
  • multiple myeloma
  • rickets

Question 8

Question
a 25 year old man presents because of fullness in his neck , physical examination finds enlargement of the thyroid gland resulting from the presence of several small masses in both thyroid lobes , these nodules are surgically resected and the pathology repord diagnoses it as papillary carcinoma , which of the following histologic changes is most characteristic of this typer of carcinoma ?
Answer
  • an amyloid stroma
  • bland microfollicles
  • extracellular russel bodies
  • neoplastic c cell
  • ground glass , grooved nuclei

Question 9

Question
a 59 year old woman present with increased fullness in her neck , physical examination reveals a single mass in the thyroid , clinically she is found to be euthyroid , her serum TSH is within normal , histologic section reveals capsulated follicular neoplasm , where in follicles are similar to normal thyroid tissue , no evidence of nuclear anaplasia but focal invasion of the capsule is found , which of the following is the most likely diagnosis ?
Answer
  • colloid carcinoma
  • colloid goiter
  • diffuse nontoxic goiter
  • follicular adenoma
  • follicular carcinoma

Question 10

Question
a 37 year old man present with a single , firm mass within the thyroid gland , histologic examination of the mass reveals organoid nests of tumor cells , separated by broad bands of stroma , the latter stains positively with congo red stain , which of the following is the most likely diagnosis ?
Answer
  • follicular carcinoma
  • papillary carcinoma
  • squamous cell carcinoma
  • medullary carcinoma
  • anaplastic carcinoma
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