5952212
Quiz by peter samuel, updated more than 1 year ago
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Created by peter samuel
over 4 years ago
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Description
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
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acute bacterial meningitis
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ruptured berry aneurysm
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cerebellopontine angle tumor
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pilocytic astrocytoma
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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
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thrombosed berry aneurysm
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oligodendroglioma
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meningioma
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schwannoma
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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
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astrocytoma
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ependymoma
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meningioma
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metastatic carcinoma
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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
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meningioma
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metastatic testicular carcinoma
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schwannoma
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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
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astrocytoma
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meningioma
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neurofibroma
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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
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possible development of thyrotixicosis
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predispostion to development of papillary carcinoma
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presence of thyroid stimulating immunoglobulins
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previous viral infection
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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
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metastatic renal cell carcinoma
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osteitis fibrosa cystica
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osteoprosis
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multiple myeloma
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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
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an amyloid stroma
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bland microfollicles
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extracellular russel bodies
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neoplastic c cell
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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
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colloid carcinoma
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colloid goiter
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diffuse nontoxic goiter
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follicular adenoma
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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
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follicular carcinoma
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papillary carcinoma
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squamous cell carcinoma
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medullary carcinoma
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anaplastic carcinoma