11876103
Descrição
Quiz por Med Student , atualizado more than 1 year ago
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Criado por Med Student
quase 7 anos atrás
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Questão 1
Questão
What is pathology?
Responda
-
the science that studies the changes at cellular, tissue and organ level caused by diseases
-
the science that studies the body structure and morphology
-
medical discipline which aims to find the cause of death when a crime is suspected
-
medical discipline which provides the morphological diagnosis for the clinical practice
Questão 2
Questão
Define the main branches of pathology
Responda
-
general pathology
-
clinical pathology
-
systemic pathology
-
experimental pathology
Questão 3
Questão
Mark the correct statements.
Responda
-
"clinical pathology" builds up a theoretical idea of the pathological process
-
"general pathology" studies the specific morphological changes in organs and systems caused by a particular disease
-
'experimental pathology" researches the diseases using experimental animals and follows up the morphological changes caused by their treatment.
-
a and b statements are correct in reverse manner
Questão 4
Questão
What are the possible outcomes of a disease.
Responda
-
recovery
-
to become chronic
-
death
-
all of the above
Questão 5
Questão
Which of the following isn't a sign of death?
Responda
-
livores
-
rigor mortis
-
decay
-
calor
Questão 6
Questão
Mark the correct statement(s)
Responda
-
Algor mortis is stiffness of muscles after death
-
Rigor mortis is drying of the body after death
-
Livores are a violet-colored skin areas which develop after death
-
Decay is an early sign of death
Questão 7
Questão
Which are the specific methods of pathology?
Responda
-
autopsy
-
biopsy
-
clinical examination
-
clinical laboratory tests
Questão 8
Questão
Which of the followings are methods for taking biopsy?
Responda
-
excision
-
incision
-
surgical
-
all of the listed
Questão 9
Questão
Which are the purposes of pathological autopsy?
Responda
-
to accuse the clinicians of medical malpractice
-
to establish the cause of death and the definitive diagnosis
-
to help and educate clinicians and to improve their work
-
to help the relatives of the deceased to convict the doctors
Questão 10
Questão
Which are the conditions for an autopsy to be done?
Responda
-
death occurred in a hospital due to a disease
-
available medical history of the patient
-
presence of the treating doctor
-
all of the listed above
Questão 11
Questão
What are the characteristics of a frozen section?
Responda
-
urgent diagnosis given during an operation
-
the preparation of the tissue samples is done by a paraffin method
-
the preparation of the tissue samples is done on a freezing microtome
-
sometimes the diagnosis is not exactly clear because of the preparation method but information like "malignant tumor" "benign tumor" or "inflammation" is given to the surgeons to know how to proceed with the operation
Questão 12
Questão
Which fixative is most commonly used?
Responda
-
bouin solution
-
absolute alcohol
-
formalin 10%
-
salts of heavy metals
Questão 13
Questão
What fixative should be used for a liver biopsy from a baby with a suspected inherited metabolic disease?
Responda
-
Formalin 10%
-
1.5-4% glutaraldehyde
-
Frozen section
-
Zenker's fixative
Questão 14
Questão
What is the role of immunohistochemical stains?
Responda
-
to give urgent answers about the diagnosis or at least orientation about the pathological process during surgery
-
to determine the histogenesis of the tumor especially in highly undifferentiated malignant tumors
-
to determine the proliferative activity and the hormonal receptors of the tumor that is highly important for the treatment
-
to help determine the cause of death
Questão 15
Questão
Cytokeratin, S-100 protein, Vimentin, Desmin, CD-20 are examples of:
Responda
-
special stains to prove different substances
-
immunohistochemical markers
Questão 16
Questão
In which cases a pathological autopsy is performed?
Responda
-
when there is suspicion for diagnostic or therapeutic malpractice
-
death of a person outside the hospital
-
when there is suspicion of violent death
-
death of a patient in the hospital and when the relatives don't ask the principal to cancel the autopsy
Questão 17
Questão
Which of the followings is not a part of performing an autopsy?
Responda
-
dissection of organs
-
opening the body
-
taking biopsy from organ changes
-
extraction of abdominal and thoracic organs
Questão 18
Questão
Size, shape, elasticity, consistency, color and cut surface are characteristics of:
Responda
-
microscopic examination of organs
-
gross examination of organs
-
ultramicroscopic examination of organs
-
none of the listed
Questão 19
Questão
Indicate correctly the name of the described test.
The pericardial sac is cut in Y-like section and filled with water, after that, in the presence of a witness, the right ventricle is punctured with a knife.
Responda
-
test for thromboembolism
-
test for pneumothorax
-
test for air and gas embolism
-
test for fat embolism
Questão 20
Questão
Indicate correctly the name of the described test.
The pulmonary artery is cut at the place of truncus pulmonalis. Tweezers are inserted and the content of the artery is taken out for examinationion.
Responda
-
test for pneumothorax
-
test for air and gas embolism
-
test for thromboembolism
-
test for fat embolism
Questão 21
Questão
Indicate correctly the name of the described test.
A pocket between the skin and the ribs is formed and is filled with water. In the presence of a witness, the thorax is punctured with a thin knife in an intercostal space.
Responda
-
test for air and gas embolism
-
test for fat embolism
-
test for thromboembolism
-
test for pneumothorax
Questão 22
Questão
Where is the main accumulation of glycogen in patients with diabetes?
Responda
-
in epithelial cells of convoluted tubules and Henle's loop
-
in epithelial cells of gastrointestinal mucosa
-
in the nuclei and in the cytoplasm of the hepatocytes
-
endothelial cells of the vessels
Questão 23
Questão
Mark the correct statement(s) for Mallory bodies?
Responda
-
they are accumulations of glycogen in the cytoplasm of the hepatocytes
-
they are hyaline inclusions in the cytoplasm of the hepatocytes
-
they are caused by consumption of toxic mushrooms
-
they are seen in Wilson's disease, liver cancer, primary biliary cirrhosis but mainly in alcoholic disease
Questão 24
Questão
Mark the correct statement(s) for Von Gierke's disease?
Responda
-
it is a genetic autosome-recessive disease
-
another name is glycogenosis type Il
-
it affects mainly the heart leading to severe heart failure in infants
-
there is excessive storage of normal glycogen in the liver and kidneys
Questão 25
Questão
Mark the correct statement(s) for cellular edema
Responda
-
it is abnormal accumulation of water in the cytoplasm
-
it is reversible cellular injury
-
cells are small and shrunken
-
there are a few etiological factors that caused cellular edema
Questão 26
Questão
Abnormal intracellular accumulation of proteins can be seen in:
Responda
-
the epithelial cells of the proximal tubules in proteinuria
-
in the cardiomyocytes in heart infarction
-
in the plasma cells in chronic inflammatory diseases as Russel's bodies
-
in the cells of pancreatic islets in diabetes mellitus
Questão 27
Questão
The abnormal inclusions in the hepatocytes in alpha-I antitrypsin deficiency are composed of:
Responda
-
glycogen
-
lipids
-
bile
-
proteins
Questão 28
Questão
"Hyaline droplets" in the epithelial cells of renal tubules is another name for:
Responda
-
glycogen inclusions
-
protein inclusions
-
vacuolar degeneration
-
lipid inclusions
Questão 29
Questão
Vacuolar degeneration and hydropic degeneration are more severe stages of:
Responda
-
fatty degeneration
-
protein degeneration
-
cellular edema
-
glycogen accumulation
Questão 30
Questão
PAS reaction with PAS control is used to distinguish:
Responda
-
Cholesterol from other lipids
-
Glycogen from mucus
-
DNA from RNA
-
Denaturated intracellular proteins from accumulated extracellular proteins
Questão 31
Questão
PAS —control is done using:
Responda
-
sulfuric acid
-
hydrochloric acid
-
amylase
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picric acid
Questão 32
Questão
What is fatty degeneration?
Responda
-
abnormal accumulation of lipids in parenchymal cells
-
abnormal accumulation of lipids in the specialized fatty cells
-
abnormal accumulation of lipids in the ECM of an organ
-
abnormal accumulation of cholesterol in the large and medium-sized vessels
Questão 33
Questão
What is lipomatosis?
Responda
-
abnormal accumulation of lipids in parenchymal cells
-
abnormal accumulation of lipids in the specialized fatty cells
-
abnormal accumulation of lipids in the cells of the interstitium of an organ
-
abnormal accumulation of cholesterol in the large and medium-sized vessels
Questão 34
Questão
What is obesity?
Responda
-
abnormal accumulation of lipids in parenchymal cells
-
abnormal accumulation of lipids in the specialized fatty cells
-
abnormal accumulation of lipids in the cells of the interstitium of an organ
-
abnormal accumulation of cholesterol in the large and medium-sized vessels
Questão 35
Questão
What is the relation between fatty degeneration of the liver and diabetes?
Responda
-
there is no relation between them
-
patients with diabetes have increased intake of lipids to provide more energy
-
the fatty liver in diabetes is caused by increased lipolysis and increased delivery of fatty acids in the liver
-
the fatty liver leads to diabetes mellitus
Questão 36
Questão
What is android type of obesity?
Responda
-
also called "male"or "apple" type, it is the accumulation of lipids in the fatty cells around the shoulders, thorax and waist
-
also called "female"or "pear"type, it is the accumulation of lipids in the fatty cells around the hips, tights and legs
-
generalized obesity predominantly on the face, shoulders and thorax
-
generalized obesity predominantly in the tights, hips and legs
Questão 37
Questão
What is gynoid type of obesity?
Responda
-
also called "male"or "apple" type, it is the accumulation of lipids in the fatty cells around the shoulders, thorax and waist
-
also called "female"or "pear"type, it is the accumulation of lipids in the fatty cells around the hips, tights and legs
-
generalized obesity predominantly on the face, shoulders and thorax
-
generalized obesity predominantly in the tights, hips and legs
Questão 38
Questão
What is upper type of obesity?
Responda
-
also called "male"or "apple" type, accumulation of lipids in the fatty cells around the shoulders, thorax and waist
-
also called "female"or "pear"type, it is the accumulation of lipids in the fatty cells around the hips, tights and legs
-
generalized obesity predominantly on the face, shoulders and thorax
-
generalized obesity predominantly in the tights, hips and legs
Questão 39
Questão
What is lower type of obesity?
Responda
-
also called "male"or "apple" type, it is the accumulation of lipids in the fatty cells around the shoulders, thorax and waist
-
also called "female"or "pear"type — accumulation of lipids in the fatty cells around the hips, tights and legs
-
generalized obesity predominantly on the face, shoulders and thorax
-
generalized obesity predominantly in the tights, hips and legs
Questão 40
Questão
Which type of obesity has worse prognosis?
Responda
-
gynoid type
-
male type
-
the obesity doesn't affect the patient's health
-
all of the obesity types have the same prognosis
Questão 41
Questão
In "tiger heart" the abnormal accumulation of lipids is:
Responda
-
in the cell of the heart's interstitium
-
in the cells around the pericardium
-
in the cardiomyocytes of the papillary muscles along the venules and the venous part of the capillaries
-
in the cardiomyocytes of the anterior wall of the left heart chamber
Questão 42
Questão
Which exogenous pigment could be accumulated in the eyes?
Responda
-
copper
-
lead
-
coal dust
-
none of the above
Questão 43
Questão
Which exogenous pigment could be deposited in the oral cavity?
Responda
-
coal dust
-
copper
-
lead
-
none of the above
Questão 44
Questão
Which exogenous pigment(s) could be deposited in the skin?
Responda
-
carotene
-
silver
-
tattoo ink
-
all of the above
Questão 45
Questão
Which exogenous pigments could be deposited in the liver?
Responda
-
copper
-
silver
-
tattoo ink
-
coal dust
Questão 46
Questão
Which exogenous pigment could be deposited in the kidney?
Responda
-
coal dust
-
copper
-
silver
-
all of the above
Questão 47
Questão
Which exogenous pigment could be deposited in the lungs and lymph nodes?
Responda
-
coal dust
-
carotene
-
tattoo ink
-
none of the above
Questão 48
Questão
Which exogenous pigment could be deposited in the brain?
Responda
-
coal dust
-
carotene
-
copper
-
tattoo ink
Questão 49
Questão
Examples for non-organic pigments are:
Responda
-
coal dust
-
lead
-
carotene
-
silver
Questão 50
Questão
Indicate the types of jaundice.
Responda
-
haemolytic/pre-hepatic
-
obstructive/ post-hepatic
-
hepatocellular/parenchymal
-
all of the above
Questão 51
Questão
Haemolytic jaundice is characterized by the following laboratory findings:
Responda
-
increased indirect bilirubin in the serum, hypercholic stools and increased urobilinogen in the urine
-
both types of bilirubin are increased in the serum, normal colour of the stools, both bilirubin and urobilinogen are increased in the urine
-
increased direct bilirubin in the serum, hypoholic or acholic stool, increased bilirubin in the urine
-
none of the above
Questão 52
Questão
Mechanical jaundice is characterized by the following laboratory findings:
Responda
-
increased indirect bilirubin in the serum, hypercholic stools and increased urobilinogen in the urine
-
both types of bilirubin are increased in the serum, normal colour of the stools, both bilirubin and urobilinogen are increased in the urine
-
increased direct bilirubin in the serum, hypocholic or acholic stools, increased bilirubin in the urine
-
none of the above
Questão 53
Questão
Parenchymal jaundice is characterized by the following laboratory findings:
Responda
-
inceased indirect bilirubin in the serum, hypercholic stools and increased urobilinogen in the urine
-
both types of bilirubin are increased in the serum, normal colour of the stools, both bilirubin and urobilinogen are increased in the urine
-
increased direct bilirubin in the serum, hypocholic or acholic stools, increased bilirubin in the urine
-
none of the above
Questão 54
Questão
Which of the following stains are used to prove hemosiderin?
Responda
-
Sudan Ill in orange colour
-
Congo-Rod in brick-red colour
-
Perls in blue-green colour
-
Van Gieson in red colour
Questão 55
Questão
What is the etiology of brown induration of the lungs?
Responda
-
chronic left sided heart failure'
-
chronic right sided heart failure
-
mitral valve stenosis
-
acute left sided heart failure
Questão 56
Questão
What is the common between fibrosis, sclerosis and cirrhosis?
Responda
-
the common is the increased development of connective tissue in the organ
-
the common is the lipid accumulation in the intetitium of the organ
-
the common is the fibrinoid degeneration of the organ
-
they are different processes and don't have anything common between them
Questão 57
Questão
Which of the following extracellular changes shows basophilia on H-E stain?
Responda
-
fibrinoid degeneration
-
hyalinosis
-
mucoid degeneration
-
amyloidosis
Questão 58
Questão
Which of the following changes are characterized by eosinophilia on H-E stain?
Responda
-
mucoid degeneration
-
vacuolar degeneration
-
fibrinoid necrosis
-
fibrinoid degeneration
Questão 59
Questão
Metachromasia can be seen in which of the following changes on ToluidinBlue stain?
Responda
-
fibrinoid degeneration
-
mucoid degeneration
-
fibrinoid necrosis
-
hyalinosis
Questão 60
Questão
Special stains for fibrin are also used in:
Responda
-
fibrinoid degeneration
-
fibrinoid necrosis
-
mucoid degeneration
-
amyoidosis
Questão 61
Questão
Infiltration of lymphocytes and plasma cells is typical for:
Responda
-
mucoid edema
-
fibrinoid necrosis
-
fibrinoid degeneration
-
none of the above
Questão 62
Questão
What is the clinical significance of hyalinosis of the heart arterioles?
Responda
-
it causes myocarditis
-
it causes rheumatic heart disease
-
it causes ishaemic heart disease
-
it cause subacute endocarditis
Questão 63
Questão
What is the clinical significance of hyalinosis of the pancreatic arteroles?
Responda
-
it can cause diabetes mellitus
-
it can cause pancreatic cancer
-
it can cause acute pancreatitis
-
hyalinosis in the pancreas is a physiological process related with ageing
Questão 64
Questão
What is the common between "glazed spleen" and corpus albicans ovarii?
Responda
-
the process in both is hyalinosis
-
the process in both is fibrosis
-
the process in both is fibrinoid degeneration
-
the process in both is amyloidosis
Questão 65
Questão
Which stain is used to prove rheumatism in acute stage in a heart valve?
Responda
-
Prussian Blue
-
Toluidin-Blue
-
Congo-Red
-
Perls
Questão 66
Questão
Mucoid swelling can be seen in:
Responda
-
Heart valves in rheumatism
-
Basedow's dermopathy
-
Myxedema
-
all of the listed above
Questão 67
Questão
Which are the types of fibrinoid?
Responda
-
fibrinoid related to immune complexes in autoimmune diseases
-
physiological fibrinoid degeneration with aging
-
fibrinoid caused by the influence of biological, chemical and physical factors
-
fibrinoid caused by fast plasmorrhagia in the vessel walls in malignant hypertention
Questão 68
Questão
The necrosis which develops at the base of an acute or chronic active ulcer in the stomach or duodenum is:
Responda
-
coagulative
-
caseous
-
fibrinoid
-
liquefactive
Questão 69
Questão
Which degeneration in the extracellular matrix is seen during the acute stages of autoimmune diseases?
Responda
-
hyaline
-
fibrinoid
-
amyloid
-
none of the above
Questão 70
Questão
Indicate the correct statement(s) for nephrosclerosis arteriolosclerotica:
Responda
-
it affects microscopically the afferent and efferent arterioles
-
it is a result of prolonged benign hypertention
-
it is a reversible process
-
the process is hyalinosis
Questão 71
Questão
What are the microscopic changes seen in the brain in benign long-term hypertention?
Responda
-
hyalinosis of the vessels' walls
-
edema around vessels
-
accumulation of lymphocytes and plasma cells in the soft brain membranes
-
developments of specific granulomas in the brain tissue
Questão 72
Questão
The gross description: thick, hard, glassy whitish depositions, non-digestable by enzymes, is indicative for
Responda
-
steatonecrosis
-
liquefactive necrosis
-
hyalinosis
-
fibrinoid deposition
Questão 73
Questão
Mark the correct statements for Corpus albicans ovarii (white bodies of the ovaries).
Responda
-
they are example of physiological hyalinosis
-
they are example for pathological hyalinosis after inflammatory processes in the ovaries
-
they are example for physiological accumulation of fibrinoid
-
they develop after the regression of corpus luteum
Questão 74
Questão
The following diseases are examples of amyloid depositions. Find the mistake!
Responda
-
rheumatoid arthritis — AA amyloid
-
multiple myeloma — AL amyloid
-
medullary carcinoma of the thyroid gland — AA amyloid
-
Alzheimer's disease — A4 amyloid
Questão 75
Questão
'Sago spleen and lardaceous spleen' are:
Responda
-
gross appearance of the localized (sago-spleen)and generalized (lardaceous spleen) amyloidosis of the spleen
-
sago spleen is amyloidosis of the spleen, while lardaceous spleen is hyalinosis of the spleen
-
gross appearance of the spleen in Hodgkin's lymphoma depending on the severity of the process
-
in lardaceous spleen the amyloid is deposited in the white pulp only, while in sago spleen both white and red pulp have amyloid deposition
Questão 76
Questão
Systemic amyloidosis is proven by a biopsy from?
Responda
-
gingiva
-
heart
-
fat tissue from abdominal wall
-
ileum
Questão 77
Questão
What type of calcification develops in the complicated atherosclerotic plaques?
Responda
-
metastatic
-
dystrophic
-
metabolic
-
physiological
Questão 78
Questão
Which are the causes for hypocalcaemia?
Responda
-
hypoparathyroidism
-
hyperparathyroidism
-
intoxication with vit. D
-
senile osteoporosis
Questão 79
Questão
What kind of gout can develop in a patient with leucemia?
Responda
-
gout caused by excessive consumption of meat and meat products
-
genetic gout caused by error in the metabolism of uric acid
-
renal injury because kidneys cannot excrete the excessive amount of uric acid
-
patients with leucosis never develop gout
Questão 80
Questão
Which of the following microscopic descriptions most likely suggest kidney amyloidosis? The stain is H-E in all the described specimens.
Responda
-
highly enlarged glomeruli, the capillary tufts filled almost all of the capsular space, capillary lumens are obliterated; pink homogeous substance is deposited also in the mesangium, in the basement membranes of the tubules and in the walls of the blood vessels
-
afferent and efferent arterioles have homogenously thick walls stained in pink, some of the glomeruli look smaller, with totally effaced structure and homogenously pink in color, while others may look normal in size, or even with compensatory hypertrophy.
-
the interstitium shows chronic inflammatory reaction, the main change is seen in the kidney tubules which look dilated and filled with pinkish substance (these tubules look like thyroid follicles)
-
many glomeruli show crescent proliferations, encompassing 2/3 f the Bowman's space; the process ends with global sclerosis of the gomerulus
Questão 81
Questão
Which of the following stain(s) is used to prove amyloidosis?
Responda
-
Perls
-
Congo-Red
-
Van Gieson
-
Methyl violet
Questão 82
Questão
Mark the correct statement(s) for kidney alymoidosis
Responda
-
small, shrunken kidneys with granular surface and difficult decapsulation
-
enlarged pale kidneys with waxy texture
-
amyloidosis affects only one of the kidneys and doesn't lead to chronic renal failure
-
kidney amyloidosis is reversible after the treatment of the primary disease and has very good prognosis
Questão 83
Questão
Mark the terms which indicate amyloidosis of the spleen.
Responda
-
lardaceous spleen
-
glazed spleen
-
sago spleen
-
porphiric spleen
Questão 84
Questão
Granulomatous structures, consisting of uric acid crystals, lymphocytes, macrophages, fibroblasts and giant multinucleated cells type "foreign body" are characteristic for which disease?
Responda
-
tuberculosis
-
sarcoidosis
-
gout
-
brucellosis
Questão 85
Questão
Calcification of the aorta characterizes with:
Responda
-
hard, rigid wall of the aorta
-
soft, elastic wall of the aorta
-
can be complicated with mural thrombosis and aneurysm
-
is a result of metabolic calcification
Questão 86
Questão
Amyloidosis of the liver:
Responda
-
develops because of liver dysfunction and liver failure due to chronic liver disease
-
is characterized grossly with small, brown liver with decreased elasticity
-
can develop in chronic inflammatory diseases or in autoimmune diseases
-
is characterized grossly with enlarged, pale liver with waxy texture
Questão 87
Questão
Renal complications of gout include:
Responda
-
uric crystals nephrolithiasis
-
uric-acid infarction
-
urate nephropathy
-
all of the listed above
Questão 88
Questão
Indicate the correct statement(s) for necrosis.
Responda
-
It is a programmed cell death
-
It is provoked cell death
-
It affects single cells and the extracellular matrix is not involved in the process
-
there is a demarcation inflammation at the periphery of the affected area
Questão 89
Questão
Indicate the correct statement(s) for apoptosis.
Responda
-
it affects single cells and the extracellular matrix is not involved
-
there is demarcation inflammation at the periphery of the affected area
-
it ends with phagocytosis of the cellular fragments
-
it is always accompanied by inflammation at the periphery of the area
Questão 90
Questão
What is the difference between fibrinoid degeneration and fibrinoid necrosis?
Responda
-
fibrinoid degeneration is accumulation of fibrinoid in the extracellular space while fibrinoid necrosis includes not only fibrinoid degeneration but also death of cells and extracellular components in the area of fibrinoid degeneration
-
these isn't any difference, the two terms are synonyms
-
fibrinoid degeneration is a physiological process while fibrinoid necrosis is a pathological process
-
fibrinoid degeneration is accumulation of fibrin in the extracellular matrix while fibrinoid necrosis is necrosis of the fibrin in the extracellular matrix
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