Clinical Pathology (101-200) MCQs- Year 4 PMU

Descrição

Masters Pathoanatomy Quiz sobre Clinical Pathology (101-200) MCQs- Year 4 PMU, criado por Med Student em 10-01-2019.
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Resumo de Recurso

Questão 1

Questão
Chronic bronchitis can be characterized by the following
Responda
  • hypertrophy of the smooth muscle layer of the bronchi
  • squamous cell metaplasia of the respiratory epithelium
  • can cause cor pulmonale chronicum
  • all of the above

Questão 2

Questão
Which type of emphysema most frequently causes pneumothorax?
Responda
  • paraseptal
  • senile
  • bullous
  • centrolobular

Questão 3

Questão
In diffuse pulmonary emphysema we can notice the following changes
Responda
  • the lungs are with increased density
  • the lungs are enlarged
  • we observe atrophy of the interalveolar septi
  • there is hypertrophy of the interalveolar septi

Questão 4

Questão
What is the order in which we observe the different histological stages in pneumonia crouposa?
Responda
  • congestion, grey hepatisation, red hepatisation, resolution
  • grey hepatisation, congestion, red hepatisation, resolution
  • congestion, red hepatisation, grey hepatisation, resolution
  • congestion, red hepatisation, grey hepatisation, lung abscess

Questão 5

Questão
Which complications can we observe in lobar pneumonia?
Responda
  • carnification
  • fibrinous pleuritis
  • lung abscess
  • none of the above

Questão 6

Questão
In which stage of pneumonia crouposa (lobar pneumonia) can we hear crepitations?
Responda
  • grey hepatisation
  • congestion
  • resolution
  • red hepatisation

Questão 7

Questão
Pleural friction in pneumonia crouposa (lobar pneumonia) can be detected in
Responda
  • the stage of congestion
  • the stage of grey hepatisation
  • there is no pleural friction in pneumonia crouposa
  • all stages

Questão 8

Questão
Characteristic features of hypostatic pneumonia
Responda
  • it is observed in the apical lobes of the lungs
  • it is unilateral
  • it is observed in the lower posterior segments of both lungs
  • there is impaired ventilation in the segments where it occurs

Questão 9

Questão
In hypostatic pneumonia
Responda
  • there is activation of saprophytic flora
  • it is caused by pneumococci
  • it is caused by Pneumocystis carini
  • there is hypoventilation in the lower posterior segments

Questão 10

Questão
In bronchopneumonia we can observe
Responda
  • scattered grey-yellow foci in the lung parenchyma
  • confluent grey-yellow foci
  • central collection of pus in these foci
  • rusty sputum

Questão 11

Questão
Bronchopneumonia is characterized by
Responda
  • high fever, weakness, cough
  • can be complicated by septicopyemia
  • can be descending from purulent bronchitis
  • mycetoma

Questão 12

Questão
Fungal pneumonia can be caused by
Responda
  • old age
  • long-term antibiotic treatment
  • in autoimmune diseases, where patients are treated with corticosteroids
  • immune deficit

Questão 13

Questão
In fungal pneumonia we can observe
Responda
  • Fungal colonies
  • Uncharacteristic clinical signs
  • Interstitial pneumonia
  • Van Gieson positive fungi

Questão 14

Questão
In interstitial pneumonia
Responda
  • there is involvement of only one lobe
  • the inflammatory infiltrate is rich in lymphocytes
  • plasma cells are seen in the inflammatory infiltrate
  • the interalveolar septi are thickened

Questão 15

Questão
In pneumonia crouposa (lobar pneumonia) we can observe the following histological changes
Responda
  • focal purulent inflammation
  • fibrino-purulent exudate in the alveoli
  • artificial detachment of the fibrin fibrils from the alveolar walls
  • spared alveoli filled with air

Questão 16

Questão
What are the characteristic microscopic features of chronic pyelonephritis?
Responda
  • pericapsular glomerulosclerosis
  • mesangial hyperplasia
  • lymphoid infiltrates in the interstitium
  • "thyroidization " of the tubules

Questão 17

Questão
What is the most common outcome of tubal pregnancy?
Responda
  • rupture of the fallopian tube
  • secondary peritoneal pregnancy
  • pregnancy with normal birth
  • fetal transition into lithopedion

Questão 18

Questão
Which of the following diseases affect the white substance of the brain?
Responda
  • post-vaccination encephalitis
  • polioencephalitis
  • multiple sclerosis
  • lethargic encephalitis

Questão 19

Questão
Where are the first and major vascular changes in hypertension?
Responda
  • aorta
  • vessels of muscle type
  • arterioles
  • veins

Questão 20

Questão
Specify which stages are not found in lobar pneumonia
Responda
  • proliferative
  • gray hepatization
  • red hepatization
  • resolution

Questão 21

Questão
The most common case of acute post hemorrhagic anemia are:
Responda
  • acute hemolysis
  • traumatic
  • intoxication
  • all three above

Questão 22

Questão
Which are tumor-like processes in the mouth
Responda
  • polyp
  • fibroma
  • hemangioma
  • epulis

Questão 23

Questão
In myeloma often develops
Responda
  • hyper-para-proteinemia
  • amyloidosis
  • renal failure
  • chronic pyelonephritis

Questão 24

Questão
In periarteritis nodosa occur
Responda
  • calcium deposits in the vessel wall
  • endarteriitic changes
  • fibrinoid necrosis in the vessel wall
  • amyloidosis

Questão 25

Questão
Tubulorexis is seen in
Responda
  • acute pyelonephritis
  • ischemic tubular necrosis
  • toxic tubular necrosis
  • urinary acid attack

Questão 26

Questão
Which of the above pathological processes, refers to the proliferative state of rheumatism?
Responda
  • mucoid edema
  • fibrinoid deposition
  • growth of connective tissue
  • formation of granulomas

Questão 27

Questão
Basal leptomeningitis is found in
Responda
  • sepsis
  • tuberculosis
  • influenza
  • neurosyphilis

Questão 28

Questão
What diseases comprise COPD
Responda
  • chronic bronchitis
  • primary pulmonary hypertension
  • lung carnification
  • pulmonary emphysema

Questão 29

Questão
Which of the ovarian tumors is related to transitional epithelium
Responda
  • Brenner tumor
  • Adrenoblastoma
  • Mucinous cystadenoma
  • Serous cystadenoma

Questão 30

Questão
Typical changes in the heart in hypertension are
Responda
  • hypertrophy of the left ventricle
  • hypertrophy of the right ventricle
  • mitral stenosis
  • brown atrophy of the liver

Questão 31

Questão
In classical nephritic syndrome is found
Responda
  • heavy proteinuria over 3,5 g/24 h
  • erythrocytes in the urine
  • hypertension
  • azotemia

Questão 32

Questão
Which are the morphological subtypes of ameloblastoma
Responda
  • cystic
  • laminar
  • soft
  • solid

Questão 33

Questão
What complications can occur at the site of chronic heart aneurysm?
Responda
  • myocardial rupture
  • mural thrombosis
  • regeneration of the muscle layer
  • adhesive pericarditis

Questão 34

Questão
Indicate where the viruses of hepatitis A and B replicate after enteral or parenteral penetration
Responda
  • intestines
  • in mesenteric lymph nodes
  • in other lymphoid organs
  • in liver

Questão 35

Questão
Serous meningitis can be caused by
Responda
  • herpes simplex infection
  • a streptococcal infection
  • influenza infection
  • mumps

Questão 36

Questão
"Big white kidneys " are seen in
Responda
  • chronic pyelonephritis
  • rapidly progressive glomerulonephritis
  • renal amyloidosis
  • diabetic nephropathy

Questão 37

Questão
Lobar pneumonia is
Responda
  • lobular
  • fibrinous
  • catarrhal
  • pleuropneumonia

Questão 38

Questão
What are the complications of atherosclerosis of the femoral artery
Responda
  • thrombophlebitis
  • atrophy of the limb
  • gangrene
  • thrombosis

Questão 39

Questão
The pathogenesis of hydrocephalus is due to
Responda
  • the increased volume of CSF
  • swelling of the brain
  • imbalance between absorption and spinal fluid production
  • ischemia

Questão 40

Questão
Indicate which diseases are intraepithelial neoplasms
Responda
  • pre-cancers
  • tumor-like processes
  • invasive tumors
  • inflammatory diseases

Questão 41

Questão
When is mostly seen the acute aneurysm of the heart?
Responda
  • in the acute phase of myocardial infarction
  • in diphtheria myocarditis
  • rheumatic myocarditis
  • at aortic stenosis

Questão 42

Questão
Early carcinoma of the stomach means
Responda
  • carcinoma infiltrating submucosa
  • carcinoma in situ
  • carcinoma infiltrating muscular layer
  • carcinoma infiltrating the serosa

Questão 43

Questão
What is abortion?
Responda
  • an inflammatory condition
  • a spontaneous abortion
  • artificial interruption of pregnancy
  • tumor

Questão 44

Questão
Which of the following morphologic methods are used for classifying the lymphomas
Responda
  • Staining with van Gieson
  • PAS reaction
  • Staining with von Kossa
  • Immunohistochemistry

Questão 45

Questão
Which of these tumors frequently metastasize to bone
Responda
  • liposarcoma
  • osteosarcoma
  • prostate cancer
  • breast cancer

Questão 46

Questão
Which of the following thyroid cancer is associated with amyloidosis
Responda
  • Follicular carcinoma
  • Medullary carcinoma

Questão 47

Questão
Which type of lung carcinoma has the worst prognosis
Responda
  • Squamous cell carcinoma
  • Small cell carcinoma

Questão 48

Questão
Which of the following is true for medullary carcinoma of the breast
Responda
  • Worse prognosis
  • Prominent lymphoid infiltrate

Questão 49

Questão
Which of the following type of lipids has the highest association with atherosclerosis
Responda
  • Triglycerides
  • Low-density lipoproteins

Questão 50

Questão
Calcifying sclerosis of aorta and big arteries is type of
Responda
  • Dystrophic calcification
  • Metastaic calcification

Questão 51

Questão
The most frequent form of primary glomerular disease in children is
Responda
  • Minimal change disease
  • Acute glomerulonephritis

Questão 52

Questão
Hyperfunction of anterior pituitary in pre-pubertal children generally can result in:
Responda
  • Acromegaly
  • Gigantism

Questão 53

Questão
The role of external radiation in the etiology of thyroid cancer is predominant in:
Responda
  • Papillary carcinoma
  • Follicular carcinoma

Questão 54

Questão
The following type of carcinoma of the breast is characterized by ‘lndian file’ pattern of tumor cells
Responda
  • Infiltrating ductal carcinoma
  • Invasive lobular carcinoma

Questão 55

Questão
Prostatic hyperplasia affects most often
Responda
  • Peripheral prostate
  • Periurethral prostate

Questão 56

Questão
Which criteria refer to pernicious anaemia
Responda
  • Low serum B12
  • Megaloblastic anaemia
  • Antibody against intrinsic factor of stomach
  • Gastric parietal cell antibody

Questão 57

Questão
Which of the following tumors have association with occupational exposure to asbestosis
Responda
  • Silicosis
  • Malignant mesothelioma
  • Squamous cell carcinoma
  • Laryngeal carcinoma

Questão 58

Questão
Which of the following features characterize ulcerative colitis, except
Responda
  • Formation of crypt abscess and cryptitis
  • Superficial mucosal ulceration
  • Depletion of goblet cells and mucus
  • Stricture formation in chronic cases

Questão 59

Questão
Philadelphia chromosome is characterized by
Responda
  • translocation (8; 14)
  • translocation (9:22)
  • translocation (22:9)
  • translocation (14;8)

Questão 60

Questão
Which of the following are included in classic Hodgkin’s disease
Responda
  • Histiocytic fibrosis
  • Lymphocytic depletion
  • Mixed cellularity
  • Nodular sclerosis

Questão 61

Questão
Pulseless disease is
Responda
  • Temporal arteritis
  • Kawasaki’s disease
  • Takayasu arteritis
  • Buerger’s disease

Questão 62

Questão
The morphologic variants of diagnostic cells in Hodgkin’s disease are
Responda
  • Cells with bilobed nucleus appearing as mirror image
  • Megaloblastic cells
  • Lacunar type cell
  • Large cleaved cells

Questão 63

Questão
Crohn’s disease is characterized by the following histopathologic features
Responda
  • Non-caseating sarcoid like granulomas
  • Deep transmural ulceration
  • Multiple abscesses
  • Pseudopolyps

Questão 64

Questão
According to monoclonal atherosclerotic hypothesis, the primary event in atherosclerosis is
Responda
  • Monoclonal proliferation of endothelial cells
  • Monoclonal proliferation of smooth muscle cells
  • Monoclonal proliferation of monocytes
  • Monoclonal proliferation of foam cells

Questão 65

Questão
Barrett’s oesophagus is
Responda
  • Congenital anomaly
  • Inflammatory disease
  • Metaplastic process
  • Neoplastic lesion

Questão 66

Questão
The most common site of involvement of atherosclerotic aneurysm is
Responda
  • Arch of aorta
  • Thoracic aorta
  • Suprarenal part of abdominal aorta
  • Intrarenal part of abdominal aorta

Questão 67

Questão
The following histologic types of bronchogenic carcinoma have strong association with cigarette smoking except
Responda
  • Squamous cell carcinoma
  • Small cell carcinoma
  • Large cell carcinoma
  • Adenocarcinoma

Questão 68

Questão
The most important and common complicated atheromatous lesion in the coronary artery in route myocardial infarction is
Responda
  • Calcification
  • Coronary artery thrombosis
  • Aneurysm
  • Ulceration

Questão 69

Questão
In hypertensive heart disease left ventricular hypertrophy is correlated with
Responda
  • Duration of hypertension
  • Severity of hypertension
  • Cause of hypertension
  • Severity of coronary atherosclerosis

Questão 70

Questão
The most common causative organism for lobar pneumonia is
Responda
  • Staphylococci
  • Streptococci
  • Pneumococci
  • Haemophilus

Questão 71

Questão
The common complications of gastric ulcer are
Responda
  • penetration
  • pneumonia
  • hemorrhage
  • perforation

Questão 72

Questão
Which of the following types of acute viral hepatitis become chronic hepatitis
Responda
  • type A
  • type B
  • type C
  • all the tree answers are correct

Questão 73

Questão
What complication can occur due to atherosclerosis of femoral artery?
Responda
  • thrombophlebitis
  • diabetes mellitus
  • gangrene
  • pulmonary thromboembolism

Questão 74

Questão
Nephrotic syndrome develops in
Responda
  • urine retention
  • acute renal failure
  • acute pyelonephritis
  • glomerulonephritis

Questão 75

Questão
The infection which leads to pyelonephritis may be a result of
Responda
  • hematogenous dissemination
  • ascending dissemination
  • immune conflict
  • as a complication of glomerulonephritis

Questão 76

Questão
Which of the following diseases does not lead to nephrosclerosis
Responda
  • atherosclerosis
  • diabetes mellitus
  • diabetes insipidus
  • gout

Questão 77

Questão
Squamous cell carcinoma is a common tumor in the
Responda
  • Uterine body
  • Ovaries
  • Fallopian tubes
  • Uterine cervix

Questão 78

Questão
Which of the morphological methods are used for subtyping lymphomas?
Responda
  • Van Gieson staining
  • PAS
  • Von Kossa staining
  • Immunohistochemistry

Questão 79

Questão
Which of the following complications can develop in pulmonary carcinoma
Responda
  • mantle pneumonia
  • brown induration of lungs
  • empyema
  • massive hemorrhage

Questão 80

Questão
Determine the pathological process in the lung parenchyma, having in mind the microscopic appearance - a focus of necrosis, detritus, leukocytes and macrophages
Responda
  • acute pulmonary abscess
  • chronic pulmonary abscess
  • bronchiectasis
  • lung cancer in decay

Questão 81

Questão
Point out the characteristic macroscopic changes of chronic obstructive emphysema
Responda
  • decreased in size lungs, collapsed to the hilum
  • lungs with increased volume
  • thick consistency of the lungs
  • reduced elasticity and soft consistency

Questão 82

Questão
What disease is endometriosis?
Responda
  • Inflammation of the uterine mucosa
  • Inflammation of the uterine cervix
  • Dishormonal disease
  • Tumor

Questão 83

Questão
Gynecomastia is a disease of
Responda
  • breast in women
  • ovaries
  • male breast
  • testes

Questão 84

Questão
What is typical for the first stage of syphilis?
Responda
  • siphilides
  • ulcus durum
  • gumma
  • generalized lymphadenitis

Questão 85

Questão
For tuberculous meningitis the following histological changes are typical
Responda
  • purulent infiltration in the meninges
  • endarteriitis obliterans
  • granulomatous inflammation
  • caseous necrosis

Questão 86

Questão
Why are occupational diseases named pneumoconiosis?
Responda
  • cor hypertonicum
  • disease of the lungs associated with mineral dust inhalation
  • pneumonia
  • infection of the bronchial wall and lung parenchyma

Questão 87

Questão
Which of the following factors play a role in the development of bronchial carcinoma?
Responda
  • chronic bronchitis
  • smoking
  • influenza
  • work/ environmental factors

Questão 88

Questão
What is the exudate in the pleural cavity and pericardial sac due to lymphatic spread of pulmonary carcinoma into them?
Responda
  • fibrinous
  • serous
  • hemorrhagic
  • purulent

Questão 89

Questão
What forms of silicosis do you know?
Responda
  • nodular
  • diffuse-sclerotic
  • senile
  • combination of a) and b)

Questão 90

Questão
Apically located peripheral pulmonary carcinoma is represented by the eponym
Responda
  • Claude-Bernard-Horner syndrome
  • Pancoast-Tobias
  • Ptosis and miosis
  • Enophthalmus

Questão 91

Questão
Which diseases complicate siliscosis?
Responda
  • cor hypertonicum
  • cor pulmonale chronicum
  • tuberculosis
  • pneumofibrosis

Questão 92

Questão
Claude-Bernard-Horner syndrome includes the following:
Responda
  • ptosis, midriasis, anhydrosis
  • ptosis, miosis, increased sweating
  • ptosis. miosis, pseudoenophthalmus
  • anhydrosis

Questão 93

Questão
What possible gross changes we see in lung carcinoma?
Responda
  • pneumonia-like form
  • ill-defined central node connected to a bronchus
  • linitis plastic
  • peripheral ill-defined node

Questão 94

Questão
Chronic bronchitis is usually accompanied by
Responda
  • squamous cell metaplasia of the respiratory epithelium
  • phases of purulent inflammation
  • productive cough for at least 2 months/year for 3 consecutive years
  • productive cough for at least 3 months/year for 2 consecutive years

Questão 95

Questão
Squamous cell lung carcinoma occurs
Responda
  • in the middle lobe of the left lung
  • after squamous cell metaplasia of the respiratory epithelium of bronchi
  • as an ill-defined node connected to a bronchus
  • forming nests of tumor cells producing keratin

Questão 96

Questão
In small cell lung carcinoma we can observe
Responda
  • numerous tumor cells with scant stroma
  • the tumor cells resemble oat-grains
  • it grows in a pneumonia-like fashion
  • the tumor cells have very high proliferative rate

Questão 97

Questão
Bronchiolo-alveolar pulmonary carcinoma is characterized by:
Responda
  • forms papillary folds into the alveolar lumen
  • it is a form of squamous cell carcinoma
  • the cells produce keratin
  • it is a form of adenocarcinoma

Questão 98

Questão
Hodgkin lymphoma has
Responda
  • Five histological variants
  • Hodgkin cells
  • Reed-Stern berg cells
  • Polyclonal inflammatory background

Questão 99

Questão
In Hodgkin lymphoma we can observe
Responda
  • effaced lymph node structure
  • nodular sclerosis histological form
  • mixed cellularity histological form
  • chronic myeloleukemia

Questão 100

Questão
Non-Hodgkin lymphomas can be
Responda
  • Nodal
  • B-cell and T -cell types
  • Extranodal
  • none of the above

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