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Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU

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Clinical Pathoanatomy 2nd exam- Respiratory Pathoanatomy- 3rd Year PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student over 6 years ago
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Resource summary

Question 1

Question
Is it true that in bronchitis the inflamation is rapidly spread over the peribronchial tissue and panbronchiolitisis?
Answer
  • True
  • False

Question 2

Question
Staphylococcal pneumonia frequently occurs in adults
Answer
  • True
  • False

Question 3

Question
Pyogenic membrane is the most typical structure of the chronic pulmonary abscess:
Answer
  • True
  • False

Question 4

Question
In the first stage of crupous pneumonia the exudate contents leukocytes and fibrin:
Answer
  • True
  • False

Question 5

Question
Acute bronchitis is characterized grossly by edematous hyperemic ulcerated mucosa, covered with mucus, fibrin and pus:
Answer
  • True
  • False

Question 6

Question
Asbestosis is a precancerous condition:
Answer
  • True
  • False

Question 7

Question
What is the outcome of carnification?
Answer
  • pneumofibrosis
  • recovery

Question 8

Question
Cylindrical bronchiectasis can lead to communication between bronchus and pleura
Answer
  • True
  • False

Question 9

Question
Pulmonary hypertension and chronic pulmonary heart are the main complications of chronic pneumonia:
Answer
  • True
  • False

Question 10

Question
Crupous pneumonia affects typically lower lobes of lungs:
Answer
  • True
  • False

Question 11

Question
Define which of the following gross changes refer to acute bronchitis:
Answer
  • hyperemic and opalescent mucosa
  • catarrhal exudate in the bronchial lumen
  • fibrinous- hemorrhagic exudates
  • peribronchial fibrosis

Question 12

Question
What are the typical gross findings in pneumonia, caused by Klebsiella?
Answer
  • mucus appearance of the cut surface
  • necrotic, easily torn cut surface
  • grayish-red color of the cut surface
  • hemorrhagic fluid outflows from the cut surface

Question 13

Question
What is the size of the most pathogenic Si02 particles?
Answer
  • 1-2mcr
  • 5-mcr
  • 5-8mcr
  • 10mcr

Question 14

Question
Combination of which factors can lead to hypostatic bronchopneumonia?
Answer
  • bed rest for a long time in one and the same position
  • activation of the saprophytic lung flora
  • massive viral infection
  • insufficiency of the surfactant

Question 15

Question
Which of the following processes can lead to compressive atelectasis?
Answer
  • massive pleural effusion
  • pneumothorax
  • mediastinal tumor
  • tumor of a main bronchus

Question 16

Question
Which of the following factors can cause bronchial carcinoma?
Answer
  • chronic bronchitis with epithelial metaplasia
  • smoking
  • grippe
  • congenital malformations

Question 17

Question
What is the pleural and pericardial exudate in Iymphogenic invasion of the lung carcinoma?
Answer
  • fibrinous
  • purulent
  • hemorrhagic
  • no changes

Question 18

Question
Which gross changes are typical for senile emphysema?
Answer
  • dilated lungs with increased volume
  • air bubbles on the lung surface
  • decreased in size lungs collapsed to the hilus
  • relaxed lungs with decreased density

Question 19

Question
Which are the typical histological elements of grey hepatisation?
Answer
  • erythrocytes
  • leucocytes
  • fibrin
  • lymphocytes

Question 20

Question
Which are the complications of bronchial cancer?
Answer
  • mantle pneumonia
  • brown induration of the lung
  • septicopyemia
  • massive hemorhage

Question 21

Question
Silicosis is a pneumoconiosis, which is due to inhalation of particles of
Answer
  • SiO2
  • asbestos
  • coal dust

Question 22

Question
Macroscopic forms of lung carcinoma are:
Answer
  • massive hilus nodule
  • large peripheral nodule
  • pneumnic form
  • tumor of Pancoast-Tobias

Question 23

Question
Which diseases can lead to chronic pulmonary heart:
Answer
  • viral pneumonia
  • acute bacterial pneumonia
  • chronic obstructive emphysema
  • silicosis

Question 24

Question
Which diseases can lead topneumosclerosis:
Answer
  • pneumoconiosis
  • carnification
  • total obstruction of bronchus
  • partial obstruction of bronchus

Question 25

Question
Which of the following gross changes are typical for focal pneumonia?
Answer
  • affection of entire lobe
  • 1 cm sized foci with pale greyish color
  • varicolored thickened cut surface
  • 2cm sized peripheral thick greyish-white nodule

Question 26

Question
The autopsy of 54-years old man revealed whitish thick mass, attached to the left upper segmental bronchus, with dispersion on the smaller bronchi. Pulmonary parenchyma was thickened and opalescent liquid outflowed from the cut surface. Set the diagnosis:
Answer
  • bronchial carcinoma
  • mantle pneumonia
  • gangrene of the lungs
  • pneumofibrosis

Question 27

Question
Radiography of a 46- years old man showed peripheral lesion in the left upper lung lobe. He complained of headache and dizziness. The autopsy revealed tumor mass in the left upper lung lobe and metastases in the hilus lymph nodes. Mucus- purulent plugs were seen on the cut surface. Multiple pinkish- white nodules were found in the cerebral and cerebellar hemispheres. Set the diagnosis:
Answer
  • bronchial carcinoma
  • brain metastases of lung carcinoma
  • hydatide cyst of the lung
  • silicosis

Question 28

Question
The autopsy revealed large easily torn greenish lung area with an unpleasant odor, surrounded by areas with atelectasis. Histologically was revealed necrosis with many microorganisms. There was no inflammatory reaction. Set the diagnosis:
Answer
  • emphysema
  • lung carcinoma
  • lung abscess
  • gangrene of the lung

Question 29

Question
The autopsy revealed bilateral pleural adhesions, cylindrical sacciform bronchiectasis, 4 small abscesses in right lower lung lobe, pneumofibrosis. Set the diagnosis:
Answer
  • bronchiectatic disease
  • staphylococcal pneumonia
  • gangrene of lung
  • abscess of lung

Question 30

Question
The autopsy revealed diffuse bronchiectasis; pneumosclerosis and pleural adhesions, pulmonary heart and congestion in the internal organs; edema of leptomeninges. Brain, liver, spleen and suprarenal glandsare thickened. Kidneys- enlarged with waxy density, pale extended cortex and dark pyramids. What was the complication of the main disease:
Answer
  • secondary amyloidosis
  • brown induration of the lungs
  • glomerulonephritis
  • pyelonephritis

Question 31

Question
Do we often encounter Staphylococcal pneumonia in adults?
Answer
  • True
  • False

Question 32

Question
Do we observe microscopically leukocytes and fibrin in the exudate in the 1st stage of croupous pneumonia?
Answer
  • True
  • False

Question 33

Question
Will you consider chronic pneumonia if at the autopsy you find: emphysema, atelectasis, pneumofibrosis, bronchiectasis and fresh inflammatory foci?
Answer
  • True
  • False

Question 34

Question
Is the pulmonary abscess a possible complication of the Streptococcal pneumonia?
Answer
  • True
  • False

Question 35

Question
Can hypostatic pneumonia develop in congenital anomalies of the bronchial tree?
Answer
  • True
  • False

Question 36

Question
ls interstitial emphysema commonly found?
Answer
  • True
  • False

Question 37

Question
Does the pleura, lying upon the involved lung lobe in croupous pneumonia, react to the inflammation?
Answer
  • True
  • False

Question 38

Question
ls asbestosis considered as a precancerous condition?
Answer
  • True
  • False

Question 39

Question
Can Silicosis be complicated by tuberculosis?
Answer
  • True
  • False

Question 40

Question
The most common localization of lung carcinoma is in the periphery.
Answer
  • True
  • False

Question 41

Question
Point out the false statement in the following histological description of viral pneumonia:
Answer
  • productive inflammation in the bronchial mucosa
  • productive inflammation in the interstitium
  • giant cells
  • leukocytic infiltration

Question 42

Question
Determine me pathological process in the pulmonary parenchyma, when you take into consideration the microscopic description- necrotic focus, detritus, a layer of leukocytes and macrophages:
Answer
  • acute pulmonary abscess
  • chronic pulmonary abscess
  • bronchiectasis
  • lung carcinoma with necrosis

Question 43

Question
The following histological phenomena can be found in chronic bronchitis:
Answer
  • hyperplasia of mucinous glands
  • inflammatory infiltration by lymphocytes and plasma cells
  • hypertrophied muscle fibers and torn elastic fibers
  • squamous cell metaplasia of the epithelium

Question 44

Question
The muscle layer of the bronchial wall in bronchial asthma is:
Answer
  • atrophic
  • hypertrophic
  • replaced by fibrous tissue
  • with squamous cell metaplasia of the epithelium

Question 45

Question
Determine which of the following changes can be observed in acute bronchitis:
Answer
  • hyperemia of the mucosa
  • desquamation of the epithelium
  • infiltration of the mucosa by leukocytes and macrophages
  • infiltration by lymphocytes, plasma cells and single leukocytes

Question 46

Question
Define the pathological process in pulmonary abscess:
Answer
  • limited purulent inflammation of the lung
  • development of mature fibrous tissue
  • recurrent inflamatory process
  • cystic formation, caused by Echinococcus

Question 47

Question
Point out the diseases, which can lead to atelectasis:
Answer
  • obstruction of a bronchus
  • dilation of a bronchus
  • lung edema
  • outer compression of the lung

Question 48

Question
The following complications can occur in bronchial carcinoma:
Answer
  • atelectasis
  • recurring pneumonias
  • brown induration of the lungs
  • septicopyemia

Question 49

Question
Point out the characteristic changes in silicosis:
Answer
  • whirl-like collagen fibers
  • irregularly situated collagen fibers
  • central caseous necrosis
  • multiple coniophages around the nodule

Question 50

Question
Point out the characteristic gross changes in chronic obstructive emphysema:
Answer
  • lungs smaller in size and shrunk towards the hilum
  • lungs with increased volume
  • firmer consistency of the lungs
  • diminished elasticity and soft consistency

Question 51

Question
Which of the following pulmonary changes are complications of crupous pneumonia?
Answer
  • abscess
  • chronic pneumonia
  • gangrene
  • brown induration of the lungs

Question 52

Question
Which of the following are complications of bronchiectasis?
Answer
  • chronic hepatitis
  • secondary amyloidosis
  • septicopyemia
  • chronic corpulmonale

Question 53

Question
Hypostatic bronchopneumonia develops in combination of the some of the following factors:
Answer
  • surfactant insufficiency
  • activation of the saprophytes in the lungs
  • massive viral infection
  • in bedridden patients

Question 54

Question
Which size of Silicon dioxide dust particles possesses the strongest disease-causing potential:
Answer
  • 1-2microns
  • 5microns
  • 5-8microns
  • 10-15microns

Question 55

Question
Point out the most common histological types of lung carcinoma:
Answer
  • squamous cell
  • adenocarcinoma
  • undifferentiated small cell carcinoma
  • leiomyosarcoma

Question 56

Question
The cut surface of the whole lower lobe of the right lung of a 48 yrs old deceased man, is firm, finely granular, greyish and dry. The pleura is covered by a fine greyish exudate. Histologically, the alveoli and alveolar ducts are filled by a thick mixture of fibrin and leukocytes. What is the correct pathologic-anatomical dlagnosis?
Answer
  • croupous pneumonia in state of grey hepatization
  • croupous pneumonia in state of resorption
  • pneumocystic pneumonia
  • chronic pulmonary abscess

Question 57

Question
At the autopsy of a 67yrs old man, the lungs are enlarged, filling the thorax, overlying the heart, with soft consistency. There are several air-filled bubbles, sizes- 0.2-3cm. What is the gross pathologic-anatomical diagnosis
Answer
  • silicosis
  • tuberculosis
  • bronchiectasis
  • chronic diffuse obstructive emphysema

Question 58

Question
In a 57-yrs old man, who is cachectic, smoker, a tumor formation is seen in the upper lobe of the right lung, having a whitish colour, granular structure, with necrosis. The pleura is covered in small, firm nodules. Hemorrhagic pleuritis and pericarditis are also found. The hilum and mediastlnal lymph nodes are enlarged with a whitish color. What is the correct gross diagnosis?
Answer
  • lung carcinoma
  • lung carcinoma with metastases
  • tuberculosis
  • bronchiectasis

Question 59

Question
At an autopsy, large portion of one of the lungs is teary, greyish-green, with a foul smell. The surrounding areas are atelectatic. Histologically, there is seen necrosis with abundance of microorganisms. There is no inflamatory reaction. What is the diagnosis?
Answer
  • emphysema
  • lung carcinoma
  • abcess of the lung
  • lung gangrene

Question 60

Question
At an autopsy, there are found bilateral pleural adhesions, cylindrical and sacciform bronchiectasis. There are also seen four small abscesses in the lower right lung, pneumofibrosis. What is the diagnosis?
Answer
  • bronchiectatic disease
  • staphylococcal pneumonia
  • gangrene of the lung
  • abscess of the lung
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