2017 Flashcards
True of phimosis:
a. The prepuceal orifice is dilated
b. May be due to anomalous development.
c. Infections have no role in Its development
d. Will not cause scarring
B
Non¬specific inflammation of the glans and prepuce is due to which organism?
a. Candida albicans
b. Syphilis
c. Granuloma inguinale
d. Herpes
A
Poor hygiene is a common cause of
a. Phimosis
b. Specific inflammations
C. Hypospadias
d. Epispadias
A
Condyloma acuminaturn will histologically present with
a. Absence of epithelial maturation
b. Thinned out epithelial layer
c. Raisinoid appearance of squamous cells
d. Flattened basal membrane
C
This organism is the most common cause of penile carcinoma in situ
a. HPV 6
b. HPV 11
c. HPV 16
d. All of the above
C
Most important histologic features of penile carcinoma in¬ situ:
a. Full thickness dysplasia
b. Mitotically active epithelial cells
c. Basement membrane is intact
d. Well¬ differentiated
C
Majority of penile squamous cell carcinomas will present with:
a. painless, indolent growth
b. metastasis to the retroperitoneal nodes
c. poor differentiation
d. hematogenous spread to distant organs
A
True of verrucous carcinoma of the penis
a. Cells may look bland¬-looking
b. Doesn’t metastasize
c. Tumor is unusually large and focal
d. All of the above
D
Cryptorchidism is most commonly associated with
a. Trisomy 13
B. Klinefelter syndrome
C. Increased testosterone levels
d. Idiopathic causes
A
Histological features of cryptorchidism
a. Leydig cell prominence
b. No maturation of germ cells
C. Fibrous hyalinization of stroma
d. All of the above
A
Testicular inflammations usually arise from
a. Infections from the urinary bladder
b. infections from the lymphatic channels
C. Infections from the epididymis
d. all of the above
D
Which of the following is a complication of testicular inflammation?
a. sterility
b. necrosis
c. abcess formation
d. edema and congestion
A
True of testicular torsion
a. gradually intensifying pain
b. bell¬clapper abnormality is the most common cause among all ages
c. hemorrhagic infarction can ensue if left untreated
d. caused by twisting of the epididymis
C
Most common testicular tumor
a. sex cord stromal tumors
b. germ cell tumors
c. carcinomas
d. all of the above
B
True of testicular dysgenesis syndrome
a. spectrum includes hypospadia formation and cryptorchidism
b. is not a risk factor in the development of germ cell tumors
c. sperm quality is spared
d. its development is related to intrauterine exposure to androgens
A
Clinical features of germ cell tumors
a. lymphatic spread is most commonly seen in non-seminomatous germ cell tumors
b. metastasis starts in the para¬aortic nodes
c. testicular enlargement is accompanied by pain
d. seminomas usually metastasize earlier than non-seminomatous germ cell tumors
B
Primordial germ cells are the origins of which tumor?
a. embryonal carcinoma
b. yolk sac tumor
c. seminoma
d. all of the above
D
Histologic feature(s) of seminomas:
a. tumor cells are divided by hyaline bands
b. infiltrates are usually polymorphonuclear cells
c. absence of hemorrhage and necrosis
d. absence of giant cells and syntiotrophoblasts
C
Spermatocytic seminoma is histologically different from seminoma due to the following feature(s):
a. absence of extra¬testicular sites of origin
b. is not seen as a component of germ cell tumors
c. is associated with intratubular germ cell neoplasia
d. all of the above
D
Histologic feature of embryonal carcinoma
a. absence of hemorrhage and necrosis
b. tumor cells may show areas of alveolar differentiation
c. giant cells are absent
d. mitosis is rare
B
Anna is a 15 yr old and she felt a small nodule on her right breast and just underneath the nipple. She also noted occasional nipple discharge. She consulted a doctor and had a wide local excision biopsy in order to remove the entire lesion. This is the appearances of the lesion under the microscope.
The first photo is the lesion as seen under the microscope on H&E stain and the second photo
shows the parts of the lesion stained with p63.
Anna’s nipple discharge is likely to be
a. Bloody
b. Cloudy
c. Milky
d. Serous
A
Anna is a 15 yr old and she felt a small nodule on her right breast and just underneath the nipple. She also noted occasional nipple discharge. She consulted a doctor and had a wide local excision biopsy in order to remove the entire lesion. This is the appearances of the lesion under the microscope.
The first photo is the lesion as seen under the microscope on H&E stain and the second photo
shows the parts of the lesion stained with p63.
Give one feature that is not true of her lesion
a It’s positive for estrogen receptors
b it is positive for myoepithelial cells
c. It is a dysplastic lesion
d There are fibrovascular cores
C
The diagnosis on Anna’s pathology report of her breast lesion is
a. Papillary ductal carcinoma in situ
b. Invasive papillary carcinoma
C. intraductal papilloma
d. Cribriform carcinoma
C
a. ductal carcinoma in situ cribriform type
b. well differentiated invasive ductal carcinoma
c. intraductal papilloma
d. fibroadenoma in pericanalicular pattern
A
a. invasive papillary carcinoma
b. intraductal papilloma
c. duct ectasia
d. ductal carcinoma in situ micropapillary type
D
a. fibrocystic change
b. fibroadenoma
c. intraductal papilloma
d. invasive ductal carcinoma
B
a. invasive ductal carcinoma NOS
b. invasive lobular carcinoma
c. fibroadenoma in intracanalicular patterns
d. tubular carcinoma
B
Aling Maria is a 65 year old woman who presented with a mass on her right breast. She consulted a doctor, and a needle with syringe was inserted into her breast, and the pathologist was able to draw some cells from which a smear was made on a slide. Subsequent tissue biopsy and eventual modified radical mastectomy was performed. This is the lesion of Aling Maria as seen under the microscope:
Which of the following choices is the most important prognostic indicator of Aling Maria’s breast lesion?
a. bone metastases
b aneuploidy
c. metastases to lymph nodes
d. hormone receptor assays
A
Aling Maria is a 65 year old woman who presented with a mass on her right breast. She consulted a doctor, and a needle with syringe was inserted into her breast, and the pathologist was able to draw some cells from which a smear was made on a slide. Subsequent tissue biopsy and eventual modified radical mastectomy was performed. This is the lesion of Aling Maria as seen under the microscope:
Aling Maria’s breast lesion arose from the
a. intralobular stroma
b. terminal duct lobular units
c. lactiferous ducts
d. apocrine metaplasia
C
What is the diagnosis of the breast lesion of Aling Maria?
a. mucinous carcinoma
b. medullary carcinoma
c. tubular carcinoma
d. invasive ductal carcinoma NOS
D
Aling Maria is a 65 year old woman who presented with a mass on her right breast. She consulted a doctor, and a needle with syringe was inserted into her breast, and the pathologist was able to draw some cells from which a smear was made on a slide. Subsequent tissue biopsy and eventual modified radical mastectomy was performed. This is the lesion of Aling Maria as seen under the microscope:
The first diagnostic procedure performed on Aling Maria was:
a. core needle biopsy
b. frozen section biopsy
c. local wide excision biopsy
d. fine needle aspiration biopsy
D
Which of the following lesions is negative for e cadherin?
D
Which of the following lesions is intraductal with cookie cutter spaces?
A
Which of the following lesions is benign?
C
Which of the following breast lesions is malignant and invasive?
D
Which of the following is a fibroepithelial lesion?
C
