Exfoliative Cytology

Question 1

Fixation time for exfoliative cytology

Answer 1

15mins

Question 2

Ideal fixation time for exfoliative cytology

Answer 2

60mins

Question 3

Fixative for exfoliative cytology that gives best result but not commonly used

Answer 3

Equal parts of 95% ethanol and ether

Question 4

Commonly used fixative for exfoliative cytology

Answer 4

95% ethanol

Question 5

Fixative for sputum

Answer 5

Saccomano preservative

Question 6

Nuclear stain in paps

Answer 6

Harris hematoxylin

Question 7

Stain for paps with strong affinity for mature cells

Answer 7

Og6 stain

Question 8

Stain for paps with strong affinity for immature cells

Answer 8

Ea50

Question 9

Ideal for studying the hormonal status, evaluation of inflammatory conditions, classification of the normal flora and rarely detection of malignant vaginal lesions

Answer 9

Proximal third of the vaginal wall

Question 10

Most common site for cancer screening
Use of ayre’s spatula
Histology: stratified squamous non keratinizing

Answer 10

Ectocervix

Question 11

Site where most malignancies arise

Answer 11

Transformation zone

Question 12

For detection of endocervical lesions, intrauterine lesions

Histology: simple columnar epithelium

Answer 12

Endocervix

Question 13

Material for endocervical canal

Answer 13

Endocervical brush

Question 14

Material for patients with hysterectomy

Answer 14

Vaginal scrape

Question 15

Material for hormonal cytology

Answer 15

Lateral vaginal scrape

Question 16

Material for localization of vaginal adenosis

Answer 16

Four quadrant vaginal scrape

Question 17

Material for detection of herepetic lesions or carcinoma

Answer 17

Vulvar scrape

Question 18

Equipment for vaginal aspiration

6-8 inches x 1/4 inches

Answer 18

Glass pipet and rubber bulb

Question 19

Equipment for swab smear

Answer 19

Ayre’s spatula

Question 20

Equipment for endocervical or endometrial aspiration

Answer 20

Laryngeal cannula attached to a 10cc syringe

Question 21

Produced by proliferating granulose theca cells of the ovarian follicles
Acts upon the superficial cells

Answer 21

Estrogen

Question 22

Produced by corpus luteum formed after ovulation

Acts upon the intermediate cells

Answer 22

Progesterone

Question 23

Boat shaped intermediate cells with a strong tendency to fold and curl their edges

Answer 23

Navicular cells

Question 24

More commonly seen in pregnant women

Appearance: double cell wall appearance

Answer 24

Pregnancy cells

Question 25

Appearance: sunny side up or fried egg

Answer 25

Parabasal cells

Question 26

Chmi ratio

Answer 26

Parabasals:intermediates:superficials

Question 27

Shift to right chmi ratio | Seen among menopausal women taking estrogen

Answer 27

0/10/90

Question 28

Chmi ratio of pregnant women | Progesterone is involved

Answer 28

0/70/30

Question 29

Chmi ratio of premenarche (females who haven’t undergo menstruation) and post menopausal

Answer 29

100/0/0

Question 30

Pregnant women chmi ratio

Answer 30

0/100/0

Question 31

Cell that denotes specimen adequacy

Answer 31

Endocervical cells

Question 32

Shish kebab appearance in paps smear

Answer 32

Candida albicans

Question 33

Presence of clue cells or moth eaten appearance

Answer 33

Gardnerella vaginalis

Question 34

Squamous epithelial cells that show cytopathic effects of hpv

Answer 34

Koilocytes

Question 35

Hsv cytopathic effect is characterized as macrosomia, multinucleation, nuclear molding and ground glass chromatin pattern

Answer 35

Cowdry type a

Question 36

Malignant cell of epithelial origin

Answer 36

Carcinomas

Question 37

Most common form of cervical malignancy

Answer 37

Invasive squamous cell carcinoma

Question 38

Presence of _______________ indicates satisfactory sputum collection

Answer 38

Alveolar macrophage

Question 39

Packaging center of a eukaryotic cell

Answer 39

Golgi apparatus

Question 40

Bowman’s capsule, endothelium, loop of henle, lung alveoli histology

Answer 40

Simple squamous

Question 41

Ducts of glands, walls of thyroid follicles, kidney tubules histology

Answer 41

Simple cuboidal

Question 42

Gall bladder (non ciliated), uterine tube (ciliated) histology

Answer 42

Simple columnar

Question 43

Skin (keratinized), vagina, esophagus, cervix histology

Answer 43

Stratified squamous

Question 44

Ducts of sweat glands histology

Answer 44

Stratified cuboidal

Question 45

Male urethra histology

Answer 45

Stratified columnar

Question 46

Urinary bladder histology

Answer 46

Transitional

Question 47

Trachea (ciliated w/ goblet cells), epididymis histology

Answer 47

Pseudostratified columnar

Question 48

Increase in the size of cells

Answer 48

Hypertrophy

Question 49

Absolute increase of cell number

Answer 49

Hyperplasia

Question 50

Aka atypical hyperplasia | Pre neoplastic

Answer 50

Dysplasia

Question 51

Autolysis or heterolysis Liquefied Complete destruction of cells Ex cerebral infarct

Answer 51

Liquefactive necrosis

Question 52

Cheesy and white appearance | Usually seen in tb tularemia lgv

Answer 52

Caseous necrosis

Question 53

Description of focal areas of fat destruction due to release of pancreatic lipases Chalky white appearance due to released fatty acids and calcium Ex pancreatitis

Answer 53

Fat necrosis

Question 54

Rubbery clot

Answer 54

Post mortem clot

Question 55

Most reliable feature of malignancy

Answer 55

Metastasis

Question 56

Most common pathway for carcinomas

Answer 56

Lymphatic spread

Question 57

Most common pathway for sarcomas

Answer 57

Hematogenous spread

Question 58

Score based upon the size and or extent of invasion

Answer 58

T

Question 59

Score indicates the extent of lymph node involvement

Answer 59

N

Question 60

Score indicates whether distant metastases are present

Answer 60

M

Question 61

Complete removal of the lesion | Most reliable biopsy

Answer 61

Excisional biopsy

Question 62

Organs are removed one by one | Widely used

Answer 62

Virchow’s technique

Question 63

In situ dissection | En bloc

Answer 63

Rokitansky’s technique

Question 64

En bloc

Answer 64

Ghon’s technique

Question 65

En masse

Answer 65

Letulle’s technique

Question 66

Clinical pathology lab reports retention

Answer 66

Two years

Question 67

Autopsy forensic reports and slides retention

Answer 67

Indefinite

Question 68

Surgical pathology reports and pathology tissue block retention

Answer 68

Ten years

Question 69

Cytogenetic reports retention

Answer 69

Twenty years

Question 70

Serum or body fluids retention | Surgical pathology and cytology turn around time

Answer 70

Two days

Question 71

Frozen sections turn around time

Answer 71

5-15mins

Question 72

Autopsy report turn around time

Answer 72

Seven days