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Gen Path Finals > Finals 2nd Sem > Flashcards

Finals 2nd Sem Flashcards

1
Q 
Which of the following conditions is a complications of both direct injuries to the lungs and systemic disorder?
A. Atelectasis
B. Pulmonary edema
C. Diffuse alveolar damage
D. Pulmonary congestion
A

C

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2
Q 
Which of the following conditions of the lung is characterized by abonormal permanent enlargement of the air space distal to the terminal bronchiole accompanied by destruction of their walls without obvious fibrosis?
A. Emphysema
B. Bronchial asthma
C. Chronic bronchitis
D. Bronchiectasis
A

A

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3
Q

A spectrum of immunologically mediated predominantly interstitial lung disorders caused by intense often prolonged exposure to inhaled organic dusts and occupational antigens is:
A. Pulmonary alveolar proteinosis
B. Bronchiolis obliterans – organizing pneumonia
C. Desquamative interstitial pneumonitis
D. Hypersensitivity pneumonitis

A

D

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4
Q 
An acute febrile respiratory respiratory distress characterized by patchy inflammatory changes in the lungs confined to the alveolar septa and pulmonary interstitium:
A. Primary atypical pneumonia
B. Lobar pneumonia
C. Bronchopneumonia
D. Lobular bronchopneumonia
A

A

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5
Q 
A systemic disease of unknown cause characterized by non-caseating granuloma in many tissues and organs particularly in the hilar lymph nodes, lungs, eye , and skin is:
A. Silicosis
B. Sarcoidosis
C. Idiopathic pulmonary fibrosis 
D. Asbestosis
A

B

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6
Q 
Most common benign tumor of the lung discovered incidentally as a coin lesion on routine x-ray examination is:
A. Bronchial carcinoids
B. Thymoma
C. Hamartoma
D. Bronchogenic cyst
A

C

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7
Q 
Most common cause of aspiration pneumonia in hospitalized patients:
A. Streptococcus pneumonia
B. Staphylococcus aureus
C. Heamophilus influenzae
D. Pseudomonas aeroginosa
A

D

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8
Q 
Most common type of asthma that begins in childhood and triggered by environmental antigens such as dust, pollens and food is:
A. Non-atopc asthma
B. Drug induced asthma
C. Atopic asthma
D. Occupational asthma
A

C

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9
Q 
Most common manifestation of asbestos exposure often containing calcium seen on the anterior and posterior aspect of the parietal pleura:
A. Asbestos body
B. Plaques 
C. Ferruhinous bodies
D. Amphibole
A

B

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10
Q 
Most common location of secondary tuberculosis in the lung:
A. Hilar area
B. Base
C. Peripheral 
D. Apex
A

D

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11
Q 
Man Tony, 55-year-old man has no major medical problems in the past year, 4 months prior to consultation, the patient experience malaise and weight loss of 10 kg. the patient is a non-smoker, no fever, no difficulty breathing. Chest x-ray shows multiple solid nodules scattered throughout he lung fields. What is the most likely diagnosis?
A. Bronchogenic carcinoma
B. Metastaic carcinoma
C. Malignant mesothelioma
D. Bronchioalveolar carcinoma
A

B

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12
Q

Hemodynamic pulmonary edema seen in congestive heart failure is due to:
A. Increased oncotic pressure
B. Decreased interstitial osmotic pressure
C. Increased hydrostatic pressure
D. Increased albumin

A

C

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13
Q

Sudden death in patients with pulmonary embolism is caused by :
A. Blockage of blood flow through the lungs
B. Atelectasis
C. Development of chronic obstructive pulmonary disease
D. Development of pulmonary hypertension

A

A

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14
Q 
A lymphohematogenous dissemination of pulmonary tuberculosis would give rist to:
A. Vacitary fibrocaseous tuberculosis
B.  Potts disease
C. Tuberculous bronchopneumonia
D. Military tuberculosis
A

D

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15
Q

The plausible mechanism in the development of emphysema is:
A. Increase release of elastase in the neutrophils and macrophages
B. Increase alpha-1 anti-trypsin enzyme
C. Presence of obstruction of a tumor of foreign body with concomitant infection
D. Increase responsiveness to bronchila tree

A

A

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16
Q

Which of the following is/are true of pulmonary sequestration
A.Blood supply arises from the pulmonary artery
B. Extralobular sequestration is commonly seen at the abdomen of infants
C. Intralobular sequestration is characteristically located at the lower lobe of right lung
D. Refers to the presence of a discrete mass of lung tissue with normal connection to the airway system

A

B

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17
Q

True of foregut cysts except:
A. An abdominal detachment of primitive foregut and are the most often located in the hilum or middle midastinum
B. Most common form of foregut cyst is bronchogenic cyst
C. Cyst is lined by ciliated pseudostratified squamous epithelium with columnar metaplasia
D. Bronchogenic cyst is rarely connected to the tracheobronchial treen

A

C

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18
Q 
A 6-year-old male complained of difficulty of breathing and was rushed at the emergency room. Chest x-ray was done and revealed obstruction of the bronchi causing the mediastinum to shift towards the affected lung. What is the possible diagnosis:
A. Resorption atelectasis
B. Contaction atelectasis
C. Compression atelectasis
D. Both b and c
A

A

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19
Q 
The following are causes of pulmonary edema except:
A. Volume overload
B. Liquid aspiration
C. Nephritic syndrome
D. High altitude
A

C

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20
Q

True of panlobular emphysema:
A. Tends to occur more commonly in the lower zones and in the anterior margins of the lung
B. Associated with a1-antitrypsin (a1-AT) deficiency
C. Most common form of emphysema
D. Both a and b

A

D

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21
Q

A 35-year-old male chronic smoker, presenting with persistent cough and productive sputum for many years. He appears cyanotic and dyspneic. Your likely diagnosis would present histologically with:
A. Mucous gland hyperplasia
B. Presence of crushmann spiral
C. Intense acute and chronic inflammatory exudation within the walls of bronchi and bronchioles
D. Abnormally large alveolar separated by thin septa

A

A

22
Q

Precursor lesion of lung cancer:
A. Squamous dysplasia and carcinoma in situ
B. Atypical adenomatous hypoplasia
C. Focal idiopathic pulmonary neuroendocrine cell hyperplasia
D. Both a and c

A

A

23
Q 
It is the most common cause of community-acquired acute pneumonia
A. Streptococcus pneumoniae
B. Klebsiella pneumonia
C. Haemophilus influenza
D. Pseudomonas aeruginosa
A

A

24
Q 
This is the most frequent cause of gram-negative bacterial pneumonia and commonly afflicts debilitated and malnourished people, particularly chronic alcoholics
A. Streptococcus pneumoniae
B. Klebsiella pneumonia
C. Haemophilus influenza
D. Pseudomonas aeruginosa
A

B

25
Q 
Which of the following cells found within the liver is the major source of the excess collagen deposited in cirrhosis?
A. Hepatocytes
B. Ito cells
C. Kupffer cells
D. Endothelial cells
A

B

26
Q 
All of the following produce a predominantly unconjugated hyperbilirubinemia except:
A. Haemolytic anemias
B. Gilbert syndrome
C. Physiologic jaundice of the newborn
D. Dubin-jonhnson syndrome
A

D

27
Q 
The finding of multiple, pale yellow, hard, round stones within the gallbladder is associated with all the following except
A. Oral contraceptives
B. Obesity
C. Biliary infection
D. Hyperlipidemia syndromes
A

C

28
Q

Which of the following statements regarding carcinoma of the exocrine pancrease is true?
A. It arises from the secretory cell of pancreatic acini
B. It is decreasing in frequency
C. It is most often located in the tail of pancreas
D. It is more common in diabetics than in non diabetics

A

D

29
Q 
Chronic pancreatitis is associated with all of the following except:
A. Chronic alcoholism
B. Pancreatic pseudocyst
C. Gallstones
D. Pancreatic calcification
C. Common bile duct
A

B

30
Q

A pancreatic islet cell tumor of the gastrin-secreting G cell will most likely produce
A. Hypglycemia
B. Mild diabetes
C. Severe peptic ulceration of the duodenum
D. Steatorrhea

A

C.

31
Q

True of cirrhosis except:
A. Ito cell become activated
B. The fibrous bands represents type I and III collagen
C. Cirrhosis form any etiology has the same prognosis
D. Biopsies from cirrhotic livers are often fragmented

A

C

32
Q 
Which is the most common microscopic finding in the liver of cystic fibrosis patients?
A. Steatosis
B. Bile duct necrosis
C. Chronic portal inflammation
D. Bile duct proliferation
A

A

33
Q 
Which of the following findings is least specific for the diagnosis of Wilson disease?
A. Low serum ceruloplasmin levels
B. Increased urinary copper excretion
C. Serum copper levels
D. Kayser-Fleisher rings
A

C

34
Q 
Which of the following is considered low risk for the development of hepatocellular carcinoma?
A. HBV
B. HCV
C. Anabolic steroids
D. Hereditary hemochromatosis
A

C

35
Q 
Which of the following elements is not seen in hepatoblastoma?
A. Keratinized squamous cells
B. Trabecular pattern
C. Extramedullary hematopoiesis
D. Pale bodies
A

D

36
Q

Hepatocellular adenomas have been associated with all of the following except:
A. Oral contraceptive
B. Vascular insult
C. Anabolic steroids
D. Type I and III glycogen strage disease

A

B

37
Q 
Which is the most common location for hepatobiliary cystadenoma
A. Intrahepatic
B. Cystic duct
C. common bile duct
D. Hepatic duct
A

A

38
Q 
A patient was diagnosed with pancreatitis due to reflux of bile in the pancreatic duct caused by a gallston. The stone is likely to be lodged at the:
A. Common bile duct
B. Cystic duct
C. Common hepatic duct
D. Heptopancreatic ampulla
A

D

39
Q 
Clinical manifestation of cholestasis except:
A. Alcohol stool
B. Pruritus
C. Steatorrhea
D. Amber urine
A

D

40
Q 
Leading cause of death in cirrhosis include the following except:
A. Portal hypertension
B. Liver failure
C. Hepatic encephaolopathy
D. Hepatic carcinoma
A

C

41
Q 
It is also known as serum hepatitis.
A. Hepa A
B. Hepa C
C. Hepa B
D. Hepa D
A

C

42
Q 
Single stranded RNA caused by Flaviviridae
A. Hepa A
B. Hepa C
C. Hepa B
D. Hepa D
A

B

43
Q 
Morphology of chronic chelecystitis except:
A. Fibrosis
B. Presence of neutrophils
C. Aschoff-rokitansky sinuses
D. Denuded mucosa
A

B

44
Q 
Contains many foamy macrophages which produce the grossly visible strawberry-like appearance
A. Cholecystitis
B. Choledocholithiasis
C. Cholesterolosis
D. Cholangitis
A

C

45
Q 
In hepatitis B virus infection, which of the following antibodies is the protective antibody?
A. Anti-HBe
B. Anti-HBs
C. Anti-HBc
D. Anti-polymerase
A

B

46
Q 
Mallory bodies is highly suggestive of 
A. Alcoholic fatty liver
B. Viral hepatitis
C. Alcoholic cirrhosis
D. Alcoholic hepatitis
A

D

47
Q 
Which of these liver diseases results from copper disorder?
A. Hemochromatosis
B. Wilsons disease
C. Gaucher’s disease
D. Biliary cirrhosis
A

B

48
Q 
Which of these liver diseases results from an iron diosder?
A. Hemochromatosis
B. Wilson’s disease
C. Gaucher’s disease
D. Biliary cirrhosis
A

A

49
Q 
Which one of the following enzymes is found primarily in the liver
A. AST
B. Alkaline phosphatase
C. ALT
D. Both a and c
A

C

50
Q

Which of the following statement regarding pulmonary hypoplasia is false?
A. Decreased weight and volume compared to the body weight
B. One lung is always affected
C. Caused by abnormalities that compress the lung
D. Severe hypoplasia is fatal in neonates

A

B

Gen Path Finals (1 decks)

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