Finals - Histology (2024) Flashcards

1
Q
  1. Compact bone is also known as?
    A. Immature bone
    B. Dense bone
    C. Cancellous bone
    D. Spongy bone
    E. Woven bone
A

Dense bone

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2
Q
  1. Which among the following mineral is found in bone?
    A. Tourmaline
    B. Calcite
    C. Rubellite
    D. Indicolite
    E. Hydroxyapatite
A

Hydroxyapatite

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3
Q
  1. What is the composition of Shareex’s fibers?
    A. Elastic fibers
    B. Collagen fibers
    C. Trabeculae
    D. Reticular fibers
    E. Dense regular connective tissue
A

Collagen fibers

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4
Q
  1. This structure is described as tiny tunnels within the bone that connects a bone cell to another.
    A. Canaliculi
    B. Trabeculae
    C. Sharpex’s fibers
    D. Lacuna
    E. Volkmann’s canal
A

Canaliculi

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5
Q
  1. What is bone formation called when the bone is formed from a cartilage template?
    A. Intramembranous
    A. En bloc
    B. Endosteum
    C. Endochondral
    D. Intraosseous
A

Endochondral

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6
Q
  1. What cell is involved in laying down new bone?
    A. Osteoid
    B. Osteoclast
    C. Osteon
    D. Osteocyte
    E. Osteoblast
A

Osteoblast

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7
Q
  1. What type of basic tissue type is cartilage?
    A. Cartilage
    B. Epithelium
    C. Connective tissue
    D. Nervous
    E. Muscle
A

Connective tissue

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8
Q
  1. Which type of cartilage is highly vascular?
    A. Elastic cartilage
    B. All of the above
    C. Fibrocartilage
    D. None of the above
    E. Hyaline cartilage
A

None of the above

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9
Q
  1. Which type of cartilage forms the articular surface on bones?
    A. Hyaline cartilage
    B. Fibrocartilage
    C. Elastic cartilage
    D. None of the above
    E. All of the above
A

Hyaline cartilage

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10
Q
  1. Which type of cartilage forms the symphysis pubis?
    A. Elastic cartilage
    B. None of the above
    C. All of the above
    D. Fibrocartilage
    E. Hyaline cartilage
A

Fibrocartilage

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11
Q
  1. Which meninx is made of a delicate web like connective tissue?
    A. Dura mater
    B. Both A and B
    C. Arachnoid
    D. Pia mater
    E. All of the above
A

Arachnoid

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12
Q
  1. Which of the following forms myelin in the peripheral nervous system?
    A. Schwann cells
    B. Ganglion
    C. Neuroglia
    D. Satellite cells
    E. Basket cells
A

Schwann cells

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13
Q
  1. What is a collection of cell bodies outside the CNS called?
    A. Nissle
    B. Terminal bouton
    C. Ganglion
    D. Astrocyte
    E. Perikaryon
A

Ganglion

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14
Q
  1. What is the tissue that surrounds a nerve fascicle?
    A. Endosteum
    B. Perineurium
    C. Perimysium
    D. Periosteum
    E. Perichondrium
A

Perineurium

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15
Q
  1. Where is the cerebrospinal fluid?
    A. Subarachnoid space
    B. Between the pia mater and brain
    C. Subdural space
    D. Between the dura mater and bone
    E. None of the above
A

Subarachnoid space

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16
Q
  1. Which of the following is the most abundant neuroglia cell?
    A. Astrocytes
    B. Schwann cells
    C. Oligodendrocytes
    D. Microglia
    E. Ependymal cells
A

Astrocytes

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17
Q
  1. Which of the following is a supporting cell found in the ganglia?
    A. Basket cells
    B. Neuroglia
    C. Schwann cells
    D. Satellite cells
    E. Ganglion
A

Satellite cells

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18
Q
  1. What are the gaps that occur within the myelin sheath?
    A. Nodes of Ranvier
    B. Neurofilaments
    C. Meninges
    D. Myelinated nerve fibers
    E. Cell bodies
A

Nodes of Ranvier

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19
Q
  1. How many neurons are in the body of man?
    A. 10,000,000,000,000 (10 to the 13th)
    B. 10,000,000 (10 to the 7th)
    C. 10,000,000,000,000,000 (10 to the 16th)
    D. 10,000 (10 to the 4th)
    E. 10,000,000,000 (10 to the 10th)
A

10,000,000,000 (10 to the 10th)

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20
Q
  1. What is the dura mater composed of
    A. Loose irregular connective tissue
    B. Dense irregular connective tissue
    C. Dense regular connective tissue
    D. Simple squamous epithelium
    E. Nervous tissue
A

Dense irregular connective tissue

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21
Q
  1. What are the two major phases of the cell cycle?
    A. Interphase and metaphase
    B. Interphase and meiosis
    C. Interphase and mitosis
    D. Interphase and prophase
A

Interphase and mitosis

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22
Q
  1. What happens in the S phase of the cell cycle?
    A. There is a production of two new daughter cells
    B. The cell grows larger and organelles are copied
    C. The cell grows more, makes proteins and organelles, and begins to reorganize its contents in preparation for mitosis
    D. The cell synthesizes a complete copy of the DNA in its nucleus
A

The cell synthesizes a complete copy of the DNA in its nucleus

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23
Q
  1. The process in which fetal cells express sets of genes that mediate specific cytoplasmic activities, becoming very efficient in specialized functions and usually changing their shape accordingly is called;
    A. Apoptosis
    B. Cell division
    C. Cytokines
    D. Differentiation
A

Differentiation

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24
Q
  1. Macrophages are cells specializing in which of the following;
    A. Synthesis and secretion of steroids
    B. Lipid storage
    C. Intracellular digestion
    D. lon transport
A

Intracellular digestion

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25
25. This is a rapid highly regulated cell activity that shrinks and eliminates defective cells; A.    Lysosomes B.    Phagocytosis C.     Necrosis D.    Apoptosis
Apoptosis
26
26. The cells entering Meiosis I are best described as: A.    Triploid B.    None of the above C.     Haploid D.    Diploid
Haploid
27
27. The site of protein synthesis in the cell; A.    Ribosomes B.    Golgi apparatus C.     Endoplasmic reticulum D.    Cytoplasm
Ribosomes
28
28. This transport process does not require expenditure of cellular energy and facilitates movement of substances down a concentration gradient until equilibrium is reached. A.    Passive transport B.    Active transport C.     Vesicular transport D.    Pinocytosis
Passive transport
29
29. An example of this vesicular transport is a white blood cell engulfing a bacterium. A.    Pinocytosis B.    Endocytosis C.     Exocytosis D.    Phagocytosis
Phagocytosis
30
30. This is the phase of the cell cycle where the cell grows and makes a copy of its DNA. A.    Metaphase B.    Interphase C.     Mitosis D.    Prophase
Interphase
31
31. Which of the following blood cells is involved in anaphylaxis and type 1 hypersensitivity reaction? A.    Basophil B.    Neutrophil C.     Monocyte D.    Lymphocyte
Basophil
32
32. A 30-year-old patient was noted to have severe bacterial sepsis. Clinically, he has temperatures of 40C with chills, tachypnea and tachycardia. As the attending physician, you requested for a complete blood count. The result will show a shift to the left which means: A.    Increase in band cells B.    Increase in lymphocytes C.     Increase in red blood cells D.    Increase in reticulocytes
Increase in band cells
33
33. This stage in granulopoiesis is where the initial production of specific granules appears: A.    Metamyelocyte B.    Myelocyte C.     Myeloblast D.    Promyelocyte
Myelocyte
34
34. A 30-year-old patient diagnosed with End Stage Renal Disease is noted to be very anemic. Which of the following can be given to stimulate erythropoiesis in this patient? A.    Thrombopoietin B.    GM-CSF C.     Erythropoietin D.    G-CSF
Erythropoietin
35
35. Which of the following blood cell is capable of further mitosis after leaving the bone marrow? A.    Eosinophil B.    Monocyte C.     Neutrophil D.    Lymphocyte
Lymphocyte
36
36. The attraction of white blood cells to bacteria which leads to their rapid accumulation in the site of injury is called: A.    Diapedesis B.    Migration C.     Granulocytosis. D.    Chemotaxis
Chemotaxis
37
37. Fresh blood is drawn and centrifuged in the presence of heparin as an anticoagulant to obtain a hematocrit. From top to bottom, the fractions resulting from centrifugation are which of the following? A.    Fibrinogen, platelets, buffy coat, and erythrocytes B.    Leukocytes, erythrocytes, and serum proteins C.     Plasma, buffy coat, and packed erythrocytes D.    Serum, packed erythrocytes, and leukocytes
Plasma, buffy coat, and packed erythrocytes
38
38. Examination of a normal peripheral blood smear reveals a cell more than twice the diameter of an erythrocyte with a kidney-shaped nucleus. Which of the following cell types is being described? A.    Basophil B.    Monocyte C.     Neutrophil D.    Eosinophil
Monocyte
39
39. What is the approximate life span of a circulating erythrocyte? A.    20 days B.    120 hours C.     4 weeks D.    4 months
4 months
40
40. A differential cell count of a blood smear from a patient with a parasitic infection is likely to reveal an increase in the circulating numbers of which cell type? A.    Basophil B.    Lymphocytes C.     Neutrophils D.    Eosinophils
Eosinophils
41
41. The surfactant is made up: A.    Proteins B.    Phospholipids C.     Cholesterol D.    All of the above
All of the above
42
42. The respiratory bronchiole epithelium is: A.    Simple cuboidal B.    Stratified cuboidal C.     Stratified squamous D.    Pseudostratified columnar
Simple cuboidal
43
43. Which of the following features distinguishes a bronchus within a lung from the primary bronchi? A.    Irregular plates of cartilage B.    Glands in the submucosa C.     Pseudostratified ciliated columnar epithelium D.    Smooth muscle in the wall
Irregular plates of cartilage
44
44. Which structural feature distinguishes between terminal and respiratory bronchioles? A.    Cilia B.    Mucous glands in lamina propria C.     Exocrine bronchiolar cells D.    Alveoli
Alveoli
45
45. Which of the following components increases) as a proportion of the respiratory tract wall from trachea to alveoli? A.    Smooth muscle B.    Cartilage C.     Cilia D.    Elastic fibers
Elastic fibers
46
46. Which of the following is composed of skeletal muscle and cartilage? A.    Bronchioles B.    Larynx C.     Alveoli D.    Trachea
Larynx
47
47. The large number of alveolar macrophages which migrate into the lumen of the alveoli are derived from; A.    Monocytes circulating in the blood B.    Fibroblasts in the fibroalveolar septa C.     Smooth muscles of the pulmonary arteries D.    Dendritic cells of the lymphoid tissue
Monocytes circulating in the blood
48
48. Which cell is a respiratory macrophage? A.    Histiocte B.    Dust cell C.     Microglia D.    Kupffer cell
Dust cell
49
49. What type of epithelium lines the vestibule? A.    Transitional epithelium B.    Ciliated pseudostratified columnar epithelium with goblet cells C.     Simple squamous epithelium D.    Stratified squamous epithelium
Stratified squamous epithelium
50
50. Which of the following is part of the conducting airway? A.    Alevioli B.    Respiratory Bronchioles C.     Bronchi D.    Alveolar ducts
Bronchi
51
51. Which of the following pathways best describes the correct flow of lymph towards the heart? A.    Blood capillaries > lymphatic capillaries > lymphatic vessels > lymph nodes > lymphatic trunk > lymphatic duct > subclavian vein B.    Subclavian vein > Iymphatic trunk > lymphatic duct > lymphatic vessels > lymph capillaries C.     Blood capillaries > lymphatic trunk > lymphatic vessels > lymphatic capillaries > lymph nodes > lymphatic ducts > subclavian vein D.    Blood capillaries > lymphatic vessels > lymphatic capillaries > lymph node lymphatic trunk > lymphatic duct > subclavian vein
Blood capillaries > lymphatic capillaries > lymphatic vessels > lymph nodes > lymphatic trunk > lymphatic duct > subclavian vein
52
52. Majority of the body's lymph drains into: A.    Right thoracic trunk B.    Left lymphatic trunk C.     Right lymphatic duct D.    Left thoracic duct
Left thoracic duct
53
53. The following statements are true of lymph node histology, except: A.    There are more afferent vessels than efferent vessels. B.    Medullary cords have a larger population of lymphocytes than the sinuses. C.     A distinct cortex and medullar with cortical germinal centers are present. D.    High endothelial venules in the medulla regulate the influx of lymphocytes.
High endothelial venules in the medulla regulate the influx of lymphocytes.
54
54. Which of the following structures is part of the red pulp of the spleen? A.    Malohigian follicle B.    Central artery C.     Bilroth's cords D.    Pariarteriolar lymph sheath
Bilroth's cords
55
55. Which of the following statements is true of the splenic circulation? A.    Stave cells are found in the splenic cords. B.    All blood elements including dead and malformed RBCs re-enter the circulation. C.     Small penicillar arteries directly empty into the splenic cords. D.    Once in the open circulation, blood can no longer return to the closed circulation.
Small penicillar arteries directly empty into the splenic cords.
56
56. The following statements are true of the thymus, except: A.    T cell differentiation and maturation occurs in the thymus B.    Endothelial cell junctions and reticular cells form the blood-thymic barrier C.     Hassal's corpuscles in the cortex are made up of thymic epithelial cells D.    It has a distinct cortex and medulla with no germinal centers.
Hassal's corpuscles in the cortex are made up of thymic epithelial cells
57
57. M cells (microfold cells) are found in: A.    Peyer's patches B.    Lymph node C.     Appendix D.    Palatine tonsils
Peyer's patches
58
58. Which of the following structures is covered by ciliated columnar epithelium? A.    Palatine tonsils B.    Pharyngeal tonsils C.     Lingual and palatine tonsils D.    Lingual tonsils
Pharyngeal tonsils
59
59. Which of the following structures has afferent lymphatic vessels? A.    Spleen B.    Thymus C.     Lymph node D.    MALT (Mucosa Associated Lymphoid Tissues)
Lymph node
60
60. In a patient with AIDS, which one is killed by the infecting retrovirus? A.    Macrophages B.    Helper T cells C.     Antigen-presenting cells D.    B lymphocytes
Helper T cells
61
61. Which one contains three types of macromolecular fibers namely: actin, intermediate filaments and microtubules? A.    Lysosome B.    Golgi Apparatus C.     Rough Endoplasmic Reticulum D.    Cytoskeleton
Cytoskeleton
62
62. Which one refers to membrane fusions that close the space between cells? A.    Anchoring junction B.    Occludens C.     Gap junction D.    Desmosomes
Occludens
63
63. Which one is described as a long and branched apical cell processes that lines the epididymis and ductus deferens? A.    Cilia B.    Stereocilia C.     Keratin D.    Microvilli
Stereocilia
64
64. The epithelial lining of the respiratory tract is a derivative of which of the following? A.    Neuroectoderm B.    Mesoderm C.     Endoderm D.    Ectoderm
Endoderm
65
65. Which gland involves disruption of cell after filling it with its secretory product? A.    Endocrine B.    Holocrine C.     Merocrine D.    Apocrine
Holocrine
66
66. What epithelial cell facilitates movement of the viscera, pinocytosis, and secretion of biologically active molecules? A.    Pseudostratified B.    Simple columnar C.     Stratified cuboidal D.    Simple squamous
Simple squamous
67
67. Glandular epithelial cells may synthesize, store and secrete proteins, lipids and complexes of carbohydrates. Which of the following glandular cells secrete all these three substances? A.    Pancreas B.    Salivary gland C.     Mammary gland D.    Sebaceous gland
Mammary gland
68
68. What is the lining epithelium of small ducts and tubules that have excretory, secretory or absorptive functions?
 A.    Transitional B.    Simple squamous C.     Simple columnar D.    Simple cuboidal
Simple cuboidal
69
69. Which of the following cellular features is used in naming types of epithelia? A.    Size of the nuclei B.    Number of cell layers C.     Presence of a basal lamina D.    Shape of cells in the basal layer
Number of cell layers
70
70. Exocrine glands in which the acini all produce a secretion of heavily glycosylated, hydrophilic proteins are an example of which type of gland? A.    Mixed gland B.    Tubuloacinar gland C.     Serous gland D.    Mucous gland
Mucous gland
71
71. Principal cells of connective tissues: A.    Fibroblast B.    Adipocytes C.     Macrophage D.    Mast cell
Fibroblast
72
72. This type of connective tissue is found in the dermis: A.    Loose connective tissue B.    Dense irregular connective tissue C.     All of the above D.    Dense regular connective tissue
Dense irregular connective tissue
73
73. Basic structural unit of collagen: A.    Elastin B.    Gelatin C.     Reticulin D.    Tropocollagen
Tropocollagen
74
74. Reticular fibers are very particular because of this property: A.    Form fenestrated sheets B.    Adsorbs metallic silver C.     Most abundant protein in the body D.    Exhibits form birefringence
Adsorbs metallic silver
75
75. The following glycoproteins form proteoglycans, EXCEPT: A.    Hyaluronic acid B.    Dermatan sulfate C.     Keratin sulfate D.    Chondroitin sulphate
Hyaluronic acid
76
76. Dense regular connective tissue is seen in the: A.    Colon B.    Spleen C.     Tendon D.    Skin
Tendon
77
77. Which of the following contain the amino acids desmosine and isodesmosine? A.    Elastin B.    Laminin C.     Microfibrils D.    Fibronectin
Elastin
78
78. This connective tissue type exhibits a higher ratio of matrix to cells and fibers: A.    Loose connective tissue B.    Dense irregular connective tissue C.     All of the above D.    Dense regular connective tissue
Loose connective tissue
79
79. Mostly seen during parasitic infestations: A.    Macrophage B.    Eosinophil C.     Neutrophil D.    Basophil
Eosinophil
80
80. Exhibits amoeboid movement: A.    Mast cell B.    Macrophage C.     Fibroblast D.    Adipocyte
Macrophage
81
81. The following are functions of smooth muscles, EXCEPT: A.    Peristalsis B.    Alters luminal caliber C.     Mix gastric contents D.    Raise the arms
Raise the arms
82
82. This muscle type exhibits cross-striations: A.    Cardiac muscle B.    Smooth muscle C.     Skeletal muscle D.    Skeletal and cardiac muscles
Skeletal and cardiac muscles
83
83. Filaments occur in longitudinally oblique bundles in this muscle type: A.    Cardiac muscle B.    Skeletal muscle C.     B & C D.    Smooth muscle
Smooth muscle
84
84. Exhibits branching: A.    Skeletal muscle B.    None of the above C.     Cardiac muscle D.    Smooth muscle
Cardiac muscle
85
85. Vesicular invaginations of plasmalemma of smooth muscles: A.    Intermediate filaments B.    Myosin C.     Subplasmalemmal dense plaques D.    Caveolae
Caveolae
86
86. The muscle type used by sprinters exhibits a high peak of muscle tension but is slow to fatigue. This is the: A.    Type 2A / Fast oxidative glycolytic B.    Type 1 Slow oxidative C.     Type 3 / Fast oxidative D.    Type 2B / Fast glycolytic
Type 2A / Fast oxidative glycolytic
87
87. Regarded as the "red fibers" in the older classification: A.    Type 2A / Fast oxidative glycolytic B.    Type 1 / Slow oxidative C.     Type 3 / Fast oxidative D.    Type 2B / Fast glycolytic
Type 1 / Slow oxidative
88
88. Made up of a single motor neuron, its terminal axonal branches, and the supplied muscle fiber: A.    Motor neuron B.    Nerve ending C.     Motor end plate D.    Neuromuscular junction
Motor end plate
89
89. The basic contractile unit of a muscle is the sarcomere. It is defined as a segment between 2 consecutives: A.    M lines B.    A band C.     Z lines D.    Hz ones
Z lines
90
90. This layer intimately covers each muscle fiber: A.    Perimysium B.    Epimysium C.     Endomysium D.    Paramysium
Endomysium
91
91. The innermost layer in the general structural organization of blood vessels: A.    Internal elastic lamina B.    Tunica adventia C.     Tunica media D.    Tunica intima
Tunica intima
92
92. The following are muscular arteries, EXCEPT: A.    Brachial B.    Common carotid C.     Superior mesenteric D.    Renal
Renal
93
93. The principal components of peripheral resistance to blood flow: A.    Capillaries B.    Muscular arteries C.     Venules D.    Arterioles
Arterioles
94
94. This specialized tissue responds to stretch and changes in blood pressure: A.    Transitional arteries B.    Carotid body C.     Metarterioles D.    Carotid sinus
Carotid sinus
95
95. These structures prevent blood from flowing in the opposite direction: A.    Pore diaphragm B.    Valves C.     Anchoring filaments D.    Tunica media
Valves
96
96. This segment of the circulatory system has a wider and irregular lumen; A.    Metarterioles B.    Lymphatic capillaries C.     Capillaries D.    Sinusoids
Sinusoids
97
97. This layer is thickest in the left ventricle: A.    Myocardium B.    Epicardium C.     Subendocardium D.    Endocardium
Myocardium
98
98. Provides the heart with an automatic rhythmic heartbeat: A.    Atrio-ventricular node B.    Bundle of His C.     Sino-atrial node D.    Purkinje fiber
Sino-atrial node
99
99. The most prominent feature of distributing arteries: A.    Weibel-palade bodies B.    Elastic fibers C.     Smooth muscles D.    Fibroblasts
Smooth muscles
100
100. The actual site of exchange of metabolites and waste products occur in the: A.    Transitional arteries B.    Capillaries C.     Arterioles D.    Post-capillary venule
Post-capillary venule
101
1. An 11-month-old girl is referred to a pediatric gastroenterology clinic due to a history of generalized weakness, slow growth, and refractory diarrhea. For the past month she has been hospitalized regularly to receive parenteral nutrition. Examination of the epithelium lining her small intestine confirms that the failure to absorb nutrients is most likely due to a significant decrease in which of the following? a.     Cilia b.     Microvilli c.     Gap junctions d.     Cell layers
Microvilli
102
2. Which one is a mixed exocrine-endocrine organ whose function is to continue the digestion of carbohydrates and initiate digestion of proteins? a.     Esophagus b.     large intestines c.     small intestines d.     Stomach
Stomach
103
3. Which condition is marked by atrophy of the intestinal mucosa caused by infections or nutritional deficiencies? a.     Atrophic Gastritis b.     Adenocarcinoma of the colon c.     Duodenal ulcer d.     Malabsorption syndrome
Malabsorption syndrome
104
4. A 40 y/o bank manager was admitted because of Pernicious Anemia. Biopsy was taken for diagnostic studies. Which cells are destructed that will result to this condition? a.     Parietal cells b.     Chief cells c.     Goblet cells d.     Paneth cells
Parietal cells
105
5. Destruction of parietal cells resulting to Pernicious anemia is usually caused by which of the following? a.     Gastric ulcer b.     Malabsorption syndrome c.     Atopic gastritis d.     Adenocarcinoma
Atopic gastritis
106
6. In the GIT, where are the cells that secrete antibacterial enzyme? a.     In crypts of Lieberkühn b.     In the Peyer's patch c.     In rugae d.     In the intestinal villi
In crypts of Lieberkühn
107
7. Which one will produce a reduction in the number of Paneth cells? a.     Elevated level of undigested proteins b.     Increased number of intestinal bacteria c.     Increased level of intestinal fats d.     Reduced breakdown of sugar
Increased number of intestinal bacteria
108
8. Which one is the primary function of lacteals in the small intestine? a.     Absorption of amino acids b.     Absorption of glucose c.     Absorption of chylomicrons d.     Absorption of salts
Absorption of chylomicrons
109
9. Brunner's gland is a feature of which of the following? a.     Ileum b.     Duodenum c.     Gall bladder d.     Liver
Duodenum
110
10.A 10 y/o patient consult a dentist because his teeth become loose in their sockets and fall out. He has history of scurvy? Which one causes the problem? a.     Lower metabolic activity of cementum b.     Enamel fails to develop c.     Atrophy of periodontal ligament d.     GAG not secreted by odontoblasts
Atrophy of periodontal ligament
111
11.A 60 y/o male was admitted because of tongue cancer. Biopsy was done but the pathologist can't find taste buds. What papilla was the biopsy taken? a.     Filiform b.     Foliate c.     Fungiform d.     Circumvallate
Foliate
112
12.A 65 y/o alcoholic was diagnosed to have Barret's esophagus. Which one is true about this condition? a.     Neither b.     Both c.     Can be due to gastroesophageal reflux d.     It is high risk for esophageal adenocarcinoma
Both
113
13. A 25 y/o female was diagnosed to have Carcinoid tumor. The hormone secreted by this tumor is responsible for which of the following? a.     Decrease sense of hunger b.     Gall bladder contraction c.     Inhibition of gastric acid secretion d.     Increased gut motility
Increased gut motility
114
*** MEMORIZE ALL ZONES 14. Which zone of the liver acinus is the most susceptible to ischemic injury? a.     Zone 1 (Peripheral/ Permanent FUNCTION) b.     Zone 2 (Intermediate/ Varying activity) c.     Zone 3 (Central/ Permanent REPOSE) d.     Zone 4
Zone 3
115
15. What is the daily basal secretion of bile? a.     1500 mL b.     500 mL c.     1000 mL d.     30-50mL
500 mL
116
16. The portal triad is at the center of what hepatic structural organization? a.     Zone of permanent function b.     Classical lobule c.     Portal lobule d.     Zone of permanent repose e.     Hepatic acini
Portal lobule
117
17. What is the site of the primary function of the hepatic circulation? a.     Portal venules b.     Capillaries c.     Sinusoids d.     Peribiliary plexus
Sinusoids
118
18. Which lobule arrangement is consistent with other exocrine glands? a.     Classical lobule b.     Hepatic acini c.     Portal lobule d.     Centroacinar
Portal lobule
119
19. What pancreatic endocrine product affects the blood sugar level by decreasing it? a.     Glucagon b.     Gastrin c.     Somatostatin d.     Pancreatic polypeptide e.     Insulin
Insulin
120
20. The Functional unit of the endocrine pancreas is which of the following? a.     Acinar tissue b.     Beta cell c.     Islets of Langerhans d.     Centroacinar cell e.     Alpha cell
Islets of Langerhans
121
21. The Exocrine product of the liver is which of the following? a.     Lipase b.     Secretin c.     Cholecystokinin d.     Trypsin e.     Bile
Bile
122
22. A mixed type of predominantly serous salivary gland is which of the following? a.     Submandibular gland b.     Sublingual gland c.     Accessory gland d.     Parotid gland
Submandibular gland a.     Submandibular gland : mixed, mostly serous b.     Sublingual gland: mixed, mostly mucous c.     Accessory gland d.     Parotid gland: PURE serous
123
23. During the proliferative phase of the menstrual cycle, the functional layer of the endometrium undergoes which of the following changes? a.     Glands become coiled. b.     The epithelium is sloughed off c.     The epithelium is renewed. d.     Blood vessels become ischemic. e.     The stroma swells due to edema.
The epithelium is renewed.
124
24. Which of the following statements accurately describes the vaginal mucosa: a.     contains cells which secrete lactic acid. b.     where parabasal cells are found. c.     is lubricated by glands located in the cervix. d.     is lined by stratified columnar epithelium. e.     is lined by stratified cuboidal epithelium.
is lubricated by glands located in the cervix.
125
25. Peau d' orange is a term to describe this type of malignancy of the breast a.     Intraductal carcinoma b.     Inflammatory carcinoma c.     Metastatic carcinoma d.     Adenomyosis e.     Infiltrating ductal carcinoma
Infiltrating ductal carcinoma
126
26. The transition zone between the vagina and cervix is a common site of cervical dysplasia and cancer. What epithelial transition is seen in this zone? a.     Vaginal simple squamous to cervical stratified columnar b.     Vaginal simple columnar to cervical simple squamous c.     Vaginal stratified squamous to cervical simple columnar d.     Vaginal simple squamous to cervical simple columnar e.     Vaginal stratified squamous to cervical stratified columnar
Vaginal stratified squamous to cervical simple columnar
127
27. The functional layer of the endometrium is composed of: a.     simple cuboidal epithelium b.     stratified squamous epithelium c.     simple ciliated columnar epithelium d.     simple columnar epithelium e.     simple squamous epithelium
simple ciliated columnar epithelium
128
28. Which layer of the vaginal wall contains glands, such as lubrication mucus? a.     submucosal layer b.     there are no glands in the vaginal wall c.     mucosal layer d.     adventitial layer e.     muscular layer
there are no glands in the vaginal wall
129
29. One of the followings is characteristic for the secretory phase of the endometrium: a.     Disintegration of the spiral vessels b.     Glands are straight with narrow lumen c.     Endometrium is about 2 mm thick d.     Glands accumulate glycogen. e.     Controlled by estrogen secreted by ovarian follicles.
Glands accumulate glycogen.
130
30. Syncytiotrophoblast is: a.     Thin multinucleated layer covering the chorionic villi. b.     Has microvilli to invade the decidua parietalis. c.     Has pale staining cytoplasm. d.     inner aver of the chorionic villi e.     Disappear at the end of the 4th month of pregnancy.
Thin multinucleated layer covering the chorionic villi.
131
31. When the blastocyst forms, there are cells that encircle the ball like structure. What are these cells a.     Epiblast b.     Cytotrophoblast c.     Trophoblast d.     Hypoblast e.     Syncytiotrophoblast
Trophoblast
132
32. Which of the following changes takes place in the pregnant and lactating mammary glands: a.     Appearance of acini lined by pseudostratified columnar cells. b.     Milk appears as basophilic vacuolated material inside the alveoli. c.     Increase thickness of the connective tissue septa. d.     Decreased fat cells. e.     Secretion of milk by holocrine mode of secretion.
Decreased fat cells.
133
33. At the time of parturition a patient reports that her “water broke", meaning that the amniotic fluid has escaped into the vaginal canal. Assuming that the placenta is attached to its usual location on the posterior wall of the uterus, and that development has proceeded normally, escape of the amniotic fluid requires rupture of which of the following? a.     Amnion, chorion lave, and decidua capsularis b.     Chorion laeve only c.     Amnion and chorion laeve only d.     Amnion only
Amnion, chorion lave, and decidua capsularis
134
34. The 4 cellular layers separating maternal and fetal blood in sequence are: a.     Fetal capillary endothelium, villi connective tissue, cytotrophoblast and syncitiotrophoblast. b.     Spiral artery wall, Nichbaur layer, cytotrophoblast and Hofbaur layer c.     Syncitiotrophoblast, cytotrophoblast, villi connective tissue and fetal capillary endothelium d.     Maternal lacuna, trophoblast layer, endothelial and fetal red blood cell
Syncitiotrophoblast, cytotrophoblast, villi connective tissue and fetal capillary endothelium
135
35. One of the following changes takes place in the pregnant and lactating mammary glands:
 a.     Secretion of milk by holocrine mode of secretion. b.     Milk appears as basophilic vacuolated material inside the alveoli. c.     Increase thickness of the connective tissue septa. d.     Decreased fat cells. e.     Appearance of acini lined by pseudostratified columnar cells.
Decreased fat cells.
136
36. Which of the following cells can be classified as a basophil? a.     None of the above b.     Somatotropic cells c.     Lactotrophic, cells d.     All of the above e.     Corticotropic cells
Corticotropic cells
137
37. What is the most common cell in the parathyroid gland? a.     Principal cell b.     Parafollicular cells c.     Chromaffin cells d.     Follicular cells e.     Oxyphil cell
Principal/Chief cell
138
38. Where are catecholamines secreted from?
 a.     Zona fasciculata
 b.     Zona glomerulosa
 c.     Zona reticularis d.     Chromaffin cells e.     None of the above
Chromaffin cells
139
39. What type of hormone is prolactin? a.     Protein b.     Steroid c.     Peptide d.     None of the above e.     Catecholamine
Protein
140
40. Where are trophic hormones secreted from? a.     Infundibulum b.     Pars intermedia c.     Pars tuberalis d.     Adenohypophysis e.     Neurohypophysis
Adenohypophysis
141
41. Which of the following is not part of the neurohypophysis? a.     Pars nervosa b.     Median eminence c.     All of the above are part of the neurohypophysis d.     Pars distalis e.     Infundibular stalk
Pars distalis
142
42. What cell type secretes MSH? a.     Gonadotropic cells b.     Somatotropic cells c.     Corticotropic cells d.     Thyrotropic cells e.     Lactotropic cells
Corticotropic cells
143
43. Which of the following cells can be classified as an acidophil? a.     Corticotropic cells b.     Thyrotropic cells c.     All of the above d.     Gonadotropic cells e.     None of the above
None of the above
144
44. Which gland secretes epinephrine? a.     Pineal gland b.     Thyroid c.     Adrenal gland (cortex) d.     Adrenal gland (medulla) e.     Pancreas
Adrenal gland (medulla)
145
45. Which gland secretes cortisol? a.     Pancreas b.     Adrenal gland (medulla) c.     Adrenal gland (cortex) d.     Pineal gland e.     Thyroid
c.     Adrenal gland (cortex)
146
46. Which cell type is found in the adrenal medulla? a.     Parafollicular cells b.     Oxyphil cell c.     Principal cell d.     Chromaffin cells e.     Follicular cells
Chromaffin cells
147
What is the largest developing cell in the seminiferous tubules? a.     Secondary spermatocyte b.     Spermatid c.     Spermatogonium B d.     Primary spermatocyte
Primary spermatocyte
148
What cell is responsible for producing the androgen-binding protein in the testes? a.     Spermatocytes b.     Leydig c.     Sertoli d.     Spermatids
Sertoli
149
49. Spermiogenesis involves what type of cell division? a.     Mitosis b.     Meiosis c.     Both mitosis and meiosis d.     Neither mitosis nor meiosis
Neither mitosis nor meiosis
150
50. Which type of spermatogonium will develop into a primary spermatocyte?
 a.     C b.     A c.     D d.     B
B
151
51. What tubules are lined by Simple cuboidal epithelium? a.     Rete testis b.     Vas deferens c.     Ejaculatory duct d.     Epididymis
Rete testis
152
Corpora amylacea is a characteristic feature of this organ? a.     Prostate b.     Epididymis c.     Seminal vesicle d.     Cowper's
Prostate
153
What organ secretes a yellow, viscous alkaline fluid rich in fructose? a.     Littre b.     Bulbourethral c.     Seminal vesicle d.     Prostate
Seminal vesicle
154
The ejaculatory ducts are formed by the union of the excretory duct of the seminal vesicle and what structure? a.     Prostatic urethra b.     Ampulla of the vas deferens c.     Ureter d.     Bladder
Ampulla of the vas deferens
155
The tunica muscularis of the vas deferens is made-up of the following smooth muscles. a.     Inner circular, middle longitudinal. outer circular b.     Inner circular, outer longitudinal c.     Inner longitudinal, middle circular, Outer longitudinal d.     Inner longitudinal. outer longitudinal
Inner longitudinal, middle circular, Outer longitudinal
156
What is the subtype of connective tissue is the tunica albuginea in the penis? a.     Adipose b.     Embryonal c.     Fibrous d.     Mucous
Fibrous
157
Which is the correct sequence of flow of the developing sperm from the seminiferous tubules to the epididymis? a.     Efferent ductules - Rete testis – Straight ductules b.     Efferent ductules - Straight ductules. -
Rete testis c.     Rete testis - Straight tubules – Efferent ductules. d.     Straight tubules - Rete testis – Efferent ductules
Straight tubules - Rete testis – Efferent ductules
158
What is the lining epithelium of the organ wherein sperms further mature and are temporarily stored? a.     Pseudostratified columnar with stereocilia b.     Alternate simple cuboidal and simple columnar with stereocilia c.     Simple columnar ciliated d.     Specialized stratified epithelium
Pseudostratified columnar with stereocilia
159
What male accessory organ produces a secretion that lubricates the urethra before ejaculation? a.     Bulbourethral glands b.     All choices are correct c.     Seminal vesicles d.     Prostate gland
Bulbourethral glands
160
A digital rectal exam reveals a hard palpable mass in the prostate that was considered malignant. What zone of the prostate is most likely affected? a.     All choices are correct b.     Peripheral c.     Central d.     Transitional
Peripheral
161
A 48-year-old male consulted you because of erectile dysfunction. What will you initially do as the attending physician? a.     Do a fasting blood sugar test. b.     All choices are correct c.     Advise that he will no longer produce an offspring. d.     Refer to a urologist for surgical intervention
Do a fasting blood sugar test.
162
As to morphology, the glands of prostate are a.     Simple acinar b.     Simple tubular c.     Tubulo-acinar d.     Compound tubular
Tubulo-acinar
163
In male sterilization, surgical ligation of this organ is usually done: a.     Penis b.     Ductus deferens c.     Epididymis d.     Ejaculatory duct
Ductus deferens
164
What tubules are provided with flat smooth muscle like cells called as Myoid that allows weak contractions of the organ? a.     Seminiferous tubule b.     Epididymis c.     Vas deferens d.     Ejaculatory duct
Seminiferous tubule
165
The Tunica albuginea of the testis is thickened on the posterior side to form this structure which will further penetrate the organ to separate it into compartments: a.     Mediastinum testis b.     Straight tubule c.     Seminiferous tubule d.     Rete testis
Mediastinum testis
166
Principal cell is seen in what organ of the male reproductive system? a.     Vas deferens b.     Epididymis c.     Penis d.     Testis
Epididymis
167
A clinical condition called glaucoma results from an increased intraocular pressure due to which of the following? a.     Neither b.     Excessive secretion of aqueous humor c.     Obstruction of the scleral venous sinus d.     Both
Both
168
Retinal detachment involves separation of the neural retina from what structure? a.     Pigment epithelium b.     Descemet membrane c.     Corneal epithelium d.     Bruch membrane
Pigment epithelium
169
Hair cells of Organ of Corti is the receptor for which of the following? a.     Vision b.     Hearing c.     Vestibular sense d.     Smell
Hearing
170
Which of the following is essential for visual acuity and color vision? a.     Pigment cells b.     Cones of the retina c.     Macula lutea d.     Rods
Cones of the retina
171
In the ear, what converts mechanical vibrations into nerve impulses? a.     Spiral ganglia b.     Cochlear nerve c.     Auditory ossicles d.     Hair cells
Hair cells
172
In the inner ear, which one receives and transmits sound? a.     Cochlea b.     Vestibule c.     Utricle d.     Semicircular canal
Cochlea
173
Which contributes to the stability and strength of the cornea? a.     Substantia propria b.     Descemet's membrane c.     Bowman's membrane d.     Inner stratified squamous epithelium
Bowman's membrane
174
Which of the following is responsible for maintaining a state of hydration within the cornea? a.     Corneal endothelium b.     Choriocapillary lamina
 c.     Bruch's membrane d.     Suprachoroidal lamina
Corneal endothelium
175
Which one secretes a serous solvent for taste provoking substances? a.     Taste bud b.     Sustentacular cells c.     von Ebner gland d.     Salivary gland
von Ebner gland
176
A 30 year old female went to an ENT specialist due to vertigo. The specialist examined her and found out that the patient has nystagmus. Lesion of which of the following does not cause nystagmus? a.     Visual system b.     Brain stem c.     Cerebellum d.     Cerebrum
Cerebrum
177
Which cells produce erythropoietin in the kidney? a.     J-G cells b.     Mesangial cells c.     Podocytes d.     Macula densa cells
Mesangial cells
178
The two kidneys produced 125 ml of filtrate/minute. How much of this amount/minute is released to ureters as urine? a.     1 ml/min b.     100 ml/min c.     10 ml/min d.     125 ml/min
1 ml/min
179
During your practical exam, a slide shows having nephron loop, collecting ducts and the ascending limb. What layer of the kidney is it? a.     Renal medulla b.     Cortical nephron c.     Glomerulus d.     Renal corpuscle
Renal medulla
180
In the renal corpuscle, the afferent arteriole enters and the efferent arteriole leaves via the vascular pole while the urinary pole begins with which of the following? a.     Collecting ducts b.     Glomerulus c.     Distal convoluted tubule d.     Proximal convoluted tubule
Proximal convoluted tubule
181
A 45 y/o patient had Glomerulonephritis. In this condition, the glomerular filter is destroyed and more permeable to which of the following substance? a.     Electrolytes b.     Carbohydrates c.     Fats d.     Proteins
Proteins
182
What structure of the kidney produced concentrated and hypertonic urine? a.     Proximal convoluted tubule b.     Mesangial cell c.     Renal medulla d.     Juxtamedullary nephron
Juxtamedullary nephron
183
83. A 30 year old man was severely bleeding due to stabbed wound which caused a decrease in blood pressure, and increased renin secretion. Which of the following will help restore blood volume to increase the blood pressure? a.     Vasopressin b.     Epinephrine c.     Aquaporin d.     Angiotensin II
Angiotensin II
184
84. Which zone of the liver acinus is exposed to blood high in oxygen content and nutrients and is involved in a patient with preeclampsia? a.     Space of Disse b.     Periportal c.     Midzonal d.     Sinusoids e.     Centralabular
Periportal
185
85. Regarding the hepatic lobule and function, portal lobules are useful to which of the following? a.     Lobular anatomy of the liver b.     Nature of blood supply to the liver c.     Exocrine function of hepatocytes d.     Endocrine function of the liver
Exocrine function of hepatocytes
186
86. You were given a slide showing masses of striated muscle fibers that cross one another, separated by connective tissue and has mucous membrane adherent to the muscle. Its posterior part is filled with lymphoid nodules while its body is covered with stratified squamous epithelium. Which part of the GIT is this organ? a.     Esophagus b.     Stomach c.     Tongue d.     Rectum
Tongue
187
87. Tissue biopsy was done to a 55 y/o patient, which showed branched tubuloacinar glands with secretory portions containing mucous and predominantly serous cells. Serous demilunes were also seen in the biopsy.
Identify what salivary glands has these features? a.     Sublingual gland b.     Accessory salivary gland c.     Submandibular gland d.     Parotid gland
Submandibular gland
188
The parotid gland has similar exocrine features with the pancreas. What histologic characteristics made pancreas different from the parotid gland? a.     Both secretes protease enzymes b.     Presence of striated ducts c.     Presence of Islets d.     Presence of serous cells
Presence of Islets
189
A 30 y/o patient was admitted due to Cushing syndrome, a tumor of the adrenal gland. This condition is due to an excessive secretion of which hormone and in what layer of this gland? a.     Aldosterone > adrenal medulla b.     Mineralocorticoids > adrenal cortex c.     Glucocorticoids > adrenal cortex d.     Epinephrine > adrenal medulla
Glucocorticoids > adrenal cortex
190
90. A 5 y/o patient was admitted due to kwashiorkor.
What organ is usually involved in this kind of malnutrition? a.     Small intestine b.     Liver c.     Stomach d.     Pancreas
Pancreas
191
91. You were shown an organ whose parenchyma consists of numerous rounded epithelial structures with simple epithelium and a lumen filled with gelatinous substance. Identify the organ. a.     Pancreas b.     Adrenal gland c.     Thyroid gland d.     Pituitary gland
Thyroid gland
192
92. The epidermis is lined by which type of epithelium? a.     Keratinized stratified squamous epithelium b.     Non-keratinized simple squamous epithelium c.     Stratified columnar epithelium d.     Simple columnar epithelium
Keratinized stratified squamous epithelium
193
93. This epidermal layer is seen only in palms and soles a.     Stratum spinosum b.     Stratum corneum c.     Stratum basale d.     Stratum lucidum
Stratum lucidum
194
This layer is composed of cuboidal cells a.     Stratum corneum b.     Stratum spinosum c.     Stratum granulosum d.     Stratum basale
Stratum basale
195
95. These epidermal cells are mechanoreceptors for light touch a.     Merkel cells b.     Melanocytes c.     Keratinocytes d.     Langerhan cells
Merkel cells
196
96. Which is not considered as an epidermal appendage? a.     Sebaceous gland b.     Hair c.     Hypodermis d.     Nail
Hypodermis
197
97. This epidermal layer is composed of numerous cell layers which appears pointy a.     Stratum germinativum b.     Stratum spinosum c.     Stratum basale d.     Stratum lucidum
Stratum spinosum
198
98. Which layer is on the surface of the skin? a.     Stratum lucidum b.     Stratum spinosum c.     Stratum basale d.     Stratum corneum
Stratum corneum
199
99. What type of glands are the glands of Moll? a.     Endocrine gland b.     Sebaceous gland c.     Eccrine sweat gland d.     Apocrine sweat gland
Apocrine sweat gland
200
100. Which is the receptor of fine touch? a.     Merkel cells b.     Melanocytes c.     Keratinocytes d.     Meissner's corpuscle
Meissner's corpuscle