Histo

Question 1

Small cell cancer =

Answer 1

oat cell cancer

Question 2

Sjogren’s

Answer 2

destruction of lacrimal and salivary glands leading to dry eyes and mouth

Question 3

Heliotrope rash

Answer 3

dermatomyositis

Question 4

Wilson’s gene

Answer 4

ATP7B

Question 5

Aflatoxin –>

Answer 5

HCC

Question 6

What kind of fibrosis do you see in PBC?

Answer 6

onion ring fibrosis

Question 7

Pemphigoid

Answer 7

blisters don’t rupture easily

Nikolsky sign -ve

IgG to hemidesmosomes

Question 8

Pemphigus

Answer 8

Nikolsky sign +ve]acantholysis

Question 9

Green discharge seen in which breast problem?

Answer 9

duct ectasia

Question 10

Area of calcification on mammogram

Answer 10

DCIS

Question 11

artichoke like and similar to fibroadenoma

Answer 11

Phyloides tumour

Question 12

Sign seen in giant cell tumour

Answer 12

Soap bubble

Question 13

aortic regurg and cystic medial necrosis

Answer 13

Marfan’s

Question 14

Stages of MI

6-24h

1-4d

5-10d

Months

Answer 14

Necrotic cell death

Infiltration of polymorphs

Removal of debris

Decellularising scar

Question 15

Which zones do you get ischaemic colitis in

Answer 15

Watershed zones

Question 16

HNPCC

Answer 16

cancers are poorly differentiated and highly aggressive

Question 17

Keratin pearls

cell junctions

intercellular prickles

Answer 17

Lung SCC

Question 18

Post acute MI –> pansystolic murmur

Answer 18

myomalacia corids

Question 19

mid sytolic click and late systolic murmur

Answer 19

myxomatous mitral valve

Question 20

Nepalese man, severe watery diarrhoea. Hypokalaemia and metab acidosis. RUQ mass, raised stool bicarb and -ve urine anion gap

Answer 20

VIPoma

Ass with MEN 1

Question 21

Large cystic mass, presence of epithelium. Has an epithelial wall/capsule that contains fluid

Answer 21

Cystadenoma

Question 22

Fluid filled collection contained within a well defined capsule of fibrous granulation tissue or a combo of both. does NOT possess epithelial lining

Answer 22

Pancreatic pseudocyst

Question 23

Incomplete fusing of the pancreatic buds

Answer 23

Pancreas divisum

Question 24

Test for H.pylori

Answer 24

CLO test

URea

Question 25

Watery diarrhoea, abdo cramps, nausea, vomiting and low grade fever

Answer 25

cryptosporoidosis

Question 26

Steatorrhoea. Acid Schiff PAS +ve macropages

Answer 26

Whipple's Tropheryma Whipplei

Question 27

Sometimes ass with Hep B/C, can cause aneurysms. p-ANCA

Answer 27

Polyarteritis nodosa

Question 28

Which amyloidosis do you see with amyloidosis

Answer 28

beta2 microglobulin

Question 29

Cobblestoning

Answer 29

Crohn's

Question 30

Inverted loop of bowel

Answer 30

Sigmoid volvulus

Question 31

Acute/chronic bleeding and IDA

Answer 31

Angiodysplasia

Question 32

Cauliflower shaped adenoma

Answer 32

Villous adenoma

Question 33

Which artery to transtentorial hernias compromise

Answer 33

PCA Occipital lobe infarct

Question 34

Blurred vision + vomiting Upper anterior headache

Answer 34

Glaucoma

Question 35

Weakness in legs\>arms post infarct

Answer 35

ACA infarct

Question 36

Raised TRH --\>

Answer 36

galactorrhoea

Question 37

cystic dilatation of duct during lactation due to obstruction

Answer 37

galactocele

Question 38

Microcalcification. FNA = cells have pleomorphic nuclei and lump has necrotic centre

Answer 38

DCIS

Question 39

central nipple discharge. FNA = branching fibro vascular cores covered by cytologically bland epithelium

Answer 39

Duct papilloma

Question 40

Multifocal breast lumps

Answer 40

LCIS

Question 41

Multple bilateral masses \<10mm FNA = turbid fluid

Answer 41

breast cyst

Question 42

MIC2 (CD99)

Answer 42

Ewing's

Question 43

Bx = neutrophilic inflammatory infiltrate. Mottleed rarefaction and lifting of pereosteum

Answer 43

Osteomyelitis

Question 44

Urine calcium output in hypercalcaemia with raised PTH

Answer 44

1o HPTH: high urine calcium output FHH: low calcium output

Question 45

Commonest bony tumour, around knee and painless and slow growing Maybe prev #

Answer 45

osteochondroma

Question 46

Largest ovarian neoplasm

Answer 46

mucinous tumour

Question 47

germ cells mixed with lymphs

Answer 47

dysgerminoma

Question 48

fibrous tissue containing spindle cells and lipid

Answer 48

Thecoma

Question 49

squamous epithelium mixed with intestinal epithelium

Answer 49

mature cystic teratoma

Question 50

malignant cells surrounded by serous fluid and psamomma bodies

Answer 50

serous cystadenoma

Question 51

Seminoma

Answer 51

Radiosensitive, 4th decade

Question 52

100% PPV for malignant cytopathological Dx

Answer 52

FNA

Question 53

Palpable breast lump in clinical setting

Answer 53

FNA

Question 54

OVarian cyst

Answer 54

FNA

Question 55

PCP Dx

Answer 55

Fluid cytology of alveolar washings

Question 56

Impalpable breast lump

Answer 56

stereotactic radiographic cytological sampling method