Long Case

Question 1

Grades of clubbing

Answer 1

Grade 1: softening of nail bed
Grade 2: increased curvature of nails, become convex and angle between the nail and base is obliterated
Grade 3: increase pulp tissue, resulting in drumstick or parrot beak appearance
Grade 4: hypertrophic osteoarthropathy

Question 2

Basal cell carcinoma type

Answer 2

Nodular
Morpheaform
Superficial
Infiltrative

Question 3

melanoma pathologic subtype

Answer 3

Superficial spreading
Nodular
Lentigo maligna
Acral lentigious
Desmoplastic

Question 4

Non hodgkin lymphoma.
High grade
Int grade

Answer 4

High: burkitt lymphoma lymphoblastic

Int grade: follicukar.mantle.cell, dlbcl

Question 5

Lung lymph node station

Answer 5

1. Highest mediastinal
2. Upper paratracheal
3. Retrotracheal
4. Lower paratracheal
5. Subaortic
6. Para aortic
7. Sub carinal
8. Paraoesophageal
9. Pulmonary ligament

Question 6

Lung lymphn node N1

Answer 6

10. Hilar
11. Interlobal
12. Lobar
13. Segmental
14. Subsegmental

Question 7

Classical HL marker

Answer 7

CD 30 cd 15,

IRF4/ mum1

Question 8

NL PHL marker

Answer 8

CD 45, CD 79a, oct2, bob1, pax 5
Gerrminal centrev marker: bcl6
(((Cd 30 chl e positive, nlphl e negative)

Question 9

Background cell of rs cell in chl

Answer 9

Lymphocytes (tcell more), histiocytes, eosinophils, plasma cells

Question 10

Causes of generalized lymphadenopathy

Answer 10

Infectious mononucleosis, cmv, hiv
Brucellosis, septicepia, disseminated tb, cat scratch disease
Leukemia, lymphoma cml
Sle, ra
Phenytoin, diphenylhydantoin
Sarcoidosis, toxoplasmosis
Syphilis

Question 11

Germ cell tumor with marker

Answer 11

Dysgerminoma-ldh, plap
Yolk sac tumor
Embryonal carcinoma- hcg, afp
Choriocarcinoma- bhcg
Teratoma- mature,immature, solid

Question 12

T4b of larynx pharynx

Answer 12

Prevertebral fascia
Carotid artery
Mediastinal structure

Question 13

Sq cell skin variant

Answer 13

Clear cell
Spindle cell
Scc with single cell
De novo
Verrucous
Lymphoepithelioma like