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systemic pathology midterm 1 > midterm1 > Flashcards

midterm1 Flashcards

1
Q

walking pneumonia

A

mycoplasma pneumonia

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2
Q

lobar pneumonia is manifested by

A

non patchy consolidation of the lung

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3
Q

What is the main pathological change of secondary pulmonary tuberculosis infection

A

milliary caseating spread in the lung

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4
Q

a 33 year old moderately obsess man present with a persistent productive cough with cyanotic face. The cough ahs been present for 3 months this year . Further questioning elicits a history of productive cough usually in the whole winter months over the past several years. He has smoked since he was 16 years old. on examination shows some rhonchi and wheezes bilaterally. Which of the following is the most likely diagnosis

A

chronic bronchitis

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5
Q

What is the most common type of bronchial asthma that occurs in children

A

extrinsic causes

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6
Q

Which of the following is the clinical manifestation of pulmonary infarction

A

tachypnea

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7
Q

An adult with newly diagnosed active primary tuberculosis is most likely to have which type of lesion

A

Gohn, focus in the upper part of the lower lobes with active disease in the mediastinal lymph nodes

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8
Q

Histo plasmosis ( fungus infection ) of the lung is manifested by

A

non caseting granuloma od the acute attack

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9
Q

A 7 day old infant born prematurely at a gestation age of 28 weeks dies after developing acute respiratory distress and acidosis. Unresponsive to 100% oxygen administration the autopsy revels consolidation and collapse of the lung which of the following is the underlying pathological etiology of the condition

A

Deficiency of pulmonary surfactant

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10
Q

What is the most sever complication of thrombophlebitis

A

pulmonary infarciton

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11
Q

The most common manifestation of myxoma of the heart is

A

valve obstruction

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12
Q

A 65 year old man with a history of myocardial infection the clinical evaluation revels pansytolic murmur, which indicate anterior mitral valve damage (mitral regurgitation). Which coronary artery supplies blood to this portion of the heart

A

Left descending interventricular coronary artery

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13
Q

What is the most common predisposing factor leading to adult respiratory distress syndrome

A

sepsis

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14
Q

What is the most common cause of coronary artery disease?

A

atherosclerosis

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15
Q

Most common type of primary lung cancer is adenocarcinoma

A

adenocarcinoma

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16
Q

A 42 year old female patient informs her physician that in her childhood she experience two bouts of rheumatic fever. Although she appears to be well at present which of the following sequelae of rheumatic fever is most likely to present as a chronic disease in her later years

A

mitral valve stenosis

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17
Q

Most common cause of myocarditis in the United States

A

cosackie b virus

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18
Q

Monckeberg’s medial calcific sclerosis damages

A

tunica media

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19
Q

The joint pain in acute rheumatic fever is due to

A

Migratory arthritis with no residual effects

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20
Q

Atherosclerotic atheroma originates in one of the following arterial layers

A

endothelium of the tunica intima

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21
Q

Temporal (giant cell) arteritis is

A

Chronic granulomatous inflammation of the medium sized arteries

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22
Q

What is the most common factor for dissecting aneurysm formation?

A

hyertension

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23
Q

Transmural myocardial infarction affects

A

endocardium, myocardium and pericardium

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24
Q

Non-bacterial thrombosis cause by tumors

A

Marantic endocarditis

25
Q

Aschoff bodies

A

Myocarditis in rheumatic fever

26
Q

Abnormal arterial dilation

A

Berry Aneurysm

27
Q

By staphylococcus auresu in IV drug users

A

Acute bacterial endocarditis

28
Q

Most common type of congenital heart disease

A

Ventricular Septel defect

29
Q

Vasculitis in children following upper respiratory infection purpura in lower extremities and polyarthritis are characteristic of

A

Henoch-Schonlein purpura

30
Q

Someone has buerger’s disease. What is the feature of this condition?

A

? It is an inflammatory vasculitis of medium sized arteries of the extremities of young smoker males

31
Q

In 1999 a patient tested for syphilis and was positive lab test n signs on skin or genital area recently except some aortic regurgitation murmurs. The doctor ordered thoracic and abdominal MRI, which revealed an aneurysm. What is the most common location of this aneurysm?

A

Ascending portion of the aorta and the arch of the aorta

32
Q

A 55 year old patient presents with cough fever and foul smelling purulent sputum. By bronchoscope reveals abnormal bronchial dilation and the lumen filled with purulent exudates (pus) what is the most common organism that causes you diagnosis?

A

Streptococcus aureus

33
Q

transposition of the great vessels of the heart is

A

cyanotic congenital heart disease

34
Q

Which condition is a major jones criteria of rheumatic fever

A

Erythema marginatium

35
Q

Which disease s the best example of acyanotic congenital heart disease ?

A

Atrial septal defect

36
Q

Type of lung reaction to inhalation of coal dust is

A

anthracosis

37
Q

)Which of the following primary lung cancer has an ectopic hormone

A

small cell carcinoma

38
Q

What is the main laboratory finding of pulmonary embolism in arterial blood gas

A

hypoxemia

39
Q

Hypersensitivy pneumonitis disease is called

A

Good Pasture Syndrome

40
Q

Varicose vein is

A

Dilated tortuous medium sized veins

41
Q

What is the pathological expectation of chronic bronchitis

A

Mucous gland hyperplasia and goblet cell metaplasia

42
Q

A 76 year old nursing home resident develop lobar pneumonia. Examination of sputum demonstrates many neutrophils and many lancet shaped gram positive cocci in pairs. Which organism is the most likely cause of the patient’s pneumonia

A

Streptococcus pneumonia

43
Q

Which of the following cardiac layer affected by acute rheumatic fever disease?

A

Myocardium

44
Q

What is the most common cause of congestive cardiomyopathy among middle age men

A

Idiopathic

45
Q

Empyema is

A

A pus in the pleural cavity

46
Q

What is the main manifestation of acute rheumatic fever on the endocardium layer of the heart

A

mitral regurgitation

47
Q

Landau von Hippel disease is

A

A cavernous hemangioma of the large cavernous blood spaces of the cerebellum

48
Q

What is the main complication of bronchiesctasis

A

Lung abscess

49
Q

A 59 year old male California resident has myocarditis for a long time now he has some complications what is the most likely complication of this disease

A

congestive cardiomyopathy

50
Q

What is the most common complication of Berry aneurysm?

A

Subarachnoid hemorrhage

51
Q

)What is the most common complication of myocardial infarction within the first 6 hour of the acute attack

A

necrosis

52
Q

What is the microscopic pathological change in the lung due to pulmonary embolism

A

coagulative necrosis

53
Q

one of the following factors is a risk factor for atherosclerosis

A

hyperlipidemia

54
Q

grossly pericarditis due to acute rheumatic fever is usually manifested by

A

fibrinous adhesion of visceral and parietal pericardium

55
Q

One of the following is a minor jones criteria of rheumatic fever

A

increase erythrocyte sedimentation rate

56
Q

variant angina is characterized by

A

chest pain at rest

57
Q

kaposi’ sarcoma is

A

a vascular tumor and usually is very aggressive in AIDS patients

58
Q

asbestos may cause on of the following diseases

A

mesothelioma of the pleura

systemic pathology midterm 1 (1 decks)

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