Test 2

Question 0

Which is incorrect re LCC?

Answer 0

LCC found in sheets like SCLC

Former not found in sheets

Question 1

Re bronchial carcinoid rumors, which is false?

Answer 1

Bronchial carcinoid tumors are strongly assoc w smoking

Nope. Actually most common neoplasm in children

Question 2

Which is incorrect re squamous cell carcinoma?

Answer 2

When central, squamous cell carcinoma presents later than when at periphery

(Converse is true)

Question 3

Which is not correct re adenocarcinoma of the lung?

Answer 3

Tends to be poorly circumscribed and grows outward radially w finger like projections

(Guessing it is well circumscribed?)

Question 4

Which is incorrect about location of certain cancers?

Answer 4

All locations are correct

SCLC may occur anywhere, common ear hilum
Adenocarcinomas in periphery
SCC centrally
Large cell anywhere

Question 5

Which is incorrect re small cell carcinoma?

Answer 5

Better prognosis than most lung cancers

Worse

Question 6

Which is incorrect re lung cancers?

Answer 6

All are correct

SCLC grows faster than NSCLC
SCLC Greater risk of metastasis than NSCLC
SCLC called oat cell
3 types of NSCLC: adenocarcinoma, SCC, LCC

Question 7

Which is incorrect re lung cancer?

Answer 7

SCLC more common–80%

NSCLC

Question 8

Which is incorrect re pancoast tumor syndrome?

Answer 8

All are correct

Tumor in apex of lung infiltrates the brachial plexus
Symptoms include pain, numbness, weakness of affected arm (TOS)
Also may be involvement of adjacent vertebra and ribs

Question 9

Which is incorrect?

Answer 9

Pos cervical LA is common…

Nope!

Question 10

Which is not true of pleomorphic adenoma?

Answer 10

Oh apparently this was thrown out.

Question 11

Which is incorrect re salivary gland pathology?

Answer 11

Most common form of viral sialadenitis is secondary to mumps

Measles

Question 12

Which is incorrect (re SCC)

Answer 12

All are correct

In mod differentiated SCC can see bridges
In poorly differentiated SCC can’t even tell they are squamous
SCC can be well, mod, poorly differentiated
In well diff, can see keratin pearls

Question 13

Which is incorrect re oral pathologies?

Answer 13

All of above are correct

Leukoplakia is clinical description
Tzanck smears–herpes virus
PAS staining detects polysaccharides of candida
Irritation fibromas can be differentiated from pyogenic granulomas by absence and presence of blanching (respectively)

Question 14

Whine is incorrect re oral pathologies?

Answer 14

BPPV can be confused w Meniere’s because both can hearing loss
(Both cause tinnitus)

Question 15

Which is not true of bacterial pharyngitis or ARF?

Answer 15

Peritonsilar abscesses have greater potential for airway obstruction than do retropharyngeal abscesses
(Converse)

Question 16

Which is not true of pharyngitis?

Answer 16

Viral pharyngitis produces no exudate, as evidenced by mono

Question 17

Which is incorrect re laryngitis and laryngeal polyps?

Answer 17

Singer’s nodules are unilateral, whereas polyps are bilateral
(Converse)

Question 18

Which is incorrect re epiglottitis?

Answer 18

Produces steeple sign on X-ray

Looks more like omega

Question 19

All are complications of otitis media except..

Answer 19

Serous otitis

Question 20

Which is incorrect re Meniere’s dz?

Answer 20

Risk factors include age > 50 yrs

Ages 20-50yrs

Question 21

Which is incorrect re acoustic neuromas

Answer 21

4th most common intracranial tumor

7th

Question 22

Which is not correct re cholesteatomas?

Answer 22

Often bilateral

Uni

Question 23

Which is not correct re cholesteatomas?

Answer 23

Often result of chronic serous otitis

Result of acute suppurative otitis media

Question 24

Which is incorrect of otitis externa?

Answer 24

All of above

Swimmers ear
P. Aeroginosa
Can lead to osteomyelitis of temporal bone
Malignant otitis externa seen in elderly, diabetic, immunocompromised

Question 25

Of the four conditions, which poses least risk to vision?

Answer 25

Conjunctivitis

Question 26

Which is incorrect way of differentiating between conjunctivitis and scleritis?

Answer 26

All are correct

Move vessels w Qtip
Blanch w Qtip
Vasoconstrictive eye drops
Vessel patterns

Question 27

Which is not correct re glaucoma?

Answer 27

All are correct

Primary open angle is most common, usu genetic
Secondary open angle occurs from clogged trabecular network
Most secondary closures from pathological membranes

Question 28

Which is incorrect re pancoast tumor?

Answer 28

All of the above are correct

Horner’s syndrome–involvement of cervical and thoracic sympathetic nerves
Horner’s–mitosis, ptosis, anhidrosis
SVC syndrome–if obstruction of venous drainage
SCC–dilation of neck veins, neck and facial edema, redness

Question 29

Which is incorrect re pre proliferative diabetic retinopathy?

Answer 29

All are correct

DM causes thickening of basement membrane of retinal blood vessels
Exudates result from hyper permeable vasc
Micro occlusions–> macular edema or retinal detachment

Question 30

Which is not correct re normal response to acute blood loss?

Answer 30

All are correct

Intravascular vol rapidly restored by shift of water from interstitium
Interstitial fluid enters the intravascular and hemp dilution occurs
Decreased oxygen–> erythropoietin–> erythropoiesis

Question 31

Bone marrow has capacity to increase rbc production 10-15 x

T or F?

Answer 31

False

7-8

Question 32

After acute blood loss, best initial treatment is not replace w saline but with blood

T or F?

Answer 32

False! The converse is true

Question 33

Major problem w hemolytic anemia is that changes in RBCs are deformed and cause ischema…

T or F?

Answer 33

True

Question 34

Pt gotten over mycoplasma pneumonia.. Fingers are cold, pale, pulse less… Which lab test and which antibodies?

Answer 34

Coombs indirect

IgM