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GenPath 2nd Shifting LE - Neoplasm

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Which of the following is hormone independent?

a)

breast carcinoma

b)

colonic carcinoma

c)

prostate carcinoma

d)

endometrial carcinoma

2.

Which of the ff is not a part of the Von Hippel Lindau syndrome?

a)

cerebellar hemangioblastoma

b)

retinal angioma

c)

pancreatic cancer

d)

renal cell carcinoma

3.

Philadelphia chromosome is associated with which neoplasm?

a)

follicular lymphoma

b)

neuroblastoma

c)

chronic myeloid leukemia

d)

wilms tumor

4.

A 60 year old female consulted due to right ovarian mass. Biopsy reveals mature bone, cartilage, and skin adnexal structures. However, there were primitive neural, adipose and muscle components. What is the most likely diagnosis?

a)

mature teratoma

b)

teratocarcinoma

c)

immature teratoma

d)

malignant mixed mullerian tumor

5.

When hypophosphorylated, this gene product exerts anti-proliferative effects by binding and inhibiting E2F transcription factors that regulate genes required to pass through the G1-S phase cell cycle checkpoint

a)

RB

b)

CDKN2A

c)

PTEN

d)

NF1

6.

Which of the breast tumors shows sheets or large masses of atypical glandular cells growing in an anarchic, disorganized fashion?

a)

lobular carcinoma

b)

medullary carcinoma

c)

ductal carcinoma

d)

phyllodes tumor

7.

A 30 year old male presented with a scrotal mass consistent with a dysgerminoma. Microscopic examination reveals primitive tumor cells in the lungs, liver and pleural fluid. Which histologic characteristic of malignancy is present?

a)

anaplasia

b)

metastasis

c)

dysplasia

d)

invasiveness

8.

Which of the following statements is not true regarding the virus implicated with malignancy?

a)

EBV - nasopharyngeal carcinoma

b)

HPV - cervical carcinoma

c)

Hepatitis B - hepatocellular carcinoma

d)

HTLV1 - multiple myeloma

9.

A 30 year old female consulted an OBGYN for an annual physical examination. Cervical examination shows leuko whitening upon application of acetic acid. Pap smears show atypical squamous cells with cytoplasmic halos. What test may confirm your diagnosis?

a)

HPV testing

b)

cytokeratin

c)

gram stain and culture

d)

HCG testing

10.

WT-1 mutation is linked to:

a)

follicular lymphoma

b)

neuroblastoma

c)

chronic myeloid leukemia

d)

nephroblastoma

11.

A 50 year old male with fungating mass of the lower lip. Biopsy reveals atypical cells with high nucleus to cytoplasm ratio, forming sheets and keratin pearls. Which immunostain would be helpful in the diagnosis?

a)

CD45

b)

cytokeratin

c)

desmin

d)

s100

12.

Which of the following statements about neoplasms is false?

a)

sarcomas tend to spreads hematogenously

b)

skeletal muscle in an uncommon site of metastasis

c)

the spleen is a common site of metastasis

d)

carcinoma tends to spread by lymphatic invasion

13.

In - situ (borderline) epithelial cancers display the cytologic features of malignancy without;

a)

invasion of the basement membrane

b)

necrosis

c)

pleomorphism

d)

mitosis

14.

It codes for a variety of growth factors, receptors, and signal relay or transcription factors which act in concert to control entry into the cell cycle.

a)

protooncogenes

b)

tumor suppressor genes

c)

growth factors

d)

bcl-2

15.

A two year old male presented with a 2 inch sized pouch like mass 2 feet from the ileocecal valve. It consists of all 3 layers of the bowel wall, with normal gastric and pancreatic tissues. These ectopic tissues are most likely:

a)

choristomas

b)

dysplasia

c)

hamartomas

d)

teratoma

16.

A 60 year old female presented with rectal bleeding. A 3 cm polypoid mass was noted on colonoscopy. Biopsy shows loss of uniformity of the glandular cells as well as loss in their architectural orientation. These are consistent with what feature of tumors?

a)

anaplasia

b)

metaplasia

c)

dysplasia

d)

pleomorphism

17.

A common carcinogen found in peanuts and grains is:

a)

aflatoxin

b)

nitrosamines

c)

chondroitin sulfate

d)

vinyl chloride

18.

Oncogenic RNA viruses are able to integrate themselves into the DNA of the host cells via;

a)

elaboration of nucleophilic toxic reactants

b)

production of reverse transcriptions

c)

RNA polymerase production

d)

All of the above

19.

Which of the ff tumors would show tumor cells with tadpole shaped cells with large, lobate, hyperchromatic nuclei and multipolar mitotic figures?

a)

rhabdomyosarcoma

b)

angiosarcoma

c)

squamous cell carcinoma

d)

liposarcoma

20.

Which of the ff is not part of Multiple Endocrine Neoplasia-1?

a)

pituitary tumors

b)

parathyroid

c)

pancreatic endocrine

d)

colonic polyps

21.

Which of the ff viruses is closely linked to the developmental of nasopharyngeal carcinoma and burkitt’s lymphoma?

a)

human papillomavirus

b)

hepatitis bvierus

c)

epstein barr virus

d)

HTLV-1 virus

22.

This cyclin dependent kinase forms complex with cyclin E in late G1, which is involved in G1/S transition.

a)

CDK1

b)

CDK2

c)

CDK3

d)

CDK4

23.

This gene is responsible for renal cell carcinoma development

a)

VHL

b)

SDH8

c)

CDH1

d)

MSH2

24.

Which checkpoint component is activated by mechanisms that sense double stranded DNA breaks?

a)

p53

b)

p21

c)

ATM

d)

p16INK4A

25.

A high level of chromosomal material accumulation and mitosis, implies a faster growing malignancy, reflected histologically by:

a)

tumor necrosis

b)

anaplasia

c)

well differentiated architecture

d)

absence of lymphocytic infiltrates