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Formative assessment 1

Total questions: 35

Worksheet time: 18mins

Name
Class
Date
1.

1. The hallmark of acute inflammation is

a)

Increased blood flow

b)

Vascular stasis

c)

Increased vascular permeability

d)

Rubor, calor, dolor, tumor

2.

Which cause pain in acute inflammation

a)

C3a

b)

C5a

c)

LTB4

d)

Bradykinin

3.

A preformed mediator of inflammation is

a)

Prostaglandin

b)

Histamine

c)

Leucotriene

d)

Nitric oxide

4.

Which of the following is not a common site for metastatic calcification?

a)

Kidney

b)

Gastric mucosa

c)

lung

d)

Parathyroid

5.

Which is the most common mechanism of vascular leakage in acute inflammation-

a)

Endothelial cell contraction

b)

Junctional retraction

c)

Direct injury

d)

Leukocyte-dependent leakage

6.

The first vascular response to injury is

a)

slowing of the circulation

b)

venular dilatation

c)

recruitment of the vascular beds

d)

capillary enlargement

7.

Which of the following chemical mediators are involved in giant cell granulomatous inflammation

a)

Complement C5a

b)

Interferon γ

c)

Bradykinin

d)

Nitric oxide

8.

Which type of amyloid is seen in chronic diseases-

a)

A beta2 microglobulin

b)

SAA type

c)

AL type

d)

ATTR

9.

Epithelioid cell granulomas are composed of

a)

Neutrophils, fibroblasts, macrophages

b)

Lymphocytes, activated macrophages, fibroblasts

c)

Neutrophils, lymphocytes, epithelioid cells

d)

Epithelioid cells, plasma cells, mast cells

10.

Leukocyte extravasation occurs in the following order

a)

Activation, rolling, transmigration, adhesion

b)

Rolling, activation, adhesion, immigration

c)

Adhesion, rolling, activation, transmigration

d)

Rolling, activation, adhesion, transmigration

11.

In acute inflammation, which is the correct sequence of events with regard to vascular flow and caliber?

a)

Vasodilation, margination, stasis, vasoconstriction

b)

Vasoconstriction, stasis, margination, vasodilation

c)

Vasodilation, stasis, vasoconstriction, marginaiton

d)

Vasoconstriction, vasodilation, stasis, margination

12.

Amyloid is

a)

Aggregation of misfolded normally soluble protein

b)

Agregation of soluble polymeric protein

c)

Aggregation of soluble intracellular proteins

d)

Aggregation of insoluble normal protein

13.

To demonstrate amyloid on gross specimens which solution is used

a)

Concentrated HCL

b)

Lugol’s iodine

c)

Potassium permanganate

d)

Conc.HNO3

14.

Purpose of using fixative in cytology

a)

prevention of degeneration of cells and tissue

b)

preservation of cells as close as possible to the living state

c)

all of the above

d)

none of the above

15.

1. True about Liquid based cytology is

(a) Study of cells in liquid medium

(b) Results are better than conventional pap smear

(c) It is an inexpensive and simple method

a)

Study of cells in liquid medium

b)

Results are better than conventional pap smear

c)

It is an inexpensive and simple method

d)

Both a and b

16.

Transudate differs from exudate in having the following features except:

a)

No inflammatory cells

b)

Low glucose content

c)

Low protein content

d)

Low specific gravity

17.

Which of the following is incorrect regarding the pathogenesis of edema:

a)

Increased hydrostatic pressure

b)

Increased plasma oncotic pressure

c)

Lymphatic obstruction

d)

None of the above

18.

In chronic venous congestion of the liver, which of the following histopathological findings is not seen:

a)

Marked congestion of the central vein and sinusoids.

b)

Nutmeg liver

c)

Periportal hepatocyte necrosis

d)

Periportal fatty change

19.

An intact endothelium elaborates the following anti thrombotic factors except:

a)

Thrombomodulin

b)

Tissue plasminogen activator

c)

Tissue factor

d)

Prostacyclin

20.

Which of the following statement is true:

a)

Arterial thrombi are red and propagate in the direction of the blood flow.

b)

Arterial thrombi are white and propagate retrograde to the direction of the blood flow.

c)

Venous thrombi are white and propagate retrograde to the direction of the blood flow.

d)

None of the above

21.

A patient presents with sudden onset dyspnea, tachycardia and

restlessness three days after fracture of shaft of femur. What is the most likely diagnosis?

a)

Hypovolemic shock

b)

Fat embolism

c)

Cardiac failure

d)

None of the above

22.

Which of the following is not a risk factor for thrombosis?

a)

Prolonged immobilization

b)

Antiphospholipid antibody syndrome

c)

Atrial fibrillation

d)

Platelet function defects

23.

In antiphospholipid syndrome, the antibodies are directed against which of the following:

a)

Anti Beta glycoprotein 1

b)

Anti cardiolipin

c)

Both A and B

d)

Anti neutrophilic cytoplasmic antibody (ANCA)

24.

The infarct of the following organ is invariably haemorrhagic:

a)

Infarct Kidney

b)

Infarct lung

c)

Infarct spleen

d)

Infarct heart

25.

In a patient of acute myocardial infarction due to sudden occlusion of left anterior descending coronary artery, the histological findings will be consistent with:

a)

Coagulative necrosis

b)

Liquifactive necrosis

c)

Fat necrosis

d)

Fibrinoid necrosis

26.

The cause of hemorrhagic testicular infarction following a testicular torsion in a 9 year old boy is:

a)

Arterial occlusion

b)

Septic infarction

c)

Dual blood supply of testis

d)

None of the above

27.

Which one of the listed changes correctly describe the pathophysiology in the production of pulmonary edema in patients with congestive heart failure:

a)

Decreased plasma oncotic pressure

b)

Endothelial damage

c)

Increased hydrostatic pressure

d)

Increased vascular permeability

28.

Which of the following statement is true about hyperemia:

a)

It is a passive process

b)

Increased delivery of oxygenated blood.

c)

Reduced outflow of blood from tissue

d)

There is reduced blood flow

29.

In a patient of hemophilia with factor VIII deficiency, the results of coagulation tests in the laboratory will be :

a)

Prolonged PT and prolonged PTT

b)

Prolonged PT and Normal PTT

c)

Normal PT and prolonged PTT

d)

Normal PT and PTT

30.

Which of the following statement is not true regarding decompression sickness

a)

It is a form of air embolism

b)

It is caused by rapid ascend of scuba divers due to increase amount of CO2 in the lung

c)

Acute decompression sickness causes bends and chokes

d)

Multiple foci of skeleton muscle necrosis in patients of chronic decompression

31.

All of the following statement are true regarding necroptosis except?

a)

It also results in Caspase activation leading to cell death

b)

Morphologically and biochemically it resembles necrosis

c)

Mechanically it is triggered by programmed cell signal transduction pathways resembling apoptosis

d)

It is also known as programmed necrosis

32.

All of the following statement are true regarding telomerase except:

a)

Telomerase act to cause breakdown of repetitive sequence of DNA and shorten it

b)

Telomer length shortened after each replication

c)

Telomerase is RNA protein complex

d)

Telomer are short repetitive sequences at the end of DNA

33.

All of the following are example of apoptosis in physiological situation except:

a)

Cell loss in proliferating cell population

b)

Elimination of self reactive lymphocytes

c)

Destruction of cell during embryogenesis

d)

Accumulation of misfolded protein leading to ER stress

34.

While doing a screening chest radiograph in an asymptomatic 37-year-old man a 3-cm nodule in the middle lobe of his right lung was found. The nodule on sectioning shows a sharply circumscribed mass with a soft, white center. The microscopic appearance is shown in the figure. The serum interferon gamma release assay is positive. Which of the following pathologic processes has most likely occurred in this nodule?

a)

Apoptosis

b)

caseous necrosis

c)

fat necrosis

d)

coagulative necrosis

35.

An experimental study of non alcoholic steatohepatitis reveals that hepatocyte cell membrane injury with necrosis occurs in response to increased amounts of tumor necrosis factor (TNF). When drugs inhibiting caspases is administered, cell necrosis still occurs. Which of the following substances forms a complex that increases the generation of reactive oxygen species?

a)

Catalase

b)

Cytochrome c

c)

Ubiquitin ligase

d)

Receptor-interacting protein