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CME QUIZ

Total questions: 15

Worksheet time: 15mins

Name
Class
Date
1.

All are correct about Bowen’s disease except:

a)

Thin strands of atypical epidermal cells penetrate the basement membrane to reach upper dermis.

b)

Atypical epidermal cells with large hyperchromatic nuclei show complete disorderly arrangement of cells.

c)

Epidermis becomes acanthotic with elongation & thickening of rete ridges, with thin strands of intertwining papillae.

d)

Individual cell keratinization leads to formation of large, round dyskeratotic cell with hyperchromatic nucleus & eosinophilic cytoplasm.

2.

Untrue about histopathology of tractional alopecia is:

a)

Number of vellus hair follicle are highly reduced in late phase of tractional alopecia.

b)

Follicular scars are typical feature of late phase.

c)

Early phase may show trichomalacia and pigment cast.

d)

Interfollicular areas are not involved.

3.

Untrue about nevus sebaceous of Jadassohn at puberty is:

a)

Multiple buds of undifferentiated cells representing malformed hair germ.

b)

Mature or nearly mature sebaceous glands are present in lower dermis.

c)

Mature apocrine glands can be seen in lower dermis.

d)

Epidermis shows papillomatous hyperplasia.

4.

Which of the following drug is not related to the given histopathological image?

a)

Carbamazepine

b)

Gatifloxacin

c)

Isoniazid

d)

Omeprazole

5.

All are Pan T- cell Markers except ?

a)

CD 2

b)

CD 3

c)

CD 4

d)

CD5

6.

Untrue statement related to these cells seen on tzank smear is:

a)

Cytology is very helpful in detecting Leishman Donovan ( LD) in early , untreated patient of leishmaniasis.

b)

LD bodies Appear as light blue ,ellipsoid Bodies, 2 -4 mm long with an eccentric nucleus and a smaller kinetosome at the opposite pole

c)

Virchow’s cell are typical macrophages containing leishmania.

d)

Cytology may not be useful in chronic forms of leishmaniasis.

7.

This appearance is seen in all except:

a)

Lichen nitidus

b)

Lichen scrofulosorum

c)

Juvenile xanthogranuloma

d)

Lichenoid eruptive histocytoma

8.

This histological appearance is not related to which drug ?

a)

Penicillamine

b)

Nifedipine

c)

Captopril

d)

Phenobarbital

9.

All statements about touton giant cells are true except ?

a)

Central ring of nuclei is found.

b)

Peripheral densely pink cytoplasm with abundant lipid granules .

c)

Cells react with alpha 1 antitrypsin & chymotrypsin indicates their histiocytic origin

d)

Dermatofibroma can have these cells.

10.

Incorrect statement about foreign body giant cells is?

a)

Endogenous triggers can not lead to their formation.

b)

Nuclei scattered irregularly

c)

Can be seen in BT hansens

d)

Larger in size than langhans giant cells

11.

Elastic fibers are demonstrated by which specific stain ?

a)

Von Kossa stain – black

b)

Van gieson stain – red

c)

Verhoeff’s stain – Black

d)

De galantha stain – blue

12.

Which of the following type of cutaneous tuberculosis uncommonly demonstrates caseation necrosis on histopathology ?

a)

Tuberculosis verrucosa cutis

b)

Scrofuloderma

c)

Tuberculosis gumma

d)

Lupus Vulgaris

13.

Tadpole appearance of epitheial strands is seen in all except ?

a)

Desmoplastic trichoepithelioma

b)

Eccrine poroma.

c)

Sclerosing basal cell carcinoma

d)

Syringoma

14.

This appearance is typical for which disease ?

a)

Pemphigus vulgaris

b)

Pemphigus foliaceous

c)

Subcorneal Pustular dermatosis

d)

Pemphigoid gestationalis

15.

Incorrect statement about Michel’s medium is ?

a)

This transport medium contains equal molar concentrations of ammonium sulfate in Nethylmaleimide, potassium citrate buffer, magnesium sulfate.

b)

It preserves immunoantigenicity of the specimen by its ability to precipitate macromolecules while inhibiting proteolytic enzymes.

c)

Immunoreactants may be demonstrable by DIF even at 6 months, indicating the reliability of this medium.

d)

Biopsy kept in michel’s medium should reach laboratory within 1-2 weeks for best results.