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pathology mid

Total questions: 35

Worksheet time: 26mins

Name
Class
Date
1.

1- Female pt , 29 yrs old , presented by acute onset of lower left abdominal pain , fever and tendreness. US revealed tubo-ovarian abcess .which of the following type of necrosis is most likely at that lesion ?

a)

coagulative

b)

liquefactive

c)

caseative

d)

fat

2.

male pt , 16 yrs , presented to ER by severe leg swelling , tendreness and redness .He exposed to escaped hot soap on his leg.which type of inflammation is most likely ?

a)

serous

b)

Celluitis

c)

catarrhal

d)

allergic

3.

All of the following cells may be a component of acute inflammatory exudate except :

a)

Neutrophil

b)

Macrophages

c)

lymphocytes

d)

basophilis

4.

Female pt , 45 yrs , presented by recurrent attacks of loin pain , dysuria and fever . Urine analysis revealed increased pus cells .serum createnine is 9 mg/dl . The urologist decided for nephrectomy .which is most likely findings in this kidney ?

a)

Renal cell carcinoma

b)

Renal stones

c)

chronic pyelonephritis

d)

polycystic kidney

5.

Male pt , 16 yrs , has history of chronic cough and expectoration for 6 months age .He looks pale and wasted .X- ray chest revealed apical cavitation of right lung and hilar LNs . If biopsy is taken , which is most likely findings ?

a)

diffuse polymophic infiltration

b)

Epitheliod caseating granulomas

c)

Malignant squamous nests

6.

Male pt , 70 yrs , presented with cerbrovascular stroke and right hemiplegia .CT brain revealed left frontal lobe infarction. Healing of this area will be by :

a)

Regeneration

b)

fibrosis

c)

Gliosis

7.

Female pt , 45 yrs other wise healthy , is donor for liver transplant for her child that has Glycogen storage disease . The liver of mother will be healed up by :

a)

Fibrosis

b)

regeneration

c)

resolution

8.

Male pt , 30 yrs old , had motor car accident , resulting in multiple muscle lacerations . These muscles will be healed by

a)

Fibrosis

b)

regeneration

c)

resolution

9.

Angiogenesis process ocurr in :

a)

Healing by fibrosis

b)

metastasis

c)

Pronlonged ischemia

d)

all of the above

10.

Female pt , 45 yrs underwent total thyroidectomy ,presented after 3 months of operation by raised scar .Biopsy revealed increased collagen deposition .that is called

a)

ulcer

b)

Sinus

c)

Fistula

d)

Keloid

11.

All of the following organs will be congested due to right sided heart failure except :

a)

liver

b)

intestine

c)

lung

d)

kidney

12.

Small thrombi almost always underwent :

a)

fibrinolysis

b)

Canalization

c)

deatachment and embolism

13.

Male pt ,25 yrs , presented to ER by motor car accident leads to fracture at left femur .Three days later , he has severe respiratory distress and diagnosed as pulmonary embolism . which type of embolism is most likely to be occur

a)

thromboembolism

b)

Air embolism

c)

Fat embolism

14.

Male , 70 yrs , presented to ER by left hemiplegia . CT brain revealed right frontal lobe infarction . which type of necrosis is most likely to be occur ?

a)

coagulative

b)

liqufactive

c)

Caseative

15.

Female pt , 45 yrs , presented by bilateral lower limb edema , ascitis . By investigation : Good heart function , liver enzymes is normal .Low serum albumin ( 3gm /dl ) and Urine is positive to protein ( 5 gm / day ) . The main mechanism for edema in this case is : ( increased hydrostatic venous pressure - decreased osmotic pressure - Increase capillary permeability )

a)

increased hydrostatic venous pressure

b)

decreased osmotic pressure

c)

Increase capillary permeability

16.

which is the following adaptations is precancerous ?


a)

hyperplasia

b)

Hypertrophy

c)

Atrophy

d)

metaplasia

e)

A&D

17.

which of the following matching is incorrect :

a)

uterine muscle and hypertrophy

b)

wart of skin and hyperplasia

c)

Wasting of limb and atrophy

d)

Barret oesphagus and squamous metaplasia

18.

All of the following is true about dysplasia except :

a)

pleomorphic cells

b)

hyperchromatic large nuclei

c)

frequent mitotic figures

d)

Infiltrating Underlying basement membrane

19.

Degeneration means irreversible cell damage

a)

true

b)

false

20.

Mitochondrial swelling is feature of irreversible cell damage

a)

true

b)

false

21.

Increase Ca efflux to cell is main mechanism for cell death

a)

true

b)

false

22.

Apoptosis means passive death mediated by caspases activation

a)

true

b)

false

23.

Necrosis may occur in physiological condition as in development of digitis

a)

true

b)

false

24.

Regression of malignant tumor in response to chemotherapy is example of apoptosis

a)

true

b)

false

25.

Necrosis is characteized by shrinkage of cell and lack of inflam response

a)

true

b)

false

26.

Nuclear fragments is feature of reversible cell damage

a)

true

b)

false

27.

- Female pt , 45yrs , with prolonged history of alchol ingestion , which of the following most likely to have ?

a)

Fatty liver

b)

mallory bodies of hepatocytes

c)

Enzymatic fat necrosis of pancreas

d)

all of above

28.

chabby cat apperance of heart occurs in diphetric toxic myocarditis

a)

true

b)

false

29.

signet ring cells are for

a)

atty change

b)

mucoid change

c)

cancer cells

d)

all of above

30.

by biopsy for failed kidney in pt has chronic pulm TB : you detect homogenous pink structuless material , to confirm diagnosis of cause of failure :

a)

do congo red stain

b)

do liver function

c)

do PCR studies

d)

count neutrophil per section

31.

n a patient of chronic pulm TB , you may found :

a)

Epitheliod caseating granuloma of Lung

b)

alcified hard mediastinal LNs

c)

associated renal failure

d)

all of above

32.

Sago spleen is diffuse amyloidosis of spleen

a)

true

b)

false

33.

Trumatic myositis ossificance is example for epithelial metaplasia

a)

true

b)

false

34.

Russel body is degenerated macrophage

a)

true

b)

false

35.

Zenker degeneration is exsmple for connective tissue hyalinosis

a)

true

b)

false