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WorksheetsGeneral Patho/ Microbio Part 1
Total questions: 85
Worksheet time: 1hrs 25mins
Normal range of a. Cardiac output, b. Ejection fraction
2-4 L/min, 20-30%
4-7 L/min, 70-80%
1-3 L/min, 50-70%
4-7 L/min, 50-70%
Volume of blood in the ventricles after diastole/ filling period
End systolic volume
End diastolic volume
Stroke volume
Cardiac output
Blood flows from ______ to _______ pressure
Lower to higher
Higher to lower
Start of diastole is marked by
Opening of semilunar valves
Closure of semilunar valves
Opening of AV valves
Closure of AV valves
Peripheral edema is one of the characteristic features of this type of Congestive heart failure
Left CHF
Right CHF
Systolic CHF
Diastolic CHF
The type of Congestive heart failure that presents pulmonary edema
Left CHF
Right CHF
Systolic CHF
Diastolic CHF
Patients with Congestive heart failure should be in _______ position during dental treatment to avoid complications
Fully reclined
Partially reclined
Upright
Supine
Initial lesions called atheromas are present in
Arteriosclerosis
Atherosclerosis
Angina Pectoris
MI
Stents are used to restore blood flow in patients with
Angina pectoris
MI
Atherosclerosis
Characterized by loss of blood supply and death of heart muscle
Angina pectoris
MI
Atherosclerosis
Most serious complication of Pericarditis
Fibrinoid Pericarditis
Consrictive Pericarditis
Viral Pericarditis
Cardiac Tamponade
Pathognomonic sign of Rheumatic Heart Disease
Anitschkow giant cells
Aschoff bodies
Guarneri bodies
Negri bodies
Which of the following presents Reed-sternberg cells on cytological exam
Burkitts Lymphoma
Hodgkins Lymphoma
Non-hodgkins Lymphoma
Chronic Myelogenous Leukemia
All of the following describes Burkitts Lymphoma except:
Associated with a genetic mutation chromosomal change in 8;14
Close association with Epstein Barr virus
High grade B cell malignancy
High grade T cell malignancy
Rheumatic heart disease is caused by Post-strep hypersensitivity which is a
Type III hypersensitivity (Ab-Ag complexes)
Type II hypersensitivity (Cytotoxic)
Type I hypersensitivity (Anaphylactic)
Type IV hypersensitivity (Delayed)
Subacute bacterial endocarditis is characterized by all of the following except
Streptococcus viridans
More common than acute bacterial endocarditis
Large vegetations
Occurs in previously damaged valves only
Ventricular Septal Defect except
Roger’s disease
Cyanotic
Blood flows from left to right ventricle through a hole instead of aorta
Tetralogy of Fallot except
Pulmonic stenosis
Right Ventricular hypertrophy
Overriding aorta over ventricular septal defect
Coarctation of aorta
Coarctation of Aorta is
narrowing of ascending aorta
Narrowing of descending aorta
Narrowing of pulmonary valve
An artery that exists between the pulmonary artery and aorta that failed to close in Patent Ductus Arteriosus
Ductus venosus
Ductus arteriosus
Foramen ovale
Umbilical vein
In fetal circulation, deoxygenated blood returns via:
Ductus venosus
Superior vena cava
Inferior vena cava
Umbilical vein
Shunts in fetal circulation occurs in the following except:
Umbilical vein
Foramen ovale
Ductus venosus
Ductus arteriosus
Inflammation of the lung affecting pulmonary parenchyma
Atelectasis
Pneumonia
Bronchoectasis
Pulmonary emoblism
Collapsed airway causing loss of elasticity of alveoli. Characteristic feature is Barrel chest appearance
Emphysema
ChronicBronchitis
Atelectasis
Bronchiectasis
The following presents productive cough with sputum except
Bronchiectasis
Emphysema
Pulmonary Embolism
Lobar Pneumonia
Type of pneumonia that presents exudate within the alveolus in one lobe/ the entire lung. Predominance in middle age
Bronchopneumonia
Lobar Pneumonia
Interstitial Pneumonia
Bacterial Pneumonia
Type of pneumonia that presents with bronchiole and alveolar infiltrates; patchy in appearance. It affects infants and elderly
Lobar pneumonia
Interstitital pneumonia
Bronchopneumonia
Type of emphysema affecting upper lobes of the lung and is associated with chronic bronchitis and smoking
Panacinar
Paraseptal
Irregular
Centriacinar
Type of emphysema affecting the lower lobes of the lungs
Paraseptal
Panacinar
Cenrtiacinar
Irregular
Type of Pneumoconiosis associated with Bronchogenic carcinoma
Silicosis
Anthracosis
Asbestosis
Berrylliosis
Type of pneumoconiosis that is also known as Back luna/ Coal worker’s disease
Silicosis
Berrylliosis
Anthracosis
Asbestosis
Type of pneumoconiosis also known as Stone Mason’s ds and is associated with tuberculosis
Silicosis
Anthracosis
Asbestosis
Berrylliosis
Type of pneumoconiosis mimicking sarcoidosis
Silicosis
Asbestosis
Anthracosis
Berrylliosis
Enlargement of right ventricle due to chronic lung disease
Right Congestive heart failure
Cor Pulmonale
Bronchogenic Carcinoma
Left Congestive Heart failure
Select three respiratory complications after oral and maxillofacial surgery
Cor pulmonale
Pulmonary atelectasis
Aspiration pneumonia
Pulmonary embolism
Skin cancer of the stomach that is common in patients with blood type A
Peptic ulcer
GERD
Gastric carcinoma
Duodenal ulcer
Erosion is the lining of stomach/ duodenum characterized by excessive acid secretion. It is caused by
GERD: Incompetent lower esophageal sphincter
Peptic ulcer: H. Pylori
Gastric carcinoma: Benzo-a-pyrenes
Gastric ulcer is more common than duodenal ulcer. True or false?
TRUE
FALSE
Zollinger-Ellison triad
GERD
Pancreatic gastrinoma
Peptic ulcer
Increased gastric acid
The following are characteristic features of Gardner’s syndrome except
Osteomas
Freckles
Supernumerary teeth
Multiple impacted teeth
Sjogren’s syndrome or Sicca syndrome damages
Lacrimal glands
Salivary glands
Lacrimal and salivary glands
Triad of Sjogren’s syndrome
Xerostomia
Keratoconjunctivitis sicca
Rheumatoid arthritis/ SLE
Warthin’s tumor
Most common salivary gland tumor (major and minor) and the most common benign tumor of parotid gland
Warthin’s tumor
Pleomorphic adenoma
Monomorphic adenoma
Squamous Cell Carcinoma
2nd most common benign tumor except
Warthin’s tumor
Papillary Cystadenoma Lymphomatosum
Freys syndrome
A complication during parotid surgeries wherein the CN IX (Glossopharyngeal) is cut
Warthins tumor
Mikulicz disease
Freys syndrome
Benign lymphoepithelial lymphomatosum
Most common malignant tumor of salivary gland and the 2nd most common skin cancer
Mucoepidermoid carcinoma
Acinic cell carcinoma
Warthins Tumor
Papillary cystadenoma lymphomatosum
Most common skin cancer of the ORAL CAVITY is located most commonly in these areas
Upper lip, posterolateral corner of tongue
lower lip, ventrolateral corner of tongue
Lower lip, posterolateral corner of tongue
Upper lip, ventrolateral corner of tongue
Characterized by zymogens being converted prematurely to catalytically active forms resulting to autodigestion of pancreas
Chronic Pancreatitis
Cholistitis
Acute Pancreatitis
Cirrhosis
Characterized by increase in serum amylase and lipase and decreased Ca levels
Acute pancreatitis
Chronic pancreatitis
Cirrhosis
Cholecystitis
Cirrhosis is reversible or irreversible?
reversible
Irreversible
Mallory bodies are present in
Cardiac cirrhosis
Biliary cirrhosis
Laennecs Cirrhosis
The following are true regarding bacterial growth curve except
Log/ Exponential phase is where bactericidal drugs work the best
Stationary phase is characterized by plateau on the graph
Lag phase causes a slight upswing in the curve and increased metabolic activity
Cell division is rapid in LAG PHASE
Which of the following are FALSE regarding necrosis
Ischemia in all tissues is associated with coagulation necrosis
Myocardial infarcts are an example of Liquefaction necrosis
Fatty acids are released with liquefactive necrosis
Gummatous necrosis are common in patients with Syphilis
Chvostek and Trousseau sign test for which of the following
Chronic hypocalcemia
Acute hypercalcemia
Acute hypocalcemia
Chronic hypercalcemia
Paramyxovirus is associated with all of the following except
Respiratory syncytial virus
Koplik’s spots
Oophoritis
Influenza virus
Mycobacterium tuberculosis is
A strict anaerobe
A strict aerobe
Doesn’t have peptidoglycan layer
A gram (+) bacteria
All of the following presents hemoptysis except
Emphysema
Pneumonia
TB
Bronchitis
Malabsorption is when
Nutrients are not absorbed by the large intestine
Nutrients are not absorbed by the small intestine
Inability of stomach cells to release gastroferrin
Which is not correct regarding classical signs of acute inflammation?
Calor: Vasodilation and increased blood flow
Tumor: due to tissue edema
Dolor: active hyperemia
Functio laesa: swelling and pain
Risk factors for atherosclerosis except
Smoking
Hypertension
Nephrosclerosis
Premenopause
Ankylosis Spondilitis is also known as
Albers Schonberg
Marie Strumpell disease
Marble bone disease
Osteitis deformans
Increased alkaline phosphatase lab finding is seen in all of the following except
Multiple myeloma
Osteitis deformans
Osteosarcoma
Osteochrondroses
It is characterized by distortion of bone architecture resulting in enlarged, odd shaped bones
Osteitis fibrosa cystica
Pagets disease of the bone
Osteogenesis imperfecta
Osteopetrosis
_________ is the type of arthritis that is non-inflammatory and biomechanical in nature as compared to _______ that is systemic and inflammatory
Osteoarthritis, Gouty arthritis
Rheumatoid arthritis, Osteoarthritis
Osteoarthritis, Rheumatoid arthritis
Gouty arthritis, Osteoarthritis
A type of histiocytosis X/ Langerhans cell granulomatosis that presents bone lesions in skull and mandible, loose teeth, exophthalmos, and diabetes insipidus
Letterer siwe disease
Hand-schuller-christian disease
Eosinophilic granuloma of bone
Osteitis fibrosa cystica
The following are signs and symptoms of Psoriasis. Which are matched correctly
Monroes abscess: cardinal sign
Auspitz sign: abnormal keratin prod.
Silvery scales: bleeding spots
Monroes abscess: bleeding spots
Auspitz sign: cardinal sign
Silvery scales: abnormal keratin prod.
Monroes abscess: Cardinal sign
Auspitz sign: bleeding spots
Silvery scales: abnormal keratin prod.
Which of the following is matched correctly
Sickle cell anemia - VALINE replaces GLUTAMATE
Chronic anemia - VALINE replaces LYSINE
Methemoglobinemia - TYROSINE replaces HISTIDINE
Sickle cell and Methemoglobinemia are correct
Chronic and Methemoglbinemia are correct
All of the following describes osteogenesis imperfecta except
Fractures
Blue ocular sclera
Dentinogenesis imperfecta
Deficient type II collagen
Albers schonberg disease is characterized by
Abnormal osteoblasts
Hastened eruption of teeth
Non-involvement of CN
Abnormal osteoclasts
Osteochondrosis is described as all of the following except
Children and adolescents affected
Affects growing skeleton
osteonecrosis of ossification centers of bone
Delayed eruption of teeth
Enlargement of muscle fiber is muscular _________ while increase in number is muscular __________
Hyperplasia, Hypertrophy
Hypertrophy, Hyperplasia
___________ is muscle degeneration and irreversible while ________ is not a disease but a result of a disease. It is also reversible
Muscle Dystrophy, Muscle Atrophy
Muscle Atrophy, Muscle Dystrophy
Benign tumor of skeletal muscle _________
Benign tumor of smooth muscle _________
Rhabdomyoma, Leiomymoma
Leiomyoma, Rhabdomyoma
Rhabdomyosarcoma, Leiomyosarcoma
Leiomyosarcoma, Rhabdomyosarcoma
LE FORT I. All of the following is true except
Pyramidal fracture
Horizontal
Guerins
Transverse Maxillary
Choose the Le Fort Fracture being described.
“Floating jaw”
Tongue depressor doesn’t move upon occlusion
Guerins
Pyramidal
Transverse
Choose the Le Fort Fracture being described
Black eyes/ Panda eyes/ Racoon eyes
Battles sign (Mastoid ecchymosis)
CSF Rhinorrhea
Transverse maxillary
Pyramidal
Transverse
Choose the Le Fort Fracture being described
Bilateral epistaxis
Horizontal
Pyramidal
Transverse
Endothelium and axon are intact. This may be due to compression and ischemia. What is being described
Neuropaxia
Axonotmesis
Neurotmesis
Endothelium is intact and axon is damaged. May be due to stretching of nerve and bone fractures. With wallerian degeneration
Axonotmesis
Neuropraxia
Neurotmesis
All layers are damaged due to laceration of nerve. With wallerian degeneration
Axonotmesis
Neurotmesis
Neuropraxia
Destruction of myelin sheath in PNS by autoimmune cells
Lou Gehrigs disease
Guillan-Bare syndrome
Neuroblastoma
Multiple sclerosis
Destruction of myelin sheath in CNS by autoimmune cells. Presents plaques and has no treatment; palliative.
Lou Gehrigs disease
Guillan-Bare syndrome
Multiple sclerosis
Epilepsy
Degeneration of motor neurons in brain and spinal cord characterized by muscle weakness and atrophy
Lou Gehrigs disease
Guillan Bare syndrome
Multiple sclerosis
Neuroblastoma
Malignant tumor of adrenal glands consisting of immature nerve cells (neuroblasts)
Neurilemoma
Neuroblastoma
Epilepsy
MS
Hemophilia A
Hemophilia B
Hemophilia C
CF 8 (Antihemophilic factor)
CF 9 (Christmas factor); Christmas ds
CF 10 (Stuart factor); Rosenthals syndrome
CF 9 (Christmas factor); Christmas ds
CF 10 (Stuart factor); Rosenthals syndrome
CF 11 (Plasma thromboplastin antecedent)
CF 8 (Antihemophilic factor)
CF 9 (Christmas factor); Christmas ds
CF 11 (PTA); Rosenthals syndrome
NOTA
