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Dystrophic and Metastatic Calcification Quiz

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Dystrophic calcification occurs in:

a)

Normal tissues with hypercalcemia

b)

Necrotic or damaged tissues

c)

Necrosis-free tissues

d)

Only kidneys

2.

Serum calcium levels in dystrophic calcification are:

a)

High

b)

Low

c)

Normal

d)

Variable

3.

Classic site of dystrophic calcification:

a)

Healthy kidney

b)

Normal lung

c)

Atherosclerotic plaques

d)

Normal bone

4.

Metastatic calcification occurs due to:

a)

Normal calcium levels

b)

Hypercalcemia only

c)

Hypocalcemia

d)

Local tissue damage only

5.

Common site of metastatic calcification:

a)

Heart valves

b)

Atherosclerotic plaques

c)

Old scars

d)

Gastric mucosa

6.

Most common cause of metastatic calcification:

a)

Vitamin K deficiency

b)

Hyperparathyroidism

c)

Obesity

d)

Viral infections

7.

Psammoma bodies are seen in:

a)

Tuberculosis

b)

Lymphoma

c)

Papillary carcinoma of thyroid

d)

Multiple myeloma

8.

Lipofuscin is a marker of:

a)

Acute inflammation

b)

Aging and wear-and-tear

c)

Excess iron

d)

Hyperbilirubinemia

9.

Lipofuscin is derived from:

a)

Protein oxidation

b)

Lipid peroxidation

c)

Calcium accumulation

d)

Cholesterol deposits

10.

Free radicals cause injury mainly by:

a)

Protein synthesis

b)

Lipid peroxidation and DNA damage

c)

Increasing ATP

d)

Increasing calcium efflux

11.

Major enzyme for neutralizing hydrogen peroxide:

a)

Lysozyme

b)

Catalase

c)

Elastase

d)

Tyrosinase

12.

Autophagy primarily involves:

a)

Proteasomes

b)

Mitochondria

c)

Lysosomes

d)

Ribosomes

13.

Stain used for fat in frozen sections:

a)

H&E

b)

Sudan III

c)

Masson trichrome

d)

Periodic acid–Schiff

14.

Hemosiderin is best identified by:

a)

Ziehl–Neelsen stain

b)

Gram stain

c)

Prussian blue stain

d)

Alcian blue

15.

Intracellular accumulation of proteins appears as:

a)

Clear vacuoles

b)

Globular eosinophilic droplets

c)

Granular black pigment

d)

Basophilic inclusions

16.

Melanin is synthesized from:

a)

Tyrosine

b)

Phenylalanine

c)

Histidine

d)

Tryptophan

17.

Most potent reactive oxygen species (ROS):

a)

Superoxide

b)

H₂O₂

c)

Hydroxyl radical

d)

Nitric oxide

18.

Main cause of anthracosis:

a)

Iron overload

b)

Carbon pigment inhalation

c)

Bilirubin excess

d)

Calcium deposition

19.

Fatty change is most commonly seen in:

a)

Kidney

b)

Heart

c)

Liver

d)

Spleen

20.

A hallmark of reversible cell injury:

a)

Karyolysis

b)

Membrane rupture

c)

Hydropic change

d)

Nuclear fragmentation