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Pathology Quiz

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

A 62-year-old male dies 4 days after an acute myocardial infarction. At autopsy, the infarcted ventricular wall is soft, yellowish, and shows a rupture of the ventricular septum. Which histological feature is most characteristic of this specific time frame (Day 3–7)?

a)

Wavy fibers and contraction band necrosis

b)

Extensive macrophage infiltration and phagocytosis of dead myocytes

c)

Dense collagenous scar formation

d)

Early neutrophilic infiltration and coagulative necrosis

2.

In 'Rheumatic Heart Disease,' the pathognomonic histological lesion found in the myocardium, consisting of a central focus of fibrinoid necrosis surrounded by Anitschkow cells, is known as:

a)

Councilman body

b)

Aschoff body

c)

Negri body

d)

Mallory-Denk body

3.

A patient presents with hemoptysis and rapidly progressing renal failure. Immunofluorescence of a renal biopsy shows a 'linear' pattern of IgG deposition along the glomerular basement membrane. What is the most likely diagnosis?

a)

Post-streptococcal glomerulonephritis

b)

Goodpasture Syndrome

c)

Wegener’s Granulomatosis

d)

Minimal Change Disease

4.

Which morphological subtype of lung carcinoma is most strongly associated with non-smokers and is characterized by a 'lepidic' growth pattern along intact alveolar septa?

a)

Squamous cell carcinoma

b)

Small cell carcinoma

c)

Adenocarcinoma (formerly Bronchioloalveolar)

d)

Large cell carcinoma

5.

'Barrett’s Esophagus' is a pre-malignant condition defined by the metaplastic replacement of the normal esophageal epithelium with:

a)

Stratified squamous epithelium

b)

Simple columnar epithelium with goblet cells (Intestinal metaplasia)

c)

Pseudostratified ciliated columnar epithelium

d)

Transitional epithelium

6.

A 'Crohn's Disease' biopsy reveals transmural inflammation. Which other feature would help distinguish it from Ulcerative Colitis?

a)

Presence of non-caseating granulomas

b)

Inflammation limited to the mucosa and submucosa

c)

Continuous involvement starting from the rectum

d)

Absence of 'Skip Lesions'

7.

In the liver, the 'Councilman body' represents a single hepatocyte that has undergone:

a)

Fatty change (Steatosis)

b)

Liquefactive necrosis

c)

Apoptosis (often seen in viral hepatitis)

d)

Hypertrophy

8.

Which form of 'Emphysema' is classically associated with Alpha-1 Antitrypsin deficiency and typically involves the entire acinus, predominantly in the lower lobes?

a)

Centriacinar emphysema

b)

Panacinar emphysema

c)

Paraseptal emphysema

d)

Irregular emphysema

9.

'Membranous Nephropathy' is characterized by the presence of 'Spikes and Domes' on the glomerular basement membrane. These are visualized best using which stain?

a)

Hematoxylin and Eosin (H&E)

b)

Periodic Acid-Schiff (PAS)

c)

Silver stain (Jones)

d)

Congo Red

10.

A 45-year-old female presents with itching, jaundice, and a positive anti-mitochondrial antibody (AMA) test. The pathology shows destruction of the small intrahepatic bile ducts. What is the diagnosis?

a)

Primary Sclerosing Cholangitis

b)

Primary Biliary Cholangitis (formerly Cirrhosis)

c)

Alcoholic Hepatitis

d)

Hemochromatosis