Lungs

Question 1

pulmonary artery orientation in the hilum for both lungs

Answer 1

left artery superior trunk, right artery anterior trunk

Question 2

black pigment from pollution/carbon particulate

Answer 2

anthracotic pigment

Question 3

inherited disorder of ion transport that affect fluid secretion in exocrine gland and in the epithelial lining of the respiratory (and GI) tracts

Answer 3

mucoviscidosis/Cystic fibrosis

Question 4

most common form of empyshema, occurring primarily in smokers with COPD

Answer 4

centriacinar emphysema

Question 5

large sub-pleural blebs (greater than 1cm), typically near apex

Answer 5

bullous emphysema

Question 6

irreversible enlargement of the airspaces distal to the terminal bronchiole, accompanied by destruction of their walls

Answer 6

emphysema

Question 7

Progressive interstitial pulmonary fibrosis and respiratory failure with radiological honeycomb pattern

Answer 7

idiopathic pulmonary fibrosis

Question 8

gross appearance of cobblestone pleural surface with firm, rubbery white areas of fibrosis on cut surface

Answer 8

idiopathic pulmonary fibrosis

Question 9

irreversible enlargement of the airspaces distal to the terminal bronchiole (smoking/ α1-antitrypsin deficiency)

Answer 9

emphysema

Question 10

form of obstructive lung disease

Answer 10

emphysema

Question 11

dense fibrosis causes destruction of alveolar architecture and the formation of cystic spaces lined by hyperplastic type II pneumocytes

Answer 11

idiopathic pulmonary fibrosis

Question 12

form of chronic diffuse interstitial restrictive disease

Answer 12

idiopathic pulmonary fibrosis

Question 13

Inhalation of coal particles and dust the causes massive progressive fibrosis with Anthracosis: carbon deposits

Answer 13

coal worker’s pneumoconiosis

Question 14

Inhalation of pro-inflammatory crystalline silicon dioxide (silica)

Answer 14

silicosis

Question 15

Most prevalent chronic occupational disease in the world

Answer 15

silicosis

Question 16

Inhalation of proinflammatory crystalline hydrated silicates (asbestos) that causes diffuse pulmonary interstitial fibrosis

Answer 16

asbestosis

Question 17

most common manifestation of asbestosis

Answer 17

pleural plaques

Question 18

gross appearance of hard pale to blackened collagenous scars

Answer 18

silicosis

Question 19

systemic granulomatous disease of unknown cause that may involve many tissues and organs

Answer 19

sarcoidosis

Question 20

bilateral hilar lymphadenopathy or parenchymal lung involvement common in this disease

Answer 20

sarcoidosis

Question 21

Non-necrotizing granulomas, multinucleated giant cells, peripheral lymphocytes in this disease

Answer 21

sarcoidosis

Question 22

chronic pulmonary and systemic disease; leading cause of death worldwide

Answer 22

tuberculosis

Question 23

this infection is associated with an increased risk of tuberculosis

Answer 23

HIV

Question 24

parenchymal lung lesion with nodal involvement in TB

Answer 24

Ghon complex

Question 25

Granulomatous inflammation with caseating necrosis, multinucleated giant cells is present in

Answer 25

early TB

Question 26

granulation tissue, fibrosis, stellate scar is present in

Answer 26

late TB

Question 27

Wear ______ during frozen sections of lung/lymph nodes of lung

Answer 27

N95

Question 28

TB can also be present in this other than the lung

Answer 28

lymph node

Question 29

benign mesenchymal neoplasms containing tissues made up of cartilage, smooth muscle, and connective tissue (native tissue but disorganized - adenochondroma)

Answer 29

hamartoma

Question 30

radiographically, hamartomas appear as

Answer 30

coin lesions

Question 31

this type of lung cancer tends to be peripheral

Answer 31

adenocarcinoma

Question 32

SCC of the lung arises in this part

Answer 32

bronchial epithelium

Question 33

variant of adenocarcinoma with acini in fibrotic stroma

Answer 33

acinar variant

Question 34

variant of adenocarcinoma with papillary growth formation with true fibrovascular cores

Answer 34

papillary variant

Question 35

variant of adenocarcinoma with goblet cells with abundant intracellular mucin

Answer 35

mucinous variant

Question 36

variant of adenocarcinoma with atypical type II pneumocytes growing along the surface of the alveolar septa

Answer 36

lepidic variant

Question 37

variant of adenocarcinoma with small, delicate papillary tufts lacking true fibrovascular cores

Answer 37

micropapillary variant

Question 38

variant of adenocarcinoma with solid sheets that lack other recognizable patterns

Answer 38

solid variant

Question 39

gross appearance of tan-white soft and friable with possible necrotic center, adjacent to bronchi

Answer 39

small cell lung cancer

Question 40

subtype with no specific features of small cell, adeno, or SCC. 50% near bronchial lumen. Gray-white, sub-pleural fleshy cut surface.

Answer 40

large cell lung cancer

Question 41

May cause lung carcinoma, mesothelioma

Answer 41

asbestosis

Question 42

Patchy consolidation in this disease

Answer 42

bronchopneumonia

Question 43

entire lobe, lobar pneumonia

Answer 43

congestion

Question 44

increased blood volumes within tissue

Answer 44

hyperemia, congestion

Question 45

arteriolar dilation (inflammation, muscle)

Answer 45

hyperemia

Question 46

passive, reduced venous outflow (dusky reddish)

Answer 46

congestion

Question 47

lung specimens u may receive (6)

Answer 47

-FNA -Wedge -lobectomy -segmentectomy -pneumonectomy -mediastinal lymph nodes

Question 48

do not use black ink for these two types of cases

Answer 48

lung and melanoma

Question 49

weigh the lung before doing this

Answer 49

infiltration/inflation

Question 50

if the tumor is squamous cell, open the lung along this

Answer 50

bronchial airway

Question 51

if the tumor is adenocarcinoma or other section like this

Answer 51

serially section

Question 52

if the tumor is close to the bronchovascular margin, shave it this way

Answer 52

perpendicularly

Question 53

lung staging is dependent on these three things

Answer 53

-tumor size -pleural involvement -invasion into adjacent structures

Question 54

lung T2 lesions assess (4)

Answer 54

-tumor size -invasion into visceral pleura -association with atelectasis -involvement of main bronchus

Question 55

lung T3/T4 lesions assess (3)

Answer 55

-Tumor size - Invasion into adjacent structures (Section carefully (bone saw) to demonstrate lesions to adjacent structures) - Fix, then decal