mcqs Flashcards

(60 cards)

1
Q

What are the 5 cardinal signs of inflammation?

A

calor
ruber
tumor
dolor
functio laesa

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2
Q

true or false? a localised collection of pus within an organ or tissues is called an Abscess

A. True
B. False

A

true

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3
Q

During the inflammatory response, what do mast cells release?

A. Chemicals
B. Histamine
C. Toxins
D. None of the above

A

histamines

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4
Q

Causes of necrosis includes

A. Injury
B. Cancer
C. Infection
D. All of the above

A

all the above

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5
Q

What is a benign neoplasm originating from adipose tissue called?

A. Adenoma
B. Lipoma
C. Fibrosarcoma
D. Adenocarcinoma

A

lipoma

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6
Q

What does paraneoplastic syndrome refer to?

A. The effects of substances such as hormones secreted by the tumour cells

B. Severe weight loss and cachexia associated with advanced cancer

C. The decreased resistance to infection resulting from malignant tumours

D. The effects of multiple metastatic tumours

A

A. The effects of substances such as hormones secreted by the tumour cell

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7
Q

The process of carcinogenesis usually begins with:

A. Exposure to promotors causing dysplasia

B. Development of defective genes

C. An irreversible change in the cell DNA

D. A single exposure to a known risk factor causing temporary cell damage

A

An irreversible change in the cell DNA

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8
Q

Chemical mediators released during the inflammatory response include

A. Albumin and fibrinogen
B. Pyrogens and cell enzymes
C. Macrophages and neutrophils
D. Histamine and prostaglandins

A

D. Histamine and prostaglandins

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9
Q

Edema or tissue swelling associated with inflammation results directly from

A. Increased fluid and protein in the interstitial compartment

B. Increased phagocytes in the affected area

C. Decreased capillary permeability

D. General vasoconstriction

A

A. Increased fluid and protein in the interstitial compartment

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10
Q

During an inflammatory response erythema is caused by

A. Vasodilation in the area

B. Increased capillary permeability

C. Irritation of sensory nerve endings by histamine

D. Increased leukocytes in the area

A

A. Vasodilation in the area

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11
Q

Which is the best description of granulation tissue

A. Multiple layers of collagen fibres and epithelial cells

B. Several layers of new epithelial cells

C. White fibrous tissue

D. Fibroblast and vascular endothelial cells

A

D. Fibroblast and vascular endothelial cells

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12
Q

In the process of necrosis, a reduction in the size of the nucleus and a condensation of nuclear material is known as:

A. Pyknosis
B. Karyolysis
C. Karyorrhexis
D. Metachromasia
E. Hypochromasia

A

Pyknosis

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13
Q

The most common underlying cause of fat emboli syndrome is:

A. Diabetes mellitus

B. Enzymatic fat necrosis

C. Fractures of long bones

D. Trauma of subcutaneous soft tissue

E. Steatosis

A

C. Fractures of long bones

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14
Q

Psammoma bodies are seen in which neoplasm?

A. Astrocytoma
B. Meningioma
C. Glioblastoma multiforme
D. Craniopharyngioma
E. Chordoma

A

Meningioma

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15
Q

Enzymatic necrosis affecting the pancreas is called:

A. Coagulative necrosis
B. Liquefactive necrosis
C. Fat necrosis
D. Caseous necrosis
E. Fibrinoid necrosis

A

B. Liquefactive necrosis

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16
Q

Urethral obstruction of long standing due to prostatic enlargement leads to which of the following changes in the urinary bladder muscularis?

A. Atrophy
B. Dysplasia
C. Hyperplasia
D. Hypertrophy
E. Metaplasia

A

Hypertrophy

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17
Q

Haemorrhagic infarction characteristically occurs in the:

A. Kidney
B. Liver
C. Lungs
D. Myocardium
E. Pancreas

A

lung

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18
Q

A major cause of pain in foci of acute inflammation is

A. Bradykinin
B. Complement
C. Histamine
D. Hydrogen peroxide
E. Superoxide

A

Bradykinin

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19
Q

The term cancer refers to

A. Dysplasia
B, Hyperplasia
C. Metaplasia
D. Malignant neoplasm

A

D. Malignant neoplasm

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20
Q

The erythema associated with acute inflammation is the result of:

A. Dilation of blood vessels
B. Edema of interstitial tissue
C. Margination of leukocytes
D. Precipitation of fibrin
E. Thrombosis of blood vessels

A

A. Dilation of blood vessels

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21
Q

Give examples of granulomatous inflammation

A. TB, chronic, cervicitis and colitis
B. Duodenal ulcer and histoplasma
C. Pericarditis, TB and peritonitis
D. TB, histoplasma and coccidodes

A

D. TB, histoplasma and coccidodes

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22
Q

True or false? Tuberculoma (TB abscess) is a type of purulent inflammation

A. True
B. False

A

false

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23
Q

What is chronic inflammation?

A. Is a slower longer process of acute inflammation
B. Autoimmune response to pathogen in the body
C. The cause of many diseases in the body
D. All of the above

A

all of the above

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24
Q

Apoptosis is classified as

A. Programmed cell death
B. Non-programmed cell death
C. Accidental cell death
D. Mitotic cell death

A

A. Programmed cell death

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25
What are malignant neoplasms arising from connective tissue cells called? A. Carcinomas B. Sarcomas C. Melanomas D. Fibromas
Sarcomas
26
What is the spread of malignant cells through blood and lymph to distant sites called? A. Invasiveness B. Seeding C. Metastasis D. Systemic effect
Metastasis
27
Malignant brain tumour: A. Metastasize quickly to all parts of the body B. Spread first to lungs and bone C. Spread to other parts of CNS D. Do not metastasize anywhere at any time
C. Spread to other parts of CNS
28
The inflammatory process is caused by A. Phagocytosis of foreign material B. Local vasodilation C. Any tissue injury D. Formation of purulent exudate
C. Any tissue injury
29
Scar tissue consists primarily of A. Granulation tissue B. Epithelial cells C. Collagen fibres D. New capillaries and smooth muscle fibre
C. Collagen fibres
30
The number of neutrophils are increased significantly A. During allergic reactions B. During chronic inflammation C. To produce antibodies D. In order to increase phagocytosis
D. In order to increase phagocytosis
31
The process of phagocytosis involves the A. Ingestion of foreign material or cell debris by leukocytes B. Shift of fluid and protein out of capillaries C. Formation of a fibrin mesh around the infected area D. Movement of erythrocytes through the capillary wall
A. Ingestion of foreign material or cell debris by leukocytes
32
Most pulmonary thrombosis originates from: A. Deep long veins B. Inferior vena cava C. Pelvic D. Portal vein
A. Deep long veins
33
The underlying tissue damage in most cases of haemorrhagic infarction of the lungs is: A. Caseous necrosis B. Coagulation necrosis C. Fibrinoid necrosis D. Gangrenous necrosis E. Liquefaction necrosis
B. Coagulation necrosis
34
Of the following, the earliest step in the formation of a thrombus is visually A. Activation of thrombus B. Development of fibrin plugs C. Endothelial injury D. Margination of leukocytes E. Trapping of red cells
C. Endothelial injury
35
Parasitic infestations typically provoke: A. Leukopenia B. Neutrophilia C. Eosinophilia D. Lymphocytosis E. Lymphopenia
Eosinophilia
36
Urethral obstruction of long standing leads to which of the following pathological changes in the kidneys? A. Atrophy B. Dysplasia C. Hyperplasia D. Hypertrophy E. Metaplasia
Atrophy
37
When a left ventricular mural thrombus develops, infarction may result in all of the following EXCEPT: A. Cerebrum B. Kidneys C. Lungs D. Small intestine E. Spleen
lungs
38
Select the correct pair representing a malignant tumour and its marker: A. Colon cancer: carcinoembryonic antigen (CEA) B. Hepatic cancer: CA125 C. Prostate cancer: human chorionic gonadotropin (HCG) D. Testicular cancer: Philadelphia chromosome
A. Colon cancer: carcinoembryonic antigen (CEA)
39
Hypertrophy of the heart would be related to: A. An increase in size of the individual cells B. An increase in the number of cells in an area C. Replacement of normal cells by a different type of cells D. A decrease in the size of individual cells
A. An increase in size of the individual cells
40
A tissue in which the cells vary in size and shape and show increase mitotic figures would be called: A. Metaplasia B. Atrophy C. Dysplasia D. Hypertrophy
Dysplasia
41
which are the earliest manifestation of cellular damage: A. functional disorders B. biochemical lesions C. light microscope changes D. (…)structural changes
biochemical lesions
42
the main factors in the pathogenesis of the cellular water content disturbances are: A. increase permeability of the cell membrane B. Disorders in the oxidation processes C. Disturbances in the colloid complex pressure in the cell D. Formation of free radicals in the cell
B. Disorders in the oxidation processes
43
which pathological condition is least likely to lead to the formation of a thrombus: A. damaged to the endothelium B. Blood stasis C. Anticoagulant therapy D. Increased blood clotting
C. Anticoagulant therapy
44
in which of the following pathological processes does a myocardial infarction develop: A. Acute relative ischemia B. Chronic venous hyperaemia in the coronary circulation C. Chronic relative ischemia in the myocardium D. Acute absolute ischemia in the myocardium
D. Acute absolute ischemia in the myocardium
45
The following cell types may be present in the exudate of serious inflammation without one: A. Lymphocytes B. Neutrophilic leukocytes C. Macrophages D. Epithelial cells from mucus membranes
D. Epithelial cells from mucus membranes
46
6, Choose which are the main cyto logical signs for cellular atypism? A. polymorphism B. Polychromasia C. Atypical mitosis D. Nuclear (multiple) polymorphism
A. polymorphism B. Polychromasia D. Nuclear (multiple) polymorphism
47
Peritoneum metastases are particular characteristics of which of the following malignant epithelial tumours: A. Large intestine B. The Kidneys C. The pancreas/ovaries D. The liver
C. The pancreas/ovaries
48
Tumours of the APUD systems are typical for? A. thyroid gland B. Pancreas C. Appendix D. Pituitary gland
Pancreas
49
which stains are used to demonstrate mucous production by the cells of and other adenocarcinomas: A. PAS B. Alcian blue C. Van gieson D. Mucicarmine
Mucicarmine
50
Asbestosis plays a role in the etiopathogenesis of which of the following tumors: A. Carcinoma of the lung B. pleural mesothelioma C. mesothelioma of the peritoneum D. Carcinoma of the larynx
Pleural mesothelioma
51
Which of the listed histological types of neoplasms develop in the digestive system: A. Adenocarcinomas B. Undifferentiated carcinoma C. Papillary cystadenoma carcinoma D. Non-Hodgkin’s lymphoma
Adenocarcinomas
52
Reactions mediated by T cells (type IV) are carried out: A. By circulating immune complexes B. By cytotoxic antibodies, binding and activating the complement system C. By cytotoxic T lymphocytes which specifically lyse target cells through direct contact with them D. From activated macrophages acquiring cytotoxic properties.
D. From activated macrophages acquiring cytotoxic properties.
53
Children affected by agammaglobulinemia (Bruton's syndrome) develop the following diseases: A. Recurrent infections from pyogenic microorganisms (pyoderma, pharyngitis, inflammation of the middle ear and accessory cavities of the nose) B. Brain tumors and meningitis C. Pneumonia with empyema D. Purulent meningitis
A. Recurrent infections from pyogenic microorganisms (pyoderma, pharyngitis, inflammation of the middle ear and accessory cavities of the nose)
54
What are the types of hypertrophy: A. Physiological B. Pathological C. Primary D. Pseudo
A. Physiological B. Pathological
55
what is the process in which keratinization occurs on a section of the stratified epithelium of the buccal mucosa: A. Necrosis B. Inflammation C. Metaplasia D. Hemodynamic disorder
Metaplasia
56
What is the histological accommodation: A. Transformation of one cell type into another B. Inflammatory process C. A state in which the physical parameters of the cells change D. Pathological metaplasia
A state in which the physical parameters of the cells chan
57
What is contained in the cytoplasm of renal carcinomas cells, which appear optically empty when stained with hematoxylin-eosin. A. Mucopolysaccharides B. Glycogen C. Mucins D. Lipids
glycogen
58
Abscess is not observed in which of the listed granulomas: A. Tularemia B. Rheumatism C. Actinomycosis D. Tuberculosis
Rheumatism
59
The following granulomas are allergic except one: A. Periarteritis nodosa B. Lipogranuloma C. Temporal arteritis D. Tuberculosis
Tuberculosis
60
Which is not a characteristic of tuberculous granuloma: A. Caseous necrosis B. Infiltration with T Lymphocytes C. Epithelioid cells D. Lack of vessels
Lack of vessels