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31

Clinical features of this disease reflect the underlying disease, with accentuation of respiratory insufficiency and right-sided heart strain.

Secondary pulmonary hypertension(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 507

32

Pneumonia with a patchy distribution of inflammation involving more than one lobe.

Bronchopneumonia(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 509

33

Four stages of pneumococcal pneumonia.

Congestion, red hepatization, gray hepatization, resolution(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 510

34

Affected areas are red-blue, congested and subcrepitant. Inflammatory reaction is largely confined within the walls of the alveoli. Septa widened and edematous, with mononuclear infiltrates of lymphocytes, histiocytes and plasma cells. Alveolar spaces are free of cellular exudate.

Atypical pneumonia(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 513

35

A localized area of suppurative necrosis within the pulmonary parenchyma, resulting in the formation of one or more large cavities.

Lung abscess(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 515

36

Pulmonary abscess resulting from aspiration of infective material are much more common on the left or right side?

Right side since it's shorter and more vertical.(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 515

37

Form of tuberculosis that develops in a previously unexposed, unsensitized person.

Primary tuberculosis(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 518

38

Implantation of the inhaled M. tuberculosis bacilli in the distal airspaces of the lungs, causes the formation of this 1 - 1.5 cm area of gray-white inflammatory consolidation.

Ghon focus(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 518

39

Ghon focus + nodal involvement = ________

Ghon complex(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 518

40

Radiographically detectable calcified Ghon complex.

Ranke complex(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 518

41

Pattern of disease that arises in previously sensitized host to M. tuberculosis.

Secondary or reactivation TB(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 520

42

Occurs when TB bacilli drain through the lymphtics into lymphatic ducts, which eventually empty into the rightside of the heart and into pulmonary circulation. Individual lesions are small, visible foci of yellow-white consolidation scattered through the parenchyma.

Miliary TB(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 520

43

The most frequent form of extrapulmonary TB.

TB Lymphadenitis(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 521

44

TB lymphadenitis of the cervical LN.

Scrofula(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 521

45

Round to oval small yeast forms measuring 2-5 um in diameter.

Histoplasma capsulatum(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 523

46

Thick walled non-budding spherules 20-60 um diameter, often filled with small endospores.

Coccidiodomycosis immitis(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 523

47

Round to oval and larger fungi, which reproduce by broad-based budding.

Blastomycosis dermatitidis(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 523

48

Cells infected by this virus exhibit gigantism of the cell and nucleus. An enlarged inclusion surrounded by a clear halo "owl's eye" is seen. It is the most common opportunistic viral pathogen in AIDS.

Cytomegalovirus (CMV)(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 524

49

Opportunistic infection of the lungs having a characteristic intra-alveolar foamy, pink-staining exudate "cotton candy exudate", with thickened septa and mononuclear infiltrate.

Pneumocystis carinii pneumonia(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 526

50

Most frequent disease-causing fungus.

Candida albicans(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 526

51

The fungus is a 5-10 um yeast, has a thick, gelatinous capsule and reproduces by budding. Most likely acquired through bird droppings. Visualized by India ink or Giemsa stain.

Cryptococcus neoformans(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 527

52

Which type of lung cancer is treated by chemotherapy only? Why?

Small cell lung carcinomaIt is an aggressive tumor which usually have metastasized at the time of diagnosis.(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 529

53

Lung carcinoma best treated with surgery since they respond poorly to chemotherapy.

Non-small cell lung carcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 529

54

Types of lung cancer with strongest association with tobacco exposure.

Squamous cell carcinomaSmall-cell carcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 530

55

Lung cancer which are peripherally located, most common type of lung cancer in women and nonsmokers. Grows slowly and metastasize early. Assumes a variety of forms, incliding acinar, papillary and solid types.

Adenocarcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 531

56

Lung carcinoma which typically have large, prominent nucleoli, and a moderate amount of cytoplasm, with minimal glandular or squamous differentiation.

Large-cell carcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 531

57

Lung carcinoma which appear as pale gray, centrally located masses. Nests and cords of polygonal cells with scant cytoplasm, granular chromatin and inconspicuous nuclei. FNAB shows nuclear molding of adjacent cells. Associated with several paraneoplastic syndromes.

Small cell lung carcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 532

58

Other name for small cell lung carcinoma.

Oat cell carcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 532

59

Paraneoplastic syndromes associated with oat cell carcinoma.

Cushing syndromeSIADH Lambert-Eaton myasthenic syndrome(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 532

60

Hypercalcemia due to excessive production of PTH related protein is usually seen in patients with this type of lung carcinoma.

Squamous cell carcinoma(TOPNOTCH)Robbins Basic Pathology, 8th Ed. p. 532