QUESTIONS:

1.

Which of the following is true about renal cell carcinoma a. The kidney is commonly compressed crescentically at one pole of the tumor. th b. It most commonly arises in adult males with a peak in the 6 decade of life c. The clear cell type is among the most common types d. The sarcomatoid type is among the rarest types e. All of the above Which of the following is true about renal cell carcinoma (RCC) a. It most commonly arises near the renal hilum b. The peak incidence of the tumor is the third decade of life c. Renal cell carcinoma of the right may be associated with the right varicocele d. Collecting duct type carcinoma is the most frequent type e. None of the above Which of the following diseases is characterized by proteiuria a) Multiple myeloma b) Liver cirrhosis c) Urinary bladder stone d) All of the above e) None of the above Which of the following tumors may consist of cells with pale or clear cytoplasm a) Seminoma b) Renal cell carcinoma c) Krukenbergs tumor d) All of the above e) None of the above Which of the following statements is true about endometriosis: a) Endometrial tissue may occur in the umbilicus b) Peritoneal adhesions may complicate endometriosis c) The ovaries may become cystic d) All of the above e) None of the above Which of the following statements is true about endometrial hyperplasia: a) It is the most common in females using contraceptive pills b) The type known as cystic hyperplasia is strongly precancerous c) The condition predisposes to endometriosis d) All of the above e) None of the above Which of the following ovarian tumors can be bilateral: a) Mucinous cystadenoma b) Krukenberg tumor c) Ovarian carcinoma d) All of the above
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e) None of the above

8.

Which of the following statements is true about the partial type of vesicular mode: a) The chromosomal pattern is often diploid (46XX or 46XY) b) Fetus is often absent c) The condition is coomonly transformed into invasive mole d) All chorionic villi are transformed into vesicles e) None of the above. Which of the following conditions is true about mammary sclerosing adenosis: a) This sclerotic mammary lesion follows suppurative mastitis b) It may be clinically and microscopically mistaken for fibroadenoma c) It can be differentiated from invasive cancer by the presence of myoepithelial cells d) All of the above e) None of the above Which of the following benign mammary neoplasms is usually huge-sized: a) Intracanalicular fibroadenoma b) Pericanalicular fibroadenoma c) Phylloides tumor d) Dark papilloma e) Non of the above Which of the following mammary neoplasms has the highest incidence of bilaterality: a) Lobular carcinoma b) Medullary carcinoma c) Pagets disease d) Mucoid carcinoma e) Apocrine carcinoma Which of the following types of mammary carcinoma may have a good prognosis? a) Juvenile secretory carcinoma b) Medullary carcinoma c) Tubular or mucoid carcinoma occuring in a pure form (not mixed with other type) d) All of the above e) Non of the above Which of the following conditions does not indicate poor prognosis of breast carcinoma: a) Inflammatory carcinoma b) Skin invasion c) Microcalcifications d) Cancer en cuirasse e) Nipple retraction Which of the following is not a risk factor for mammary carcinoma: a) Multiparity b) Obesity c) Late menopause d) Positive family history e) Early menarche
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15.

Which of the following sites shows the highest incidence of breast cancer involvement a) Lower outer quadrant of the breast b) Upper outer quadrant of the breast c) Lower inner quadrant of the breast d) Upper inner quadrant of the breast e) Central compartment of the breast Which of the following mammary lesions is most liable to be mistaken histologically for carcinoma: a) Phylloides tumor b) Sclerosing adenosis c) Gynecomastia d) Fibrocystic disease e) Mammary duct ectasia Which of the following tumors may show a cartilagenous component: a) Nephroblastoma b) Hepoblastoma c) Osteosarcoma d) Teratoma e) All of the above Which of the following tumors may be associated with psammoma bodies: a) Meningioma b) Papillary type of renal carcinoma c) Papillary carcinoma of thyroid d) All of the above Which of the following characterized by considerable lymphocytic infiltrates: a) Graves disease b) Hashimotos disease c) Medullary carcinoma of the breast d) All of the above e) None of the above Which of the following disease may be complicated by lymphoma: a) Riedels thyroiditis b) Hashimotos thyroiditis c) De Querveins thyroiditis d) All of the above e) None of the above Which of the following is true about Hurthle cells: a) These are large eosinophilic epithelial cells detected in cases of Hashimotos thyroiditis b) Some benign tumors of thyroid consist of Hurthle cells c) Thyroid carcinoma may consist of malignant Hurthle cells d) All of the above e) None of the above
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22.

Which of the following is true about follicular adenoma of thyroid: a) The tumor is usually multicentric occuring as multiple capsulated nodules b) The tumor causes pressure atrophy of thyroid tissue leading to myxoedema c) The tumor may sometimes lead to thyrotoxicosis d) All of the above e) None of the above Which of the following is true about papillary carcinoma of thyroid: a) The tumor is more aggressive than follicular carcinoma of thyroid b) The tumor cells have eosinophilic cytoplasm and dark bizarre nuclei c) Lung and bone metastases are common and occur early in the course of disease d) All of the above e) None of the above Which of the following is true about Graves disease: a) The thyroid gland is mostly asymmetrically enlarged b) The condition is associated with peritibial myxoedema in 5% of cases c) The thyroid follicles are hugely enlarged due to large amounts of retained colloid d) Outer and cut surfaces of the gland are nodular e) All of the above. Which of the following conditions can occur in diabetic patients: a) Osmotic diuresis b) Nephrotic syndrome c) Trophic big toe ulcer d) Retinal hemorrhage e) All of the above Which of the following lesions may be detected in diabetes mellitus: a. Pancreatic amyloid deposits b. Renal tubular vacuolization c. Glomerulosclerosis d. Arteriolosclerosis e. All of the above Which of the following statement is true about cervical carcinoma ? a. The endophytic types have better prognosis than the exophytic types b. the risk of cancer development is higher in vigins than non virgins c. The patients may die from renal failure d. All of the above e. None of the above Which of the following statement is true about cervical erosion? a. This is superficial ulceration representing an early manifestation of cervical cancer b. This is cervical inflammation associated with epithelial damage and bleeding c. This is cervical ulceration as result of puerperal sepsis d. This is eversion of cervix as a result of inflammation and fibrosis e. None of the above

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28.

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29.

The following statements are true about poststreptococcal glomerulonephritis except : a. It is an autoimmune complex disease b. Acute renal failure is the common fate c. The glomeruli appear microscopically hypercellular d. It mostly affects children and young adult e. Oliguria and haematuria are features of the disease Which of the following statements is true about chronic glomerulonephritis? a. The disease affects both kidneys, often in an asymmetrical pattern b. Chronic glomerulonephritis represents the most common fate of post streptococcal glomerulonephritis c. Clinically, the patient may develop hypertension and may complain of polyuria d. All the above e. None of the above All of the following are features of renal failure except: a. Alkalosis b. High blood urea c. Anemia d. Inflammation of serous membrane e. Gastrointestinal inflammation Which of the following diseases may be associated with anemia a. Chronic renal failure b. Hepatic failure c. Gastric cancer d. Leukemia e. All of the above Which one of the following is not included in the triad of manifestation of Graves disease? a. Thyroiditis b. Thyroitoxicosis c. Infiltrative ophthalmopathy d. Localized infiltrative dermopathy Pheochromocytoma is known as 10% tumor . which statement is incorrect? a. 10% of cases are bilateral b. 10% of cases occur in extra adrenal sites c. 10% of cases occur sporadically d. 10% of tumors are biologically malignant Which of the following statements is true about seminoma a. It is a benign tumor of the seminiferous tubules b. It is a radioresistant tumor c. It is most commonly affects adults below the age 30 years d. All of the above e. None of the above Which of the following statements is true about Benign Prostatic Hypertrophy
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31.

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a. b. c. d. e. 37.

It predominantly affects the peripheral prostatic zone It very commonly changes into prostatic carcinoma Untreated cases may be complicated by renal failure All of the above None of the above

Which of the following statement is true about prostatic carcinoma? a. Most cases are estrogen dependent tumor b. Most cases arise in peripheral prostatic zone c. Gleason combined grade 3+1 (total 4) means high grade tumor d. All of above e. None of above All of the following causes haemturia except a. Urinary stones b. Cystitis c. Nephrotic syndrome d. Urinary neoplasm e. Leukemia Which of the following viruses is related to carcinoma of cervix and tongue? a. Ebstein-Barr virus b. Cytomegalovirus c. Human papilloma virus d. All of the above Which is the most following microscopic type of cervical cancer? a. Adenocarcinoma b. Squamous cell arcinoma c. Undiferentiated cell carcinoma d. Adeno squamous cell arcinoma e. Adenocanthoma Which of the following statements about senile prostatic hyperplasia is incorrect: a. It occurs in about 90% of males over 70 years old b. Typycally involves the periuretheral region of prostate c. Hyperplasia of both glands and stroma is seen histologically d. It is a risk factor for prostatic carcinoma The following are the risk factors for invasive cervical carcinoma except: High risk HPV Low risk of HPV Presence of high grade dysplasia A 30 year old women has experienced dull pelvic pain. Physical examination shows a right adenexal mass. The mass is surgically excised. The surface is smooth, and not adherent to the pelvic struct. On gross examination, the mass is cystic and filled with hair.microscopic examination revealed sq. epithelium,tall columnar glandular epithelium, cartilage, fibrous connective tissue. What is the probable diagnosis? a. Adenocarcinoma
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38.

39.

40.

41.

42.

a. b. c. 43.

b. c. d. 44.

Fibroadenoma Hamartoma Teratoma

A 36-year old women had episodes of lower abdominal and pelvic pain for the past 10 years. A bimanual pelvic exam reveals no abnormalities. A pap smear is negative. She had an abdominal ultrasound which revealed no abnormalities. Finally she undergoes laproscopy and her physician notes that there are presence of several 0.2-0.5cm brown lesions located over the serosal surface of the uterus, fallopian tubes, and appendix. These lesions were excised. Which of the following microscopic findings is present in the lesion? a. Endometrial gland and stroma b. Metastatic carcinoma c. Leiomyoma d. Caseating granuloma

45. Which of the following statement is true about crescent

glomerulonephritis a. It is characterized by glomerular necrosis b. T he bowman's capsule show parietal crescent c. T he disease often progresses rapidly to renal failure d. All of the above e. Non of the above
46. Which of the following is true about nephroblastoma(wilm's tumor)? a. It is a malignant embryonic tumor that may sometimes affect both kidneys b. It most commonly affect children under the age of 15 years c. It consists of varible mixture of blastemal ,epithelial and mesenchymal structures d. Cartilage may be seen within e. All of the above

Answers:
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18.

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19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46.

D B D C E B E E C A B C E E A A E C D C C B D B D D D E

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