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a. Acute chorioamnionitis
b. Amnion nodosum
c. Chronic villitis
*d. Placental infarcts
e. Single umbilical artery
Title: 42 Path S1 March 10, 2015
42. A 25-year-old G2P1 woman with no prenatal care comes to the Emergency
Room in labor and delivers a baby as shown:
The placenta has expected weight but is noted to present tiny white nodularities
at the fetal surface that wipe out easily.
Which of the following statements most likely explains fetal and placental
findings?
a. Pulmonary hypoplasia
b. Heart malformations
c. Imperforate anus
*d. Bilateral renal dysplasia
e. Tracheal stenosis
Title: 43 Path S1 March 10, 2015
43. A 25-year-old woman presents fever and some cramping pain followed by
passage of foul smelling discharge at 30 weeks of gestation. She has a preterm
labor and the placenta is as shown.
medications. She otherwise feels well. Which is the most likely cause for this
group of signs/symptoms?
a. Endometriosis
b. Constitutional hirsutism
*c. Polycystic ovarian disease
d. Sertoli-Leydig cell tumor of the ovary
e. Pelvic inflammatory disease
Title: 147 Path S3 March 10, 2015
147. A 23-year-old man visits the urologist because he has noticed that his left
testis is increasing in size. Physical examination discloses a mass in that testis.
Serologic tests show marked elevation of human chorionic gonadotrophin (HCG)
and alpha-fetoprotein (AFP). Based on these clinical presentation, what is the
most probable diagnosis?
a. Choriocarcinoma
b. Classic Seminoma
c. Endodermal sinus tumor (yolk sac tumor)
*d. Mixed germ cell tumor
e. Sertoli-Leydig cell tumor
Title: 148 Path S3 March 10, 2015
148. A 49-year-old woman has noted a pressure sensation, in her pelvic region
for several months. An ultrasound examination reveals a 15-cm multiloculated
cystic mass in the left adnexal region. An exploratory laparotomy with
subsequent left salpingo-oophorectomy is performed. The mass is shown in the
figure.