cell injury
1 What is the Type of necrosis seen in Infarct Brain
Liquefactive
2 What is the type of Degeneration seen in Leiomyoma
Hyaline
3 What is the marker of acute pancreatitis
Lipase
4 Following is not a type of Adaptations
Anaplasia
5 Troponin I is a Marker of
Myocardial infarction
6 Which of the following holds true for metaplasia
It is reversible
7 Metastatic calcification
Occurs in normal tissues with raised serum calcium levels
8 Pathogenesis of reversible cell injury does include the following
Reduced Protein synthesis, Decreased ATP, intracellular lactic acidosis
9 The nature of lesion in Barrett’s oesophagus is:
Metaplastic
10 Caseous necrosis is
Conbination of coagulative and liquefactive necrosis
11 Following is a type of Gangrene
Dry wet, gas
12 Following is the etiological agent for gas gangrene
Clostidium welchi
13 Following is a feature of Wet Gangrene
Common in bowel, Moist Rotten organ, Poor Prognosis
14 Following is a feature of Apoptosis
Programmed Cell death, intact lysosomes, Apoptotic bodies
15 Coagulative necrosis is seen in
Infarct Heart, Infarct Kidney Infarct Spleen
16 Wear and tear pigment is name given to
Lipofuschin
17 Following is a pigment derived from haemoprotein
haemosidderin, acid haematin, bilirubin
18 Following is the type of Extra Cellular Hyaline Deposition
Corpora Amylara
19 Diabetic Foot is an Example of
Wet gangrene
20 Tomb Stone is a hall mark morphologic feature of
Coagulative necrosis
21 Fibrinoid necrosis is characterized by deposition of fibrin-like material stained by
PTAH
22 Secreatory endometrium is an example of
Hyperplasia
23 In Atrophy the cells are
Shrunken cells
24 Fat Necrosis occurs in
Bread
25 Liquefactive Necrosis is seen in
Brain
26 Common site of liquefactive necrosis is
Heart
27 Gummatous necrosis is caused by
Treponema pallidum
28 causes of cell damage
reduced O2 supply, genetic abnormalities, abnormal immunological reaction
29 All are features of apoptosis
cell shrinkage, single cell shedding, chromatin condensation
30 Metastatic calcification is seen in
Hyperparathyroidism
31does elicit inflammatory reaction
hypoxia, toxins, antibodies
32 Steatosis is also known as
Fatty degeneration
33 Hyaline degeneration in rectus abdominal is muscle in typhoid feveris also known a
Zenker's degeneration
34In fatty liver due to chronic alcoholism.the following mechanism are involved
increases fatty acid synthesis, decreased triglyceride utilization, block in lipoprotein excretion
35Caseous necrosis is distinctive of
Tuberculosis
36Type of necrosis occurring in myocardial infarct
Coagulatuve
37Gangrenous organ bears blackish discolouration due to
Iron sulphide
38“cheeselike,” necrosis
Caseous necrosis
39Programmed and coordinated cell death is
Apoptosis
40‘falling off’ or ‘dropping off’ is seen in
Apoptosis
41Free Radicals Involved in Cell Injury are
Superoxide (O2), Hydrogen peroxide (H2O2), Hydroxyl radical (•OH
42Annexin V is used as a marker for:
Apoptosis
43Which of the following genes is proapoptotic:
BAX
44In atrophy, the cells are
Shrunken cells
45decreses in size of brain with aging is example of
Physiologic atrophy
46Wasting of muscles of limb immobilised in cast is seen in
Pathologic atrophy
47Zenker’s degeneration of muscle seen in .
Typhoid fever
48Poliomyelitis is example of
Neuropathic atrophy
49All are features of reversible cell injury
Karyorrhexis, Blebs, Clumping of nuclear chromatin
50All are features of Apoptosis
Cell shrinkage,Single cell shedding, Chromatin condensation
51Most common cause of fatty liver is
Alcoholism
52Cancer predesposition in vitamin A deficiency is due to
Metaplasia
2)HAEMODYNAMICS
1Difference between hyperaemia and congestion is
Hyperaemia is active & congestion is passive
2Most frequent cause of CVC Liver is
Right sided ventricular faillure
3Virchow's triad includes all
Injury to vein, Venous stasis, Hypercoaguabilty of blood
4Pick the correct sequence:
Renin-Angiotensinogen-Angiotensin I-Angiotensin II-Aldosterone
5Pulmonary hypertension is defined as systolic blood pressurein the pulmonary arterial circulation above the following cut offfigure:
30mm hg
6Infarct Lung is
Haemorrhagic
7Ischemia casues injury due to
Hypoxia, Lack of Nutrients, Accumulation of Waste Products
8Osmotic pressure exerted by the chemical constituents of the body fluids has the following features
Oncotic pressure constitutes minor portion of total osmotic pressure, Oncotic pressure of plasma is higher, Oncotic pressure of interstitial fluid is lower
9For causation of oedema by decreased osmotic pressure, the following factor is most important
Fall in globulin level
10In septic shock, pathogenesis of endothelial cell injury involves the following mechanisms
Interleukin-1 causes endothelial cell injury, TNF-a causes direct cytotoxicity, Adherence of PMNs to endothelium causes endothelial cell injury
11Transudate differs from exudate in having the following
Low specific gravity, No inflammatory cells, Low protein content
12type of emboli depending upon source are .
Cardiac emboli
13Nephritic oedema differs from nephrotic oedema in having the following
Mild oedema, Distributed on face, eyes, Occurs in acute glomerulonephritis
14The following type of oedema is characteristically dependent odema
Cardiac odema
15Sectioned surface of lung shows brown induration in:
CVC LUNG
16Milroy’s disease is:
Hereditary lymphoedema
17Pulmonary oedema appears due to elevated pulmonary hydrostatic pressure when the fluid accumulation is:
Ten fold
18Father of cellular Pathology is
Rudolf virchow
19Paradoxical emboli means
20Lines of Zahn in seen in
Thrombhs
21Fat embolism is seen in
Pancreatitis, Diabetic Mellitus , sickle cell anemia
22The following type of Oedema is characteristically dependent Oedema
Cardiac oedema
23Red infarcts occurs with following
Venous occlusion, Arterial occlusionin, in loose spongy tissues where blood can be collected in infarct zone
24 80% of systemic emboli originate from
Intracadiac mural thrombi
25Commonest source of pulmonary embolism is
Deep vein of leg
26Thrombi occuring in Heart chambers or Aorta are designated as
Mural thrombi
27hypotension, weak rapid pulse,tachypnoea,cool,clammy, cyanotic skin,is representation of
Cardiogenic shock
28Factors responsible for oedema formation includes all
increased hydrostatic pressure of the blood, decreased capillary permeability, Lymphatic obstruction
29Direct injury to the endothelium of cell causes
Necrosis
30common derangements of body fluid are
Oedema, Overhydration, Dehydration
31Which ONE of the following is associated with thrombosis?
Endothelial damage, .Formation of platelet aggregates., Vascular stasis.
32CHRONIC VENOUS CONGESTION OF LIVER OCCURS IN RIGHT HEART FAILURE AND SOMETIMES DUE TO OCCLUSION OF…..
Inferior vena cava & hepatic vein
33LARGE THROMBUS IMPACTED AT THE BIFURCATION OF THE MAIN PULMONARY ARTERY IS CALLED….
Saddle embolism
. 34RISK FACTORS OF PULMONARY THROMBOEMBOLISM IS…..
Venous blood stasis
35CAUSE / CAUSES OF FAT EMBOLISM INVOLVE….
HYPERLIPIDAEMIA, SICKEL CELL ANAEMIA, PANCREATITIS
36THE EFFECT OF DECOMPRESSION SICKNESS DEPEND UPON…
DEPTH OF ALTITUDE REACHED, DURATION OF EXPOSURE TO ALTERED PRESSURE, RATE OF ASCENT OR DESCENT
37TRAUMATIC CAUSES OF FAT EMBOLISM INVOLVE.....
TRAUMA TO THE BONES, TRAUMA OT THE SOFT TISSUES
38EXAMPLES OF LIQUID EMBOLISM ARE ALL
FAT GLOBULES, AMNIOTIC FLUID, BONE MARROW
.. 39AIR EMBOLISM IS SEEN COMMONLY IN VEINS OF WHICH SITE?
Head and neck
40VIRCHOW DESCRIBED THREE PRIMARY EVENTS WHICH PREDISPOSE TO THROMBUS FORMATION:
ENDOTHELIAL INJURY, ALTERED BLOOD FLOW, HYPERCOAGULAB ILITY OF BLOOD
41INJURY TO VESSEL WALL CAUSES…
Vasoconstriction of small blood vessel
42…….SYNTHESIZED BY THE ENDOTHELIAL CELLS BINDS TO GPIB AND FORMS A FIRM ADHESION OF PLATELETS WITH ECM
Von willebrands factor
43SEQUENCE OF EVENTS OF ROLE OF PLATELETS IN THROMBOSIS IS …….
PLATELET ADHESION, PLATELET RELEASE REACTION, PLATELET AGGREGATION
44DEFICIENCY OF GPIB AND VWF WOULD RESULT IN….
DEFECTIVE PLATELET ADHESION, ABNORMAL BLEEDING
45STABLE HAEMOSTATIC PLUG IS FORMED BY THE ACTION OF…
FIBRIN, THROMBIN, THROMBOXANE A2
46THE THROMBU SMAY ENLARGE IN SIZE DUE TO MORE AND MORE DEPOSITION FROM THE CONSTITUENTS OF FLOWING BLOOD . THIS PROCESS IS KNOWN AS
Propagation
47ARTERIAL THROMBI ARE FORMED FROM…
Endothelial cell injury
48THE LINES OF ZAHN ARE FORMED FROM LAYER OF LIGHT-STAINING AGGREGATED PLATELETS ADMIXED WITH….
Fibrin meshwork and dark staining layer of red cells
49MAIN TYPES OF OEDEMA
Localised and general
50Lines of ZAHN is a chararacteristic appearance of laminations in thrombi when formed in
aorta
51All infarcts are associated with coagulative necrosis
Kidney, Spleen, Liver
52The minimal blood loss that causes hypovalemic shock is
10-15%
53Cancer predesposition in vitamin A deficiency is dueto
Metaplasia
3)INFLAMMATION, WOUND HEALING & REPAIR
1The immediate vascular response in Acute Inflammation is
Vasoconstriction
2The cardinal signs of Inflammation are all
Rubor, Calor, Dolor
3Increase in vascular permeability is mainly due to
Endothelial damage
4Neovascularisation is the term used for
New capillary formation
5 6The process of escaping of neutrophils out into the extravascular space is termed as
Emigration
7Diapedesis is a passive process of escape of
Erythrocytes, RBC
8The transmigration of leucocytes after crossing several barriers to reach the interstitial tissues is called
Chemotaxis
9All are the stages of Phagocytosis
Recognition and Attatchment, Engulfment, Killing and degradation
10Reed Sternberg cell is a giant cell seen in
Hodkin"s lymphoma
11The cell derived from B lymphocytes with an eccentric nucleus having cartwheel arrangement of chromatin is
Plasma cell
12Pseudomembranous inflammation is seen in infection with
Corynebacterium diphtheriae
13Diffuse Inflammation of the soft tissues resulting from spreading effects of substances like hyaluronidase released by some bacteria is termed
Cellulitis
14Systemic effects of acute Inflammation includes all
Fever,Gonorrhea, diptheria
15Granuloma formation occurs in
Tuberculosis
16The cells which continue to multiply throughout life under normal physiological conditions are
Epithelial cell of epidermis
17The cells which lose their ability to proliferate after adolescence are
Cardiac muscle cell
18Regeneration is when healing takes place by proliferation of
Parenchymal cells
19All are features of Granulation tissue
Granular and pink, Proliferated new vessel, Fibroblasts & collagen
20Healing by first intention has all the stages
Initial haemorrhage, Acute inflammatory response, Epithelial changes
21Wound contraction begins on 2nd or 3rd day and is completed in
2weeks
22Local factors that delay the process of healing are all
Infection, Poor blood supply, Foreign bodies
23The fracture communicating to skin surface is
Compund
24The Giant cells in a tubercle are
Langhan's
25Healing by first intention occurs in al wounds
Clean & Uninfected, Surgically incised, Edges approximated with sutures
26Main cytokines acting as mediators of inflammation one as under
Interlukin-1(IL-1), Tumour necrosis Factor α (TNF-α), Interferon ϒ (IFR- ϒ)
27Transudate differs from Exudate in having following
low inflammatory cells, low protein content, low specific gravity
28Histological hall mark of chronic inflammation are all
mononuclear infilterate, fibroblast proliferation, fibrosis
29Mast cells produce
Histamin
30Transudate has all of following characters
specific gravity is 1.006, clear & transperant, protein contains less than 3gms
31Repair process is enhanced by all
Immobilisaition, non infected wound, middle age
32During acute inflammation the movement of RBCs through the gaps between the endothelial cells is called as
Diapedesis
33All are example of plasma derived mediators of acute inflammation
kinnin system, comolement, clotting system
344 cardinals signs of acute inflammation were given by
Celus
35The cell that predominates during 1 TO 12hrs after onset of of inflammation
Neutrophils
36All are the features of secondary healing that differentiates it from primary healing
inflammatory reaction is more intense, larger granulation tissue, wound contraction
37Exudate has all of following features
Turbid on gross, specific gravity 1.018, increased capillary permeability is the cause
38IN CARDINAL SIGNS OF INFLAMTION PAIN MEANS
Dolor
39Flare is the bright reddish appearance due to
Vasodilation
40Histamine - It is stored in the granules of
Mast cell, basophil, plaletes
41PLASMA-DERIVED MEDIATORS are
The kinin system, The clotting system, The complement system
42The major proinflammatory actions of these neuropeptides are all
Increased vascular permeability. Transmission of pain stimuli, Mast cell degranulation.
43 Prostaglandins PGE2 act on blood vessels to causes
Vasodilation and bronchodilation
44Healing is example of
Neovascularisation
45Which of the is the earliest event that occurs in the vascular flow during acute inflammation
Vascontriction
46All the following are effects of bradykinin
Increase vascular permeability, smooth muscle contraction pain
47All the following are mononuclear cells
Macrophaves, lymphocytes, plasma cell
48The histological hall marks chronic inflammation are all
Mononuclear infiltrate, fibroblast proliferation, fibrosis
49Epitheloid cells in granulation are modified
Macrophages
50The epitheliod cell is adapted for
Extracellular secreation
4)HEMATOLOGY
1Reedsternberg joint cell are seen in
Hodgekin's disease
2Hypochromic microcytic anaemia is seen in
Iron deficiency anemia
3Heinz bodies are seen in
G6PD Deficiency
4Haemophilia A is caused due to defeciency of
Factor 8
5In sickle cell anaemia point mutation occur at
12th position of betachain
6Prothrombin time is prolonged in all
liver disease, Vit K deficiency, Disseminated intravascular coagulation
7Philadelphia chromosome is characteristic of
Chronic myeloid leukemia
8Macrocytic megaloblastic Anaemia is cardinal feature of defeciency of
Vit. 12
9The following disorders may result from plasma loss in dehydration from vomiting
Relative /spurious polycuthaemia
10Increased osmotic fragility of red cell is seen in
Sherocytosis
11Lynphocytosis is seen in
Tuberculosis
12Leucopenia is characteristic of
Enteric fever
13Basophils are increased in
Chronic myeloid leukemia
14Direct coomb's test is done with the patients
RBC's
15Haemolytic anaemia that appears right from birth is
Hereditary spherocytosis
16Classic haemophilia is due to deficiency of
Factor 8
17In sickle cell anaemia point mutation occur at
6th position of alpha chain
18Prothrombin time is prolonged in all
Liver disease, vit K deficiency, obstructive jaundice
19Pernicious anaemia is caused by deficiency of
Intrinsic factor
20subacute combined degeneration of spinal cord is seen in deficiency of
Vit B12
21All are Autosomal Recessive Inheritance diseases
thalassaemia, Sickle cell anaemia, Wilson’s disease
22In sickle cell anemia RBC life span is
20dags
23Hemorrhagic diathesis become clinically evident when platelet count fall to
20,000
24Which of following condition indicate thrombocytopena
Normal clotting time + prolong bleeding time
25In Polycythemia vera erythropoietin levels
Decrease
26Iron deposition into parenchynal cells of liver is characetristic feature of
Idiopathic Hemosiderosis
5)MALNUTRITION
1Important method to guage Obesity is
BMI index
2Correct Marker of Starvation is
Excessive production of ketone bodies
3Protein energy or Protein calorie malnutrition occur in case of
Kwarshiorkar
4Overall calcium deficiency reflects as
Osteoporosis
5Which is water soluble Vitamin
Vit c, Vit B, Biotine
6Chronic cunsumtion of Large Doses of Vit A produces
Sever headache with stupor
8)Name of Vit D3 is
Cholecalciferol
9)Which is effect of Obesity
Hyperinsulinaemia, atherosclerosis, hypertension
10)The main physiological function of Vit K is
Carboxylation of coagulation factor no II
11Primary cause of Malnutrition syndrome is
Coeliac disease
12A child is considered to have Maramus when weight level falls to of normal for sex,Height,and age
60%
13Generalised dependent Oedema is seen in
Kwashiorkar
14Severe form of Protein Energy Malnutrition is called
Cachexia
15Defeciency of Vitamin D causes
Rickets
16Bitot’s spots seen in
Vitamin A Deficiency
17Wernicke-Korsakoff’s syndrome
Vitamin B1 Deficiency
18Dermatitis, Diarrhoea, Dementia IS TRAID OF
Pellagra
19Vitamin D deficiency in adult is
Osteomalacia
20Rachitic rosary SEEN IN
Rickets
21Pigeon-chest deformity In ricket due to
Anterior Protrusion of sternum
22Which vitamins is required for collagen synthesis
Vit. C
6)IMMUNITY
1Arthus reaction is what type of hypersensitivity reaction
Localised immune complex
2Function of humoral immunity is
Antigen exposure
3The process induced from the antigen antibody reactions in vitro are
Agglutination, neutralisation, complement fixation
4Histologically, the characteristic lesion in SYSTEMIC LUPUS ERYTHEMATOSUS(SLE) is
Fibrinoid necrosis
: 5Tuberculin test is an example of which type of hypersensitivity reaction
Type IV
6Herd Immunity is best defined as immunity developed in how much percentage of population against the infective agent
0.8%
7Hapten is derieved from the greek "haptein" which means
To fasten
8 is an example of precipitation
VDRL test
9Cross linking of mast cell bound IgE by the allergen is seen in which hypersensitivity reaction
Type I
10Internal Society of Blood Group has identified
20blood group and 7antigen
11Deposition of antigen antibody complexes is characteristic of hypersensitivity
Type 3
12The macrophage originate from
Monocytes
=13 are part of innate imunity
NK cells, Dendrites cells, neutrophils
14 antibodies are hallmark of type I hypersensitivity
IigE
15Transplant antigens (mhc complex) are located on chromosome
6
16The induction and regulation of immune response are mediated by short acting soluble mediators called
Cytokines
17B cell defects are
Bruton's X-linked aggamaglobulinaemia, IgA deficiency, Autosomal recessive aggamaglobulinaemia
18common derangements of body fluid are
Oedema, ovdrhydration, dehydration
19Lardaceous amyloidosis is seen in
Spleen
20The cells which contains cytoplasmic granules ,initiates inflammation are
Mast cell
22The immunity plays a vital role in preventing epidemic diseases is....
Herd immunity
23Antibody which can cross the placental barrier is...
IgG
24Antibody that take part in type I hypersensitivity reaction is...
Ig E
25The level of antibody increases in parasitic infection is
Ig E
26The type of hypersensitivity reaction in graves disease is
Type 2
27The antibody which shows dimetric form is....
Ig A
28the self tissues transfered from one part of body site to another, in same individual known as
Autograft
29Tissue transferred between genetically identical individuals
Isograft
30Tissue transferred between genetically nonidentical members of same species
Allograft
31Tissue transferred between different species
Xenograft
7)AMYLOIDOSIS
1WHICH OF THE FOLLOWING ARE THE TEST FOR AMYLOIDOSIS?
Biopsy, congo red test
2AMYLOID IS DEPOSITED IN WHICH PART OF THE KIDNEY?
Glomeruli
3ARRYTHMIA IS PRODUCED DUE TO…
Deposition of amylod in conctive systems
4THE DIAGNOSIS OF AMYLOID DISEASE CAN BE MADE FROM THE FOLLOWING INVESTIGATIONS ,
In vivo congo red test, biopsy examination, protein electrophoresis
5IN SYSTEMIC AMYLOIDOSIS WHICH BIOPSY PROVIDES THE BEST DETECTION RATE?
Rensl biopsy
6WHICH IS THE LOCATION OF AMYLOID DEPOSIT?
Parenchyamal cell, inthe extra cellular matrix
*7WHICH OF THE FOLLOWING CONFIRMS THE PRESENCE OF AMYLOID?
Apple green birefringence
8AMYLOID DEPOSITION IN THE SPLEEN MAY HAVE FOLLOWING PATTERN?
Sago spleen, lardaceous spleen
9WHICH MAY BE THE SITE FOR TUMOUR FORMING AMYLOID?
Tongue
10AL PROTEIN IS PRODUCED BY
Immunoglobulin Secretary cells
11SAA STANDS FOR
Serum amyloid associated proteins
12IDENTIFY FIBRILAR PROTEIN
TRANSTHYRETIN, AMYLOID BETA PEPTIDEA, BETA_2 MICROGLOBULIN
13WHICH VARIETY OF AMYLOID PROTEIN WAS ISOLATED FIRST
Apolipoprotein E
14ARRANGE PROPER SEQUENTIAL EVENTS IN AMYLOIDOSIS :
i) POOL OF AMYLOGENIC PRECURSOR
iii) A NIDUS FOR FIBRILOGENESIS
ii) PROTEOLYSIS
iv) NON FIBRILAR COMPONENETS
15WHICH COMPONENT PLAYS IMPORTANT FUNCTION IN FOLDING AND AGGREGATION OF FIBRILAR PROTEINS
AP, AA
16WHICH OF THE FOLLOWING IS INCLUDED IN LOCALISED AMYLOIDOSIS
17HEREDOFAMILIAL AMYLOIDOSIS IS SEEN IN
Haemodylasis associated amylodosis
18PATTERN 2 OF AMYLODOSIS BASED ON CLINICAL LOCATION INVOLVES
After
19WHICH DISEASE IS ASSOCIATED WITH SENILE CEREBRAL AMYLODOSIS
Transmissiblr encephalopathy
20Sago spleen is seen in
Haemochromatosis
21Extracellular deposits of fibrillar proteins responsible for tissue damage and functional compromise is seen in
Amyloidosis
22The immunity chiefly responsible for granuloma formation is
Cell mediated immunity
23All of the following are permanent cells
Nerves, skeletal-muscle, cardiac muscle cells
24A positive Mantoux test indicates that the child
Is suffering from active TB
Has had BCG vaccination recently
Has had TB infection
*25Coomb's test is
An antiglobulin test
26Ig E is increased in infections which are
Allergic
27Immunity is life long following
Measles
28The earliest Immunoglobulin synthesized by foetus is
IgM
29Truth about BCG is
Is produced by repeated subculture
8)NEOPLASIA
1Tumour containing all three germ layers is called.
Teratoma
2Lack of differentiation is called
Anaplasia
3Which of the following is known as the 'Guardian of the Genome'
P53
4True statements about p53 gene are all
Arrest cell cycle at G1 Phase, Product is 53 KD Protein., Located on Chromosome 17.
5Alpha-fetoprotein is detected in case of
Hepatocellular carcinoma
6Malignant tumours of epitnelial origin are called
Carcinoma
7TNM staging was developed by
UICC
8Benign tumours are
Encapsulated, well circumscribed
9Rhabdomyoma is tumour of
Skeletal muscle
10Common sites of Blood borne metastases are as follows
Spleen
11Enzyme which prevents aging
Telomerase
12Spread of malignant cell from one site to the distant site is known as
Metastasis
13The organ to which metastasis never occur is
Spleen
14Features of benign tumours are all
Slow growth, capsulated, absence of metastasis
15Cytological criteria for malignant tumor includes all
Hyperchromatism, capsule, increased nuclear cytoplasmic ratio
16Lipoma is which type of tumor 17All the following are indicative of anaplasia except 18Lymphnode enlargement in proximity of cancer is due to 19The criteria in staging of tumor include all except 20Most common islet cell tumor is 21Most common tumor of urinary bladder is 22Most common tumor among women 23Most common benign tumor of female breast is
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