SPECIAL PATHOLOGY MCQS

Respiratory system

1.
a.
b.
c.
d.
e.
2.
a.
b.
c.
d.
e.
3.
a.
b.
c.
d.
e.
4.
a.
b.
c.
d.
e.
5.

a.
b.
c.

A 25-year-old male patient presents with acute renal failure, which is not amenable to dialysis. He has
history of recurrent episodes of hemoptysis and chest radiograph shows focal lung consolidation. What
type of antibodies can be responsible for his pulmonary and renal symptoms?
Anti smooth muscle antibodies
Anti neutrophil cytoplasmic antibodies
Antinuclear antibodies
Autoantibodies to type IV collage
Autoantibodies to type III collagen
A 55-year-old huqqa smoker presents with severe dyspnea and slight dry cough. He has a barrel-chest
and expiration is prolonged. FEV1 is decreased. Chest X ray shows voluminous lungs overshadowing the
heart. What is the principle pathogenetic mechanism for this patients lung disease?
Production of autoantibodies against alveolar basement membrane
Type IV Hypersensitivity
Vasculitis of pulmonary arterioles
Protease production by neutrophils and macrophages
Squamous metaplasia of bronchial epithelium
Following renal transplantation a patient develops high-grade fever with chills and cough productive of
mucopurulent sputum. Chest radiograph shows foci of consolidation. Which bacterial infection would you
most suspect in this patient?
Staphylococcus aureus
Klebsiella pneumoniae
Pseudomonas
Streptococcus pneumoniae
Legionella pneumophilia
A resident in the surgery department is conducting a survey to identify risk factors for lung cancer in the
local population. In which subset of patients is he likely to encounter the highest frequency of tobacco
smokers?
Squamous cell carcinoma
Small cell carcinoma
Adenocarcinoma
Large cell carcinoma
Bronchoalveolar carcinoma
A Pathology resident is reviewing slides of cases of lung cancer reported during the last two years. He
finds 20 cases of Squamous cell carcinoma, 12 cases of adenocarcinoma, 4 cases of small cell
carcinoma, and 2 each of Bronchoalveolar carcinoma and large cell carcinoma. If he orders p53 staining
on all these cases which tumor type is likely to be most frequently positive?
Adenocarcinoma
Squamous cell carcinoma
Small cell carcinoma

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SPECIAL PATHOLOGY MCQS

d.
e.
6.

a.
b.
c.
d.
e.
7.

a.
b.
c.
d.
e.
8.
a.
b.
c.
d.
e.
9.
a.
b.
c.
d.
e.
10.
a.
b.
c.
d.
e.
11.
a.
b.
c.
d.
e.
12.
a.
b.
c.
d.
e.

Bronchoalveolar carcinoma
Large cell carcinoma
A 32-year old female presents with severe respiratory distress. She has a protracted history of dyspnea
on mild exertion for the past many years. Chest radiograph shows right ventricular enlargement. There is
no history of congenital heart disease, interstitial lung disease or obstructive pulmonary disease.
Serological tests for autoimmune conditions are negative. A lung biopsy shows marked medial
hypertrophy and intimal fibrosis of pulmonary arterioles. What is the most likely cause for this patients
symptoms?
Right sided cardiac failure
Emphysema
Good pasture syndrome
Primary pulmonary hypertension
Secondary pulmonary hypertension
A 4-year-old child, resident of Islamabad has seasonal bouts of breathing difficulty with prolonged cough
productive of copious Mucinous secretions, each spring season. Peripheral smear shows eosinophlia
during an episode and sputum exam reveal charcoat-laden crystals. What is the most potent mediator of
bronchospasm in this patient?
TNF-
Leukotrienes
Interleukins
Histamine
Prostaglandins
What is the common pathogenetic mechanism for all atypical (viral and Mycoplasmal) pneumonias?
Production of cross-reacting antibodies to alveolar basement membrane
Direct invasion of lung parenchyma by the causative organism
Hypersensitivity reaction to mycoplasmal/viral antigens
Attachment of organism to upper respiratory tract epithelium followed by necrosis and inflammation
Exotoxin production
ACTH and ADH production is associated with which histological subtype of lung cancer?
Squamous cell carcinoma
Adenocarcinoma
Small cell carcinoma
Carcinoid tumor
Large cell carcinoma
A 56-year-old male patient of lung cancer develops hoarseness of voice. This symptom is attributable to
tumor invasion of:
Larynx
Trachea
Recurrent laryngeal nerve
Vagus nerve
Sympathetic chain
Following bilateral hip replacement surgery a 75-year-old female expires on the tenth post op day. The
autopsy pathologist recovers a saddle embolus lying astride the main right and left pulmonary arteries.
What is the most probable source of this embolus?
Pulmonary veins
Inferior vena cava
Renal veins
Deep veins of the leg
Mesenteric veins
In pathogenesis of Bronchiectasis the susceptibility to infections is due to:
Progressive fibrosis of lung parenchyma
Accumulation of thick and viscid secretions obstructing the airways
Chronic inflammation of airways leading to epithelial sloughing
Immunodeficient status
Repeated hospital admissions and exposure to nosocomial infections

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SPECIAL PATHOLOGY MCQS

13.

a.
b.
c.
d.
e.
14.
a.
b.
c.
d.
e.
15.
a.
b.
c.
d.
e.

A pathologist performing an autopsy on a 65-year-old male who died after an acute respiratory tract
illness notices that the lower lobe of his left lung shows appears grayish brown, firmer than the rest of the
lung and has dry cut surfaces. Histological sections from the same show fibromyxoid masses infiltrated by
macrophages and fibroblasts. What will you label this lesion as?
Lung abscess
Squamous cell carcinoma
Gray hepatization
Red hepatization
Atelectasis
While examining a bronchoscopic biopsy a pathologist notices a tumor composed of cells smaller than
lymphocytes with deeply staining nuclei and scanty cytoplasm. What is the likeliest diagnosis?
Adenocarcinoma
Large cell carcinoma
Squamous cell carcinoma
Bronchoalveolr carcinoma
Small cell carcinoma
During a thoracotomy performed for lung cancer, the surgeon notices a 3.5 cm tumor in hilar region of
right lung involving the visceral pleura. How will this tumor be staged according to the International
System for Staging of Lung cancer?
T1
TIS
T2
T3
T4
Male Genital System

16.

a.
b.
c.
d.
e.
17.

a.
b.
c.
d.
e.
18.
a.
b.
c.
d.
e.
19.
a.

A 32-year-old male presents with a painless, large testicular mass. Orchidectomy specimen reveals s
large pale fleshy mass, 12cm in diameter. Histology consists of nests of uniform cells separated by fibrous
bands showing lymphocyte infiltration. The tumor stains negative for AFP and HCG and positive for
placental alkaline phosphatase. What germ cell tumor are these features most characteristic of?
Seminoma
Choriocarcinoma
Yolk sac tumor
Embryonal carcinoma
Teratoma
A 32-year-old male presents with cahexia and hemoptysis. Chest X ray reveal multiple hemorrhagic foci
in the lungs. Colonoscopy and upper GI endoscopy are unremarkable. No testicular mass is palpable.
Serum HCG level is raised; CEA and AFP are within normal range. Lung biopsy from one of the lesions
shows massive hemorrhage with few cytotrophoblast and syncitiotrophoblast like elements. What is the
diagnosis?
Lymphoma
Squamous cell carcinoma
Metastatic Yolk sac tumor
Metastatic Choriocarcinoma
Metastatic adenocarcinoma
In a patient with mixed germ cell tumor of the testis, which serum marker/markers are best used to
monitor response to chemotherapy?
AFP and HCG
LDH and CEA
CEA and AFP
Ca-125
CA-19-9
A 55-year-old patient diagnosed to have nodular hyperplasia of prostate is prescribed a 5 alpha
reductase inhibitor. Which trophic factor responsible for prostatic hyperplasia will this agent inhibit?
Testosterone

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SPECIAL PATHOLOGY MCQS

b.
c.
d.
e.
20.

a.
b.
c.
d.
e.
21.
a.
b.
c.
d.
e.
22.
a.
b.
c.
d.
e.
23.
a.
b.
c.
d.
e.
24.
a.
b.
c.
d.
e.
25.
a.
b.
c.
d.
e.
26.
a.
b.

Estrogen
Dihydrotestosterone
Epinephrine
Epidermal growth factor
While examining a prostatic needle biopsy a pathologist notices a cluster of small crowded, closely
packed glands lacking the myoepithelial layer; epithelial cells show prominent pink nucleoli. Adjacent to
these are larger glands lined by epithelium and myoepithelium and showing branching and tufting. How
will these two types of glands differ in behavior?
Both are benign
Both are malignant
The first cluster is benign
The second cluster is benign
The first cluster is more likely to be malignant
Of the major specific inflammatory conditions of testis, which invariably effects testis before epididymus?
Gonorrhoea
Tuberculosis
Chlamydia
Syphilis
All Gram negative bacterial infections
Two males each aged 28 years are diagnosed with Cryptorchidism. One patient has abdominal
undescended testis and the other has inguinal undescended testis, what is the risk of both developing
testicular cancer?
The patient with inguinal testis has the higher risk
The patient with abdominal testis has the higher risk
Both have equal risk
Undescended testis is not related to the risk of testicular cancer
Undescended testis protects against testicular cancer
A 25-year-old male presents with a rapidly enlarging painless testicular mass. Serum HCG is markedly
raised. A diagnosis of mixed germ cell tumor is made on Histopathology of the orchidectomy specimen.
Which component of the mixed tumor is most responsible for the rise in HCG?
Embryonal carcinoma
Yolk sac tumor
Teratoma
Choriocarcinoma
Seminoma
A 50-year-old male develops acute urinary retention and is catheterized. The prostate is found
moderately enlarged on digital rectal examination. Later on serum PSA level is found slightly elevated
(8ng/dL). How best will you interpret this result?
Diagnostic for prostatic adenocarcinoma
Diagnostic for nodular hyperplasia
May have resulted from catheterization and digital rectal examination
The value is falsely high due to analytical lab error
Normal level for this age
A patient with diagnosis of nodular prostatic hyperplasia is unresponsive to medical therapy and is
anxious about his risk of developing cancer. What is the most pertinent information you can give this
patient?
He has an 80% risk of developing prostate cancer in the next 5 years
He has a 50% risk of developing prostate cancer in the next 5 years
He has a 10% risk of developing prostate cancer in the next 5 years
He has a 100% risk of developing prostate cancer in the next 5 years
He is not at risk for prostate cancer since nodular hyperplasia is not a premalignant condition
A 25-year-old male presents with infertility and oligospermia is found on semen analysis. Left scrotal sac
is empty and an undescended testis is palpable in the left inguinal region, which is excised. The excised
testis will most likely show:
Active spermatogenesis
Atrophy with no spermatogenesis

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SPECIAL PATHOLOGY MCQS

c.
d.
e.
27.
a.
b.
c.
d.
e.
28.

a.
b.
c.
d.
e.
29.
a.
b.
c.
d.
e.
30.
a.
b.
c.
d.
e.

Granulomatous orchitis
Hydrocele
Leydig cell tumor
A 28-year-old male presents with a rapidly enlarging painless testicular mass. Serum alpha feto protein
is markedly raised. A diagnosis of mixed germ cell tumor is made on Histopathology of the orchidectomy
specimen. Which component of the mixed tumor is most responsible for the rise in alpha feto protein?
Embryonal carcinoma
Yolk sac tumor
Teratoma
Choriocarcinoma
Seminoma
H and E sections from testicular mass of a 24-year-old patient reveal disorganized clusters of glands,
cartilage, smooth muscle, bronchial and bronchiolar epithelium. The junior resident examining the case
seeks the help of a senior colleague about the presence or absence of immature elements in the
teratoma to determine its malignant potential. He is advised that he does not need to search for the
immature components in this tumor because:
In post pubertal males all teratomas are considered benign
All teratomas are benign irrespective of presence or lack of immature components
All teratomas are malignant irrespective of presence or lack of immature components
All teratomas are considered malignant in post pubertal males
Excision is curative for all testicular teratomas
A 55-year-old male presents with low back pain, dysuria and suprapubic discomfort. Expressed prostatic
secretions contain 15 leukocytes/HPF. Bacterial cultures are negative. What is the diagnosis?
Granulomatous prostatitis
Acute prostatitis
Chronic bacterial prostatitis
Chronic abacterial prostatitis
Nodular hyperplasia
For predicting prognosis of prostatic adenocarcinoma, what is the most important factor besides tumor
stage?
Perineural invasion
Comorbid conditions
Tumor grade
Immune status
Serum PSA levels
Female genital System

31.
a.
b.
c.
d.
e.
32.
a.
b.
c.
d.
e.
33.
a.
b.

Colposcopic biopsy of a 48-year old woman reveals diffuse Atypia of Squamous epithelium with
complete lack of maturation in all layers and no surface maturation. Basement membrane is intact. How
will you label this lesion?
Normal Squamous metaplasia
Invasive Squamous carcinoma
CIN I
CIN II
CIN III
A 68-year-old obese postmenopausal woman is at a greater risk of developing endometrial carcinoma
than a 40-year-old premenopausal woman with normal weight. How best would you explain this?
Advancing age renders the endometrium genetically unstable
Post menopausal women are more likely to be taking exogenous hormones
Progesterone levels are higher in post menopausal women
In post menopausal women there is a greater synthesis of estrogen from body fat
Estrogen levels are higher in premenopausal women
Endometrial hyperplasia is the forerunner of:
Poorly differentiated endometrial carcinoma
Moderately differentiated endometrial carcinomas

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SPECIAL PATHOLOGY MCQS

c.
d.
e.
34.
a.
b.
c.
d.
e.
35.

a.
b.
c.
d.
e.
36.
a.
b.
c.
d.
e.
37.

a.
b.
c.
d.
e.
38.
a.
b.
c.
d.
e.
39.
a.
b.
c.
d.
e.
40.
a.
b.
c.
d.
e.

Well differentiated endometrial carcinomas

All Endometroid endometrial carcinomas
Serous endometrial carcinomas
H and E stained sections from all ovarian tumors reported in the past one year are reviewed by a
pathology resident. What histologic features would favor a diagnosis of serous cyst adenoma?
Cyst lined by columnar epithelium with abundant cilia
Cyst lined by columnar epithelium without mucin or cilia
Cyst lined by transitional epithelium
Solid tumor composed of nests of transitional cells
Cyst lined by stratified Squamous epithelium
A cystic mass removed from the right ovary of a 28-year-old female consists of a cyst wall lined by
mature stratified Squamous epithelium with skin appendages. Mature gut and bronchial epithelium,
cartilage and thyroid tissue are also present. What malignant transformation is this tumor most likely to
undergo?
Immature teratoma
Squamous cell carcinoma
Thyroid follicular carcinoma
Adenocarcinoma
Chondrosarcoma
A 45-year-old female having history of multiple sexual partners is diagnosed as Squamous cell
carcinoma of cervix. Genetic material of which virus is most likely to be detected in the tumor?
HPV 16
HPV 6
EBV
HSV type I
HSV type II
A 28-year-old female presents with dysmenorrhea, pelvic pain and irregular vaginal bleeding. Ultrasound
examination reveals a partly cystic right adnexal mass. Cystectomy specimen is filled with thick chocolate
colored fluid and histologic sections reveal a cyst wall lined showing marked hemorrhage, with
endometrial glands and stroma along with hemosiderin-laden macrophages. What is the diagnosis?
Mucinous cystadenoma
Serous cyst adenoma
Endometriotic cyst
Hemangioma
Endometrial carcinoma
Papillary serous endometrial carcinoma is graded as:
G1
G2
G3
Grading is not applicable
Grading would depend on cellular Atypia
A 22-year-old female is diagnosed with a malignant germ cell tumor of the ovary that is metastatic to
liver, lungs and bone at the time of diagnosis. What is this tumor most likely to be?
Yolk sac tumor
Dysgerminoma
Choriocarcinoma
Embryonal carcinoma
Teratoma
A cystic mass removed from the right ovary of a 28-year-old female consists of a cyst wall lined by
mature stratified Squamous epithelium with skin appendages. Mature gut and bronchial epithelium and
cartilage are also present. What is the expected karyotype of this tumor?
46XX
46XY
45Y
47XXY
45X

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SPECIAL PATHOLOGY MCQS

41.

a.
b.
c.
d.
e.
42.

While working in a gynecology department in a remote district of southern Punjab you notice a high
number of patients presenting with advanced cervical cancer. In order to screen for cervical cancer so
that these patients can be detected at an earlier stage of the disease what test would you request your
laboratory to start doing?
HPV DNA by PCR
HPV DNA by hybridization
p53 staining on all colposcopic biopsies
p16 staining on all colposcopic biopsies
Papanecolaou cytology for cervical smears
A 58-year-old nulliparous woman with history of functional menstrual abnormalities is most likely to
develop:
a. Endometroid endometrial carcinoma
b. Cervical Squamous cell carcinoma
c.

Cervical adenocarcinoma

d. Ovarian cystadenocarcinoma
e. Endometrial stromal tumor
43.
a.
b.
c.
d.
e.
44.
a.
b.
c.
d.
e.
45.
a.
b.
c.
d.
e.

An endometrial adenocarcinoma grossly involving the uterine corpus and extending into cervix
hiostologically shows a well-differentiated and easy recognizable glandular pattern. What is the tumor
grade and stage?
Stage I, Grade I
Stage II, Grade I
Stage I, Grade II
Stage II, Grade II
Stage III, Grade I
Struma ovarii is a monodermal teratoma composed of:
Bone
Cartilage
Thyroid tissue
Skin and appendages
Skeletal muscle
A 45-year-old female presents with massive abdominal distension causing respiratory distress. An
emergency laparotomy reveals massive Mucinous ascites and adhesions with a large left ovarian tumor,
which is later, reported as a borderline Mucinous neoplasm. What is this condition known as?
Meigs syndrome
Pseudomyxoma peritonei
Krukenberg tumor
Carcinomatosis
Mullerian Mucinous cystadenoma
Diseases of the breast

46.

A 32-year-old female presents with a painless, irregular firm to hard mass in her right breast. She has
history of trauma to the breast. Excised mass consists of foci of necrotic fat cells surrounded by
macrophages and intense inflammatory reaction. What is the diagnosis?
a.
Acute mastitis
b.
Invasive carcinoma
c.
Fat necrosis
d.
Fibroadenoma

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SPECIAL PATHOLOGY MCQS

e.
47.
a.
b.
c.
d.
e.
4

a.
b.
c.
d.
e.
a.
b.
c.
d.
e.
5
a.
b.
c.
d.
e.
51.
a.
b.
c.
d.
e.
52.
a.
b.
c.
d.
e.
53.
a.
b.
c.
d.
e.
54.
a.
b.
c.

Lipoma
During a mastectomy for invasive carcinoma of breast, the surgeon injects dye into the tumor, localizes
and resects the first lymph node to take up the dye. The lymph node is reported negative for metastases
on frozen section examination. How will this effect the management of this patient?
The patient must undergo complete axillary clearance
Lumpectomy will be curative in this patient
Quardrantectomy will be curative in this patient
The patient can be spared complete axillary clearance
A negative result is of no significance
48. Two female patients of the same age are diagnosed with breast cancer. Mastectomy specimen of the first
patient reveals Ductal carcinoma in situ without invasive component; the other patient has a 2cm invasive
component in her tumor. Both are node negative and have no distant metastases. What does this tell you about the
prognosis of these patients?
Prognosis will be similar in both patients
Patient with DCIS is likely to have a better prognosis
Patient with invasive component is likely to have a better prognosis
Prognosis is determined by response to chemotherapy
Prognosis will depend on the histological type of both tumors
49. A surgeon examines two patients of clinically suspected breast carcinoma; the palpable tumor size is 2cm in
one patient and 4cm in the second patient. What can he deduce about the lymph node status of these patients?
Tumor size does not predict lymph node status
First patient will have involved axillary lymph nodes
Second patient will have involved axillary lymph nodes
Both will have involved axillary lymph nodes
Both will have uninvolved axillary lymph nodes
50. Which breast lesion carries the greatest risk of developing into an invasive carcinoma?
Fibroadenoma
Papilloma
Atypical ductal hyperplasia
Low grade DCIS
High grade DCIS
What is the commonest causative organism for acute mastitis?
Streptococcus aureus
Staphylococcus aureus
E coli
Pseudomonas
Candida albicans
A 35-year old female patient is diagnosed to have Invasive ductal carcinoma of the right breast. Her
grandmother and two maternal aunts have had breast cancer below 40 years of age. What genetic
mutation is she likely to carry?
c-Myc
K-Ras
BRCA 1 or 2
p53
INK4A
A 55-year-old female is found to have 3cm mammographic density with irregular borders and
calcification in her left breast. There is a 90% likelihood that this lesion is a:
Benign lesion
Invasive carcinoma
Insitu carcinoma
Sclerosing condition
Sarcoma
The designations ductal and lobular with reference to carcinoma of the breast refer to:
Tumor growth patterns
Cell of origin of the tumor
Tumor Grade

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SPECIAL PATHOLOGY MCQS

d.
e.
55.

a.
b.
c.
d.
e.
56.

Degree of invasiveness
Anatomic site of origin of tumor
Examination of a mastectomy specimen in the pathology lab reveals an eczema-like erythematous
eruption on the nipple with scale crust. Underlying this is an invasive ductal carcinoma. H & E sections
from the nipple show presence of large atypical cells in the epidermis with no breech of the basement
membrane of the skin. What is this condition called?
Dermatitis
Psoriasis
Inflammatory carcinoma
Comedocarcinoma
Pagets disease
A 30-year-old female smoker presents with a painful subareolar mass in her left breast. On examination
the nipple is found to be inverted. Histology of excised lesion shows squamous metaplasia of lactiferous
duct with abundant keratin trapped in the lumen. Adjacent tissue shows chronic inflammation. What is the
diagnosis?
a. Pagets disease
b. Acute mastitis
c.

Fat necrosis

d. Periductal mastitis
e. Mammary duct ectasia
57.
a.
b.
c.
d.
e.
58.

a.
b.
c.
d.
e.
59.
a.
b.
c.
d.
e.
60.
a.
b.

The history of a 35-year-old female presenting with menorrhagia shows that she was operated for a
fibroadenoma in her left breast five years back. What is this lesion?
Inflammatory disease
Malignant epithelial neoplasm
Benign epithelial neoplasm
Reactive fibrohistiocytic lesion
Sarcoma
Two 60-year-old women are recruited into a screening program for breast cancer. The first woman (A)
gave birth to her first child at 18 years of age while the second woman (B) had her first issue at 34 years.
If all other factors are considered equal which statement is most accurate regarding the relative risk of the
two women developing breast cancer?
Both have equal risk
A has the greater risk
B has the greater risk
Both have no risk since parity prevents breast cancer
Both have no risk since breast cancer is rare after 60 years of age
FDA has banned hormonal replacement therapy for treatment of postmenopausal symptoms since it
was found to be associated with an increased risk of developing breast cancer. How can this be best
explained?
Prolonged exposure to estrogen increases the risk of breast cancer
Prolonged exposure to progesterone increases the risk of breast cancer
All hormones exogenously administered increase the risk of breast cancer
Post menopausal women are at increased risk of breast carcinoma regardless of hormonal status
The relative excess of androgens in post menopausal women is protective against breast cancer
Of the histological subtypes of breast carcinoma, which metastasizes most frequently to peritoneum,
reteroperitoneum and leptomeninges?
Invasive ductal carcinoma
Lobular carcinoma

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SPECIAL PATHOLOGY MCQS

c.
d.
e.

Mucinous carcinoma
Medullary carcinoma
Metaplastic carcinoma
Musculoskeletal, Bones and joints

61.

a.
b.
c.
d.
e.
62.
a.
b.
c.
d.
e.
63.

A 55-year-old female patient presents with deep aching pain in the right knee joint. Clinical exam reveal
osteophytes (Heberdon nodes) at distal interphalangeal joints of hands. X ray shows narrowing of joint
space, subchondral sclerosis and osteophytes lipping. Serum RA factor is negative. This pathological
process primarily targets:
Hyaline cartilage
Subchondral bone
Articular cartilage
Synovium
Periosteum
A 30-year old female presents with morning stiffness with pain and swelling of metacarpophalangeal
joints and proximal interphalangeal joints of her hands. Serum RA factor is positive. This condition results
from an autoimmune reaction against:
Articular cartilage
Periosteum of bone
Hyaline cartilage
Synovium
Unknown arthritogenic antigen
Juvenile rheumatoid arthritis affects:
a. Larger joints more frequently than smaller joints
b. Smaller joints more frequently than larger joints
c.

Both large and small joints equally

d. Only knee joint

e. Only small joints of fingers
64.

a.
b.
c.
d.
e.
65.

a.
b.
c.

Several days after an episode of urethritis a 28 yr old man develops acute pain and swelling of the left
knee. On physical examination the knee is swollen and is warm and tender to touch. No other joints
appear to be affected. Lab exam of fluid aspirated from the left knee joint shoes numerous neutrophils. A
gram stain of the fluid shows gram ve intracellular diplococcic. No crystals are seen. Which is the most
likely orgasnism?
Borrelia burgdorferi
Treponema pallidum
Neisseria gonorrhoeae
Staphylococcus aureus
Haemophilus influenza
A 47 yr old man sees the physician because he has had dull constant pain in the mid section of the right
thigh for the past 4 months. On physical exam there is pain on palpation opf the anterior right thigh which
worsens slightly with movement. The right thigh appears to have a larger circumference than the left
thigh. A radiogaraph of the right upper leg and pelvis shows no fracture but there is an ill defined soft
tissue mass anterior to the femur. MRI shows a 10 8 7 cm solid mass deep to the quadriceps but it
does not involve the femur. What is the most likely diagnosis?
Nodular fasciitis
Liposarcoma
Osteosarcoma

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SPECIAL PATHOLOGY MCQS

d.
e.
f.

Rhabdomysarcoma
Haemangioma
Chondrosarcoma
- See more at: http://medilinks.blogspot.com/2011/10/normal-0-false-false-false-en-us-xnone.html#sthash.sVt4uoqa.dpuf

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