FCMFOS(SA) Primary

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain
Reg No 1955/000003/08

Primary Examination for the Fellowship of the

College of Maxillo-Facial and Oral Surgeons of South Africa

24 January 2017
Paper 2

All questions to be answered. Each question to be answered in a separate book (or books if more than one is
required for the one answer)

2 a) By means of a diagram describe the ascending (somatosensory) pathways in the

white matter of the spinal cord. (10)
b) Discuss the contributions of parathyroid hormone, calcitonin and vitamin D to calcium
metabolism. Describe the source and control of these hormones. (15)
[25]

3 Write short descriptive notes on

a) Mitochondria.
b) Oedema.
c) Somatomedins.
d) IgA (Immunoglobulin A).
e) ABO blood groups. [25]
 FCMFOS(SA) Primary

THE COLLEGES OF MEDICINE OF SOUTH AFRICA

Incorporated Association not for gain
Reg No 1955/000003/08

Primary Examination for the Fellowship of the

College of Maxillo-Facial and Oral Surgeons of South Africa

25 January 2017
Paper 3

All questions to be answered. Each question to be answered in a separate book (or books if more than one is
required for the one answer)

1 a) Describe the morphology (macroscopic and microscopic) of the different types of

Necrosis. (15)
b) Define physiological apoptosis. (2)
c) List the physiological situations apoptosis can occur and give an example. (8)
[25]

2 a) Briefly describe the stimuli (causes) for acute inflammatory reaction. (5)
b) Briefly describe the morphology (macroscopic and microscopic) of the following
i) Serous inflammation. (3)
ii) Fibrinous inflammation. (5)
iii) Suppurative (purulent) inflammation. (5)
c) Briefly discuss the factors that influence tissue repair. (7)
[25]

3 a) Describe the morphology (macroscopic and microscopic) features of an infarct. (8)

b) Discuss the pathogenesis of septic shock with the following components
i) Inflammatory mediators. (3)
ii) Endothelial cell activation/injury. (6)
iii) Metabolic abnormalities. (3)
iv) Organ dysfunction. (2)
c) Compare the morphology (macroscopic and microscopic) of chronic pulmonary
congestion and pulmonary oedema. (3)
[25]

4 a) Describe the characteristics of benign and malignant tumours. (5)

b) List and describe shortly the different pathways of metastasis. (5)
c) Discuss Epstein Barr as a viral oncogene. (15)
[25]