Pulmo Quiz '06

Name:~_-

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Last TRUE OR

First

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II- D-Subsection~Nov.

10,2006

Fecilitator:.

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FALSE: Writethe wholeword.

T~v..e.~,·tCompared

with non smokers. average smokers of cigarettes have a lO-times ...greater risk of developing lung cancer. fo.\!;,~ 2. Adenocarcinoma is now the most common form of lung cancer in women. _:rru.'f!....~3. Small cell carcinoma is the most aggressive oflung tumors, metastasize widely, and are virtually incurable by surgical means .. \'t'v..'t/ '4. The main function of the lungs is for the exchange of gases. 'T(v.~5. Foreign body aspiration, is the most common cause of acute airway obstruction.

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Choosetlle bestanswer: _~6. The possible effects of asbestosis is/are: A. bronhial carcinoma .• B. mesothelioma

C. Both

D. Neither

--8-1- 7. The usual site of caseating granuloma in secondary pulmonary tuberculosis is the: A. subpleural paranchyma of the lower portion of the upper lobe C.Apex the lungs B. subpleural parenchyma of the upper portion of the lower lobe • D. Base of the lungs

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8. Because metastases are almost always present by the time the diagnosis is made, which of the following histologic forms oftung cancer in which the mainstay of treatment are both radiotherapy and chemotherapy? A. squamous cell carcinoma • B.Adenocarcinoma C.Small cell CA D.Large cell CA

A ..:...·9.

The histologic form of lung cancer which usually arises from a large bronchus near the hilum and frequently causes severe or fatal hemorrhage i3: ~"A.squamous cell carcinoma B.Adenocarcinoma C.Small Cell CA -D.Large Cell CA tr, c.. 10 .Which of the following is considered a restrictive pulmonary disease? A.emphysema B. chronic bronchitis • C. asthma D. ARDS A _~_. _11. The most striking macroscopic finding in asthma is: A.Occlusion of bronchi and bronchioles by mucous plugs..,. C.Edema of the bronchial walls B. Thickening of the basement membrane D.Bronchoconstriction --.B~_12.The earliest common manifestation of restrictive pulmonary disease is: A. Fibrosis C. Granuloma formation. /B.Alveolitis "D. Squamous metaplasia _C '_B. The usual source of pulmonary emboli is:

ofbronchioles

A.Mural thrombi from the right side of the heart C. Thrombi in the deep veins of the leg " B.nlf~J.1bi in the dt."Cp veins of the arm . D. Thrombi in the inferior vena cava _14. The mechanism of adult respiratory distress syndrome is: A. Deficiency in pulmonary surfactant • C. Diffuse da~ge to the alveolar capillary wall B. Incr~ed hydrostatic pressure D. Inflammatory reaction to microorganisms " _ D:::15. Which is TRUE of bacterial pneumonia? " A. Predominant interstitial inr1ammatoryrt'.action B. Formation of pink hyaline membranes lining the alveolar walls C. Characterized by lack of alveolar exudares D. Presents as patchy to lobar consolidation by XCR ,

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Case: A I year old child was brought to the ER because of fever, productive cough and dyspnea 011 I 'l2 w~eksduration. Chest radiograph showed bilateral patchy opacities on both lung fields. . Acute bronchiolitis B. Lobar pneumonia • C. Bronchopneumonia D. Miliary TB 17. In the lobar type of pneumonia the MOST common etiologic agent in children is: The infant is. suffering from: , A. Staphylococci B. Hemophilus C. Pneumococci D. Pseudomonas

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B. Noncaseating Secondary tuberculosis Primary tuberculosis 18. granuloma

8 S:-_20. __ E)!;,. Lesions are usually in the Apex Presence ofLanghan's giant cells

D. Neither C. Both

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Department o~:pathology

••••••••• ~ulmonary Pathology (2nd Qual1er Long Examination) Nam~: Last

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. II-D-Subsection t> If November 24,2006

_______ First

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TRUE or FALSE. Write the whole word on the blank. F-"\)l

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mesothelioma encasing the lung can cause ~~~~~.~~I~!)'pe of '''''''0''''-', • '!. ,..q(.~ L-Y"'-

Z<"H;.aline membrane disease (HMD) among adults is also c~l1ed diffuse alveolar damage.

r-oJ-.,<;~~ ~" hepatization is the first stage in the evolution of lob~r pneumonia which shows congestion ofblooo vessels. '\\-'\.NV

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patchy densities/opacities on both lung fields by chest x-ray

areLcteristic of bronchopneumonia. 'f 5. Atopig asthma is associated with increased serum IgE. 6~nic bronchitis, asthma and bronchiectasis independent from each other with no overlapping.

are distinct entities

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Large cell undifferentiated paraneoplastic syndromes. '"f

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is closely

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tumors

8~uani.ous cell carcinoma could be traced m'etaplasia-carcinoma-in-situ evolution. T "

from the dysplasia-

9,,/Liquefactive necrosis is the typical lesion of pulmonary abscess.

\<,v,e,., gr~(iIoma ,fff)Pulmonary tuberculosis among toddlers is usually characterized by affecting the apices of both lungs. ,/

y-.'Pulmonary tuberculosis is one of the primary cause of morbidity and mortality in our country. '

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diseases . ·-r,<\;'-L,.

12:'ARDS can be seen as an end-stage condition of other pulmonary .~

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~)}nterstitial pneumonia is characterized by congested blood vessels with neutrophili9 infiltrates filling the alveolar spaces. ~ .... "'-

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JA:"Non-atopiC'asthma is usually triggered by viral infection or exercise.

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1~e pneumonIa. =-,"'( ~

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most common agent causing lobar pneumonia is Klebsiella (':;.-'hl";>',e"""v·",; ..u--'(

{quamous cell carcinoma is usually noted in the peribronchial area in comparison to aden9carcinoma which is noted in the peripheral area. /'

IJ-:"fu~nchiectasis is characterized by destruction and abnormal dilatation ~Iof the bronchial wall filled with copious, fetid mucus. '\ \.( \.NL..

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[;!Bronchopneumonia is characterized by mononuclear infiltrates of the alveolar wall resulting to widened interstitiu.m. ,/"

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edema is frequently caused by a left sided heaI1 failure .

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fo..l\'-e../ 20~ya!ine memb •.ane disease (HMO) in children has the same mecha!1ism as HMD in adults, I

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