Pathology 4th June 2014 Paper

1.Most common type of hyperlipidemia

A.type 1
B.type 2 (IIb is MOST COMMON with incidence of 1/200)
C.type 3
D.type 4
E.type 5

2.Senerio ov multiple myloma ...wt will b the bone marrow finding

A.numerous plasma cells
B.hyper cellular marrow with blasts
3.Wts absent in gall bladder
A.musculris mucosa
B.peri muscular layer.

4.Respiratory alkalosis
Low pco2 low po2
Low pco2 high ph
5 yrs old male bma shows more than 20% blasts acid phosphatase positive sudan black negative
Aml
T lymphocyte leukemia
Histiocytosis
6.Shwartzmann reaction ?
a.antibody mediated
B.cell mediated
C.complement mediated.
Not involve complement
7. Most specific for acute hepatitis
Alt
Ast
Gamma gt
8. H.pylori suspected on endoscopy of patient suffering from gastritis specific diagnosis
A.urea breath test
B.histopathology
(on endoscopy, biopsy of tissue stomach is most accurate)
9. Fungal infection causing extensive endothelial damage
Crypto
Cocoido
Histopl
Mucor (If Sinuses endothelial damage was there in question stem then Mucor is appropriate choice)
10.Itp not responding to steroids
A.megadoses of plt transfusion twice weekly
B.immunoglobulin

11.Most common Hospital acquired UTI

A.staph
B.proteus
C.serratia
D.strep
E.e.coli
12.Vibrio cholera
Anaerobe
Grows on alkaline media
13Highest content of protein.
A)Idl.
B)Ldl
C)hdl
)Chylomicrn
14.Most common pyogenic peritonitis
A.bacteroids
B.e.coli
C.spirochets
D.proteus
15.Factory worker presented with motor peripheral neuropathy
Zinc (as zinc comes in category of heavy metals)
Mangnese
Magnesium
16.Bacteria adhere to cell
Techoic acid
Pilli
Capsule
17.Uv light cause
Cataract (uv light mostlyy damage skin leads to skin cancers, skin related disorders thn eyes are more
sensitiv leads to CATARACT, pterygym ang pingucela)
Peripheral neuropathy
Teratogenesis
lung cancer

18.Short limbs .normal trunk . Normal intelligence .

Autosomal dominan
Auto recessive
X linked domint
X linked recessive
A vessel cntaining thick circular layer of muscles
Mediun size artery
Medium size vein
Large vein
Burkit lymphoma oncogenesis by EBV
A. protoncogen c-myc amplification
B. Protoncogen c-myc transcription

C. Ras protooncogene
D.bcl2 protooncogene

Staphylococal toxin is
Exotoxin
endotoxin
Enterotoxin
Common tumor after transplant
Hcc
Rcc
Myeloproliferative
A scenerio with occupational history..i.e working ina factory n presentationwith renal impairment.causative
agent
Mercury
Lead
Not a tumour marker
Cea
AFo
P
HCG
Amylase
After Gastrectomy
A.microcytic Anemia
B.megaloblastic
C.pernicious
D.anemia of chronic diseas
Klienfilter syndrm.
Xo
Xxy
Xxx
Trachea ( wrong one)
Stratified squamous epithelim
Contains muscles in post wall
Patient with Arthralgia .utricura
A.typ1 hypersensitvty
B.type 2
C.type 3.
D.type 4
A pt with a lesion on penis no other symptoms most def lab test
Vdrl
Tpa
Dark field microscopy
Fas ab
Antitumor cells express
Mhc 2

Cd8 +cytotoxix t cell

Most sensitive tumor to radiation
Brain
Lymph node
Bone
Plague transmited by
A.flea
B.mites
C.tick.
D.mosquito
food poisoning by staph aureus mediated by
A.endotocin
B.enterotoxin
C.leucidin
D.exotoxin
Patiens csf shows v high protiens n v low glucose plus turbidity...
A.meningococci
B.hemophilus
C.pnumococci
D.viral
Cystope and endoscope sterlization at 100 for 20 min
A.tindilization
B.autoclaving
C.pastrurization
68 yrs old lady...complain of bluish spots no other symptoms labs normL
Senile purpura
Vit k def
Liver disease
Least compensated acid base disorder
Normal anion gap
Increased anion gap
Primigravida with complain of headache and blueish spots on skin .SHISTOCYTES on peripheral film
A.pre eclampsia
B.HELLP
C.HUS
D.TTP
E.DIC
Most imp criteria for malignancy on histopathology
A.high nc
B.pleomorphism
C.mitosis
D.invasion
Vaccine is nt available against
A.ebv
Bjapanese encephalitis
C.measles.

Most common eitiological agent for tumor in aids

Ebv
Cmv
Hpv
Rhinosinusitis fungus invading endotheliun
A.aspergilloses
B.mucor
C.rhino
d.Histoplas
A boy took chloramphenicol suffered from anemia epistaxis
Aplastic anemia
Itp
Soldier frm Siachen cme bck. B.p 150/90 .. .
Polychythemia vera
2ndry polycthemia.

Spores killed by
Dry heat at 160 temp fr 1hr .
Moist heat at 100 temp fr 20min
Gentoin violet
High content of cholestrol
Chylomicro
Hdl.
Idl
LDL
Hyperpigmentation due to endocrine distrbnce is Not A feature of
A.ACTH THERAPY
B.pregnacy
C.melasma
D.plagra
E.addisons disease

Pigmentatn in uper dermis

Panniculitis ,
Alteratn of bonds
Inc activity of melanocyts
Basal keratinocyts
Most likely for diabetes mellitus
A.increased glucose 6 phosphatase
B. Decreased gluco 6 phosphatase
C.glucose utilization is independent of blood glucose level
D. Increased glycogen synthesis
Hypertensive pt with bp around 210/120...the kidney structure most likely to be damaged
Pct
Macula densa

Dct
Juxtaglomrular cells
Carcinogenic free radical injury after radiation takes
A.2 to 5 years
B. 5 to 10 yrs
C.within 2 years
Lymph nodules absent in
Lymph nods
Payer patchs
Tonsils
Thymus
Burkit lymphoma oncogenesis by ebv
A. protoncogen c-myc amplification
B. Protoncogen c-myc transcription
C. Ras protooncogene
D.bcl2 protooncogene
Hypercalcemia in malignancy due to
A. PTh
B.PTH RELATED PEPPTIDE
C.LOCAL INVASION OF BONE MALIGNACY
D.calcitonin
Common tumour after transplant
Hcc
Rcc
Myeloproliferative
Common cause of Addison's
Autoimmune
Tumor
CML can be best differentiated from LEUKEMOID REACTION by
A. Leukocyte alkaline phosphatase
B.sudan b
C. PAS
D.esterase
A boy with more than 100 tubular polyps on colonoscopy n family history of colonic polyps.....cause
FAP
Peutz jehgars

Rapidly induced hypokalemia

Diabetic coma treated with insulin
Ileostomy
Deudenal atresia
Rapidly adopting receptors
A. Free nerv endings
B.pascinian corpusles
C.pain receptors

Rta . Multiple frctures 90/50bp .semicomatoseg wat u ll do frst.

Volume replcement.
Reductn and stblize the frcture.
Tracheostomy
Muscle atrophy . N loss of sensation on lateral aspect of limb n loss of muscle stretch reflex
A. Upper moto neuron
B.lower moto neuron
C.lower motor & ant horn
Not a std
..inguinale
Condylomata
Leprosy
Fever malaise macrophages epitheloid cells
Mycobacterium tuberculosis
Mycobctrum tubercle ip
Dosent produce spore.
No capsule.
Non motile
Dificult to stain.
Readily decolorizd wid acid
Not transmitted by fecal oral route
A.trichrius
B.trichnella
E.coli
S.aureus
Scenario splenomegaly without lymphadenopathy TRAP positive
A.aml
B.cll
C.hairy cell leukemia
Fibrocrtilage present in ?
Intervrtbral disc.
Epiglotis
Auricle

epidural space widest at ??

L2 ,
below foramen magnum ,, T7 , T12 , C7

Which cardiac enzyme wud return to normal 80 hrs after MI..I guess this was the right statement
Cpk
Ck mb
Ldh
Dysplasia
Disorganized layering of cells
Increased miosis

In which of the following man is the Definitive host ?

A.hookworm
B...hydatid cyst
Nt transmited by sexual contct?
Leprosy.
Herpes simplx 2
Vagnalis inguinale.
Hpv
Undiffrentiated germ cells lining seminiferous tubules
Primary sprmatogonium( spermatogonia A)
Secondary spermatogonium
spermatids
Sertoli cells
35 yaar old man with 20% blast on bma.acid phosphatase positive sudan black negative uska kia tha???
All
Aml
T lymphocytic leukemia
acute undiferentiated leukemia
acute megakaryocytic leukemia

Most common tumor with AIDS

Kaposi sarcoma
Antibodies in serum . . TSH 0.05, T4 increased. T3 normal. Diagnosis?
Graves disease.
Hashimotos thyroidits
Intra nuclear bodies found in pt with pnumonia
CMV
Sudan positive and phosphatase negative
AML
Sudan negative and phosphatase positve
megakaryocytic
Recurrent abortion, hormonal imbalance?
lh
fsh
estrogen
progestrone
Non thrombotic endo carditis ocurs in
SLE

CD 19 postve scnerio based lukemia

ALL
Fluid filled vesicles over backkk

VZV
HSV 2
What is used for sterilization?
2% gluteraldehyde (Cold Sterilization)
4% gluter aldehyde
Steam at 100 celcius fr cnsecutve 3 days.. process knwn as
Tyndallization
Pt is Anti lymphocytc globulin, he dvlop pain, arhritc reaction ov site aftr wkk.. type of immunty?
typ1
type 2
type 3
type 4
2 year old boy came wid complain leathargy, poor slow movements, how will diagnosw
TSH with metabolic enzymes
Thyroid profile
IV potassium will cause
metabolic acidosis
aldosterone release
TWO SCNERIOS FROM THYROID