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Medisina2018
A 70-year old female patient went to the ER with complaints of abdominal pain which is dull and steady. Her pain is
radiating to her back, accompanied by nausea and vomiting. On physical examination, she appears feverish, on slight
dyspnea, with a bluish discoloration around her umbilicus region. Upon histologic study of cell sample, it revealed
inflammation of the pancreatic parenchyma. Answer the following questions:
1. From the left picture above, what is the narrow left-headed arrow pointing at?
a. Interlobular duct
b. Pancreatic Arteriole
c. Intralobular duct
d. Islet of Langerhans
2. Islets of Langerhans are the ________ portion of the pancreas, more commonly found at what region of
the pancreas?
a. Exocrine, Uncinate Process
b. Endocrine, Tail
c. Exocrine, Head
d. Endocrine, Body
3. Islet of Langerhans is shown by the (left picture)?
a. Right headed arrow
b. Left headed arrow, narrow
c. Left headed arrow, wide
4. Interlobular ducts are lined by what type of epithelium?
a. Simple cuboidal epithelium
b. Simple columnar epithelium
c. Squamous epithelium, stratified
d. Simple cuboidal epithelium, with specialized brush borders
5. The right picture above shows?
a. Endocrine pancreas
b. Exocrine pancreas
6. The arrowhead is pointing at what specific structure?
a. Centroacinar cells
b. Alpha cells
c. Acinar cells
d. Intercalated ducts
7. The answer to # 6 has specific receptor to what hormone?
a. CCK
b. Secretin
c. CCK and ACH
d. Secretin and ACH
8. While the structure pointed by the upward arrow?
a. Are pale staining cells constituting the intraacinar portion of the intercalated ducts
b. Are of low columnar, pale staining cells
c. Has receptor for Secretin and CCk
d. Are pale-staining cells within the acinus with the terminus of striated ducts both of which are
receptors for secretin
31. In the left picture, the left headed narrow arrows point to what structure?
a. Peg Cells
b. Secretory Cells
c. Ciliated Cells
d. A and B
e. A and C
32. The histologic sample above contains except?
a. 2 cell types
b. Submucosa
c. Mucous secreting cells
d. Columnar cells, ciliated
33. The double headed arrow in the left picture shows the mucosal fol ds:
a. Which are most numerous at the isthmus
b. Are lined by non-ciliated columnar epithelium
c. Which are largest at the ampulla and infundibulum
d. Contains epithelium that beats toward the infundibular segment of the uterine tube, thus aiding
in egg transport
34. The right picture depicts the muscularis layer of the fallopian tube which:
a. Aids the ovum to the infundibulum
b. Contains inner circular and outer longitudinal
c. Is a smooth muscle with the usual inner circular, outer longitudinal and sparse oblique layer
interspersed in between
d. Is a striated muscle in type
35. The uterine tube:
a. 12 inches long muscular tube
b. Has lumen continuous with the uterine cavity, specifically by the isthmic segment
c. Its distal end opens to the peritoneal cavity
d. Functions as the site of implantation
61. A female patient complained of hypogastric pain accompanied by painless intermenstrual vag inal
bleeding. Histologic samples were taken and revealed that the glycogen within the cytoplasm was
resistant to staining. This may be indicative of?
a. Bacterial Vaginosis
b. Normal finding
c. Malignancy or Dysplasia
d. Warts
62. Clue cells are indicative of?
a. Bacterial Vaginosis
b. Normal finding
c. Malignancy or Dysplasia
d. Warts
63. The figure above extends from ____ to ____?
a. Neck of Uterus to External Genitalia
b. Cervix to the Vestibule
c. Neck of Uterus to the Vestibule
d. Cervix to the distal vaginal wall
64. The organ from which the sample was taken is, except?
a. Acidic, primarily due to bacterial metabolism of glycogen
b. Lined by stratified squamous non-keratinized epithelium
c. Rich in glycogen, elastic fiber, lamina propria
d. The walls are studded with few glands that secretes mucus for lubric ation
65. The organ has, except:
a. Only 3 layers
b. Contains submucosa, but no adventitia
c. Longitudinal smooth muscle layer and some circular fibers in its muscularis layer
d. The outermost layer is rich in elastic fibers
Homologous structures:
66. Clitoris
67. Bartholins Galnd
68. Labia Minora
69. Labia Majora
a. Scrotum
b. Corpus Spongiosum
c. Cowpers Gland
d. Penis
Histology Reviewer (ANSWERS)
Medisina2018
A 70-year old female patient went to the ER with complaints of abdominal pain which is dull and steady. Her pain i s
radiating to her back, accompanied by nausea and vomiting. On physical examination, she appears feverish, on slight
dyspnea, with a bluish discoloration around her umbilicus region. Upon histologic study of cell sample, it revealed
inflammation of the pancreatic parenchyma. Answer the following questions:
1. From the left picture above, what is the narrow left-headed arrow pointing at?
a. Interlobular duct
b. Pancreatic Arteriole
c. Intralobular duct
d. Islet of Langerhans
2. Islets of Langerhans are the ________ portion of the pancreas, more commonly found at what region of
the pancreas?
a. Exocrine, Uncinate Process
b. Endocrine, Tail
c. Exocrine, Head
d. Endocrine, Body
3. Islet of Langerhans is shown by the (left picture)?
a. Right headed arrow
b. Left headed arrow, narrow
c. Left headed arrow, wide
4. Interlobular ducts are lined by what type of epithelium?
a. Simple cuboidal epithelium
b. Simple columnar epithelium
c. Squamous epithelium, stratified
d. Simple cuboidal epithelium, with specialized brush borders
5. The right picture above shows?
a. Endocrine pancreas
b. Exocrine pancreas
6. The arrowhead is pointing at what specific structure?
a. Centroacinar cells
b. Alpha cells
c. Acinar cells
d. Intercalated ducts
7. The answer to # 6 has specific receptor to what hormone?
a. CCK
b. Secretin
c. CCK and ACH
d. Secretin and ACH
8. While the structure pointed by the upward arrow?
a. Are pale staining cells constituting the intraacinar portion of the intercalated ducts
b. Are of low columnar, pale staining cells
c. Has receptor for Secretin and CCk
d. Are pale-staining cells within the acinus with the terminus of striated ducts both of which are
receptors for secretin
31. In the left picture, the left headed narrow arrows point to what structure?
a. Peg Cells
b. Secretory Cells
c. Ciliated Cells
d. A and B
e. A and C
32. The histologic sample above contains except?
a. 2 cell types
b. Submucosa
c. Mucous secreting cells
d. Columnar cells, ciliated
33. The double headed arrow in the left picture shows the mucosal folds:
a. Which are most numerous at the isthmus
b. Are lined by non-ciliated columnar epithelium
c. Which are largest at the ampulla and infundibulum
d. Contains epithelium that beats toward the infundibular segment of the uterine tube, thus aiding
in egg transport
34. The right picture depicts the muscularis layer of the fallopian tube which:
a. Aids the ovum to the infundibulum
b. Contains inner circular and outer longitudinal
c. Is a smooth muscle with the usual inner circular, outer longitudinal and sparse oblique layer
interspersed in between
d. Is a striated muscle in type
35. The uterine tube:
a. 12 inches long muscular tube
b. Has lumen continuous with the uterine cavity, specifically by the isthmic segment
c. Its distal end opens to the peritoneal cavity
d. Functions as the site of implantation
61. A female patient complained of hypogastric pai n accompanied by painless intermenstrual vaginal
bleeding. Histologic samples were taken and revealed that the glycogen within the cytoplasm was
resistant to staining. This may be indicative of?
a. Bacterial Vaginosis
b. Normal finding
c. Malignancy or Dysplasia
d. Warts
62. Clue cells are indicative of?
a. Bacterial Vaginosis
b. Normal finding
c. Malignancy or Dysplasia
d. Warts
63. The figure above extends from ____ to ____?
a. Neck of Uterus to External Genitalia
b. Cervix to the Vestibule
c. Neck of Uterus to the Vestibule
d. Cervix to the distal vaginal wall
64. The organ from which the sample was taken is, except?
a. Acidic, primarily due to bacterial metabolism of glycogen
b. Lined by stratified squamous non-keratinized epithelium
c. Rich in glycogen, elastic fiber, lamina propria
d. The walls are studded with few glands that secretes mucus for lubrication
65. The organ has, except:
a. Only 3 layers
b. Contains submucosa, but no adventitia
c. Longitudinal smooth muscle layer and some circular fibers in its muscularis layer
d. The outermost layer is rich in elastic fibers
Homologous structures:
66. Clitoris
67. Bartholins Galnd
68. Labia Minora
69. Labia Majora
a. Scrotum
b. Corpus Spongiosum
c. Cowpers Gland
d. Penis