PATHOLOGY- MEDICAL DEPARTMENT- PAGE 2
PATHOLOGY MCQs- PAGE 2
1:-Renal osteodystrophy differs from nutritional and metabolic rickets due to the presence of
A:-Hyperphosphatemia
B:-Hypophosphatemia
C:-Hypercalcemia
D:-Hypocalcemia
Ans: A
2:-The first event in the Pathogenesis of Cholesterol Stones is
A:-Infection
B:-Supersaturation of bile with cholesterol
C:-Bile stasis
D:-Mucus secretion in the lumen
Ans: B
3:-Which of the following is NOT associated with familial primary hyperparathyroidism
A:-MEN1
B:-MEN 2A
C:-MEN 2B
D:-Familial hypo calciuric hypercalcemia
Ans: C
4:-Which of the following is NOT associated with celiac disease
A:-Enteropathy-associated T-cell lymphoma
B:-Dermatitis herpetiformis
C:-Tropheryma whippelii
D:-Gluten sensitive enteropathy
Ans: C
5:-All the following are associated with Tuberous sclerosis EXCEPT
A:-Facial angiofibroma
B:-Cortical (CNS) tubers
C:-Renal angiomyolipoma
D:-Adenomatous polyps of GIT
Ans: D
6:-Features of Autoimmune Hepatitis include all EXCEPT
A:-Type 1 autoimmune hepatitis is most characteristically associated with antinuclear and anti-smooth muscle antibodies (ANA and ASMA)
B:-Type 2 autoimmune hepatitis is associated with anti-liver kidney microsomal autoantibodies (anti-LKM1)
C:-Plasma cell predominance on microscopy
D:-Granulomatous destruction of small to medium sized intrahepatic bile ducts
Ans: D
7:-Which of the following testicular tumor is most radiosensitive?
A:-Immature Teratoma
B:-Seminoma
C:-Spermatocytic seminoma
D:-Yolk sac tumor
Ans: B
8:-Which type of breast cancer has the highest incidence of bilaterality
A:-Mucinous carcinoma
B:-Papillary carcinoma
C:-Inflammatory carcinoma
D:-Lobular carcinoma
Ans: D
9:-All the following in cervical cancer prevention are recommendations by FDA (USA), EXCEPT
A:-HPV vaccines for protection against HPV types 16 and 18
B:-HPV vaccines for protection against HPV types 6 and 11
C:-Vaccination for boys as well as girls by age 11 to 12, which offer protection for up to 10 years
D:-Cervical cancer screening by PAP smear to be discontinued
Ans: D
10:-Endometrial hyperplasia is associated with all EXCEPT
A:-Excess progesterone
B:-Polycystic ovarian syndrome
C:-Functioning granulosa cell tumors of the ovary
D:-Menopause
Ans: A
11:-Which of the thyroid cancer has the best prognosis
A:-Medullary carcinoma
B:-Papillary carcinoma
C:-Follicular carcinoma
D:-Anaplastic carcinoma
Ans: B
12:-Following are common complications of pyogenic osteomyelitis EXCEPT
A:-Spread to the adjacent joint
B:-Secondary Amyloidosis
C:-Septicemia
D:-Sinus tract formation
Ans: A
13:-HLA B27 is associated with
A:-Rheumatoid Arthritis
B:-Osteo Arthritis
C:-Ankylosing Spondylitis
D:-Suppurative Arthritis
Ans: C
14:-The enzyme used as a marker for alcohol abuse is
A:-Gamma glutamyl transferase
B:-Alanine aminotransferase
C:-Aspartate amino transferase
D:-Alkaline phosphatase
Ans: A
15:-The inflammatory lesion seen in acute appendicitis is initiated by
A:-Bacterial infection
B:-Luminal obstruction
C:-Fecal material within the lumen
D:-Ischemia
Ans: B
16:-The principal defect in chronic granulomatous disease is in
A:-Chemotaxis
B:-Phagocytosis
C:-Oxidative burst
D:-Lysosomal function
Ans: C
17:-Serum Alpha feto protein level is elevated in
A:-Hepatocellular carcinoma
B:-Metastatic carcinoma
C:-Cholangiocarcinoma
D:-Klatskin tumor
Ans: A
18:-Pneumocystis pneumonia typically in the lungs demonstrates a
A:-lymphoplasmacytic infiltrates within the alveolar sacs
B:-intra alveolar cotton candy exudates` `
C:-accumulation of neutrophils is one lobar segment
D:-neutrophils in the peribronchiolar area
Ans: B
19:-Severe deficiency of coagulation factor IX produces a disorder
A:-Hemophilia A
B:-Hemophilia B
C:-Von Willebrand Disease type 1
D:-Von Willebrand Disease type 2
Ans: B
20:-The most common cause of acute bacterial meningitis in neonates is
A:-Neisseria meningitidis
B:-H. Influenza
C:-E. Coli
D:-Streptococcus pneumoniae
Ans: C
A:-Hyperphosphatemia
B:-Hypophosphatemia
C:-Hypercalcemia
D:-Hypocalcemia
Ans: A
2:-The first event in the Pathogenesis of Cholesterol Stones is
A:-Infection
B:-Supersaturation of bile with cholesterol
C:-Bile stasis
D:-Mucus secretion in the lumen
Ans: B
3:-Which of the following is NOT associated with familial primary hyperparathyroidism
A:-MEN1
B:-MEN 2A
C:-MEN 2B
D:-Familial hypo calciuric hypercalcemia
Ans: C
4:-Which of the following is NOT associated with celiac disease
A:-Enteropathy-associated T-cell lymphoma
B:-Dermatitis herpetiformis
C:-Tropheryma whippelii
D:-Gluten sensitive enteropathy
Ans: C
5:-All the following are associated with Tuberous sclerosis EXCEPT
A:-Facial angiofibroma
B:-Cortical (CNS) tubers
C:-Renal angiomyolipoma
D:-Adenomatous polyps of GIT
Ans: D
6:-Features of Autoimmune Hepatitis include all EXCEPT
A:-Type 1 autoimmune hepatitis is most characteristically associated with antinuclear and anti-smooth muscle antibodies (ANA and ASMA)
B:-Type 2 autoimmune hepatitis is associated with anti-liver kidney microsomal autoantibodies (anti-LKM1)
C:-Plasma cell predominance on microscopy
D:-Granulomatous destruction of small to medium sized intrahepatic bile ducts
Ans: D
7:-Which of the following testicular tumor is most radiosensitive?
A:-Immature Teratoma
B:-Seminoma
C:-Spermatocytic seminoma
D:-Yolk sac tumor
Ans: B
8:-Which type of breast cancer has the highest incidence of bilaterality
A:-Mucinous carcinoma
B:-Papillary carcinoma
C:-Inflammatory carcinoma
D:-Lobular carcinoma
Ans: D
9:-All the following in cervical cancer prevention are recommendations by FDA (USA), EXCEPT
A:-HPV vaccines for protection against HPV types 16 and 18
B:-HPV vaccines for protection against HPV types 6 and 11
C:-Vaccination for boys as well as girls by age 11 to 12, which offer protection for up to 10 years
D:-Cervical cancer screening by PAP smear to be discontinued
Ans: D
10:-Endometrial hyperplasia is associated with all EXCEPT
A:-Excess progesterone
B:-Polycystic ovarian syndrome
C:-Functioning granulosa cell tumors of the ovary
D:-Menopause
Ans: A
11:-Which of the thyroid cancer has the best prognosis
A:-Medullary carcinoma
B:-Papillary carcinoma
C:-Follicular carcinoma
D:-Anaplastic carcinoma
Ans: B
12:-Following are common complications of pyogenic osteomyelitis EXCEPT
A:-Spread to the adjacent joint
B:-Secondary Amyloidosis
C:-Septicemia
D:-Sinus tract formation
Ans: A
13:-HLA B27 is associated with
A:-Rheumatoid Arthritis
B:-Osteo Arthritis
C:-Ankylosing Spondylitis
D:-Suppurative Arthritis
Ans: C
14:-The enzyme used as a marker for alcohol abuse is
A:-Gamma glutamyl transferase
B:-Alanine aminotransferase
C:-Aspartate amino transferase
D:-Alkaline phosphatase
Ans: A
15:-The inflammatory lesion seen in acute appendicitis is initiated by
A:-Bacterial infection
B:-Luminal obstruction
C:-Fecal material within the lumen
D:-Ischemia
Ans: B
16:-The principal defect in chronic granulomatous disease is in
A:-Chemotaxis
B:-Phagocytosis
C:-Oxidative burst
D:-Lysosomal function
Ans: C
17:-Serum Alpha feto protein level is elevated in
A:-Hepatocellular carcinoma
B:-Metastatic carcinoma
C:-Cholangiocarcinoma
D:-Klatskin tumor
Ans: A
18:-Pneumocystis pneumonia typically in the lungs demonstrates a
A:-lymphoplasmacytic infiltrates within the alveolar sacs
B:-intra alveolar cotton candy exudates` `
C:-accumulation of neutrophils is one lobar segment
D:-neutrophils in the peribronchiolar area
Ans: B
19:-Severe deficiency of coagulation factor IX produces a disorder
A:-Hemophilia A
B:-Hemophilia B
C:-Von Willebrand Disease type 1
D:-Von Willebrand Disease type 2
Ans: B
20:-The most common cause of acute bacterial meningitis in neonates is
A:-Neisseria meningitidis
B:-H. Influenza
C:-E. Coli
D:-Streptococcus pneumoniae
Ans: C
21:-Which of the following changes best describe the pathophysiology involved in the production of pulmonary edema in patients with congestive heart failure?
A:-widespread endothelial damage
B:-decreased plasma oncotic pressure
C:-increased hydrostatic pressure
D:-acute lymphatic obstruction
Ans: C
22:-Factor V Leiden mutation
A:-Predispose to thrombosis
B:-Predispose to bleeding
C:-Is associated with anti-phospholipid antibodies
D:-Is an acquired disorder
Ans: A
23:-Leukotrienes are derived from arachidonic acid through action of this enzyme
A:-Phospholipase
B:-Cyclooxygenase
C:-5-Lipooxygenase
D:-Lipoxins
Ans: C
24:-Which is characteristic of irreversible injury?
A:-Mitochondrial changes
B:-Fatty change
C:-Plasma membrane blebs
D:-Cell membrane defects
Ans: D
25:-Which of the following is known as the membrane attack complex
A:-C 3b
B:-C 1-9
C:-C 5b-C9
D:-C 3a-C5a
Ans: C
26:-An arterial thromboembolic is most likely to produce a hemorrhagic infarct in which organ?
A:-kidney
B:-liver
C:-lungs
D:-bone
Ans: C
27:-The antibody that mediates hypersensitivity reactions and is most commonly found on surface of mast cells
A:-IgA
B:-IgG
C:-IgM
D:-IgE
Ans: D
28:-These cells can lyse tumor cells or virus infected cells without prior sensitization
A:-B cells
B:-T cells
C:-NK cells
D:-Macrophages
Ans: C
29:-Deficiency in homogentisic oxidase results in this condition
A:-Albinism
B:-Alkaptonuria
C:-Phenylketonuria
D:-Galactosemia
Ans: B
30:-Which of the following finding is most valuable in confirming Goodpasture's syndrome?
A:-diffuse linear staining of GBM with IgG
B:-granular lumpy bumpy deposits of IgG
C:-urine culture for resistant E.coli
D:-diffuse thickening of GBM on electron microscopy
Ans: A
31:-Which of the following disease of the heart presents as early cyanosis?
A:-Atrial septal defect
B:-Patent ductus arteriosus
C:-Truncus arteriosus
D:-Atrioventricular septal defect
Ans: C
32:-Which of the following diseases result from a familial absence of high density lipoprotein?
A:-Krabbe's
B:-Gaucher's
C:-Tangier
D:-TaySachs
Ans: C
33:-The medical disorder of "Minamata disease" is due to exposure to high levels of
A:-Arsenic
B:-Mercury
C:-Lead
D:-Cadmium
Ans: B
34:-Hemoglobin Bart's is composed of
A:-Four alpha chains
B:-Four gamma chains
C:-Four beta chains
D:-Two alpha, two beta chains
Ans: B
35:-The substitution of a single nucleotide base with a different base result in
A:-Frameshift mutation
B:-Genome mutation
C:-Trinucleotide repeat
D:-Point mutation
Ans: D
36:-A 17-year-old receives whole body radiation as part of a preparatory regimen for bone marrow transplantation. Which of the following cells and tissues in the body is most likely to remain unaltered by the effects of this therapeutic radiation?
A:-Neurons of cerebral cortex
B:-Erythropoietic cells of bone marrow
C:-Spermatogonia of testicular tubules
D:-Small intestinal epithelium
Ans: A
37:-The role of p53 in maintaining the integrity of genome is by activating
A:-cyclins
B:-BAX
C:-bcl2
D:-CDK
Ans: B
38:-Bernad-Soulier syndrome is a defect in platelet
A:-Aggregation
B:-Adhesion
C:-Release reaction
D:-Morphology
Ans: B
39:-Councilman bodies are seen in
A:-Wilson disease
B:-Acute viral hepatitis
C:-Alcoholic hepatitis
D:-Autoimmune hepatitis
Ans: B
40:-Mutation in BRCA-2 is located in
A:-17q21.3
B:-17p13
C:-13q 12-13
D:-11p15.5
Ans: C
41:-Most common paraneoplastic syndrome associated with squamous cell carcinoma of the lung.
A:-Hypercalcemia
B:-Cushing syndrome
C:-SIADH
D:-Carcinoid syndrome
Ans: A
42:-Which is NOT TRUE in Neuroblastoma
A:-Germline mutations in ALK is described
B:-Homer Wright rosettes seen
C:-VMA levels can be used for screening patients
D:-Nmyc amplification have a better prognosis
Ans: D
43:-Which is NOT TRUE about TRALI
A:-is commonly associated with transfusion of packed erythrocytes
B:-there is activation of neutrophils in the lung microvasculature
C:-increased sequestration and sensitization of neutrophils in the microvasculature of the lung
D:-is commonly associated with transfusion of products, such as fresh frozen plasma and platelets
Ans: A
44:-Which of the following statements in NOT true of red infarcts?
A:-It occurs in organs with double blood supply
B:-Commonly found in the heart and kidneys
C:-Seen in venous occlusion with infarction
D:-Seen in organs with well developed anastomosis
Ans: B
45:-Disaccharidase deficiency is classified under which of the following major causes of malabsorption syndrome
A:-Defective Intraluminal digestion
B:-Lymphatic obstruction
C:-Primary mucosal cell abnormalities
D:-Reduced small intestinal surface area
Ans: C
46:-Which of the following is Oncogenic RNA virus
A:-HTLV-1
B:-HPV
C:-EBV
D:-HHV-8
Ans: A
47:-Function of thiamine
A:-synthesis of DNA and RNA
B:-coenzyme in oxidative decarboxylation of alpha ketoacids
C:-respiratory enzyme in the cytochrome enzyme
D:-all the above are correct
Ans: B
48:-Mutation in Bruton tyrosine kinase result in
A:-Di George syndrome
B:-X linked Agammaglobulinemia
C:-Isolated IgA deficiency
D:-Hyper IgM syndrome
Ans: B
49:-The receptors on T cells used by the HIV strain that is effective in transmitting the infection is
A:-CCR4
B:-CXCR5
C:-CCR5
D:-CXCR4
Ans: D
50:-Class I MHC molecules are encoded by gene loci EXCEPT
A:-HLA-D
B:-HLA-C
C:-HLA-B
D:-HLA-A
Ans: A
A:-widespread endothelial damage
B:-decreased plasma oncotic pressure
C:-increased hydrostatic pressure
D:-acute lymphatic obstruction
Ans: C
22:-Factor V Leiden mutation
A:-Predispose to thrombosis
B:-Predispose to bleeding
C:-Is associated with anti-phospholipid antibodies
D:-Is an acquired disorder
Ans: A
23:-Leukotrienes are derived from arachidonic acid through action of this enzyme
A:-Phospholipase
B:-Cyclooxygenase
C:-5-Lipooxygenase
D:-Lipoxins
Ans: C
24:-Which is characteristic of irreversible injury?
A:-Mitochondrial changes
B:-Fatty change
C:-Plasma membrane blebs
D:-Cell membrane defects
Ans: D
25:-Which of the following is known as the membrane attack complex
A:-C 3b
B:-C 1-9
C:-C 5b-C9
D:-C 3a-C5a
Ans: C
26:-An arterial thromboembolic is most likely to produce a hemorrhagic infarct in which organ?
A:-kidney
B:-liver
C:-lungs
D:-bone
Ans: C
27:-The antibody that mediates hypersensitivity reactions and is most commonly found on surface of mast cells
A:-IgA
B:-IgG
C:-IgM
D:-IgE
Ans: D
28:-These cells can lyse tumor cells or virus infected cells without prior sensitization
A:-B cells
B:-T cells
C:-NK cells
D:-Macrophages
Ans: C
29:-Deficiency in homogentisic oxidase results in this condition
A:-Albinism
B:-Alkaptonuria
C:-Phenylketonuria
D:-Galactosemia
Ans: B
30:-Which of the following finding is most valuable in confirming Goodpasture's syndrome?
A:-diffuse linear staining of GBM with IgG
B:-granular lumpy bumpy deposits of IgG
C:-urine culture for resistant E.coli
D:-diffuse thickening of GBM on electron microscopy
Ans: A
31:-Which of the following disease of the heart presents as early cyanosis?
A:-Atrial septal defect
B:-Patent ductus arteriosus
C:-Truncus arteriosus
D:-Atrioventricular septal defect
Ans: C
32:-Which of the following diseases result from a familial absence of high density lipoprotein?
A:-Krabbe's
B:-Gaucher's
C:-Tangier
D:-TaySachs
Ans: C
33:-The medical disorder of "Minamata disease" is due to exposure to high levels of
A:-Arsenic
B:-Mercury
C:-Lead
D:-Cadmium
Ans: B
34:-Hemoglobin Bart's is composed of
A:-Four alpha chains
B:-Four gamma chains
C:-Four beta chains
D:-Two alpha, two beta chains
Ans: B
35:-The substitution of a single nucleotide base with a different base result in
A:-Frameshift mutation
B:-Genome mutation
C:-Trinucleotide repeat
D:-Point mutation
Ans: D
36:-A 17-year-old receives whole body radiation as part of a preparatory regimen for bone marrow transplantation. Which of the following cells and tissues in the body is most likely to remain unaltered by the effects of this therapeutic radiation?
A:-Neurons of cerebral cortex
B:-Erythropoietic cells of bone marrow
C:-Spermatogonia of testicular tubules
D:-Small intestinal epithelium
Ans: A
37:-The role of p53 in maintaining the integrity of genome is by activating
A:-cyclins
B:-BAX
C:-bcl2
D:-CDK
Ans: B
38:-Bernad-Soulier syndrome is a defect in platelet
A:-Aggregation
B:-Adhesion
C:-Release reaction
D:-Morphology
Ans: B
39:-Councilman bodies are seen in
A:-Wilson disease
B:-Acute viral hepatitis
C:-Alcoholic hepatitis
D:-Autoimmune hepatitis
Ans: B
40:-Mutation in BRCA-2 is located in
A:-17q21.3
B:-17p13
C:-13q 12-13
D:-11p15.5
Ans: C
41:-Most common paraneoplastic syndrome associated with squamous cell carcinoma of the lung.
A:-Hypercalcemia
B:-Cushing syndrome
C:-SIADH
D:-Carcinoid syndrome
Ans: A
42:-Which is NOT TRUE in Neuroblastoma
A:-Germline mutations in ALK is described
B:-Homer Wright rosettes seen
C:-VMA levels can be used for screening patients
D:-Nmyc amplification have a better prognosis
Ans: D
43:-Which is NOT TRUE about TRALI
A:-is commonly associated with transfusion of packed erythrocytes
B:-there is activation of neutrophils in the lung microvasculature
C:-increased sequestration and sensitization of neutrophils in the microvasculature of the lung
D:-is commonly associated with transfusion of products, such as fresh frozen plasma and platelets
Ans: A
44:-Which of the following statements in NOT true of red infarcts?
A:-It occurs in organs with double blood supply
B:-Commonly found in the heart and kidneys
C:-Seen in venous occlusion with infarction
D:-Seen in organs with well developed anastomosis
Ans: B
45:-Disaccharidase deficiency is classified under which of the following major causes of malabsorption syndrome
A:-Defective Intraluminal digestion
B:-Lymphatic obstruction
C:-Primary mucosal cell abnormalities
D:-Reduced small intestinal surface area
Ans: C
46:-Which of the following is Oncogenic RNA virus
A:-HTLV-1
B:-HPV
C:-EBV
D:-HHV-8
Ans: A
47:-Function of thiamine
A:-synthesis of DNA and RNA
B:-coenzyme in oxidative decarboxylation of alpha ketoacids
C:-respiratory enzyme in the cytochrome enzyme
D:-all the above are correct
Ans: B
48:-Mutation in Bruton tyrosine kinase result in
A:-Di George syndrome
B:-X linked Agammaglobulinemia
C:-Isolated IgA deficiency
D:-Hyper IgM syndrome
Ans: B
49:-The receptors on T cells used by the HIV strain that is effective in transmitting the infection is
A:-CCR4
B:-CXCR5
C:-CCR5
D:-CXCR4
Ans: D
50:-Class I MHC molecules are encoded by gene loci EXCEPT
A:-HLA-D
B:-HLA-C
C:-HLA-B
D:-HLA-A
Ans: A
51:-Where in the brain is Negri body located in rabies?
A:-Blood vessel
B:-Dura
C:-Glial cells
D:-Neuron
Ans: D
52:-Ritter disease is also known as
A:-Gas gangrene
B:-Hidradenitis suppurativa
C:-Staphylococcal scalded skin syndrome
D:-Quinsy sore throat
Ans: C
53:-Fungi within small cysts in the Virchow Robin perivascular space is characteristic of
A:-Mucor
B:-Aspergillus
C:-Candida
D:-Cryptococcus neoformans
Ans: D
54:-Which of the following is NOT related to Alzheimer disease
A:-Neuro fibrillary tangles
B:-Amyloid plaques
C:-Lafora bodies
D:-Hirano bodies
Ans: C
55:-The associated molecular change in the evolution of colorectal tumor from late adenoma to carcinoma is
A:-loss of APC gene chromosome 5q21
B:-inactivation of p53 chromosome 17p13
C:-loss of tumor suppressor gene chromosome 18q21
D:-muatation of K-RAS on chromosome 12p12
Ans: B
56:-Which is NOT true of isochromosome
A:-An isochromosome is formed when the centromere divides transversely rather than longitudinally
B:-An isochromosome shows loss of one arm with duplication of the other
C:-Isochromosome accounts for upto 15% of all cases of Turner Syndrome
D:-Isochromosome accounts for upto 15% of all cases of Klinefelter Syndrome
Ans: D
57:-All are vitamin K dependent factors EXCEPT
A:-Factor 2
B:-Factor 6
C:-Factor 7
D:-Factor 9
Ans: B
58:-Osteogenesis imperfecta is caused by deficiency in the synthesis of
A:-Type I collagen
B:-Type II collagen
C:-Type III collagen
D:-Type IV collagen
Ans: A
59:-All are premalignant lesions of skin EXCEPT
A:-Actinic keratosis
B:-Seborrheic keratosis
C:-Bowens disease
D:-Xeroderma pigmentosum
Ans: B
60:-Which of the following components of blood is mainly responsible for transporting exogenous (dietary) triglyceride from the intestine following a meal?
A:-Apoprotein (apolipoprotein)
B:-Chylomicron
C:-Lipoprotein lipase
D:-Oxidized low density lipoprotein
Ans: B
61:-A liver biopsy of 45 year old man with a history of alcohol abuse shows cirrhosis, and individual hepatocytes contain red, globular inclusions positive for cytokeratin with immunohistochemical staining. Which of the following structural elements are these intracellular globules most likely to contain?
A:-Actin and myosin
B:-Cholesterol esters
C:-Intermediate filaments
D:-Fibronectin
Ans: C
62:-Which is NOT True of Bombay blood group?
A:-Lack of A, B, H antigen on erythrocyte
B:-Can donate red blood cells to any member of the ABO blood group system
C:-They cannot receive blood from A, B or O group donor
D:-Express H antigen on erythrocyte
Ans: D
63:-Embryonic hemoglobin is composed of
A:-Alpha and beta
B:-Epsilon and gamma
C:-Gamma and beta
D:-Zeta and epsilon
Ans: D
64:-45-year old man has hepatosplenomegaly with pancytopenia. On biopsy of liver large cells are seen with a
crumpled tissue paper appearance of cytoplasm. Which of the following may be deficient in this patinet?
A:-Glucocerebrosidase
B:-Sphingomyelinase
C:-L-Iduronase
D:-Hexosaminidase
Ans: A
65:-Which of the tumor marker is associated Breast cancer?
A:-CA-19-9
B:-CA-15-3
C:-CA-125
D:-Carcinoembryonic antigen
Ans: B
66:-Genomic Imprinting with Deletion in maternal chromosome is seen in
A:-Fragile X syndrome
B:-Huntington disease
C:-Prader villi syndrome
D:-Angelmans syndrome
Ans: D
67:-Which is true about Dilated cardiomyopathy?
A:-results in systolic (contractile) dysfunction
B:-results in diastolic (relaxation) dysfunction
C:-results in stiff, noncompliant myocardium
D:-is the least common type
Ans: A
68:-Which is NOT TRUE of MPO-ANCAs?
A:-Are associated with microscopic polyangiitis
B:-Are associated Churg-Strauss syndrome
C:-Do not form circulating immune complexes
D:-Associated with polyarteritis nodosa
Ans: D
69:-Vegetations Libman-Sacks endocarditis (LSE) are
A:-small vegetations on either or both sides of the valve leaflets
B:-warty vegetations along the lines of closure of the valve leaflets
C:-large, irregular masses on the valve cusps that can extend onto the chordae
D:-small usually attached at the line of closure of valve
Ans: A
70:-Which of the following is NOT TRUE about hepcidin?
A:-Iron absorption is regulated by hepcidin
B:-Is synthesized and released from the liver
C:-Anemia of chronic disease is caused in part by inflammatory mediators that increase hepcidin
D:-Hepcidin increases erythropoietin production
Ans: D
71:-Which of the following is NOT true about PNH?
A:-Red cells that are deficient CD59 are seen
B:-Ham's acidified test positivity
C:-Acquired mutation in PIGA gene
D:-Increased NAP score
Ans: D
72:-Hb A2 is increased in
A:-Thalassemia major
B:-Thalassemia minor
C:-Sickle cell disease
D:-Iron deficiency anemia
Ans: B
73:-Hb H inclusions are seen in
A:-Thalassemia minor
B:-Thalassemia major
C:-Hereditary spherocytosis
D:-Alpha thalassemia
Ans: D
74:-Which is associated with better prognosis in CLL/SLL?
A:-the presence of deletions of 11q and 17p
B:-deletion of 13q14
C:-the expression of ZAP-70
D:-the presence of NOTCH1 mutations
Ans: B
75:-Which of the following is NOT true about Anaplastic Large-Cell Lymphoma
A:-t (2, 5)/p80 or ALK-1 is positive in all cases
B:-Hallmark cells seen
C:-CD 30 positive
D:-Is a T Cell lymphoma
Ans: A
76:-Döhle bodies are
A:-patches of dilated endoplasmic reticulum that appear as sky-blue cytoplasmic "puddles"
B:-coarser and darker than the normal neutrophilic granules
C:-seen associated with Hurler's syndrome
D:-cytoplasmic vacuoles in lymphocytes
Ans: A
77:-Collapse of lung secondary to air in the pleural cavity is an example of
A:-Resorption atelectasis
B:-Patchy atelectasis
C:-Compression atelectasis
D:-Contraction atelectasis
Ans: C
78:-Which is NOT TRUE about Asbestos exposure
A:-cause parenchymal interstitial fibrosis and pleural plaques
B:-is linked with malignant pleural and peritoneal mesotheliomas
C:-asbestosis is the most common pneumoconiosis in the world
D:-cause recurrent pleural effusions
Ans: C
79:-Pulmonary hemorrhage syndromes are all EXCEPT
A:-Goodpasture syndrome
B:-Idiopathic pulmonary hemosiderosis
C:-Vasculitis-associated hemorrhage
D:-Pulmonary embolism
Ans: D
80:-Which is NOT TRUE about Minimal Change disease
A:-is the most frequent cause of nephrotic syndrome in children
B:-is the most frequent cause of nephritic syndrome in children
C:-the glomeruli are normal by light microscopy
D:-uniform and diffuse effacement of foot processes of podocytes on EM
Ans: B
81. Which of the following is NOT a specific Immunomarker for Gastrointestinal stromal tumour(GIST).
1) Desmin 2) CD34 3) CD117 4) DOG-1
Ans: 1
82. Which one of the Intestinal polyposis Syndromes is associated with an increased risk of malignancy of the colon
1) Cowden Syndrome 2) Peutz - Jeghers Syndrome 3) Juvenile polyposis 4) Familial adenomatous polyposis
Ans: 4
83. Familial adenomatous polyposis is associated with mutation of which gene.
1) MSH2/MLH1 2) APC 3) P53 4) K-ras
Ans: 2
84. Which one is not associated with unconjugated hyperbilirubinemia
1) Hemolytic anaemia 2) Crigler Najjar Syndrome
3) Dubin- Johnson Syndrome 4) Gilbert Syndrome
Ans: 3
85. Which of the serological markers in Hepatitis B is indicative of highly infectious state.
1) HBeAg 2) Anti HBe antibody 3) HBsAg 4) Anti HBc antibody
Ans: 1
86. Which immunologic marker is used to differentiate liver cell Adenoma from hepatocellular Carcinoma.
1) EMA 2) Pan-Cytokeratin 3) Glypican 3 4) MOC 31
Ans: 3
87. Which of the following is NOT included in Metabolic Syndrome
1) Obesity 2) Microalbuminaemia 3) Hypertension 4) Increase high density Lipoproteins
Ans: 4
88. An intact endothelium elaborates all antithrombotic factors EXCEPT.
1) Thrombomodulin 2) Heparin like molecule 3) Thromboplastin 4) Tissue Factor pathway Inhibitor
Ans: 3
89. What is the classic pattern of Karyotype in Klinefelter Syndrome.
1) 47XXY 2) 45XO 3) 48XXXY 4) 47XXX
Ans: 1
90. Following are the causes of Left heart failure EXCEPT.
1) Ischemic heart disease 2) Hypertension 3) Cor pulmonale 4) Aortic Valvular disease
Ans: 3
91. Accelerated phase in chronic Myelogenous Leukaemia is characterised by following EXCEPT.
1) Increase blast cells >= 20% 2) Peripheral blood basophilia >= 20%
3) Duplication of Ph chromosome 4) Progressive Splenomegaly
Ans: 1
92. Which of the following tests is used for identification of nature of M-protein in Multiple Myeloma.
1) Urine electrophoresis 2) Single radial Immunodiffusion 3) Immunofixation 4) Serum Protein electrophoresis
Ans: 3
93. According to WHO criteria for diagnosis of plasma cell myeloma, which statement is correct for plasma cells in bone marrow.
1) less than 10% 2) 10% or more 3) more than 20% 4) more than 15%
Ans: 2
94. Granuloma in the lung are not seen in -
1) Berylliosis 2) Asbestosis 3) Sarcoidosis 4) Tuberculosis
Ans: 2
95. Viral pneumonias are characterised by
1) Alveolar Exudates of neutrophils, fibrin 2) Interstitial infiltrates
3) Bronchiolitis mainly 4) No inflammatory cell reaction in lung parenchyma
Ans: 2
96. Main common lung cancer in non smokers
1) Adenocarcinoma 2) Squamous cell carcinoma 3) Small cell carcinoma 4) Large cell carcinoma
Ans: 1
97. Which chronic lung disease does not result in Cor pulmonale
1) Chronic bronchitis and emphysema 2) Anthracosis
3) Bronchial Asthma 4) Extensive interstitial pulmonary fibrosis
Ans: 2
98. NESTROF test is used for screening of which disease in India
1) Malaria 2) Hepatitis 3) Sickle cell Anaemia 4) Thalassemia
Ans: 4
99. Which of the following is an example of allergic purpura.
1) Ehler Danlos Syndrome 2) Henoch-Schonlein purpura 3) Senile purpura 4) Marfan's Syndrome
Ans: 2
100. Heinz bodies are observed in peripheral blood in cases of
1) G6PD Deficiency 2) Pyruvate kinase deficiency 3) Lead Poisoning 4) Pyrimidine 5 nucleotidase deficiency
Ans: 1
A:-Blood vessel
B:-Dura
C:-Glial cells
D:-Neuron
Ans: D
52:-Ritter disease is also known as
A:-Gas gangrene
B:-Hidradenitis suppurativa
C:-Staphylococcal scalded skin syndrome
D:-Quinsy sore throat
Ans: C
53:-Fungi within small cysts in the Virchow Robin perivascular space is characteristic of
A:-Mucor
B:-Aspergillus
C:-Candida
D:-Cryptococcus neoformans
Ans: D
54:-Which of the following is NOT related to Alzheimer disease
A:-Neuro fibrillary tangles
B:-Amyloid plaques
C:-Lafora bodies
D:-Hirano bodies
Ans: C
55:-The associated molecular change in the evolution of colorectal tumor from late adenoma to carcinoma is
A:-loss of APC gene chromosome 5q21
B:-inactivation of p53 chromosome 17p13
C:-loss of tumor suppressor gene chromosome 18q21
D:-muatation of K-RAS on chromosome 12p12
Ans: B
56:-Which is NOT true of isochromosome
A:-An isochromosome is formed when the centromere divides transversely rather than longitudinally
B:-An isochromosome shows loss of one arm with duplication of the other
C:-Isochromosome accounts for upto 15% of all cases of Turner Syndrome
D:-Isochromosome accounts for upto 15% of all cases of Klinefelter Syndrome
Ans: D
57:-All are vitamin K dependent factors EXCEPT
A:-Factor 2
B:-Factor 6
C:-Factor 7
D:-Factor 9
Ans: B
58:-Osteogenesis imperfecta is caused by deficiency in the synthesis of
A:-Type I collagen
B:-Type II collagen
C:-Type III collagen
D:-Type IV collagen
Ans: A
59:-All are premalignant lesions of skin EXCEPT
A:-Actinic keratosis
B:-Seborrheic keratosis
C:-Bowens disease
D:-Xeroderma pigmentosum
Ans: B
60:-Which of the following components of blood is mainly responsible for transporting exogenous (dietary) triglyceride from the intestine following a meal?
A:-Apoprotein (apolipoprotein)
B:-Chylomicron
C:-Lipoprotein lipase
D:-Oxidized low density lipoprotein
Ans: B
61:-A liver biopsy of 45 year old man with a history of alcohol abuse shows cirrhosis, and individual hepatocytes contain red, globular inclusions positive for cytokeratin with immunohistochemical staining. Which of the following structural elements are these intracellular globules most likely to contain?
A:-Actin and myosin
B:-Cholesterol esters
C:-Intermediate filaments
D:-Fibronectin
Ans: C
62:-Which is NOT True of Bombay blood group?
A:-Lack of A, B, H antigen on erythrocyte
B:-Can donate red blood cells to any member of the ABO blood group system
C:-They cannot receive blood from A, B or O group donor
D:-Express H antigen on erythrocyte
Ans: D
63:-Embryonic hemoglobin is composed of
A:-Alpha and beta
B:-Epsilon and gamma
C:-Gamma and beta
D:-Zeta and epsilon
Ans: D
64:-45-year old man has hepatosplenomegaly with pancytopenia. On biopsy of liver large cells are seen with a
crumpled tissue paper appearance of cytoplasm. Which of the following may be deficient in this patinet?
A:-Glucocerebrosidase
B:-Sphingomyelinase
C:-L-Iduronase
D:-Hexosaminidase
Ans: A
65:-Which of the tumor marker is associated Breast cancer?
A:-CA-19-9
B:-CA-15-3
C:-CA-125
D:-Carcinoembryonic antigen
Ans: B
66:-Genomic Imprinting with Deletion in maternal chromosome is seen in
A:-Fragile X syndrome
B:-Huntington disease
C:-Prader villi syndrome
D:-Angelmans syndrome
Ans: D
67:-Which is true about Dilated cardiomyopathy?
A:-results in systolic (contractile) dysfunction
B:-results in diastolic (relaxation) dysfunction
C:-results in stiff, noncompliant myocardium
D:-is the least common type
Ans: A
68:-Which is NOT TRUE of MPO-ANCAs?
A:-Are associated with microscopic polyangiitis
B:-Are associated Churg-Strauss syndrome
C:-Do not form circulating immune complexes
D:-Associated with polyarteritis nodosa
Ans: D
69:-Vegetations Libman-Sacks endocarditis (LSE) are
A:-small vegetations on either or both sides of the valve leaflets
B:-warty vegetations along the lines of closure of the valve leaflets
C:-large, irregular masses on the valve cusps that can extend onto the chordae
D:-small usually attached at the line of closure of valve
Ans: A
70:-Which of the following is NOT TRUE about hepcidin?
A:-Iron absorption is regulated by hepcidin
B:-Is synthesized and released from the liver
C:-Anemia of chronic disease is caused in part by inflammatory mediators that increase hepcidin
D:-Hepcidin increases erythropoietin production
Ans: D
71:-Which of the following is NOT true about PNH?
A:-Red cells that are deficient CD59 are seen
B:-Ham's acidified test positivity
C:-Acquired mutation in PIGA gene
D:-Increased NAP score
Ans: D
72:-Hb A2 is increased in
A:-Thalassemia major
B:-Thalassemia minor
C:-Sickle cell disease
D:-Iron deficiency anemia
Ans: B
73:-Hb H inclusions are seen in
A:-Thalassemia minor
B:-Thalassemia major
C:-Hereditary spherocytosis
D:-Alpha thalassemia
Ans: D
74:-Which is associated with better prognosis in CLL/SLL?
A:-the presence of deletions of 11q and 17p
B:-deletion of 13q14
C:-the expression of ZAP-70
D:-the presence of NOTCH1 mutations
Ans: B
75:-Which of the following is NOT true about Anaplastic Large-Cell Lymphoma
A:-t (2, 5)/p80 or ALK-1 is positive in all cases
B:-Hallmark cells seen
C:-CD 30 positive
D:-Is a T Cell lymphoma
Ans: A
76:-Döhle bodies are
A:-patches of dilated endoplasmic reticulum that appear as sky-blue cytoplasmic "puddles"
B:-coarser and darker than the normal neutrophilic granules
C:-seen associated with Hurler's syndrome
D:-cytoplasmic vacuoles in lymphocytes
Ans: A
77:-Collapse of lung secondary to air in the pleural cavity is an example of
A:-Resorption atelectasis
B:-Patchy atelectasis
C:-Compression atelectasis
D:-Contraction atelectasis
Ans: C
78:-Which is NOT TRUE about Asbestos exposure
A:-cause parenchymal interstitial fibrosis and pleural plaques
B:-is linked with malignant pleural and peritoneal mesotheliomas
C:-asbestosis is the most common pneumoconiosis in the world
D:-cause recurrent pleural effusions
Ans: C
79:-Pulmonary hemorrhage syndromes are all EXCEPT
A:-Goodpasture syndrome
B:-Idiopathic pulmonary hemosiderosis
C:-Vasculitis-associated hemorrhage
D:-Pulmonary embolism
Ans: D
80:-Which is NOT TRUE about Minimal Change disease
A:-is the most frequent cause of nephrotic syndrome in children
B:-is the most frequent cause of nephritic syndrome in children
C:-the glomeruli are normal by light microscopy
D:-uniform and diffuse effacement of foot processes of podocytes on EM
Ans: B
81. Which of the following is NOT a specific Immunomarker for Gastrointestinal stromal tumour(GIST).
1) Desmin 2) CD34 3) CD117 4) DOG-1
Ans: 1
82. Which one of the Intestinal polyposis Syndromes is associated with an increased risk of malignancy of the colon
1) Cowden Syndrome 2) Peutz - Jeghers Syndrome 3) Juvenile polyposis 4) Familial adenomatous polyposis
Ans: 4
83. Familial adenomatous polyposis is associated with mutation of which gene.
1) MSH2/MLH1 2) APC 3) P53 4) K-ras
Ans: 2
84. Which one is not associated with unconjugated hyperbilirubinemia
1) Hemolytic anaemia 2) Crigler Najjar Syndrome
3) Dubin- Johnson Syndrome 4) Gilbert Syndrome
Ans: 3
85. Which of the serological markers in Hepatitis B is indicative of highly infectious state.
1) HBeAg 2) Anti HBe antibody 3) HBsAg 4) Anti HBc antibody
Ans: 1
86. Which immunologic marker is used to differentiate liver cell Adenoma from hepatocellular Carcinoma.
1) EMA 2) Pan-Cytokeratin 3) Glypican 3 4) MOC 31
Ans: 3
87. Which of the following is NOT included in Metabolic Syndrome
1) Obesity 2) Microalbuminaemia 3) Hypertension 4) Increase high density Lipoproteins
Ans: 4
88. An intact endothelium elaborates all antithrombotic factors EXCEPT.
1) Thrombomodulin 2) Heparin like molecule 3) Thromboplastin 4) Tissue Factor pathway Inhibitor
Ans: 3
89. What is the classic pattern of Karyotype in Klinefelter Syndrome.
1) 47XXY 2) 45XO 3) 48XXXY 4) 47XXX
Ans: 1
90. Following are the causes of Left heart failure EXCEPT.
1) Ischemic heart disease 2) Hypertension 3) Cor pulmonale 4) Aortic Valvular disease
Ans: 3
91. Accelerated phase in chronic Myelogenous Leukaemia is characterised by following EXCEPT.
1) Increase blast cells >= 20% 2) Peripheral blood basophilia >= 20%
3) Duplication of Ph chromosome 4) Progressive Splenomegaly
Ans: 1
92. Which of the following tests is used for identification of nature of M-protein in Multiple Myeloma.
1) Urine electrophoresis 2) Single radial Immunodiffusion 3) Immunofixation 4) Serum Protein electrophoresis
Ans: 3
93. According to WHO criteria for diagnosis of plasma cell myeloma, which statement is correct for plasma cells in bone marrow.
1) less than 10% 2) 10% or more 3) more than 20% 4) more than 15%
Ans: 2
94. Granuloma in the lung are not seen in -
1) Berylliosis 2) Asbestosis 3) Sarcoidosis 4) Tuberculosis
Ans: 2
95. Viral pneumonias are characterised by
1) Alveolar Exudates of neutrophils, fibrin 2) Interstitial infiltrates
3) Bronchiolitis mainly 4) No inflammatory cell reaction in lung parenchyma
Ans: 2
96. Main common lung cancer in non smokers
1) Adenocarcinoma 2) Squamous cell carcinoma 3) Small cell carcinoma 4) Large cell carcinoma
Ans: 1
97. Which chronic lung disease does not result in Cor pulmonale
1) Chronic bronchitis and emphysema 2) Anthracosis
3) Bronchial Asthma 4) Extensive interstitial pulmonary fibrosis
Ans: 2
98. NESTROF test is used for screening of which disease in India
1) Malaria 2) Hepatitis 3) Sickle cell Anaemia 4) Thalassemia
Ans: 4
99. Which of the following is an example of allergic purpura.
1) Ehler Danlos Syndrome 2) Henoch-Schonlein purpura 3) Senile purpura 4) Marfan's Syndrome
Ans: 2
100. Heinz bodies are observed in peripheral blood in cases of
1) G6PD Deficiency 2) Pyruvate kinase deficiency 3) Lead Poisoning 4) Pyrimidine 5 nucleotidase deficiency
Ans: 1
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