Image-based Mini-Quiz

Welcome to Pathology Image Mini-Quiz

Exercises consist of a combination of images and supporting information followed by multiple choice questions. Please select the BEST choice. The right frame keeps track of your score and the bottom frame provides the explanation for the question once the right answer is clicked on. Good luck!

1. This slide shows the microscopic appearance of a tumor found in the adrenal gland.

a. this tumor is sometimes accompanied by other endocrine neoplasms.

b. this tumor is one of the causes of hypertension.

c. this tumor is more often benign than malignant.

d. a tumor of this kind may arise outside the adrenal gland.

e. all of the above statements are correct.

2. This is the gross appearance of a sectioned liver. This patient most likely died of:

a. tuberculosis involving liver

b. heart failure

c. acute viral hepatitis

d. hepatoma

e. alcoholic liver disease

3. The microscopic appearance of this lesion represents:

a. granuloma

b. abscess

c. neoplasm

d. coagulative necrosis

e. thrombus

4. The microscopic appearance of this lesion represents:

a. granuloma

b. abscess

c. neoplasm

d. coagulative necrosis

e. thrombus

5. The process depicted in these pulmonary alveoli is suggestive of:

a. scar formation

b. neoplastic growth

c. inflammation

d. coagulative necrosis

e. congestive heart failure

6. This is a peripheral blood smear of a 57-year-old female. She is most likely:

a. recovering from a hemorrhage

b. a chronic gastrointestinal bleeder

c. suffering from ineffective erythropoiesis

d. having no other abnormal clinical or laboratory findings than those seen on the blood smear

e. not going to respond to the appropriate therapy

7. This is the microscopic appearance of the edge of a lesion arising from the endocervical canal. All of the following statements are correct EXCEPT:

a. it leads to irregular vaginal bleeding

b. excision of such a lesion is most likely curative

c. it has a strong inflammatory component

d. it is a benign lesion

e. it is associated with mycotic infections

8. This is a section of the myocardium of a 66-year-old man. The lesion depicted:

a. represents the acute stage of the disease process

b. might have caused congestive heart failure

c. is reversible

d. was a cause of serum cardiac enzyme abnormalities at the time of death

e. none of the above statements is correct

9. This is a section of a blood vessel. All of the following statements are true about the lesion affecting this vessel EXCEPT:

a. such a lesion may affect arteries in almost any organ

b. the lesion is typical of atherosclerosis

c. fever and weight loss commonly occur in this disease process

d. fibrinoid necrosis occurs in acute lesions

e. the process is often accompanied by aneurysm formation and thrombosis

10. This is a malignant lesion of the lung. This disease process is associated with all of the following EXCEPT:

a. a cigarette smoking history

b. cough

c. a slightly better prognosis than that of other histologic types of primary pulmonary malignancies

d. production of keratin by the more differentiated cells

e. origin from alveolar septal cells

11. This is a section of female breast. The patient was 38 years old and noticed multiple lumps in her left breast. All of the following statements about this process are true EXCEPT:

a. it is often clinically silent

b. it rarely develops after the menopause

c. oral contraceptives decrease the risk of developing this lesion

d. lesions tend to be multifocal and are often bilateral

e. this histological pattern represents a lactating breast

12. This is the microscopic appearance of a kidney section. All of the following statements about this disease process are correct EXCEPT:

a. leukocyte (pus) casts in the urine are characteristic of this process

b. interstitium and tubules are affected

c. patients with diabetes mellitus show a predisposition to this condition

d. in the early stages of this disease process, glomeruli are relatively resistant

e. the finding of gram negative bacteria in urine indicates kidney involvement by an infectious process

13. This is the microscopic appearance of liver, stained for the presence of iron. All of the following statements about this process are correct EXCEPT:

a. if untreated, this process will lead to cirrhosis

b. this process affects parenchymal cells of multiple organs

c. the iron is deposited mainly in the interstitium of the organs involved

d. serum iron levels are high

e. the iron is deposited mainly in the form of ferritin and hemosiderin

14. This is a section of testis. Identify the correct statement about the process depicted.

a. it is typically found in old age

b. prolonged administration of estrogen may lead to this process

c. if the process is bilateral, sterility may result

d. it may be caused by a chronic inflammatory process

e. all of the above statements are correct

15. This is the microscopic appearance of a tumor of the thyroid gland. All of the following statements concerning this tumor are true EXCEPT:

a. it is sometimes associated with other endocrine neoplasms

b. it is benign

c. it elaborates hormones

d. amyloid stroma is present in many of these tumors

e. it is derived from parafollicular "C" cells

16. This histological appearance of lung is most characteristic of:

a. granuloma formation

b. granulation tissue

c. left ventricular failure

d. right ventricullar failure

e. trauma

17. This is a peripheral blood smear from a 61-year-old woman. The most likely cause of her problem is:

a. multiple pregnancies

b. hemochromatosis

c. deficiency of vitamin B12

d. gastrointestinal bleeding

18. This is a section of kidney. This disease process is associated with all of the following EXCEPT:

a. it shows a male preponderance

b. it causes hematuria

c. it may cause polycythemia

d. it metastasizes early

e. it is one of the most common tumors of childhood

19. This is the microscopic appearance of an axillary lymph node biopsy. This 28-year-old patient also had a mediastinal mass on chest x-ray. The most likely diagnosis is:

a. Burkitt's lymphoma

b. follicular center cell lymphoma

c. Hodgkin's disease

d. thymoma

e. plasmacytoma

20. This microscopic appearance of liver is likely to be associated with all of the following EXCEPT:

a. hyperbilirubinemia (conjugated)

b. pruritus

c. elevated serum levels of alkaline phosphatase

d. increased production of urobilinogen in the intestinal tract

e. bleeding diathesis

21. This is a section of the thyroid gland. Identify the INCORRECT statement about this disease process.

a. the process depicted is of an inflammatory nature

b. a viral etiology is likely

c. the gland is usually tender

d. fever and increased sedimentation rate are frequently present

e. males are affected more frequently than females

22. A 61-year-old alcoholic was admitted to the emergency room with excruciating acute abdominal pain. The patient soon exhibited marked hypotension, acute renal failure, and died. A sample of pancreatic tissue is shown. The findings are consistent with:

a. carcinoma of pancreas

b. granuloma with caseating necrosis

c. abscess

d. enzymatic fat necrosis

23. A 68-year-old white female presented with a long history of cholelithiasis and chronic cholecystitis. One week before her last hospital admission, the patient developed jaundice with a markedly increased conjugated bilirubin in the serum. The gallbladder was removed. A microscopic section of the gallbladder is shown. The findings are consistent with:

a. gangrenous cholecystitis

b. cholesterolosis

c. adenocarcinoma of the gallbladder

d. squamous cell carcinoma of the gallbladder

24. This disease process involving the brain is characteristically associated with all of the following EXCEPT:

a. headache

b. neck stiffness

c. viral origin

d. polymorphonuclear leukocytes in the cerebrospinal fluid (CSF)

e. a frequently fatal outcome if untreated

You have completed the quiz !