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+5-678+96)

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+$13#)

1. Which is not associated with diffuse fibrosis

a. Nitrofurantoin

b. Amiodarone

c. Aspirin

d. Bleomycin

e. Something else with a b

2. Which is false regarding sarcoid

a. Granulomas occur but are non specific

b. Adenopathy in 80%

c. Egg shell calcification in 5%

d. Caused by an inhaled dust/antigen

3. Extrinsic allergic alveolitis is most likely from

a. Silica

b. Spores from a thermophilic bacterium

c. Coal

d. Is also called COP

e. asbestos

4. Lung cancer which is least correct (exact question repeated in the paper!)

a. SCC is usually central

b. Small cell is usually peripheral

c. Adenocarcinoma M=F

d. Carcinoid arises from neuroendocrine cells

e. 80% of cancers due to smoking

5. Lung cancer least associated with smoking

a. BAC

b. Adeno

c. SCC

d. Large cell

e. Small cell

6. Which is true of Churg Strauss

a. Also called Allergic angitis and granulomatosis

b. Eosinophilia is not a feature

c. The main abnormality is bronchiolar

7. Which is not associated with granulomas

a. TB

b. Sarcoid

c. Hypersensitivity pneumonitis

d. HIV

e. Crohn’s

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1. cirrhosis with cardiac history, which is least likely

a. mitral stenosis

b. constrictive pericarditis

c. ASD

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d. PDA

e. Ischemic myocardial disease

2. Not a granulomatous condition?

a. Sarcoid

b. Crohns

c. HIV

d. TB

3. Which is not assoc with sarcoid

a. LAD in 80%

b. Trigger by inhalation of dust

c. <5% of lymph nodes calficy

4. EAA caused by

a. Asbestos

b. Thermophilic spore forming bacteria

c. Sarcoid

d. Scleroderma

5. What is least correct regarding lung cancer? (repeat) Know your lung cancers!!!

a. Small cell is peripherally located

6. What is not associated with smoking?

a. Bronchial adenocarcinoma

b. Bronchioalveolar carinoma

c. SqCCa

d. Small cell Ca

7. What is not associated with pulmonary fibrosis?

a. Aspirin

b. Methotrexate

c. Bisulphan

d. Nitrofurantoin

8. Which is true regarding Churg-Strauss?

a. Not associated with eosinophils

b. Predominantly affects the bronchioles

c. Called allergic angiitis and vasculitis (or similar)

9. Which of the following regarding Wegener’s is false?

a. Sinonasal wegener’s is neoplastic

10. Middle age man develops portal venous hypertension and has longstanding cardiac abnormality. ?cause

a. AS

b. MS

c. ASD

d. Restrictive cardiomyopathy

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+5-678+96)

Aortitis ?syphillis – which is supportive

a. intimal irregularity on angio

b. plasma cells surrounding vasa vasorum

c. foamy macrophages and smooth muscle cells infiltrate

Takayasu’s – which is atypical

a. dilatation of aortic root

b. involvement of pulmonary arteries

c. mediastinal fibrosis

d. narrowing of aortic arch branch vessels

TB –which is most correct

a. Ghon focus is pulmonary lesion + draining lymph nodes

b. Can have renal and brain involvement without lung involvement

c. Biopsy periphery of lesion rather than caseating central portion to get AFB and culture positive sample

d. Progressive TB directly follows primary infection

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1. Emphysema is defined as:

a. Destruction of the airspace distal to the terminal bronchioles with destruction of their walls

b. Destruction of airspaces proximal to distal bronchioles with no destruction of walls

c. Dilated bronchioles

d. Subpleural fibrosis

2. Most characteristic of TB:

a. Caseous necrosis

b. Acid fast bacilli

c. Fibrinoid necrosis

3. Wegner’s granulomatosis, what is false:

4. Ca Lung – most correct:

a. Small cell cancer has a better prognosis than SCC

b. SCC is most common

c. Large cell = scar carcinoma

5. Regarding polyarteritis nodosa, which is the least correct:

a. The kidneys are most commonly involved at autopsy

b. Aneursyms are seen at angiography in 50%

c. 70% are seropositive for Hepatitis B surface antigen

d. Churg Strauss syndrome frequently involves pulmonary and splenic vessels

e. Serum antineutrophil antibody titres correlate with disease activity

6. Which of the following is least correct with respects to fatty plaques:

a. ?% of kids have them

b. ?Site

7. Regarding cardiomyopathies, which is most correct:

a. Autosomal recessive cases are seen in >50% of hypertrophic CMP

b. Heart always increased in weight in dilated CMP

c. Atria never involved in hypertrophic CMP

d. Endomyocardial fibrosis is mainly a disease of children and young adults in South America

8. Lobar pneumonia, least likely pathogen:

a. Strep pneumonia

b. Klebsiella

c. Staph

d. PCP

9. Small cell carcrinoma:

a. Also known as oat cell carcinoma

10. Granulomas – incorrect:

a. HIV

b. Sarcoid

c. TB

d. Berrylosis

11. Secondary TB can occur in all of these settings except:

a. Reactivation

b. Re infection

c. Ghon complex

d. Immune suppression

e. Silicosis

12. Immune reaction to TB is an example of:

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a. Antibody mediated immunity

b. Delayed hypersensitivity reaction

c. Immune complex mediated

d. Immunosuppression

13. Commonest source of lung mets:

a. Colorectal

b. Renal

c. Breast

d. Gastric

e. Head and neck

14. Regarding infective endocarditis, which of the following is the least correct:

a. Right sided heart valves in 50% of narcotic related cases

b. Diffuse glomerulonephritis in 50% of untreated cases

c. Positive blood cultures in 85-90% of cases

d. Strep pneumonia is the leading cause of acute endocarditis

e. With mechanical prostheses infections are usually located on the margin of the sewing ring

15. Regarding pulmonary emboli and infarcts, which is most correct:

a. Majority result in infarcts because it is an end artery

b. 75% in the lower lobes

c. Pulmonary haemorrhage suggests infarction

d. >50% of infarcts are solitary

16. Regarding aortic dissection, which is most correct:

a. 5-10% do not have an obvious intimal tear

b. Hypertension is an antecedent in 50% of cases

c. Haemorrhage typically occurs between the inner and middle thirds of the media

d. Elastic fragmentation of the media is rare at autopsy in patients free of dissection

17. Which of the following is least likely associated with mesothelioma:

a. Exposure to chrysotile

b. Exposure to amphibole fibres

c. Pulmonary fibrosis

d. Latency between exposure and tumour

18. Regarding aortic coarctation, which of the following is NOT a well recognized association:

a. PDA

b. VSD

c. Berry aneurysm

d. Bicuspid valve

e. Dural AVM

19. Alpha 1 antitryspin deficiency, which is incorrect:

a. Autosomal recessive

b. Von Meyenberg complexes

c. End stage get cirrhosis + cholestasis

20. All of the following are pneumoconiosis except:

a. Silicosis

b. Asbestosis

c. Heavy metal lung

d. Berylosis

e. Bird fanciers lung

21. Regarding acute rheumatic fever, which of the following is least correct:

a. It follows pharyngeal infection with Group A strep

b. Serofibrinous pericarditis is common

c. Acute arthritis typically affects large joints like the knees

d. Aschoff bodies are an uncommon histological features of subcutaneous nodules

22. Which of the following does not show neuroendocrine differentiation:

a. Small cell tumour

b. Typical carcinoid

c. Tumourlets

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d. Bronchoalveolar cell carcinoma

e. Atypical carcinoid

23. Wegner’s granulomatosis is characterized by all of the following except:

a. ANA +ve

b. ANCA +ve

c. Generalised vasulitis

d. Granulomatosis of the upper and lower respiratory tracts

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+5-678+96)

8.Wich of the following are false

Sinonasal wegeners is neoplastic

With remaining very unrelated alternatives

9. Normal outflow tract and normal Atrial venous connections

Tricuspid

PDA

Patent ductus venosus

Tetrallogy

And ??

18. Lung masses and liver mass in elderly adult male

????

likely unlikely to be a cancer if…

46. 3cm Lung mass in HIV positive patient (T)

Kaposis – …

If acquired HIV via transfusion Kaposis is much less likely

If on HARRT kaposis much less likely

Others cant recall

ATYPICAL Mycobacteria happens with a very low CD4 count

47. A patient has a history of aortic dissection and ??syphillis?? and irregular aorta

If there is renal artery stenosis, dissection more likely

If patient is under 40 yo and ?? there are granulomas in media takaysu more likely

If xxx then Giant cell arteritis more likely

!"#$%&B%

xx. Regarding community acqurired pneumonia

If it is atypical, most likely in an elderly or ?malnourished person

most likely cause = Strep pneu

xx. Regarding peripheral lung neoplasm (which is T)

If bronchi pass through the mass with no interruption bronchoalveolar (or just adeno?) is more likely

If well circumscribed ?3cm mass unlikely to be BAL

Will be SCC

Q. Lung absecess are caused by staph, klebsiella and pneumococcus

Q. features of secondary TB does not include

gohn

Which are not pneumaconioses (Bird fanciers)

?what causes lobar pneumonia

Fat embolus false – early symtoms 6hr I think was an option

Definition of emphysema wrt ACINUS (vs lobule) no mention re terminal bronchiole

TB is a type 4 delayed hypersensitivity reaction

HISTO most characteristic of TB – caseous necrosis (also AFB positive but since they specified histo I went with caseous)

Lung Carcinoid – False answer 8cm mass

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+5-678+96)

Aortitis ?syphillis – which is supportive

d. intimal irregularity on angio

e. plasma cells surrounding vasa vasorum

f. foamy macrophages and smooth muscle cells infiltrate

Takayasu’s – which is atypical

e. dilatation of aortic root

f. involvement of pulmonary arteries

g. mediastinal fibrosis

h. narrowing of aortic arch branch vessels

TB –which is most correct

e. Ghon focus is pulmonary lesion + draining lymph nodes

f. Can have renal and brain involvement without lung involvement

g. Biopsy periphery of lesion rather than caseating central portion to get AFB and culture positive sample

h. Progressive TB directly follows primary infection

4$%5"#"<;SU$+(<""'(BCCR7'"9(

+5-678+96)

48. Emphysema is defined as:

a. Destruction of the airspace distal to the terminal bronchioles with destruction of their walls

b. Destruction of airspaces proximal to distal bronchioles with no destruction of walls

c. Dilated bronchioles

d. Subpleural fibrosis

49. Most characteristic of TB:

a. Caseous necrosis


!"#$%&X%

c. Fibrinoid necrosis

50. Most diagnostic of asbestosis:

a. Asbestosis bodies

b. Interstitial fibrosis

51. Wegner’s granulomatosis, what is false:

52. Ca Lung – most correct:

a. Small cell cancer has a better prognosis than SCC

b. SCC is most common

c. Large cell = scar carcinoma

53. Regarding polyarteritis nodosa, which is the least correct:

a. The kidneys are most commonly involved at autopsy

b. Aneursyms are seen at angiography in 50%

c. 70% are seropositive for Hepatitis B surface antigen (30%)

d. Churg Strauss syndrome frequently involves pulmonary and splenic vessels (true)

e. Serum antineutrophil antibody titres correlate with disease activity (assumed)

54. Which of the following is least correct with respects to fatty plaques:

a. ?% of kids have them

b. ?Site

55. Regarding cardiomyopathies, which is most correct:

a. Autosomal recessive cases are seen in >50% of hypertrophic CMP

b. Heart always increased in weight in dilated CMP?



56. Lobar pneumonia, least likely pathogen:

a. Strep pneumonia

b. Klebsiella

c. Staph

d. PCP

57. Small cell carcrinoma:

a. Also known as oat cell carcinoma

58. Granulomas – incorrect:

a. HIV

b. Sarcoid

c. TB

d. Berrylosis

59. Secondary TB can occur in all of these settings except:

a. Reactivation

b. Re infection

c. Ghon complex


e. Silicosis

60. Immune reaction to TB is an example of:

a. Antibody mediated immunity




61. Commonest source of lung mets:

a. Colorectal

b. Renal

c. Breast

d. Gastric

e. Head and neck

62. Regarding infective endocarditis, which of the following is the least correct:

!"#$%&;%


b. Diffuse glomerulonephritis in 50% of untreated cases

c. Positive blood cultures in 85-90% of cases



63. Regarding pulmonary emboli and infarcts, which is most correct:

a. Majority result in infarcts because it is an end artery

b. 75% in the lower lobes

c. Pulmonary haemorrhage suggests infarction

d. >50% of infarcts are solitary

64. Regarding aortic dissection, which is most correct:

a. 5-10% do not have an obvious intimal tear T

b. Hypertension is an antecedent in 50% of cases (90%)

c. Haemorrhage typically occurs between the inner and middle thirds of the media Inner 2/3 and outer 1/3 of media

F

d. Elastic fragmentation of the media is rare at autopsy in patients free of dissection F

65. Which of the following is least likely associated with mesothelioma:

a. Exposure to chrysotile (a serpentine form)

b. Exposure to amphibole fibres

c. Pulmonary fibrosis

d. Latency between exposure and tumour

66. Regarding aortic coarctation, which of the following is NOT a well recognized association:

a. PDA

b. VSD

c. Berry aneurysm

d. Bicuspid valve

e. Dural AVM?

67. Alpha 1 antitryspin deficiency, which is incorrect:

a. Autosomal recessive



68. All of the following are pneumoconiosis except:

a. Silicosis

b. Asbestosis

c. Heavy metal lung

d. Berylosis

e. Bird fanciers lung

69. Regarding acute rheumatic fever, which of the following is least correct:

a. It follows pharyngeal infection with Group A strep



d. Aschoff bodies are an uncommon histological features of subcutaneous nodules

70. Which of the following does not show neuroendocrine differentiation:

a. Small cell tumour

b. Typical carcinoid

c. Tumourlets

d. Bronchoalveolar cell carcinoma

e. Atypical carcinoid

71. Wegner’s granulomatosis is characterized by all of the following except:

a. ANA +ve

b. ANCA +ve

c. Generalised vasulitis

d. Granulomatosis of the upper and lower respiratory tracts

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4$%5"#"<;(1!O(J.*-#(BCCK(I(4&*%5LV7'"9(

+5-678+96)

Question: Which statement is least correct regarding lung cancer (WORDING OF The options are NOT QUITE CORRECT

– anyone)

a. Small cell carcinoma is typically peripheral on location (Ashley had CENTRAL as the choice – anyone else remember? I’m

pretty sure it said peripheral ,that’s why I chose it)

b. Squamous cell carcinoma is classically central

c. There is no gender difference in adenocarcinoma

d.

e. 80% of cases of lung cancer are related to smoking

Question: Which of the following is related to development of extrinsic allergic alveolitis

a. Silica

b. Thermophilic organic particles

c. Coal dust

d.

e. Sarcoidosis???

Question: Which statement is most correct regarding small cell lung cancer

a. Usually peripheral but has hilar nodes

b. Previously known as oat cell cancer

c. Neuroendocrine granules; least likely to have paraneoplastic syndrome

d. Not associated with smoking

e.

Question: With regards to mesothelioma and asbestos-related disease

a. Diffuse pleural thickening is both parietal and visceral

b.

c.

d.

e.

Question: Which drug does not cause interstitial pneumonitis?

a. Aspirin

b. Nitrofurantoin

c. Bleomycin

d. Busulphan

e.

Question: Which of the following is the least correct?

a. Castleman’s Disease is a benign proliferative LN disorder

b. Gorlin’s syndrome is characterized by multiple ??cystic neoplasms?? Of the mandible and maxilla (can’t quite remember

wording)

c.

d.

e.

!"#$%&O%

Question: With regard to sarcoid, which is the least correct?

a. It is caused by an inhaled dust

b. 80% have LN involvement

c.

d.

e.

Facts I need to place:

There was a question where something caused something; one of the wrong options was COP.

Wegener’s Granulomatosis of the nasal cavity is a Neoplastic process (this was my chosen, least correct answer for something)

I had the Oat Cell question as this…..which type of cancer is oat cell a subtype of? Does anyone remember it like that?

Churg Strauss is also known as allergic granulomatosis and angiitis (maybe this goes with the Wegeners?)

BCCW(J.*-#(4$%5"#"<;(I(4&*%5LV7'"9(

1. CHEST/CVS

2. Empyema – correct a. Dilatation of airway distal to terminal bronchioles + distension of airspaces

b. -

c. -

3. Pneumoconioses – incorrect a. Silicosis

b. Berylliosis

c. Bird fanciers lung

d. -

4. a1-ATdefic – incorrect a. A Recessive



5. Wagener’s - incorrect a. Vasculitis generalised

b. GN

c. Granulomas URT

d. ANA +ve

e. ANCA +ve

6. Atherosclerosis – incorrect a. >45 yo HT more important cf. lipid

b. systolic BP more important cf. > diastolic

c. -

7. Fatty streaks – incorrect a. -

b. ?% of kids that have them

c. ?site

d. geographic locations and populations

e. bld vess and heart pg 503 blue box know well

8. Asbestosis – correct a. Asbestos bodies

b. -

c. characteristic histology features LOTS on

9. Cardiomyopathy – correct a. Dilated always increased weight

b. 50% A Recessive in HOCM

c. endomyocardial fibrosis – children + young adults in Sth America

d. Atria never involved in HOCM

10. Ao dissection

!"#$%BC%

a. Associated with Marfan’s

b. Stanford

c. Bicuspid valve

d. Intimal flap visible in 90%

11. Ca lung – most correct a. Small cell better prognosis than squamous

b. Sq commonest

c. Large cell = “scar carcinoma”

d. -

12. Endocrine cells found in – incorrect a. Small cell Ca

b. Carcinoid

c. Bronchoalveolar

13. Lobar pneumonia – most important pathogen a. Strep pneumonia

14. Rh fever – incorrect a. Large joint arthritis

b. Aschoff cells uncommon

c. -

d. rheumatic pneumonitis also manifestation

15. AMI a. 1-3% right ventricle only

b. LAD significant stenosis in 40-50%

c. Day 2-3 rupture of ventricle wall occurs

d. Not complicated by pericardial effusions

16. Most characteristic of TB a. Caseous necrosis


c. -

17. Lung mets commonest cause a. Colorectal

b. Renal

c. Breast

d. Gastric

18. TB a. Antibody mediated immunity




19. Which lung Ca is known as oat cell? a. Small cell

b. -

20. the feature most Dx of TB a. caseous necrosis

b. acid fast bacilli

c. fibrinoid necrosis

21. feature not in keeping with secondary TB is a. reactivation

b. reinfection

c. Ghon complex


22. Histology of asbestos fibres

23. Most common lung met a. GIT

!"#$%B&%

b. Head and neck

c. Renal

d. Breast

24. Most common organism in pneumonia a. Strep pneumonia

b. Staph aureus

c. Klebsiella

25. Which is the most common important pathogen for lobar pneumonia a. Klebsiella

b. Staph

c. Strep

d. PCP

26. What is most Dxc of asbestosis a. Asbestos bodies

b. Interstitial fibrosis

27. Wegener’s – which is correct a. +ve ANCA

b. involves lungs

c. Involves kidneys

d. +ve ANA

28. Most common primary site of lung mets is a. Thyroid

b. Colon

c. Head and neck

d. Renal

e. Breast

+5-678)+96):);()E+)

%

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35 ?%

%

2. Granulomas – incorrect

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M5 7"=3)<F%

35 8]%

F5 ]$=+**<)4<4%

%

3. Pneumoconioses – incorrect

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35 ]<=F%G">3<$=4%*K>#%

F5 ?%

%

4. Atherosclerosis – incorrect

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35 ?%

%

5. Fatty streaks – incorrect

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!"#$%BB%

!" #$%&'!((&)*%&+!),-&./&012&#$3!&#45&6*47&7!$$&

&

6. Asbestosis – correct

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%

7. Cardiomyopathy – correct

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%

8. Ao dissection

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9. Ca lung – most correct

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F5 ?%

10. Endocrine cells found in – incorrect

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%

11. Lobar pneumonia – most important pathogen

"5 7'=$A%A>$K1)><"%

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12. AMI

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13. Most characteristic of TB

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%

14. Lung mets commonest cause

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15. follicular lymphoma – incorrect

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16. TB

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17. Which lung Ca is known as oat cell?

!"#$%BV%

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18. Regarding follicular NHL which is least true

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19. Regarding lymphoma

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%

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20. the feature most Dx of TB

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21. feature not in keeping with secondary TB is

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22. Histology of asbestos fibres

%

23. Most common lung met

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24. Most common organism in pneumonia

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25. Which is the most common important pathogen for lobar pneumonia

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26. Rheumatic fever – serofibrous pericarditis 27. What is most Dxc of asbestosis

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28. Follicular non Hodgkin’s – which is false

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29. Most common primary site of lung mets is

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BCCW(4$%5"#"<;(I(4&*%5LV7'"9(

+5-678+96)

1. Which of the following statements with regards to fatty plaques is LEAST CORRECT?

a. Moreover, they frequently affect individuals in geographic locales and populations in which atherosclerotic plaque

is uncommon.

b.

2. Which of the following IS NOT a correct regarding polyarteritis nodosa?

a. Involvement of the pulmonary and splenic circulation in Chrug-Strauss Disease

3. Which of the following would be an UNEXPECTED finding following coronary angioplasty?

a. Luminal expansion

b. Plaque rupture

c. Thickened intact intima

d. Medial dissection

e. Proliferative restenosis in 30-50% of patients at 6 months

4. Which of the following conditions IS TRUE with regards to hypertension?

a. 5-10% of dissections have no obvious intimal tear - this was the true answer

5. AMI, delevops chest pain, 5 days later LEAST LIKELY cause is ?

6. Small cell carcinoma

a. Also known as oat cell

7. Lung carcinoma – within 2cm of carina, involvement of pleura, pericardium, diaphragm or collapse of lobe.

a. T3

b. T4

c. Stage II

d. Stage III

e. Not enough information.

BCCW(4$%5"#"<;(1!O(I(4&*%5LV7'"9(

+5-678+96)

71. Wegener’s granulomatosis is characterised by all of the following EXCEPT:

a. Granulomatosis of the upper and lower respiratory tract

b. Generalised vasculitis

c. Glomerulonephritis

d. Positive AMA

e. Positive ANCA

72. Concerning risk factors for atherosclerosis, which of the following is LEAST CORRECT:

a. Most stiking association is with elevated serum levels of LDL

b. After 45, hypertension is a greater risk factor than hypercholesterolaemia

c. Smoking increases incidence of sudden death among victims of heart attacks

d. There is a two fold increase in the incidence of MI in diabetics vs non-diabetics

e. Systolic hypertension is more important than diastolic hypertension

73.Regarding fatty streaks, which of the following is LEAST CORRECT:

!"#$%B;%

a.Extracellular lipid is present in smaller amounts than in atheromatous plaques

b. Streaks decrease in number as atheromatous plaques begin to predominate

c. 10% of the aortic intimal surface is involved by the third decade of life

d. Development is independent of racial origin and geography

f. Distribution of plaques differs from the distribution of fatty streaks.

74. Regarding polyarteritis nodosa. Which of the following is LEAST CORRECT:

a.The kidneys are most commonly involved in autopsy

b. Aneurysms are seen at angiography in 50%

c. 70% are seropositive for Hepatitis B surface antigen

d. Churg Strauss syndrome frequently involves pulmonary and splenic vessels

e. Serum anti-neutrophil antibody titres correlate with disease activity

75. Regarding aortic dissection. Which of the following is the MOST CORRECT:

a. 5-10% do not have an obvious intimal tear

b. Hypertension is an antecedent in 50% of cases

c. Haemorrhage typically occurs between the inner and middle thirds of the media

d. Elastic fragmentation of the media is rare at autopsy in patients free of dissection

e. Intimal tear is found in the proximal descending thoracic aorta in 90% of cases

78. Regarding aortic coarctation, which of the following IS NOT a well recognised association:

a. PDA

b. Ventriculoseptal defect

c. Dural AVM

d. Berry aneurysms of the circle of Willis

e. Bicupid valve

79. Regarding acute rheumatic fever, which of the following is the LEAST CORRECT:

a. It follows pharyngeal infection with group A streptococcus



d. Aschoff bodies are an uncommon histological feature of subcutaneous nodules

e. Rheumatic pneumonitis is a recognised rare complication

80. Regarding infective endocarditis, which of the following is the LEAST CORRECT:


b. Diffuse glomerulonephritis seen in 50% of untreated cases

c. Positive blood cultures are seen in 85-90% of cases



81. Regarding cardiomyopathies, which of the following is the most correct:

a. Autosomal recessive cases are seen in over 50% of cases of hypertrophic CMP

b. Heart always increased in weight in dilated CMP



e. Dilation of the heart in peripartum CMP is irreversible

82. Regarding pulmonary emboli and infarcts, which of the following is MOST CORRECT:

a. Majority (>50%) result in white infarcts because it is an end circulation

b. 75% are in the lower lobes

c. Pulmonary haemorrhage suggest infarction

d. The presence of viable alveoli pneumocytes/endothelium in an area of haemorrhage is against a diagnosis of PE

e. >50% of infarcts are solitary

+5-67)>?@)+96):);()+W)

%

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+5-678+96)

Regarding Mycobacterium tuberculosis, which of the following is least correct?

a. Risk factors include HIV, chronic renal failure

b. Mantoux test does not differentiate between active disease and previous exposure

c. Mantoux test may be negative in severe active disease

d. 1:10 000 develop active disease

e. in immunosuppressed individuals, disease looks like postprimary disease, involving middle to lower lobes

A clinician wants a CT scan demonstrating adenocarcinoma for teaching medical students. He already has an example of squamous

cell carcinoma. Which of the following is most correct?

a. Adenocarcinoma is most frequently peripheral, in women, non-smoking individuals

b. Adenocarcinoma is often central

c. Adenocarcinoma is associated with smoking

d. Adenocarcinoma demonstrates cavitation

e.

Regarding Legionella pneumophilia, which is the most correct?

a. Gram negative bacilli

b. Spore forming coccus

c. Helminth

d. Protozoa

!"#$%BD%

e.

A CT scan report reads: “Right hilar mass with involvement of the mediastinum, and mediastinal and hilar lymphadenopathy, with no

subcarinal lymphadenopathy. No distant metastases.”

What other information is required for accurate staging according to the ICLS staging?

a. Size of the lung mass

b. Side of the mediastinal and hilar lymphadenopathy

c. Size of lung mass and pleural effusion

d. Size of lung mass and lobar collapse

e. Distance of lung mass from main stem bronchus

Patient presents for follow up HRCT. 2 years ago a lung biopsy demonstrates cryptogenic organising pneumonia. What is the likely

result?

a. Progressive subpleural fibrosis at both lung bases

b. Disease progression in upper and mid zone distribution

c. Variable – 40% worse, 30% stable, 30% improve

d. Improvement or complete resolution

e. Progressive subpleural honeycomb in the upper zones

Clinical history of “Late onset asthma. Previously episodic, now continuous dyspnoea. Biopsy shows granuloma.” Given the clinical

history, which is the most likely diagnosis?

a. Silicosis

b. Tuberculosis

c. Hypersensitivity pneumonitis

d. Sarcoidosis

e.

CXR with enlarged pulmonary artery. Which of the following is least associated with pulmonary arterial hypertension?”

a. 2 year old with continuous machinery murmur throughout systole

b. 32 year old woman with diabetes and renal failure

c. 32 year old woman with mother with pulmonary arterial hypertension

d. 55 year old smoker with bullae in the lung bases

e. 32 year old woman with SLE

Regarding pulmonary embolism, which is the most correct?

a. 40% of pulmonary embolus results in pulmonary infarction

b. Pulmonary infarcts develop in young individuals because of poor collateral circulation

c. 30% develop recurrent pulmonary embolus have a predisposing cause

d. Pulmonary haemorrhage implies infarction

e.

Legionella – most correct?

a. gram –ve bacteria

b. spore forming bacterium

c. protozoan

d. helminth

e.

45yro male. Pulmonary infiltrates, chronic middle ear infections and renal changes. What is most likely?

a. Wegeners granulomatosis

b. PAN

c.

d.

e.

Lung CA seen on CT and biopsied. Histology shows eosinophilic cytoplasm and intercellular bridges. What is most likely?

a. Squamous cell CA

b. Carcinoid

c. Adenocarcinoma

d.

e.

Patient with asbestos exposure. Which would you not see on CT chest?

a. pleural effusion

b. calcified pleural plaques

c. Progressive massive fibrosis

d. Lobar collapse

!"#$%BO%

e. Mediastinal lymphadenopathy

Diffuse pleural thickening in patient with heavy asbestos exposure.

a. mesothelioma less likely if apical cavitating lesion suggests infective aetiology

b. more likely to be reactive if biopsy does not show any asbestos bodies

c

d.

e.

What is least likely to be associated with lung fibrosis?

a. Scleroderma

b. SLE

c. PAN

d. Rheumatoid Arthritis

e.

Known occupational lung disease. Pt comes in for CT. which is least correct?

a. history of stone mason

b.

c.

d.

e.

Which of the following regarding ABPA is false?

a. when invasive ABPA can mimic mucormycosis

b. when invasive ABPA can have central haemorrhage

c. colonization occurs in bronchi

d.

e.

Calcification of pulmonary arteries on imaging – least likely to occur in

a. SLE

b. 2 year old with pansystolic murmur

c. RA

d.

e.

centrilobular emphysema. Distribution of airway destruction

a. distal to terminal bronchiole and proximal part of acinus

b. distal to terminal bronchiole and distal part of acinus

c.

d.

e.

Pt with carcinoid of the chest, least likely finding?

a. endobronchial mass

b. Large cavitating parenchymal mass

c.

d.

e.

Manifestations of PAN on imaging. Which is least correct?

a. lung changes on CT chest

b.

c.

d.

e.

45yro male with pulmonary infiltrates, chronic middle ear infections and renal changes. What is most likely?

a. Wegeners granulomatosis

b. PAN

c.

d.

e.

Want to do an angiogram – who is the safest?

a. von willebrands with normal APTT

!"#$%VC%

b. von willebrands with normal platelet count

c. haemophilia with normal APTT

d. female with maternal haemophilia

e.

suspected venous thrombosis on MRI. This would not occur in

a. CRF and renal dialysis

b. SLE

c. ?post partum

d.

e.

Giant cell arteritis – which is true

a. involves veins

b. diffuse / continous involvement of vessel

c. temporal arteries only

d. granulomas and langerhan cells

e. ?giant cells and langerhan cells

f. <50 years and males

Patient with hypertension (?50 yro). No RAS seen on CT angiogram but 6cm renal mass. Which is true?

a. incidental RCC

b. RCC with HTN

c. Phaechromocytoma

d. Oncocytoma

Type B coarctation defined by

a. distal to subclavian artery (side not specified in question)

b. distal to ligamentum arteriosum

c. no involvement of ascending arch

d. entire aorta

e.

question on Takayasu. Responses focused on

a. female or male

b. age

c. histological findings

Focal regional wall motion abnormality – least likely option?

a. old MI

b. recent MI

c. stunned myocardium

d. endocardial fibrosis

e. ?hibernating myocardium

f. ?cardiac amyloid

Went to a conference and a paper discussed reperfusion injury with MI (?transient). This paper was actually referring to

a. stunned myocardium

b. hibernating myocardium

c. ischaemic penumbra

d. free radicals

Which patient doesn’t get amyloidosis

a. CF

b. CML

c. ?TB or ?Bronchietasis

d. myeloma

e.

The development of a nuclear medicine radionucleotide which attaches to amyloid would be useful to?

a. Exclude congophilic angiopathy in the elderly

b. asses patients for alzheimers disease

c.

d.

e.

!"#$%V&%

Incidence of kaposi sarcoma is decreasing because

a. increasing incidence of heterosexual HIV

b. improved anti-retroviral therapy

c.

d.

e.

fat embolism – which is false?

a. 80-90% are asymptomatic

b. can present with confusion, ataxia and irritability and coma

c. 20-50% petechial rash

d. SOB/ tachypnoea symptoms develop within 6 hrs

e. Bleeding ?described site of bleeding ?cerebral haemorrhage

question on amyloid and who gets it. Which is false

a. cystic fibrosis

b. renal failure

c. ?CML

d. ?ankylosing spondylitis

e.

+5-678+96):);()@B)

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+5-678+96)

1. Patient with known silicosis and abnormal CXR. Which of the following is false?

a. Silicosis can appear similar to alveolar proteinosis.

b. Right heart failure is likely.

c. There is increased risk of lung carcinoma.

d. There is increased risk of TB.

e. Node calcification in 5-10%

2. Which of the following is least likely to be seen on CXR of patient with Autosomal Dominant Polycystic Kidney Disease?

a. Lower lobe bullae & cysts.

b. Irregular thoracic aorta.

c. Erosion of distal ends of clavicles.

d. Elevated hemidiaphragms.

e. Cardiomegaly

3. Which of these statements regarding the prognosis of Desquamative Interstitial Pneumonitis (DIP) is true?

a. Excellent, approaching 100% recovery with smoking cessation and steroids.

b. Good, with 70% recovery with smoking cessation and steroids.

c. 10-15% mortality in 10 year.

d. Poor prognosis with 30% recurrence.

e. Progression to pulmonary fibrosis is typical.

4. Which is true regarding tuberculosis?

a. Primary progressive TB is the same as reactivationTB.

b. Isolated organ (kidney, GIT) involvement is possible without pulmonary disease.

c. FNA from necrotic portion of lung lesion is unlikely to yield organisms.

d. Childhood infection is indistinguishable from that of adults.

e. Miliary disease is rare (<1:100000 infected)

5. Which of the following regarding carcinoid is true?

a. It is best regarded as a low-grade malignant tumour.

b. Primarily involves alveolar wall.

c. It causes deviation and distortion of bronchi.

d. Presents most often as a peripheral mass.

e. Most present as large (>10cm) masses.

6. A mediastinal mass involving pericardium. Which is most likely?

a. Mesothelioma.

b. T4 lung Ca

c. T2 lung Ca

d. Type II thymoma.

e. Lymphoma.

7. Which is true regarding chronic bronchitis?

a. It is a clinical diagnosis.

b. Characterised by persistent cough with sputum production for 2 months

c. Changes involve mucosal oedema.

d. It is a condition of the lung characterized by abnormal permanent enlargement of the airspaces.

e. Defined by Reid index >0.5.

8. Regarding community acquired atypical pneumonia. Which is least correct?

a. Symptoms are typically severe and include haemoptysis, dyspnoea and fever.

b. Ulcerative bronchitis indicates bacterial superinfection

c. Infection is largely confined to alveolar septae and interstitium.

d. Distribution is typically patchy multifocal.

e. Mycoplasma pneumonia is most common organism.

9. Which is true regarding restrictive cardiomyopathy (RCMP)?

a. Rheumatoid arthritis and multiple myeloma are related to RCMP.

b. It is seen in puerperium cardiomyopathy.

c. Radiation causes RCMP.

d. Seen in dialysis and uraemia.

e. Occurs in alcoholics.

!"#$%V;%

10. Which of the following features regarding asthma is false?

a. Reid index >1.0

b. Charcot Leyden crystals.

c. Curschmann spirals.

d. Smooth muscle hypertrophy.

e. Eosinophil infiltrate

11. Which is false regarding Sjogren syndrome?

a. Involves kidneys and brain.

b. Involves lacrimal glands.

c. Spares sublingual glands.

d. Respiratory symptoms.

e. MALT lymphoma association recognised.

12. Cavitation is not seen in which of the following?

a. Small cell carcinoma.

b. Klebsiella.

c. TB.

d. Coccidiomycosis.

e. Sarcoidosis.

13. Which is most suggestive of PAN?

a. A young male with renal and splenic involvement.

b. Child with involvement of coronary arteries.

c. Young female with involvement of arch vessels.

d. Young male with involvement of pulmonary circulation.

e. Elderly with sudden visual loss, recent fever and headache.

14. Suspected syphilis aortic arch. Which is true?

a. Characterised by intimal irregularity

b. Characterised by plasma cells in vasa vasorum

c. If patient >65 this is unlikely as it is tertiary syphilis

d. Dissection is common complication

e. Aorta is non-dilated.

15. Modifiable factors for CAD (except for HT) include the following

a. Obesity, lifestyle, smoking

b. Smoking, lifestyle, HDL

c. Diabetes, obesity, diet

d. Cholesterol, smoking, lifestyle

e. Age, gender, family history

16. Regarding mesothelioma, which is true?

a. Involvement of parietal pleura more common than visceral pleura.

b. Rare, even with heavy exposure <0.1%

c. Mesothelioma risk increased with smoking

d. May be indistinguishable from adenocarcinoma, except by EM

e. Latency period for mesothelioma is variable, 5-15 years.

17. Clinician refers patient for imaging, suspicion is Wegener’s. Diagnosis best supported by?

a. Nasal ulceration

b. cANCA

c. Renal involvement

d. Opacities on CXR

e. pANCA

18. Cardiac thallium scan shows reversible ischemia of 45% LV wall, ejection fraction 70%. Consequences of infarct?

a. Sudden death likely

b. Ejection fraction would reduce to 25%

c. Can’t predict outcome based on this data

d. Not at significant risk of complications

e. Infarct likely to involve around 55% left ventricular wall.

19. Recurrent PE. Doppler shows no DVT. False?

!"#$%VJ%

a. Ca pancreas may cause recurrent migratory thrombosis.

b. May still be due to DVT despite Doppler result.

c. May cause pulmonary hypertension.

d. May be associated with Factor V Leiden mutation.

e. Non-thrombotic PE rarely fatal.

20. Alcoholic patient with lung abscess. Bacteroides species grown. Most likely?

a. Due to osteomyelitis

b. Due to aspiration

c. Due to endocarditis

d. Due to old TB, organism colonising cavity

e. Likely contaminant

21. Cystic fibrosis. Which is true?

a. Idiopathic chronic pancreatitis may be late presentation

b. Deficiency of magnesium transport channel

c. Jaundice not seen in absence of cirrhosis

d. Autosomal dominant

e. Endocrine pancreatic insufficiency is common

+$13#8+96):);()@B)

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7. 15y M, Most common solid hypothalamic mass

a. GBM

b. Pilocytic Astrocytoma

c. CP

d. ?Anaplastic

e. Medulloblastoma %

%

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12. Liquefactive necrosis, most likely

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b. AMI

c. Renal infarct

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?85?)

1. Most common solid hypothalamic tumor in a 15yo child

a. Pilocytic astro

b. GBM

2. Most common 4th

ventricle tumor in 11yo female.

a. Ependymoma

b. CPP

c. Medulloblastoma

d. Hemangioblastoma

e. Pilocytic astrocytoma

!"#$%XB%

3. Cortical tumor

a. Astrocytoma

b. DNET

c. GBM

d. Medulloblastoma

4. Gelastic seizures in kid

a. Hamatoma tuber cinereum

5. Tumor in septum pellucidum 45yo male

a. Astrocytoma

b. Meningioma

c. Central neurocytoma

6. Parotid, which incorrect

a. Warthins is malignant

b. Pleomorphic is 80% benign

c. Cysts are lymphoepithelial cysts

d. Sjogrens causes cysts

7. Which is true regarding the parotid?

a. Warthins is made of papillary cysts

8. Medullary thyroid ca

a. 20% assoc with MEN 2

b. growth pattern is follicular

c. most common type of thyroid ca

d. spread hematogenously

e. 80% AR

9. Least likely to involve corpus callosum

a. Dandy walker

b. Hypoxia

c. Marchiavani

d. GBM

e. Demyelination

10. Alzheimers Disease histo findings

a. Hirano

b. Tangles

c. Plaques

d. Granulovacular

e. Lewy body

11. stem= ?; which false

a. Chol granuloma of the petrous apex occurs in the petrous apex if/only if there are pneumatised air cells of petrous

apex

b. Cholestatoma occurs from epithelial nests in petrous apex

12. Re head and neck, which is true

a. Kimura disease occurs in asian young men

b. Castleman disease is a benign lymphoproliferative disease of unknown etiology.

13. Cavernous hemangioma of brain. (know well) which is atypical?

a. Angiographicall y occult

b. Assoc with venous angioma

c. Bleed

d. Hemosiderin ring

14. Which of the following is angiographically occult?

a. Meningioma

b. Astrocytoma

c. Pilocytic astrocytoma

d. Venous angioma

e. Cavernous angioma

15. Cerebral infarct is

a. Coagulative necrosis

b. Liquefactive necrosis

c. Caseous

d. Fibrinoid

e. Gummatous

16. Patient with gelastic seizures and precocious puberty?

a. Tuber cineruem hamartoma

17. Least likely to affect the basal ganglia?

a. Amyloid

b. Hypoxia

c. Fahr disease

d. CO poison

!"#$%XV%

18. Q. Stem?

19. basal cell nevus syndrome causes mandible and maxillary lesions

20. ameloblastoma arises from odontogenic epithelium (was this def on our exam?)

21.

22. Not a Torch – chickenpox

23. Not in AD – lewy bodies

1$*95(BCCQ(4$%5"#"<;(H&9$##/7'"9(

?85?)

Which is most commonly cortically based

a. low grade astro

b. neurocytoma

c. oligodendroglioma

d. GBM

Pilocytic astrocytoma in child – most likely location of the following

a. CP angle

b. Cerebral hemisphere

c. Hypothalamus

d. Spinal cord

Parotid FNA with polygonal cells and lymphomatoid cells

a. Warthin’s

b. Pleomorphic adenoma

c. LN

d. Mucoepidermoid

e. HIV lymphoepithelial cyst

Meningioma – which is false

a. brain invasion doesn’t change histological grade

b. oedema is very rare

c. cellular pleomorphism increases grade

5->@)>?@)?-+Z)

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?85?)

1. BBB – incorrect:

a. Water soluble medium cannot pass if normal BBB

b. Fat soluble medium cannot pass if normal BBB

c. Capillaries are continuous

d. Continuous capillaries have no fenestrations

e. Tight junctions are important

2. Least likely site for hypertensive bleed in the brain is:

a. Hippocampus

b. Cerebellum

c. Basal ganglia

d. Thalamus

e. Brainstem

3. Which of the following is not a congenital CNS infection:

a. Chicken pox

b. Rubella

c. CMV

d. Toxoplasmosis

e. Herpes

4. Cavernous angiomas, what is not typical:

a. Detectable at angiography

b. Bleeding tendency

c. No intervening normal brain

d. Associated venous angioma

e. Pseudocapsule

5. Which is the most important for diagnosis in GBM:

a. Necrosis

b. Angioneogenesis

c. Cystic change

d. Mitosis

6. Paragangliomas:

a. Paraganglioma, chemodectoma and carotid body tumours can be used interchangeably

b. Often adherent to vessels resulting in incomplete excision and recurrence in 10%

77. Most likely involving the cortex:

a. Oligodendroglioma

b. Low grade Anaplastic astrocytoma

78. What is least likely to involve the corpus callosum:

a. GBM

b. Marchifava

c. DAI

d. Dandy Walker

e. Lymphoma

79. Regarding necrosis, which is the most correct:

a. Liquefactive necrosis is a characteristic of ischaemic destruction of cardiac muscle

b. Councilman bodies in the liver in toxic or viral hepatitis is an example of apoptosis

c. The dead cell usually shows decreased eosinophilia

d. Caseous necrosis is encountered principally in the centre of an Aschoff nodule

e. Expansion of the nucleus of dead cells with unraveling of the chromatin is called pynkosis

80. Which is not a feature of Alzheimer’s:

a. Hirano bodies

b. Lewy bodies

!"#$%X;%

c. Senile plaques

d. Neurofibrillary tangles

e. Amyloid

81. PNET which is the most typical appearances:

a. Cortical

b. Angioneogenesis

c. Cystic

d. Vasogenic oedema

e. Astrocytoma

82. Multiple sclerosis, distribution:

a. Perivenular inflammation

4J@N(1!O(J,<,/%(BCCQ9(ST7'"9(

?85?)

1.Least likely to involve corpus callosum

Dandy walker

Hypoxia

Marchiavani

GBM

3. Pilocytic Astrocytoma (or did I misread – was it PNET) True answer:

Can be excised easily

Rarely fatal even without surgery


Hirano

Tangles

Plaques

Granulovacular

Lewy body

5. stem=?; which is true or false

Chol granuloma of the petrous apex occurs in the petrous apex if/only if there are pneumatised air cells of petrous apex

Cholestatoma occurs from nests in petrous apex

6.TB meningitis true answer

Characteristically Causes miliary nodules in parenchyma

Causes infarcts from obliterative endarteritis

Tuberculomas well circumscribed and ?common

Can not usually readily see the ?changes because limited to ?meninges and subarach, with basal predominance

31. Parathyroid surgery but still high serum levels – FALSE??/ least likely

Adenoma in more than one gland

Ectopic located gland

Pituitary adenoma causing it

34. Re cavernous hemangiomas (true answer)

angigraphically occult

normal intervening brain, OR, NO normal intervening brain (cant recall which they actually had as an option)

Hemosiderin ring and ?psuedocapsule

35 stem?

Liquefactive necrosis occurs in the brain

Other general path statements

45: A question on features of ALS - ALS and what would it cause

Fatty changes with muscle denervation atrophy

Cant recall other options

48. These can be seen in same disease process – odd one out…

Seizures

!"#$%XJ%

Retinal

Hemangiomas?

Skin

Q. Stem?

basal cell nevus syndrome causes jaw lesions

amelioblastoma arises from odontogenic epithelium

cortically based tumor – oligodendro

Subacute thryoiditis – causes asymmetric enlargement

Not a Torch – chickenpox

Not in AD – lewy bodies

5->@)>?@)?-+Z):)E+)

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?85?)

83. BBB – incorrect:

a. Water soluble medium cannot pass if normal BBB

b. Fat soluble medium cannot pass if normal BBB

c. Capillaries are continuous

d. Continuous capillaries have no fenestrations

e. Tight junctions are important


a. Hippocampus

b. Cerebellum

c. Basal ganglia

d. Thalamus

e. Brainstem

85. Which of the following is not a congenital CNS infection:

a. Chicken pox

b. Rubella

c. CMV

d. Toxoplasmosis

e. Herpes

86. Which is the most important for diagnosis in GBM:

a. Necrosis

b. Angioneogenesis

c. Cystic change

d. Mitosis

87. Paragangliomas:

a. Paraganglioma, chemodectoma and carotid body tumours can be used interchangeably

b. Often adherent to vessels resulting in incomplete excision and recurrence in 10%

88. Most likely involving the cortex:

a. Oligodendroglioma

b. Low grade Anaplastic astrocytoma

89. What is least likely to involve the corpus callosum:

a. GBM

b. Marchifava

c. DAI

d. Dandy Walker

e. Lymphoma

!"#$%XD%

90. Regarding necrosis, which is the most correct:

a. Liquefactive necrosis is a characteristic of ischaemic destruction of cardiac muscle

b. Councilman bodies in the liver in toxic or viral hepatitis is an example of apoptosis

c. The dead cell usually shows decreased eosinophilia

d. Caseous necrosis is encountered principally in the centre of an Aschoff nodule

e. Expansion of the nucleus of dead cells with unraveling of the chromatin is called pynkosis

91. Which is not a feature of Alzheimer’s:

a. Hirano bodies

b. Lewy bodies

c. Senile plaques

d. Neurofibrillary tangles

e. Amyloid

92. PNET which is the most typical appearances:

a. Cortical

b. Angioneogenesis

c. Cystic?

d. Vasogenic oedema

e. Astrocytoma

+?6):);()<!)

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?85?)

Which is most commonly cortically based

i. low grade astro

j. neurocytoma

k. oligodendroglioma

l. GBM

Pilocytic astrocytoma in child – most likely location of the following

i. CP angle

j. Cerebral hemisphere

k. Hypothalamus

l. Spinal cord

Meningioma – which is false

a. brain invasion doesn’t change histological grade

b. oedema is very rare

c. cellular pleomorphism increases grade

4$%5"#"<;(1!O(J.*-#(BCCK(I(4&*%5LV7'"9(

?-C0B)

1. Cortical tumor

a. Astrocytoma

b. DNET

2. Tumor in septum pellucidum 45yo male

a. Astrocytoma

b. Meningioma

c. Central neurocytoma

3. Least likely to involve corpus callosum

a. Dandy walker

b. Hypoxia

c. Marchiavani

!"#$%;C%

d. GBM

e. Demyelination


a. Hirano

b. Tangles

c. Plaques

d. Granulovacular

e. Lewy body

5. Cavernous hemangioma of brain. (know well) which is atypical?

a. Angiographicall y occult

b. Assoc with venous angioma

c. Bleed

d. Hemosiderin ring

6. Cerebral infarct is

a. Coagulative necrosis

b. Liquefactive necrosis

c. Caseous

d. Fibrinoid

e. Gummatous

7. Basal ganglia (fasle)

a. Amyloid spares BG

b. CO poisioning

c. FARR disease.

Not in AD – lewy bodies

5->@)X)?-+Z)

8. Parotid, which incorrect

a. Warthins is malignant

b. Pleomorphic is benign

c. Cysts are lymphoepithelial cysts

d. Sjogrens causes cysts

9. Medullary thyroid ca

a. 20% assoc with MEN 2

b. growth if follicular

c. most common type of thyroid ca

10. stem= ?; which false

a. Chol granuloma of the petrous apex occurs in the petrous apex if/only if there are pneumatised air cells of petrous

apex

b. Cholestatoma occurs from epithelial nests in petrous apex

11. Re head and neck, which is true

a. Kimura disease occurs in asian young men

b. Castleman disease is a benign lymphoproliferative disease of unknown etiology.

12. Juvanile angio fibroma; false

a. Predominately in females

Q. Stem?

basal cell nevus syndrome causes mandible and maxillary lesion lesions

ameloblastoma arises from odontogenic epithelium

BCCW(J.*-#(4$%5"#"<;(I(4&*%5LV7'"9(

5->@)>?@)?-+Z)

1) Hashimoto’s – FNA findings

-

lymphoid infiltrate, increased Hurthle cells

-

2) Least likely to cause hyperthyroidism

Graves

MNG

Hashimoto’s

Reidel’s

Subacute

!"#$%;&%

3) Least likely to cause hyperthyroidism

Viral thyroiditis

Hashimoto’s

Adenoma

Riedel’s Thyroiditis

Graves

4) DeQuervain macroscopic appearance

Diffuse smooth symmetrical goitre

Multiple nodules

Bilateral or unilateral enlarged lobes

Only microscopic changes

5) FNA microscopic appearance of Hashimoto’s?

?-C0B)

6) BBB – incorrect

H2O soluble medium cannot pass if normal BBB

Fat soluble medium cannot pass if normal BBB

Capillaries are continuous

Continuous capillaries have no fenestrations

Tight junctions are important

7) Cortically based lesion ? true

Oligodendroglioma

Low grade anaplastic astrocytoma

-

-

-

8) Corpus callosum – least correct

Dandy walker

-

-

-

9) GBM – characteristic ??features or false??

Necrosis

Angiogenesis

Cystic change

-

10) cavernous Angioma – incorrect

detectable at angiography

-

-

11) HT haemorrhages – leat likely site

Putamen

B’stem

Cerebellum

Hippocampus

12) Which is not a feature of Alzheimer’s

Hirano bodies

Lewy bodies

Senile Plaques

Neurofibrillary tangles

Toxoplasmosis

13) Which is not a congenital CNS infection

CMV

Rubella

Herpes

!"#$%;B%

Chickenpox

14) PNET which is the most typical appearances

Cortical

Angiogenesis

Cystic

Vasogenic oedema

Astrocytoma

15) What is not found in Alzheimer’s

Lewy bodies

Granulovacuolar degeneration

Amyloid

??

16) what is not a cause for congenital CNS dsd

Toxo

CMV

Rubella

Chickenpox

Herpes

17) What is not typical for cavernoma

Bleeding tendency

Presence on angiographic study

N intervening brain

Pseudo capsule + surrounding hemosiderin laden macrophages

Associated venous angioma

18) GBM what is the most important in Dx

Mitosis

Cystic change

Angiogenesis

Necrosis

Vasogenic oedema

BCCW(4$%5"#"<;(I(4&*%5LV7'"9($3'(BCCW(4$%5"#"<;(1!O(I(4&*%5LV7'"9(

5->@)X)?-+Z)

1. Least likely to cause hyperthyroidism.

a. Graves disease

b. Toxic multinodular goitre

c. Toxic adenoma

d. Hashimoto’s thyroiditis

?-C0B)

2. Necrosis is a characteristic feature of

a. Pilocytic astrocytoma

b. Glioblastoma multiforme

c. Acoustic schwannoma

d. Craniopharyngioma

e. Ependymoma

3. solid mass involving the cortex of a temporal lobe is demonstrated on MRI. The most likely diagnosis:

a. DNET

b. Pilocytic astrocytoma

c. Anaplastic astrocytoma

d. Mesial temporal sclerosis

e. Pleomorphic xantho-astrocytoma


a. hippocampus

!"#$%;V%

b. cerebellum

c. basal ganglia

d. thalamus

BCCG(J.*-#(4$%5"#"<;(I(4&*%5LV7'"9(

51"I8?12Y)

;C%+$"=%)*F%1"*$%a<'(%4)*<'"=+%3+4'<3%*$4<)>%<>%A"=)'<F5%%6<4')*)#+%4()a4%)>3)3+'<3%3$**4^%*+1A()3+'$4%lF$>4$%*+1A()<F%4'=)1"m%">F%

A)*+#)>"*%3$**45%%W(<3(%<4%1)4'%3)==$3'j%

a. HIV

b. Warthins

c. Pleomorphic adenoma

d. Muco-epidermoid carcinoma

e. ?lymphoma

Nasopharyngeal carcinoma – what is false?

a. carcinoma at young age in african population

b. therapy is surgery and radiotherapy

c. 80% 5 year survival rate

d.

e.

Patient with hyperparathyroidism. Had parathyroidectomy. Still has elevated PTH

a. patient may have ectopic PTH secretion

b. mediastinal parathyroid adenoma may have been missed

c. ?pituitary tumour

d.

e

76yro with 6cm thyroid mass for XRT/Chemotherapy comes for a scan. Which is the correct diagnosis?

a. anaplastic CA

b. papillary CA

c. follicular CA

d. medullary carcinoma of thyroid

e. lymphoma

+?68?1HJ%&%'()

Patient with “CJ disease” on MRI request. Comes for third annual follow up study. Which is true?

a. CJ patients only live for average of 7 months

b. Most likely has variant CJ disease

c.

d.

e.

Which is not a disease of the white matter?

a. Alexander’s disease

b. ADEM

c. Picks disease

d. Diffuse Axonal Injury

e.

Alcoholic brought in who is unconscious is given thiamine and IV fluids. MRI is performed which shows hyperintensities in the pons,

tegmentum and white matter of the cerebrum, not in a periventricular distribution, most likely is?

a. central pontine myelinolysis

b. Wernicke-Korsakoff syndrome

c. beri-beri

d.

e.

sites of toxoplasmosis – least likely (?if immunocompromised)

!"#$%;X%

a. putamen

b. spine

c.

d.

e.

Pt has neurofibromatosis type I, which tumour is not associated with it?

a. Phaeochromocytoma

b. Chronic myeloid leukaemia

c. Carcinoid tumour

d. Medullary carcinoma of thyroid

e. Osteosarcoma

Which is least correct regarding Cryptococcus and its manifestations?

a. basal ganglia lesions

b. basal meningitis

c. lung changes ?focal consolidation

d. sinusitis

BCCG(T&.%(4$%5"#"<;(I(4&*%5LV7'"9(

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30. Hemochromatosis ? false

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M5 Q<=$3'*+%')0<3%')%()4'%'<44K$4%

35 -"=F<"3%"==(+'(1<"%3"K4$%)G%4KFF$>%F$"'(%

F5 E>3<F$>3$%)G%($A"')1"%<4%=$3$44<H$%

$5 -<==()4<4%h%(+A$=M<*<=KM<>$1<"%

%

31. Ca pancreas – incorrect

"5 XCf%<>%M)F+%">F%'"<*%

M5 ?%

35 ?%

%

32. a1-ATdefic – incorrect

"5 @%2$3$44<H$%

M5 :)>%,$+$>M$=#%3)1A*$0$4%

35 />F%4'"#$%#$'%3<==()4<4%h%3()*$4'"4<4%

%

33. which is not a non neoplastic polyp

"5 ?%

M5 @F$>)1"')K4%

35 ?%

%

34. which is not a feature of acute cholecystitis

"5 U"K>F<3$%

%

35. A patient with Crohn’s on CT is not likely to be associated with

"5 !=<1"=+%M<*<"=+%3<==()4<4%

M5 Y"**%4')>$4%

35 YE8%'K1)K=4%

!"#$%IX%

F5 \<F>$+%4')>$4%

%

36. Crohn’s colitis is not associated with

"5 _"'%a="AA<>#%

M5 @A('()K4%K*3$=%

35 -)MM*$4')>$%

F5 ]"3[a"4(%<*$<'<4%

$5 _<4'K*"4%

%

%

%

%

37. A man with UC at post mortem has a cirrhotic liver with 7cim green mass and clear bowel. Likely Dx "5 6--%

M5 -()*">#<)%-"%

%

38. What is not associated with clinical aspect of protal HT

"5 @43<'$4%

M5 !)=')%4+4'$1<3% 4(K>'4%

35 7A*$><3%3)>#$4'<)>%

F5 !">3=$"'<'<4%

$5 6$A"'<3%$>3$A("*)A"'(+%

%

39. What does not cause chronic pancreatitis?

"5 @*3)()*%

M5 -()*$*<'(<"4<4%

35 Q<H<4<K1%

F5 6+A$=3"*3$1<"%

$5 6+A$=<>4K*<>"$1<"%

%

40. What does not cause acute pancreatitis

"5 @*3)()*%

M5 -()*$*<'(<"4<4%

35 8="K1"%

F5 6$1)3(=)1"')4<4%

$5 /2-!%

%

41. 17 yo female has abdo pain and has cystic/solid mass in pancreas. Likely Dx?

"5 -+4'<3%4)*<F%A"A<**"=+%'K1)K=%

M5 ,K3<>)K4%3+4'"F$>)1"%

35 7$=)K4%3+4'"F$>)1"%

%

42. Pt with HNPCC and colonoscopy – likely indications – bowel tumour

%

43. 30 yo female US – 3cm Homogenous hypo echoic mass + CT Hypodense pre contrast and isodense in PV phase

"5 @F$>)1"%

M5 6--%

35 _<M=)*"1$**"=%6--%

F5 _P6%

$5 6$1">#<)1"%

%

44. Same 30 yo female has Hx of Breast Ca. Dx? "5 ,$'%%

M5 @F$>)1"%

35 _P6%

F5 6--%

%

45. Which is least likely in Crohn’s

"5 2$>"*%3"*3K*<%

M5 -()*">#<)3"=3<>)1"%

35 ]<*<"=+%3<==()4<4%

F5 73*$=)4<>#%3()*">#<'<4%

%

!"#$%I;%

46. H.Pylori which is leat correct

"5 Y?H$%4A<="*%

M5 @''"3($4%')%$A<'($*<K1%

35 E>%FK)F$>"*%h%#"4'=<3%K*3$=4%

F5 @44)3<"'$F%a<'(%,@T8%*+1A()1"%

%

47. GIST tumours – which is correct?

"5 ,"*<#>">'%g%M$><#>%

M5 6<4')*)#<3"*%4KM'+A$%1)4'%<1A)='">'%<>%A=)#>)4<4%

35 R33K=%1"<>*+%<>%4')1"3(%">F%41"**%M)a$*%

F5 Y=)a%"4%">%$A<'($*<"*%'K1)K=%

%

48. Man with ulcerative colitis. At autopsy ahs cirrhosis and 7cm green stained mass XO5 W(<3(%<4%1)4'%*<[$*+j%

"5 6--%

M5 -()*">#<)3"=3<>)1"%

35 6$A"'<3%"F$>)1"%

F5 2$#$>$="'<H$%>)FK*$%

%

50. Pancreatitis is not associated with

"5 6+A$=<>4K*<><41%

M5 6+A$=3"*3$1<"%

35 Y"**%4')>$4%

F5 @*3)()*%

%

51. 17yo girl with pancreatic mass. Which is most likely?

"5 -+4'"F$>)3"=3<>)1"%

M5 7$=)K4%

35 7)*<F?%3+4'<3%

%

52. Following are true of pancreatic carcinoma

"5 ,)4'%"=<4$%G=)1%FK3'%$A<'($*<K1%

M5 ,)4'%"=$%<>3K="M*$%

35 2<4[%G"3')=4%<>3*KF$%41)[<>#%F<$'%">F%$0)#$>)K4%3($1<3"*4%

F5 X;f%<>H)*H$%M)F+%">F%'"<*%

$5 1"+%4$3=$'$%1K3<>%

%

53. regarding hemochromatosis which is least correct

"5 "K')4)1"*%=$3$44<H$%

M5 *$44%3)11)>%<>%G$1"*$4%

35 "33K1K*"'<)>%<4%*<G$%*)>#%

F5 $GG$3'4%"=$%FK$%')%F<=$3'%')0<3%$GG$3'%)G%<=)>%)>%3$**4%

$5 A"'<$>'4%a<'(%*)>#4'">F<>#%F<4$"4$%F$H$*)A%3<==()4<4%">F%(+A$=M<*<=KM<>$1<"%

%

54. following are causes of chronic pancreatitis except

"5 "*3)()*%

M5 #"**%4')>$4%

35 A">3=$"4%F<H<4<K1%

F5 (+A$=3"*3$1<"%

$5 (+A$=<>4K*<>$1<"%

%

55. which cell is responsible for excess collagen production in cirrhosis "5 E')%3$**%

M5 \KAG$=%3$**%

35 6$A"')3+'$%

F5 T+1A()3+'$%

$5 ,"3=)A("#$%

56. Effects of acute cholecystitis – least likely

"5 U"K>F<3$%

M5 2<#('%KAA$=%dK"F=">'%A"<>%

35 ,<*F%G$H$=%

F5 T$K[)3+')4<4%

$5 j%

!"#$%IJ%

)

W-?A7BC0A?>0<)70>+7)

%

57. Renal cell carcinoma

"5 _*">[%A"<>%3)11)>$4'%A=$4$>'"'<)>%4+1A')1%)>%60%

M5 E>3=$"4$F%=<4[%a<'(%-2_%

8" ?+9(-4$4/98&(3#-:.!(&

%

58. Types of bladder cancer

"5 _*"'^%%<>H"4<H$%A"A<**"=+^%A"A<**)1"%A"A<**"=+%%

#" @/A11B&%9,!8-&;,4C&.98-3,!&&DD&*4-&.98-3,!&E3(-&-+!&(3#-:.!(&

%

59. mass next to kidney ? liposarcoma. Most important Q

"5 8KM$=)K4%73*$=)4<4%

M5 jA=$H<)K4%p28%

35 ?%

%

60. Wagener’s - incorrect

"5 :"43K*<'<4%#$>$="*<4$F%

M5 YP%

35 Y=">K*)1"4%S28%

F5 @P@%hH$%

$5 @P-@%hH$%

%

%

61. scrotal US – correct

"5 H"=<3)3$*$%K4K%=<#('%4<F$F%

M5 (+F=)3$*$4%>)'%"44)3<"'$F%a<'(%3"%

35 3"K4$%)G%(+F=)3$*$%1+%M$%K>[>)a>%

F5 3=+A')=3(<F<41%1"+%M$%"44)3<"'$F%a<'(%<>#K<>"*%($=><"%%

%

%

62. Causes of renal infarct – incorrect

"5 ")='<3%"'($=)43*$=)4<4%

M5 @FK*'%6"$1)*+'<3%S=$1<3%7+>F=)1$%

35 !)4'%@,E%

F5 -">F<F"%$>F)3"=F<'<4%

$5 !@P%

%

63. Mg ammonium phosphate stones iare associated with infection

"5 ?%

%

64. Types of bladder Ca

"5 ?%

%

65. Macroscopic renal infarcts are least likely to be secondary to

"5 @)='<3%"'($=)1"%

M5 !=$H<)K4%,E%

35 !@P%

F5 -">F<F"%$>F)3"=F<'<4%

$5 6S7%

%

66. Regarding pheos

"5 8B(+A$=<>'$>4$%

M5 /0'="?"F=$>"*%A($)4%"=$%*$44%1"*<#>">'%'(">%'()4$%"44)3<"'$F%a<'(%"F=$>"*%

35 B31%"'%Q0%

%

67. Bladder tumour – microscopic histologic subtypes %

68. Wegener’s – which is correct

"5 hH$%@P-@%

M5 <>H)*H$4%*K>#4%

!"#$%II%

35 E>H)*H$4%[<F>$+4%

F5 hH$%@P@%

%

%

BCCW(4$%5"#"<;(I(4&*%5LV7'"9(

C0BW-?A7>D)

%

&O5 W(<3(%"=$%'($%1)=A()*)#<3"*%'+A$4%)G%M*"FF$=%-"j%

"5 !"A<**)1"%L%A"A<**"=+^%E>H"4<H$%A"A<**"=+%3"=3<>)1"^%_*"'%>)>?<>H"4<H$%3"=3<>)1"%">F%G*"'%<>H"4<H$%3"=3<>)1"%

BC5 _)3"*%=$>"*%<>G"=3'^%*$"4'%*<[$*+`%

"5 @'($=)43*$=)4<4%%

M5 ,<'="*%H"*H$%=$#K=#<'"'<)>%

35 !@P%%

F5 6S7%%%

$5 />F)3"=F<'<4%%

B&5 ,"#>$4<K1%"11)><K1%A()4A("'$%4')>$4%

"5 S8E%L%K=$"%'=">4G)=1$F%<>')%"11)><"%

BB5 _"''+%*$4<)>%>$0'%')%$GG"3$F%[<F>$+5%T<A)4"=3)1"j%%W(<3(%)G%'($%G)**)a<>#%<4%1)4'%=$*$H">'j%

"5 8KM$=)K4%43*$=)4<4%

M5 !=$H<)K4%="F<)'($="A+%

BV5 E>3<F$>3$%)G%A)*+3+4'<3%[<F>$+4%

"5 &`&CCC%

M5 &`&CCCC%

35 &`&CCCCC%

%

BX5 !=)4'"'<3%3"=3<>)1"%<4%*$"4'%*<[$*+%')%M$%"44)3<"'$F%a<'(`%

"5 <>H)*H$1$>'%)G%'($%4$1<>"*%H$4<3*$4%

M5 4($$'4%)G%3$**4%<>%"%G<M=)K4%4'=)1"%

B;5 _)**)a<>#%PR8%"44)3<"'$F%a<'(%<>3=$"4$F%=<4[%)G%'$4'<3K*"=%1"*<#>">3+%

%

"5 -=+A')=3(<F<41%

M5 8$4'<3K*"=%G$1<><4"'<)>%

35 8$4'<3K*"=%1<3=)*<'(<"4<4%

F5 \*<>$G$*'$=4%4+>%

$5 8]%)G%'($%'$4'<4%

%

DI5%W(<3(%)G%'($%G)**)a<>#%"=$%"**%=$3)#><4$F%M*"FF$=%3"=3<>)1"%1)=A()*)#<3"*%A"''$=>4`%

"5 !"A<**"=+^%K*3$="'<H$^%F<GGK4$^%3+4'<3^%<>G<*'="'<H$%

M5 !"A<**"=+^%'KMK*"=^%4$44<*$^%$03"H"'<H$%

35 !"A<**"=+^%'KMK*"=^%3+4'<3^%G*"'%

F5 _*"'^%$03"H"'<H$^%A)*+A)<F%

$5 _*"'^%A"A<**"=+?<>H"4<H$^%A"A<**)1"?A"A<**"=+%

%

DD5%2$#"=F<>#%=$>"*%3$**%3"=3<>)1"5%W(<3(%)G%'($%G)**)a<>#%<4%'($%T/@78%-R22/-8`%

"5 7'=)>#%"44)3<"'<)>%a<'(%:)>?6<AA$*?T<>F"K%4+>F=)1$%

M5 -*$"=%3$**%3"=3<>)1"%<4%'($%1)4'%3)11)>%lIC?DCfm%

35 E>3=$"4$F%=<4[%)G%=$>"*%3$**%3"=3<>)1"%<>%3(=)><3%=$>"*%G"<*K=$%

F5 ,)4'%G=$dK$>'%A=$4$>'"'<)>%<4%G*">[%A"<>%)=%F<43)1G)='%

$5 6$=$F<'"=+%'K1)K=4%"=$%1)=$%G=$dK$>'*+%M<*"'$="*%">F%1K*'<G)3"*%

%

DO5%2$#"=F<>#%A=)4'"'<3%3"=3<>)1"5%W(<3(%)G%'($%G)**)a<>#%<4%'($%*$"4'%3)==$3'`%

"5 IC?DCf%)G%1"*$4%M$'a$$>%'($%"#$4%)G%IC?DC%("H$%G)3<%

M5 6<4')*)#<3"**+%4($$'4%)=%3)=F4%)G%3$**4%<>%F$>4$%G<M=)K4%4=)1"%

35 ICf%"=<4$%<>%'($%A$=<A($="*%i)>$%

F5 T)3"*%<>H"4<)>%<>')%'($%4$1<>"*%H$4<3*$4^%M*"FF$=%">F%K=$'$=%

$5 -"=3<>)1"%)G%'($%A=)4'"'$%<4%*$44%3)11)>%<>%@4<"%3)1A"=$F%a<'(%@K4'="*<"%">F%P$a%s$"*">F%

%

OC5%8($%1)4'%*<[$*+%$0A*">"'<)>%M$'a$$>%1"#>$4<K1%"11)><"%A()4A("'$%4')>$4%">F%K=<>"=+%'="3'%<>G$3'<)>4%<4`%

"5 ]"3'$=<"*%$>i+1$4%3)>H$='%'($%>"'K="*%K=$"%')%"11)><"%

M5 E>G*"11"')=+%F$M=<4%"3'4%"4%"%4'=)>#%><FK4%G)=%4')>$4%

!"#$%ID%

35 P)>?F$#="F"M*$%M"3'$=<"*%a"**%3)>3$>'="'$4%)=#"><3%1$'"*4%

F5 ]"3'$=<"*%A*"41<F4%A=)1)'$%($"H+%1$'"*%"33K1K*"'<)>%"4%"%F$G$>3$%"#"<>4'%*$K[)3+'$%"''"3[%

$5 @3K'$%<>G*"11"'<)>%*)a$=4%'($%A6%q;5;%G"H)K=<>#%3=+4'"*%A=$3<A<'"'<)>%

WA)

%

BJ5 W<'(%=$#"=F4%=)%R$4)A("#$"*%-"=3<>)1"%a(<3(%<4%_@T7/%

"5 M"=$''4%("4%0XC%<>3=$"4$F%"44)3<"'<)>%)G%7--%

BI5 W("'%"=$%=<4[%G"3')=4%G)=%1"*<#>">3+%<>%"%4')1"3(%K*3$=%j%

"5 R33K=4%<>%"=$"%)G%#"4'=<3%%

BD5 W(<3(%)G%'($%G)**)a<>#%4'"'$1$>'4%3)>3$=><>#%#"4'=)<>'$4'<>"*%F<4$"4$4%<4%1)4'%3)==$3'j%

"5 8($%3)*)>%<4%'($%1)4'%3)11)>%4<'$%G)=%YE8%*+1A()1"%%

M5 !4$KF)1$1M=">)K4%3)*<'<4%<4%FK$%')%')0<>4%)G%3*)4'=<F<K1%F<GG<3<*$%%

35 E>G*"11"')=+%A4$KF)?A)*+A4%"=$%"%3("="3'$=<4'<3%G$"'K=$%)G%-=)(>u4%3)*<'<4%%

F5 @A'()K4%K*3$=4%"=$%"%3("="3'$=<4'<3%G$"'K=$%)G%K*3$="'<H$%3)*<'<4%%

$5 UKH$><*$%A)*+A4%'+A<3"**+%)33K=%<>%'($%"43$>F<>#%3)*)>5%

BO5 W(<3(%<4%PR8%"%("1"'"1"')K4%!RTN!%

"5 @F$>)1"4%j%%

M5 !$K'i?U$#($=4%7+>F=)1$%

VC5 6P!--%L%M"=<K1%$>$1"%<4%A$=G)=1$F%')%*))[%G)=%

%

"5 3)*)><3%3"=3<>)1"%

M5 A)*+A4%

35 F$'$3'%3)*)><3%("1"=')1"%%

V&5 T<H$=%3<==()4<4%A"'<$>'5%%6<4')=+%)G%S*3$="'<H$%3)*<'<45%%!)4'%1)='$1%4()a$F%"%#=$$>%1"44%I31%<>%4<i$5%%W("'%<4%'($%1)4'%*<[$*+%

3"K4$j%

%

"5 ($A"')3$**K*"=%3"=3<>)1"%

M5 3()*">#<)3"=3<>)1"%

35 "F$>)1"%

F5 >)FK*"=%=$#$>$="'<)>%

VB5 &J%+$"=%)*F%a<'(%"%3+4'<3%">F%4)*<F%A">3=$"'<3%1"445%,)4'%*<[$*+%3"K4$`%

%

"5 1K3<>)K4%3+4'"F$>)1"%

M5 1K3<>)K4%3+4'"F$>)3"=3<>)1"%

35 4)*<F?3+4'<3%lA"A<**"=+%3+4'<3m%'K1)K=%

DV5%2$#"=F<>#%-=)(>b4%F<4$"4$%)>%-85%W(<3(%)G%'($%G)**)a<>#%<4%T/7@8%TE\/TN`%

"5 !=<1"=+%M<*<"=+%3<==()4<4%

M5 7"3=)<*<'<4%

35 -()*">#<)3"=3<>)1"%

F5 2$>"*%3"*3K*<%

$5 YE8%1"*<#>">3+%

%

DX5%;B+)%1"*$%a<'(%K*3$="'<H$%3)*<'<4%">F%3<==()4<45%@%I31%#=$$>%'K1)K=%<>%'($%*<H$=%$0<4'45%W("'%<4%'($%1)4'%*<[$*+%F<"#>)4<4`%

"5 -"H$=>)K4%("$1">#<)1"%

M5 -()*">#<)3"=3<>)1"%

35 6--%

F5 P)FK*"=%=$#$>$="'<H$%(+A$=A*"4<"%

$5 6$A"'<3%"F$>)1"%

%

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"5 P$K=)M*"4')1"%

M5 7)*<F%3+4'<3%lA"A<**"=+%3+4'<3m%'K1)K=%

35 ,K3<>)K4%3+4'"F$>)1"%

F5 ,K3<>)K4%3+4'"F$>)3"=3<>)1"%

$5 ,<3=)3+4'<3%"F$>)1"%

%

DJ5%VB+)%G$1"*$5%!=$4$>'4%G)=%"%M"=<K1%$>$1"5%6<4')=+%)G%6P!--5%W("'%<4%'($%=$G$==<>#%A(+4<3<">%*))[<>#%G)=`%

"5 E>G*"11"')=+%M)a$*%F<4$"4$%

M5 -)*)><3%3"=3<>)1"%

35 6$=$F<'"=+%>$)A*"4'<3%3)*)><3%A)*+A)4<4%

F5 7'<3'K=$4%

!"#$%IO%

$5 6"1"=')1"%

%

BCCG(J.*-#(4$%5"#"<;(I(4&*%5LV7'"9(

>U@B*-?)

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"5 ">)0<"%

M5 41)[$=4%

35 F<"M$'$4%1$**<'<4%

F5 )M$4<'+%

$5 %

%

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"5%%

M5%"'+A<3"*%3*<><3"*%(0%G)=%"%($A"')1"%

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$5%

%

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M5%7$=)K4%"F$>)3"=3<>)1"%

35%!">3=$"'<3%"F$>)3"=3<>)1"^%>)%4A$3<"*%'+A$%

F5%%

$5%

)

W(<3(%)G%'($%G)**)a<>#%<4%'=K$%=$#"=F<>#%<>'="FK3'"*%A"A<**"=+%1K3<>)K4%3"=3<>)1"%)G%A">3=$"4j%

"5 jj%<4%A=$H<)K4%>"1$%G)=%'(<4%3">3$=%

M5 )33K=4%<>%'"<*%a<'(%1K3<>)K4%3+4'4%<>%G$1"*$4%gJC%+=4%

35 )33K=4%<>%($"F%)G%A">3=$"4%%j<>%1"*$4%

F5 %

$5%

%

]<*<"=+%'=$$%a<'(%1K*'<A*$%"=$"4%)G%>"==)a<>#%

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M5%%

35%

F5%

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M5 6<4'<)3+')4<4%p%<4%1)4'%"##=$44<H$%G)=1%

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35 ]$><#>%a<'(%55%

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35 _<M=)M*"4'<3%

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35 C5;?;f%1$'"4'"4<i$%')%*K>#4%l($*14%F<4"#=$$4%a<'(%'(<4%MK'%<'%<4%<>%2)MM<>4%"4%KA%')%Xfxm%

F5 &C?&;f%a<**%$H$>'K"**+%F$1)>4'="'$%43"=3)1"')K4%3(">#$%l="=$%<>%=)MM<>4m%

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)

%

BCCW(J.*-#(4$%5"#"<;(I(4&*%5LV7'"9(

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69. Leiomyoma is least common

IC5 6$"='%

I&5 ]*))F%H$44$*4%

IB5 R$4)A("#K4%

IV5 7')1"3(%

IX5 S'$=K4%

75. Rh fever – incorrect

"5 T"=#$%e)<>'%"='(=<'<4%

M5 @43()GG%3$**4%K>3)11)>%

35 ?%

F5 =($K1"'<3%A>$K1)><'<4%"*4)%1"><G$4'"'<)>%

76. PVNS – incorrect

"5 @>[*$%3)11)>$4'%

M5 >)'%>$)A*"4'<3%

35 3"K4$4%$=)4<)>4%

F5 ?%

77. The feature most diagnostic of gout is

"5 @3K'$%A"<>%&4'%,8!%e)<>'%

M5 ?H$%M<=$G=<>#$>'%3=+4'"*%)>%"4A<="'$%

35 A"="%"='<3K*"=%$=)4<)>4%

F5 (+A$=K=<3$1<"%

%

78. Leiomyoma rarest site

"5 6$"='%

M5 ,+)3"=F<K1%

35 R$4)A("#K4%

F5 :"43K*"=%41))'(%1K43*$%

%

79. Chondrocalcinosis is found in

"5 6$1)3(=)1"')4<4%

M5 2@%

35 6+A)1"#>$4$1<"%

%

80. Rh nodules – lest likely site

"5 !<>>"%)G%$"=%

M5 /0'$=>"*%4K=G"3$%G)=$"=1%

35 \<F>$+%

F5 7A*$$>%

%

81. CPPD – incorrect

"5 6+A)%,#%

M5 2@%

35 R@%

F5 6$1)3(=)1"')4<4%

!"#$%O&%

%

%

82. Characteristic features of Rh nodule

"5 ?%

M5 -$>'="*%G<M=<>)<F%>$3=)4<4%4K==)K>F$F%M+%A"*<4"F<>#%(<4'<)3+'$4%

35 ?%

%

83. Rheumatoid nodule – central fibrinous necrosis

%

BCCW(4$%5"#"<;(I(4&*%5LV7'"9(

*6Z)

%

&5 -)>3$=><>#%#)K'%

%

BCCG(J.*-#(4$%5"#"<;(I(4&*%5LV7'"9(

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