Growth Disorder And Neoplasia Most Important MCQs

1 - A 14 year old boy complains with gingival bleeding oral ulcers, anaemia with hepatomegaly but no lymphadenopathy, total eukocyte count of one-lakh cells per mm3 is suffering from________________?






Acute myeloid leukemia

2 - A 20 year male complains of recurrent attacks of sore tthroat since 2 years. The total leukocyte count was 1000/ul. A differential count revealed severe neutropenia. The diagnosis is________________?






Agraulocytosis

3 - A 3-year old child presented with progressive anaemia, jaundice & failure to thrive. O/E: pallor, splenomegaly are seen Peripheral smear showed normoblasts and small round intensely stained red cells. The likely diagnosis is________________?






Here ditary spherocytosis

4 - A patient with a bleeding disorder with increased bleeding time and normal clotting time is suffering from________________?






Idiopathic thrombocytopenic purpura

5 - A patient's urine with a particular protein appears normal, but on standing it becomes dark. The dark colour disappears on heating. The patent is suffering from______________?






Multiple myeloma

6 - A shift to left indicates an increase in number of______________?






immature neutrophils

7 - A simple bacterial test for mutagenic carcinogens is________________?






Ames test

8 - Active hypermia is seen in_______________?






All of the Above

9 - After myocardial infarction all of the following enzyme levels are high except_____________?






Serum ornithine carbamyl transferase (SOCT)

10 - All of the following are typically associated with loss of 40% of the circulating blood volume except_______________?






A decrease in the heart rate

11 - All of the following can be transmitted through blood tranfusion except ______________?






Leukemia

12 - All of the following causes excessive bleeding during tooth extraction except _______________?






Anti thrombin – III deficiency

13 - All of the following differs antemortum thrombus from a postmortem intravascular costs except_____________?






Chicken fat appearance

14 - All of the following statements are true regarding reversible cell injury, except______________?






Formation of amorphous densities in the mitochondrial matix

15 - All of the following viruses are capable of causing human cancers except________________?






Parvovirus B-19

16 - Amyloid material can be best diagnosed by___________________?






Polarized microscopy

17 - An infarct is most frequently is characterized by What type of necrosis ?






Coagulative

18 - Anaplasia is_______________?






All of the above

19 - Anasarca means_____________?






Severe generalized swelling

20 - Aplastic anemia results from______________?






All of the above

21 - Ascites seen in alcoholic liver cirrhosis result form______________?






Decreased protein production by liver

22 - Auto immune hymolytic anemia is seen in_______________?






CLL

23 - Basal cell carcinoma occurs on_________________?






Skin and pilosebaceous adnexa

24 - Both Pala or red infarcts are seen in______________?






Brain

25 - Burkitt's lymphoma is associated with the proliferation of ______________?






B – cell

26 - Caissons disease is caused by______________?






Air or gas embolism

27 - Carcinogens induce tumours, they are________________?






All of the above

28 - Change in structure and functions of a tissue is called______________?






Metaplasia

29 - Chicken-wire appearance of enlarged bone marrow spaces is seen in_______________?






Beta thalassemia majon

30 - Cooley's anemia is also called___________________?






All of the above

31 - Cotton wool appearance is seen ____________________ ?






Pagets disease

32 - Deposition of bile pigment in the basal ganglia is called________________?






Kernicterus

33 - Earliest lesion in atherosclerosis is_____________?






Fatty streak

34 - Edema is due to_______________?






Decreased albumin conc. in blood

35 - Epstein Barr virus is associated with ___________________?






All of the above

36 - Erythroblastosis fetalis is a condition seen when there is________________?






Rh -ve mother and Rh +ve foetus

37 - Exfoliative cytology is indicated in___________?






Mass screening of cervical cancer

38 - Extravasation of blood in to the tissues with resulting swelling is called_____________?






Hematoma

39 - Following is the most important factor in the management of shock_________________?






Deficiency of effective circulating blood volume

40 - Gamma gandy bodies are seen in_____________?






Spleen

41 - Gingiva are enlarged in leukemia because of____________________?






Hemolytic anaemia

42 - Heart failure cells are seen in_______________?






Lungs

43 - Heart failure cells are____________?






Heamosiderin laden macrophages in alveoli

44 - Hemophilia A is caused due to deficiency of___________________?






Factor VIII

45 - Hemophilics show_________________?






Normal bleeding time and increased clotting time

46 - Hodgkin's lymphoma can be distinguished from non – Hodgkin's lymphomas by_________________?






All of the above

47 - Hypovolemic shock develops after loss of______________?






40% blood

48 - Immune response to tumour is mediated by_______________?






All of the above

49 - In a thrombus, the dark lines of zahn are due to_______________?






Aggregated R.B.C

50 - In dysplasia mitotic figures are seen in_________________?






From basal layer to surface

51 - IN fanconi anemia there is a_______________?






Mutation of DNA repair gene

52 - In hemorrhager lost plasma is replaced by______________?






Kidney

53 - In hypovolemic shock_____________?






The extremities are pale, cold and sweating

54 - In left ventricular cardiac failure there is_____________?






Passive Congestion in lungs

55 - In sickle cell anaemia there is_____________?






75 to 100% haemoglobins

56 - In Troisiers sign the lymph nodes involved are_________________?






Left supraclavicular nodes

57 - In which one of the following organs the venous emboli are most often iodged ?






Lungs

58 - Incidence of most common malignant tumours in women is_____________?






Breast

59 - Increased bleeding time is seen in all except______________?






Hemophilia

60 - Increased iron binding capacity and decreased serum iron is seen in which anemia________________?






Iron deficiency

61 - Increased levels of haemoglobin A2 is characteristic of________________?






b-thalassaemia crait

62 - Increased proliferation of cells is called_______________?






Hyperplasia

63 - Infarcts are not common in______________?






Both A and B

64 - Keratin pearls with downward proliferation of epithelial masses is characteristic of_______________?






Squamous cell carcinoma

65 - Left side heart failure results in______________?






Oedema of lungs

66 - Lymphatic leukemoid reaction is usually seen in the following EXCEPT________________?






Lobar pneumonia

67 - Major and frequent influence for thrombus formation is________________?






Endothelial damage

68 - Major site of atheroscierosis_______________?






Abdominal aorta

69 - Malignant neoplasms shows all the following features EXCEPT_____________?






Encapulation

70 - Malignant tumour of epithelial origin is_______________?






Carcinoma

71 - Malignant tumour of skeletal muscie is__________________?






Rhabdomyosarcoma

72 - Most tumours are ___________________?






Monoclonal in origin

73 - Neoplasia of blood vessel is called______________?






Angioma

74 - Neurologic abnormalities occur with_______________?






Both B and C

75 - Nevus cell are_______________?






Modified melanocytes

76 - Normal adult haemoglobin contains________________?






Two alpha chains and two beta chains

77 - Nuclear cytoplasmic ratio in malignant cells is________________?






0.042361111111

78 - Nut meg liver occurs in_______________?






Chronic venous congestion

79 - Oncogenic viruses in human are_________________?






All of the above

80 - One of the following is not a malignant feature____________?






Pleomorphism

81 - Onion skin appearance is seen in_______________?






Ewing's sarcoma

82 - Osteomalacia is associated with_________________?






Increase in osteoid maturation time

83 - Pale infarcts are seen in all of the following except______________?






Lung

84 - Pap smear is used to detect dysplasia, carcinoma insitu and invasive carcinoma of uterine cervix. This is based on the principle of_______________?






Neoplastic cells are are non cohesive

85 - Partial or complete obstruction of some part of the C.V.S by a foreign body transported by the blood stream is termed as_____________?






Embolism

86 - Philadelphia chromosome is consistently found in_______________?






CML

87 - Primary hemostasis is disturbed in______________?






Platelet disorder

88 - Prothrombin time indicates the integrity of ____________________?






Extrinsic pathway

89 - Reduced number of platelet is found in all the conditions except____________________?






Von willebrand disease

90 - Reed – Sternberg cells are seen in histopathological examination of_______________?






Hodgkin's disease

91 - Risk factor for atherosclerosis_______________?






All of the above

92 - Rodent ulcer is most commonly seen on________________?






Face above alatragus line

93 - Schilling test is performed to find out______________?






B12 malabsroption

94 - Shock is a circulatory disturbance characterized by________________?






Decreased volume of circulation blood

95 - Sickle cell anemia precipitates when______________?






Increased viscosity of blood

96 - Sideroblastic anemia is caused due to______________?






Iron

97 - Somatic mutation of PTEN is seen in________________?






Endometrial Carcinoma

98 - Sunburst appearance and codmans triangle are seen in______________?






Osteosarcoma

99 - Syndrome associated with increased risk of leukemia is_____________?






Klinefelter syndrome

100 - Target cells are seen in peripheral blood in_______________?






Thalassemia

101 - The cell with increased mitotic rate and resembling the undifferentiated mesenchymal cells of the same origin is______________?






Anaplastic

102 - The characteristic finding in chronic myeloid leukemia is______________?






Reduced score of alkaline phosphatase in granulocytes

103 - The common cause of sudden death in myocardial infarction is____________?






Arrhythmias

104 - The commonest site of thrombosis is_______________?






Veins

105 - The fading of cellular chromatin is_____________?






Karyolysis

106 - The following are recognized causes of neutropenia Except_______________?






Corticosteroid therapy

107 - The increase in size of individual cells is referred as______________?






Hypertrophy

108 - The increase in size of uterus during pregnancy is an example of ________________?






Both of the above

109 - The increase in the size of left kidney following the removal of right kidney (vicarious hypertrophy) is due to_______________?






Both of the above

110 - The infarct of the following organs is invariably haemorrhagic_____________?






Lung

111 - the lesions of bone which is expansile and eccentrically ballooned out is________________?






Aneurysmal bone cyst

112 - The major factors predisposing to thrombogenesis include all of the following except_____________?






Pattern of blood flow

113 - The most characteristic feature of a neoplasm as opposed to inflammatory over growth is______________?






Progressive growth after removal of causative stimuli

114 - The most common site of metastases of osteosarcoma is_____________?






Lung

115 - The most common site of origin for venous thrombi leading to pulmonary embolism is_____________?






Deep leg veins

116 - The most definite feature of a malignant tumour is_____________?






Metastasis

117 - The most reliable post mortem features of left sided cardiac failure is____________?






Chronic venous congestion of lungs

118 - The necrotic tissue and deposits of immune complexes, complement and plasma protein produce a smudy eosinophilic deposit is termed as_____________?






Fibrinoid necrosis

119 - The predisposing factor for squamous cell carcinoma __________________?






All of the above

120 - The process of formation of solid mass in circulation from the constituents of normal flowing blood is called_____________?






Thrombosis

121 - The protein that carries iron from the gut to the body tissues is called________________?






Transferrin

122 - The type of acute myelogenous leukemia associated with a high incidence of disseminated intravascular coagulation in________________?






Acute promyelocytic leukaemia

123 - The type of embolism seen in fractures of long bones_____________?






Fat embolism

124 - The wasting syndrome associated in cancer is_____________?






Cacchexia

125 - Three days after the onset of myocardial infarction, which enzyme level has the best predictive value____________?






Serum LDH

126 - Thrombocytopenia due to increased platelet destruction is seen in_________________?






Systemic lupus erythematosus

127 - Thrombocytosis is seen in_______________?






Haemolytic anaemia

128 - Thrombosis due to hypercoagulability is seen in____________?






All of the above

129 - Tumour arising from secetory and glandular epithelium are__________________?






Both A and B

130 - Tumour which shows origin from more than one germ layers is known as________________?






Teratoma

131 - Usually metastatic lesions are osteolytic, but osteoblastic secondaries occur in cancer of_______________?






Prostate

132 - Venous emboli are most often lodged in_____________?






Lungs

133 - Which of the following being is the most frequent site of thrombus ?






Veins of lower extremities

134 - Which of the following is a nutritional deficiency anemia______________?






megaloblastic anemia

135 - Which of the following is common in all forms of shock ?






Impaired tissue prefusion

136 - Which of the following is correct statement ?






All of the above

137 - Which of the following is correctly matched with the forms of extravasation hemorrhages______________?






All of the above

138 - Which of the following is not an example of massive splenomegaly ________________?






Acute lymphoblastic leukemia

139 - Which of the following is not an indicative of hemorrhage_____________?






Melanosis

140 - Which of the following is not true for hemophilia A ________________?






Levels of factor VIII less than 50% are associated with spontaneous hemorrhage

141 - Which of the following predisposes to thrombogenesis ?






All of the above

142 - Which of the following symptomatic atheroscierotic disease is correct_____________?






All of the above

143 - White infarcts occurs in one of the following organs_______________?






Heart

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