006 Pathology MCQ ACEM Primary Cellular

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The document discusses cellular pathology concepts like hypoxic cell injury, apoptosis, fatty change, and wound healing processes.

Reversible cell injury is characterized by cellular swelling, reduced ATP synthesis and pH while irreversible changes like fatty change are permanent. Apoptosis involves chromatin condensation.

Macrophage infiltration, neovascularization and collagen deposition and remodeling are involved in wound healing. Strength returns to 25% of normal by the first week.

Pathology MCQs

1. In hypoxic cell injury, cell swelling occurs because of increased intracellular:

Answer A lipid

AnswerB protein

Answer C glycogen

AnswerD lipofuscin

Answer E water

2. Which of the following is a feature of apoptosis?

Answer A Karyolysis

AnswerB Cellular swelling

Answer C Involvement of a large number of cells

AnswerD Chromatin condensation

Answer E Associated inflammatory changes

3. Which of the following is NOT a feature of reversible cell injury?

Answer A Cellular swelling

AnswerB Reduction of ATP synthesis

Answer C Reduced cellular pH

Ans)verD Clumping of nuclear chromatin

Answer E Defects in cell membrane


4. Fatty change:

Answer A Is irreversible

AnswerB Does not impair cellular function

Answer C Is most commonly due to diabetes

AnswerD Is caused by alcohol by an increase in intracellular alpha


glycero phosphate

Answer E Only occurs in the liver

5. Metastatic calcification:

Answer A Is encountered in areas of necrosis.

AnswerB Commonly develops in aging or damaged heart valves.

Answer C Can occur with normal serum levels of calcium.

AnswerD Can be associated with metastatic malignancy.

Answer E Is commonly associated with hypoparathyroidism.

6. Regarding apoptosis, which of the following is FALS E?

Answer A It is the responsible for programmed destruction of cells during


embryogenesis.

AnswerB Occurs in pathologic atrophy in parenchymal organs after duct


destruction.

Answer C Cell death by cytotoxic T cells.

AnswerD Associated with inflammation

Answer E Chromatin condensation and fragmentation are features.


7. With regard to mechanisms of cellular adaptation, which of the following
statements is TRU E?

Answer A Hyperplasia refers to an increase in cell size.

AnswerB TNF always acts as an inhibitor of hyperplasia.

Answer C The myocardium adapts to increased workload by


hypertrophy and hyperplasia.

AnswerD Metaplasia is irreversible.

Answer E Barrett's metaplasia is squamous to columnar epithelium in the


distal oesophagus

8. With regard to acute inflammation which of the following is FALS E?

Answer A P avementing of leukocytes must occur.

Answer B The loss of protein from plasma reduces intravascular osmotic


pressure.

Answer C Transmigration of leukocytes occurs as a result of pseudopod


formation.

AnswerD P -selectin is found in Weibel-palade bodies.

AnswerE Leukocyte diapedesis occurs predominantly in the venules.

9. Which of the following statements about angiogenesis is FALS E?

Answer A PDGF selectively induces hyperplasia of lymphatic tissue

Answer B New vessels bud from pre-existing vessels.

Answer C There is proteolytic degradation of the parent vessel basement


membrane.

AnswerD New vessels are leaky due to incompletely formed


inter-endothelial junctions.

AnswerE VEGF receptors are largely restricted to endothelial cells.


10. In the mononuclear phagocyte system:

Answer A Aggregations of macrophages in the kidney are known as


Kupffer cells.

AnswerB The life span of tissue macrophages is about three days.

Answer C The half-life of blood monocytes is about one month.

Answer D Chemotactic stimuli for monocytes include C5a and certain


growth factors.

AnswerE Monocytes transform into smaller macrophages when they

reach extravascular tissue.

11. In primary wound healing:

Answer A Macrophage infiltration occurs at 24hrs

AnswerB Wound strength is 25% of normal at the end of first week

Answer C Type I collagen is replaced by type III collagen

Answer D Neovascularisation is maximal at day five

AnswerE All of the above


Answers Pathology

1. E

2. D

3. E

4. D

5. D

6. D

7. E

8. A

9. A

10. D

11. D

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