The test paper of pathology (120mins) 1 2 3 4 Total marks 1.Please give an explanation for each of following pathologic terms(20 points:2 points for each) (1)Piecemeal necrosis (2)Infarction (3)Inflammation mediators (4)Tuberculoma (5)Metaplasia (6)Organization (7)Atypia (8)Aschoff body
The test paper of pathology ( 120mins） 1 2 3 4 Total marks 1. Please give an explanation for each of following pathologic terms( 20 points: 2 points for each ) (1) Piecemeal necrosis (2) Infarction (3) Inflammation mediators . (4) Tuberculoma (5) Metaplasia (6) Organization (7) Atypia (8) Aschoff body
(9)Acute nephritic syndrome (10)Cervical intraepithelial neoplasia 2.True or false Say whether the following statements are true(T)or false(F).Please fill in the blanks as (T)or(F)(20 points:I points for each) (1)It is said that cell number increased is hypertrophy.( (2)Apoptosis occurred not only in pathological cases,but as in normal.( (3)The reason for primary granular contracted kidney is hypertension.( (4)Lobular pneumonia is characterized by foci of fibrinous inflammation.( (5)Tubercle is a typical granuloma.( (6)It was reported that abnormal immunity coulde cause diffuse toxic goiter.( (7)Papillary carcinomas are the most common form of thyroid cancer.They occur at any age but occur most often in the twenties to forties and account for the vast majority of thyroid carcinomas. (8)Local manifestation of inflammation are redness,swelling.heat.pain and disturbance of function.(） ()Pulmonary primary complex often occurs in children.( (10)Examination of the CSF by lumbar puncture is not essential in each case with epidemic meningitis(） (11)There are no villi in choriocarcinoma() (12)There is no correlation between HBV infection and hepatocellular carcinoma() (13)Schistosomiasis is transmitted by freshwater snail that live in the slow-moving water of tropical river,lake,and irrigation ditchs,wich ironically link agricultural development with spread of schistosomiasis ( (14)Epithelial tumors are named histogenetically according to their specific epithelial type and behaviorally as benign and malignant ()
(9) Acute nephritic syndrome (10) Cervical intraepithelial neoplasia 2. True or false Say whether the following statements are true ( T) or false ( F ) . Please fill in the blanks as ( T ) or ( F ) ( 20 points: 1 points for each ) (1) It is said that cell number increased is hypertrophy. ( ) (2)Apoptosis occurred not only in pathological cases, but also in normal. ( ) (3) The reason for primary granular contracted kidney is hypertension. ( ) (4) Lobular pneumonia is characterized by foci of fibrinous inflammation. ( ) (5)Tubercle is a typical granuloma. ( ) (6) It was reported that abnormal immunity coulde cause diffuse toxic goiter. ( ) (7)Papillary carcinomas are the most common form of thyroid cancer. They occur at any age but occur most often in the twenties to forties and account for the vast majority of thyroid carcinomas. ( ) (8) Local manifestation of inflammation are redness, swelling, heat, pain and disturbance of function. ( ) (9) Pulmonary primary complex often occurs in children. ( ) (10) Examination of the CSF by lumbar puncture is not essential in each case with epidemic meningitis ( ) (11) There are no villi in choriocarcinoma ( ) (12) There is no correlation between HBV infection and hepatocellular carcinoma ( ) (13) Schistosomiasis is transmitted by freshwater snail that live in the slow-moving water of tropical river, lake, and irrigation ditchs, wich ironically link agricultural development with spread of schistosomiasis ( ) (14) Epithelial tumors are named histogenetically according to their specific epithelial type and behaviorally as benign and malignant ( )
(15)Atherosclerosis primarily affectselastic arteries and large and medium-sized muscular arteries(）. (16)Anemic infarct of kidney is coagulative necrosis( (17)There is no correlation between HPV infection and neoplasia of the cervix() (18)Immunological damage accounts for most human glomerular disease.( (19)The main reason for chronic congestion of liver is chronic left side heart failure.(） (20)Malignant tumors obviously have more serious local effects because they invade and destroy local structures.(） 4.Questions:(30 points) (1)Describe the pathologic change and function of granulation tissue(250 words) (7 points) (2)What is the pseudomembrane?Which disease has it?(7 points)
(15) Atherosclerosis primarily affects elastic arteries and large and medium-sized muscular arteries( ). (16) Anemic infarct of kidney is coagulative necrosis( ) (17) There is no correlation between HPV infection and neoplasia of the cervix ( ) (18) Immunological damage accounts for most human glomerular disease. ( ) (19) The main reason for chronic congestion of liver is chronic left side heart failure.( ) (20) Malignant tumors obviously have more serious local effects because they invade and destroy local structures.( ) 4. Questions: ( 30 points ) (1) Describe the pathologic change and function of granulation tissue (<250 words) ( 7 points ) (2) What is the pseudomembrane? Which disease has it? (7 points)
(3)what is granuloma?Compare and contrast two etiologies for granuloma formation.Discuss their microscopic pathologic findings.(200 words)(7 points) (4)Describe the pathologic change and manifestation of potal cirrhosis of liver(9 points) Directions:Each item below contains a question or incomplete statement followed by suggested responses.Select the one best response to each question (1)While in the clinic,the nurse measures the blood pressure of a 61 year old following pathologic findings is most likely to be present:
(3) what is granuloma? Compare and contrast two etiologies for granuloma formation. Discuss their microscopic pathologic findings. (<200 words) （7 points） (4)Describe the pathologic change and manifestation of potal cirrhosis of liver(9 points) 4. Mutiple choice (30 points: 1 point for each) (NO.1-27: Directions: Each item below contains a question or incomplete statement followed by suggested responses. Select the one best response to each question ) (1) While in the clinic, the nurse measures the blood pressure of a 61 year old man, and finds that it is 183/100 mmHg sitting and 190/105 standing. He has a heart rate of 81/minute, with an irregularly irregular rhythm. Which of the following pathologic findings is most likely to be present:
A.Left ventricular hypertrophy B.Left atrial myxoma Occlusive coronary atherosclerosis D.Cor pulmonale E.Mitral regurgitation (2)A 32-year-old pregnant female was found to be large for dates on physical examination and had no fetal heart tones audible at 18 weeks.an ultrasound was performe and revealed us was present,only many echogenic cystic areas wi the uterus.You sh ould most strongly suspect A.Ectopic pregnancy B partial hydatidiform mole C.Endometrial carcinoma D.Mature cystic te m Complete hydatidiform mole (3)Which of the following cellular changes represents the best evidence for irreversible cellular injury A.Epithelial dysplasia B.Cytoplasmic fatty metamorphosis ar pyknosis D Atrophy E.Anaerobic glycolysis (4)Which is NOT a feature of apoptotic cell death? A.cutting of the DNA at regular intervals B.cross-linkingo proteins in the cytoplasm C.destruction of the cytoskeleton D.liquefaction of the apoptotic remnant E.pyknosis of the nucleus as in other forms of necrosis A chest ra nh ogra reveals s a2 cm ight mid-lu ng subpeural nodule along with mediastinal lymphadenopathy in a 17 year old female who recently developed a cough with fever.select the most likely pathologic finding: A empvema B Brone iectasis C.Primary tuberculosi D.Secondary tuberculosis E.Panacinar emphysema
A. Left ventricular hypertrophy B. Left atrial myxoma C. Occlusive coronary atherosclerosis D. Cor pulmonale E. Mitral regurgitation (2) A 32-year-old pregnant female was found to be large for dates on physical examination and had no fetal heart tones audible at 18 weeks. An ultrasound was performed and revealed that no fetus was present, only many echogenic cystic areas within the uterus. You should most strongly suspect: A. Ectopic pregnancy B. Partial hydatidiform mole C. Endometrial carcinoma D. Mature cystic teratoma E. Complete hydatidiform mole (3) Which of the following cellular changes represents the best evidence for irreversible cellular injury: A. Epithelial dysplasia B. Cytoplasmic fatty metamorphosis C. Nuclear pyknosis D. Atrophy E. Anaerobic glycolysis (4) Which is NOT a feature of apoptotic cell death? A. cutting of the DNA at regular intervals B. cross-linking of proteins in the cytoplasm C. destruction of the cytoskeleton D. liquefaction of the apoptotic remnant E. pyknosis of the nucleus as in other forms of necrosis (5) A chest radiograph reveals a 2 cm right mid-lung subpeural nodule along with mediastinal lymphadenopathy in a 17 year old female who recently developed a cough with fever. select the most likely pathologic finding: A.Empyema B.Bronchiectasis C.Primary tuberculosis D.Secondary tuberculosis E.Panacinar emphysema