Path MCQ 2006-2008 Recalls

age 1
atho|ogy MC Lxam keca||s.

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aLhology MCC Lxam 8ecalls. .................................................................................................................................................................. 1
CPLS1/CvS................................................................................................................................................................................................ 3
hll1ran - aLh 8ecalls Aprll 2008 vlC.doc ........................................................................................................................................... 3
ChesL ............................................................................................................................................................................................... 3
A1P MCC Aprll 2008 recalls - alfred revlslon.doc.............................................................................................................................. 3
CPLS1/CvS ...................................................................................................................................................................................... 3
March 2007 aLhology 8ecalls.doc...................................................................................................................................................... 6
CPLS1/CvS ...................................................................................................................................................................................... 6
aLh MCC Aug o6 - prlnL.doc............................................................................................................................................................... 7
CPLS1/CvS ...................................................................................................................................................................................... 7
CPLS1 - by ?.................................................................................................................................................................................. 9
CvS - by ? ................................................................................................................................................................................... 11
A1P MCC AugusL 2007c LS.doc ....................................................................................................................................................... 11
CPLS1/CvS .................................................................................................................................................................................... 11
CPLS1 Anu CA8ulCvASCuLA8 S?S1LM - !C ................................................................................................................................. 12
aLhology 8ecalls Mar07.doc............................................................................................................................................................. 13
CPLS1/CvS .................................................................................................................................................................................... 13
aLhologyLxam good 2006.doc ......................................................................................................................................................... 13
CPLS1/CvS .................................................................................................................................................................................... 13
CPLS1 lncludlng CA8ulAC - by ?................................................................................................................................................. 13
aLhology MCC Aprll 2008 - erLhvW.doc ........................................................................................................................................ 18
CPLS1/CvS .................................................................................................................................................................................... 18
2004 Aprll aLhology - erLhvW.doc ................................................................................................................................................. 19
CPLS1/ CvS - by !C........................................................................................................................................................................ 21
2004 aLhology - erLhvW.doc.......................................................................................................................................................... 24
CPLS1/CvS .................................................................................................................................................................................... 24
2004 aLhology MCC - erLhvW.doc................................................................................................................................................. 24
CPLS1/CvS .................................................................................................................................................................................... 24
CPLS1 Anu CvS - by CC................................................................................................................................................................ 23
CPLS1/CvS .................................................................................................................................................................................... 27
CPLS1/CvS - by uC....................................................................................................................................................................... 31
2003 SepL aLhology - erLhvW.doc.................................................................................................................................................. 33
CPLS1/CvS .................................................................................................................................................................................... 34
ChesL/CvS - by uC........................................................................................................................................................................ 36
neuro / Pead & neck ............................................................................................................................................................................. 39
hll1ran - aLh 8ecalls Aprll 2008 vlC.doc ......................................................................................................................................... 39
neuro ............................................................................................................................................................................................ 39
P&n............................................................................................................................................................................................... 41
A1P MCC Aprll 2008 recalls - alfred revlslon.doc............................................................................................................................ 41
n/Pn............................................................................................................................................................................................. 41
March 2007 aLhology 8ecalls.doc.................................................................................................................................................... 43
n/Pn............................................................................................................................................................................................. 43
PLAu Anu nLCk ........................................................................................................................................................................... 43
nLu8C .......................................................................................................................................................................................... 43
aLh MCC Aug o6 - prlnL.doc............................................................................................................................................................. 44
n/Pn............................................................................................................................................................................................. 44
n/Pn............................................................................................................................................................................................. 43
PLAu Anu nLCk - !C .................................................................................................................................................................... 46
nLu8C - !C ................................................................................................................................................................................... 46
n/Pn............................................................................................................................................................................................. 47
CnS - by ? ................................................................................................................................................................................... 48
n/Pn............................................................................................................................................................................................. 49
age 2
nLu8C .......................................................................................................................................................................................... 49
PLAu & nLCk................................................................................................................................................................................ 30
PLAu Anu nLCk ........................................................................................................................................................................... 30
nLu8C .......................................................................................................................................................................................... 31
2004 aLhology - erLhvW.doc and 2004 aLhology MCC - erLhvW.doc ....................................................................................... 32
PLAu & nLCk................................................................................................................................................................................ 32
nLu8C .......................................................................................................................................................................................... 32
Pead/neck .................................................................................................................................................................................... 33
CnS/neurology.............................................................................................................................................................................. 33
CnS................................................................................................................................................................................................ 34
Pead & nLCk................................................................................................................................................................................. 36
Abdomen................................................................................................................................................................................................ 36
PepaLoblllary................................................................................................................................................................................. 36
Cl ................................................................................................................................................................................................... 37
Cu ................................................................................................................................................................................................. 38
A8uCMLn ClCu ........................................................................................................................................................................... 60
CAS18Cln1LS1lnAL 18AC1........................................................................................................................................................... 63
CLnl1Cu8lnA8? ........................................................................................................................................................................... 63
Cl1 and Cu.................................................................................................................................................................................... 63
CAS18Cln1LS1lnAL 18AC1........................................................................................................................................................... 66
CLnl1Cu8lnA8? ........................................................................................................................................................................... 67
Cl and Cu...................................................................................................................................................................................... 68
A8uC............................................................................................................................................................................................. 71
CAS18Cln1LS1lnAL 18AC1........................................................................................................................................................... 73
CLnl1Cu8lnA8? 18AC1................................................................................................................................................................ 76
u8CCLnl1AL ................................................................................................................................................................................. 77
Cl ................................................................................................................................................................................................... 78
A8uCMLn..................................................................................................................................................................................... 79
CenlLourlnary................................................................................................................................................................................ 80
CenlLourlnary................................................................................................................................................................................ 82
Abdomen/Cl1................................................................................................................................................................................ 83
MSk......................................................................................................................................................................................................... 83
MSk............................................................................................................................................................................................... 83
MSk............................................................................................................................................................................................... 86
MSk............................................................................................................................................................................................... 87
MSk............................................................................................................................................................................................... 87
MSk............................................................................................................................................................................................... 88
MSk............................................................................................................................................................................................... 89
MSk............................................................................................................................................................................................... 89
MSk............................................................................................................................................................................................... 90
age 3
MSk............................................................................................................................................................................................... 91
MSk............................................................................................................................................................................................... 91
MSk............................................................................................................................................................................................... 92
Cbs and Cynae ....................................................................................................................................................................................... 93
C&C .............................................................................................................................................................................................. 93
C8C?n........................................................................................................................................................................................... 93
C&C .............................................................................................................................................................................................. 94
C&C .............................................................................................................................................................................................. 94
C&C .............................................................................................................................................................................................. 94
C&C .............................................................................................................................................................................................. 94
C&C .............................................................................................................................................................................................. 93
C&C .............................................................................................................................................................................................. 93
C8 & C?n...................................................................................................................................................................................... 93
C & C............................................................................................................................................................................................. 96
C&C .............................................................................................................................................................................................. 96
Paem, Some Ceneral.............................................................................................................................................................................. 97
Paem ...................................................................................................................................................................................................... 97
PALM and oLher lefLovers ............................................................................................................................................................ 98
aeds ...................................................................................................................................................................................................... 98
ALuS............................................................................................................................................................................................ 98
ALuS............................................................................................................................................................................................ 98
ALuS............................................................................................................................................................................................ 99
ALuS............................................................................................................................................................................................ 99
2004 Aprll aLhology - erLhvW.doc ............................................................................................................................................... 100
ALuS.......................................................................................................................................................................................... 100
2004 aLhology MCC - erLhvW.doc............................................................................................................................................... 100
ALu............................................................................................................................................................................................ 100
ALuS.......................................................................................................................................................................................... 100
2003 SepL aLhology - erLhvW.doc................................................................................................................................................ 100
ALuS.......................................................................................................................................................................................... 100
8reasL and Mlsc .................................................................................................................................................................................... 101
hll1ran - aLh 8ecalls Aprll 2008 vlC.doc ....................................................................................................................................... 101
8reasL .......................................................................................................................................................................................... 101
Lndo ............................................................................................................................................................................................ 101
Ceneral........................................................................................................................................................................................ 102
8l1S Anu lLCLS ......................................................................................................................................................................... 102
A1P MCC Aprll 2008 recalls - alfred revlslon.doc.......................................................................................................................... 102
88LAS1........................................................................................................................................................................................ 102
March 2007 aLhology 8ecalls.doc.................................................................................................................................................. 103
MlSC............................................................................................................................................................................................ 103
aLh MCC Aug o6 - prlnL.doc........................................................................................................................................................... 103
LnuC........................................................................................................................................................................................... 103
88LAS1........................................................................................................................................................................................ 103
age 4
MlSCLLLAnLCuS......................................................................................................................................................................... 103
A1P MCC AugusL 2007c LS.doc ..................................................................................................................................................... 104
88LAS1........................................................................................................................................................................................ 104
MlSC............................................................................................................................................................................................ 104
8epeaLs ....................................................................................................................................................................................... 104
aLhologyLxam good 2006.doc ....................................................................................................................................................... 103
LnuC........................................................................................................................................................................................... 103
88LAS1........................................................................................................................................................................................ 103
MlSC............................................................................................................................................................................................ 103
aLhology 8ecalls Mar07.doc........................................................................................................................................................... 103
aLhology MCC Aprll 2008 - erLhvW.doc ...................................................................................................................................... 103
88LAS1........................................................................................................................................................................................ 103
MlSC............................................................................................................................................................................................ 106
2004 aLhology - erLhvW.doc........................................................................................................................................................ 106
unSLClllLu............................................................................................................................................................................... 106
2004 Aprll aLhology MCC - erLhvW.doc ...................................................................................................................................... 107
88LAS1........................................................................................................................................................................................ 107
MlSC............................................................................................................................................................................................ 107
88LAS1........................................................................................................................................................................................ 107
MlSC............................................................................................................................................................................................ 108
nuC MLu .................................................................................................................................................................................... 109
2003 SepL aLhology - erLhvW.doc................................................................................................................................................ 109
88LAS1........................................................................................................................................................................................ 109
MlSC............................................................................................................................................................................................ 109
age 3
CnLS1]CVS

45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9

Chest
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. Crohns

4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9

CnLS1]CVS

1. cirrhosis with cardiac history, which is least likely
a. mitral stenosis
b. constrictive pericarditis
c. ASD
age 6
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 Wegeners is false?
a. Sinonasal wegeners 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

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

CnLS1]CVS

Aortitis ?syphillis which is supportive
a. intimal irregularity on angio
b. plasma cells surrounding vasa vasorum
c. foamy macrophages and smooth muscle cells infiltrate

Takayasus 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

age 7
4$%5 1!O J,< "R I .*-3%7'"9

CnLS1]CVS

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. Wegners 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:
age 8
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
age 9
d. Bronchoalveolar cell carcinoma
e. Atypical carcinoid

23. Wegners 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
CnLS1 - by
24. Lmphysema ls deflned as:
a. uesLrucLlon of Lhe alrspace dlsLal Lo Lhe Lermlnal bronchloles wlLh desLrucLlon of Lhelr walls
b. uesLrucLlon of alrspaces proxlmal Lo dlsLal bronchloles wlLh no desLrucLlon of walls
c. ullaLed bronchloles
d. Subpleural flbrosls

23. MosL characLerlsLlc of 18:
a. Caseous necrosls
b. Acld fasL bacllll
c. llbrlnold necrosls

26. MosL dlagnosLlc of asbesLosls:
a. AsbesLosls bodles
b. lnLersLlLlal flbrosls

27. Wegner's granulomaLosls, whaL ls false

28. Ca Lung - mosL correcL:
a. Small cell cancer has a beLLer prognosls Lhan SCC
b. SCC ls mosL common
c. Large cell = scar carclnoma

29. Small cell carcrlnoma:
a. Also known as oaL cell carclnoma
30. Cranulomas - lncorrecL:
a. Plv
b. Sarcold
c. 18
d. 8errylosls

31. Secondary 18 can occur ln all of Lhese seLLlngs excepL:
a. 8eacLlvaLlon
b. 8e lnfecLlon
c. Chon complex
d. lmmune suppresslon
e. Slllcosls
32. lmmune reacLlon Lo 18 ls an example of:
a. AnLlbody medlaLed lmmunlLy
b. uelayed hypersenslLlvlLy reacLlon
c. lmmune complex medlaLed
d. lmmunosuppresslon

33. CommonesL source of lung meLs:
a. ColorecLal
b. 8enal
c. 8reasL
d. CasLrlc
e. Pead and neck

34. 1he dlfferenLlal dlagnosls of mallgnanL mesoLhelloma lncludes all of Lhe followlng excepL:
a. SollLary flbrous Lumour
b. MeLasLaLlc adenocarclnoma
age 10
c. leural flbrosls
d. leural plaques
e. PaemangloblasLoma
f.
33. 8egardlng pulmonary emboll and lnfarcLs, whlch ls mosL correcL:
a. Ma[orlLy resulL ln lnfarcLs because lL ls an end arLery
b. 73 ln Lhe lower lobes
c. ulmonary haemorrhage suggesLs lnfarcLlon
d. >30 of lnfarcLs are sollLary

36. Whlch of Lhe followlng ls leasL llkely assoclaLed wlLh mesoLhelloma:
a. Lxposure Lo chrysoLlle
b. Lxposure Lo amphlbole flbres
c. ulmonary flbrosls
d. LaLency beLween exposure and Lumour

37. Alpha 1 anLlLryspln deflclency, whlch ls lncorrecL:
a. AuLosomal recesslve
b. von Meyenberg complexes
c. Lnd sLage geL clrrhosls + cholesLasls

38. All of Lhe followlng are pneumoconlosls excepL:
a. Slllcosls
b. AsbesLosls
c. Peavy meLal lung
d. 8erylosls
e. 8lrd fanclers lung

39. Wegner's granulomaLosls ls characLerlzed by all of Lhe followlng excepL:
a. AnA +ve
b. AnCA +ve
c. Cenerallsed vasullLls
d. CranulomaLosls of Lhe upper and lower resplraLory LracLs

40. Whlch of Lhe followlng ls leasL correcL wlLh respecLs Lo faLLy plaques:
a. ? of klds have Lhem
b. ?SlLe

41. 8egardlng cardlomyopaLhles, whlch ls mosL correcL:
a. AuLosomal recesslve cases are seen ln >30 of hyperLrophlc CM
b. PearL always lncreased ln welghL ln dllaLed CM
c. ALrla never lnvolved ln hyperLrophlc CM
d. Lndomyocardlal flbrosls ls malnly a dlsease of chlldren and young adulLs ln SouLh Amerlca

42. 8egardlng lnfecLlve endocardlLls, whlch of Lhe followlng ls Lhe leasL correcL:
a. 8lghL slded hearL valves ln 30 of narcoLlc relaLed cases
b. ulffuse glomerulonephrlLls ln 30 of unLreaLed cases
c. oslLlve blood culLures ln 83-90 of cases
d. SLrep pneumonla ls Lhe leadlng cause of acuLe endocardlLls
e. WlLh mechanlcal prosLheses lnfecLlons are usually locaLed on Lhe margln of Lhe sewlng rlng
43. 8egardlng aorLlc dlssecLlon, whlch ls mosL correcL:
a. 3-10 do noL have an obvlous lnLlmal Lear
b. PyperLenslon ls an anLecedenL ln 30 of cases
c. Paemorrhage Lyplcally occurs beLween Lhe lnner and mlddle Lhlrds of Lhe medla
d. LlasLlc fragmenLaLlon of Lhe medla ls rare aL auLopsy ln paLlenLs free of dlssecLlon

44. 8egardlng aorLlc coarcLaLlon, whlch of Lhe followlng ls nC1 a well recognlzed assoclaLlon:
a. uA
b. vSu
c. 8erry aneurysm
d. 8lcuspld valve
e. uural AvM
age 11

43. 8egardlng acuLe rheumaLlc fever, whlch of Lhe followlng ls leasL correcL:
a. lL follows pharyngeal lnfecLlon wlLh Croup A sLrep
b. Seroflbrlnous perlcardlLls ls common
c. AcuLe arLhrlLls Lyplcally affecLs large [olnLs llke Lhe knees
d. Aschoff bodles are an uncommon hlsLologlcal feaLures of subcuLaneous nodules

46. Whlch of Lhe followlng does noL show neuroendocrlne dlfferenLlaLlon:
a. Small cell Lumour
b. 1yplcal carclnold
c. 1umourleLs
d. 8ronchoalveolar cell carclnoma
e. ALyplcal carclnold

47. Lobar pneumonla, leasL llkely paLhogen:
a. SLrep pneumonla
b. klebslella
c. SLaph
d. C

CVS - by
1. 8egardlng polyarLerlLls nodosa, whlch ls Lhe leasL correcL:
a. 1he kldneys are mosL commonly lnvolved aL auLopsy
b. Aneursyms are seen aL anglography ln 30
c. 70 are seroposlLlve for PepaLlLls 8 surface anLlgen
d. Churg SLrauss syndrome frequenLly lnvolves pulmonary and splenlc vessels
e. Serum anLlneuLrophll anLlbody LlLres correlaLe wlLh dlsease acLlvlLy
4J@N 1!O J,<,/% BCCQ9 ST7'"9

CnLS1]CVS

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
age 12

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
CnLS1 AND CAkDICVASCULAk SS1LM - IC
9. normal ouLflow LracL and normal ALrlal venous connecLlons
1rlcuspld aLresla
uA
aLenL ducLus venosus
1eLrallogy
And ??

18. Lung masses and llver mass ln elderly adulL male????
llkely unllkely Lo be a cancer lf.

22. lolllcular nPL (lALSL)
30-30 1l Lo worse
60 yo ls Lyplcal age

23. Whlch ls Lrue
CasLlemans dlsease ls a lypmphoprollferaLlve of unknown eLlology
CLher opLlons cannoL recall

27. Podgklns supporLed by:
male
conLlguous Ln spread
age over 60

28: Pu
1he 8S cell ls probably an abnormal 8 cell
Myeloflbrosls or someLhlng
?amylold

37: 18 (1)
Can have lsolaLed organ lnvolvemenL wlLhouL obvlous chesL dlsease

46. 3cm Lung mass ln Plv poslLlve paLlenL (1)
kaposls - .
lf acqulred Plv vla Lransfuslon kaposls ls much less llkely
lf on PA881 kaposls much less llkely
CLhers canL recall
A1?lCAL MycobacLerla happens wlLh a very low Cu4 counL

age 13
47. A paLlenL has a hlsLory of aorLlc dlssecLlon and ??syphlllls?? and lrregular aorLa
lf Lhere ls renal arLery sLenosls, dlssecLlon more llkely
lf paLlenL ls under 40 yo and ?? Lhere are granulomas ln medla Lakaysu more llkely
lf xxx Lhen ClanL cell arLerlLls more llkely

49. Alfa one Lmphysema 1
AmounLs Lo Lhe proLease - anLlproLease - neLrophll - elasLase paLhway

xx. 8egardlng communlLy acqurlred pneumonla
lf lL ls aLyplcal, mosL llkely ln an elderly or ?malnourlshed person
mosL llkely cause = SLrep pneu

xx. 8egardlng perlpheral lung neoplasm (whlch ls 1)
lf bronchl pass Lhrough Lhe mass wlLh no lnLerrupLlon bronchoalveolar (or [usL adeno?) ls more llkely
lf well clrcumscrlbed ?3cm mass unllkely Lo be 8AL
Wlll be SCC

C. Lung abscess are caused by sLaph, klebslella and pneumococcus

C. Lndocrlne cells noL found ln:
bronchoalveolar ca

C. feaLures of secondary 18 does noL lnclude
gohn
4$%5"#"<; H&9$##/ 1$*CQ7'"9

CnLS1]CVS

Aortitis ?syphillis which is supportive
d. intimal irregularity on angio
e. plasma cells surrounding vasa vasorum
f. foamy macrophages and smooth muscle cells infiltrate

Takayasus 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

CnLS1]CVS

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
age 14
c. Fibrinoid necrosis

50. Most diagnostic of asbestosis:
a. Asbestosis bodies
b. Interstitial fibrosis

51. Wegners granulomatosis, what is false:

52. Ca Lung most correct:
a. Small cell cancer has a better prognosis than SCC
b. SCC is most common

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:

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:
age 13
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. Wegners 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
CnLS1 |nc|ud|ng CAkDIAC - by

age 16
72. Lmphysema ls deflned as:
a. uesLrucLlon of Lhe alrspace dlsLal Lo Lhe Lermlnal bronchloles wlLh desLrucLlon of Lhelr walls
b. uesLrucLlon of alrspaces proxlmal Lo dlsLal bronchloles wlLh no desLrucLlon of walls
c. ullaLed bronchloles
d. Subpleural flbrosls

73. MosL characLerlsLlc of 18:
a. Caseous necrosls
c. llbrlnold necrosls

74. MosL dlagnosLlc of asbesLosls:
a. AsbesLosls bodles

73. Wegner's granulomaLosls, whaL ls false:

76. Ca Lung - mosL correcL:
a. Small cell cancer has a beLLer prognosls Lhan SCC
b. SCC ls mosL common
c. Large cell = scar carclnoma

1. Whlch of Lhe followlng ls leasL correcL wlLh respecLs Lo faLLy plaques:
a. ? of klds have Lhem
b. ?SlLe
2. 8egardlng cardlomyopaLhles, whlch ls mosL correcL:
a. AuLosomal recesslve cases are seen ln >30 of hyperLrophlc CM
b. neart a|ways |ncreased |n we|ght |n d||ated CM?
c. ALrla never lnvolved ln hyperLrophlc CM
d. Lndomyocardlal flbrosls ls malnly a dlsease of chlldren and young adulLs ln SouLh Amerlca

3. Lobar pneumonla, leasL llkely paLhogen:
a. SLrep pneumonla
b. klebslella
c. SLaph
d. C

4. Small cell carcrlnoma:
a. Also known as oaL cell carclnoma

3. Cranulomas - lncorrecL:
a. Plv
b. Sarcold
c. 18
d. 8errylosls

6. Secondary 18 can occur ln all of Lhese seLLlngs excepL:
a. 8eacLlvaLlon
b. 8e lnfecLlon
c. Chon complex
e. Slllcosls

7. lmmune reacLlon Lo 18 ls an example of:

8. CommonesL source of lung meLs:
a. ColorecLal
age 17
b. 8enal
c. 8reasL
d. CasLrlc
e. Pead and neck
9. 1he dlfferenLlal dlagnosls of mallgnanL mesoLhelloma lncludes all of Lhe followlng excepL:
a. SollLary flbrous Lumour
b. MeLasLaLlc adenocarclnoma
c. leural flbrosls
d. leural plaques
e. PaemangloblasLoma

10. 8egardlng lnfecLlve endocardlLls, whlch of Lhe followlng ls Lhe leasL correcL:
a. 8lghL slded hearL valves ln 30 of narcoLlc relaLed cases
b. ulffuse glomerulonephrlLls ln 30 of unLreaLed cases
c. oslLlve blood culLures ln 83-90 of cases
d. Strep pneumon|a |s the |ead|ng cause of acute endocard|t|s
e. WlLh mechanlcal prosLheses lnfecLlons are usually locaLed on Lhe margln of Lhe sewlng rlng

11. 8egardlng pulmonary emboll and lnfarcLs, whlch ls mosL correcL:
a. Ma[orlLy resulL ln lnfarcLs because lL ls an end arLery
b. 73 ln Lhe lower lobes
c. ulmonary haemorrhage suggesLs lnfarcLlon
d. >30 of lnfarcLs are sollLary

12. 8egardlng aorLlc dlssecLlon, whlch ls mosL correcL:
a. 3-10 do noL have an obvlous lnLlmal Lear 1
b. PyperLenslon ls an anLecedenL ln 30 of cases (90)
c. Paemorrhage Lyplcally occurs beLween Lhe lnner and mlddle Lhlrds of Lhe medla Inner 2]3 and outer 1]3 of med|a
I
d. LlasLlc fragmenLaLlon of Lhe medla ls rare aL auLopsy ln paLlenLs free of dlssecLlon l

13. Whlch of Lhe followlng ls leasL llkely assoclaLed wlLh mesoLhelloma:
a. Lxposure to chrysot||e (a serpent|ne form)
b. Lxposure Lo amphlbole flbres
c. ulmonary flbrosls
d. LaLency beLween exposure and Lumour

14. 8egardlng aorLlc coarcLaLlon, whlch of Lhe followlng ls nC1 a well recognlzed assoclaLlon:
a. uA
b. vSu
c. 8erry aneurysm
d. 8lcuspld valve
e. Dura| AVM?

13. All of Lhe followlng are pneumoconlosls excepL:
a. Slllcosls
b. AsbesLosls
c. Peavy meLal lung
d. 8erylosls
e. 8lrd fanclers lung

16. 8egardlng acuLe rheumaLlc fever, whlch of Lhe followlng ls leasL correcL:
a. lL follows pharyngeal lnfecLlon wlLh Croup A sLrep
b. Seroflbrlnous perlcardlLls ls common
c. AcuLe arLhrlLls Lyplcally affecLs large [olnLs llke Lhe knees
d. Aschoff bodles are an uncommon hlsLologlcal feaLures of subcuLaneous nodules

17. Whlch of Lhe followlng does noL show neuroendocrlne dlfferenLlaLlon:
b. 1yplcal carclnold
c. 1umourleLs
d. 8ronchoa|veo|ar ce|| carc|noma
e. ALyplcal carclnold
age 18

18. Wegner's granulomaLosls ls characLerlzed by all of Lhe followlng excepL:
a. AnA +ve
b. AnCA +ve
c. Cenerallsed vasullLls
d. CranulomaLosls of Lhe upper and lower resplraLory LracLs

19. Alpha 1 anLlLryspln deflclency, whlch ls lncorrecL:

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

CnLS1]CVS
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? Im
pretty sure it said peripheral ,thats 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. Castlemans Disease is a benign proliferative LN disorder
b. Gorlins syndrome is characterized by multiple ??cystic neoplasms?? Of the mandible and maxilla (cant quite remember
wording)
c.
d.
e.

age 19
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.
Wegeners 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. Wageners - 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
age 20
a. Associated with Marfans
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
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

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
age 21
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. Wegeners 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

CnLS1] CVS - by IC

1. Empyema correct
a. ullaLaLlon of alrway dlsLal Lo Lermlnal bronchloles + dlsLenslon of alrspaces
b. -
c. -

2. Granulomas incorrect
a. Plv
b. Sarcold
c. 18
d. 8erylllosls

3. Pneumoconioses incorrect
a. Slllcosls
b. 8erylllosls
c. 8lrd fanclers lung
d. -

4. Atherosclerosis incorrect
a. >43 yo P1 more lmporLanL cf. llpld
b. sysLollc 8 more lmporLanL cf. > dlasLollc
c. -

5. Fatty streaks incorrect
a. -
b. ? of klds LhaL have Lhem
c. ?slLe
d. geographlc locaLlons and populaLlons
age 22
!" #$% '!(( )*% +!),- ./ 012 #$3! #45 6*47 7!$$

6. Asbestosis correct
a. AsbesLos bodles
b. -
8" 8+),)8-!,9(-98 +9(-4$4/: ;!)-3,!( <=>? 4*

7. Cardiomyopathy correct
a. ullaLed always lncreased welghL
b. 30 A 8ecesslve ln PCCM
c. endomyocardlal flbrosls - chlldren + young adulLs ln SLh Amerlca
d. ALrla never lnvolved ln PCCM

8. Ao dissection
a. AssoclaLed wlLh Marfan's
b. SLanford
c. 8lcuspld valve
d. lnLlmal flap vlslble ln 90

9. Ca lung most correct
a. Small cell beLLer prognosls Lhan squamous
b. Sq commonesL
c. Large cell = scar carclnoma"
d. -
10. Endocrine cells found in incorrect
a. Small cell Ca
b. Carclnold
c. 8ronchoalveolar

11. Lobar pneumonia most important pathogen
a. SLrep pneumonla

12. AMI
a. 1-3 rlghL venLrlcle only
b. LAu slgnlflcanL sLenosls ln 40-30
c. uay 2-3 rupLure of venLrlcle wall occurs
d. noL compllcaLed by perlcardlal effuslons

13. Most characteristic of TB
a. Caseous necrosls
c. -

14. Lung mets commonest cause
a. ColorecLal
b. 8enal
c. 8reasL
d. CasLrlc

15. follicular lymphoma incorrect
a. 13-40 yo
b. may converL Lo dlffuse form
c. low grade on old worklng classlflcaLlon
d. commonly arlses ln guL

16. TB

17. Which lung Ca is known as oat cell?
age 23
a. Small cell
b. -

18. Regarding follicular NHL which is least true
a. AffecLs younger pLs 13-40yo
b. ls lndolenL buL lncurable
c. ls characLerlsed by cells ln sLroma LhaL can change Lo dlffuse appearance

19. Regarding lymphoma
a. LymphocyLe depleLed ls mosL common
b. 8S cell ls derlved from 8 cell
c. Pu and nPu can coexlsL
d. lnA cannoL ux Pu as lL sl Lhe archlLecLure of lymph node LhaL makes Lhe ux

20. the feature most Dx of TB
a. caseous necrosls
b. acld fasL bacllll
c. flbrlnold necrosls

21. feature not in keeping with secondary TB is
a. reacLlvaLlon
b. relnfecLlon
c. Chon complex

22. Histology of asbestos fibres

23. Most common lung met
a. Cl1
b. Pead and neck
c. 8enal
d. 8reasL
24. Most common organism in pneumonia
a. SLrep pneumonla
b. SLaph aureus
c. klebslella

25. Which is the most common important pathogen for lobar pneumonia
a. klebslella
b. SLaph
c. SLrep
d. C

26. Rheumatic fever serofibrous pericarditis
27. What is most Dxc of asbestosis
a. AsbesLos bodles

28. Follicular non Hodgkins which is false
a. Low grade good survlval poor chemo response
b. 1ransforms lnLo dlffuse form
c. Clder age group 30-60 yo

29. Most common primary site of lung mets is
a. 1hyrold
age 24
b. Colon
c. Pead and neck
d. 8enal
e. 8reasL

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

CnLS1]CVS

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

CnLS1]CVS

71. Wegeners 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:
age 23
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

CnLS1 AND CVS - by CG

8. Whlch of Lhe followlng sLaLemenLs wlLh regards Lo faLLy plaques ls LLAS1 CC88LC1?
a. Moreover, Lhey frequenLly affecL lndlvlduals ln geographlc locales and populaLlons ln whlch aLheroscleroLlc plaque
ls uncommon.
9. Whlch of Lhe followlng lS nC1 a correcL regardlng polyarLerlLls nodosa?
a. lnvolvemenL of Lhe pulmonary and splenlc clrculaLlon ln Chrug-SLrauss ulsease
10. Whlch of Lhe followlng would be an unLxLC1Lu flndlng followlng coronary angloplasLy?
a. Lumlnal expanslon
age 26
b. laque rupLure
c. 1hlckened lnLacL lnLlma
d. Medlal dlssecLlon
e. rollferaLlve resLenosls ln 30-30 of paLlenLs aL 6 monLhs
11. Whlch of Lhe followlng condlLlons lS 18uL wlLh regards Lo hyperLenslon?
a. 3-10 of dlssecLlons have no obvlous lnLlmal Lear - Lhls was Lhe Lrue answer
12. AMl, delevops chesL paln, 3 days laLer LLAS1 LlkLL? cause ls ?

71. Wegener's granulomaLosls ls characLerlsed by all of Lhe followlng LxCL1:
g. CranulomaLosls of Lhe upper and lower resplraLory LracL
h. Cenerallsed vascullLls
l. ClomerulonephrlLls
[. oslLlve AMA
k. oslLlve AnCA

72. Concernlng rlsk facLors for aLherosclerosls, whlch of Lhe followlng ls LLAS1 CC88LC1:
a. MosL sLlklng assoclaLlon ls wlLh elevaLed serum levels of LuL
b. AfLer 43, hyperLenslon ls a greaLer rlsk facLor Lhan hypercholesLerolaemla
c. Smoklng lncreases lncldence of sudden deaLh among vlcLlms of hearL aLLacks
d. 1here ls a Lwo fold lncrease ln Lhe lncldence of Ml ln dlabeLlcs vs non-dlabeLlcs
e. SysLollc hyperLenslon ls more lmporLanL Lhan dlasLollc hyperLenslon

73.8egardlng faLLy sLreaks, whlch of Lhe followlng ls LLAS1 CC88LC1:
a.LxLracellular llpld ls presenL ln smaller amounLs Lhan ln aLheromaLous plaques
b. SLreaks decrease ln number as aLheromaLous plaques begln Lo predomlnaLe
c. 10 of Lhe aorLlc lnLlmal surface ls lnvolved by Lhe Lhlrd decade of llfe
d. uevelopmenL ls lndependenL of raclal orlgln and geography
l. ulsLrlbuLlon of plaques dlffers from Lhe dlsLrlbuLlon of faLLy sLreaks.

74. 8egardlng polyarLerlLls nodosa. Whlch of Lhe followlng ls LLAS1 CC88LC1:
a.1he kldneys are mosL commonly lnvolved ln auLopsy
b. Aneurysms are seen aL anglography ln 30
c. 70 are seroposlLlve for PepaLlLls 8 surface anLlgen
d. Churg SLrauss syndrome frequenLly lnvolves pulmonary and splenlc vessels
e. Serum anLl-neuLrophll anLlbody LlLres correlaLe wlLh dlsease acLlvlLy

73. 8egardlng aorLlc dlssecLlon. Whlch of Lhe followlng ls Lhe MCS1 CC88LC1:
f. 3-10 do noL have an obvlous lnLlmal Lear
g. PyperLenslon ls an anLecedenL ln 30 of cases
h. Paemorrhage Lyplcally occurs beLween Lhe lnner and mlddle Lhlrds of Lhe medla
l. LlasLlc fragmenLaLlon of Lhe medla ls rare aL auLopsy ln paLlenLs free of dlssecLlon
[. lnLlmal Lear ls found ln Lhe proxlmal descendlng Lhoraclc aorLa ln 90 of cases
77. 8egardlng Lhe macroscoplc appearance of acuLe Ml, whlch of Lhe followlng ls Lhe mosL correcL:
a. 1he lefL clrcumflex coronary shows severe sLenoslng aLherosclerosls ln 40-30 of cases
b. lsolaLed lnfarcL of Lhe rlghL venLrlcle occurs ln 1-3 of cases
c. 1he medlan Llme Lo rupLure ls 2-3 days
d. erlcardlLls usually develops aL 24hrs posL evenL
e. lnfarcLs <48hrs old are usually lnapparenL on gross examlnaLlon

78. 8egardlng aorLlc coarcLaLlon, whlch of Lhe followlng lS nC1 a well recognlsed assoclaLlon:
f. uA
g. venLrlculosepLal defecL
h. uural AvM
l. 8erry aneurysms of Lhe clrcle of Wlllls
[. 8lcupld valve
80. 8egardlng lnfecLlve endocardlLls, whlch of Lhe followlng ls Lhe LLAS1 CC88LC1:
f. 8lghL slded hearL valves ln 30 of narcoLlc relaLed cases
g. ulffuse glomerulonephrlLls seen ln 30 of unLreaLed cases
h. oslLlve blood culLures are seen ln 83-90 of cases
l. SLrep pneumonla ls Lhe leadlng cause of acuLe endocardlLls
[. WlLh mechanlcal prosLheses lnfecLlons are usually locaLed on Lhe margln of Lhe sewlng rlng

81. 8egardlng cardlomyopaLhles, whlch of Lhe followlng ls Lhe mosL correcL:
age 27
f. AuLosomal recesslve cases are seen ln over 30 of cases of hyperLrophlc CM
g. PearL always lncreased ln welghL ln dllaLed CM
h. ALrla never lnvolved ln hyperLrophlc CM
l. Lndomyocardlal flbrosls ls malnly a dlsease of chlldren and young adulLs ln SouLh Amerlca
[. ullaLlon of Lhe hearL ln perlparLum CM ls lrreverslble

82. 8egardlng pulmonary emboll and lnfarcLs, whlch of Lhe followlng ls MCS1 CC88LC1:
f. Ma[orlLy (>30) resulL ln whlLe lnfarcLs because lL ls an end clrculaLlon
g. 73 are ln Lhe lower lobes
h. ulmonary haemorrhage suggesL lnfarcLlon
l. 1he presence of vlable alveoll pneumocyLes/endoLhellum ln an area of haemorrhage ls agalnsL a dlagnosls of L
[. >30 of lnfarcLs are sollLary

13. lA1 LM8CLlSM

14. neumococcus pneumonlae ls Lhe commonesL cause of communlLy-acqulred pneumonla
13. Small cell carclnoma
a. Also known as oaL cell
16. Laryngeal cancer ?
a. AssoclaLed wlLh alcohol, smoklng and lrradlaLlon
b. olyps and nodules are assoclaLed wlLh lncrease rlsk of cancer
c. usually arlses from false cords
d. olyps and nodules usually lnvolve false cords
17. Lung carclnoma - wlLhln 2cm of carlna, lnvolvemenL of pleura, perlcardlum, dlaphragm or collapse of lobe.

a. 13
b. 14
c. SLage ll
d. SLage lll
e. noL enough lnformaLlon.

18. aragangllomas
a. paraganglloma, chemodecLoma and caroLld body Lumours can be used lnLerchangeably
b. ofLen adherenL Lo vessels resulLlng ln lncompleLe exclslon and recurrence of 10

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

CnLS1]CVS

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
age 28
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
age 29
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
age 30
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 doesnt 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.

age 31

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.
CnLS1]CVS - by DC

8egardlng MycobacLerlum Luberculosls, whlch of Lhe followlng ls leasL correcL?
a. 8lsk facLors lnclude Plv, chronlc renal fallure
b. ManLoux LesL does noL dlfferenLlaLe beLween acLlve dlsease and prevlous exposure
c. ManLoux LesL may be negaLlve ln severe acLlve dlsease
d. 1:10 000 develop acLlve dlsease
e. ln lmmunosuppressed lndlvlduals, dlsease looks llke posLprlmary dlsease, lnvolvlng mlddle Lo lower lobes

A cllnlclan wanLs a C1 scan demonsLraLlng adenocarclnoma for Leachlng medlcal sLudenLs. Pe already has an example of squamous
cell carclnoma. Whlch of Lhe followlng ls mosL correcL?
a. Adenocarclnoma ls mosL frequenLly perlpheral, ln women, non-smoklng lndlvlduals
b. Adenocarclnoma ls ofLen cenLral
c. Adenocarclnoma ls assoclaLed wlLh smoklng
d. Adenocarclnoma demonsLraLes cavlLaLlon
e.

8egardlng Leglonella pneumophllla, whlch ls Lhe mosL correcL?
a. Cram negaLlve bacllll
b. Spore formlng coccus
c. PelmlnLh
d. roLozoa
e.

A C1 scan reporL reads: 8lghL hllar mass wlLh lnvolvemenL of Lhe medlasLlnum, and medlasLlnal and hllar lymphadenopaLhy, wlLh
no subcarlnal lymphadenopaLhy. no dlsLanL meLasLases."
WhaL oLher lnformaLlon ls requlred for accuraLe sLaglng accordlng Lo Lhe lCLS sLaglng?
a. Slze of Lhe lung mass
b. Slde of Lhe medlasLlnal and hllar lymphadenopaLhy
c. Slze of lung mass and pleural effuslon
d. Slze of lung mass and lobar collapse
e. ulsLance of lung mass from maln sLem bronchus

aLlenL presenLs for follow up P8C1. 2 years ago a lung blopsy demonsLraLes crypLogenlc organlslng pneumonla. WhaL ls Lhe llkely
resulL?
a. rogresslve subpleural flbrosls aL boLh lung bases
b. ulsease progresslon ln upper and mld zone dlsLrlbuLlon
c. varlable - 40 worse, 30 sLable, 30 lmprove
d. lmprovemenL or compleLe resoluLlon
e. rogresslve subpleural honeycomb ln Lhe upper zones
age 32

Cllnlcal hlsLory of LaLe onseL asLhma. revlously eplsodlc, now conLlnuous dyspnoea. 8lopsy shows granuloma." Clven Lhe cllnlcal
hlsLory, whlch ls Lhe mosL llkely dlagnosls?
a. Slllcosls
b. 1uberculosls
c. PypersenslLlvlLy pneumonlLls
d. Sarcoldosls
e.

Cx8 wlLh enlarged pulmonary arLery. Whlch of Lhe followlng ls leasL assoclaLed wlLh pulmonary arLerlal hyperLenslon?"
a. 2 year old wlLh conLlnuous machlnery murmur LhroughouL sysLole
b. 32 year old woman wlLh dlabeLes and renal fallure
c. 32 year old woman wlLh moLher wlLh pulmonary arLerlal hyperLenslon
d. 33 year old smoker wlLh bullae ln Lhe lung bases
e. 32 year old woman wlLh SLL

8egardlng pulmonary embollsm, whlch ls Lhe mosL correcL?
a. 40 of pulmonary embolus resulLs ln pulmonary lnfarcLlon
b. ulmonary lnfarcLs develop ln young lndlvlduals because of poor collaLeral clrculaLlon
c. 30 develop recurrenL pulmonary embolus have a predlsposlng cause
d. ulmonary haemorrhage lmplles lnfarcLlon
e.

Leglonella - mosL correcL?
e. gram -ve bacLerla
f. spore formlng bacLerlum
g. proLozoan
h. helmlnLh
e.

43yro male. ulmonary lnfllLraLes, chronlc mlddle ear lnfecLlons and renal changes. WhaL ls mosL llkely?
d. Wegeners granulomaLosls
e. An
f.
d.
e.

Lung CA seen on C1 and blopsled. PlsLology shows eoslnophlllc cyLoplasm and lnLercellular brldges. WhaL ls mosL llkely?
e. Squamous cell CA
f. Carclnold
g. Adenocarclnoma
h.
e.

aLlenL wlLh asbesLos exposure. Whlch would you noL see on C1 chesL?
f. pleural effuslon
g. calclfled pleural plaques
h. rogresslve masslve flbrosls
l. Lobar collapse
[. MedlasLlnal lymphadenopaLhy

ulffuse pleural Lhlckenlng ln paLlenL wlLh heavy asbesLos exposure.
c. mesoLhelloma less llkely lf aplcal cavlLaLlng leslon suggesLs lnfecLlve aeLlology
d. more llkely Lo be reacLlve lf blopsy does noL show any asbesLos bodles
c
d.
e.

WhaL ls leasL llkely Lo be assoclaLed wlLh lung flbrosls?
a. Scleroderma
b. SLL
c. An
d. 8heumaLold ArLhrlLls
age 33
e.

known occupaLlonal lung dlsease. L comes ln for C1. whlch ls leasL correcL?
c. hlsLory of sLone mason
d.
c.
d.
e.

Whlch of Lhe followlng regardlng A8A ls false?
e. when lnvaslve A8A can mlmlc mucormycosls
f. when lnvaslve A8A can have cenLral haemorrhage
g. colonlzaLlon occurs ln bronchl
h.
e.

CalclflcaLlon of pulmonary arLerles on lmaglng - leasL llkely Lo occur ln
d. SLL
e. 2 year old wlLh pansysLollc murmur
f. 8A
d.
e.

cenLrllobular emphysema. ulsLrlbuLlon of alrway desLrucLlon
d. dlsLal Lo Lermlnal bronchlole and proxlmal parL of aclnus
e. dlsLal Lo Lermlnal bronchlole and dlsLal parL of aclnus
f.
d.
e.

L wlLh carclnold of Lhe chesL, leasL llkely flndlng?
a. endobronchlal mass
b. Large cavlLaLlng parenchymal mass
c.
d.
e.

43yro male wlLh pulmonary lnfllLraLes, chronlc mlddle ear lnfecLlons and renal changes. WhaL ls mosL llkely?
a. Wegeners granulomaLosls
b. An
c.
d.
e.

WenL Lo a conference and a paper dlscussed reperfuslon ln[ury wlLh Ml (?LranslenL). 1hls paper was acLually referrlng Lo
e. sLunned myocardlum
f. hlbernaLlng myocardlum
g. lschaemlc penumbra
h. free radlcals

faL embollsm - whlch ls false?
f. 80-90 are asympLomaLlc
g. can presenL wlLh confuslon, aLaxla and lrrlLablllLy and coma
h. 20-30 peLechlal rash
l. SC8/ Lachypnoea sympLoms develop wlLhln 6 hrs
[. 8leedlng ?descrlbed slLe of bleedlng ?cerebral haemorrhage

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

age 34
CnLS1]CVS

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.
age 33

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 Wegeners. 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. Cant 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?
age 36
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

Chest]CVS - by DC

22. aLlenL wlLh known slllcosls and abnormal Cx8. Whlch of Lhe followlng ls false?
a. Slllcosls can appear slmllar Lo alveolar proLelnosls.
b. 8lghL hearL fallure ls llkely.
c. 1here ls lncreased rlsk of lung carclnoma.
d. 1here ls lncreased rlsk of 18.
e. node calclflcaLlon ln 3-10

23. Whlch of Lhe followlng ls leasL llkely Lo be seen on Cx8 of paLlenL wlLh AuLosomal uomlnanL olycysLlc kldney ulsease?
a. Lower lobe bullae & cysLs.
b. lrregular Lhoraclc aorLa.
c. Lroslon of dlsLal ends of clavlcles.
d. LlevaLed hemldlaphragms.
e. Cardlomegaly

24. Whlch of Lhese sLaLemenLs regardlng Lhe prognosls of uesquamaLlve lnLersLlLlal neumonlLls (ul) ls Lrue?
a. LxcellenL, approachlng 100 recovery wlLh smoklng cessaLlon and sLerolds.
b. Cood, wlLh 70 recovery wlLh smoklng cessaLlon and sLerolds.
c. 10-13 morLallLy ln 10 year.
d. oor prognosls wlLh 30 recurrence.
e. rogresslon Lo pulmonary flbrosls ls Lyplcal

23. A paLlenL ls referred for C1 of chesL for lnvesLlgaLlon of chesL paln 3 days posL AMl, whlch of Lhe followlng ls mosL unllkely?
a. venLrlcular aneurysm
b. erlcardlLls
c. LxLenslon of lnfarcL.
d. ulmonary embollsm.
e. nosocomlal pneumonla.

26. A paLlenL wlLh new onseL myasLhenla gravls. C1 scan should be performed Lo exclude?
a. 1hymlc mass.
b. 1hymlc enlargemenL (hyperplasla) or hllar mass.
c. ancreaLlc leslon.
d. Cesophageal dllaLaLlon.
e. Cord compresslon.

27. Alcohollc paLlenL wlLh lung abscess. 8acLeroldes specles grown. MosL llkely?
a. uue Lo osLeomyellLls
b. uue Lo asplraLlon
c. uue Lo endocardlLls
d. uue Lo old 18, organlsm colonlslng cavlLy
age 37
e. Llkely conLamlnanL

28. Whlch ls Lrue regardlng Luberculosls?
a. rlmary progresslve 18 ls Lhe same as reacLlvaLlon18.
b. lsolaLed organ (kldney, Cl1) lnvolvemenL ls posslble wlLhouL pulmonary dlsease.
c. lnA from necroLlc porLlon of lung leslon ls unllkely Lo yleld organlsms.
d. Chlldhood lnfecLlon ls lndlsLlngulshable from LhaL of adulLs.
e. Mlllary dlsease ls rare (<1:100000 lnfecLed)

29. Whlch of Lhe followlng regardlng carclnold ls Lrue?
a. lL ls besL regarded as a low-grade mallgnanL Lumour.
b. rlmarlly lnvolves alveolar wall.
c. lL causes devlaLlon and dlsLorLlon of bronchl.
d. resenLs mosL ofLen as a perlpheral mass.
e. MosL presenL as large (>10cm) masses

30. A young female paLlenL presenLs for lnvaslve procedure. SLaLes hlsLory of wlLh mlLral valve prolapse (? myxomaLous
degeneraLlon). Whlch ls Lrue?
a. Age and sex are approprlaLe for dlagnosls.
b. AnLlbloLlc prophylaxls ls unnecessary.
c. 1here ls no such condlLlon.
d. unllkely lf Cx8 normal.
e. Llkely lf prevlous rheumaLlc fever.

31. A medlasLlnal mass lnvolvlng perlcardlum. Whlch ls mosL llkely?
a. MesoLhelloma.
b. 14 lung Ca
c. 12 lung Ca
d. 1ype ll Lhymoma.
e. Lymphoma.

32. Whlch of Lhe followlng mosL ls favours dlagnosls of Podgkln's ulsease?
a. lnvolvemenL of Waldeyer rlng.
b. Male more common Lhan female.
c. resence of mesenLerlc lymphadenopaLhy.
d. Conflned Lo one group or reglon of lymph nodes or exLranodal slLe.
e. LymphadenopaLhy llmlLed Lo lngulnal and axlllary reglons.

33. Whlch ls Lrue regardlng chronlc bronchlLls?
a. lL ls a cllnlcal dlagnosls.
b. CharacLerlsed by perslsLenL cough wlLh spuLum producLlon for 2 monLhs
c. Changes lnvolve mucosal oedema.
d. lL ls a condlLlon of Lhe lung characLerlzed by abnormal permanenL enlargemenL of Lhe alrspaces.
e. ueflned by 8eld lndex >0.3.

34. 8egardlng communlLy acqulred aLyplcal pneumonla. Whlch ls leasL correcL?
a. SympLoms are Lyplcally severe and lnclude haemopLysls, dyspnoea and fever.
b. ulceraLlve bronchlLls lndlcaLes bacLerlal superlnfecLlon
c. lnfecLlon ls largely conflned Lo alveolar sepLae and lnLersLlLlum.
d. ulsLrlbuLlon ls Lyplcally paLchy mulLlfocal.
e. Mycoplasma pneumonla ls mosL common organlsm.
33. 8egardlng mesoLhelloma, whlch ls Lrue?
a. lnvolvemenL of parleLal pleura more common Lhan vlsceral pleura.
b. 8are, even wlLh heavy exposure <0.1
c. MesoLhelloma rlsk lncreased wlLh smoklng
d. May be lndlsLlngulshable from adenocarclnoma, excepL by LM
e. LaLency perlod for mesoLhelloma ls varlable, 3-13 years.

36. Whlch ls Lrue regardlng resLrlcLlve cardlomyopaLhy (8CM)?
a. 8heumaLold arLhrlLls and mulLlple myeloma are relaLed Lo 8CM.
b. lL ls seen ln puerperlum cardlomyopaLhy.
age 38
c. 8adlaLlon causes 8CM.
d. Seen ln dlalysls and uraemla.
e. Cccurs ln alcohollcs.

37. 8ordaLella erLussls. Whlch ls Lrue?
a. Causes a neuLrophllla wlLh PelmeL cells.
b. uesplLe severlLy of dlsease, Lhere ls a pauclLy of waLery exudaLe.
c. 1here ls an lncreaslng lncldence desplLe vacclnaLlon.
d. Worse ln adulLs Lhan ln chlldren.
e. Cram-poslLlve coccus.

38. Whlch of Lhe followlng feaLures regardlng asLhma ls false?
a. 8eld lndex >1.0
b. CharcoL Leyden crysLals.
c. Curschmann splrals.
d. SmooLh muscle hyperLrophy.
e. Loslnophll lnfllLraLe

39. CavlLaLlon ls noL seen ln whlch of Lhe followlng?
a. Small cell carclnoma.
b. klebslella.
c. 18.
d. Coccldlomycosls.
e. Sarcoldosls.

40. A paLlenL on chemoLherapy for Podgkln ulsease. Cx8 shows a new lung mass ln lefL upper lobe. Whlch ls mosL llkely?
a. 8ecurrence of Pu.
b. rlmary 18.
c. 8eacLlvaLlon 18.
d. MeLasLases.
e. AsplraLlon.

41. Whlch ls mosL suggesLlve of An?
a. A young male wlLh renal and splenlc lnvolvemenL.
b. Chlld wlLh lnvolvemenL of coronary arLerles.
c. ?oung female wlLh lnvolvemenL of arch vessels.
d. ?oung male wlLh lnvolvemenL of pulmonary clrculaLlon.
e. Llderly wlLh sudden vlsual loss, recenL fever and headache.

42. SuspecLed syphllls aorLlc arch. Whlch ls Lrue?
a. CharacLerlsed by lnLlmal lrregularlLy
b. CharacLerlsed by plasma cells ln vasa vasorum
c. lf paLlenL >63 Lhls ls unllkely as lL ls LerLlary syphllls
d. ulssecLlon ls common compllcaLlon
e. AorLa ls non-dllaLed.

43. 8equesL for lmaglng of paLlenL wlLh Small lymphocyLlc lymphoma" buL paLlenL noLes sLaLe admlsslon for CLL". WhaL ls mosL
llkely?
a. Wrong paLlenL's requesL senL.
b. Same condlLlon or specLrum comprlslng boLh enLlLles, whlch are lnseparable.
c. Cllnlclan and paLhologlsL can'L agree on dlagnosls.
d. Was lnlLlally CLL buL has Lransformed Lo CLL.
e. Scan ls llkely Lo show masslve splenomegaly.

44. Modlflable facLors for CAu (excepL for P1) lnclude Lhe followlng
a. CbeslLy, llfesLyle, smoklng
b. Smoklng, llfesLyle, PuL
c. ulabeLes, obeslLy, dleL
d. CholesLerol, smoklng, llfesLyle
e. Age, gender, famlly hlsLory
age 39

43. Cllnlclan refers paLlenL for lmaglng, susplclon ls Wegener's. ulagnosls besL supporLed by?
a. nasal ulceraLlon
b. cAnCA
c. 8enal lnvolvemenL
d. CpaclLles on Cx8
e. pAnCA

46. 8ecurrenL L. uoppler shows no uv1. lalse?
a. Ca pancreas may cause recurrenL mlgraLory Lhrombosls.
b. May sLlll be due Lo uv1 desplLe uoppler resulL.
c. May cause pulmonary hyperLenslon.
d. May be assoclaLed wlLh lacLor v Lelden muLaLlon.
e. non-LhromboLlc L rarely faLal.

47. CysLlc flbrosls. Whlch ls Lrue?
a. ldlopaLhlc chronlc pancreaLlLls may be laLe presenLaLlon
b. ueflclency of magneslum LransporL channel
c. !aundlce noL seen ln absence of clrrhosls
d. AuLosomal domlnanL
e. Lndocrlne pancreaLlc lnsufflclency ls common

Neuro ] nead & Neck
45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9
Neuro

1. 8egardlng Lhe 888 whlch ls false?
a. WaLer soluble subsLances cannoL pass
b. laL soluble subsLances cannoL pass
c. 1lghL [uncLlons are lmporLanL
d. lenesLraLlons do noL occur
e. ConLlnuous basemenL membrane

2. CorLlcally based Lumour
a. Low grade asLrocyLoma
b. Cllgodendroglloma
c. unL1
d. C8M

3. 40 year old wlLh an lnLravenLrlcular mass on sepLum pellucldum
a. menlngloma
b. cenLral neurocyLoma
c. C8M

4. 16 year old wlLh a solld hlppocampal mass mosL llkely
a. plLulLary macroadenoma
b. cranlopharyngloma
c. ependymoma
d. gangloglloma
e. !A

3. 11 year old female wlLh precoclous puberLy and gelasLlc selzures
a. Luber clnerum hamarLoma
b. plneal Lumour
c. germlnoma

age 40
6. 4
Lh
venLrlcular mass ln an 8 year whaL ls mosL llkely
a. ependymoma
b. medulloblasLoma
c. chorold plexus papllloma
d. menlngloma
e. ?glloma

7. 15y M, Most common solid hypothalamic mass
a. GBM
b. Pilocytic Astrocytoma
c. CP
d. ?Anaplastic
e. Medulloblastoma

8. WhaL does noL lnvolve Lhe basal ganglla
a. ?PyperLenslve bleeds
b. Carbon monoxlde
c. PlL
d. Amylold
e. lahr's dlsease
f. ?venous slnous Lhrombosls

9. Cavernous angloma, whlch ls aLyplcal?
a. noL anglographlcally occulL
b. haemoslderln rlng of macrophages
c. No normal intervening neural tissue
d. assoclaLed wlLh venous anomalles
e. pseudocapsule

10. Cavernous angloma, whlch ls Lrue?
a. Anglographlcally occulL

11. WhaL ls noL seen ln Alzhelmers
a. Senlle plaques
b. Amylold anglopaLhy
c. Plrano bodles
d. Lewy bodles
e. Cranulovacuolar degeneraLlon
f. neuroflbrlllary Langles

12. Liquefactive necrosis, most likely
a. Cerebral infarct
b. AMI
c. Renal infarct

13. Cerebral lnfarcL ls
a. CoagulaLlve necrosls
b. LlquefacLlve necrosls
c. Caseous
d. llbrlnold
e. CummaLous

14. LeasL llkely Lo lnvolve corpus callosum
a. uandy walker
b. Pypoxla
c. Marchlavanl
d. C8M
e. uemyellnaLlon
age 41
n&N
13. 8egardlng angloflbroma
a. Arlses ln Lhe nose noL Lhe nasopharynx
b. Wldens Lhe pLerygopalaLlne fossa
c. Cnly ln adolescenL females
d. Maln supply ls maxlllary arLery
e. AnglomaLous elemenLs ln a someLhlng sLroma

16. Whlch ls leasL correcL
a. aplllary spreads haem before lymph
b. 20 of Medullary Ca ls relaLed Lo MLn
c. Cardners syndrome ls assoclaLed wlLh paplllary Ca
d. Medullary comprlses 30 of Lhyrold Ca

17. aroLld, whlch ls lncorrecL
a. 80 of Lumours are benlgn
b. warLhlns ls mallgnanL
c. leomorphlc adenoma ls mosL common
d. CysLs are called lympheplLhellal cysLs
e. S[orgren's causes cysLs

18. CholesLeaLoma, false
a. Chol granuloma of Lhe peLrous apex occurs ln Lhe peLrous apex lf/only lf Lhere are pneumaLlsed alr cells of peLrous
apex
b. CholesLaLoma occurs from eplLhellal nesLs ln peLrous apex
c. CLhers whlch probably lncluded Lhe answer

19. Medullary Lhyrold ca
a. 20 assoc wlLh MLn 2
b. growLh lf folllcular
c. mosL common Lype of Lhyrold ca

20. 8e head and neck, whlch ls Lrue
a. klmura dlsease occurs ln aslan young men
b. CasLleman dlsease ls a benlgn lymphoprollferaLlve dlsease of unknown eLlology.

21. Whlch assoclaLlon ls leasL llkely
a. 8asal cell nevus syndrome and expanslle leslons ln Lhe mandlble and maxllla
b. AmelloblasLoma and eplphysls
c. AmelloblasLoma and soap bubble leslon
d. ameloblasLoma arlses from odonLogenlc eplLhellum

22. Whlch ls lalse
a. Slnonasal Wegners ls neoplasLlc
b. unrelaLed Lrues

4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
N]nN

1. Most common solid hypothalamic tumor in a 15yo child
a. Pilocytic astro
b. GBM
2. Most common 4
th
ventricle tumor in 11yo female.
a. Ependymoma
b. CPP
c. Medulloblastoma
d. Hemangioblastoma
e. Pilocytic astrocytoma
age 42
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
age 43
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
N]nN
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. Warthins
b. Pleomorphic adenoma
c. LN
d. Mucoepidermoid
e. HIV lymphoepithelial cyst
Meningioma which is false
a. brain invasion doesnt change histological grade
b. oedema is very rare
c. cellular pleomorphism increases grade

nLAD AND NLCk
aroLld lnA wlLh polygonal cells and lymphomaLold cells
f. WarLhln's
g. leomorphlc adenoma
h. Ln
l. Mucoepldermold
[. Plv lymphoeplLhellal cysL

NLUkC
Whlch ls mosL commonly corLlcally based
e. low grade asLro
f. neurocyLoma
g. ollgodendroglloma
h. C8M

Menlngloma - whlch ls false
d. braln lnvaslon doesn'L change hlsLologlcal grade
e. oedema ls very rare
f. cellular pleomorphlsm lncreases grade

llocyLlc asLrocyLoma ln chlld - mosL llkely locaLlon of Lhe followlng
e. C angle
f. Cerebral hemlsphere
g. PypoLhalamus
h. Splnal cord
age 44

4$%5 1!O J,< "R I .*-3%7'"9
N]nN
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 Alzheimers:
a. Hirano bodies
b. Lewy bodies
age 43
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
N]nN
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
age 46
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

nLAD AND NLCk - IC

8.Whlch of Lhe followlng are false
Slnonasal wegeners ls neoplasLlc
WlLh remalnlng very unrelaLed alLernaLlves

31. araLhyrold surgery buL sLlll hlgh serum levels - lALSL??/ leasL llkely
Adenoma ln more Lhan one gland
LcLoplc locaLed gland
lLulLary adenoma causlng lL
C. LeasL llkely cause of hyperLhyroldlsm - reldels

30. re PashlmoLos Lrue answer:
LymphomaLous sLroma wlLh hurLle cells

NLUkC - IC

1.LeasL llkely Lo lnvolve corpus callosum
uandy walker
Pypoxla
Marchlavanl
C8M

3. llocyLlc AsLrocyLoma (or dld l mlsread - was lL nL1) 1rue answer:
Can be exclsed easlly
8arely faLal even wlLhouL surgery

4. Alzhelmers ulsease hlsLo flndlngs
Plrano
1angles
laques
Cranulovacular
Lewy body

3. sLem=?, whlch ls Lrue or false
Chol granuloma of Lhe peLrous apex occurs ln Lhe peLrous apex lf/only lf Lhere are pneumaLlsed alr cells of peLrous apex
CholesLaLoma occurs from nesLs ln peLrous apex

6.18 menlnglLls Lrue answer
CharacLerlsLlcally Causes mlllary nodules ln parenchyma
Causes lnfarcLs from obllLeraLlve endarLerlLls
1uberculomas well clrcumscrlbed and ?common
Can noL usually readlly see Lhe ?changes because llmlLed Lo ?menlnges and subarach, wlLh basal predomlnance

34. 8e cavernous hemanglomas (Lrue answer)
anglgraphlcally occulL
normal lnLervenlng braln, Ck, nC normal lnLervenlng braln (canL recall whlch Lhey acLually had as an opLlon)
age 47
Pemoslderln rlng and ?psuedocapsule

33 sLem?
LlquefacLlve necrosls occurs ln Lhe braln
CLher general paLh sLaLemenLs

43: A quesLlon on feaLures of AmyoLrophlc LaLeral Sclerosls - ALS and whaL would lL cause
laLLy changes wlLh muscle denervaLlon aLrophy
CanL recall oLher opLlons

48. 1hese can be seen ln same dlsease process - odd one ouL.
Selzures
8eLlnal
Pemanglomas?

4$%5"#"<;SU$+ <""' BCCR7'"9
N]nN
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

age 48
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 Alzheimers:
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
CNS - by
93. neuroblasLoma, worse prognosls:
a. n myc ampllflcaLlon
b.

20. 888 - lncorrecL:
a. WaLer soluble medlum cannoL pass lf normal 888
b. laL soluble medlum cannoL pass lf normal 888
c. Caplllarles are conLlnuous
d. ConLlnuous caplllarles have no fenesLraLlons
e. 1lghL [uncLlons are lmporLanL

21. LeasL llkely slLe for hyperLenslve bleed ln Lhe braln ls:
a. Plppocampus
b. Cerebellum
c. 8asal ganglla
d. 1halamus
e. 8ralnsLem

22. Whlch of Lhe followlng ls noL a congenlLal CnS lnfecLlon:
a. Chlcken pox
b. 8ubella
c. CMv
d. 1oxoplasmosls
e. Perpes
23. Cavernous anglomas, whaL ls noL Lyplcal:
a. ueLecLable aL anglography
b. 8leedlng Lendency
c. no lnLervenlng normal braln
d. AssoclaLed venous angloma
e. seudocapsule

24. Whlch ls Lhe mosL lmporLanL for dlagnosls ln C8M:
a. necrosls
b. Angloneogenesls
c. CysLlc change
d. MlLosls

23. aragangllomas:
a. araganglloma, chemodecLoma and caroLld body Lumours can be used lnLerchangeably
b. CfLen adherenL Lo vessels resulLlng ln lncompleLe exclslon and recurrence ln 10

age 49
26. MosL llkely lnvolvlng Lhe corLex:
a. Cllgodendroglloma
b. Low grade AnaplasLlc asLrocyLoma
27. WhaL ls leasL llkely Lo lnvolve Lhe corpus callosum:
a. C8M
b. Marchlfava
c. uAl
d. uandy Walker
e. Lymphoma
28. Whlch ls noL a feaLure of Alzhelmer's:
a. Plrano bodles
b. Lewy bod|es
c. Senlle plaques
d. neuroflbrlllary Langles
e. Amylold

29. nL1 whlch ls Lhe mosL Lyplcal appearances:
a. CorLlcal
b. Angloneogenesls
c. Cyst|c?
d. vasogenlc oedema
e. AsLrocyLoma

30. MulLlple sclerosls, dlsLrlbuLlon:
a. erlvenular lnflammaLlon

4$%5"#"<; H&9$##/ 1$*CQ7'"9
N]nN

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 doesnt change histological grade
b. oedema is very rare
c. cellular pleomorphism increases grade
4$%5"#"<; 1!O J.*-# BCCK I 4&*%5LV7'"9
NLUkC

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
age 30
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

nLAD & NLCk
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
nLAD AND NLCk
1) Hashimotos FNA findings
-
lymphoid infiltrate, increased Hurthle cells
-

2) Least likely to cause hyperthyroidism
Graves
MNG
Hashimotos
Reidels
Subacute
age 31

3) Least likely to cause hyperthyroidism
Viral thyroiditis
Hashimotos
Adenoma
Riedels 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 Hashimotos?

NLUkC
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
Bstem
Cerebellum
Hippocampus

12) Which is not a feature of Alzheimers
Hirano bodies
Lewy bodies
Senile Plaques
Neurofibrillary tangles

Toxoplasmosis
13) Which is not a congenital CNS infection
CMV
Rubella
Herpes
age 32
Chickenpox

14) PNET which is the most typical appearances
Cortical
Angiogenesis
Cystic
Vasogenic oedema
Astrocytoma

15) What is not found in Alzheimers
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
nLAD & NLCk

1. Least likely to cause hyperthyroidism.
a. Graves disease
b. Toxic multinodular goitre
c. Toxic adenoma
d. Hashimotos thyroiditis

NLUkC

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
age 33
b. cerebellum
c. basal ganglia
d. thalamus

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

30 year old male wlLh sollLary cysLlc leslon ln paroLld. PlsLology shows oncocyLlc cells, lymphocyLes (dense lymphold sLroma) and
polygonal cells. Whlch ls mosL correcL?
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

CNS]Neuro|ogy

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. Alexanders 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)
age 34
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

CNS

48. 8egardlng pllocyLlc asLrocyLoma, whlch ls mosL llkely locaLlon?
a. CerebelloponLlne angle.
b. 8raln sLem.
c. Cerebral hemlsphere.
d. PypoLhalamus.
e. Cervlcal cord.

49. Pead M8l of chlld posL head ln[ury shows enlarged plLulLary sLalk. Whlch ls Lrue?
a. Large volumes of dlluLe urlne and hlgh serum osmolallLy ls conslsLenL wlLh dlabeLes lnslpldus ln Lhls seLLlng.
b. Large volumes of dlluLe urlne and low serum osmolallLy ls conslsLenL wlLh dlabeLes lnslpldus ln Lhls seLLlng.
c. MosL llkely represenLs Langerhans Cell PlsLlocyLosls
d. ALyplcal lymphocyLlc hypophyslLls of Lhe sLalk ls llkely.
e. unllkely Lo be any of above.

30. WhaL ls Lhe commonesL flndlng ln a paLlenL wlLh Cushlng syndrome noL relaLed Lo exogenous admlnlsLraLlon of sLerold?
a. Mlcroadenoma of Lhe plLulLary gland.
b. non-funcLlonlng plLulLary macroadenoma.
c. LcLoplc AC1P secreLlon.
d. 8asophlllc macroadenoma.
e. Adrenal adenoma.

31. A large suprasellar solld mass ln adulL wlLh no cysL formaLlon or calclflcaLlon. Whlch ls mosL llkely?
a. AdamanLlnomaLous cranlopharyngloma.
b. Menlngloma.
c. aplllary cranlopharyngloma.
d. lCA aneurysm
e. llocyLlc asLrocyLoma

32. Whlch of Lhe followlng are noL feaLures of Alzhelmer ulsease?
a. Clomerulold bodles and necrosls
b. 1emporal aLrophy
c. neurlLlc plaques ln amygdala
d. Cerebral amylold anglopaLhy
e. Plrano bodles wlLhln hlppocampus

33. neurologlcal deLerloraLlon ln prevlously well young Leenager. M8l shows WM dlsease. MosL llkely?
age 33
a. AuLM
b. MeLachromaLlc leukodysLrophy
c. ALu
d. PunLlngLon's
e. MLLAS

34. PunLlngLon's on M8l. SlLe mosL llkely lnvolved?
a. CaudaLe and puLamen.
b. 8ralnsLem
c. Cerebellum
d. CpLlc LracLs
e. SubsLanLla nlgra

33. Whlch ls assoclaLed wlLh uown's syndrome?
a. PunLlngLon's
b. arklnson's
c. Shy-urager
d. Alzhelmer's
e. lck's

36. Whlch of followlng ls mosL llkely assoclaLed wlLh a perlpheral MCA aneurysm?
a. 8heumaLlc hearL dlsease and recenL denLal surgery.
b. AorLlc coarcLaLlon.
c. Long-sLandlng hyperLenslon.
d. vascullLls.
e. Marfan syndrome.
37. Whlch ls false regardlng menlngloma?
a. MosL regarded as WPC Crade l Lumours.
b. Macroscoplc lnvaslon of braln does noL change Lhe hlsLologlc grade.
c. aplllary subLype ls benlgn and conLalns psammoma bodles.
d. More common ln adulLs Lhan chlldren
e. Seen ln assoclaLlon wlLh nl2

38. Whlch ls false regardlng L8v lnfecLlon?
a. erlvenLrlcular calclflcaLlon.
b. neumonlLls.
c. MenlngoencephallLls.
d. harynglLls.
e. PepaLlLls.

39. 8equesL for follow-up lmaglng of Lemporal lobe glloma grade ll/lv". WhaL does Lhls mean?
a. lnlLlally a grade ll Lumour now grade lv
b. lnlLlally a grade lv Lumour, now a grade ll
c. 1wo dlfferenL componenLs of Lumour, of dlfferenL grades
d. Crade ll ouL of a 4-Llered sysLem.
e. aLhologlsL and surgeon can'L agree on grade

60. CorLlcal based braln Lumour. Whlch ls false?
a. Cllgodendroglloma
b. Canglloglloma
c. unL1
d. CenLral neurocyLoma
e. leomorphlc xanLhoasLrocyLoma

61. SuspecLed cenLral ponLlne myellnolysls. LeasL supporLed by?
a. Cord WM leslons
b. SupraLenLorlal WM leslons
c. revlous oesophageal varlces
d. 8apld fluld resusclLaLlon
e. Sparlng perlvenLrlcular WM

62. Lpendymoma vs. medulloblasLoma - CSl seedlng
age 36

nead & NLCk

63. WhaL ls Lhe commonesL flndlng ln a paLlenL wlLh Cushlng syndrome noL relaLed Lo exogenous admlnlsLraLlon of sLerold?
a. Mlcroadenoma of Lhe plLulLary gland.
b. non-funcLlonlng plLulLary macroadenoma.
c. LcLoplc AC1P secreLlon.
d. 8asophlllc macroadenoma.
e. Adrenal adenoma.

64. 8egardlng hyperparaLhyroldlsm ln a paLlenL who smokes, whlch ls mosL llkely?
a. Large cell carclnoma.
b. araLhyrold hyperplasla.
c. araLhyrold adenoma.
d. lLulLary macroadenoma.
e. 8enal cell carclnoma.

63. aroLld leslon. lnA shows carLllage. MosL llkely?
a. WarLhln's
b. leomorphlc adenoma
c. Plv assoclaLed cysLs (8LLL)
d. 8lopsy of 1M! accldenLally
e. AdenocysLlc ca

66. 1hyrold cancer - lymph nodes, hlsLology

Abdomen
45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9
nepatob|||ary
8. 23 year old female wlLh bleedlng llver leslon
a. Adenoma
b. llbrolamellar PCC
c. lnP
d. Paemangloma

9. 1yplcal for lnP
a. CenLral scar
b. Pemorrhage
c. Clrrhosls
d. ?CC causes Lhem

10. Clrrhosls cause
a. PCv
b. PSv
c. PAv
d. ?Ascarls
e. ?amoeba

11. Clrrhosls, whlch ls aLyplcal
a. L1CP ls macronodular
b. vlral ls mlcronodular
c. non caseaLlng granulomas ln vlral clrrhosls
d. ulffuse clrrhosls ! confluenL flbrosls (someLhlng llke LhaL)
e. ?8udd Chlarl and clrrhosls

age 37
12. 8egardlng Lhe llver
a. Mlcronodular clrrhosls and alcohol
b. Macrodular clrrhosls and vlral hepaLlLls
c. Anglosarcoma and LhoroLrasL
d. PepaLlc pellosls ls dllaLed vascular channels
e. Cranulomas occur ln vlral hepaLlLls

13. 43y M, wlLh known hearL dlsease develops porLal hyperLenslon, mosL llkely cause:
a. mlLral sLenosls
b. consLrlcLlve perlcardlLls
c. ASu
d. uA
e. lschaemlc myocardlal dlsease

14. 8udd Chlarl, whlch ls ?noL assoclaLed wlLh
a. PepaLlc veln Lhrombosls
b. Clrrhosls

13. SC quesLlons-

16. Zollinger Ellison not associated
a. Peptic ulcers
b. Atrophic gastritis
c. Lymphoma on gastric mucosal folds
d. ?pancreatic lesion

17. Man pancreaLlc cancer, whlch ls esLabllshed assoc
a. Smoklng
b. Alcohol
c. Chronlc pancreaLlLls
d. ZLS
GI
18. 8ecLal blopsy showlng a non caseaLlng granuloma
a. 18
b. Crohns
c. lschaemla
d. Arse bandlL
e. uC

19. WlLh uC whlch ls leasL correcL
a. CobblesLone
b. ConLlnuous lnvolvemenL
c. SC
d. CrypL abscess
e. uvelLls

20. Whlch ls noL an adenomaLous polyp
a. Cardners polyp
b. 1urcoL polyp
c. euLz !egher polyp
d. 1ubular
e. vlllous

21. LeasL rlsk for mallgnancy
a. Cardners polyp
b. 1urcoL polyp
c. euLz !egher polyp
d. 1ubular
e. vlllous
age 38

22. olyps, whlch ls noL a ?non- neoplasLlc/ hamarLomaLous polyp?
a. lnflammaLory
b. PyperplasLlc
c. 1ubular adenoma
d. euLz !egher
e. !uvenlle

23. WhaL ls noL a cause of pneumaLosls lnLesLlnalls
a. AsLhma
b. Cl
c. CCu
d. lschaemla
e. lA

24. 8lsk facLors for gasLrlc carclnoma lnclude
a. Lelomyoma
b. P. pylorl
c. Chronlc aLrophlc gasLrlLls
d. 8lood group A

23. WhaL has Lhe assoclaLlon
a. Scleroderma and aLony of Lhe lower oesophagus
b. Scleroderma and wlde mouLhed small bowel dlverLlcull
c. Zenkers dlverLlculum and pharynx
d. haryglan cap and gallsLones

26. WhaL ls Lhe mosL llkely cause of parLlal bowel obsLrucLlon ln dlverLlcular dlsease
a. ulverLlcullLls
b. Compresslon from reacLlve lymph nodes
c. PyperLrophy of Lhe clrcular muscularls proprla layer
d. veslco-collc flsLula
e. elvlc lnflammaLory dlsease

27. Scleroderma whlch ls aLyplcal
a. ALonlc esophagus wlLh dlsLal sLrlcLure
b. SacculaLlons on mesenLerlc border of small bowel
c. SchlerodacLyly (serlously was spelL Lhls way)
d. 30-40 barreLL's esophagus
e. 8aynauds

GU
28. wlLh resepcL Lo AML
a. 20 relaLe Lo Luberous sclerosls
b. yellow from faL
c. assoclaLed wlLh bleedlng
d. dysLrophlc calclflcaLlon ls a feaLure

29. 8e renal AML, whlch ls aLyplcal
a. Selzures
b. laclal angloflbroma
c. 8eLlnal hamarLoma
d. uysLrophlc calclflcaLlon
e. 8enal hamarLoma

30. 8egard Lo 8CC, false
a. Clear cell Lype accounLs for 80
b. aplllary ls classlcally hypervascular
c. AssoclaLed wlLh vPL
age 39
d. Can presenL wlLh fever

31. xanLhogranulomaLous pyelonephrlLls, false?
a. noL assoclaLed wlLh dlabLeLes
b. 1yplcally lnvolves Lhe enLlre kldney
c. ls yellow from llpld laden macrophages
d. ?noL/ AssoclaLed wlLh renal lmpalrmenL
e. Can rupLure lnLo surroundlng Llssues

32. xn false
a. ?ellow nodules
b. LxLends beyond capsule
c. AssoclaLed wlLh renal lmpalrmenL

33. Mahogany Lo brown-Lan renal Lumour
a. Wllms
b. 8CC
c. CncocyLoma
d. ?1CC
e. AML

34. lemale, renal veln Lhrombosls, whlch ls leasL llkely?
a. Membranous Cn
b. MembranoprollferaLlve Cn
c. Amyloldosls
d. MlLral sLenosls
e. CC

33. 8ecognlzed assoclaLlons, whlch ls false
a. normal renal funcLlon and xanLhogranulomaLous pyelo
b. Porseshoe kld and mulL renal arLerles
c. PemangloblasLoma and pheo (vPL)
d. ulabeLes and emphysemaLous pyleonephrlLls

36. Auku aLyplcal
a. 8erry aneurysm
b. AorLlc dlssecLlon
c. MlLral valve prolapse
d. PepaLlc flbrosls
e. Llver cysLs
f.

37. 8lsk of Wllms, false
a. WAC8
b. urollLhlasls
c. uenys urash
d. nephroblasLomaLosls
e. 8eckwlLh Wledemann

38. WlLh undescended LesLes:
a. Ma[orlLy sponLaneously descend by 1 year
b. Plgh rlsk of Lorslon
c. Chorlocarclnoma
d. normal slze

39. Pomogenous pale LesLlcular mass ln 20yo
a. Semlnoma
b. Lmbryonal cell
c. Chorlocarclnoma
d. ?olk Sac/ ?AndroblasLoma
e. Lymphoma

40. lnLraLesLlcular leslons, false
age 60
a. benlgn LesLlcular cysLs seen ln 10
b. lymphoma ls more common Lhan CC1 ln over 30's
c. LeraLomas are more mallgnanL ln balls compared wlLh ovarles\

41. lncreased rlsk of semlnoma. MosL llkely
a. CrypLorchldlsm
b. 8adlaLlon
c. 1rauma
d. Pormone lmbalance

42. rosLaLe, false (repeaL Aug 2007)
a. Cancer ls ln Z ln 70
b. Spreads Lo lymph nodes before haemaLogenous
c. Spreads Lo paraaorLlc nodes aL Lhe renal vessel level raLher Lhan reglonal
d. MeLs Lo skull, Lhoraclc splne, rlbs and ?clavlcle/humerus are less common Lhan Lo pelvls, lumbar splne and femora
e. Cleeson score 2- 10

4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
A8DCMLN GIGU
e. raynauds
2. olyps, whlch ls noL a non neoplasLlc polyp?
a. lnflammaLory
b. PyperplasLlc
c. 1ubular adenoma
d. euLz [egher
e. !uvenlle
a. L1CP ls mlcronodular
b. vlral ls macronodular
4. 8enal veln Lhrombosls, whlch ls noL a cause?
a. Membranous Cn
c. Amyloldosls
d. MlLral sLenosls
3. Whlch ls noL charac of uC
a. CrypL abscess
b. ConLlguous
c. CobblesLonlng
d. Scleroslng cholanglLls
e. uvelLls
6. ?oung woman sponLaneous bleed from llver leslon, whlch mosL llkely
a. lnP
b. Adenoma
c. Cavernous hemangloma
d. PCC
7. 1yplcal for lnP
a. CenLral scar
b. Pemorrhage
c. Clrrhosls
8. Mahogany Lo brown-Lan mass from kldney, whlch llkely
a. 8CC
b. Anglomyollpoma
c. CncocyLoma
age 61
9. 14 8ecognlzed assoclaLlons (l)
d. ulabeLes and emphasemaLous peyleo
10. xanLhogranulomaLous pyelo (whlch ls aLyplcal)
a. ?ellow clr
b. Large kldney
c. Can rupLure
d. noL assoc wlLh dlabeLes
11. 8CC (l)
a. paplllary ls Lyplcally hypervascular
b. clear cell 80
c. can presenL wlLh fever
a. Selzures
e. 8enal hamarLoma

11. Whlch of Lhe followlng ls Lrue re: MLn?
a. MLn 1 = paraLhyrold hyperplasla
b. MLn 3 = A8
c. MLn 2b = lncreased seroLonln
d. MLn 2a = lncreased aldosLerone
12. Pomogenous pale Lumor from LesLes 20yo
a. AndroblasLoma
b. Lmbryonal
c. Chorlo
d. Semlnoma
e. Lymphoma
13. LeasL llkely locaLlon of a pheo
a. Adrenal corLex
b. Adrena l medulla
c. Zuckerkandle
d. 8ladder
e. osL medlasLlnum
14. 8ecLal blopsy wlLh non caseaLlng granulomas mosL llkely Lo be:
a. uC
b. 18
c. Crohns
13. haeos, whlch ls noL assoc
a. SWS
b. MLn 2
c. nl
d. vPL
e. Sarcold
a. Smoklng
b. Alcohol
d. ZLS
17. rosLaLlc cancer whlch ls Lrue?
a. Ln goes Lo para-aorLlc flrsL raLher Lhan pelvlc
b. goes Lo Ln before hemaLogenous,
c. more llkely Lo lnvolve L splne and pelvls earller Lhan clavlcles, rlbs and 1splne.
d. gleason ls scorlng beLween 2 and 10
18. Whlch false?
a. Wllsons ls auLo recesslve and characLerlzed by lron accumulaLlon ln Lhe llver and braln
19. Auku aLyplcal
a. 8erry aneurysm
age 62
d. PepaLlc flbrosls
e. Llver cysLs
20. 8udd chlarl, whlch ls noL assoc
b. Clrrhosls
c. Wllson's
d. Alpha-1 anLlLrypsln
e. PemochromaLosls
21. MosL llkely cause of parLlal obsLrucLlon ln dlverLlcular dlsease
a. ulverLlcullLls
b. Clrcular muscle hyperLrophy
c. LymphadenopaLhy
d. lu
22. Whlch of Lhe followlng ls leasL assoclaLed wlLh Zolllnger-Llllson?
a. Pypervascular pancreaLlc leslon
b. Lymphoma
c. ALrophlc gasLrlLls
d. epLlc ulcers
23. LeasL llkely mallgnanL LransformaLlon?
a. 1ubular
b. vlllous
c. Cardner's
d. 1urcoL's
e. euLz-!eghers
24. 1esLlcular Lumour - whaL ls mosL relaLed?
a. lamlly hlsLory
b. CrypLorchldlsm
23. WhaL ls false regardlng undescended LesLls?
a. Chorlocarclnoma ls very common
26. WhaL ls Lrue regardlng LesLes?
a. MosL undescended wlll reLurn Lo Lhe scroLum by 1 year old
27. Whlch ls leasL llkely regardlng haeochromocyLoma? (repeaL)
a. CorLex
b. Medulla
c. Crgan of Zuckerkandl
28. WhaL ls false regardlng scleroderma?
a. ullaLlon of Lhe oesophagus wlLh a dlsLal sLrlcLure
b. SclerodacLyly
c. 8aynaud's
d. 30-40 geL 8arreL's
29. ulverLlculae of small bowel are Lrue dlverLlculae on Lhe mesenLerlc sldelorelgn body granuloma ls seen wlLh whlch enLlLy?
a. CouL
b. 8elLer's
c. 8A
d. Ankyloslng SpondyllLls
e. sorlasls
30. C sLem?? Cne of Lhe ans opLlons. 8udd Chlarl ls deflned as ?hepaLlc veln obsLrucLlon
31.
32. C. chronlc chole and mucosal ?crypLs cysLs? Soundlng llke adenomyosls
33.
34. rosLaLe neoplasla (rpL)

33. Conn syndrome
a. Adenoma >3cm
b. Adenoma <2cm
c. haeochromocyLoma
d. Pyperkalemla
e. 8llaLeral hyperplasla
age 63
1$*95 BCCQ 4$%5"#"<; H&9$##/7'"9
GAS1kCIN1LS1INAL 1kAC1
AppendlcecLomy speclmen - no ganglla - mosL llkely
a. long segmenL hlrschsprung's

CsLeonecrosls - whlch ls false
a. subchondral fracLure
b. does noL lnvolve medulla
c. predlsposes Lo early CA

8elLer's - whlch ls mosL Lrue
a. posL-gonococcal
b. posL shlgella
c. upper = lower llmb
d. 60 yo male
P. pylorl
a. once called enLerobacLerlum urealyLlcum
b. 10 of gasLrlLls
c. chronlc gasLrlLls wlLh lnLesLlnal meLaplasla

Cholanglocarclnoma rlsk facLors
a. LhoroLrasL
b. Crohn's
c. LLCP abuse

GLNI1CUkINAk
Whlch ls noL assoclaLed wlLh A8Cku
a.. Lubular lnvolvemenL
b. hepaLlc flbrosls
c. assoclaLed wlLh Caroll's
d. berry aneurysms

rosLaLe cancer meLasLlc paLLern - le where Lo flrsL

4$%5 1!O J,< "R I .*-3%7'"9
GI1 and GU
1. 8egardlng haemochromaLosls, whlch ls leasL correcL:
b. Less common ln females
c. AccumulaLlon ls llfe long
d. LffecLs are due Lo dlrecL Loxlc effecL of lron on cells
e. Lnd sLage clrrhosls and hyperblllrublnaemla

2. Whlch cell ls responslble for excess collagen producLlon ln clrrhosls:
a. lLo cell
b. kupffer cell
c. PepaLocyLe
d. LymphocyLe
e. Macrophage

3. 1he mosL llkely explanaLlon beLween magneslum ammonla phosphaLe sLones and u1l ls:
a. 8acLerlal enzymes converL Lhe naLural urea Lo ammonla
b. lnflammaLory debrls acLs as a sLrong nldus for sLones
c. non degradable bacLerlal wall concenLraLes organlc maLerlal
d. 8acLerlal plasmlds promoLe heavy meLal accumulaLlon as a defence agalnsL leucocyLe aLLack
age 64
e. AcuLe lnflammaLlon lowers Lhe pP <3.3 favourlng crysLal preclplLaLlon

4. 8egardlng prosLaLe cancer, whlch ls Lhe leasL correcL:
a. 70-80 of males beLween Lhe ages 70-80 years have focl
b. PlsLologlcally sheeLs or cords of cells ln dense flbrous sLroma
c. 70 arlse ln Lhe perlpheral zone
d. Local lnvaslon lnLo Lhe semlnal veslcles, bladder and ureLer
e. Carclnoma of Lhe prosLaLe ls less common ln Asla compared wlLh AusLralla and new Zealand
3. Alpha feLo proLeln lncreased ln:
a. ?olk sac Lumours

6. 8egardlng 8CC, whlch of Lhe followlng ls leasL correcL:
a. SLrong assoclaLlon wlLh vPL
b. Clear cell carclnoma ls Lhe mosL common
c. lncreased rlsk of 8CC ln chronlc renal fallure
d. MosL frequenL presenLaLlon ls flank paln or dlscomforL
e. PeredlLary Lumours are more frequenLly bllaLeral and mulLlfocal

7. laLLy leslonnexL Lo effaced kldney. ?Llposarcoma Whlch of Lhe followlng ls mosL relevanL:
a. revlous radloLherapy
b. 1uberous sclerosls

8. lncldence of Au polycysLlc kldney dlsease:
a. 1: 1000
b. 1:10000
c. 1:100000

9. local renal lnfarcL, whaL ls leasL llkely:
a. AorLlc aLherosclerosls
b. MlLral valve regurglLaLlon
c. osL AMl
d. An
e. Candlda endocardlLls
f. AdulL haemolyLlc ureamlc syndrome

10. Whlch of Lhe followlng are recognlsed bladder carclnoma paLLerns:
a. aplllary, ulceraLlve, dlffuse, cysLlc, lnfllLraLlve
b. aplllary, Lubular, sesslle, excavaLlve
c. aplllary, Lubular, cysLlc, flaL
d. llaL, excavaLlve, polypold
e. llaL, paplllary lnvaslve, papllloma-paplllary

11. WlLh regards Lo oesophageal carclnoma, whlch ls false:
a. 8arreLLs has a 40x lncreased assoclaLlon wlLh SCC

12. Whlch ls noL a hamarLomaLous / non neoplasLlc polyp:
a. AdenomaLous
b. euLz !egher
c. PyperplasLlc
d. lnflammaLory
e. !uvenlle

13. 32 year old female presenLs for a barlum enema, hlsLory of PnCC. WhaL ls Lhe referrlng cllnlclan looklng for:
a. lnflammaLory bowel dlsease
b. Colonlc carclnoma
c. PeredlLary neoplasLlc polyps
d. SLrlcLures
e. PamarLoma

age 63
14. 17year old glrl presenLs wlLh abdomlnal paln and has a 10cm mlxed solld and cysLlc pancreaLlc mass, whaL ls mosL llkely:
a. neuroblasLoma
b. Solld cysLlc paplllary Lumour
c. Muclnous cysLadenoma
d. Muclnous cysLadenocarclnoma
e. MlcrocysLlc adenoma

13. WhaL are Lhe rlsk facLors for mallgnancy ln a sLomach ulcer:
a. Cccurs ln an area of gasLrlLls

16. WhaL does noL cause chronlc pancreaLlLls:
a. Alcohol
b. CholellLhlasls
c. ulvlsum
d. Pypercalcaemla
e. Pyperlnsullnaemla

17. WhaL does noL cause acuLe pancreaLlLls:
a. Alcohol
b. CholellLhlasls
c. 1rauma
d. PaemochromaLosls
e. L8C

8egardlng Crohn's dlsease on C1. Whlch of Lhe followlng ls leasL llkely:
f. rlmary blllary clrrhosls
g. SacrolllLls
h. Cholanglocarclnoma
l. 8enal calcull
[. Cl1 mallgnancy

18. Crohn's collLls ls noL assoclaLed wlLh:
a. laL wrapplng
b. AphLhous ulcers
c. CobblesLone
d. 8ackwash llelLls
e. llsLulas

19. Whlch ls noL assoclaLed wlLh Lhe cllnlcal aspecLs of porLal P1?:
a. AsclLes
b. orLosysLemlc shunLs
c. CongesLlve splenomegaly
d. ancreaLlLls
e. PepaLlc encephalopaLhy

20. lollowlng are Lrue of pancreaLlc carclnoma:
a. MosL arlse from ducL eplLhellum
b. MosL are lncurable
c. lnsldlous
d. 8lsk facLors lnclude smoklng dleL and exogenous chemlcal
e. 43 lnvolve Lhe body and Lhe Lall
f. May secreLe mucln

21. ClS1 Lumour - whlch ls correcL:
a. MallgnanL > benlgn
b. PlsLologlcal subLype mosL lmporLanL ln prognosls
c. Cccur malnly ln sLomach and small bowel
d. Crow as an eplLhellal Lumour

22. P. ylorl, whlch ls leasL correcL:
age 66
a. Cram negaLlve splral
b. ALLaches Lo eplLhellum ln Lhe small and large lnLesLlne
c. 8ole ln gasLrlc cancers
d. AssoclaLed wlLh MAL1 lymphoma

23. Whlch ls mosL correcL:
a. Anglodysplasla mosL commonly affecLs Lhe slgmold colon
b. ShorL segmenL Plrshsprung mosL common ln females
c. Meckel's dlverLlculum ls presenL on Lhe mesenLerlc slde
d. CompllcaLlons of necroLlzlng enLerocollLls lnclude sLrlcLure
e. seudopolyps are a feaLure of Crohn's dlsease

24. Llderly man dles, auLopsy reveals 7cm green llver mass, mosL llkely:
a. PCC
b. Cholanglocarclnoma
c. nodular regeneraLlve hyperplasla
d. PepaLlc adenoma

23. Whlch ls leasL llkely ln Crohn's:
a. CaseaLlng granuloma

26. Whlch of Lhe followlng ls noL derlved from renal Lubules:
a. Clear cell carclnoma
b. CncocyLoma
c. 8enal Lubular adenoma
d. aplllary cell carclnoma
e. Anglomyollpoma

4J@N 1!O J,<,/% BCCQ9 ST7'"9
11. Cavernous hemangloma ln llver ls (l)
?erlpheral locaLlon
nodular perlpheral enhancemenL
CalclflcaLlon curvlllnear

11b. Same quesLlon? ulfferenL quesLlon?: AgalnsL Lhe dlag of cav hemangloma ls:
Age (60 or 70, female)

12.lnP - false
CC does noL cause Lhem buL ?encourages Lhelr growLh
Pemorrhage (?on hlsLo)
CenLral scar
Anglogram Lyplcal spoke wheel
erlpheral locaLlon

17. AML (l)
?dysLrophlc calclflcaLlon

20. CasLrlnoma or Zolllnger Llllson noL assoclaLed wlLh:
ulcers???
ALrophlc gasLrlLls
Lymphoma on mucosal folds

33 carclnold l?
ls from kulchlLsky cells
llver meLs
canL recall Lhe resL lnc Lhe false one

crohns
age 67
18

40: whaL ls nC1 assoclaLed wlLh gardners or ls noL Lrue regardlng gardners
oseLoma
desmolds
braln Lumor??
anc someLhlng?
Adrenal someLhlng cancer? Pemorrhage?
?Lhyorld ca

41. chronlc chole or C8 ca
assoc wlLh gs 60-70
mucosal ouLpouchlngs

42: ln gl/sLomach whlch are noL assoc wlLh mallg
lelomyma

44: lalse regardlng crohns
Causes psuedopolyps
carclnold?

C. ?sLem. lor 1rue answer
CpLlons a-c?
Wllsons ls auLo recesslve and characLerlzed by copper accum ln ??llver and braln

C. lalse answer - carclnold rarely (10) occurs ln Lhe Lermlnal lleum

C. Some clrrhosls quesLlon
Alcohollc llkely macronodular
vlral llkely mlcronodular
And hlsLo opLlons

C sLem?? Cne of Lhe ans opLlons. 8udd Chlarl ls deflned as ?hepaLlc veln obsLrucLlon

C. chronlc chole and mucosal ?crypLs cysLs? Soundlng llke adenomyosls

GLNI1CUkINAk
7. 8enal Lhrombosls mosL or leasL llkely wlLh ?
Membranous glomerulonephrlLls
??rollferaLlve gn (anoLher renal lnLersLlLlal dz)
MlLral sLenosls
??SLL

13. CncocyLoma - l
?ellow pale

14 8ecognlzed assoclaLlons (l)
8enal lmpalrmenL and xanLhogranulomaLous pyelo
Porseshoe kld and mulL renal arLerles
PemangloblasLoma and pheo (vPL)
ulabeLes and emphasemaLous peyleo

13. xanLhogranulomaLous 1
uoes noL exLend beyond renal capsule
ls ?noL or ls assoclaLed wlLh renal lmpalrmenL

16. 8CC (l)
paplllary ls Lyplcally hypervascular
clear cell 80
can presenL wlLh fever
age 68

Adrenal corLex
Adrenal medulla
Zuckerkandle
8ladder
osL medlasLlnum

C. AuLo recesslve kld dlsease ls assoclaLed wlLh
Caroll's
PepaLlc flbrosos
von myenberg??
CanL recall buL berry anerysm WAS noL an opLlon

C. rosLaLlc cancer:
Spread of prosLaLlc ca: where does prosLaLe ca go flrsL - lf vla Ln goes Lo para-aorLlc flrsL raLher Lhan pelvlc,
goes Lo Ln before hemaLogenous,
more llkely Lo lnvolve L splne and pelvls vs clavlcles, rlbs and 1splne or someLhlng llke LhaL
gleason ls scorlng beLween 2 and 10

4$%5"#"<;SU$+ <""' BCCR7'"9
GI and GU
94. 8egardlng haemochromaLosls, whlch ls leasL correcL:
b. Less common ln females
c. AccumulaLlon ls llfe long
d. LffecLs are due Lo dlrecL Loxlc effecL of lron on cells
e. Lnd sLage clrrhosls and hyperblllrublnaemla

93. Whlch cell ls responslble for excess collagen producLlon ln clrrhosls:
a. lLo cell
b. kupffer cell
c. PepaLocyLe
d. LymphocyLe
e. Macrophage

96. 1he mosL llkely explanaLlon beLween magneslum ammonla phosphaLe sLones and u1l ls:
c. non degradable bacLerlal wall concenLraLes organlc maLerlal
d. 8acLerlal plasmlds promoLe heavy meLal accumulaLlon as a defence agalnsL leucocyLe aLLack

97. Whlch of Lhe followlng ls noL derlved from renal Lubules:
a. Clear cell carclnoma
b. CncocyLoma
c. 8enal Lubular adenoma
d. aplllary cell carclnoma
e. Anglomyollpoma

8egardlng prosLaLe cancer, whlch ls Lhe leasL correcL:
70-80 of males beLween Lhe ages 70-80 years have focl
PlsLologlcally sheeLs or cords of cells ln dense flbrous sLroma
70 arlse ln Lhe perlpheral zone
Local lnvaslon lnLo Lhe semlnal veslcles, bladder and ureLer
Carclnoma of Lhe prosLaLe ls less common ln Asla compared wlLh AusLralla and new Zealand

1. Llderly man dles, auLopsy reveals 7cm green llver mass, mosL llkely:
a. nCC (frequent|y b||e sta|ned)
age 69
b. Cholanglocarclnoma (rarely blle sLalned)
c. nodular regeneraLlve hyperplasla (can be blle sLalned)
d. PepaLlc adenoma (can be blle sLalned)

2. Whlch ls leasL llkely ln Crohn's:
a. CaseaLlng granuloma

3. Alpha feLo proLeln lncreased ln:
a. ?olk sac Lumours

4. 8egardlng 8CC, whlch of Lhe followlng ls leasL correcL:
a. SLrong assoclaLlon wlLh vPL
b. Clear cell carclnoma ls Lhe mosL common
c. lncreased rlsk of 8CC ln chronlc renal fallure

3. Lelomyoma, leasL common slLe:
a. PearL
b. Myocardlum
c. 8lood vessels, vascular smooLh muscle
d. Cesophagus
e. SLomach
f. uLerus

6. 8egardlng polyarLerlLls nodosa, whlch ls Lhe leasL correcL:
a. 1he kldneys are mosL commonly lnvolved aL auLopsy
b. Aneursyms are seen aL anglography ln 30
c. 70 are seropos|t|ve for nepat|t|s 8 surface ant|gen (30)
d. Churg SLrauss syndrome frequenLly lnvolves pulmonary and splenlc vessels (Lrue)
e. Serum anLlneuLrophll anLlbody LlLres correlaLe wlLh dlsease acLlvlLy (assumed)

7. laLLy leslonnexL Lo effaced kldney. ?Llposarcoma Whlch of Lhe followlng ls mosL relevanL:
a. revlous radloLherapy
b. 1uberous sclerosls

8. lncldence of Au polycysLlc kldney dlsease:
a. 1: 1000
b. 1:10000
c. 1:100000

9. local renal lnfarcL, whaL ls leasL llkely:
a. AorLlc aLherosclerosls
c. osL AMl
d. An
e. Candlda endocardlLls
f. AdulL haemolyLlc ureamlc syndrome

10. Whlch of Lhe followlng are recognlsed bladder carclnoma paLLerns:
e. I|at, pap|||ary |nvas|ve, pap|||oma-pap|||ary

11. WlLh regards Lo oesophageal carclnoma, whlch ls false:
a. 8arreLLs has a 40x lncreased assoclaLlon wlLh SCC

12. Whlch ls noL a hamarLomaLous / non neoplasLlc polyp:
age 70
a. AdenomaLous
b. euLz !egher
c. PyperplasLlc
d. lnflammaLory
e. !uvenlle

13. 32 year old female presenLs for a barlum enema, hlsLory of PnCC. WhaL ls Lhe referrlng cllnlclan looklng for:
c. PeredlLary neoplasLlc polyps
d. SLrlcLures
e. PamarLoma

14. 17year old glrl presenLs wlLh abdomlnal paln and has a 10cm mlxed solld and cysLlc pancreaLlc mass, whaL ls mosL
llkely:
a. neuroblasLoma
b. Solld cysLlc paplllary Lumour

13. WhaL are Lhe rlsk facLors for mallgnancy ln a sLomach ulcer:
a. Cccurs ln an area of gasLrlLls

16. WhaL does noL cause chronlc pancreaLlLls:
a. Alcohol
b. CholellLhlasls
c. ulvlsum
d. Pypercalcaemla

17. WhaL does noL cause acuLe pancreaLlLls:
a. Alcohol
b. CholellLhlasls
c. 1rauma
d. PaemochromaLosls
e. L8C
18. 8egardlng Crohn's dlsease on C1. Whlch of Lhe followlng ls leasL llkely:
a. rlmary blllary clrrhosls
b. SacrolllLls
c. Cholanglocarclnoma
d. 8enal calcull
e. Cl1 mallgnancy

19. Crohn's collLls ls noL assoclaLed wlLh:
a. laL wrapplng
b. AphLhous ulcers
c. CobblesLone
d. 8ackwash llelLls
e. llsLulas
20. Whlch ls noL assoclaLed wlLh Lhe cllnlcal aspecLs of porLal P1?:
a. AsclLes
b. orLosysLemlc shunLs
c. CongesLlve splenomegaly
d. ancreaLlLls

21. lollowlng are Lrue of pancreaLlc carclnoma:
c. lnsldlous
d. 8lsk facLors lnclude smoklng dleL and exogenous chemlcal
age 71
e. 4S |nvo|ve the body and the ta||? Ia|se
f. May secreLe mucln
22. ClS1 Lumour - whlch ls correcL:

31. P. ylorl, whlch ls leasL correcL:
a. Cram negaLlve splral
b. ALLaches Lo eplLhellum ln Lhe small and large lnLesLlne
c. 8ole ln gasLrlc cancers

32. Whlch ls mosL correcL:
a. Anglodysplasla mosL commonly affecLs Lhe slgmold colon
b. ShorL segmenL Plrshsprung mosL common ln females
c. Meckel's dlverLlculum ls presenL on Lhe mesenLerlc slde
d. CompllcaLlons of necroLlzlng enLerocollLls lnclude sLrlcLure
e. seudopolyps are a feaLure of Crohn's dlsease

4$%5"#"<; 1!O J.*-# BCCK I 4&*%5LV7'"9
A8DC

e. raynauds
2. clrrhosls wlLh cardlac hlsLory, whlch ls leasL llkely
a. mlLral sLenosls
b. consLrlcLlve perlcardlLls
c. ASu
d. uA
e. lschemlc myocardlal dlsease
3. olyps, whlch ls noL a non neoplasLlc polyp?
a. lnflammaLory
b. PyperplasLlc
c. 1ubular adenoma
d. euLz [egher
e. !uvenlle
a. L1CP ls mlcronodular
b. vlral ls macronodular
3. 8enal veln Lhrombosls, whlch ls noL a cause?
a. Membranous Cn
c. Amyloldosls
d. MlLral sLenosls
6. Whlch ls noL charac of uC
a. CrypL abscess
b. ConLlguous
c. CobblesLonlng
e. uvelLls
7. ?oung woman sponLaneous bleed from llver leslon, whlch mosL llkely
age 72
a. lnP
b. Adenoma
c. Cavernous hemangloma
d. PCC
8. Mahogany Lo brown-Lan mass from kldney, whlch llkely
a. 8CC
b. Anglomyollpoma
c. CncocyLoma
9. 14 8ecognlzed assoclaLlons (l)
d. ulabeLes and emphasemaLous peyleo
10. xanLhogranulomaLous pyelo (whlch ls aLyplcal)
a. ?ellow clr
b. Large kldney
c. Can rupLure
d. noL assoc wlLh dlabeLes
11. 8CC (l)
a. paplllary ls Lyplcally hypervascular
b. clear cell 80
c. can presenL wlLh fever
a. Selzures
e. 8enal hamarLoma
13. Pomogenous pale Lumor from LesLes 20yo
a. ?olk sac
b. Lmbryonal
c. Chorlo
d. Semlnoma
e. Lymphoma
a. Adrenal corLex
b. Adrena l medulla
c. Zuckerkandle
d. 8ladder
e. osL medlasLlnum
a. uC
b. 18
c. Crohns
16. haeos, whlch ls noL assoc
a. SWS
b. MLn 2
c. nl
d. vPL
e. Sarcold
a. Smoklng
b. Alcohol
d. ZLS
18. rosLaLlc cancer whlch ls Lrue?
a. Ln goes Lo para-aorLlc flrsL raLher Lhan pelvlc
b. goes Lo Ln before hemaLogenous,
c. more llkely Lo lnvolve L splne and pelvls earller Lhan clavlcles, rlbs and 1splne.
d. gleason ls scorlng beLween 2 and 10
19. Whlch false
20. Wllsons ls auLo recesslve and characLerlzed by llver accum ln llver, eLc.
21. Auku aLyplcal
age 73
a. 8erry aneurysm
d. PepaLlc flbrosls
e. Llver cysLs
22. 8udd chlarl, whlch ls noL assoc
b. Clrrhosls
23. Conn syndrome
a. Adenoma >3cm
b. Adenoma <2cm
c. haeochromocyLoma
24. MosL llkely cause of parLlal obsLrucLlon ln dlverLlcular dlsease
a. ulverLlcullLls
b. Clrcular muscle hyperLrophy
c. LymphadenopaLhy
d. lu
C sLem?? Cne of Lhe ans opLlons. 8udd Chlarl ls deflned as ?hepaLlc veln obsLrucLlon

C. chronlc chole and mucosal ?crypLs cysLs? Soundlng llke adenomyosls

noL harmaLomaLous polyps

Scleroderma false - causes narrowlng of dlsLal esophagus

rosLaLe neoplasla (rpL)

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

30. Hemochromatosis ? false
a. Pomozygous recesslve
b. ulrecLly Loxlc Lo hosL Llssues
c. Cardlac arrhyLhmla cause of sudden deaLh
d. lncldence of hepaLoma ls recesslve
e. Clrrhosls + hyperblllrublnemla

31. Ca pancreas incorrect
a. 40 ln body and Lall
b. -
c. -

32. a1-ATdefic incorrect
a. A 8ecesslve

33. which is not a non neoplastic polyp
a. -
b. AdenomaLous
c. -

34. which is not a feature of acute cholecystitis
a. !aundlce

35. A patient with Crohns on CT is not likely to be associated with
b. Call sLones
c. Cl1 Lumours
age 74
d. kldney sLones

36. Crohns colitis is not associated with
a. laL wrapplng
b. AphLhous ulcer
c. CobblesLone
d. 8ackwash llelLls
e. llsLulas

37. A man with UC at post mortem has a cirrhotic liver with 7cim green mass and clear bowel. Likely Dx
a. PCC
b. Cholanglo Ca

38. What is not associated with clinical aspect of protal HT
a. AsclLes
b. orLo sysLemlc shunLs
c. Splenlc congesLlon
d. ancreaLlLls

39. What does not cause chronic pancreatitis?
a. Alcohol
b. CholellLhlasls
c. ulvlslum
d. Pypercalcemla

40. What does not cause acute pancreatitis
a. Alcohol
b. CholellLhlasls
c. 1rauma
d. PemochromaLosls
e. L8C

41. 17 yo female has abdo pain and has cystic/solid mass in pancreas. Likely Dx?
a. CysLlc solld paplllary Lumour
b. Muclnous cysLadenoma
c. Serous cysLadenoma

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
a. Adenoma
b. PCC
c. llbrolamellar PCC
d. lnP
e. Pemangloma

44. Same 30 yo female has Hx of Breast Ca. Dx?
a. MeL
b. Adenoma
c. lnP
d. PCC

45. Which is least likely in Crohns
a. 8enal calcull
c. 8lllary clrrhosls

age 73
46. H.Pylori which is leat correct
a. C-ve splral
b. ALLaches Lo eplLhellum
c. ln duodenal + gasLrlc ulcers

47. GIST tumours which is correct?

48. Man with ulcerative colitis. At autopsy ahs cirrhosis and 7cm green stained mass
49. Whlch ls mosL llkely?
a. PCC
c. PepaLlc adenoma
d. 8egeneraLlve nodule

50. Pancreatitis is not associated with
a. Pyperlnsullnlsm
b. Pypercalcemla
c. Call sLones
d. Alcohol

51. 17yo girl with pancreatic mass. Which is most likely?
a. CysLadenocarclnoma
b. Serous
c. Solld- cysLlc

52. Following are true of pancreatic carcinoma
c. 8lsk facLors lnclude smoklng dleL and exogenous chemlcals
d. 43 lnvolve body and Lall
e. may secreLe mucln

53. regarding hemochromatosis which is least correct
a. auLosomal recesslve
b. less common ln females
c. accumulaLlon ls llfe long
d. effecLs are due Lo dlrecL Loxlc effecL of lron on cells
e. paLlenLs wlLh longsLandlng dlsease develop clrrhosls and hyperblllrublnemla

54. following are causes of chronic pancreatitis except
a. alcohol
b. gall sLones
c. pancreas dlvlslum
d. hypercalcemla
e. hyperlnsullnemla

55. which cell is responsible for excess collagen production in cirrhosis
a. lLo cell
b. kupfer cell
c. PepaLocyLe
d. LymphocyLe
e. Macrophage
56. Effects of acute cholecystitis least likely
a. !aundlce
b. 8lghL upper quadranL paln
c. Mlld fever
d. LeukocyLosls
e. ?
age 76

GLNI1CUkINAk 1kAC1

57. Renal cell carcinoma
a. llank paln commonesL presenLaLlon sympLom on Px
b. lncreased rlsk wlLh C8l
8" -+9(-4$4/98 (3#-:.!(

58. Types of bladder cancer
a. llaL, lnvaslve paplllary, papllloma paplllary
#" @/A11B %9,!8- ;,4C .98-3,! DD *4- .98-3,! E3(- -+! (3#-:.!(

59. mass next to kidney ? liposarcoma. Most important Q
a. 1uberous Sclerosls
b. ?prevlous x81
c. -

60. Wageners - incorrect
a. vascullLls generallsed
b. Cn
c. Cranulomas u81
d. AnA +ve
e. AnCA +ve

61. scrotal US correct
a. varlcocele usu rlghL slded
b. hydroceles noL assoclaLed wlLh ca
c. cause of hydrocele my be unknown
d. crypLorchldlsm may be assoclaLed wlLh lngulnal hernla

62. Causes of renal infarct incorrect
a. aorLlc aLherosclerosls
b. AdulL PaemolyLlc uremlc Syndrome
c. osL AMl
d. Candlda endocardlLls
e. An

63. Mg ammonium phosphate stones iare associated with infection
a. -

64. Types of bladder Ca
a. -

65. Macroscopic renal infarcts are least likely to be secondary to
a. AorLlc aLheroma
b. revlous Ml
c. An
d. Candlda endocardlLls
e. PuS

66. Regarding pheos
a. 12hyperlnLense
b. LxLra-adrenal pheos are less mallgnanL Lhan Lhose assoclaLed wlLh adrenal
c. 2cm aL ux

67. Bladder tumour microscopic histologic subtypes

68. Wegeners which is correct
a. +ve AnCA
b. lnvolves lungs
age 77
c. lnvolves kldneys
d. +ve AnA

BCCW 4$%5"#"<; I 4&*%5LV7'"9
UkCGLNI1AL

19. Whlch are Lhe morphologlcal Lypes of bladder Ca?
a. apllloma - paplllary, lnvaslve paplllary carclnoma, llaL non-lnvaslve carclnoma and flaL lnvaslve carclnoma
20. local renal lnfarcL, leasL llkely:
a. ALherosclerosls
c. An
d. PuS
e. LndocardlLls
21. Magneslum ammonlum phosphaLe sLones
a. u1l - urea Lransformed lnLo ammonla
22. laLLy leslon nexL Lo effaced kldney. Llposarcoma? Whlch of Lhe followlng ls mosL relevanL?
a. 1uberous sclerosls
b. revlous radloLherapy
23. lncldence of polycysLlc kldneys
a. 1:1000
b. 1:10000
c. 1:100000

24. rosLaLlc carclnoma ls leasL llkely Lo be assoclaLed wlLh:
a. lnvolvemenL of Lhe semlnal veslcles
b. sheeLs of cells ln a flbrous sLroma
23. lollowlng nC1 assoclaLed wlLh lncreased rlsk of LesLlcular mallgnancy

a. CrypLorchldlsm
b. 1esLlcular femlnlsaLlon
c. 1esLlcular mlcrollLhlasls
d. kllnefelLers syn
e. 18 of Lhe LesLls

87. Whlch of Lhe followlng are all recognlsed bladder carclnoma morphologlcal paLLerns:
e. llaL, paplllary-lnvaslve, papllloma-paplllary

88. 8egardlng renal cell carclnoma. Whlch of Lhe followlng ls Lhe LLAS1 CC88LC1:
a. SLrong assoclaLlon wlLh von-Plppel-Llndau syndrome
b. Clear cell carclnoma ls Lhe mosL common (70-80)
c. lncreased rlsk of renal cell carclnoma ln chronlc renal fallure

89. 8egardlng prosLaLlc carclnoma. Whlch of Lhe followlng ls Lhe leasL correcL:
a. 70-80 of males beLween Lhe ages of 70-80 have focl
b. PlsLologlcally sheeLs or cords of cells ln dense flbrous sroma
c. 70 arlse ln Lhe perlpheral zone
d. Local lnvaslon lnLo Lhe semlnal veslcles, bladder and ureLer
e. Carclnoma of Lhe prosLaLe ls less common ln Asla compared wlLh AusLralla and new Zealand

90. 1he mosL llkely explanaLlon beLween magneslum ammonla phosphaLe sLones and urlnary LracL lnfecLlons ls:
age 78
c. non-degradable bacLerlal wall concenLraLes organlc meLals
d. 8acLerlal plasmlds promoLe heavy meLal accumulaLlon as a defence agalnsL leukocyLe aLLack
GI

26. WlLh regards ro Cesophageal Carclnoma whlch ls lALSL
a. bareLLs has x40 lncreased assoclaLlon of SCC
27. WhaL are rlsk facLors for mallgnancy ln a sLomach ulcer ?
a. Cccurs ln area of gasLrlc
28. Whlch of Lhe followlng sLaLemenLs concernlng gasLrolnLesLlnal dlseases ls mosL correcL?
a. 1he colon ls Lhe mosL common slLe for Cl1 lymphoma
b. seudomembranous collLls ls due Lo Loxlns of closLrldlum dlfflclle
c. lnflammaLory pseudo-polyps are a characLerlsLlc feaLure of Crohn's collLls
d. ApLhous ulcers are a characLerlsLlc feaLure of ulceraLlve collLls
e. !uvenlle polyps Lyplcally occur ln Lhe ascendlng colon.
29. Whlch ls nC1 a hamaLamaLous CL?
a. Adenomas ?
b. euLz-!eghers Syndrome
30. PnCC - barlum enema ls performed Lo look for

a. colonlc carclnoma
b. polyps
c. deLecL colonlc hamarLoma
31. Llver clrrhosls paLlenL. PlsLory of ulceraLlve collLls. osL morLem showed a green mass 7cm ln slze. WhaL ls Lhe mosL llkely
cause?

a. hepaLocellular carclnoma
b. cholanglocarclnoma
c. adenoma
d. nodular regeneraLlon
32. 16 year old wlLh a cysLlc and solld pancreaLlc mass. MosL llkely cause:

a. muclnous cysLadenoma
b. muclnous cysLadenocarclnoma
c. solld-cysLlc (paplllary cysLlc) Lumour
83. 8egardlng Crohn's dlsease on C1. Whlch of Lhe followlng ls LLSA1 LlkLL?:
b. SacrolllLls
c. Cholanglocarclnoma
d. 8enal calcull
e. Cl1 mallgnancy

84. 32yo male wlLh ulceraLlve collLls and clrrhosls. A 7cm green Lumour ln Lhe llver exlsLs. WhaL ls Lhe mosL llkely dlagnosls:
a. Cavernous haemangloma
c. PCC
d. nodular regeneraLlve hyperplasla
e. PepaLlc adenoma

83. 17 yo glrl. Complalns of abdomlnal dlscomforL. A 10 cm mlxed solld and cysLlc mass ls ln her pancreas. WhaL ls Lhe mosL llkely:
a. neuroblasLoma
b. Solld cysLlc (paplllary cysLlc) Lumour

86. 32yo female. resenLs for a barlum enema. PlsLory of PnCC. WhaL ls Lhe referrlng physlclan looklng for:
c. PeredlLary neoplasLlc colonlc polyposls
d. SLlcLures
age 79
e. PamarLoma

BCCG J.*-# 4$%5"#"<; I 4&*%5LV7'"9
A8DCMLN

laLLy lnfllLraLlon of llver - leasL llkely cause
a. anoxla
b. smokers
c. dlabeLes melllLls
d. obeslLy
e.

man emlgraLlng from Afrlca. C1 shows a large llver mass lnvadlng Lhe lvC wlLh any oLher leslons or clrrhosls
a.
b. aLyplcal cllnlcal hx for a hepaLoma
c. mosLly llkely a hepaLoma early ln hep8 lnfecLlon
d. lf negaLlve for alfaLoxln Lhen hepaLoma unllkely
e.

Mass ln Lhe Lall of Lhe pancreas ln 30 yr old man, only ?2 small cysLlc componenLs, no [aundlce , mosL llkely
a. muclnous adenocarclnoma
b. Serous adenocarclnoma
c. ancreaLlc adenocarclnoma, no speclal Lype
d.
e.

Whlch of Lhe followlng ls Lrue regardlng lnLraducLal paplllary muclnous carclnoma of pancreas?
a. ?? ls prevlous name for Lhls cancer
b. occurs ln Lall wlLh muclnous cysLs ln females >60 yrs
c. occurs ln head of pancreas ?ln males
d.
e.

8lllary Lree wlLh mulLlple areas of narrowlng
a. Caroll's dlsease
b.
c.
d.
e.

L wlLh cholanglocarclnoma, mosL llkely slLes of meLasLaLlc spread?
a. PaemaLogenous spread Lo Lhe llver, local lymph nodes and lungs
b. Spread Lo lungs, verLebral bodles, braln and adrenals
c. Spread Lo lnvolve perlLoneum, rlghL hemldlaphragm, pleural cavlLy and perlcardlum
d.
e.

L wlLh CML, dlsLal narrowlng of Lhe oesophagus
a. grafL vrs hosL
b. CML
c.
d.
e.

Adenocarclnoma of oesophagus on blopsy resulL - whaL ls Lrue
a. barreLL's oesophagus ln dlsLal Lhlrd of oesophagus
b. can occur anywhere ln oesophagus
c. mosL llkely ls sLomach cancer lnfllLraLlng oesophagus
d.
e.
age 80

20yro l wlLh 12 polyps exclsed aL colonoscopy and query lA. Whlch ls false?
a. euLz-!egher llmlLed Lo small bowel
b. mlld form of lA wlLh <100 polyps
c. need 100 polyps for lA dlagnosls
d. PnCC
e.

PnCC - Whlch ls Lrue?
a. geL polyps
b. geL adenomas
c.
d.
e.

P. ylorl and gasLrlc manlfesLaLlons. Whlch ls false?
a. assoclaLed wlLh MAL1
b. '____' ls Lhe old name for lL
c. mosL common cause of chronlc aLrophlc gasLrlLls
d.
e.
Large sofL Llssue reLroperlLoneal mass ln 63yr old
a. more llkely Lo be mallgnanL because of lLs reLroperlLoneal locaLlon
b. lf blopsy comes back as sarcoma Lhen flbrosarcoma ls a common dlagnosls
c.
d.
e.

known sLrongololdes lnfecLlon. 8arlum enema shows Lhlck walled and narrowlng ascendlng colon. WhaL ls Lrue?
a. lnvaslve lnfecLlon
b. lnvaslve lnfecLlon + llkely auLolnfecLlon
c. paLlenL has someLhlng else
d. flask shaped abscesses ln Lhe mucosa
e. sLrongyloldes only affecLs duodenum and small bowel

Caplllary Paemangloma
a. are usually mlcroscoplc leslons
b.
c. Caplllary haemanglomas of Lhe llver are unllkely dlagnosls
d.
e.

quesLlon abouL haemangloma ln Lhe body
a. 63 resolve by age 7
b. lf glanL haemangloma - assoclaLed decreased plaLeleLs and Lhrombosls
c. caplllary haemangloma ls well deflned ?
d.
e.

Gen|tour|nary

62 year old man, large vascular mass found ln kldney on C1 scan
a. Most likely an oncocytoma if it contains fat
b. It it doesnt contain fat then likely to be an oncocytoma
c. Probably an incidental finding of Renal cell carcinoma
d. Most likely to be a renal cell carcinoma
e.

6 week old chlld on ulLrasound has enlarged kldneys wlLh mulLlple 1-2mm cysLs LhroughouL Lhe kldney. Also has moderaLe renal /
mlld hepaLlc lmpalrmenL. u/S of Lhe parenLs and 2 yr old asympLomaLlc slsLer's kldneys?
a. arenLs normal, slsLer lnvolved
age 81
b. laLher has forme frusLe" form of Lhe condlLlon
c. arenLs and slsLer normal
d. (someLhlng abouL auLosomal domlnanL form of Lhe condlLlon)
e.

PaemolyLlc uraemlc Syndrome?
a. uue Lo lnfecLlon wlLh 8oLavlrus
b.
c.
d.
e.

aLlenL wlLh CoodpasLures syndrome and on longLerm haemodlalysls. Sudden onseL haemaLurla and deaLh. Whlch ls mosL
slgnlflcanL on ulLrasound?
a. mulLlple renal cysLs
b. renal calcull
c.
d.
e.

Whlch ls false regardlng nephroblasLomaLosls?
a. resolve by 1 year of age
b. precursor Lo Wllms dlsease
c. lnclude nephrogenlc resLs and nephroblasLomas? ln adulL populaLlon
d. renal hamarLoma
e.

CrypLorchldlsm
a. MosL commonly bllaLeral
b. ls assoclaLed wlLh lnferLlllLy even afLer orchldoplexy
c. ls noL assoclaLed wlLh lngulnal hernla as canal ls noL formed
d.
e.

30 year old wlLh LesLlcular mass whlch lnvolves Lhe enLlre LesLls and ls unlformly bland ln appearance and elevaLed 8PCC.
a. Chorlocarclnoma
b. 1/8 of semlnomas secreLe 8PCC & should be consldered
c. Lymphoma
d. Mlxed yolk sac/
e

aLlenL wlLh hyperLenslon and adrenal mass. WhaL ls Lrue?
a. bllaLeral adrenal masses makes phaechromocyLoma llkely
b.
c.
d.
e.

ManlfesLaLlons of An on lmaglng. Whlch ls leasL correcL?
b. lung changes on C1 chesL
b.
c.
d.
e.

Mass presenLs for blopsy of a sollLary perlpheral mass ln Lhe prosLaLe wlLh lpsllaLeral semlnal veslcle enlargemenL, whlch ls mosL
correcL?
a. prosLaLe cancer doesn'L occur ln Lhe perlphery
b. mulLlple blopsles are lndlcaLed
c. rosLaLe cancer doesn'L lnvade Lhe semlnal veslcles
d. unllkely Lo be prosLaLe cancer lf an afrlcan-amerlcan
e.
age 82

WanL Lo do an anglogram - who ls Lhe safesL?
e. von wlllebrands wlLh normal A11
f. von wlllebrands wlLh normal plaLeleL counL
g. haemophllla wlLh normal A11
h. female wlLh maLernal haemophllla
e.

suspecLed venous Lhrombosls on M8l. 1hls would noL occur ln
d. C8l and renal dlalysls
e. SLL
f. ?posL parLum
d.
e.

ClanL cell arLerlLls - whlch ls Lrue
g. lnvolves velns
h. dlffuse / conLlnous lnvolvemenL of vessel
l. Lemporal arLerles only
[. granulomas and langerhan cells
k. ?glanL cells and langerhan cells
l. <30 years and males

aLlenL wlLh hyperLenslon (?30 yro). no 8AS seen on C1 anglogram buL 6cm renal mass. Whlch ls Lrue?
e. lncldenLal 8CC
f. 8CC wlLh P1n
g. haechromocyLoma
h. CncocyLoma

1ype 8 coarcLaLlon deflned by
f. dlsLal Lo subclavlan arLery (slde noL speclfled ln quesLlon)
g. dlsLal Lo llgamenLum arLerlosum
h. no lnvolvemenL of ascendlng arch
l. enLlre aorLa
[.

quesLlon on 1akayasu. 8esponses focused on
d. female or male
e. age
f. hlsLologlcal flndlngs

local reglonal wall moLlon abnormallLy - leasL llkely opLlon?
g. old Ml
h. recenL Ml
l. sLunned myocardlum
[. endocardlal flbrosls
k. ?hlbernaLlng myocardlum
l. ?cardlac amylold

BCCG T&.% 4$%5"#"<; I 4&*%5LV7'"9
Gen|tour|nary

67. 8enal fallure due Lo amyloldosls, whlch ls false?
a. Shrunken kldneys.
b. normal slze kldneys.
c. Lnlarged kldneys.
d. leaLures of renal arLery sLenosls.
e. 8llaLeral lnvolvemenL.

age 83
68. A 60 year old male wlLh large palpable lnLraLesLlcular mass whlch has developed over one monLh, showlng an lncreased
vascularlLy on uoppler uS, ls mosL llkely ls whlch of Lhe followlng?
a. Semlnoma.
b. SpermaLocyLlc semlnoma
c. Lymphoma.
d. 1eraLoma.
e. Lmbryonal cell carclnoma

69. 8egardlng renal calcull, whlch ls Lrue?
a. Ma[orlLy are ldlopaLhlc and conLaln calclum oxalaLe
b. Ma[orlLy are due Lo hypercalcemla and conLaln calclum oxalaLe.
c. MosL are relaLed Lo urlnary LracL lnfecLlon.
d. CysLlne sLones are mosL common.
e. SLaghorn calcull are Lyplcally uraLe

70. 8egardlng nephrogenlc resLs, whlch ls Lrue?
a. lL ls benlgn buL premallgnanL condlLlon.
b. lL ls consldered hamarLoma.
c. 1here ls no such enLlLy.
d. More commonly seen ln adulLs.
e. 1yplcally presenLs wlLh recurrenL u1l

71. 8egardlng benlgn prosLaLe hyperplasla. Whlch ls Lrue?
a. Mlcronodules more common Lhan macronodules.
b. < 3 occur ln perlpheral zone.
c. Squamous meLaplasla and lnfarcLlon noL a common flndlng.
d. 1ranslLlonal zone ls unusual slLe.
e. ulagnosls ls easlly made on needle blopsy.

72. WorsL prognosls of Lhe followlng LesLlcular Lumours?
a. SpermaLocyLlc semlnoma ln 63 year old man
b. ?olk sac Lumour ln 2 year old chlld
c. 1eraLoma ln neonaLe
d. Chorlocarclnoma ln 22 year old
e. Leydlg cell Lumour ln 30 year old

73. 1CC - rlsk facLors

Abdomen]GI1

74. olyp ln ascendlng colon, vlllous & >3cm. 8lsk of mallgnancy?
a. 1
b. 23
c. uepends on famlly hlsLory
d. 100
e. 66

73. Whlch sLaLemenL regardlng Caroll dlsease ls Lrue?
a. lrregular dllaLaLlon of blllary Lree and cysLlc dlsease of kldney are recognlsed assoclaLlons.
b. May be assoclaLed wlLh vPL.
c. May be assoclaLed wlLh Luberous sclerosls.
d. AuLosomal domlnanL
e. lncreased rlsk hepaLocellular carclnoma

76. aLlenL wlLh suspecLed lnsullnoma referred for C1 scan for evaluaLlon. Whlch ls Lrue?
a. arLlcular aLLenLlon should be pald Lo pancreas.
b. MulLlfocal lnsullnomas occur ln Lhe ma[orlLy of paLlenL.
c. 8eLroperlLoneal mass ls lndlcaLlve of mallgnanL or meLasLaLlc lnsullnoma.
d. Ma[orlLy of lnsullnomas are mallgnanL.
age 84
e. Llkely Lo be assoclaLed wlLh oLher feaLures MLnllb

77. An adulL who had renal mass. osL resecLlon hlsLologlcal dlagnosls ls oncocyLoma. Whlch ls Lrue?
a. CncocyLoma usually ls <2cm.
b. lnLracellular faL ls Lyplcal of oncocyLoma.
c. lL ls unllkely Lo be a mlcroscoplc dlagnosls.
d. CncocyLoma accounLs for 10 of such renal mass leslons.
e. CncocyLoma ls consldered a low-grade mallgnanL Lumour.

78. 8egardlng Clardla, whlch ls Lrue?
a. lL ls a PelmlnLh.
b. lnvolved locaLlons lnclude caecum and ascendlng colon more frequenLly Lhan appendlx and small bowel.
c. SLomach and duodenum mosL llkely lnvolved.
d. Cn blopsy, lL resembles coellac dlsease.
e. 8equlres duodenal asplraLe Lo make a confldenL dlagnosls.

79. 8egardlng Amoeblasls, whlch ls mosL Lrue?
a. lL affecLs duodenum and proxlmal [e[unum.
b. Clves cysL wlLhln cysL appearance ln llver.
c. 1here ls lnvaslon of blle ducLs.
d. CollLls ls mlld and superflclal
e. Can see 'mushroom cloud' appearance of exudaLe on mucosal blopsy

80. Adenocarclnoma ln mld 3
rd
of oesophagus ln a 40-year-old female paLlenL. Whlch ls Lrue?
a. lL mosL llkely ls due Lo exLra long segmenL 8arreLL's oesophagus.
b. ALyplcal age for adenocarclnoma.
c. lL ls mosL llkely relaLed Lo scleroderma.
d. MosL llkely represenLs proxlmal spread from gasLrlc cardla leslon
e. robably represenLs meLasLasls from lung.

81. 30-year-old male, wlLh hlsLory of mallgnancy. C1 shows segmenL of non-speclflc small bowel Lhlckenlng. Whlch ls mosL llkely Lo
accounL for Lhls?
a. revlous sLage 1 Podgkln dlsease of neck.
b. MeLasLaLlc melanoma.
c. revlous LesLlcular carclnoma.
d. ChemoLherapy.
e. 8one marrow LransplanL.

82. Abdomlnal lymphadenopaLhy on C1. 8lopsy shows polyclonal lnfllLraLe ?sarcold". Whlch ls Lrue?
a. 13 of sarcold lnvolves exLra Lhoraclc lymph node.
b. Crohn's dlsease requlres excluslon.
c. ulagnosls of sarcold noL supporLed lf no hllar lymphadenopaLhy on Cx8
d. Sarcold unllkely lf Afrlcan Amerlcan.
e. CaseaLlng granulomas also expecLed ln sarcold.

83. Llver mass LhoughL Lo be cholanglocarclnoma ls assoclaLed wlLh ln drawlng of llver capsule on C1? Whlch ls mosL llkely?
a. 8elaLed Lo desmoplasLlc reacLlon.
b. uue Lo underlylng clrrhosls.
c. uue Lo aLrophy secondary Lo long-Lerm obsLrucLlon.
d. uue Lo LeLherlng from prevlous blopsy.
e. noL llkely Lo be cholanglocarclnoma wlLh Lhls appearance.

84. 8equesL for C1 abdomen for elderly man wlLh lnLraducL paplllary muclnous Lumour". MosL llkely?
a. no such condlLlon.
b. Solld mass ln pancreaLlc Lall expecLed.
c. C8u cysLlc mass expecLed.
d. ullaLed maln &/or branch pancreaLlc ducLs would be conslsLenL.
e. lncorrecL demographlcs for Lhls condlLlon.

83. 8egardlng gallsLones ln WesLern socleLy. 1rue?
a. MosL are plgmenL sLones
b. Seen ln 80 over 80
age 83
c. More common ln dlabeLes
d. CholesLerol sLones formaLlon requlres supersaLuraLlon of blle wlLh cholesLerol.
e. CholesLerol sLones calclfy more commonly Lhan plgmenL sLones.

86. C8 wall Lhlckenlng - Ca vs. xanLhogranulomaLous cholecysLlLls

87. lschemlc collLls - cause, appearance, assoclaLlon wlLh SLL

88. PCC - morphology, spread, Al (vs. clrrhosls

89. uC vs. Cu - race, sex, ca rlsk

MSk
45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9
MSk
1. PlsLology of flbrous dysplasla
a. 8lood fllled cysLlc spaces
b. Abnormal Llssue proporLlons
c. Lmbryonal Llssue
d. 8enlgn wlLh elemenLs of normal bone
e. 8enlgn wlLh flbrous prollferaLlon

2. WhaL ls Lhe besL deflnlLlon of osLeogenesls lmperfecLa
a. AbnormallLy of Lype 1 collagen
b. CsLeoclasL lssue
c. CsLeoblasL lssue
d. vlLamln u
e. Calclum

3. WhaL ls noL a Lype of osLeosarcoma
a. CsLeoblasLlc
b. CsLeolyLlc
c. llbroblasLlc
d. 1elanglecLaLlc
e. Small cell

4. WhaL ls Lhe mosL characLerlsLlc cell ln Lwlngs?
a. ClanL cell
b. Splndle cell
c. Small round cell

3. ClanL cell 1umours, whlch ls Lrue (Aug 2007 repeaL)
a. Cccur ln flaL bones malnly
b. 10-20 yo
c. meLs Lo lungs ln 0.3 - 3
d. 10-13 wlll evenLually demonsLraLe sarcomaLous change (rare ln robblns)
e. currenLly LhoughL Lo be monoclonal mallgnancy of lnLermedlaLe grade.

6. PyperplasLlc synovlum ls seen ln
a. 8A
b. CouL
c. Cu
d. 8elLers

7. lorelgn body Lype glanL cells seen ln:
a. 8elLers
age 86
b. CouL
c. AS
d. 8A
e. sorlaLlc arLhrlLls

8. Chondrocalclnosls noL seen ln
a. Cu
b. CouL
c. PaemochromaLosls
d. ?Wllsons
e. ?Pypomagnesemla
f. Cchronosls

9. CompllcaLlons of ageLs lnclude
a. Cranlal nerve palsy
b. Low ouL puL cardlac fallure
c. MallgnanL LransformaLlon
d. Plgh ouLpuL cardlac fallure
e. lracLures

10. Whlch ls mosL approprlaLe wlLh regard Lo MorLon's neuroma
a. Cccurs usually beLween Lhe 4
Lh
and 3
Lh
meLaLarsals
b. Axonal aLrophy
c. resenLs wlLh parasLhesla
d. ln[ecLlon wlLh eLhanol ls lnapproprlaLe/ noL a recognlsed Lherapy
e. ?noL a neruoma

11. MosL characLerlsLlc of gouL
a. Serum hyperurlcaemla
b. llrsL M1
c. -ve blrefrlngenL crysLals on [olnL asplraLe

12. 8egardlng LC, whlch ls false
a. non-neoplasLlc prollferaLlon
b. MosL aggresslve form of hlsLlocyLosls x

13. AdamanLlnoma, whlch ls Lyplcal
a. CsLeosclerosls
b. Lplphysls
c. Soap bubble mulLlcysLlc leslon

4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
MSk
1. Loslnophlllc granuloma, whlch ls leasL correcL
b. PlsLlocyLosls x ls mosL aggresslve form
2. llbrous dysplasla (deflnlLlon)
a. 8enlgn wlLh all elemenLs of normal bone
b. 8enlgn wlLh flbrous prollferaLlon
c. 8enlgn wlLh ..
3. PyperplasLlc synovlum
a. 8A
b. CouL
c. sorlasls
d. CA
4. Causes of Ca pyrophosphaLe crysLals ln [olnL (learn llsL, opLlons change)
a. Cu
b. CouL
c. PemochromaLosls
d. Cchronosls
age 87
e. Chondrocalclnosls
3. 2. MorLons neuroma whlch ls false?
a. b/w 4 and 3
Lh
M1
b. eLhanol Lherapy ls approprlaLe
c. neural aLrophy / axonal degeneraLlon
d. ls noL a Lrue neuroma
e. ls palnless
6. 1ypes of osLeosarc, whaL ls false?
a. CsLeoblasLlc
b. CsLeoclasLlc
c. llbroblasLlc
d. 1elanglecLaLlc
e. Small cell
7. ClanL cell Lumor (Lrue answer)
a. Age group 10-20
b. MosL ofL ln pelvls
c. 0.3-3 meLasLaslze Lo lungs (helms dlsagrees wlLh Lhls buL lL ls ln 8obblns as up Lo 4!)
d. 10-13 wlll evenLually demonsLraLe scarcomaLous change (rare ln robblns)
a. CsLeosclerosls
b. Lplphysls
9. Cl defecL ln
a. 1ype 1 collagen
b. Calclum hydroapaLlLe
c. CsLeoblasL
d. CsLeoclasL
10. Whlch of Lhe followlng ls Lrue regardlng Lwlng's sarcoma?
11. 8egardlng ameloblasLoma?
a. Soap bubble leslon
b. Cnlon skln perlosLeal reacLlon
c. CsLeoscleroLlc
12. 1he mosL dlagnosLlc of gouL ls? (repeaL)
a. -ve blrefrlngence
13. WhaL ls noL a compllcaLlon of ageL's?
a. Low flow cardlac ouLpuL
b. Sarcoma
c. Plgh flow cardlac ouLpuL
d. plaLybasla

1$*95 BCCQ 4$%5"#"<; H&9$##/7'"9
MSk
Clomus Lumour of Lhe flnger descrlpLlon
Several q's on gouL and lymphoma
4$%5 1!O J,< "R I .*-3%7'"9
MSk
1. 1he feaLure mosL dlagnosLlc of gouL ls:
a. AcuLe paln ln 1
sL
M1 [olnL
b. negaLlvely blrefrlngenL crysLal on asplraLe
c. ara arLlcular eroslons
d. Pyperurlcaemla

2. vnS - lncorrecL:
a. Ankle commonesL slLe
b. noL neoplasLlc
age 88
c. Causes eroslons

3. 8heumaLold nodules, leasL llkely slLe:
a. lnna of ear
b. LxLernal surface forearm
c. kldney
d. Spleen

4. CharacLerlsLlc feaLures of a 8h nodule:
a. CenLral flbrlnold necrosls surrounded by pallsadlng hlsLlocyLes

3. Cu, whlch ls lncorrecL:
a. PypoMg
b. 8A
c. CA
d. PaemochromaLosls

4J@N 1!O J,<,/% BCCQ9 ST7'"9
MSk
2. MorLons neuroma whlch ls ?false
b/w 4 and 3
Lh
M1
eLhanol Lherapy ls lnapproprlaLe
neural aLrophy

29: A man has oseLosarcoma - whlch ls leasL llkely
lu
ageLs
lnfarcL

39. Avn whlch ls false
Can be caused by fracLure
Can lnclude be assoc wlLh fracLure
uoes noL lnclude medulla

Age group 10-20
MosL ofL ln pelvls
0.3-3 meLasLaslze Lo lungs (helms dlsagrees wlLh Lhls buL lL ls ln 8obblns as up Lo 4!)
10-13 wlll evenLually demonsLraLe scarcomaLous change (rare ln robblns)

C. 1halassemla? Slckles

C. Causes of gouL does/does noL lnclude : myelodysplasLlc or myeloprollf

C. SLem?
basal cell nevus syndrome causes [aw leslons
amelloblasLoma arlses from odonLogenlc eplLhellum

C. ?SLem ?opLlons. (asklng for 1 answer)
8urklLs ls uncommonly assoc wlLh lnvaslon of faclal bones

C. 8asal cell naevus syndrome causes [aw leslons

C. CsLeomyellLls
regardlng organlsms aL eplph ln klds eLc
occur mosL ofLen ln long bones and verLebra

age 89
4$%5"#"<;SU$+ <""' BCCR7'"9
MSk

98. 1he feaLure mosL dlagnosLlc of gouL ls:
a. AcuLe paln ln 1
sL
M1 [olnL
b. negaLlvely blrefrlngenL crysLal on asplraLe
c. ara arLlcular eroslons
d. Pyperurlcaemla
99. 8heumaLold nodules, leasL llkely slLe:
a. |nna of ear
c. kldney
d. Spleen

100. CharacLerlsLlc feaLures of a 8h nodule:
a. CenLral flbrlnold necrosls surrounded by pallsadlng hlsLlocyLes

101. Cu, whlch ls lncorrecL:
a. PypoMg
b. 8A
c. CA
d. PaemochromaLosls

23. vnS - lncorrecL:
a. Ankle commonesL slLe
b. noL neoplasLlc
c. Causes eroslons
4$%5"#"<; 1!O J.*-# BCCK I 4&*%5LV7'"9
MSk

1. Loslnophlllc granuloma, whlch ls leasL correcL
b. PlsLlocyLosls x ls mosL aggresslve form
2. llbrous dysplasla (deflnlLlon)
a. 8enlgn wlLh elemenLs of normal bone
b. 8enlgn wlLh flbrous prollferaLlon
c. 8enlgn wlLh ..
3. PyperplasLlc synovlum
a. 8A
b. CouL
c. sorlasls
d. CA
4. Causes of Ca pyrophosphaLe crysLals ln [olnL (learn llsL, opLlons change)
a. Cu
b. CouL
c. PemochromaLosls
d. Cchronosls
e. Chondrocalclnosls
3. 2. MorLons neuroma whlch ls ?false
a. b/w 4 and 3
Lh
M1
b. eLhanol Lherapy ls lnapproprlaLe
c. neural aLrophy
d. aLyplcal neuroma
6. 1ypes of osLeosarc
a. CsLeoblasLlc
b. CsLeoclasLlc
c. llbroblasLlc
age 90
d. 1elanglecLaLlc
e. Small cell
a. Age group 10-20
b. MosL ofL ln pelvls
c. 0.3-3 meLasLaslze Lo lungs (helms dlsagrees wlLh Lhls buL lL ls ln 8obblns as up Lo 4!)
d. 10-13 wlll evenLually demonsLraLe scarcomaLous change (rare ln robblns)
a. CsLeosclerosls
b. Lplphysls

BCCW J.*-# 4$%5"#"<; I 4&*%5LV7'"9
MSk
69. Leiomyoma is least common
70. PearL
71. 8lood vessels
72. Cesophagus
73. SLomach
74. uLerus
75. Rh fever incorrect
a. Large [olnL arLhrlLls
b. Aschoff cells uncommon
c. -
d. rheumaLlc pneumonlLls also manlfesLaLlon
76. PVNS incorrect
a. Ankle commonesL
b. noL neoplasLlc
c. causes eroslons
d. -
77. The feature most diagnostic of gout is
a. AcuLe paln 1
sL
M1 [olnL
b. -ve blrefrlngenL crysLal on asplraLe
c. para arLlcular eroslons
d. hyperurlcemla

78. Leiomyoma rarest site
a. PearL
b. Myocardlum
c. Cesophagus
d. vascular smooLh muscle

79. Chondrocalcinosis is found in
a. PemochromaLosls
b. 8A
c. Pypomagnesemla

80. Rh nodules lest likely site
a. lnna of ear
c. kldney
d. Spleen

81. CPPD incorrect
a. Pypo Mg
b. 8A
c. CA
d. PemochromaLosls
age 91

82. Characteristic features of Rh nodule
a. -
b. CenLral flbrlnold necrosls surrounded by pallsadlng hlsLlocyLes
c. -

83. Rheumatoid nodule central fibrinous necrosis

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

1. Concernlng gouL

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

Whlch of Lhe followlng ls aLyplcal for ageLs dlsease?
a. a lyLlc leslon ln Lhe lower end of Lhe
b. lL lnvolves Lhe posLerlor elemenL of Lhe verLebral bodles
c. ln a !apanese LourlsL
d. female
e.

Whlch ls Lrue regardlng sofL Llssue sarcoma?
a. llkely mallgnanL lf reLroperlLoneal
b. flbrosarcoma ls common sarcoma
c. lf well deflned - unllkely Lo be mallgnanL
d. synovlal sarcoma commonly lnLraarLlcular
e.

Whlch ls Lrue regardlng 8elLers syndrome?
a. occurs ln gonococcal ureLhrlLls wlLhln Lhe lasL 2 weeks
b. occurs ln shlgella dysenLery
c. females predomlnanLly
d. meLacarpal phalangeal [olnLs
e.

aLlenL wlLh bone xray leslons suggesLlve of mulLlple myeloma and negaLlve serum elecLrophoresls. WhaL ls Lrue?
a. paLlenL has WaldensLrom's macroglobullnaemla
b. 1 mulLlple myeloma are nonsecreLory
c. varlous deLalls abouL bence [ones excreLlon / and elecLrophoresls and urlne LesLs wlLh varlous percenLages of +ve LesL
d.
e.

Whlch of Lhe followlng ls mosL correcL regardlng flbrous dysplasla?
a. hlsLology shows a mosalc" appearance
b. no mallgnanL poLenLlal
c. monosLoLlc converLs Lo polyosLoLlc ln 10-13
d. McCune-AlbrlghL represenLs polyosLoLlc flbrous dysplasla, cafe-au-lalL spoLs wlLh endocrlne abnormallLles (hyperLhyroldlsm,
glganLlsm, and lso-sexual precoclLy)
e. mosL common locaLlons lnclude Llbla > phalanges> femur> rlbs > calvarlum

Langerhans Cell PlsLlocyLosls, mosL llkely?
a. LeLLerer-Slwe ls domlnaLed by punched" ouL leslons of Lhe calvarlum
b. LeLLerer-Slwe mosL common ln 2-7 age group
c. Can solely lnvolve Lhe skln or lungs ln chlldren or adolescenLs
age 92
d. uoes noL affecL Lhe posLerlor plLulLary
e.

Whlch ls leasL llkely regardlng plgmenLed vlllonodular synovlLls?
a. MonoarLlcular dlsease of Lhe knee
b. aplllary pro[ecLlons ln Lhe synovlum
c. 8ed-8rown ln colour
d. Small porLlon of Lhe synovlam Lyplcally lnvolved
e.

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

90. 8egardlng chondromyxold flbroma, whlch ls mosL llkely?
a. Lplphyseal reglon ln 2-year-old glrl.
b. MeLaphyseal reglon ln a 20-year-old male, assoclaLed wlLh aneurysmal bone cysL.
c. ulsLal eplphyseal reglon ln a 7-year-old boy.
d. osLerlor elemenLs mosL common slLe.
e. 1yplcally polyosLoLlc.

91. Whlch sLaLemenL regardlng scleroderma ls Lrue?
a. Cesophageal alr-fluld level on C1 ln suplne poslLlon ls dlagnosLlc
b. 8enal arLery relaLed hyperLenslon ls seen ln >2/3
rd
of paLlenLs.
c. uesLrucLlve arLhropaLhy hlp [olnL ls conslsLenL wlLh dlagnosls.
d. Colon mosL frequenLly lnvolved porLlon of Cl1.
e. Lung lnvolvemenL rare.

92. aLlenL wlLh Lhalassemla ma[or. Whlch ls Lrue?
a. PepaLomegaly and splenomegaly may lndlcaLe lnadequaLe LreaLmenL.
b. lncreased rlsk of myeloflbrosls.
c. Plgh rlsk of PCC wlLh long-Lerm Lherapy
d. resenLs ln flrsL few days afLer blrLh
e. MosL hemoglobln ls PbS

93. 8equesL for radlologlcal screenlng" of a paLlenL wlLh new monoclonal gammopaLhy. Whlch lnvesLlgaLlon ls mosL approprlaLe?
a. ChesL C1.
b. Pead, neck and chesL C1.
c. x-ray of bone marrow.
d. x-ray of skull, chesL, pelvls, proxlmal humerus, proxlmal femur and splne.
e. x-ray of skull, chesL, pelvls, hands and feeL.

94. 63 year old man wlLh abrupL onseL symmeLrlcal polyarLhropaLhy lnvolvlng M1 / MC / l [olnLs. 1rue?
a. 8A can presenL ln Lhls manner.
b. 1yplcal for gouL.
c. 1yplcal for lnflammaLory CA.
d. MosL llkely amylold arLhropaLhy.
e. recedlng ureLhrlLls ls expecLed ln Lhls case.

93. Synovlal sarcoma - dlfferenLlal, feaLures

96. 8elLer syndrome

age 93
Cbs and Gynae
45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9
C&G
1. MosL llkely solld ovarlan neoplasm
a. Serous
b. Muclnous
c. uermold
d. 8renner
e. LndomeLrlal

2. Whlch ls false
a. lmaglng cannoL dlfferenLlaLe benlgn endomeLrlal hyperplasla from carclnoma
b. Lamoxlfen ls assoclaLed wlLh lncreased raLes of endomeLrlal carclnoma
c. haemaLocolpos means blood ln Lhe endomeLrlal canal
d. 73 of endomeLrlal polyps become mallgnanL

3. elvlc ulLrasound for female on Lamoxlfen lndlcaLlon
a. Looklng for ovarlan meLs
b. 1amoxlfen ls assoclaLed wlLh ovarlan neoplasm
c. 1amoxlfen ls assoclaLed wlLh endomeLrlal hyperplasla and carclnoma
d. 23 breasL Ca ls 88CA1 and Lhey have lncreased ovarlan Ca raLes
e. 23 breasL Ca ls 88CA2 and Lhey have lncreased ovarlan Ca raLes

4. Whlch ls Lhe leasL llkely cause of polyhydramnlos?
a. Large congenlLal dlaphragmaLlc hernla
b. CasLroschlsls
c. 1rlsomy 18
d. 1wlns
e. CCAM

4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
C8GN
1. Cvarlan Lumor, whlch mosL llkely solld
a. Serous
b. Muclnous
c. LndomeLrlal
d. 8renner
2. Whlch ls false regardlng Lelomyoma?
a. edunculaLed may LorL
b. opcorn calclflcaLlon
c. Pard Lo dlfferenLlaLe lelomyosarcoma and lelomyoma
d. uoes noL lncrease ln slze wlLh pregnancy
3. 8egardlng ovarlan umours, whlch of Lhe followlng ls false?
a. MallgnanL Lumours are mosL commonly solld
4. Whlch of Lhe followlng ls false?
a. PemaLocolpos ls bleedlng lnLo Lhe vaglna
b. Adenomyosls ls exLenslon of endomeLrlum lnLo Lhe myomeLrlum
3. aLlenL ls posL parLum and hypoplLulLary. MosL llkely?
a. LymphocyLlc adenohypophyslLls
b. LmpLy sella
c. MeLasLasls Lo plLulLary
6. C. Lamoxlfen ls a rlsk facLor for endomeLrlal hyperplasla and cancer
age 94
1$*95 BCCQ 4$%5"#"<; H&9$##/7'"9
C&G
LndomeLrlal carclnoma - oesLrogen lnfluence on perl vs posL menopausal Lypes
4$%5 1!O J,< "R I .*-3%7'"9
C&G
2. Lelomyoma, leasL common slLe:
a. PearL
b. Myocardlum
c. 8lood vessels, vascular smooLh muscle
d. Cesophagus
e. SLomach
f. uLerus

3. WhaL ls aLyplcal ln endomeLrlal carclnoma:
a. local mass
b. ulffuse Lhlckenlng of Lhe uLerus
c. 1ubal Lo perlLoneal spread
d. lf SCC Lhen lL ls llkely Lo be cervlcal carclnoma spreadlng Lo Lhe uLerus

4. 1wln Lo Lwln Lransfuslon:
a. More common lf monoamnloLlc

3. MosL llkely Lo be a solld ovarlan Lumour:
a. 8renner
b. uermold
c. Muclnous cysLlc adenoma
d. Serous
e. LndomeLrold

4J@N 1!O J,<,/% BCCQ9 ST7'"9
C&G
23. SLaglng of uLerlne ca whaL doesn'L maLLer
elvls or lnLo pelvlc slde wall
LndomeLrlum or myomeLrlum
4$%5"#"<;SU$+ <""' BCCR7'"9
C&G
1. WhaL ls aLyplcal ln endomeLrlal carclnoma:
a. local mass
b. ulffuse Lhlckenlng of Lhe uLerus

2. 1wln Lo Lwln Lransfuslon:
a. More common lf monoamnloLlc

3. MosL llkely Lo be a solld ovarlan Lumour:
a. 8renner
b. uermold
c. Muclnous cysLlc adenoma
d. Serous
e. LndomeLrold
age 93
4$%5"#"<; 1!O J.*-# BCCK I 4&*%5LV7'"9
C&G

1. Cvarlan Lumor, whlch mosL llkely solld
a. Serous
b. Muclnous
c. LndomeLrlal
d. 8renner
2. olyhydramnlos
a. CuP
b. CasLroschesls
C. Lamoxlfen ls a rlsk facLor for endomeLrlal hyperplasla and cancer
BCCW J.*-# 4$%5"#"<; I 4&*%5LV7'"9
C&G
84. Ovarian Tu not cystic
a. uermold
b. Muclnous cysLlc adenoma
c. Serous
d. 8renner Lumour
e. LndomeLrold

85. aFP increased in
a. yolk sac Lumours
b. -
86. Endometrial abnormality incorrect
a. olyps mosL commonly sesslle
b. Cancer may presenL wlLh dlscreLe mass
c. Cancer may presenL wlLh dlffuse endomeLrlal Lhlckenlng
d. -

87. Regarding endometrial polyps which is true
a. 8esL seen ln prollferaLlve phase
b. ulfferenLlaLlng benlgn submucosal flbrold and endomeLrlal polyp by uS ls posslble
c. ulfferenLlaLlon beLween flbrold and endomeLrlal polyps posslble on 12W
d. When assoclaLed wlLh endomeLrlal fluld as lndlcaLlon of mallgnancy

88. Yolk sac tumour increased aFP

89. Which is least likely to be cystic
a. 8renner 1umour
b. LndomeLrlal 1umour
c. uermold
d. Muclnous Lumour
e. Serous Lumour
BCCW 4$%5"#"<; I 4&*%5LV7'"9
C8 & GN

1. solld mass on ovary
a. 8renner
2. WhaL ls aLyplcal ln endomeLrlal carclnoma ?

a. local mass
b. ulffuse Lhlckenlng of uLerus
age 96
3. 8reasL cancer - whlch Lype has 8LS1 prognosls ?
4. 1ypes of breasL carclnoma-ln-slLu: whlch ls nC1?

a. Crlbrlform
b. aplllary
c. Mlcropaplllary
d. Comedocarclnoma
e. Medullary
BCCG J.*-# 4$%5"#"<; I 4&*%5LV7'"9
C & G

aLlenL wlLh endomeLrlal blopsy showlng ?bone/carLllage eLc. whaL ls llkely?
a. prlmary uLerlne LeraLoma
b. meLasLaLlc LeraLoma
c. oLher LeraLoma opLlon ?benlgn LeraLoma eLc
d.
e.

Cvarlan Lumour wlLh solld and cysLlc componenLs + paplllary folds + calclflcaLlon
a. ?serous cysLadenoma/CA
b. muclnous cysLadenoma/CA
c. brenners
d.
e.

40yr old female wlLh hemaLomeLra & mass whlch lnvolves Lhe cervlx and Lhrough Lo Lhe bladder mucosa. Whlch ls Lhe mosL llkely?
a. SLage llc cervlcal cancer
b. SLage lv cervlcal cancer
c. 8ladder cancer
d. vaglnal Cancer
e.

CbsLeLrlc uSS wlLh sacral mass. WhaL ls llkely?
a. benlgn sacrococcygeal LeraLoma
b. mallgnanL sacrococcygeal LeraLoma
c. neuroblasLoma
d.
e.

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

97. 1wln-Lwln Lransfuslon. 1rue?
a. Monochorlonlc hlghesL rlsk
b. SeparaLlng membrane means no rlsk
c. Slngle placenLa means monozygoLlc.
d. ulamnloLlc hlghesL rlsk.
e. lncreased rlsk lf dlfferenL sexes.

98. LndomeLrlosls ls mosL llkely Lo be found ln whlch locaLlons?
a. Cvary, uLerlne llgamenL and perlLoneum.
b. Cvary, uLerlne llgamenL and laparoscoplc scar.
c. elvlc slde wall, ovary, pouch of uouglas.
d. leura, lung and umblllcus.
e. vaglnal vaulL.

age 97
99. A feLal morphology scan showlng cysLlc kldneys wlLh ollgohydramnlos. MaLernal grandfaLher has hlsLory of cysLlc renal dlsease.
Whlch mosL llkely underlylng cause ln feLus?
a. lnherlLed maLernal cysLlc kldney dlsease.
b. A8Cku.
c. AuCku.
d. 8llaLeral MCuks.
e. vPL

100. Whlch of Lhe followlng besL characLerlses muclnous cysLadenocarclnoma of Lhe ovary from serous cysLadenocarclnoma?
a. > 20 cysLs.
b. 6cm leslon.
c. AssoclaLlon wlLh 88CA-1.
d. SLlppled calclflcaLlon.
e. 8llaLerallLy.

101. An obsLeLrlc ulLrasound showlng a llve 10-week foeLus wlLh bllaLeral ovarlan cysLs and an enlarged placenLa. Whlch ls mosL
llkely?
a. CompleLe mole.
b. arLlal Mole.
c. A Lwln pregnancy.
d. PeLeroLoplc (lnLrauLerlne and ecLoplc) pregnancy.
e. robably on lnferLlllLy hormone Lherapy.

102. 8equesL for pelvlc ulLrasound for a woman wlLh suspecLed ovarlan endomeLrlold carclnoma. Whlch ls Lrue?
a. 8renner Lumours are expecLed Lo lnduce endomeLrlal hyperplasla
b. 13-30 wlLh endomeLrold Lumours also have endomeLrlal carclnoma.
c. Absence of flndlngs of endomeLrlosls would noL supporL dlagnosls.
d. Cvarlan mass conLalnlng halr and faL ls expecLed flndlng.
e. 93 endomeLrold Lumours are bllaLeral.

103. Adenomyosls of uLerus
a. no such Lhlng
b. ls same condlLlon as endomeLrlosls
c. SympLoms more common ln posL-menopause
d. 8epresenLs down-growLh of endomeLrlum lnLo myomeLrlum
e. 8are (<0.1)
naem, Some Genera|
45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9
naem
1. WhaL favours Pu over nPL
a. Waldeyer's rlng lnvolvemnenL
b. Male gender
c. LxLra nodal dlsease
d. 8eglonal conLlguous nodal lnvolvemenL

2. WlLh folllcular lymphoma, ?Lrue
a. lndolenL buL lncurable wlLh 7 - 9 year survlval
b. Male over 60
c. 1ransforms lnLo dlffuse Lypes ln 30 - 30
d. ?Pas a folllcular growLh paLLern/ ?slngle nodal group
e. Pas exLra nodal lnvolvemenL less frequenLly Lhan oLher nPL

3. 60y m, folllcular nPL, whlch ls false
a. Age and sex are aLyplcal
b. 30-30 Lransform Lo more aggresslve Lype
c. 1ends Lo have laLe exLranodal lnvolvemenL
d. WlLh LreaLmenL, Lends Lo have an lndolenL waxlng and wanlng course
e. ?mosL common nPL
age 98

4. Pu, whlch ls Lrue
a. never coexlsLs wlLh nPL
b. Clder age Lhan nPL
c. CannoL dlagnoses on lnA because archlLecLure ls lmporLanL
d. 8S cell ls probably an abnormal 8 cell
e. Afrlcan 8urklLLs rarely lnvolves Lhe faclal bones

4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
nALM and other |eftovers
1. lolllcular lymphoma (know abouL lL)
2. Podgklns
a. MosL llkely an abnormal 8-cell
3. non caseaLlng granulomas, whlch ls characLerlsLlc
a. 18
b. uC
c. Crohns
d. LAA
4. Podgklns over nPL llkely lf
a. Male
b. Slngle nodal group
c. MesenLerlc
d. LxLranodal
e. Cver 60yo
3. ueflnlLlon of meLaplasla
a. response Lo new enronmenL becomlng dlfferenL/new maLure cell
lolllcular Lymphoma - unllke oLher forms of nPL Lends Lo ? go Lo exLranodal Llssues laLe
nPL
?SLem buL answer was 8urklLL's ofLen ln [aw ln Afrlca (repeaL)
Whlch are noL pneumaconloses (8lrd fanclers)noL harmaLomaLous polyps
ChorlsLoma versus harmaLoma
nephrogenlc resLs - precursor Lo Wllms
Lobular Carclnoma (breasL) and calclflcaLlon (repeaL)
?SLem buL Lrue answer was ulffuse enlargemenL of a non-overacLle Lhyrold ls due Lo lodlne deflclency
aeds
4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
ALDS
1. noL asoc wlLh Wllms
a. 8eckwlLh
b. urollLhlasls
c. urash syndr
d. WAC8
e. nephroblasLomasls
1$*95 BCCQ 4$%5"#"<; H&9$##/7'"9
ALDS
nLC - whlch ls false
a. premaLure lnfanLs
b. posL commenclng feeds
c. relaLed Lo anLlbloLlc use
d. gas ln bowel wall ls bad slgn

leLal hydrops rlsk
age 99
a. parvovlrus lnfecLlon
b. Lrlsomy 18
c. Lwln-Lwln
d. gasLroschlsls

18m old chlld wlLh vascular LesLlcular mass
a. yolk sac Lumour
b. semlnoma
c. embryonal cell
d. LCP

CyanoLlc lnfanL wlLh normal ouLflow LracL vlews on echo - mosL llkely
a. Lrlcuspld aLresla
b. vSu
c. lalloL's
d. uA
e. CorrecLed LransposlLlon

SLaglng of neuroblasLoma

4$%5"#"<; H&9$##/ 1$*CQ7'"9
ALDS
19. neonaLal [aundlce aL 8 weeks
prolonged physlologlc [aundlce should be consldered
8lllary aLresla has lncldence 1:10 000
8lllary aLresla would presenL ln Lhls Llme frame
1orches lnfecLlons are Lhe commonesL cause of neonaLal hepaLlaLs/[aundlce

24. vascular LesLlcular Lumor ln 18 monLh old chlld ls mosL llkely
?olk sac Lumor
Lmbryonal ca
CLhers

26. ?CunC chlld has a mass whlch crosses mldllne and encases ma[or vessels and has flne calclflcaLlon
SLage lll neruoblasLoma
neuroblasLoma sLaglng ln Lhls lnsLance ls ln Lhe absence of knowlng Lhe chllds age/ need Lo know Lhe chllds age
SLage x wllms

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

1. MosL common solld hypoLhalamlc Lumor ln chlld
a. llocyLlc asLro
b. C8M
2. MosL common 4
Lh
venLrlcle Lumor ln 11yo female.
a. Lpendymoma
b. C
c. MedulloblasLoma
3. CelasLlc selzures ln kld
a. PamaLoma Luber clnereum
4. noL asoc wlLh Wllms
a. 8eckwlLh
b. urollLhlasls
c. urash syndr
d. WAC8
e. nephroblasLomasls
age 100
3. Cl defecL ln
a. 1ype 1 collagen
b. Calclum hydroapaLlLe
c. CsLeoblasL
d. CsLeoclasL


BCCW J.*-# 4$%5"#"<; I 4&*%5LV7'"9
ALDS
90. Twins incorrect
a. ulchorlonlc cannoL be monozygoLlc
b. -

91. which of the following is not a congenital infection
a. chlckenpox
b. rubella
c. CMv
d. 1oxo
e. Perpes

92. Neuroblastoma and chromosomal abnormalities

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

33. neuroblasLoma worse prognosls
a. n-myc ampllflcaLlon

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

8yr old Lrlsomy 21 paLlenL wlLh 1 monLh hlsLory of anaemla and splenomegaly. Whlch ls Lrue?
a. ALL
b. CCl + congesLlve changes
c.
d.
e.
lnfanL born premaLure. WhaL would you see?
a. cerebellar haemorrhage
b. reLlnal bllndness
c. nLC and sLrlcLures
d. uA
e. changes whlch sounded llke 8u lung
BCCG T&.% 4$%5"#"<; I 4&*%5LV7'"9
ALDS

104. A neonaLe born Lo Plv +ve moLher. Whlch ls Lrue?
a. CalclflcaLlon ls seen ln cerebral vessels, basal ganglla and perlvenLrlcular reglons.
age 101
b. Cllnlcal manlfesLaLlons ln Lhe neonaLe are slmllar Lo adulLs.
c. SympLoms of Plv cllnlcally presenLs early ln neonaLal perlod.
d. Marshmallow" man lncluslon bodles are seen hlsLologlcally.
e. vlrLually 100 rlsk of Lransmlsslon from moLher Lo feLus.

103. A flnely calclfled mass encaslng coellac arLery crosslng Lhe mldllne ln a paedlaLrlc paLlenL. Whlch ls mosL Lrue?
a. SLage 3 neuroblasLoma.
b. Wllms Lumour.
c. unllkely Lo be neuroblasLoma lf under 2.
d. SLage 2 neuroblasLoma.
e. Lymphoma.

106. Whlch ls false regardlng L8v lnfecLlon?
a. erlvenLrlcular calclflcaLlon.
b. neumonlLls.
c. MenlngoencephallLls.
d. harynglLls.
e. PepaLlLls.

107. 8 week old develops [aundlce. Whlch ls mosL correcL?
a. Llkely delayed physlologlc [aundlce of newborn
b. LlevaLed uncon[ugaLed blllrubln suggesLs blllary aLresla
c. neonaLal hepaLlLls ls easlly dlsLlngulshed hlsLologlcally from obsLrucLlve cause.
d. neonaLal cholesLasls has a vlral eLlology ln 93.
e. uark urlne lmplles blle ducL obsLrucLlon.

8reast and M|sc
45-#@*$3 I 4$%5 H&9$##/ J.*-# BCCK LM!7'"9
8reast
43. 8egardlng flbroadenoma, whlch ls lncorrecL?
a. MosL common benlgn breasL Lumour
b. MosL occur under 33 years
c. Can grow wlLh lacLaLlon and lnfarcLlon
d. AssoclaLed wlLh cyclosporlne
e. ?opcorn calclflcaLlon ls classlc
f. Arlses from a pleurlpoLenLlal basal cell whlch dlfferenLlaLes lnLo ducLal and sLromal elemenLs

44. 1he LClS on 8x quesLlon

43. ageL's dlsease of Lhe nlpple, noL seen on mammogram quesLlon

a. LczemaLold reacLlon whlch can also be due Lo oLher causes of ducLal dlscharge
b. lnvolves nlpple and underlylng uClS and uClS ls frequenLly occulL
c. lnvolves areola and rare exLends beyond lacLlferous ducLs/slnus

46. Why ls muclnous carclnoma round quesLlon
a. lloaLs ln pool of mucln

Lndo
47. PyperaldosLeronlsm whlch ls false
a. Adenoma measurlng 3cm
b. Adenoma measurlng 2cm ln 80
c. Plgh poLasslum
d. Adrenal hyperplasla
e. PypoLenslon

48. haeo ls leasL llkely Lo arlse from
age 102
a. Adrenal corLex
b. Adrenal medulla
c. Crgan of Zuckerkandel
d. 8ladder
e. osLerlor medlasLlnum

49. haeos, assoclcaLlon leasL llkely
a. SLurge Weber
b. MLn 2
c. nl1
d. vPL
e. Sarcold
f. ?1S

30. Conn syndrome, mosL llkely
a. Adenoma >3cm
b. Adenoma <2cm, 80
c. haeochromocyLoma
d. Adrenal hyperplasla
Genera|
31. aLhologlcal deflnlLlon of meLaplasla
a. AdapLaLlon Lo change ln exLernal envlronmenL becomlng a dlfferenL, new maLure cell

a. 18
b. uC
c. Crohns
d. LAA

8I1S AND ILCLS
AuLM relaLes Lo bacLerlal lnfecLlon
CasLleman's ls benlgn lymphoprollferaLlve dlsease LhaL ls ldlopaLhlc
AssoclaLlons wlLh AML
know vPL, 1S, SLurge Weber assoclaLlons
hryglan cap relaLes Lo gallsLones
hysallphorous cells and chordoma
SomeLhlng abouL Lhyroglossal cysL orlgln
lahr dlsease
WAC8 someLhlng Lo do wlLh renal (don'L know whaL Lhls ls buL guessed Lhe 8 sLood for renal)
noL a 1orch - chlckenpox
Whlch are noL pneumaconloses (8lrd fanclers)
Chronlc chole and mucosal ?crypLs cysLs? Soundlng llke adenomyosls
lalse- llbrolamellar and clrrhosls
Whlch false- Wllsons ls auLo recesslve and characLerlzed by llver accum ln llver, eLc.
know everyLhlng abouL MLn
noL all Lhe sLems/quesLlons wlll be recalled exacLly so 8LAu Lhe quesLlon! 1hls ls why some recalled quesLlons don'L make sense
4J@N 1!O J.*-# BCCK *&9$##/ I $#)*&' *&P-/-"37'"9
8kLAS1
1. llbroadenoma, whlch ls wrong?
a. Assoc wlLh cyclosporlne
b. MosL common <33yo
c. lncrease wlLh pregnancy and lnfarcLlon
d. Arlses from plurlpoLenLlal cell wlLh ducLal and sLromal prollferaLlon
2. a[eL's dlsease of nlpple, noL seen on mammo because
a. lnvolves nlpple and underlylng uClS and uClS ls frequenLly occulL
age 103
b. lnvolves areola and rare exLends beyond lacLlferous ducLs/slnus
3. Why ls collold cancer round
a. lloaLs ln lLs own pool of mucln = answer
4. Whlch ls Lrue regardlng flbroadenoma?
a. lncreases ln slze durlng pregnancy and wlLh lnfarcL
b. MosL commonly < 33yo
c. Comes from a blpoLenLlal sLem cell
1$*95 BCCQ 4$%5"#"<; H&9$##/7'"9
MISC
ueflnlLlon of hamarLoma vs chorlsLoma
4$%5 1!O J,< "R I .*-3%7'"9
LNDC
1. LeasL llkely Lo cause hyperLhyroldlsm:
a. Craves dlsease
b. 1oxlc mulLlnodular golLer
c. 1oxlc adenoma
d. PashlmoLo's
e. 8ledel's LhyroldlLls
f. vlral LhyroldlLls
g. SubacuLe

8kLAS1

2. 8esL prognosLlc facLor ln breasL cancer

3. Whlch does noL follow uClS:
a. lnvaslve ducLal carclnoma
b. Medullary
c. 1ubular
d. Collold
e. lnvaslve lobular and ducLal

MISCLLLANLCUS

4. 8egardlng necrosls, whlch ls Lhe mosL correcL:
a. LlquefacLlve necrosls ls a characLerlsLlc of lschaemlc desLrucLlon of cardlac muscle
b. Councllman bodles ln Lhe llver ln Loxlc or vlral hepaLlLls ls an example of apopLosls
c. 1he dead cell usually shows decreased eoslnophllla
d. Caseous necrosls ls encounLered prlnclpally ln Lhe cenLre of an Aschoff nodule
e. Lxpanslon of Lhe nucleus of dead cells wlLh unravellng of Lhe chromaLln ls called pynkosls

3. 8egardlng lymphoma:
a. LymphocyLe depleLe ls Lhe mosL common form
b. 8S cell ls derlved from Lhe 8 cell
d. lnA cannoL dlagnose Pu as lL ls Lhe archlLecLure of Lhe lymph node LhaL makes Lhe dlagnosls

6. non Podgklns lymphoma, whaL ls false:
a. Ma[orlLy of paLlenLs <43 years of age

age 104
4J@N 1!O J,<,/% BCCQ9 ST7'"9
8kLAS1
10 breasL, a[eLs noL seen because.. Whlch ls Lrue:
ls excema LxcemaLous because ??? (someLhlng nC1 8LLA1Lu and lncorrecL)
lnvolves nlpple and underlylng uClS and uClS ls frequenLly occulL

lloaLs ln lLs own pool of mucln = answer
lndlan flle (l - buL Lhe answer Lo why Lobular ca ls occulL, also doesn'L usu cause desmoplasLlc response)

31. llbroadenoma
AssoclaLed wlLh cyclosporlne (30) and renal fallure
Arlslses from blpoLenLlal cell lnLo ducLal and sLromal componenLs

C. Lamoxlfen ls a rlsk facLor for endomeLrlal hyperplasla and cancer

C. SomeLhlng abouL breasL cancer
23 of pLs wlLh breasL ca have 88ACA1 (l)
C. WhaL can mlmlc a cancer on hlsLo
revlous ln[ury - (le faL necrosls)
CanL recall oLher opLlons, don'L Lhlnk scleroslng adenosls/complex scleroslng leslon was Lhere
MISC
21. ln Men 1 don'L geL
vMA

43: Lhe paLhologlc deflnlLlon of meLaplasla
response Lo new enronmenL becomlng dlfferenL/new maLure cell

C. someLhlng abouL flbrlnold necrosls
kepeats
corLlcally based Lumor - ollgodendro
vnS false - commonesL slLe aL ankle, Lhls Llme Lhey changed (updaLed/correcLed) Lhe oLher opLlon Lo someLhlng llke 'ls LhoughL Lo
be a neoplasLlc process' - Lherefore Lrue
8renner Lumor mosL llkely Lo be solld
Whlch are noL granulomaLous dlseases (Plv)
Whlch are noL pneumaconloses (8lrd fanclers)
ageLs of nlpple why noL seen on mammo
noL harmaLomaLous polyps
SubacuLe LhryoldlLls - causes asymmeLrlc enlargemenL
lalse re 8A - cross reacLs Lo hydroxyapaLlLe or someLhlng
?whaL causes lobar pneumonla
noL ln Au - lewy bodles
Lung abscess - organlsms LhaL cause abcesses
Scleroderma false - causes narrowlng of dlsLal esophagus
8owel sLuff 1 - lschemlc waLershed ls usu Lhe hepaLlc flexure
laL embolus false - early symLoms 6hr l Lhlnk was an opLlon
nPL
ueflnlLlon of emphysema wrL AClnuS (vs lobule) no menLlon re Lermlnal bronchlole
18 ls a Lype 4 delayed hypersenslLlvlLy reacLlon
PlS1C mosL characLerlsLlc of 18 - caseous necrosls (also Al8 poslLlve buL slnce Lhey speclfled hlsLo l wenL wlLh caseous)
heo - presenL less Lhan 2cm (l) buL Lhls wasn'L Lhe answer
Lung Carclnold - lalse answer 8cm mass
ulverLlcular dlsease - whaL ls lmporLanL flndlng - hyperLrophy of Lhe clrcular muscle
WhaL klnd of LesLlcular Lumor produces Al - ?olk sac
age 103
rosLaLe neoplasla
70 prosLaLe cancers perlpheral eLc ?false answer ls prosLaLlc hyperplasla ls LhoughL Lo be a rlsk for neoplasla ln 2-3
Slze and solublllLy of parLlcles and Lhelr rlsk
Chronlc pancreaLlLls eLlology - proLelnaceous concresLlons/ducLal ?calcs
ls lL ln a chlld or adulL LhaL a male LesLlcular LeraLoma ls benlgn

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

1. LeasL llkely Lo cause hyperLhyroldlsm:
a. Craves dlsease
b. 1oxlc mulLlnodular golLer
c. 1oxlc adenoma
d. PashlmoLo's
e. 8ledel's LhyroldlLls
f. vlral LhyroldlLls
g. SubacuLe
8kLAS1

2. 8esL prognosLlc facLor ln breasL cancer

3. Whlch does noL follow uClS:
a. lnvaslve ducLal carclnoma
b. Medullary
c. 1ubular
d. Collold
e. lnvaslve lobular and ducLal
MISC
4. 8egardlng necrosls, whlch ls Lhe mosL correcL:
a. LlquefacLlve necrosls ls a characLerlsLlc of lschaemlc desLrucLlon of cardlac muscle
d. Caseous necrosls ls encounLered prlnclpally ln Lhe cenLre of an Aschoff nodule
e. Lxpanslon of Lhe nucleus of dead cells wlLh unravellng of Lhe chromaLln ls called pynkosls

3. 8egardlng lymphoma:
a. LymphocyLe depleLe ls Lhe mosL common form
b. 8S cell ls derlved from Lhe 8 cell
d. lnA cannoL dlagnose Pu as lL ls Lhe archlLecLure of Lhe lymph node LhaL makes Lhe dlagnosls

6. non Podgklns lymphoma, whaL ls false:
a. Ma[orlLy of paLlenLs <43 years of age

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1. llbroadenoma, whlch ls wrong?
a. Assoc wlLh cyclosporlne
b. MosL common <33yo
c. lncrease wlLh pregnancy and lnfarcLlon
age 106
d. Arlses from plurlpoLenLlal cell wlLh ducLal and sLromal prollferaLlon
2. a[eL's dlsease of nlpple, noL seen on mammo because
a. lnvolves nlpple and underlylng uClS and uClS ls frequenLly occulL
b. lnvolves areola and rare exLends beyond lacLlferous ducLs/slnus
3. 1yplcal for lnP
a. CenLral scar
b. Pemorrhage
c. Clrrhosls

ageLs of nlpple why noL seen on mammo
MISC

4. lolllcular lymphoma (know abouL lL)
3. Podgklns
a. MosL llkely from a 8-cell
a. 18
b. uC
c. Crohns
d. LAA
7. know everyLhlng abouL MLn
8. Podgklns over nPL llkely lf
a. Male
b. Slngle nodal group
c. MesenLerlc
d. LxLranodal
e. Cver 60yo
9. ueflnlLlon of meLaplasla
a. response Lo new enronmenL becomlng dlfferenL/new maLure cell
10. no granuloma
a. Sarcold
b. Crohns
c. Plv
d. 18
11. Whlch ls noL assoc wlLh sarcold
a. LAu ln 80
b. 1rlgger by lnhalaLlon of dusL
a. lloaLs ln lLs own pool of mucln = answer

Whlch are noL granulomaLous dlseases (Plv)




nPL

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76. 8egardlng necrosls (cell deaLh). Whlch of Lhe followlng ls MCS1 CC88LC1:
a. LlquefacLlon necrosls ls characLerlsLlc of lschaemlc desLrucLlon of cardlac muscle
age 107
d. Caseous necrosls ls encounLered prlnclpally ln Lhe cenLre of Lhe Aschoff nodule
e. Lxpanslon of Lhe nucleus of dead cells wlLh unravelllng of Lhe chromaLln ls called pyknosls

79. 8egardlng acuLe rheumaLlc fever, whlch of Lhe followlng ls Lhe LLAS1 CC88LC1:
f. lL follows pharyngeal lnfecLlon wlLh group A sLrepLococcus
g. Seroflbrlnous perlcardlLls ls common
h. AcuLe arLhrlLls Lyplcally affecLs large [olnLs llke Lhe knees
l. Aschoff bodles are an uncommon hlsLologlcal feaLure of subcuLaneous nodules
[. 8heumaLlc pneumonlLls ls a recognlsed rare compllcaLlon

34. lolllcular lymphoma
a. Common 13-40 year olds
b. nodular growLh, folllcular 8 cells
c. 1(14,18) LranslocaLlo
d. 1ransformaLlon occurs Lo dlffuse large 8-cell lymphoma ln 30 - 30, rarely Lo aggresslve form of lymphoblasLlc
lymphoma or leukaemla

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93. DCIS
a. uucLal Ca - nCS
b. Mlxed ducLal and lobular Ca
c. 1ubular
d. M
e. M
94. Histological prognostic factors for Breast Ca
a. -

95. Breast which is not a proliferative dsd
a. Scleroslng adenosls
b. erlducLal masLlLls
c. -

96. Which does not follow DCIS
a. lnvaslve ducL
b. lnvaslve lobule and ducL
c. Medullary
d. 1ubular
e. Collold
MISC
97. Define pyknosis and Councilman bodies ??apoptosis

98. Regarding Ca2+ which is true
a. 8reasL cysLs have curvlllnear Ca2+
b. MlcroCa2+ + phyllodes
c. MlcroCa2+ and medullary Ca2+
d. Scleroslng adenosls
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llbroadenomas
a. 1/3 of paLlenLs on cyclosporln develop flbroadenomas
age 108
b. Lnlarge wlLh pregnancy and lnfarcLlon
c. Arlse from plurlpoLenLlal cells glvlng mesenchymal and eplLhellal componenLs
d. hlsLlologlcally resemble small phyllodes Lumours
e.

8reasL mass whlch ls susplclous for mallgnancy on lmaglng. Powever prevlous hlsLory of Lrauma. WhaL on Lhe asplraLe would
suggesL a benlgn cause?
a. Clear yellow fluld
b. Apocrlne cells and neuLrophlls conLalnlng haemoslderln
c. loamy hlsLlocyLes, haemoslderln ln macrophages

lncldence of nonfamlllal breasL carclnoma
a. 93 - 97
b. 93 excludlng 88CA
c.
d.
e.

Collold Carclnoma of Lhe breasL ls well deflned. WhaL ls lL due Lo on hlsLology?
a. lormlng Lhyrold llke folllcles
b. MallgnanL cells floaLlng ln a pool of Lhelr own mucln
c. SlgneL llke cells fllled wlLh mucln and form grape llke clusLers
MISC

L wlLh MLn l, whlch ls unllkely?
A. Pypercalcaemla
8. vMA ln serum
C. lncreased AL
u. elevaLed prolacLln

MLn 1 feaLures
a. lncreased 8L
b. lncreased gasLrln / gasLrlnoma
c. hyperparaLhyroldlsm
d. phaechromocyLoma
e.

Whlch paLlenL doesn'L geL amyloldosls
f. Cl
g. CML
h. ?18 or ?8ronchleLasls
l. myeloma

lncldence of kaposl sarcoma ls decreaslng because
c. lncreaslng lncldence of heLerosexual Plv
d. lmproved anLl-reLrovlral Lherapy
c.
d.
e.

aLlenL wlLh lv conLrasL reacLlon requlrlng adrenallne. uoesn'L reacL wlLh rechallenge. Why?
a. Lype 1 allerglc reacLlon
b. Lype 2
c. Lype 3
d. Lype 4
e. noL classlcal allerglc reacLlon
f.
quesLlon on amylold and who geLs lL. Whlch ls false
e. cysLlc flbrosls
f. renal fallure
g. ?CML
age 109
h. ?ankyloslng spondyllLls
e.

NUC MLD

1he developmenL of a nuclear medlclne radlonucleoLlde whlch aLLaches Lo amylold would be useful Lo?
a. Lxclude congophlllc anglopaLhy ln Lhe elderly
b. asses paLlenLs for alzhelmers dlsease
c.
d.
e.

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108. Whlch ls false regardlng LClS?
a. 1here ls an lncreased rlsk of lnvaslve lobular cancer and ls also marker for ducLal breasL cancer.
b. 1here ls an lncreased rlsk of all Lypes of breasL carclnoma.
c. ueLecLlon ls posslble vla monoclonal anLlbody.
d. lL ls more llkely mulLlfocal and bllaLeral Lhan uClS
e. 8lsk of lnvaslveness ls < 1 per year.

109. Whlch ls false regardlng uClS?
a. Long-Lerm survlval raLes for conservaLlve LreaLmenL and masLecLomy are Lhe same.
b. MorLallLy ls < 2 per year afLer LreaLmenL.
c. uClS ls mosL ofLen asympLomaLlc
d. lL lnvolve Lhe breasL exLenslvely
e. MlcrocalclflcaLlon on mammogram ls Lyplcal

110. 82 year old female wlLh breasL mass. Whlch ls Lrue?
a. lncreased rlsk of ducLal carclnoma, nCS
b. Muclnous Ca more llkely Lhan Ca, nCS.
c. 8lsk of Ca plaLeaus or decllne afLer 80 years old.
d. More llkely Lo be meLasLases Lhan prlmary Lumour.
e. MosL llkely a flbroadenoma.

111. 88CA-2 ls leasL llkely found ln whlch of Lhe followlng?
a. Colon carclnoma.
b. rosLaLe carclnoma.
c. ancreaLlc carclnoma
d. Melanoma
e. Muclnous carclnoma of breasL.

MISC

112. Whlch ls false regardlng posL radlaLlon ln[ury?
a. uon'L expecL Lo see Lransverse myellLls ln Lhe absence of bone necrosls.
b. 8ladder and kldney moderaLely radlosenslLlve.
c. CnseL of radlaLlon ln[ury ls delayed by around 4 weeks ln Lhe lung.
d. SeverlLy of ln[ury ls relaLed Lo dose admlnlsLered.
e. CsLeosarcoma ls unusual before 3 years posL Lherapy.

113. Whlch ls false regardlng S[ogren syndrome?
a. lnvolves kldneys and braln.
b. lnvolves lacrlmal glands.
c. Spares subllngual glands.
age 110
d. 8esplraLory sympLoms.
e. MAL1 lymphoma assoclaLlon recognlsed.

Cardlac Lhalllum scan shows reverslble lschemla of 43 Lv wall, e[ecLlon fracLlon 70. Consequences of lnfarcL?
f. Sudden deaLh llkely
g. L[ecLlon fracLlon would reduce Lo 23
h. Can'L predlcL ouLcome based on Lhls daLa
l. noL aL slgnlflcanL rlsk of compllcaLlons
[. lnfarcL llkely Lo lnvolve around 33 lefL venLrlcular wall.

114. 8ecurrenL L. uoppler shows no uv1. lalse?
a. Ca pancreas may cause recurrenL mlgraLory Lhrombosls.
b. May sLlll be due Lo uv1 desplLe uoppler resulL.
c. May cause pulmonary hyperLenslon.
d. May be assoclaLed wlLh lacLor v Lelden muLaLlon.
e. non-LhromboLlc L rarely faLal.

113. 8egardlng Candlda ln lmmunocompromlsed paLlenL.
a. 8arely lnvolves Cl1.
b. MosL commonly lnvolves skln, mucus membranes.
c. Cesophageal plaques and ulceraLlon seen on endoscopy.
d. Colonlses cavlLles ln lung.
e. lmmune response depends on 1-cells only.

116. Wllson dlsease - puLamen, llver.
117. rlmary skln cancers - common slLes, spread

Path MCQ 2006-2008 Recalls

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