1. A 60-year old female who is a passive smoker came to consult her 4- month history of cough and loss of weight.

The chest radiograph showed a 1.5-cm left lung mass. An open lung biopsy is performed.
From the microscopic image here, what is your best diagnosis?
A. Squamous cell Carcinoma
B. Small cell carcinoma
C. Mesothelioma
D. Adenocarcinoma

E. Out Cell Carcinoma

2. A 65- year old male - who has been working in a company of home insulation installation for 15 years – consults
his increasing dyspnea that he has experienced for several years and the cough with hemoptysis that has
developed since the past month. The chest radiograph shows a 2-cm ill define mass in the right cavum pleura. A
biopsy is performed.
From the microscopic diagnostic here,which of the followings materials is the most contributing factor to this
disease development?
A. Silica
B. Anthrax
C. Berrylium
D. Asbes
E. Carbon

3. A 40-year old male consults his cough, sub fever, night sweats and weight loss. The chest radiograph shows
significant infiltration in the upper left lung. The physical examination finds 6 enlarged cervical lymphnodes. A
biopsy to one of the lymphnodes is performed.
The best diagnostic from the microscopic here is:
A. Chronic specific tuberculous infection
B. Chronic non specific pneumonitis
C. Metastatic adenocarcinoma Paru
D. Metastatis squamous cell carcinoma

Provide: Slide ADENOCARCINOMA PARU

From a passive smoker female in her fifties with previous history of TB, a mass is found in her right lung. The microscopic
image is as shown here.
Where is the most location that commonly found of this tumor?
A. Central
B. Peripheral
C. Pleura
D. Hillar

E. Apical

Refer to this picture that the pulmonary capillaries become congested and dilated with erythrocytes and the increased
hydrostatic pressure in transudation o plasma fluid into the alveolar spaces, what likely those will be causing?
A. Inflammation
B. Emphysematous lung
C. Pulmonary oedema
D. Bronchiectasis
E. Atelectasis
Provide: SLIDE EMPHYSEMA
An asthmatic patient for many years came to see you with recurrent respiratory problem.
What is your description from the microscopic image as given here?
A. Emphysematous
B. Necrotic tissue
C. Inflammation
D. Neoplasm
E. Dust cell

What is likely the previous pathology of these bronchi?

A. Broncho constriction, excessive mucus, oedema
B. Bronchodilatation, excessive mucus, oedema
C. Bronchiectasis and hemoptysis
D. Plug in all bronchi
E. Congestion, red hepatisation, grey hepatisation

A 68-year-old who formerly was a shipyard pipe fitter has a 1-year history of pleuritic chest pain. What is the neoplasm
likely to happen?
A. Thymoma
B. Lymphoma
C. Mesothelioma
D. Adenocarcinoma
E. Small cell carcinoma

What is the common exposure related to this tumor?

A. Pollen
B. Chrysotile
C. Crocidolite
D. Asbestos
E. Dust