Professional Documents
Culture Documents
10. A patient with CHF has generalized edema. The operative mechanism
involved in edema are the following EXCEPT:
A. increased aldosterone secretion
B. increased central venous pressure
C. diminished CO
D. diminished ADH secretion
16. The following clinical manifestations are seen in a patient with Down’s
syndrome EXCEPT:
A. dysplastic pelvis and middle phalanx of hand
B. mental retardation
C. microcephaly
D. horizontal palmar crease
17. Pathologic changes that have been described in AIDS include cell of the
following EXCEPT:
A. hypogammaglobulinemia
B. viral inclusions in histiocytes of lymph nodes
C. T4/T8 ratio is very low
D. Lymphoid depletion of cortical and paracortical areas of lymph nodes
25. A 6-year-old boy develops abdominal pain and vomiting preceded by a 3-day
period without bowel movements. A diagnosis of intestinal obstruction is
made. Of the following, the most likely reason for the obstruction is a bolus
of:
A. Taenia saginata C. Strongyloides tercoralis
B. Ascaris lumbricoides D. Onchocerca volvulus
27. The morphologic changes in typhoid fever include the following EXCEPT:
A. accumulation of mononuclear phagocytes throughout the lymphreticular
system, with some lymphocytes and plasma cells
B. enlargement of the liver with areas of focal necrosis surrounded by
mononuclear cell proliferation (typhoid nodules)
C. oval ulcers in the ileum with their long axis along the long axis of the
bowel
28. A chronic carrier state of typhoid fever is most likely due to the persistence of
the organism in:
A. the appendix C. the gall bladder
B. the cortex of the kidney D. the ileum
32. This/these pollutants is/are dangerous because once released into the
environment they are “forever” i.e. resistant to natural process of decay.
A. polychlorinated biphenyls C. carbon monoxide
B. chloroform D. all of the above are correct
34. Which of the following is the most common adverse effect of smoking?
A. myocardial infarction C. cancer of the pancreas
B. cancer of the bladder D. peptic ulcer disease
35. Exposure to carbon particle in the ambient air will result to:
A. Anthracosis C. progressive massive fibrosis
B. coal worker’s pneumoconiosis D. any of the above
36. The leading cause of death in children between 5-14 years of age is:
A. malignant neoplasm C. injuries resulting from accidents
B. congenital anomalies D. cardiac diseases
39. Polyarteritis nodosa frequently affected organs include all of the following
EXCEPT:
A. Kidney C. Lungs
B. Heart D. GIT
41. All of the listed anatomic changes are considered as important features in
syphilitic aortitis EXCEPT:
A. longitudinal wrinkling (tree barking)
B. dilatation of aortic valve ring
C. obliterative endarteritis of vasa vasorum
D. widening of coronary ostia
42. The histological hallmarks of temporal or giant cell arteritis are the following
EXCEPT:
A. lymphocytic infiltrate in the intima and inner media
B. disruption of incarnal elastic lamira associated with giant cells
C. patchy necrosis of the media
D. eosinophilic infiltration of all muscular coats
43. Complicated or advanced atherosclerosis would most likely affect this portion
of the blood vessel:
A. intima only C. intima and adventitia
B. intima and media D. adventitia
44. A biopsy of the femoral artery revealed calcification in the media would be
compatible with:
A. accelerated hypertension
B. young individuals, usually male
C. usual complication of ischemia and gangrene
D. none of the above
47. The following are possible morphologic changes in sickle cell disease
EXCEPT:
A. Gamma Gandy bodies in the spleen
B. Papillary necrosis in the kidney due to capillary stasis
C. Micro infarction in the brain
D. Evidences of chronic glumerulonephritis
55. A patient presents with hemoptysis and acute renal failure. A diagnosis worth
considering in this clinical picture is:
A. Asbestosis C. Good pasture’s syndrome
B. primary atypical pneumonia D. tuberculosis
62. Carcinoma of the GIT would be expected to occur with greatest frequency in
patients with:
A. familial polyposis of the colon C. Crohn’s disease
B. villous adenoma of the colon D. gastric ulcer
64. Which of the following condition(s) increase(s) the risk of bile duct
carcinoma?
A. Choledochal cyst C. Hydrops of the gall bladder
B. Porcelain gall bladder D. Choledocholithiasis
69. In addition to nephritic injury, the other main cause of acute tubular necrosis is:
A. Sepsis C. severe hypocomplementemia
B. Ischemia D. immune complex deposition
70. Of the complications of acute pyelonephritis enumerated below, one does not
belong:
A. retroperitoneal abscess formation C. acute episodes of paroxysmal HPN
B. renal papillary necrosis D. pyonephrosis
71. Of the risk factors for pyelonephritis enumerated below, one does not belong:
A. diabetes mellitus
B. male sex
C. congenital abnormalities of the urinary tract
D. pregnancy
73. Nests of urothelium may be found in the lamina propia of the urinary bladder
representing normal variation in the morphology of the bladder. These nests
of urothelium are called:
A. Brunner’s nests C. Brunn’s nests
B. Burney’s nests D. Burner’s nests
75. A newborn baby was noted to pass out urine through a small opening in the
area of the umbilicus. This is most probably due to:
A. Urachal cyst C. Exstrophy of the bladder
B. Patent urachus D. Any of the above
76. Transitional cell tumors that are more likely to behave as malignant are
characterized by the following EXCEPT:
A. Induce angiogenesis
B. Manifest highly abnormal karyotypes
C. Lack blood group antigens on their cell surface
D. There is no exception
78. The following are TRUE about hypospadias and epispadias, EXCEPT:
A. Commonly associated with failure of normal descent of the testes and
malformation of the bladder
B. May lead to partial urinary obstruction
C. Possible cause of sterility
D. There is no exception
83. Cord like ducts filled with necrotic and cheesy tumorous tissue that can be
readily extruded upon pressure is seen in:
A. mucinous carcinoma C. medullary carcinoma
B. comedocarcinoma D. paget’s disease of the breast
For numbers 87 to 89
87. A female patient presented with “moon facies,” truncal obesity and hisrutism.
Plasma cortisol was elevated. These features characterize:
A. Conn’s syndrome C. Waterhouse-Friderichsen syndrome
B. Cushing’s syndrome D. Only B & C are correct
88. If you suspect the presence of Cushing’s syndrome, you should perform a:
A. low dose dexamethasone test
B. high dose dexamethasone suppression test
C. both A & B are correct
D. neither A nor B is correct
93. A patient presents with vesicles on the left side of his trunk. A simple lab
procedure to do to support a diagnosis of herpes zoster is:
A. gram stain C. Tzanck smear
B. KOH stain D. Patch test
94. One of the etiologic factors in acne is the:
A. Pityrosporum C. Propionibacterium
B. Staphylococcus D. Enterococci
96. A child presents with an array of macules, papules, vesicles, and bullae,
reddish, with pale eroded center involving the extremities, lips and oral
mucosa in a symmetric pattern. There was intake of penicillin and
sulfonamides for urinary tract infection. The patient most likely has:
A. erythema multiforme C. lichen planus
B. psoriasis D. porphyria