Cyanosis, Nephrology, Hepatology, Cardiology, & Oncology
QUESTIONS WITH CORRECT ANSWERS FINAL EXAM
QUESTION 1: Most common cause of cyanosis within the first few weeks of life
A) Transient tachypnea of the newborn
B) Respiratory distress syndrome
C) CONGENITAL HEART DISEASE (e.g., Transposition of Great Arteries, Tetralogy of Fallot) <-- CORRECT
D) Persistent pulmonary hypertension of the newborn
Answer: C
QUESTION 2: True statement about Mycosis Fungoides
A) It is a benign, self-limiting dermatosis
B) It arises from B-lymphocytes
C) THE DISEASE EVENTUALLY DISSEMINATES TO LYMPH NODES AND INTERNAL ORGANS <-- CORRECT
D) It is exclusively treated with topical steroids
Answer: C
QUESTION 3: Most likely histologic finding in chronic bronchitis
A) Alveolar wall destruction
B) HYPERPLASIA OF BRONCHIAL MUCUS-SECRETING SUBMUCOSAL GLANDS <-- CORRECT
C) Fibrosis of the interstitium
D) Eosinophilic infiltration of the airways
Answer: B
QUESTION 4: Substance most likely elevated in the urine (carcinoid syndrome)
--------------------------------------------------------------------------------
A) Homovanillic acid (HVA)
B) Vanillylmandelic acid (VMA)
, C) 5-HYDROXYINDOLEACETIC ACID (5-HIAA) <-- CORRECT
D) Porphobilinogen
Answer: C
QUESTION 5: Best description of changes within the kidney (Hepatitis B-associated GN)
A) Linear deposits of IgG along the GBM (anti-GBM disease)
B) GRANULAR DEPOSITS OF ANTIBODIES IN THE GLOMERULAR BASEMENT MEMBRANE <-- CORRECT
C) Pauci-immune necrotizing glomerulonephritis
D) Thickening of the GBM with splitting of the lamina densa
Answer: B
QUESTION 6: Most likely mechanism for post-streptococcal glomerulonephritis
A) Direct bacterial invasion of the glomerulus
B) Anti-glomerular basement membrane antibodies
C) IMMUNE COMPLEX DEPOSITS <-- CORRECT
D) T-cell mediated cytotoxicity
Answer: C
QUESTION 7: Treatment for acute appendicitis
A) Broad-spectrum antibiotics alone
B) Observation and serial abdominal exams
C) SURGICAL RESECTION OF THE APPENDIX BECAUSE APPENDICITIS CAN LEAD TO PERFORATION OR
ABSCESS <-- CORRECT
D) Colonoscopic decompression
Answer: C
QUESTION 8: Most likely serum laboratory finding (extrahepatic biliary obstruction)
A) Elevated AST and ALT (> 1000 U/L)
B) ELEVATED ALKALINE PHOSPHATASE LEVEL <-- CORRECT
C) Elevated serum amylase
QUESTIONS WITH CORRECT ANSWERS FINAL EXAM
QUESTION 1: Most common cause of cyanosis within the first few weeks of life
A) Transient tachypnea of the newborn
B) Respiratory distress syndrome
C) CONGENITAL HEART DISEASE (e.g., Transposition of Great Arteries, Tetralogy of Fallot) <-- CORRECT
D) Persistent pulmonary hypertension of the newborn
Answer: C
QUESTION 2: True statement about Mycosis Fungoides
A) It is a benign, self-limiting dermatosis
B) It arises from B-lymphocytes
C) THE DISEASE EVENTUALLY DISSEMINATES TO LYMPH NODES AND INTERNAL ORGANS <-- CORRECT
D) It is exclusively treated with topical steroids
Answer: C
QUESTION 3: Most likely histologic finding in chronic bronchitis
A) Alveolar wall destruction
B) HYPERPLASIA OF BRONCHIAL MUCUS-SECRETING SUBMUCOSAL GLANDS <-- CORRECT
C) Fibrosis of the interstitium
D) Eosinophilic infiltration of the airways
Answer: B
QUESTION 4: Substance most likely elevated in the urine (carcinoid syndrome)
--------------------------------------------------------------------------------
A) Homovanillic acid (HVA)
B) Vanillylmandelic acid (VMA)
, C) 5-HYDROXYINDOLEACETIC ACID (5-HIAA) <-- CORRECT
D) Porphobilinogen
Answer: C
QUESTION 5: Best description of changes within the kidney (Hepatitis B-associated GN)
A) Linear deposits of IgG along the GBM (anti-GBM disease)
B) GRANULAR DEPOSITS OF ANTIBODIES IN THE GLOMERULAR BASEMENT MEMBRANE <-- CORRECT
C) Pauci-immune necrotizing glomerulonephritis
D) Thickening of the GBM with splitting of the lamina densa
Answer: B
QUESTION 6: Most likely mechanism for post-streptococcal glomerulonephritis
A) Direct bacterial invasion of the glomerulus
B) Anti-glomerular basement membrane antibodies
C) IMMUNE COMPLEX DEPOSITS <-- CORRECT
D) T-cell mediated cytotoxicity
Answer: C
QUESTION 7: Treatment for acute appendicitis
A) Broad-spectrum antibiotics alone
B) Observation and serial abdominal exams
C) SURGICAL RESECTION OF THE APPENDIX BECAUSE APPENDICITIS CAN LEAD TO PERFORATION OR
ABSCESS <-- CORRECT
D) Colonoscopic decompression
Answer: C
QUESTION 8: Most likely serum laboratory finding (extrahepatic biliary obstruction)
A) Elevated AST and ALT (> 1000 U/L)
B) ELEVATED ALKALINE PHOSPHATASE LEVEL <-- CORRECT
C) Elevated serum amylase
