E. Systemic hypertension - correct answer 1. A 59-year-old man has experienced chronic fatigue
for the past 18 months. On physical examination he is afebrile. A chest radiograph shows
bilateral pulmonary edema and a prominent left heart border. The representative gross
appearance of his heart is shown in the figure. What is the most likely diagnosis?
A. Chronic alcoholism
B. Diabetes mellitus
C. Hemochromatosis
D. Pneumoconiosis
E. Systemic hypertension
A. chronic ischemic heart disease - correct answer 2. An 84-year-old nursing home resident
with a known history of stable angina has recently complained of increasing dyspnea while
performing everyday tasks. One morning she is found dead in bed. At autopsy her heart had
several scattered grey-white scars in the left ventricular myocardium. Microscopically she has
diffused myocardial atrophy diffuse interstitial and patchy fibrous tissue as well as grossly
observed scars. This patient's condition is best designated as
A. chronic ischemic heart disease
B. cor pulmonale
,BOD Exam 5 – Pathology Practice Questions with Answers – Medical Board Preparation
C. Restrictive cardiomyopathy
D. rheumatic heart disease
E. Acute myocardial Infarction
B. Cholesterol - correct answer 3. A 58-year-old man had a myocardial infarction one year ago
which was the first major illness in his life. He now wants to prevent another acute coronary
event and is advised to begin a program of exercise and to change his diet. A reduction in the
level of which of the following serum laboratory findings 1 year later would best indicate the
success of his diet and exercise regimen?
A. Calcium
B. Cholesterol
C. Glucose
D. Potassium
E. Renin
B. Low HDL cholesterol - correct answer 4. A 58-year-old woman has experienced chest pain at
rest for the past year. On physical examination her pulse is 80/min and irregular. The figure
shows the microscopic appearance representative of her left anterior descending artery. Which
of the following laboratory findings is most likely to be involved in the pathogenesis of the
process illustrated?
A. Elevated platelet count
B. Low HDL cholesterol
C. Low LpA
D. Low plasma homocysteine
E. Positive VDRL
,BOD Exam 5 – Pathology Practice Questions with Answers – Medical Board Preparation
D. Metastatic adenocarcinoma - correct answer 5. A 69-year-old woman has experienced
increasing malaise and a 10-kg weight loss over the past year. She dies of massive pulmonary
thromboembolism. The gross appearance of the liver at autopsy is shown in the figure. Which
of the following best describes the lesions seen in her liver?
A. Invasive angiosarcoma
B. Hepatocellular carcinoma
C. Leukemic infiltration
D. Metastatic adenocarcinoma
E. Multifocal hepatic adenomas
, BOD Exam 5 – Pathology Practice Questions with Answers – Medical Board Preparation
E. Psoriasis - correct answer 6. What is the condition shown in this photograph?
A. Allergic Contact Dermatitis
B. Erythema Multiforme
C. Urticaria
D. Eczematous Dermatitis
E. Psoriasis