1
SYSTEMIC
PATHOLOGY
Question 1
Regarding ARDS
Select one:
a. The chest X-ray is initially abnormal
b. Progression from one stage of the disease to the other is usually slow and takes days
c. The initial injury is to both the capillary endothelium and the alveolar epithelium
d. The pathogenic mechanism is the same for ARDS and infant respiratory distress syndrome
e. Pathogenesis is deficiency of pulmonary surfactant
Question 2
Resorption atelectasis is
Select one:
a. The consequence of partial obstruction of an airway
b. Most often associated with bronchial neoplasms
c. Not associated with bronchial asthma or aspiration
d. Not associated with impairment of blood flow through the affected area
e. Not associated with diminished lung volume in the affected area
Question 3
Chronic asthma is associated with:
Select one:
a. Activation of eosinophils
b. Decreased permeability of submucosal capillaries
c. Reduced function of goblet cells
d. Activation of TH 1 lymphocytes
,2
Question 4
Which of your patients would be at highest risk for significant problems with the kidney?
Select one:
a. Diabetic patient
b. All of above
c. Hypertensive patient
d. Elderly
Question 5
In evaluating patients with peripheral edema and weight gain, which of the following confirms a
diagnosis of suspected acute kidney injury (AKI)?
Select one:
a. Urine that is dark or cola colored.
b. A progressive daily rise in serum potassium.
c. A progressive daily rise in serum creatinine.
d. A progressive daily decrease in serum sodium.
Question 6
A 27-year-old woman has had a fever for 5 days. On physical examination, her temperature is 38.2°C,
pulse is 100/min, respirations are 19/min, and blood pressure is 90/60 mm Hg. A cardiac murmur is
heard on auscultation. The sensorium is clouded, but there are no focal neurologic deficits. Laboratory
findings include hemoglobin, 13.1 g/dL; platelet count, 233,300/mm3 ; and WBC count, 19,200/mm3 .
Blood cultures are positive for Staphylococcus aureus. Urinalysis shows hematuria. An echocardiogram
shows a 1.5-cm vegetation on the mitral valve. Which of the following conditions is this patient most
likely to develop?
Select one:
a. Polycystic kidneys
b. Dilated cardiomyopathy
c. Polyarteritis nodosa
d. Cerebral arterial mycotic aneurysm
, 3
Question 7
Chronic bronchitis
Select one:
a. Is a disease of the large airway
b. Is 20 times more common in heavy smokers
c. Can progress to cor pulmonale and cardiac failure
d. Is present in any patient with a persistent cough with sputum production for at least 2 months in 3
consecutive years
e. Is characterized by early functional respiratory impairment
Question 8
Which of the following tests can be used in the determination ofCoronary artery disease (CAD)?
Select one:
a. Cardiac catherization
b. Electrocardiogram
c. Treadmil stress test
d. All of these
Question 9
The following statements about acute rheumatic fever are accurate, EXCEPT:
Select one:
a. Joint involvements is typically of the large joints.
b. Occurs as an abnormal immune response to a group B streptococcal infection
c. Chorea is a late manifestation
d. Occurs as an abnormal immune response to a group A streptococcal infection
Question 10
A 65 yearold man on the 30th postoperative day after radical prostatectomy for adenocarcinoma
suddenly bcomes extremely dyspneic and diaphoretic, with chest pain, palpitations and feeling of panic
SYSTEMIC
PATHOLOGY
Question 1
Regarding ARDS
Select one:
a. The chest X-ray is initially abnormal
b. Progression from one stage of the disease to the other is usually slow and takes days
c. The initial injury is to both the capillary endothelium and the alveolar epithelium
d. The pathogenic mechanism is the same for ARDS and infant respiratory distress syndrome
e. Pathogenesis is deficiency of pulmonary surfactant
Question 2
Resorption atelectasis is
Select one:
a. The consequence of partial obstruction of an airway
b. Most often associated with bronchial neoplasms
c. Not associated with bronchial asthma or aspiration
d. Not associated with impairment of blood flow through the affected area
e. Not associated with diminished lung volume in the affected area
Question 3
Chronic asthma is associated with:
Select one:
a. Activation of eosinophils
b. Decreased permeability of submucosal capillaries
c. Reduced function of goblet cells
d. Activation of TH 1 lymphocytes
,2
Question 4
Which of your patients would be at highest risk for significant problems with the kidney?
Select one:
a. Diabetic patient
b. All of above
c. Hypertensive patient
d. Elderly
Question 5
In evaluating patients with peripheral edema and weight gain, which of the following confirms a
diagnosis of suspected acute kidney injury (AKI)?
Select one:
a. Urine that is dark or cola colored.
b. A progressive daily rise in serum potassium.
c. A progressive daily rise in serum creatinine.
d. A progressive daily decrease in serum sodium.
Question 6
A 27-year-old woman has had a fever for 5 days. On physical examination, her temperature is 38.2°C,
pulse is 100/min, respirations are 19/min, and blood pressure is 90/60 mm Hg. A cardiac murmur is
heard on auscultation. The sensorium is clouded, but there are no focal neurologic deficits. Laboratory
findings include hemoglobin, 13.1 g/dL; platelet count, 233,300/mm3 ; and WBC count, 19,200/mm3 .
Blood cultures are positive for Staphylococcus aureus. Urinalysis shows hematuria. An echocardiogram
shows a 1.5-cm vegetation on the mitral valve. Which of the following conditions is this patient most
likely to develop?
Select one:
a. Polycystic kidneys
b. Dilated cardiomyopathy
c. Polyarteritis nodosa
d. Cerebral arterial mycotic aneurysm
, 3
Question 7
Chronic bronchitis
Select one:
a. Is a disease of the large airway
b. Is 20 times more common in heavy smokers
c. Can progress to cor pulmonale and cardiac failure
d. Is present in any patient with a persistent cough with sputum production for at least 2 months in 3
consecutive years
e. Is characterized by early functional respiratory impairment
Question 8
Which of the following tests can be used in the determination ofCoronary artery disease (CAD)?
Select one:
a. Cardiac catherization
b. Electrocardiogram
c. Treadmil stress test
d. All of these
Question 9
The following statements about acute rheumatic fever are accurate, EXCEPT:
Select one:
a. Joint involvements is typically of the large joints.
b. Occurs as an abnormal immune response to a group B streptococcal infection
c. Chorea is a late manifestation
d. Occurs as an abnormal immune response to a group A streptococcal infection
Question 10
A 65 yearold man on the 30th postoperative day after radical prostatectomy for adenocarcinoma
suddenly bcomes extremely dyspneic and diaphoretic, with chest pain, palpitations and feeling of panic
