‘Choose the BEST answer 4, ACT sean of a 45 year old male showed a mass in the pleura encroach parenchyma. FNAB showed collagen fibers. interspersed with spindled c» Immunohistechemical stains of the cell block showed (+) CD34 and (-) ker the most likely diagnasis?. ‘A. Malignant mesothelioma, epithelioid type C. Solitary fibr: 8 Malignant mesothelioma, sarcomatoid type D. Pulmonary adenocarcinoma 2. A 24 year okd female was admitted due to pleural effusion. A close tube thoracotomy, ‘was inserted and drainage of the lube showed red serosanguinous fluid. Having {hrs information, which of the following is the most likely cause? A. Subdiaphragmatic abscess C. Thoracic duct trauma B. Ricketssial disease D. Ruptured subpleural blebs 3. A568 year old male was diagnosed to have a lung tumor that is 4cm in size with no demonstrable motastasis to ragional lymph nodes and no evidence of distance metastasis. What is the TNM stage? A Stage 1 C. Stage ta B. Stage ta D. Stage lib 4. Homer syndrome en a patient with lung tumor may indicate involvement of Ch ‘A. Phrenic nerve: C. chest wall @. Sympathetic gangia D. nbs 5. 60 year old male underwent lung transplantation. Histologic examination showed features of chronic rejection. Which of the folowing indicates that this is a case of chronic rejection? A. Fibrosis occluding small airways: C, Bronchiectasis B. Active inflammation D. Allof the above 6 A24 year old intravenous drug user Was diagnosed to have pneumonia. Which | follewing fs tha rrioat likely etiologic agent? ae ‘A. Staphylococcus aureus C. Moraxelta catarrhal B. Pseudomonas aeruginosa: D. Klebsietla a 7. A pathology resident noted that the upper lobe ofthe right lung exhibits grayish brown, surface. ‘Histologic examination reveaied fibinosuppurat - ori caictegraion of fed blood vals. This fndiige are compatible ee ene ns Cornet ©. Gray hepatization B. Red hepatizition D. Resolution . Wrte ff associated wan A only, B if essociated asa i both Aaed B, DM nol associated with emer A or B. een eee at B 8, Mutation in the bane morphogenetic pretein 2 pattrway: _f Bumonssy sdenceagsinorna Tecaphon 2 sign monary hypertension PATHO 3 LUNCSc 10. Chronic interstitial dsease of the lungs presents climcally as A ground giass shadows on chest radiographs 8 end-wespitatory cracks 8 " Pathogenesis of idiopathic pulmonary brass ‘A TGF-B1 stimulates caveolin in fibroblasts Bo velormere shortereng Do 12, Type of emphysema where respiratory bronchioles sHecied and diated skeck ace AP B Pa é 13. “Blue bioaters’ is referring to patients wath ‘A. Chronic SF Bronchial A 4. ‘The most sinking macroscopic finding in Asthmatic patients A mucus plugs 1B. Curschmann spatats a 15 ‘This disease often develops among patients with Kartagener syndrome ——— B. Bronchmesctaut Write A if the first statement is true and the second statement is faise Bate fre txecets false and the second statement is true, C if both the first and second statement are tre Ofte LABORATORY QUESTIONS: Association type: Write A f associated with A only, 8 # associated wit 2 only. o wth both A and 8. D f not associated with ether A or 2. +. Occurs when local or generalized fkeotic changes Fine Ling or pleura: ‘expansicn © Compression atstectams 8. Haemophilus efuenzae . sao atorg Htareow a PueuacrnrstPe kieran cnvemncehnncenneetemeeneninesiaiililinidiaiiianst oe. " GIRECTIONS: Chetse the beal anewer, Case 1 A 20 ylo female came into the ‘ ) wath breathiersness: eee Cc. Contraction 6. Compression O. treguiar [D) ® iteutum examination is requested, you expect to see A Abundant voluminous foul ameting blood tinged a ompte B. Curshmen spwale D.B&C only (C. Chercel-Leyden crystats E.A,G 8 C Case Z ‘A 50 yo male smoker came in for consull due lo dyspnea & cough PE showed barrei- _chesied patient wih wheezing and breathes through pursed ips [> 6. Your primary impression is A. Asthma C. Clweme bronchites 6B. Bronchiectasis D. Emphysema {2 5. The problem with this patient is due to A Mucus hypersecretion C_ bronchespasm os 8. Loss of eigstic recod of sheol =D. Heart enfargement \> 6 The pathogenesis of this lesion is. “ A. Submucesal gland hypertrophy C. Smooth mustie tryperreactivity 5 Elasiase- anti elastase imbalance 0. infection & obstruction Case 3 A 45 yo hypertensive male complained of dyspnea & cough wilhoul fever. PE revesied binosal crocktes A 7. The pathogenesis for the development of crackles in this case is: A. increased hydrostatic pressure =C. Lymphatic obstruction 6. Decreased oncolic pressure = =D. Microvascular injury Whal morphologic finding yrould you experi lo see in the of this patient? c A. Patchy consolidation roger ge i ocho 8. Hystne membrane 0. Exudates & red cells filing up the alveoli (Case 4. A 50 yo foclory worker came in for consult due lo shoriness of breath. CAR revealed ‘end e995 shell colcihcation in Ihe hilar lymph nodes p 9. Your prim ary consideration is: A Asbestosts c. CWP p ee D. Sarcoidosis Morphologic finding thet can be seen in this patient. A Asterod bodies ©. Black pigments inside macrophages 5. Ferogenous bodies D. Hyalinized collagen wilh crystals on polarized ight — Case S.A 70 sine Beene tenet patent wae boa bet I Ao difficulty of breathing H impression 15? é