36. Which breast lesion is best-established as premalignant? A. apocrine metaplasia B. blue dome cyst * C. epithelial hyperplasia D. fat necrosis E. fibrosis alone 37. Which breast cancer carries the best prognosis? A. colloid / mucinous B. medullary C. inflammatory D. scirrhous * E. tubular 38. Metaplasic breast cancer usually features A. apocrine change * B. cartilage C. mucin production D. skeletal muscle E. squamous cells 39. Acanthosis nigricans mimics the histology of A. actinic keratosis B. actinic lentigo C. melanocytic nevus * D. seborrheic keratosis E. senile lentigo 40. Recurrence of psoriasis or vitiligo at the site of a scratch is whose phenomenon? A. Breslow's B. Clark's * C. Koebner's D. Nikolsky's E. Waardenberg's 41. Urticaria pigmentosum features an overabundance of A. eosinophils B. Langerhans histiocytes * C. mast cells D. neutrophils E. none of these, it is only inflammatory mediators 42. Immune fluorescence predominantly in the tips of the dermal papillae suggests A. bullous pemphigoid * B. dermatitis herpetiformis C. discoid lupus D. pemphigus vulgaris E. systemic lupus 43. The bone is cracked but not broken. Which sort of fracture? A. closed B. comminuted * C. greenstick D. procallus E. pseudarthrosis 44. An adult with several skull osteomas probably also has * A. colon polyps B. enchondromas C. oral freckles D. osteoblastic metastases E. Waardenberg's with deafness 45. An adult's osteoid seams fail to mineralize because of a radical vegetarian diet? A. fibrous dysplasia B. osteitis deformans C. osteochondritis * D. osteomalacia E. osteoporosis 46. Glue ear results from infection of the A. auditory canal B. cochlea * C. middle ear D. pinna E. semicircular canals 47. Most common adult primary brain tumor? A. ependymoma * B. glioblastoma multiforme C. medulloblastoma D. metastatic lung cancer E. oligodendroglioma 48. Neuropathology of boxers? A. Hirano bodies B. Lafora bodies C. Lewy bodies * D. neurofibrillary tangles E. patchy loss of myelin near the ventricles 49. B12 deficiency shows up at autopsy in what anatomic structure? A. fornix and hippocampus B. frontal cortex * C. posterior columns of the spinal cord D. putamen and globus pallidus E. vermis of the cerebellum 50. What is the cause of Von Ecomono's encephalitis? A. arbovirus B. coxsackievirus C. DPT immunization D. herpes simplex I * E. influenza A 51. Who read the part of Socrates in the last class session? A. Dr. Brandau * B. Dr. Friedlander C. Dr. Hammoudi D. Dr. Lulo E. None of the above 52. TWO KODACHROMES. Ovary. Your best diagnosis? A. dysgerminoma B. granulosa cell tumor C. mucinous cystadenoma D. mucinous carcinoma * E. serous carcinoma 53. ONE KODACHROME. Brain. Your best diagnosis? A. acute subdural hematoma * B. bacterial meningitis C. cryptococcal meningitis D. herpes encephalitis E. subarachnoid bleed 54. ONE KODACHROME. Dura. Your best diagnosis? * A. acute subdural hematoma B. chronic subdural hematoma C. epidural hematoma D. meningioma E. subarachnoid hemorrhage 55. ONE KODACHROME. Brain. Your best diagnosis? A. astrocytoma B. berry aneurysm C. resolving hypertensive bleed D. metastatic breast cancer * E. old infarct 56. ONE KODACHROME. Brain. Luxol fast blue. Your best diagnosis? A. astrocytoma of basis pontis * B. central pontine myelinolysis C. herpes infection, resolved D. infarct, fresh E. infarct, old 57. TWO KODACHROMES. Breast lesion. Your best diagnosis? A. blue dome cysts B. comedocarcinoma * C. malignant fibrous histiocytoma D. medullary carcinoma E. tubular carcinoma 58. ONE KODACHROME. Skeletal muscle, ATP-ase stain. A. denervation atrophy B. denervation-reinnervation C. Duchenne muscular dystrophy D. polymyositis * E. type II fiber atrophy 59. ONE KODACHROME. Skin lesion. You best diagnosis? A. psoriasis * B. melanoma C. metastatic oat cell carcinoma D. Sezary's E. Sweet's neutrophilic dermatosis 60. ONE KODACHROME. Skin. Your best diagnosis? A. atopic eczema B. impetigo C. lichen planus * D. pityriasis rosea E. varicella - zoster 61. TWO KODACHROMES. Brain. Your best diagnosis? A. Alzheimer's disease B. multiple sclerosis C. neurosyphilis D. Pick's disease * E. prion disease 62. ONE KODACHROME. Brain. Your best diagnosis? * A. agenesis of corpus callosum B. Alzheimer's C. Arnold-Chiari D. Dandy-Walker E. ulegyria 63. TWO KODACHROMES. Ovary. Your best diagnosis? A. Brenner tumor B. dermoid cyst C. dysgerminoma * D. granulosa cell tumor E. metastatic oat cell carcinoma 64. TWO KODACHROME. Brain. Your best diagnosis? A. infarct, recent B. infarct, old C. central pontine myelinolysis D. medulloblastoma * E. multiple sclerosis 65. ONE KODACHROME. Brain. Your best diagnosis? A. glioblastoma B. infarct, old C. infarct, recent * D. meningioma E. subdural hematoma, organizing 66. ONE KODACHROME. Skin. What is this pigmented lesion? A. congenital nevus B. dermatofibroma C. lentigo D. melanoma * E. none of the above 67. ONE KODACHROME. Muscle. Your best diagnosis? A. Duchenne's B. nerve injury * C. polyarteritis nodosa D. polymyositis E. trichinosis 68. ONE KODACHROME. Soft tissue tumor. Your best diagnosis? A. aggressive liposarcoma B. dermatofibrosarcoma protuberans C. extraosseous chondrosarcoma * D. leiomyosarcoma E. sarcoma botryoides 69. ONE KODACHROME. Skeletal muscle. Suggestive of A. Duchenne's * B. denervation-reinnervation C. mitochondrial myopathy D. myotonic dystrophy E. polymyositis 70. ONE KODACHROME. Skeletal muscle. Suggestive of A. Duchenne's * B. denervation-reinnervation C. mitochondrial myopathy D. myotonic dystrophy E. polymyositis 71. ONE KODACHROME. Vertebral column. Your best diagnosis? * A. ankylosing spondylitis B. Pott's disease C. metastatic cancer consistent with prostate origin D. simple osteoarthritis E. simple osteoporosis 72. ONE KODACHROME. Muscle. Your best diagnosis? A. Duchenne's B. denervation * C. mitochondrial myopathy D. myotonic dystrophy E. polymyositis 73. ONE KODACHROME. Brain. Your best diagnosis? * A. epidural hematoma B. meningioma C. subarachnoid bleed D. subdural hematoma, acute E. subdural hematoma, chronic 74. ONE KODACHROME. Brain. Sequela of A. berry aneurysm B. meningitis C. surgery * D. trauma E. none, this is a tumor 75. ONE KODACHROME. Brain. Which "tumor of small blue cells?" A. juvenile pilocytic astrocytoma B. Ewing's sarcoma * C. medulloblastoma D. metastatic oat cell carcinoma E. rhabdomyosarcoma 76. ONE KODACHROME. Brain. Your best diagnosis? * A. acute subdural hematoma B. chronic subdural hematoma C. epidural hematoma D. meningioma E. subarachnoid bleed 77. ONE KODACHROME. Brain. Your best diagnosis? A. astrocytoma B. chronic subdural hematoma C. fresh infarct * D. old infarct E. old trauma 78. ONE KODACHROME. Brain. Your best diagnosis? A. Alzheimer's B. glioblastoma * C. Parkinson's D. Pick's E. none of these 79. ONE KODACHROME. Brain. Your best diagnosis? A. astrocytoma * B. chronic subdural hematoma C. epidural hematoma D. meningitis E. meningioma 80. ONE KODACHROME. Eye. Effects of A. atheroemboli B. glaucoma * C. hypertension D. increased intracranial pressure E. multiple sclerosis 81. ONE KODACHROME. Brain. Your best diagnosis? A. herpes encephalitis B. old infarct C. polymicrogyria D. recent infarct * E. tuberous sclerosis 82. ONE KODACHROME. Skin. Your best diagnosis? A. impetigo B. lentigo maligna * C. mycosis fungoides D. superficial spreading melanoma E. zoster 83. ONE KODACHROME. Rash. Your best diagnosis A. atopic dermatitis * B. candida C. familial pemphigoid D. tinea versicolor E. zoster 84. ONE KODACHROME. Patient photo. Your best diagnosis? A. osteopetrosis B. osteosarcoma * C. Paget's of bone D. rheumatoid arthritis E. tinea versicolor 85. ONE KODACHROME. Brain. Your best diagnosis? * A. AV malformation B. chronic subdural hematoma C. glioblastoma D. old infarct E. recent infarct 86. TWO KODACHROME. Ovary, Your best diagnosis? A. clear cell cancer * B. dermoid cyst C. mucinous cystadenocarcinoma D. mucinous cystadenoma E. none of these 87. TWO KODACHROMES. Brain. Your best diagnosis? A. Alzheimer's B. herpes C. Huntington's D. old contrecoup trauma * E. Pick's 88. ONE KODACHROME. Brain. What is the most likely histology? A. abscess B. astrocytoma C. granulation tissue D. granulomas and caseous necrosis * E. schwannoma 89. ONE KODACHROME. Brain. What's accumulating in this case of metachromatic leukodystrophy? A. ganglioside B. glycocerebroside C. Lorenzo's oil * D. sulfatide E. T-cells 90. ONE KODACHROME. Brain. If this had ruptured, where would the hemorrhage have been? A. directly into the ventricle B. epidural C. intracerebral * D. subarachnoid E. subdural 91. ONE KODACHROME. Bone. Your best diagnosis? A. aleukemic leukemia B. osteoarthritis C. osteomalacia D. osteopetrosis * E. osteoporosis 92. TWO KODACHROMES. Skin. Your best diagnosis? A. amelanotic melanoma * B. basal cell carcinoma C. dermatofibroma D. herpes simplex E. squamous cell carcinoma 93. ONE KODACHROME. Bone. Your best diagnosis? A. craniosynostosis * B. hemolytic anemia C. osteopetrosis D. Paget's of bone E. plasma cell myeloma 94. ONE KODACHROME. Muscle. You suspect... A. denervation atrophy B. denervation-reinnervation C. Duchenne's D. mitochondrial disease * E. myotonic dystrophy 95. TWO KODACHROMES. Bone tumor. Your best diagnosis? A. enchondroma; note cells in lacunes B. Ewing's sarcoma C. osteoclastoma * D. osteosarcoma E. plasma cell myeloma 96. ONE KODACHROME. Gonococcal arthritis. A mucin clot test would show A. clear fluid, solid clot B. fluid turns from blue to red C. fluid turns from red to blue * D. turbid fluid, no clot E. no results, must use Thayer-Martin 97. ONE KODACHROME. Muscle. A. Duchenne's B. mitochondrial disease C. myasthenia gravis D. myotonic dystrophy * E. Werdnig-Hoffman 98. ONE KODACHROME. Try your knowledge diagnosing this soft-tissue tumor. A. alveolar rhabdomyosarcoma B. Ewing's sarcoma, extra-osseous C. myxoid liposarcoma * D. synoviosarcoma E. uh, this is a tophus 99. ONE KODACHROME. Brain. Your best diagnosis? A. abscess * B. astrocytoma C. hypertensive hemorrhage D. gumma E. tuberculosis 100. ONE KODACHROME. Skin. * A. atopic dermatitis B. lichen planus C. scabies D. urticaria pigmentosum E. zoster UHS PATHOLOGY EXAM VI 1999-2000 You may keep this exam. You are on your honor not to share it with anyone who has not taken it yet. When you have finished, hand in your scantron and get the second part. Adam blamed Eve, Eve blamed the snake, and the snake didn't have a leg to stand on. -- Anonymous