00
Correct
00
Incorrect
00 : 00 : 00
Session Time
00 : 00
Average Question Time ( Secs)
  • Question 1 - Langhans giant cells, seen in granulomatous inflammation. are: ...

    Correct

    • Langhans giant cells, seen in granulomatous inflammation. are:

      Your Answer: Multinucleated cells formed from fusion of epithelioid cells

      Explanation:

      A granuloma is a collection of five or more epithelioid macrophages, with or without attendant lymphocytes and fibroblasts; epithelioid macrophages are altered macrophages which have turned themselves over to becoming giant phagocytosing and killing machines, they often fuse to become multinucleate (Langhans) giant cells.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      8
      Seconds
  • Question 2 - Fat necrosis is typically seen in which of the following: ...

    Correct

    • Fat necrosis is typically seen in which of the following:

      Your Answer: Acute pancreatitis

      Explanation:

      Fat necrosis typically occurs following either direct trauma or from enzymatic lipolysis in acute pancreatitis, where release of triglyceride elicits a rapid inflammatory response and fat is phagocytosed by neutrophils and macrophages with subsequent fibrosis.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      3.2
      Seconds
  • Question 3 - Which of the following features of cell damage tends to be reversible: ...

    Incorrect

    • Which of the following features of cell damage tends to be reversible:

      Your Answer: Membrane blebs and holes

      Correct Answer: Swelling of endoplasmic reticulum and some mitochondria

      Explanation:

      Features of cell damage that tend to be reversible include: swelling of endoplasmic reticulum and some mitochondrialoss of ribosomescell stress response
      Features of cell damage that tend to be irreversible include: loss of nucleolus, no ribosomes, swelling of all mitochondria, nuclear condensation, membrane blebs and holes, lysosome rupture, fragmentation of all inner membranes, nuclear breakup

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      14.9
      Seconds
  • Question 4 - Fibrinoid necrosis is typically seen in which of the following: ...

    Correct

    • Fibrinoid necrosis is typically seen in which of the following:

      Your Answer: Malignant hypertension

      Explanation:

      Fibrinoid necrosis occurs in malignant hypertension where increased arterial pressure results in necrosis of smooth muscle wall. Eosinophilic and fibrinous deposits are seen.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      3.9
      Seconds
  • Question 5 - Coagulative necrosis is typically seen in which of the following: ...

    Correct

    • Coagulative necrosis is typically seen in which of the following:

      Your Answer: Myocardial infarction

      Explanation:

      Coagulative necrosis is the most common form of necrosis characterised by the loss of cell nuclei, but with general preservation of the underlying architecture. Dead tissue is macroscopically pale and firm. This is the classic pattern seen in myocardial infarction.Liquefactive necrosis leads to complete loss of cellular structure and conversion into a soft, semi-solid mass. This is typically seen in the brain following cerebral infarction.Caseous necrosis is most commonly seen in tuberculosis. Histologically, the complete loss of normal tissue architecture is replaced by amorphous, granular and eosinophilic tissue with a variable amount of fat and an appearance reminiscent of cottage cheese.Gangrenous necrosis is necrosis with putrefaction of tissues due to exposure to air (dry gangrene) or infection (wet gangrene).

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      4
      Seconds
  • Question 6 - You are about to perform a blood test on a patient suspected of...

    Correct

    • You are about to perform a blood test on a patient suspected of having systemic lupus erythematosus. Which antibodies will indicate a positive result of systemic lupus erythematosus?

      Your Answer: Anti-nuclear antibodies

      Explanation:

      Antinuclear antibodies (ANA) are autoantibodies to the cells’ nucleus.

      The ANA test is the most sensitive diagnostic test for verifying the disease’s diagnosis.

      Other autoantibodies that may be found in SLE patients include rheumatoid factor, antiphospholipid antibodies, and antimitochondrial antibodies.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      12.2
      Seconds
  • Question 7 - C-reactive protein (CRP) synthesis is predominantly stimulated by which of the following cytokines:...

    Correct

    • C-reactive protein (CRP) synthesis is predominantly stimulated by which of the following cytokines:

      Your Answer: IL-6

      Explanation:

      Activated leukocytes, adipocytes, and endothelial cells all release interleukin 6 (IL-6), a significant proinflammatory cytokine. The main downstream mediator of the acute phase response is C-reactive protein, which is predominantly produced by IL-6–dependent hepatic biosynthesis.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      2.8
      Seconds
  • Question 8 - A 24 year old male sustained an insect bite and presents with a...

    Correct

    • A 24 year old male sustained an insect bite and presents with a red hot arm and acute cellulitis has been diagnosed. The predominant white cells in this type of acute inflammation are:

      Your Answer: Neutrophils

      Explanation:

      Neutrophil polymorphs are the predominant type of white cells in an acute reaction. They pass between endothelial cell junctions to invade damaged tissue so that the effects of injury can be combated. Extravasation occurs with the movement of leukocytes out of the vessel lumen, and is achieved in five phases which are margination, ‘rolling’, adhesion, transmigration and chemotaxis.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      7.7
      Seconds
  • Question 9 - Which of the following cytokines is important for the maintenance of granulomatous inflammation:...

    Correct

    • Which of the following cytokines is important for the maintenance of granulomatous inflammation:

      Your Answer: TNF-alpha

      Explanation:

      Granulomatous inflammation is a distinctive pattern of chronic inflammation that is encountered in a limited number of infectious and some non-infectious conditions. Briefly, a granuloma is a cellular attempt to contain an offending agent that is difficult to eradicate. In this attempt, there is often strong activation of T lymphocytes leading to macrophage activation, which can cause injury to normal tissues. IL-1 is important in initiating granuloma formation, IL-2 can cause them to enlarge and TNF-α maintains them.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      3.9
      Seconds
  • Question 10 - Regarding apoptosis, which of the following statements is INCORRECT: ...

    Correct

    • Regarding apoptosis, which of the following statements is INCORRECT:

      Your Answer: Apoptosis leads to cell swelling and eventual cell lysis.

      Explanation:

      Apoptosis is a controlled form of cell death in which no cellular contents are released from the dying cell, and thus no inflammatory reaction is seen. Apoptosis may occur physiologically or pathologically. Apoptosis may be induced in two main ways: by the engagement of surface death receptors e.g. TNF-alpha (extrinsic pathway) or through cellular injury (intrinsic pathway). The end result is the activation of proteases enzymes called caspases which dismantle the cell cytoplasm and nucleus. Apoptotic cells shrink down and fragment into apoptotic bodies, each of which retains an intact cell membrane; apoptotic bodies are then targeted or rapid removal by adjacent cells. Disordered apoptosis is thought to be central to a number of important disease processes, particularly carcinogenesis.

    • This question is part of the following fields:

      • Inflammatory Responses
      • Pathology
      52.3
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Inflammatory Responses (9/10) 90%
Pathology (9/10) 90%
Passmed