00
Correct
00
Incorrect
00 : 00 : 00
Session Time
00 : 00
Average Question Time ( Secs)
Retry this test Dashboard

  • Question 1 - A 69 Year old lady presented to the emergency department following a massive...

    Incorrect

    • A 69 Year old lady presented to the emergency department following a massive myocardial infarction. She was found to be in hypotensive shock with focal neurological signs. Unfortunately the patient demised. What would be the expected findings on the brain biopsy?

      Your Answer: Coagulative necrosis

      Correct Answer: Liquefactive necrosis

      Explanation:

      Liquefactive necrosis is often associated with bacterial or fungal infections. However, hypoxic death of cells within the central nervous system can also result in liquefactive necrosis. The focal area is soft with a liquefied centre containing necrotic debris and dead white cells. This may later be enclosed by a cystic wall

    • This question is part of the following fields:

      • Cell Injury & Wound Healing; Neurology
      • Pathology
      18.4
      Seconds

  • Question 2 - A 65 year old man with a history of diabetes and hypertension presented...

    Incorrect

    • A 65 year old man with a history of diabetes and hypertension presented with a stroke a few months ago severely affecting his speech and movement in the right arm and leg. A cerebral angiogram revealed a middle cerebral artery occlusion. A recent CT scan was done which revealed a 5 cm cystic space in his left parietal lobe. This lesion is a result of which of the following forms of resolution?

      Your Answer: Atrophy

      Correct Answer: Liquefactive necrosis

      Explanation:

      Characteristically, the brain will undergo liquefactive necrosis following ischaemic injury. This leaves a cystic space in that region which would show up on a CT scan. Atrophy would result in a generalized decrease in the brain size. Coagulative necrosis typically occurs in parenchymal organs e.g. the spleen or kidney which have a lower lipid content. Caseous necrosis is typical in granulomatous tuberculosis infection. Apoptosis will not form a cystic area as it is programmed cell death involving a individual cells. Gangrenous necrosis is characteristic of ischaemic injury of the lower limb and GI tract. Fibrinous necrosis results from necrotic damage to the blood vessels with the leaking of proteins into the vessel, appearing bright pink on H & E staining.

    • This question is part of the following fields:

      • Cell Injury & Wound Healing; Neurology
      • Pathology
      13.7
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Cell Injury & Wound Healing; Neurology (0/2) 0%
Pathology (0/2) 0%
Passmed
Retry this test Dashboard