PATHOLOGY MCQs The Pancreas - Weebly
PATHOLOGY MCQsThe PancreasA patient with cystic fibrosis is characteristically:A. more than 45 years of ageB. subject to recurring pulmonary infectionsC. obeseD. subject to spontaneous fracturesE. diabeticWhich of the following best represents the histology of the pancreas in cysticfibrosis?A. atrophy of aciniB. atrophy of isletsC. chronic inflammatory cell infiltrateD. enzymatic fat necrosisE. nodular hyperplasiaThe most frequent cause of death in cystic fibrosis isA. cirrhosis of the liverB. diabetes mellitusC. malabsorption syndromeD. meconium ileusE. pulmonary infectionAcute pancreatitis is associated with:A. gallstonesB. excessive alcohol intakeC. bothD. neither
Chronic calcific pancreatitis is most often associated with:A. cholelithiasisB. mumpsC. gastric ulcerD. chronic alcoholismE. malnutritionEach of the following is a pathologic feature of chronic pancreatitis except:A. atrophy of aciniB. diffuse fibrosisC. focal calcificationD. islet cell hyperplasiaE. squamous metaplasia of ductsThe three most common predisposing factors to pancreatitis include:A. trauma, diabetes, alcoholismB. gallstones, hypertension, traumaC. diabetes, alcoholism, gallstonesD. alcoholism, trauma, gallstonesA 55-year-old man experienced severe epigastric and penetrating back painfollowing a cocktail party and banquet. He was brought to the hospital in shock.Which of the following laboratory tests would be most helpful in establishing thediagnosis early in the disease?A. cholecystogramB. upper GI seriesC. serum aspartate aminotransferaseD. serum alkaline phosphataseE. serum amylase
Typical morphologic features of chronic alcoholic pancreatitis include each of thefollowing exceptA. fibrosis of parenchymaB. islets better preserved than aciniC. focal calcificationD. epithelioid cell granulomasWhich enzyme is most implicated in the pathogenesis of hemorrhage in acutepancreatitis?A. alkaline phosphataseB. amylaseC. elastaseD. phospholipase AE. trypsinChronic calcific pancreatitis is most often associated withA. chronic alcoholismB. cystic fibrosisC. gastric ulcerD. malnutritionE. mumpsA 45-year-old white female complained of intermittent preprandial episodes oflightheadedness, confusion, incoherent speech, sweating, and partial amnesiaoccurring three to four times a week. What was the source of her symptoms?A. carcinoma of the pancreasB. B-cell islet tumor of the pancreasC. hyalinization of islet cells of the pancreasD. carcinoma of the adrenalE. astrocytoma of the temporal lobe of the brain
Pancreatic islet cell tumors may present with:A. duodenal ulcersB. hypoglycemic episodesC. bothD. neitherWhich of the following features is least characteristic of carcinoma of the head ofthe pancreas?A. jaundiceB. distended gallbladderC. decreased urine urobilinogenD. elevated serum amylase and lipaseE. itchingThe five-year survival rate for carcinoma of the pancreas isA. 50—60%B. 30—50%C. 10—30%D. 5—10%E. under 5%A patient presents with recurrent attacks of hypoglycemia that seem to followfasting or strenuous exercise with relief of symptoms following glucose ingestion.The patient most likely hasA. beta-cell adenoma of pancreatic isletsB. carcinoma of the tail of the pancreasC. diabetes insipidusD. hemochromatosis
Which of the following histological types of pancreatic tumor has a prognosis thatis markedly at variance from that of the others listedA. anaplastic large cell carcinomaB. adenocarcinomaC. ductal carcinomaD. islet cell carcinomaSpontaneous venous thrombosis and migratory thrombophlebitis are associatedwith:A. chronic cholecystitisB. adenocarcinoma of the pancreasC. acute hemorrhagic pancreatitisD. islet cell tumorPancreatic pseudocysts usually occur in patients who have a history ofA. cholelithiasisB. pancreatitisC. pancreatic carcinomaD. diabetes mellitusE. cystic fibrosisChronic calcific pancreatitis is most often associated with:A. chronic alcoholismB. acute alcoholismC. chronic gastritisD. diabetes mellitusE. cholelithiasis
Chronic calcific pancreatitis is most often associated with:A. cystic fibrosisB. mumpsC. gastric ulcerD. chronic alcoholismE. malnutritionWeight loss and abdominal discomfort is commonly found in:A. carcinoma of the tail of the pancreasB. chronic pancreatitisC. bothD. neitherThe following is not a characteristic of cystic fibrosis:A. autosomal recessiveB. decreased sweat chlorideC. abnormally thick mucus secretions throughout the bodyD. bronchiectasisE. pancreatic insufficiencyA 52-year-old female developed weight loss and an unrelenting back pain of 1month duration. A mass was palpable in the left upper quadrant. She developedmigratory thromboplebitis. The prognosis in this case is best characterized as:A. she has a normal life expectancyB. she is inoperable and will live on the average 6 months or lessC. she will have a protracted course of one to 5 yearsD. she has a 5 year survival of 30%
The following is not a characteristic of cystic fibrosis:A. autosomal dominant heredityB. increased sweat chlorideC. abnormally thick mucus secretions throughout bodyD. bronchiectasisE. pancreatic insufficiencyA 50 year old male develops intractable chronic peptic ulcer disease. He is found to have anelevated serum gastrin level. The most likely diagnosis is:A. carcinoid syndromeB. Zollinger Ellison syndromeC. Gardner’s syndromeD. Klatskin syndromeE. Peutz Jeghers syndromewww.drmys.co.cc
PATHOLOGY MCQs The Pancreas A patient with cystic fibrosis is characteristically: A. more than 45 years of age B. subject to recurring pulmonary infections C. obese D. subject to spontaneous fractures E. diabetic Which of the followin
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