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ROYAL COLLEGE OF SURGEONS IRELAND- PATHOLOGY past year paper (dec)
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rd3 med. term exam Dec. ‘04
3RD MED. PATHOLOGY TERM TEST
DECEMBER 2004
SECTION A. MCQ (SUGGESTED TIME 1 HOUR).
Q1-10 Choose the one best response from several for each set of questions.
1. Metaplasia is which one of the following?
a. The growth of a metastasis D
b. Transformation of a mature cell into an immature cell
c. Transformation of a benign cell into a malignant cell
d. Transformation of a mature cell into a mature cell of another type
e. Commonly premalignant
2. Which one of the following best describes a granuloma? C
a. An important stage in wound healing
b. Composed predominantly of blood vessels and macrophages
c. A collection of transformed macrophages
d. A manifestation of a type 3 hypersensitivity reaction
e. A major type of necrosis
3. The adrenal medulla produces which one of the following? B
a. Serotonin
b. Norepinephrine
c. Histamine
d. Cortisol
e. Aldosterone
4. Which one of the following best describes emphysema? C
a. Paroxysmal vasoconstriction
b. Destruction of bronchial walls
c. Destruction of alveolar walls
d. Excess mucus production
e. Collapse of alveolar air spaces
5. Which one of the following best describes cirrhosis?
B
a. An irreversible focal disease of the liver
b. An irreversible diffuse disease of the liver
c. A reversible focal disease of the liver
d. A reversible diffuse disease of the liver
e. A diffuse neoplastic disease of the liver
, rd
3 med. term exam Dec. ‘04
6. Which one of the following best describes coeliac disease? D
a. A degenerative disease of the small intestine
b. An infectious disease of the small intestine
c. A congenital disease of the small intestine
d. An immune-mediated disease of the small intestine
e. A neoplastic disease of the small intestine
7. Which one of the following tumours is not found in the ovary? D
a. Teratoma
b. Fibroma
c. Serous cystadenoma
d. Seminoma
e. Granulosa cell tumour
8. Which of the following is not a disease of bone? B
a. Perthe’s disease
b. Bowen’s disease
c. Achondroplasia
d. Paget’s disease
e. Osteopetrosis
9. With regard to multiple myeloma, which one of the following is false? B
a. Is a malignant tumour of plasma cells
b. Is usually a localized process
c. Causes lytic bone lesions
d. May cause renal failure
e. Is associated with AL amyloid
10. With regard to type 1 diabetes mellitus, which one of the following is false?
a. Is commoner in young people C
b. Patients are usually thin
c. Is associated with ‘insulin resistance’
d. May present with ketoacidosis
e. Is an organ-specific auto-immune disease
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