MCQ part 1 2005 “example questions”
1. Froth in mouth in male with h/o heart disease. CA’s not significantly
narrowed. Likely cause? Drowning? MI?
2. Radial scar
3. Pap ca thyroid. What blocks to take?
4. Retroperitoneal sarcoma excision. What is not an important block?
a. Excision margin
b. Lymph node
c. Vessel adjacent to tumour
d. Fat from surrounding tissue
5. Hilar mass with clinical symptoms of Cushing’s. Diagnosis?
6. 8cm mass with Cushings and hi shows small cells. What is important
prognostic factor?
a. Size
b. Histology
c. Presence of bronchiectasis
7. 0.24cm thick melanoma. What is important prognostic factor?
a. Clark level
b. Gender
c. Associated dysplastic naevus
d. Ulceration
e. Sentinel lymph node
8. Ill circumscribed whorled mass with tiny blood-filled cysts in uterus
a. Adenomyosis
b. Angioleiomyoma
9. Borderline serous tumour – important prognostic factor?
a. Peritoneal implants
b. Micropapillary pattern
c. Microinvasion
10. TTF1 positive, CK7+, CK20- tumour?
a. Primary lung adeno
b. Secondary
11. 85yof, demented, osteoporotic, had fall. #was pinned. She died of pulmonary
embolism. How will you write cause of death?
a. Ia = Pulmonary embolism, Ib = DVT, Ic fall causing # (operated on), II
= osteoporosis and dementia.
12. A man died in A+E. HCV and HIV +. Cause of death unknown. Has a partner
who lives with him. Who asks for autopsy?
13. A slide with frozen secion broke. Which of the following has risk of
transmission?
a. HCV
b. HIV
c. HBV
14. Cerv ca in association with HPV 16 and 18
15. Lung lesion with sputum revealing ZN + bacillus. What is it likely?
a. Mycobacterium
16. Young boy diag with HOCM. What advice will you give?
a. Screen the family
17. Surgeon calls up for frozen on parathyroid. What advice will you give about
frozen diagnosis of adenoma?
18. A lesion in urinary bladder which shows macrophages and basophilic
inclusion-like bodies
19. Perforated colonic tumour with 8 +ve LNs. What is TNM stage?
20. Which is urgent for reporting?
a. Re-excision for BCC margin
b. Mets from lobular ca in bone
c. Temporal arteritis
21. What does the prefix p stand for in pTNM?
22. Recently bailed out young offender is found dead. Lung shows foreign body
granuloma with refractile material. Which drug?
a. Heroin
b. Cocaine
23. Viscid secretion in resp tract in cystic fibrosis is due to
a. Reduced Cl reabsorbtion
b. Reduced Na reabsorbtion
c. Increased K secretion
24. A male is found dead at home face down. Petechiae are found on his face.
There is significant coronary a disease. Likely cause?
a. Strangling
b. IHD
25. African female, b/l ovarian masses. Diagnosis?
a. Burkitt lymphoma
26. Colon bx of infant shows increased eosinophils. Diagnosis?
a. Crohns
b. Microscopic colitis
c. Milk allergy
27. Breast ca pt with LN mets. Which test would you perform?
a. Her-2
b. CK
c. Progesterone receptor
28. Phylloides tumour
29. How many CPD points does a consultant require every 5 years
30. Maltese cross appear under microscope due to?
a. Starch or cholesterol?
31. Which of the following does not have a matrix vesicle?
a. Osteoblast
b. Chondroblast
c. Osteocyte
d. Osteoclast
32. Medicolegal death with asbestosis. Daughter of deceased calls for autopsy
report. What will you do?
33. Large parotid mass with recent increase in size and facial n palsy?
a. Ca ex-pleomorphic adenoma
b. Mucoepidermoid ca
c. Ascinic cell ca
34. Section of heart shows neutrophils, contraction bands, oedema with
macrophages, gran tissue and no fibrosis. Diagnosis?
35. Histology of lactational change in breast
36. Histiocytic lesion with Touton type giant cells
37. Histiocytic lesion with eosinophils. S100 and CD1a +ve.
38. TCC infiltrating LP but not muscles, give T stage
39. Where would you look for parathyroid at autopsy
a. Behind thyroid
b. Groove along trachea and oesophagus
c. Arch of aorta
40. Nodules of lymphoid cells. T(14, 18). What type?
41. GIST, c-kit not available for confirmation. What other stain can you do?
a. CD34
b. SMA
c. S100
42. Lt abdo pain after AAA repair. Likely cause?
a. SMA occlusion
b. IMA occlusion
c. Renal a occlusion
43. Punched out skull lesions with M band positivity. Diagnosis?
44. What precaution will you like to take if performing autopsy on case of CJD?
a. Visor and gloves
b. Mechanical saw
45. What is true about melanocytes
a. Dispersed along basal layer
b. Whites have less than blacks
46. What is the chromogen used in IHC staining?
