Breast and Liver Pathology Quiz
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Questions and Answers

Which lesion is not part of benign proliferative breast disease?

Duct ectasia

What is the most important prognostic factor in breast carcinoma?

Axillary lymph node metastases

What type of calcification is characterized by a linear branching pattern on a mammogram?

Ductal carcinoma in situ

Which stain is helpful in detecting iron pigment load in liver tissue during a biopsy?

<p>Perl stain</p> Signup and view all the answers

Which condition is not associated with hepatic steatosis?

<p>Aspirin toxicity</p> Signup and view all the answers

What is a common complication of cholelithiasis that may concern a patient with gallstones?

<p>Cholecystitis</p> Signup and view all the answers

What pathological condition could lead to hepatic steatosis in a thalassemic patient?

<p>NASH</p> Signup and view all the answers

Which benign breast condition is characterized by epithelial hyperplasia?

<p>Papilloma</p> Signup and view all the answers

What type of tumor is indicated by extremely cellular neoplasm with sheets of small round cells in the midline of the cerebellum?

<p>Medulloblastoma</p> Signup and view all the answers

To which WHO tumor grade does Glioblastoma multiforme belong?

<p>Grade IV</p> Signup and view all the answers

In a patient with vulvovaginal pruritus and curd-like discharge, what is the causative agent of the infection identified on the PAP smear?

<p>Candida</p> Signup and view all the answers

What does a diagnosis of 'carcinoma in situ' in a cervical biopsy suggest?

<p>High grade SIL</p> Signup and view all the answers

What symptom would most likely accompany a diagnosis of vulvovaginal candidiasis?

<p>Marked vulvovaginal pruritus</p> Signup and view all the answers

What type of cellular features are seen in a PAP smear indicating severe dysplasia?

<p>Exfoliated squamous cells and neutrophils</p> Signup and view all the answers

What are the expected findings on imaging for a brain tumor located in the midline of the cerebellum?

<p>Gray and friable mass</p> Signup and view all the answers

What is the significance of 'hyperchromatic nuclei' found in a brain tumor pathology?

<p>Indicates increased nuclear density, often associated with malignancy</p> Signup and view all the answers

What is the most likely condition affecting the 58-year-old man with bone pain and chronic renal failure?

<p>Secondary hyperparathyroidism.</p> Signup and view all the answers

What laboratory values indicate that the 58-year-old man may have a parathyroid disorder?

<p>Calcium 7.8 mg/dL and phosphorus 5.7 mg/dL.</p> Signup and view all the answers

What classic symptoms does the 49-year-old woman exhibit that suggest hypothyroidism?

<p>Cold intolerance, weight gain, and sluggishness.</p> Signup and view all the answers

What autoimmune condition is the cause of hypothyroidism in the 49-year-old woman?

<p>Hashimoto thyroiditis.</p> Signup and view all the answers

What findings would likely be observed in the thyroid glands of subjects diagnosed with hyperthyroidism?

<p>Increased glandular hyperplasia and potentially follicular cell changes.</p> Signup and view all the answers

What specific laboratory finding assists in diagnosing Hashimoto thyroiditis in the woman?

<p>Elevated serum TSH of 11.7 mU/L.</p> Signup and view all the answers

What type of skin changes might suggest hypothyroidism, as seen in the 49-year-old woman?

<p>Dry, coarse skin and alopecia.</p> Signup and view all the answers

Which thyroid autoantibodies were detected at high titer in the 49-year-old woman?

<p>Anti-thyroglobulin and anti-microsomal autoantibodies.</p> Signup and view all the answers

What condition is characterized by raised serum calcium and low phosphate in an elderly patient presenting with bone pain and weakness?

<p>Hyperparathyroidism</p> Signup and view all the answers

In a comatose patient with elevated liver enzymes and bilirubin, which test is most relevant to identify the cause of unconsciousness?

<p>HBsAG</p> Signup and view all the answers

Which condition is suggested by an 58-year-old man with anemia, elevated blood pressure, and protein in the urine but no glucose?

<p>Chronic renal failure</p> Signup and view all the answers

What symptom is commonly associated with ectopic cortisol production in adrenal tumors?

<p>Muscular weakness</p> Signup and view all the answers

What could be a potential cause for an 8-year-old girl with generalized edema and frothy urine?

<p>Nephrotic syndrome</p> Signup and view all the answers

In the presented case of weight loss, polyuria, and weakness in a 58-year-old man, which test would help confirm diabetes type?

<p>Glucose R test</p> Signup and view all the answers

Which electrolyte imbalance might be expected in a patient suffering from hypoparathyroidism?

<p>Low serum calcium</p> Signup and view all the answers

What does a high level of alkaline phosphatase in the elderly indicate, especially when coupled with bone pain?

<p>Possible bone tumor or metastasis</p> Signup and view all the answers

What condition is suggested by an adult male with hypertension, sodium and water retention, and hypokalemia with decreased serum rennin levels?

<p>Conn's syndrome</p> Signup and view all the answers

Which hormone is not inhibited by somatostatin?

<p>Glucagon</p> Signup and view all the answers

Which substance is not typically increased in urinary excretion in cases of pheochromocytoma?

<p>Serotonin</p> Signup and view all the answers

In which type of thyroid neoplasm is amyloid deposition commonly observed?

<p>Medullary carcinoma</p> Signup and view all the answers

What type of pituitary adenoma is most likely in a 22-year-old female presenting with amenorrhea?

<p>Prolactinoma</p> Signup and view all the answers

What autoantibodies are pivotal in the pathogenesis of diffuse symmetrical enlargement of the thyroid gland with clinical signs of hyperthyroidism?

<p>Antibodies to TSH receptor</p> Signup and view all the answers

In diabetes mellitus, what effect do Advanced Glycation End Products (AGEs) have on extracellular matrix proteins?

<p>They make them resistant to proteolytic digestion.</p> Signup and view all the answers

What is indicated by the presence of lid lag, exophthalmos, and pretibial myxedema in a patient with increased T3 and T4 levels?

<p>Hyperthyroidism, likely Graves' disease.</p> Signup and view all the answers

What is endometriosis, and where are the most common sites for its occurrence?

<p>Endometriosis is the presence of endometrial tissue outside the uterus, most commonly found in the ovaries, uterine ligaments, retrovaginal septum, cul de sac, and pelvic peritoneum.</p> Signup and view all the answers

What microscopic features distinguish leiomyosarcoma from leiomyoma?

<p>The distinguishing microscopic features of leiomyosarcoma include nuclear atypia, mitotic index, and anaplasia.</p> Signup and view all the answers

What type of tumor is indicated by a unilocular cyst filled with cheesy material, tufts of hair, and teeth?

<p>A benign mature cystic teratoma is indicated by a unilocular cyst containing cheesy material, hair, and teeth.</p> Signup and view all the answers

What is the most probable diagnosis for a woman with primary infertility, dysmenorrhea, and cystic masses on ultrasound?

<p>The most probable diagnosis is endometriosis, given the symptoms and ultrasound findings.</p> Signup and view all the answers

What condition is indicated by orbital edema and proteinuria in a teenage boy?

<p>The commonest cause of nephrotic syndrome in children is minimal change disease.</p> Signup and view all the answers

What are the clinical features of a 32-year-old female diagnosed with endometriosis?

<p>Clinical features include irregular menstrual cycles, dysmenorrhea, and pelvic pain.</p> Signup and view all the answers

In the case of a 54-year-old woman with a bulk mass reported as leiomyosarcoma, what is the significance of mitotic index?

<p>The mitotic index helps determine the aggressiveness of the tumor and its potential for metastasis.</p> Signup and view all the answers

How does the presentation of a dysgerminoma differ from that of a benign mature cystic teratoma in ultrasound findings?

<p>Dysgerminomas typically present as solid masses, while mature cystic teratomas present as cystic masses filled with complex materials.</p> Signup and view all the answers

Flashcards

Hypercalcemia

A condition where there is an abnormally high level of calcium in the blood. This can lead to various symptoms including bone pain, muscle weakness, and fatigue.

Hypophosphatemia

A condition where there is a low level of phosphate in the blood. This can be a symptom of various conditions such as hyperparathyroidism, kidney disease, and malnutrition.

Hyperparathyroidism

A condition where the parathyroid glands produce too much parathyroid hormone (PTH). PTH helps regulate calcium levels in the blood, but excessive PTH can lead to hypercalcemia, bone weakness, and kidney stones.

Liver Function Tests (LFTs)

A group of blood tests used to assess the health of the liver. They measure liver enzymes, bilirubin levels, and other markers. Abnormalities in these values can indicate liver damage or dysfunction.

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Elevated Liver Enzymes

High levels of certain enzymes, like AST and ALT, in the blood. This often indicates liver cell damage or inflammation, and can be a sign of liver disease.

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Prothrombin Time (PT) & Activated Partial Thromboplastin Time (APTT)

Blood tests used to assess the ability of blood to clot. They measure how long it takes for blood to form a clot. Abnormalities can indicate problems with clotting factors, potentially due to liver disease.

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Chronic Renal Failure

Also known as End-Stage Renal Disease (ESRD), where the kidneys are severely damaged and unable to filter waste from the blood. Symptoms include fatigue, swelling, loss of appetite, and high blood pressure.

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Nephrotic Syndrome

A kidney disorder characterized by proteinuria (large amounts of protein in urine), low blood albumin, edema, and high cholesterol.

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Benign Proliferative Breast Disease

A group of non-cancerous breast conditions characterized by abnormal cell growth. Notable examples include complex sclerosing lesions, duct ectasia, epithelial hyperplasia, fibrocystic change, and papilloma.

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Most Important Prognostic Factor in Breast Carcinoma

The presence or absence of axillary lymph node metastases is the most critical predictor of breast cancer outcome. It indicates whether the cancer has spread to nearby lymph nodes.

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Linear Branching Calcifications on Mammogram

A characteristic mammographic pattern associated with ductal carcinoma in situ (DCIS). These calcifications resemble fine, branching lines.

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Perl Stain

A specific staining technique used to visualize iron deposits in tissues, particularly in liver biopsies. The iron granules appear blue-black under the microscope.

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Hepatic Steatosis

A condition characterized by the accumulation of fat (triglycerides) within the liver cells. It can be caused by various factors, such as alcoholism, obesity, and diabetes.

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Rotor's Syndrome

A rare genetic disorder that does not cause hepatic steatosis (fatty liver). It primarily affects the liver's ability to excrete bilirubin, a breakdown product of red blood cells.

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Complications of Cholelithiasis

Gallstones can lead to complications such as cholecystitis (gallbladder inflammation), cholangitis (bile duct infection), pancreatitis (inflammation of the pancreas), and jaundice (yellowing of the skin and eyes).

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Clinical Decision-Making in Cholelithiasis

In cases of gallstones, if surgery is not desired, close monitoring for potential complications is essential. The clinician should explain the risks and benefits of both surgical and conservative management.

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Secondary Hyperparathyroidism

A condition where the parathyroid glands overproduce parathyroid hormone due to low calcium levels in the blood, usually caused by chronic kidney failure.

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Osteitis Fibrosa Cystica

A bone disease caused by secondary hyperparathyroidism, characterized by bone pain and cysts.

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Hypothyroidism in Adults

A condition where the thyroid gland doesn't produce enough thyroid hormone, leading to symptoms like cold intolerance and sluggishness.

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Hashimoto Thyroiditis

An autoimmune disorder where the immune system attacks the thyroid, leading to hypothyroidism.

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Anti-thyroid Autoantibodies

Antibodies targeting components of the thyroid gland, often found in Hashimoto thyroiditis.

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Clinical Study Design

A research approach involving comparing groups of subjects with different conditions to understand the underlying disease processes.

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Pathologic Findings

Abnormalities observed in tissues, often under a microscope, used to diagnose and understand diseases.

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Spectrum of Disease Processes

The range of different types and variations of a disease, from mild to severe.

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Conn's Syndrome

A condition caused by a benign tumor in the adrenal gland that produces an excess of aldosterone. This leads to high blood pressure, low potassium levels, and water retention.

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Somatostatin's Inhibitory Control

Somatostatin, a hormone produced in the pancreas and hypothalamus, inhibits the release of several hormones, including growth hormone, glucagon, and insulin. However, it does not directly affect prolactin or thyrotrophin.

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Pheochromocytoma

A rare tumor of the adrenal medulla that secretes excessive amounts of catecholamines like epinephrine and norepinephrine. This leads to increased urinary excretion of these hormones and their metabolites, except for serotonin.

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Medullary Thyroid Carcinoma

A type of thyroid cancer that arises from the parafollicular cells (C cells) of the thyroid gland. It is characterized by the production of calcitonin and amyloid deposits.

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Prolactinoma

A benign tumor of the pituitary gland that produces excess prolactin. It can cause menstrual irregularities, infertility, and galactorrhea (milk production) in women and impotence in men.

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Graves' Disease

An autoimmune disorder that affects the thyroid gland, resulting in hyperthyroidism. It is characterized by antibodies against the TSH receptor, leading to increased thyroid hormone production.

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Advanced Glycation End Products (AGEs)

AGEs are formed when sugars bind to proteins, causing damage to the proteins and making them more resistant to breakdown. This plays a role in complications of diabetes, leading to tissue damage.

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Sub-acute Lymphocytic Thyroiditis

An inflammatory condition of the thyroid gland that occurs following a viral infection. It is characterized by a transient hyperthyroid phase followed by hypothyroidism.

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What is Endometriosis?

Endometriosis is a condition where endometrial tissue, which normally lines the inside of the uterus, grows outside the uterus. This can happen in places like the ovaries, uterine ligaments, pelvic peritoneum, and the cul-de-sac.

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What is Leiomyosarcoma?

Leiomyosarcoma is a type of cancer that develops in smooth muscle tissue, like the muscle in the uterus. It's distinguished from benign leiomyomas by its aggressive growth and microscopic features.

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What is a mature cystic Teratoma?

A mature cystic teratoma is a type of ovarian tumor that contains different types of tissue, like hair, teeth, and skin. It's usually benign and grows slowly.

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What are the features of Endometriosis?

Endometriosis can cause irregular menstrual cycles, pelvic pain, and infertility. It's often diagnosed with ultrasound, which can show cysts on the ovaries or other pelvic structures.

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What is the most common cause of Nephrotic Syndrome in children?

Nephrotic syndrome is a kidney disorder that causes protein to leak from the blood into the urine. While there are many causes, in children, it's most commonly caused by minimal change disease.

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What is Minimal Change Disease?

Minimal Change Disease (MCD) is a common cause of nephrotic syndrome in children. It affects the filtering system in the kidneys, leading to protein leakage in the urine.

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How is Leiomyosarcoma different from Leiomyoma?

Leiomyosarcoma is a cancerous tumor of smooth muscle, while Leiomyoma is a benign tumor of smooth muscle. Leiomyosarcoma is distinguished by increased cell division (mitotic index), abnormal cell appearance (nuclear atypia), and potentially necrotic zones (dead cells).

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What is the difference between Dysgerminoma and Teratoma?

Dysgerminoma is a cancerous germ cell tumor of the ovary. Teratomas, in contrast, are usually benign and can be either cystic or solid. They arise from germ cells and can contain various tissues like hair, teeth, and skin.

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What type of brain tumor is described?

A highly cellular tumor composed of small round cells with hyperchromatic nuclei, located in the midline of the cerebellum.

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What is Glioblastoma Multiforme?

A highly aggressive and infiltrative brain tumor, considered a variant of astrocytoma.

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What WHO grade is Glioblastoma Multiforme?

Grade IV/IV

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What is the likely cause of vulvovaginal pruritis and curd-like discharge?

Candida infection

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What does Carcinoma In Situ mean?

A precancerous condition where abnormal cells are confined to the epithelial layer and have not invaded deeper tissues.

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What is the significance of severe dysplasia in a PAP smear?

It indicates a high risk of progressing to invasive cervical cancer.

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What is Colposcopy?

A procedure using a magnifying device to examine the cervix and vagina, often followed by a biopsy to investigate abnormal findings.

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What is the difference between low and high grade SIL?

Low-grade SIL (Squamous Intraepithelial Lesion) refers to mild dysplasia, while high-grade SIL indicates more severe abnormal cell growth, closer to invasive cancer.

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Description

Test your knowledge on benign proliferative breast disease, breast carcinoma prognostic factors, and liver pathology. This quiz covers various aspects of lesions, calcifications on mammograms, and the implications of different conditions related to hepatic health. Enhance your understanding of pathology terminology and diagnostic criteria.

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