Pulmonary Pathology Quiz

Question 1

You see this image on histology of 81 yo smoker, what type of cancer?

Accepted Answer

Squamous Cell

Question 2

Panacinar emphysema primarily affects the ____ acinus, and is primarily associated with ______?

Accepted Answer

Entire; α1-antitrypsin deficiency

Question 3

This biomarker is negative in solitary fibrous tumors but positive in malignant mesothelioma?

Accepted Answer

Keratin

Question 4

Silicosis is associated with what histological lesion?

Accepted Answer

Concentric whorls of dense collagen

Question 5

What might you call a pulmonary embolism that enters both pulmonary arteries?

Accepted Answer

Saddle Embolus

Question 6

What is the most common etiology of empyema?

Accepted Answer

Bacterial seeding of pleural space

Question 7

The white markings on the gross lung image shown on screen are what?

Accepted Answer

Lymphatic Channels

Question 8

Which of these is NOT an allergen that can induce Hypersensitivity Pneumonitis?

Accepted Answer

Cigarette smoke

Question 9

Which of these pairings of carcinoma and likely location is INCORRECT?

Accepted Answer

Large cell, proximal

Question 10

Which of these is NOT a noninflammatory pleural effusion?

Accepted Answer

Hemorrhagic Pleuritis

Question 11

What drug would be useful to treat the previous patient (assuming she had driver mutation)?

Accepted Answer

Osimertinib

Question 12

You see this image on histology and diagnose pneumoconiosis. What does pt likely do for work?

Accepted Answer

Mines coal in West Virginia

Question 13

Which of these genes have the greatest association with idiopathic pulmonary fibrosis?

Accepted Answer

MUC5B

Question 14

How do you spell the tumor which is abbreviated LAM?

Accepted Answer

Lymphangioleiomyomatosis

Question 15

The most important way to prevent lung cancer is:

Accepted Answer

Stop smoking

Question 16

Goodpasture Syndrome forms antibodies against what?

Accepted Answer

Basement membranes of kidneys and lungs

Question 17

Which of these is NOT a reason smoking can cause alveolar wall damage in emphysema?

Accepted Answer

Increases mesothelioma risk, which predisposes pt for emphysema

Question 18

Pulmonary alvoelar proteinosis (PAP) is associated with defective _______, causing what?

Accepted Answer

GM-CSF, surfactant accumulation

Question 19

The most important diagnostic immunofluorescence finding for Goodpasture is?

Accepted Answer

Linear IgG depositions

Question 20

Which of these lung transplant opportunistic infectors is prevented with TMP+SMX (Bactrim) prophylaxis?

Accepted Answer

Pneumocystis jirovecii

Question 21

The theme song to The Fast and The Furious: Tokyo Drift was written by whom?

Accepted Answer

Teriyaki Boyz

Question 22

The most common complication of lung transplant is?

Accepted Answer

Transplant rejection

Question 23

Pt presents with chronic cough for 3 years, peripheral edema, cyanosis. Expected histology?

Accepted Answer

Goblet cell hyperplasia

Question 24

What is this monkey

Accepted Answer

Macaque

Question 25

What is the literal meaning of the word Karaoke?

Accepted Answer

Empty Orchestra

Question 26

Who currently has the most hits in baseball history (worldwide pro leagues) with 4,367?

Accepted Answer

Pete Rose

Question 27

The disease associated with this image most commonly manifests where on the lungs?

Accepted Answer

Pleural surface

Question 28

What refers to the total volume of air expelled between a max inhale and a max exhale?

Accepted Answer

Forced Vital Capacity (FVC)

Question 29

Which of these statements is true for restrictive lung disease spirometry?

Accepted Answer

FVC and FEV1 are decreased proportionally

Question 30

What is the image on screen showing?

Accepted Answer

Asteroid Bodies

Question 31

The image on screen was taken after what event during WWII?

Accepted Answer

Battle of Iwo Jima

Question 32

Small cell carcinomas are notable for secreting what, leading to hyponatremia?

Accepted Answer

ADH

Question 33

To stage an adenocarcinoma you need how many nodes at how many sites?

Accepted Answer

18 nodes from 6 sites

Question 34

How might you distinguish a pulmonary embolism from a postmortem clot?

Accepted Answer

Lines of Zahn

Question 35

Exposure to what environmental insult is most associated with mesothelioma?

Accepted Answer

Asbestos

Question 36

80% of idiopathic PHTN cases show this mutation?

Accepted Answer

BMPR2

Question 37

Which of these histology categories are accurate for PHTN?

Accepted Answer

Intimal fibrosis, medial hypertrophy

Question 38

The most effective tx for desquamative interstitial pneumonia, RBA-ILD, and LCH is?

Accepted Answer

Smoking cessation

Question 39

You meet a new pt with diagnosed sarcoidosis. Which reflects their most likely demographic?

Accepted Answer

30 y/o African-American female schoolteacher

Question 40

5,000 yen is approximately how much USD?

Accepted Answer

50

Question 41

Which of these autoimmune diseases is associated with the image on screen?

Accepted Answer

Rheumatoid Arthritis

Question 42

True/False: small cell carcinoma is an easily treated cancer and is rarely fatal.

Accepted Answer

False

Question 43

The typical symptom pattern for carcinoid tumors does NOT include which of the following?

Accepted Answer

Vomiting

Question 44

This image shows the classic presentation of what condition?

Accepted Answer

Bronchiectasis

Question 45

Which of these is a common cause of spontaneous pneumothorax?

Accepted Answer

Ruptured emphysematous bullae

Question 46

76 yo pt w/ lung cancer, 0 pk-yr history. Likely etiology and driver mutation?

Accepted Answer

Adenocarcinoma, EGFR

Question 47

The third Legend of Zelda video game to be released is subtitled what?

Accepted Answer

A Link to the Past

Question 48

You see a BAL slide that looks like this. What is the mechanism of the initial Tx?

Accepted Answer

Inhibits PLA2

Question 49

Rupture of apical blebs seen in emphysema is mainly associated with what?

Accepted Answer

Pneumothorax

Pulmonary Pathology Quiz

Questions 49

Pulmonary Pathology Quiz

Questions 49