PM cycle 2 single choice questions only

What is the most common germ cell tumor in children younger than 3 years of age?
Seminoma
Yolk sac tumor
Teratoma
Leydig cell tumor
Embryonal carcinoma
A 10 cm tumor of the right ovary is composed of immature mesenchymal cells, immature cartilage and neuroepithelium. The most likely diagnose is:
Choriocarcinoma
Dysgerminoma
Mature Teratoma
Immature Teratoma
Hydatidiform mole
A 23-year-old woman has a spontaneous abortion at 15 week’s gestation. The male fetus is small for gestational age and malformed, with syndactyly of the third and fourth digits of each hand. The placenta also is small and shows 0.5-cm grape like villi scattered among morphologically normal villi. Chromosomal analysis of placental tissue is most likely to which of the following karyotypes:
45, X
46, XX
47, XXY
47, XY, +18
69, XXY
Apocrine metaplasia of the breast:
Does not increase the risk of breast carcinoma
1.5-2 x increased risk of breast carcinoma
5 x increased risk of breast carcinoma
10x increased risk of breast carcinoma
100x increased risk of breast carcinoma
In natural history of LSIL the most possible scenario is that:
10% of lesions regress, 10% persist and 80% progress to HSIL
60% of lesions regress, 30% persist and 10% progress to HSIL
30% of lesions regress, 10% persist and 60% progress to HSIL
10% of lesions regress, 60% persist and 30% progress to HSIL
It is unpredictable
How many pregnancies implant ectopically?
0,01 %
0,1 %
1 %
10%
50%
A 56-year-old woman has had weight loss accompanied by abdominal pain for the past 3 months. There is a family history of breast and ovary carcinoma. On physical examination, there are lesion of the cervix, and the uterus is ...., but there is a left...mass. An abdominal structural scan shows a 10-cm cystic mass in the left abdominal …, with 1-cm peritoneal nodules, and..... Cytologic studies of peritoneal fluid show malignant cells. Which of the following mutated genes is most likely a factor in the development of this neoplasm:
BRCA1
ERBB2 (HER2)
MYC
KRAS
RB1
The presence of osteoblastic metastases in an older male is strongly suggestive of advanced:
Testicular seminoma
Testicular embryonal carcinoma
Prostatic adenocarcinoma
Colorectal carcinoma
Gastric carcinoma
PSA is produced by:
Hepatocytes
Sertoli cells
Leydig cells
Normal prostatic epithelium
Testicular germ cells
Clinical and experimental observations suggest that all of the following factors are involved in the pathogenesis of prostate carcinoma EXCEPT:
Androgen
Hereditary Factors
Environmental factors
Acquired somatic mutations that create TMPRSS2-ETS fusion genes
Sexual behavior
Krukenberg tumor is a metastatic carcinoma of the:
Uterus
Fallopian tube
Stomach
Colon
Uterine cervix
The most common histologic type of cervical carcinoma is:
Squamous cell carcinoma
Serous papillary cystadenocarcin
Adenosquamous carcinoma
Neuroendocrine carcinoma
Adenocarcinoma
The presence of structures resembling primitive glomeruli, the so-called Schiller-Duvall bodies, is characteristic of
Spermatocytic seminoma
Embryonal carcinoma
Yolk sac tumor
Immature teratoma
Teratoma with malignant transformation
A 62-year-old childless woman noticed a bloody vaginal discharge twice during past month. Her last menstrual period was 10 years ago. ... Pelvic examination showed that uterus is ... In situ with no palpable adhered masses. There are no cervical ... Or masses. Her Body Mass Index is 35. Her medical history indicates that for the past 30 years she had hypertension & type 2 Diabetes Mellitus. An endometrial biopsy specimen is most likely to have which of the following:
Adenocarcinoma
Choriocarcinoma
Leiomyosarcoma
Malignant Mullerian Mixed Tumor
Squamous Cell Carcinoma
Which of the following sentences regarding phyllodes tumor are true
Is the most common benign neoplasm of the female breast
On gross section it exhibits leaf like clefts and slits
Is a neoplastic papillary growth within a duct
Is a solitary tumor found within the principal lactiferous ducts or sinuses
It may be small (3-4 cm in diameter), but most grow to large, possibly massive size, distending the breast
Which of the following lesions corresponds to endometrial intraepithelial neoplasia of high grade?
Endometrial polyp
Simple endometrial hyperplasia without atypia
Simple endometrial hyperplasia with atypia
Complex endometrial hyperplasia without atypia
Complex endometrial hyperplasia with atypia
A clinical study of women diagnosed with ovarian neoplasms reveal that that 1 in 200 develop masculinizing signs and symptoms, including hirsutism, acne, breast atrophy, and amenorrhea. Which of the following neoplasms is most likely to produce these symptoms?
Brenner tumor
Dysgerminoma
Endometrioid carcinoma
Granulosa cell tumor
Sertoli-Leydig cell tumor
How many breast cancers are related to specific inherited mutations?
Ca 1%
Ca 10%
Ca 20%
Ca 50%
Ca 70%
Where can we find apocrine metaplasia?
Epididymis
Testis
Breast
Ovary
Some type of breast lesion that creates “single file”
DCIS
B. LCIS
Invasive ductal
Invasive tubular
Invasive lobular
Which of the following tumors occurs most often in the ovary?
Chondroma
Hemangioma
Leiomyoma
Transitional cell carcinoma
Cystadenoma
Which of the following carcinomas is locally invasive but rarely forms metastases in LN and distal sides?
Basal cell carcinoma of the ski
Squamous cell carcinoma of the skin
Oat cell carcinoma of the lung
Invasive ductal carcinoma of the breast
Adenocarcinoma of the stomach
In which cell function is BRCA1, a gene mutated in women with familial breast carcinoma, involved
Cell adhesion
Growth inhibition
Signal transduction
Cell surface channel
DNA repair
A benign breast tumor composed of loose fibroblastic stroma containing ductlike epithelium-lined spaces of various forms and sizes is called
Adenoma
Fibroadenoma
Papilloma
Hamartoma
Choristoma
The microscopic finding of CIN II of the uterine cervix in a biopsy from a 30-year-old female
Does not require further treatment
Has an increased risk of cervical carcinoma
Has an acute bacterial infection
May develop a benign neoplasm of the cervix
Already has a widespread metastasis
Typical changes in cells due to HPV infection:
Koilocytosis
Papillomatous epidermal hyperplasia
Hyperkeratosis
Acanthosis
A woman 50 years old, 10 cm nodule in right breast that is well circumscribed. Histologically leaf like structure and high amount of stromal … epithelial component is also present:
Fibroma
Phyllodes tumor
Mucinous
Papillary
Infiltrative lobular carcinoma of breast is characterized histologically by:
Large cells with clear cytoplasm within epidermis
Single file pattern of infiltration
Expression of lobules by monotonous proliferative of epithelial cells
Large syncytium – like sheets of pleomorphic cells
Granulomatous inflammation in the vicinity of neoplastic cells
Tumor in woman made from cartilage, mesenchymal end epithelial tissue
Mature teratoma – benign
Immature teratoma – malignant
Adenocarcinoma
Squamous cell carcinoma
Which of the following breast carcinomas have smooth outline on mammography:
Invasive ductal NOS carcinoma
Medullary carcinoma
Mucinous carcinoma
Invasive lobular carcinoma
Lobular ductal carcinoma
5-year survival in patient with breast carcinoma less than 0,9 cm in diameter is approximately:
60%
70%
80%
95%
99%
True for leiomyoma:
Most frequent in women
Bleeds when touched
Is composed of skeletal muscle and connective tissue
Atypical cells
Endometrial adenocarcinoma grade 1:
Well differentiated neoplasm
Poorly differentiated neoplasm
Benign neoplasm
Patient has numerous metastases
Most common testicular neoplasm:
Embryonal carcinoma
Sertolioma
Chorioma
Teratoma
Seminoma
The presence of CIN1 on biopsy is most likely associated with:
HSV infection
EBV infection
HPV infection
Rising titer of β- hCG in blood and urine
Previous pregnancy
Which of the following pathologic changes most strongly suggests an increased risk of carcinoma of the breast in a 45-year-old female?
Fibroadenoma
Atypical ductal hyperplasia
Sclerosing adenosis
Fat necrosis
Multiple cyst
Inflammatory carcinoma of the breast is histologically characterized by:
Duct ectasia with numerous plasma cells
Extensive blockage of dermal lymphatics by cancer cells
Infiltrating malignant ducts surrounded by numerous neutrophils
Marked dermal desmoplasia
Malignant vascular tumor forming slit like spaces
The most common ovarian cancer is?
Mucinous adenocarcinoma
Serous papillary cystadenocarcinoma
Krukenberg tumor
Mature teratoma
Granulosa cell tumor
The peak age incidence of CIN is about:
20 years of age
30 years of age
40 years of age
50 years of age
60 years of age
Prognosis of breast carcinoma is influenced by all the following EXCEPT:
The size of tumor
Lymph node involvement
Location within the breast
The grade of carcinoma
The histologic type of carcinoma
High- grade squamous intraepithelial lesion corresponds to:
CIN I and CIN II
CIN II and CIN III
CIN III and invasive carcinoma
Condylomata acuminata and CIN I
Squamous metaplasia and CIN I
Which of the listed abnormalities describes the characteristics cytopathic effect by infection with HPV?
Acanthosis
Apoptosis
Hyperkeratosis
Koilocytosis
Parakeratosis
A 28-year-old woman at her third trimester of her third pregnancy discovered a lump in her right breast. Physician palpated a 2-cm discrete, freely movable mass beneath nipple. After birth of a term infant, the mass appears to decrease slightly. The infant breastfeeds without difficulty. Which of the following is the most likely diagnosis?
Intraductal Papilloma
Phyllodes tumor
Lobular carcinoma in situ
Fibroadenoma
Medullary carcinoma
A 66-year-old childless woman noticed a blood-tinged vaginal discharge twice during past month. Her last menstrual period was 14 years ago. Bimanual pelvic examination shows that uterus is normal size, with no palpable adnexal masses. There are no cervical erosions or masses. Her medical history indicates that for past 30 years she has had hypertension and = Marker used to assess secretory cells (metastatic prostatic carcinoma) = Marker used to assess secretory cells (metastatic prostatic carcinoma) type 1 Diabetes Mellitus, which is treated with insulin injections. An endometrial biopsy is most likely to show which of the following:
Adenomyosis
Leiomyosarcoma
Adenocarcinoma
Squamous cell carcinoma
Choriocarcinoma
Female 50 y.o. Gradual enlargement of the left nipple over several years. Breast skin is unchanged. No abnormal discharge and LN are normal. In mammography well circumscribed tumor with diameter of 12 cm. Histology shows connective tissue with mitosis. You suspect:
Fibroadenoma
Phyllodes tumor
Hamartoma
Sclerosing adenosis
Carcinoma medulla
Mutations in BRCA1 increase risk of carcinoma in breast and carcinoma of:
Thyroid
Lung
Ovaries
Colon
Kidney
Squamous carcinoma of the penis gives metastases to the following LN:
Neck
Inguinal
Axilla
Most common neoplasm of testis is:
Yolk sac tumor
Carcinoma embryonale
Choriocarcinoma
Seminoma
Teratoma maturum
Male with gynecomastia examination reveals tumor in testis and lack of increased AFP and HCG
Leydig Sertoli tumor
Dysgerminoma
Seminoma
Choriocarcinoma
Sertolioma
Osteoblastic metastases to bone results from:
Squamous cell carcinoma of penis
Sarcoma of testis
Carcinoma of prostate
Seminoma
Vesicular carcinoma of urinary bladder
Child with tumor in left testis of 2.5 cm, increased AFP and α1-antitrypsin:
Yolk sac tumor
Choriocarcinoma
Seminoma
Leydig tumor
Carcinoma embryonale
Main etiologic factors in prostatic hyperplasia:
Testosterone
DHT
Progesterone
Prolactine
ACTH
70 y.o. Male has metastases to vertebra. Which is primary carcinoma:
Choriocarcinoma
Embryonic carcinoma
Prostatic carcinoma
Primary cervical carcinoma:
Adenocarcinoma
Dysgerminoma
Leiomyosarcoma
Congenital abnormalities of the penis:
Hypospadias
Cryptorchidism
Balanitis
Histology of ovarian tumor shows cells with pale cytoplasm, large nucleus, and irregular nucleolus divided by connective tissue with lymphocytic infiltrate. Diagnosis:
Brenner tumor
Carcinoma embryonal
Immature teratoma
Dysgerminoma
Yolk sac tumor
45 year old patient. Ultrasound shows 9 cm tumor in the abdominal cavity. Histology shows undifferentiated adenocarcinoma and chondrosarcoma. Diagnosis
Leiomyosarcoma
Sarcoma Botroides
Immature teratoma
Stromal tumor
Mixed malignant tumor (MMT)
Malignant tumors of the endometrium:
Leiomyosarcoma
Stromal endometrial sarcoma
Stromal nodule
Adenomyosis
Endometriosis
Hydatidiform mole – risk of choriocarcinoma:
1%
2,5%
10%
15%
20%
Most common reason of death due to carcinoma of cervix:
Metastasis to the brain
Pulmonary artery embolism
Kidney insufficiency
Ascites
Chorionic villi are not present in:
Partial mole
Complete mole
Invasive mole
Choriocarcinoma
Ectopic pregnancy
60-year-old woman with bleeding. What kind of examination is first you do?
PAP
Hysterectomy
Endometrial FNA
Biopsy of the endometrium
Which of the following endometrial abnormalities can be seen in association with granulosa cell tumors?
Endometrial stromal sarcoma
Benign stromal nodule
Endometrial hyperplasia
Endometrial polyp
Endometriosis
What is serum PSA level used as the upper limit of normal:
4.0 ng/l.
14 ng/l.
40 ng/l.
400 ng/L
Which of the following lesions is characterized by thinning of the epidermis, hydropic degeneration of the basal cells, hyperkeratosis and dermal fibrosis with mononuclear
Bowen disease
Bowenoid papulosis
Lichen sclerosus
Lichen simplex chronicus (squamous cell hyperplasia)
Differentiated VIN
Cervical carcinomas typically include all of the following carcinomas except:
Squamous cell carcinomas
Adenocarcinomas
Adenosquamous carcinomas
Small-cell neuroendocrine carcinomas
Serous papillary cystadenocarcinomas
Nests of endometrial stroma, glands or both, found in the myometrium between the muscle bundles are referred as:
Endometriosis
Chocolate cyst
Myometritis
Stromal nodule
Adenomyosis
Majority of hereditary ovarian cancers seem to be caused by mutations in:
TP53 gene
K-RAS gene
HER-2 gene
BRCA1 and BRCA2 genes
N-MYC gene
Overexpression of HER-2 gene is almost always caused by:
Chromosomal inversion
Dele on of the gene
Mutation of the gene
Amplification of the gene
Translocation on of the gene
Most of the breast cancers are located in the:
Central portion
Upper inner quadrant
Lower inner quadrant
Upper outer quadrant
Lower outer quadrant
CIN II indicates:
Treatment is not necessary
There is an acute bacterial infection
May become a benign tumor
There is an increased risk for developing cervical carcinoma
Gleason scale (5 + 1), what is the predominant pattern:
Poorly differentiated
Well differentiated
Well differentiated + Stage 1
Poorly differentiated + Stage 1
Mixed
Male, urinate often, after only 1 beer, palpable prostate, 5ng/ml PSA:
BPH
Adenocarcinoma
Tuberculosis
Acute prostatitis
Multiple infarct
Fallopian tube epithelium:
Serous tumor
Mucinous tumor
Brenner tumor
Rupture of mucinous tumor of ovary into peritoneum and with mucin deposits is called:
Pseudomyxoma peritonei
Mucocele
Carcinomatosis peritonitis
Krukenberg tumor
Mucinous cyst
Hydatidiform mole proceed choriocarcinoma in:
10%
20%
50%
Produce estrogen, may give endometrial cancer and breast cancer:
Granulosa tumor
Yolk sac tumor
Embryonal tumor
Dysgerminoma
Choriocarcinoma
Stage I adenocarcinoma of the uterus:
Corpus
Corpus + upper half of cervix
Lower half of cervix
Beyond uterus but in the true pelvis
Distant metastasis or other viscera
Most likely tuberculosis:
Epidydymis
Prostate
Penis glands
Skin of scrotum
Testicular gland parenchyma
Diagnosis of ovarian tumor lined by tall columnar cells. Histology of fallopian tube cells:
Brenner tumor
Clear cell
Endometrioid
Mucinous
Serous
Malignant serous tumor of ovary typically spreads to:
Cervical lymph nodes
Supraclavicular lymph nodes
Axillary lymph nodes
Inguinal lymph nodes
Periaortic lymph nodes
The risk of developing endometrial carcinoma in atypical hyperplasia with cellular atypia is:
2%
10%
20%
50%
90%
Sharply circumscribed, firm gray-white mass with a characteristic whorled cut surface present in the myometrium of the uterus is most likely:
Invasive squamous cell carcinoma
Schwannoma
Invasive endometrial carcinoma
Leiomyoma
In which of the following lesions hydropic villi may embolize to distant organs, such as lungs or brain. Emboli do not constitute true metastases and may actually regress spontaneously:
Complete mole
Partial mole
Invasive mole
Choriocarcinoma
Placental site trophoblastic tumor
How many choriocarcinomas arise in complete hydatidiform moles:
10%
20%
30%
50%
70%
Which of the clinical variants of malignant melanoma begins with the vertical growth phase without an obvious radial growth phase?
Lentigo malignant melano
Superficial spreading melanoma
Nodular melanoma
Acral/lentiginous melanoma
Juvenile melanoma
The definitive diagnosis of malignancy in pheochromocytomas is based exclusively on:
The number of mitotic figures
The depth of invasion measured in millimetres
The presence of cellular atypia
The presence of metastases
The tumor size
Following characteristics: “tumor composed of polygonal to spindle-shaped cells and their supporting cells, compartmentalized into small nests by a rich vascular network. Polygonal to spindle-shaped cells are chromogranin A positive and synaptophysin positive. “most likely corresponds to:
Malignant melanoma
Pheochromocytoma
Follicular carcinoma of the thyroid
Hemangiosarcoma
Glomus tumor
Which of the clinical variants of malignant melanoma begins with the radial growth phase and stays in situ only for months
Lentigo simplex
Superficial spreading melanoma
Nodular melanoma
Melanocytic naevus
Juvenile melanoma
Malignant melanoma that invades papillary dermis but does not fill it corresponds to
Clark I level
Clark II level
Clark III level
Clark IV level
Clark V level
Which of the following clinical variants of malignant melanoma develops in old persons on sun-damaged facial skin and grows very slowly for years before the tumor starts to metastasize
Lentigo malignant melanoma
Superficial spreading melanoma
Nodular melanoma
Acral/lentiginous melanoma
Juvenile melanoma
In which of the following tumor satellite or intratransit metastases to skin can be found
Pheochromocytoma
Malignant melanoma
Plasmocytoma
Anaplastic carcinoma of thyroid
Squamous cell carcinoma of skin
Malignant melanoma which stays in situ and grows radially for several years, before it starts to spread vertically. Which type?
Lentigo malignant melanoma
Superficial spreading melanoma
Acral/mucosal lentiginous melanoma
Nodular melanoma
Juvenile melanoma
Malignant melanoma. Grows vertically directly, without radial spreading, the most aggressive form.
Lentigo malignant melanoma
Superficial spreading melanoma
Acral/mucosal lentiginous melanoma
Nodular melanoma
Caucasian male had over 150 pigmented nevi on trunk and arms. Most were 6 mm in diameter, some over 10 mm and various chess of brown color. Family history of melanoma. What is the most correct statement?
Melanoma with metastasis
No increased risk for melanoma
Dysplastic nevus syndrome
History of sun exposure
Arsenic poisoning
Which of the clinical variants of malignant melanoma begins with vertical growth phase and has poorest prognosis
Lentigo malignant melanoma
Superficial spreading melanoma
Nodular melanoma
Acral/lentiginous melanoma
Juvenile melanoma
Verruca vulgaris is mostly found in:
Neck
Leg
Trunk
Hand
Face
Peak incidence of follicular carcinoma
1-10 years
10-20 years
30-40 years
40-60 years
60-70 years
Histologic examination revealed cords and islands of malignant cells with hyper chromatic nuclei, and peripheral tumour cell nuclei palisading, embedded in a fibrotic or mutinous stroll matrix. The most likely diagnosis is:
Kaposi sarcoma of skin
Hemangiosarcoma of skin
Basal cell carcinoma of skin
Malignant melanoma of skin
Squamous cell carcinoma of skin
Figo staging is used for
Breast carcinoma
Cervical carcinoma
Penile carcinoma
Prostate carcinoma
Endometrial carcinoma
 
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