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pathology and emergency medicine exams  for nursing
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Pathology2011
Question 1:
Choose the best answer (only one answer is correct) :
Pathogenesis means :
      a- Structural changes
      b- Mechanism of decrease development
      c- Cause of disease
      d- All of the above
The suffix " oma"  refers to :
      a- Degeneration
      b- Necrosis
      c- Neoplasm
      d- Inflammation
Pus cell :
      a- Characteristic of catarrhal inflammation
      b- Dead neutrophil
      c- Degenerated plasma call
      d- None of the above
Adenocarcinoma:
      a- Benign tumor of mesenchymal origin
      b- Locally malignant tumor
      c- Malignant tumor of surface epithelium
      d- Benign tumor of surface epithelium
Metastasis:
       a- Feature of benign tumor
       b- Spread of tumor
       c- Change of one type of tissue to another
       d- All of the above
Alpha fetoprotein is markedly elevated in
        a- Colon carcinoma of the stomach
        b- Nephroblastoma
        c- Hepatocellural carcinoma
        d- Bronchogenic carcinoma
Carcinoma:
        a- Malignant tumor of mesenchymal origin
        b- Have no distant spread
         c- Malignant tumor of epithelial
         d- Benign tumor of surface epithelium
All are true except :
         a- Lymphoma
         b- Hamartoma
         c- Leukemia
         d- Melanoma
In carbuncle, inflammation is :
          a- Catarrhal
          b- Membranous
          c- Sero-fibrinous
        d- Superlative
Locally malignant tumors
         a- Usually slowly – growing harmless
         b- Have no distant metastasis
         c- Example include fibrosarcoma
         d- Not infiltrating the surrounding tissues
Question  2:
Write (true) or (false)
1. (    ) the main function of macrophages is production of immunoglobulin.
2. (    ) Abscess is a localize suppurative inflammation
                   3. (    ) epithelioid cells are histiocytes engulfing organisms
4. (    ) Diphtheria is an example of catarrhal inflammation
5. (    ) Granulation tissue is formed of proliferating vascular spaces and fibroblasts .
6. (    ) Keloid means excessive formation of fibrous tissue
7. (    )  Secondary union occurs in aseptic surgical wounds
8. (    ) Edema means extravasation of fluid in the interstitial tissue and body cavities
9. (    ) Occlusion of the coronary arteries leads to cardiac ischemia
10. (    ) In parasitic infections the main cellular infiltrate is PNL'S
Question 3:
Define the following terms:
Inflammation………………………………………………
Giant cell ……………………………………………………
Papilloma ……………………………………………………
Repair …………………………………………………………
Neoplasia ……………………………………………………
Generation ………………………………………………….
Chemotaxis …………………………………………………
Question 4 :
Write the pathological terms denoting the following statement :

Statement
                      Pathological
terms
Malignant tumors of mesenchymal origin

Tract line by epithelium connecting the abscess to hollow organ

 Death of organ or tissue due to occlusion of its arterial supply

 Exit of leucocytes outside blood capillaries in inflammation

Malignant tumor of lymphoid tissue

Degree of similarity between tumor cells and of origin

Necrosis T.B granuloma

Neoplasm arising from totipotent cell and contain Different tissues








Necrosis followed by by putrefaction

Variation in size and shape of tumor cells and their nuclei

Question 5:
Match the correct statements of (A) and (B) :
                                      Statement(B)
            
Statement (A)


(     )  Malignant tumors of mesenchymal origin
(1) Etiology

(     ) Intravascular insoluble mass formed of blood
elements  during life .
(2) Amyloid
inaterial


(     ) Cause of the disease
(3) Cloudy swelling

(     ) Programed cell death

(4) Metastasis

(      ) Benign tumor of glandular epithelium

(5) Plasma cell


(       ) Distant spread of malignant tumor

(6) Gout


(      ) Type of degeneration due to increase cellular water content

(7) Adenoma


 (       ) Abnormal protein deposited in the extracellular spaces  

(8) Apoptosis

(      ) Secrete antibodies
(9) Thromus



(      ) Type of arthritis resulting from increased uric acid level

(10) Sarcoma

Question 6: case study:
Case 1:
       Seventy years old male, presented with a dark dry cold area in his leg separated with line of demarcation 15cm .above the ankle joint.
1-What is your diagnosis?
2-What are possible causes of this lesion ?

Cause2:
         A boy 12 years old a wound I his arm 3 months ago. Now he is presented with hard mass elevated above the skin surface at the site wound.
1- this lesion is called ……………………………
2-Mention two others complications of wound healing
Question 7:
Write short note about :
1- Differences between benign and malignant.
2- Inflammatory cells.
3- Pathological calcification
(Pathology  2012)
Question 1 :  Define the following terms
1- Inflammation ………………….
2- Papilloma …………………….
3- Repair …………………………..
 4- Tumor …………………………
5- Gangrene …………………….
6- Hemangioma……………….
7-Thrombus ……………………
8- Chemotaxis ……………………
Statement (B)
Statement (A)
( ) Malignant tumor of mesenchymal origin
(1) Metaplasia

(  ) Death of part of organ or tissue due to sudden complete occlusion of its arterial supply
(2) Necrosis
(   ) Malignant tumor of mesenchymal origin
(3) Cloudy swelling
(  ) Programmed process that mediates individual cell death in living tissues
(4) Metastasis
(  ) Benign tumor of glandular epithelium
(5) Plasma cells

(  ) Distant spread malignant tumors
(6) Carbuncle
(  ) Type of degeneration due to increase cellular water content
(7) Adenoma

(  ) Morphologic changes that follow cell death in the living tissue .
(8) A poptosis
(  ) Derived from B-lymphocyte and secrete antibodies.
(9) Infraction
(  ) Large abscess draining pus through multiple openings
(10) Sarcoma
(  ) Malignant tumor of surface epithelium
(12)
(  ) Change of one tissue into another type of the same tissue category
(13)

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emergency medicine2011
Choose the correct answer :
1- During primary survey external bleeding is managed by:
         a. Direct manual pressure on the wound
         b. Tourniquets above the wound.
         c. All of the above.
2- With regard to basic life support (BLS):
         a. BLS is done to maintain an adequate circulation and ventilation.
         b. DC shock in used to reverse cardiac arrest.
         c. all of the  above.
3- During BLS,if the patient is not breathing:
a. Turn him into recovery position.             
b.Start chest compression.        
c. Give him effective breathes.         
4- During anaphylaxis management :
a. Early endotracheal intubation is mandatory.         
         b. Adrenaline 0.5 mg is given subcutaneously.
         c. Antropine 1 mg is used.
5- Signs of the hypovolemic shock include the following :
          a. Bradycardia.
          b. Hypertension.
          c. Cold clammy skin.
6- In the management of shock it is preferred to use:
           a. Wide bore cannula sixe 16 G.
           b. 2 liter of saline.
           c. Mixture of crystalloid.
7- No response to fluid resuscitation during shock is present if blood loss is:
             a.> 40 %
             b. 10-15 %
              c. 20-40 %
8- During acute respiratory alkalosis:
             a. Paco2 decreased.
             b. Hco3 increased.
             c. PH is accepted.
9- PH 7.3 paco2 26.7 mmHg HCO3 14.3 mmol/Lthis case is :
               a. Acute respiratory acidosis.
               b. Compensated metabolic acidosis.
                c. Chronic respiratory acidosis.
10- PH 7.47 PACO2  22.8 mmHg HCO3 16.3 mmol/L this case is:
                a. Acute respiratory alkalosis.
                b. Compensated metabolic alkalosis.
                 c. Chronic respiratory alkalosis.
11- The colour of triage which will be given to patient with a pulse 130 and respiratory rate 30 is :
a. yellow.
b. Red.
 c.Green.
12- A patient in an accident has a pulse 90 and respiratory rate 16 but he can't obey commands so he will give a colour:
a. yellow.
b. Black
 c. Red.
13- About triage , these statements are true except:
              a. Aimed to deliver the right patient to the right place at the rigt time.
              b. Triage is done only at the accident.
              c. Triage is done during initial assessment at major accident.
14- Adrenaline is used in management of :
               a. VF and pulseless VT.
               b. Anaphylaxix.
               c. All of the above.
15- Reversible causes which must be treated during cardiac arrest include the following except:
                 a. Hypothermia.
                 b-Pulmonary edema.
                 c. Tension pneumothorax.
16- During DC shock the left paddle of defibrillator is put on :
                  a. Left fifth intercostals space in anterior axillary line.
                  b. Left border of sternum.
                  c. Right border of sternum.

    

17- During BLS pulse is palpated in :
                   a. Radial artery.
                   b. Axillary artery.
                   c. Carotid artery.
18-  The most important factor which affect fluid flow during shock
Management is :
                    a- Viscosity
                    b- Length of cannula
                    c- Radius of cannula.
19- Apatient lost 25% of his blood in an accident:
                     a- He is need blood transfusion.
                      b- No response to fluid resuscitation will occur.
                      c- All of the above .
20- After endotracheal intubation, we must auscullate:
                       a. Left lung only.
                       b.Both lungs.
                       c. Right lung only.
21- Paco2 400 mmHg HCO3 32 mmol/L this case is :
                        a. Compensated metabolic alkalosis.
                        b. Uncompensated metabolic alkalosis.
                        c. Acute respiratory.



22- Suspected cervical spine injury:
                          a. Laryngeal  mask airway is preferred to maintain airway.
                                                    b. Long rolling is used for patient transport.
                          c. All of the above
23- Adrenaline is given in management id VF before:
                          a. The first DC shock.
                          b. The third DC shock
                          c. The second DC shock.

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