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MCQ QUESTIONS

BATCH 4 (03/07)

YEAR 2 SEMESTER 2 FINAL EXAMEXAM DATE : MONDAY, 25THMAY 200

1. Koilocytes with small perinuclear halo may be due to this infectionA. Candida alblicansB. Actinomyces IsraeliC. Gardenerala vaginalisD. Trihcomonas vaginalis

2. Rosette formation is typical of:

A. sqamous cell carcinoma

B. AdenocarcinomaC. mature metapalstic cellsD. inflammed cells

. Aniso!aryosis denotesA. "ariation in cell si#eB. "ariation in nuclear si#eC. "ariation in nuclear si#e and shapeD. "ariation in cell si#e and shape

$. %n"asi"e squamous cell carcinoma is usually related to these strains of &'(A. &'( type 1$ ) 1*

B. &'( type 1* ) 1+C. &'( type 1+ ) 1D. &'( type 2, )

-. A satisfactory 'A' smear should contain a minimum of clusters of well preser"edendocer"ical cells

A. 2B. $C. *D. +

*. /ne of these cells normally ha"e scanty cytoplasm

A. metaplastic cellsB. parabasal cells

C. endocer"ical cellsD. endometrial cells

1

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0. %f a aturation %nde 3i"es this result: ':%:4 5 ,:2-:0-6 it is due to

A. estro3en effectB. pro3esterone effectC. andro3en effectD. luteinisin3 hormone effect

+. &4( type % normally affects the

A. face and armsB. se or3ansC. outhD. internal or3ans

7. 8he synonym for C%9 %%% isA. low 3rade intraepithelial lesionB. hi3h 3rade intraepithelial lesionC. mild dysplasiaD. moderate dysplasia

1,. 8he aturation %nde of 1,,:,:, su33estsA. atrophy chan3esB. &ypertrophyC. reacti"e chan3es

D. Re3eneration

11.

8he Bethesda scheme of report pro"ides

A. descripti"e dia3nosisB. 'apnicolaou classificationC. C%9 classification

D. dysplasia classification

12. 8he cytopatholo3ists must screen daily of ne3ati"e 'A' smearsA. 1,B. 1-C. 2,D. 2-

1. 8his type of cells show intra;cellular brid3es

A. parabasal cellsB. endocer"ical cellsC. metaplastic cells

D. intermediate squamous cells

1$. 'rominent nucleoli may be seen in these cells6 EXCE!TA. &isteocytesB. inflamed %ntermediate squamous cellsC. endoce"ical cellsD. plasma cells

2

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1-. 8hese cells can be seen in smears ta!en durin3 day 1;- of the menstruation cycle6 EXCE!TA. 'lateletsB. endometrial cellsC. pus cellsD. erythrocytes

1*. Bare nuclei of this type of de3enerated cells can be confused with the tropho#oite ofTrichomonas Vaginalis

A. columnar cellsB. enodmetrial cellsC. superficial 4qaumous cellsD. intermediate 4qaumous cells

10.

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B. 4abroud a3ar C. Chocolate a3ar D. =owenstein >ensen media

2,. icronucleoli are present in all these cells 6 EXCE!T

A. &isteocytes

B. metaplastic cellsC. normal

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1 hich is the characteretic feature of Beni3n =esion

5

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A =imited proliferation.B %n"ade surroundin3 tissuesC etastasi#e.D nlimited proliferation.

2 are used to detemine the adequacy of 'A' smear

A 4quamous epithelial cells.B

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B 9on !eratini#in3C etaplasticD 9eoplastic

1, A sarcoma is aA Beni3n lesion

B ali3nant lesionC 'recursor lesionD Rhabditiform lar"a

11 8he physiolo3ical con"ersion of columnar endocer"ical cells to flat eocer"ical cells is termedA etaplasiaB AtypiaC etastasisD 'ara!eratosis

12 are Beni3n tumors deri"ed usually from 4quamous epitheliumA Adenoma

B 'apillomaC 'olypD 8eratoma

1 8he followin3 are cellular chan3es caused by &'( %&'%A 9uclear mouldin3B &yperchromatic nucleiC 'erinuclear haloD &yperse3mentation

1$ 'roliferation of cancer cell to distant or3ans is calledA %n"asion

B etaplasiaC etastasisD Keratinisation

1- %f a aturation %nde 3i"es this result : ':%:4 5 7,:1,:,6 it is due toA

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1+ 8he term aniso!aryosis refers to si3nificant "ariation inA Cell si#eB Cell shapeC 9ucleoli si#e ) shape

D 9uclear si#e ) shape

17 8he technique for inspection of "ascular chan3es on the surface of cer"i is calledA ColposcopyB ColonoscopyC =aryn3oscopyD Bronchoscopy

2, hich of the followin3 does not result from the effect of radiationA Cellular baloonin3B 9uclear Baloonin3C (acuolisation of Cytoplasm ) 9ucleus

D Denucleation

21 4mall cell carcinoma is 3raded asA Grade 1B Grade 2C Grade 3D Grade 4

22 8he pro3nostically fa"ourable feature in sta3e 1 in"asi"e carcinoma is the presence ofA =ymphocytic infilteration in stroma

B etastasis to re3ional lymph nodeC %n"asion of =ymphaticsD 9one

2 8he 9uclear enlar3ement in otherwise normally appearin3 cells is termedA Dys!aryoticB Karyome3alyC KoilocytosisD Keratosis

2$ %n a normal 'A' smear6 mature metaplastic cells are usually stainedA ?reen

B 'urpleC BlueD 'in!

2- 8adpole cells are obser"ed inA %n"asi"e squamous carcinoma of cer"iB &i3h 3rade squamous precursor lesionsC Both in"asi"e squamous carcinoma of cer"i and &i3h 3rade squamous precursor

lesions

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D 9either in"asi"e squamous carcinoma of cer"i and &i3h 3rade squamous precursorlesions

BATCH 5 (02/0")YEAR 2 SEMESTER 2 FINAL EXAMEXAM DATE : MONDAY, "THMARCH 20*0

1 By practicin3 quality assuranceA or! load can be reducedB @alse results can be minimisedC Cytotechnolo3ist can be reduced

D 8he cost of 'A' smear can be reduced

2 ali3nancy criteria of three dimensions seen inA &i3h 4%=B AdenocarcinomaC Carcinoma in;situD %n"asi"e squamous cell carcinoma

Cytolo3y test records should be retained in the laboratory for atleast yearsA /neB 8woC @our

D @i"e

$ A maor problem with con"entional 'A' smear isA Bac!3round full of mucusB

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A %n"asionB etaplasiaC etastasisD Keratinisation

* @ollowin3 are ris! factors for de"elopin3 cer"ical cancer EXCE!T

A ultiple seual partnersB &4( infectionC &'( infectionD 're"ious abnormal smear

0 @ollowin3 fiati"es can be used for a cytolo3y smear EXCE!TA 7- alcoholB 1, formalinC CytosprayD 1,, alcohol

+ @ollowin3 solutions can be used as bluin3 a3ent EXCE!TA 4cottEs solutionB 4odium bicarbonateC 8ap water D Acid alcohol

7 are used to detemine the adequacy of 'A' smearA 4quamous epithelial cells.B

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1 8he followin3 are cellular chan3es caused by &'( EXCE!TA 9uclear mouldin3B &yperchromatic nucleiC 'erinuclear haloD &yperse3mentation

1$ ntreated precursor lesions usually ta!e to pro3ress to in"asi"e cancerA 4e"eral daysB 4e"eral wee!sC 4e"eral monthsD 4e"eral years

1- Actinomycetes are usually associated with the use ofA %CDB &'( infectionC &ormone replacement treatmentD 8ampon

1* 4creenin3 of cytolo3y slides to assess cellularity6 stain quality6 distribution of cells are done at ma3nificationA 1,FB 2,FC $,FD 1,,F

10 Diff quic! utilisesA Air dried specimen

B Alcohol fied specimenC @ormalin fied specimenD Dichromate fied specimen

1+ 8he term aniso!aryosis refers to si3nificant "ariation inA Cell si#eB Cell shapeC 9ucleoli si#e ) shapeD 9uclear si#e ) shape

17 8he technique for inspection of "ascular chan3es on the surface of cer"i is

A ColposcopyB ColonoscopyC =aryn3oscopyD Bronchoscopy

2, 8he Bethesda system report includesA 4pecimen adequacyB

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D All of the abo"e

21 4u33estion 3i"en in Bethesda system for adenocarcinomaA Refer 3ynaecolo3istB Repeat smear at the earliestC Repeat smear after months

D Repeat smear after * months

22 /? * )

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%f there is a delay in deli"ery lon3er than 6 cytolo3ical specimens should berefri3erated

A 1, minsB 2, minsC , mins

D $, mins

$ Cytolo3ical results should be !ept as record for atleast A * monthsB 1 year C 2 HearsD - Hears

- 8he standard nuclear stain used in 'A' stain is6A

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11 8o minimi#e cellular distortion and reduce cell loss from slide6A 4mears are fiedB 4mears are 3radually dehydratedC 4mears are bluenedD 4mears are stained

12 8he cytoplasm of !eartinisin3 squamous cells are stained A BlueB ?reenC 'in!D /ran3e

1 ost onco3enic &'( isA 8ype 1B 8ype *C 8ype 1*D 8ype 11

1$ By practicin3 quality assuranceA or! load can be reducedB @alse results can be minimisedC Cytotechnolo3ist can be reducedD 8he cost of 'A' smear can be reduced

1- 8he 'ap stain is a:A ultichromatic stainin3 techniqueB onochromatic stainin3 technique

C etachromatic stainin3 techniqueD Dichromatic stainin3 technique

1* ali3nancy criteria of three dimensions seen inA &i3h 4%=B AdenocarcinomaC Carcinoma in;situD %n"asi"e squamous cell carcinoma

10 are enlar3ed squamous cells with hyperchromatic nuclei and a lar3e perinuclearclear halo

A yelocytes

B KoilocytesC onocytesD 8ar3et cells

1+ 'ic! up the characteristic cytolo3ic feature after radiationA (acuolisation of cytoplasm or occasionally of the nucleusB ultinucleation.C Appearance of bi#arre cell forms.D All of the abo"e

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17 'roliferation of cancer cell to distant or3ans is calledA %n"asionB etaplasiaC etastasisD Keratinisation

2, Diff;Iui! is utili#ed on:A Air;dried specimensB Alcohol;fied specimensC @ormalin fied specimensD Dichromate fied specimens

21 @or detailed eamination in cytolo3y6 obecti"e lens are usedA 1, FB 2, FC $, FD 1,, F

22 Cells arran3ed in parallel clusters are calledA 'allisadeB RosetteC 'arallelsD Dysplastic

2 %n the Bethesda system of classification6 low;3rade squamous intraepithelial lesion J=4%=indicates :

A Cancer

B ild dysplasiaC oderate dysplasiaD 4e"ere dysplasia

2$ hich one of the followin3 statement is true re3ardin3 Bismarc! brown in 'A' stainA 4tains cytoplasm of mature squamous cellsB 4tains cytoplasm of parabasal squamous cellsC 4tains cytoplasm of intermediate squamous cellsD &as no specific stainin3 to cytoplasm

15

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2-

%dentify the cell.A 4i3net rin3 cellB KoilocytesC 'alisade formationD &istiocytes

BATCH (03/0")YEAR 2 SEMESTER 2, MID SEMESTER EXAMEXAM DATE : THURSDAY, **THMARCH 20*0

1 By practicin3 quality assuranceA or! load can be reducedB @alse results can be minimisedC Cytotechnolo3ist can be reducedD 8he cost of 'A' smear can be reduced

2 terine fibroids are an eample of a

A Beni3n lesionB ali3nant lesionC Carcinoma insituD 9one

'ituitary adenoma is deri"ed fromA 4quamous epitheliumB ?landular epitheliunC Both

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D 9one

$ ost onco3enic &'( isA 8ype 1B 8ype *C 8ype 1*

D 8ype 11

- @ormation of squamous pearls6 binucleation ) sli3ht enlar3ement of nuclei are the characters ofA KoilocytesB 'apillomaC 'ara!eratosisD 'olyp

* hich one of the followin3 is a fa"ourable pro3nosisA %n"asion of lymphaticsB =ymphocytic infilterateC etastasis to re3ional lymph node

D %n"asion of blood "essels


+ ntreated precursor lesions usually ta!e to pro3ress to in"asi"e cancerA 4e"eral daysB 4e"eral wee!sC 4e"eral monthsD 4e"eral years

7 are used to detemine the adequacy of 'A' smearA 4quamous epithelial cells.B

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C etastasisD 'ara!eratosis

12 inimal acceptable e"idence of samplin3 is identification of atleast endocer"ical cells orsquamous metaplastic cells

A 1,

B 2,C ,D $,

1 =ow 3rade squamous intraepithelial lesions are associated with the followin3 E&'%A ild dysplasiaB &yperchromatic nucleiC KoiloytesD 'seudoeosinophilia

1$ 4mall cell carcinoma is 3raded asA Grade 1

B Grade 2C Grade 3D Grade 4

1- 9uclear enlar3ement in otherwise normally appearin3 cells is termedA Dys!aryoticB Karyome3alyC KoilocytosisD !eratosis

1* hich of the followin3 is not resultin3 from the effect of RadiationA Cellular baloonin3B 9uclear Baloonin3C (acuolisation of Cytoplasm ) 9ucleusD Denucleation

10 %n"asi"e cer"ical carcinoma should be confirmed byA Blood testB BiopsyC rine testD ltrasound

1+ 8he term aniso!aryosis refers to si3nificant "ariation inA Cell si#eB Cell shapeC 9ucleoli si#e ) shapeD 9uclear si#e ) shape

17 8he technique for inspection of "ascular chan3es on the surface of cer"i isA Colposcopy

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B ColonoscopyC =aryn3oscopyD Bronchoscopy

2, 8he Bethesda system report includesA 4pecimen adequacy

B

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B =i3ht ?reen 4@C &aematoylinD Bismarc! brown

2

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C ell differentiatedD Bad pro3nosis

1, A 'A' smear is considered satisfactory if cells are foundA 4quamous epithelial cells.B

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B KoilocytesC onocytesD 8ar3et cells

1+ 'ic! up the characteristic cytolo3ic feature after radiationA (acuolisation of cytoplasm or occasionally of the nucleus

B ultinucleation.C Appearance of bi#arre cell forms.D All of the abo"e


2, Diff;Iui! is utili#ed on:A Air;dried specimens

B Alcohol;fied specimensC @ormalin fied specimensD Dichromate fied specimens

21 @or detailed eamination in cytolo3y6 obecti"e lens are usedA 1, FB 2, FC $, FD 1,, F

22 Cells arran3ed in parallel clusters are called

A 'allisadeB RosetteC 'arallelsD Dysplastic

2 %n the Bethesda system of classification6 low;3rade squamous intraepithelial lesion J=4%=indicates :

A CancerB ild dysplasiaC oderate dysplasiaD 4e"ere dysplasia

2$ hich one of the followin3 statement is true re3ardin3 Bismarc! brown in 'A' stainA 4tains cytoplasm of mature squamous cellsB 4tains cytoplasm of parabasal squamous cellsC 4tains cytoplasm of intermediate squamous cellsD &as no specific stainin3 to cytoplasm

22

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2-

%dentify the cell.A 4i3net rin3 cellB KoilocytesC 'alisade formationD &istiocytes

cyto 2 - mcq

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