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Practice Lab Exam for General Pathology ANSWERS Winter 2010

Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

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Page 1: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Practice Lab Exam

for

General Pathology

ANSWERS

Winter 2010

Page 2: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Q1. (next slide for Question)

Page 3: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Q1.

Tissue from a bovine

A) Morphologic diagnosis?

multiple renal infarcts (or multifocal renal infarction)

B) What type of necrosis is this?

coagulation necrosis

C) What are the distinguishing histologic features of this type

of necrosis?

original cell shape and tissue architecture preserved, acidophilic cytoplasm, nuclear pyknosis / karyolysis / karyorrhexis

Page 4: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Q2. (next slide for Question)

Normal (control)

Page 5: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Q2.

A)Morphologic diagnosis?Serous atrophy of bone marrow fat (or bone marrow , serous atrophy of fat)

B) Give 2 possible causes?1. starvation2. cachexia of neoplasia or chronic disease (discussed in Neoplasia)

C)What is the significance of this lesion?indicates complete utilization of body fat (energy) stores, recall fat is

mobilized first from subcutis, then from visceral fat stores and finally from bone marrow

Tissues from a sheep (note tissue on far left is from a normal animal; while two other tissues are

from affected animals)

Page 6: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Morphologic Diagnosis:Subcutaneous Edema

List 2 possible etiologies:

1. Right Heart Failure(Increased hydrostatic pressure)

2. Glomerulonephritis(protein losing nephropathy – decrease colloid osmotic pressure)

Would also accept – lymphatic obstruction. Or any other disease which would result in generalized edema.

Tissue from a horse.Q3.

Page 7: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

1. Morphologic Diagnosis:

– Pulmonary Artery Thromboembolis

– (would also accept pulmonary artery thombus)

2. Where could this structure have come from?

– Thrombus in vein – likely jugular vein…

Tissue from a horseQ4.

Page 8: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Dog, adult female

History of pain at urination, some

yellow-white viscous fluid in urine.

Q5.

Page 9: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Kidney, cut surfaces

1.1 Description:

On cut surface, the renal pelvis is

moderately distended with abundant

pale-yellow, viscous fluid (suppurative exudate). The

thickness of the medulla is reduced (atrophy). The

adjacent cortex shows, multiple areas of red and

white .

1.2 Morphologic diagnosis:

Pyelonephritis, suppurative, diffuse, acute, severe

1.3 Etiology: Bacterial

This was an ascending bacterial infection, most likely

due to Proteus spp, E. coli, Enterobacter spp. or

Pseudomonas aeruginosa

1.4 The most abundant cell would be the neutrophil

Q5.

Page 10: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Caribou, adult female

No history, found dead by the road. Traumatic lesions indicate that cause of death was a vehicular trauma (hit by car).

At necropsy, the liver had interesting lesions. There were numerous nodules throughout its parenchyma.

Q6.

Page 11: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

Closer look at the wall.2.1 What are these cells, comprising the

majority of the inflammation?

a) Plasma cells

Q6.

Page 12: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

A little closer.2.2 What cells surround this vein in the

hepatic parenchyma?

c) Eosinophils

Q6.

Page 13: Practice Lab Exam for General Pathology ANSWERSpeople.upei.ca/hanna/Gen-Path-Mock exam/practice... · General Pathology ANSWERS Winter 2010. Q1. (next slide for Question) Q1. Tissue

2.3 Morphologic Diagnosis:

Cholangiohepatitis, eosinophilic, multifocal, subacute to chronic, marked

2.4 Considering the type of inflammatory cell most prominent in the liver,

what is the most likely etiology?

d) ParasiteThis was caused by

Fascioloides magna,

a trematode or liver fluke

http://w3.vet.cornell.edu/nst/nst.asp?Fun=Home

Q6.