MBBS 2nd Year Pathology Important Questions Medical Junction
MBBS 2nd Year Pathology Important Questions Medical Junction
Second professional is long and exams would feel tough as the syllabus DOWNLOAD
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Second year of MBBS is the year you spend in college when you have
settled well at the new place with the new people but not able to settle
with the course pressure as it just gets amplified as compared to the
previous year.
First of all, Second professional is not honeymoon period. Its better you
understand this early.
(WBUHS)
How to study Pathology?
Anatomy Previous Year
Pathology is the king of 2nd professional subjects. Not denying this fact,
Pathology is the base for your future. Whatever you want to pursue, Question Papers
Credit : Medstribune
CELLULAR INJURY
Long Questions
Short Questions
1. Write about cell injury and write briefly about hyperplasia with
suitable examples
2. Cellular swelling
3. Necrosis
4. Gangrenous necrosis
5. Fat necrosis
6. Tissue necrosis- Morphological patterns
7. Caseous necrosis
8. Definition and characteristic of types of necrosis
9. Free radical cell injury
10. Morphological changes in apoptosis
11. Mechanism of apoptosis
12. Classify pigments and write about lipofuscins
13. Hemosiderin deposits in the diseases
14. Difference between the dysplastic and metastatic calcification
15. Write about dystrophic and metastatic calcifications
16. Pathological calcification
17. Metastatic calcification
18. Define hyperplasia and give two examples
19. Define atrophy. Give two examples to physiological atrophy
20. Mention 4 nuclear changes in necrosis
21. Types of necrosis with examples
22. Enumerate four examples for metastatic calcification
23. Enlist two common stains used to demonstrate fat in tissues
INFLAMMATION
Long Questions
Short Questions
Long Questions
Short Questions
HEMODYNAMIC DISORDER
Long Questions
Short Questions
1. Edema pathogenesis
2. Cardiac edema
3. Thrombogenesis
4. Virchow’s triad
5. Antiphospholipid antibody syndrome
6. Difference between thrombus and blood clot
7. Embolism
8. Thromboembolism
9. Types of embolism, write on caissons disease
10. Fat embolism
11. Air embolism
12. Gangrene
13. Morphology of infarction
14. Amniotic fluid embolism
15. Gross and microscopic feature of infarct
16. Difference between the dry and wet gangrene
17. Gangrene – pathogenesis
18. Pathogenesis of shock
19. Septic shock
20. Define hyperemia and congestion
21. Heart failure cells
22. Anticoagulants
23. Lines of zahn
24. State four difference between dry and wet gangrene
25. Name the stages of shock
26. Gamma gandy bodies
27. Enlist four important sequelae for Thrombosis
GENETIC DISORDERS
Short Questions
DISEASES OF IMMUNITY
Long Questions
Short Questions
NEOPLASIA
Long Questions
Short Questions
1. Tumor markers
2. Teratoma
3. Growth factors
4. Chemical carcinogen
5. Hamartoma
6. Carcinoma in situ
7. Paraneoplastic syndrome
8. FNAC
9. Laboratory diagnosis of cancer
10. Difference between benign and malignant tumors
11. Metaplasia
12. Dysplasia
13. Tumor metastasis
14. Tumor suppressor genes
15. Oncogenic RNA virus
16. Grading and staging of tumor
17. Automatic tissue processor
18. Differentiation and anaplasia
19. Trans coelomic spread of neoplasm
20. Molecular basis of cancer
21. P53
22. Tumor antigens
23. EBV
24. Lab diagnosis of neoplasm
25. Exfoliative cytology
26. Liquid base cytology
27. Define metaplasia and give 2 examples
28. Warburg effect
29. Two tumor suppressor genes
30. Name four virus implicated in carcinogenesis
INFECTIOUS DISEASE
Long Questions
Short Questions
Short Questions
1. PEM
2. Kwashiorkor
3. Vitamin A deficiency
4. Rickets
5. Vit D deficiency
6. Obesity
7. Lead poisoning
8. Vitamin C deficiency
9. Give two examples for trace elements and their deficiency states
10. Mention two causes for Basophilic Stippling
11. Gross skeletal changes in rickets
Short Questions
Long Questions
Short Questions
1. Reticulocyte
2. Evidences of haemolytic anemia
3. PCV estimation and its significance
4. Hematocrit
5. G6PD deficiency anemia
6. Sickle cell disease
7. Pathogenesis of sickle cell disease
8. Peripheral blood smear and bone marrow changes in Vitamin B12
deficiency (Megaloblastic anemia ) (6)
9. Coomb’s test
10. Bone marrow changes in microcytic anemia
11. Microcytic hypochromic anemia
12. Etiology and morphology of bone marrow in Aplastic Anemia
13. Pancytopenia in peripheral smear
14. Aplastic anemia
15. Fanconi’s anemia
16. Polycythemia Vera
17. Prothrombin time
18. Bleeding time
19. Thrombocytopenia
20. Chronic ITP
21. Idiopathic thrombocytopenic purpura
22. Hemolytic Uremic Syndrome
23. Glanzmann’s disease
24. Coagulation disorders
25. Mention Important investigations necessary for diagnosis of
Hemophilia
26. hemophilia A
27. Von Willebrand’s disease
28. Christmas disease
29. DIC
30. Pathogenesis of DIC
31. DIC lab diagnosis
32. Transfusion reaction
33. Complications of blood transfusion
34. Sideroblastic anemia
35. Osmotic fragility test
36. Indication of bone marrow aspiration
37. Laboratory Investigations done for diagnosis of Autoimmune
Haemolytic Anaemia
38. What are red cell indices ?
39. MCV
40. Mention 4 applications of reticulocyte count
41. Heinz Bodies
42. Reticulocyte
43. Howell-jolly body
44. Tests for Sickling
45. Coomb’s test
46. Megaloblast
47. Mention two important marrow changes in B12 deficiency
48. Blood picture in Megaloblastic anemia
49. Give 4 causes for IDA
50. Mention two causes of pancytopenia
51. Prothrombin time
52. Mention the causes of Thrombocytopenia
53. Bernard Soulier syndrome
54. Hemophilia
55. What is cross matching?
56. What is Bombay Blood group?
57. Sea blue histiocytes
58. Mention 4 indications of Bone marrow aspiration
59. Cross matching
60. Blood components prepared in a blood bank
WBC DISORDERS
Long Questions
Short Questions
1. 40 years male H/o chronic fatigue, weight loss since 6 months. O/E
pallor, marked splenomegaly+, laboratory report shows Hb 10 GM%,
TC 215000/CMM. Platelets 4 lacks/mm. Answer the following: a)
What is your diagnosis? b) What is common genetic abnormality? c)
Blood and Bone Marrow findings to confirm your diagnosis? d)
Prognosis of the condition?
2. A 70 year old women admitted with worsening anemia and
pathological fracture of the Humerus had an ESR of 120mm in 1
hour. Her peripheral smear showed increased rouleaux formation. X-
ray of skull showed multiple punched out osteolytic lesions. a) What
is the most probable diagnosis? Write briefly on the etiopathogenesis
of this disease. b) Describe the Bone Marrow Changes in this
disease. c) Enumerate the common laboratory investigations for this
disease. d. Enlist the complications of this disease.
3. 40 yrs female c/o loss of weight, huge splenomegaly with peripheral
blood white blood cell count of more than 1 lakh cells/cc a) What is
the probable diagnosis? b) What are the characteristic peripheral
smear findings? c) What is the course of the disease? d) What is the
chromosomal abnormality involved?
4. 60 yrs male presented with normocytic normochromic anaemia,
pathological fracture femur and proteinuria. X ray skull revealed
punched out lesions in the calvarium and peripheral smear studied
show rouleaux formation. a) What is your probable diagnosis. b)
Discuss in detail the molecular pathogenesis, morphology and
clinical features of above said disorder.
5. 23 yrs female presented with oral ulcers, malar rash photosensitivity
and non erosive arthritis involving both knees. Laboratory
investigations show persistent proteinuria and leucopenia. What is
your probable diagnosis.
6. 40 yr old male presented with h/o fever, vomiting and diarrhoea.
Patient had temperature of 103 degrees F. Weak rapid pulse,
hypotension, tachypnea, cold, clammy, cyanotic skin. Blood culture
gram negative bacterial infection positive. a) What is your diagnosis?
b) Explain the pathogenesis and morphology.
BLOOD VESSELS
Long Questions
Short Questions
HEART
Short Questions
1. MI (2)
2. Define Rheumatic fever, details about RHD
3. Infective endocarditis / bacterial endocarditis
4. Fallot’s tetrology
5. Morphology of infarct
6. Enzymes in MI
7. Lab investigations of Acute myocardial infarction
8. Complications of myocardial infarction
9. Hypertensive heart disease
10. Rheumatic cardiac lesion
11. Cardiac lesions in RHD
12. Rheumatic fever
13. Aschoff’s bodies
14. Infective endocarditis
15. Vegetations of heart
16. Cardiomyopathy
17. Oslers node
18. Libman-sacks endocarditis
19. Enlist four causes of acute myocarditis
20. Mention the 3 types of cardiomyopathy
21. Types of acute pericarditis
22. Morphology of cardiac myxoma
LUNG
Long Questions
Short Questions
1. ARDS
2. Emphysema
3. Pathogenesis of bronchial asthma
4. Bronchiectasis
5. Pathology of bronchial asthma
6. Pneumoconiosis
7. Silicosis
8. Asbestosis
9. Sarcoidosis
10. Good Pasteur’s syndrome
11. Primary Atypical pneumonia
12. Lobar pneumonia
13. Viral pneumonia
14. Etiopathology of CA lung
15. Bronchoalveolar carcinoma
16. Oat cell carcinoma
17. Small cell carcinoma lung
18. Carcinoid tumors of lung
19. Carcinoid syndrome
20. Mesothelioma
21. Cor pulmonale
22. Mention the four types of Emphysema
23. Pan-acinar emphysema
24. Reid index
25. Byssinosis
26. Ferruginous bodies
27. Asteroid bodies.
28. Causes of hypersensitivity Pneumonitis
29. Stages of lobar pneumonia
30. Bronchopneumonia
Short Questions
GIT
Long Questions
Short Questions
1. Congenital megacolon
2. Pathology, morphology and clinical features of Hirschsprung’s
disease
3. Barret’s esophagus
4. H.pylori gastritis
5. Etiopathology of duodenal ulcer
6. Peptic ulcer disease
7. Morphology of chronic gastric ulcer
8. Zollinger Ellison syndrome
9. Etiology of gastric cancer
10. Coeliac sprue
11. Gross and microscopic appearance of amoebic dysentery colon
12. IBD
13. Crohns disease / regional ileitis
14. Ulcerative colitis
15. Neoplastic polyps of large intestine
16. Morphology of two types of Hiatus hernia
17. Chronic gastritis
18. Helicobacter pylori
19. Sites of peptic ulcer disease
20. Menetrie’s disease
21. Linitis plastica
22. Gross difference between benign and malignant ulcers of stomach
23. Mention two microscopic intestinal changes in malabsorption
syndrome
24. Typhoid ulcer
25. Morphologic hall mark of Whipple disease
26. Two difference between chron’s disease and ulcerative colitis
27. Peutz-Jaghers syndrome
28. Familial adenomatous polyposis syndrome
29. Mutations in colonic carcinoma
30. Microscopic picture of acute appendicitis
Long Questions
Short Questions
1. Cirrhosis of liver
2. Etioclassification of liver cirrhosis
3. Investigation of viral hepatitis
4. Laboratory diagnosis of hepatitis
5. Hepatitis B
6. Chronic active viral hepatitis
7. Chronic persistent hepatitis
8. Chronic acute hepatitis
9. Morphology of alcoholic liver disease
10. Lennec’s cirrhosis – morphology
11. Hemochromatosis
12. Biliary cirrhosis
13. Hepatocellular carcinoma
14. Etiology of hepatocellular carcinoma
15. Gall stones
16. Cholelithiasis
17. Cholangiocarcinoma
18. Aetiology and Pathology of Acute Pancreatitis
19. Chronic calcific pancreatitis
20. Fatty changes in liver
21. Chronic pancreatitis
22. Ground glass hepatocytes
23. Morphology of amoebic liver abscess
24. Morphology of alcoholic liver disease
25. Mallory bodies
26. Name four causes of fatty liver
27. Hemochromatosis
28. Wilson’s disease
29. Mention 2 conditions of hereditary unconjugated hyperbilirubinemia
30. CVC liver
31. Etiological factors of hepatocellular carcinoma
32. Risk factors of gall stones
33. Four pathological effects of gall stones
34. Etiological factors of acute pancreatitis
KIDNEY
Long Questions
Short Questions
Short Questions
Long Questions
1. Cervical cancer
2. Classify ovarian neoplasms. Discuss in detail about surface epithelial
tumours
3. Classify ovarian neoplasm. Discuss in detail the molecular
pathogenesis and morphology of serous tumours.
4. Mucinous cystadenoma of ovary
5. Classify ovarian tumor, details about germ cell ovarian tumor
Short Questions
1. CIN
2. Cervical carcinoma etiopathology
3. Etiology of carcinoma cervix
4. Endometriosis
5. Malignant tumours of endometrium. Write a note about malignant
mixed mullerian tumour
6. Uterus leiomyomas
7. Surface epithelial tumours of ovary
8. Brenner tumour
9. Benign cystic teratoma ovary
10. Dysgerminoma
11. Granulosa cell tumor ovary
12. Krukenberg tumour
13. Hydatiform mole / vesicular mole
14. CIN
15. Four sites of endometriosis
16. Adenomyosis
17. Endometriosis
18. Leiomyoma – Microscopic features
19. Name the germ cell tumours of the ovary
20. Gross appearance of mature cystic teratoma
21. Dermoid cyst of ovary
22. Mention 4 germ cell tumours
23. Enumerate germ cell tumours of ovary
24. Mention 2 histological features of Dysgerminoma
25. Schiller Dual bodies
26. Call Exner bodies
27. Classification of gestational trophoblastic disease
28. Mention sites of choriocarcinoma
29. Struma ovarii
BREAST
Long Questions
1. Breast cancer
2. Classify CA breast, details about pagets disease of breast
Short Questions
ENDOCRINE
Long Questions
Short Questions
1. Adamantinoma jaw
2. Cretinism
3. Thyroiditis
4. Immune thyroiditis
5. Hashimoto’s thyroiditis
6. Grave’s disease
7. Multi nodular goiter
8. Nodular goiter
9. Papillary carcinoma thyroid
10. Medullary carcinoma thyroid
11. Hyperparathyroidism
12. Write the pathogenesis and complications of DM
13. Lab diagnosis DM
14. Pancreatic changes in DM
15. IDDM
16. Renal changes in DM
17. Diabetic nephropathy
18. Morphology of kidney in Diabetic nephropathy
19. Cushing syndrome
20. Pheochromocytoma
21. MEN syndrome
22. Classify thyroiditis
23. Hashimoto’s thyroiditis
24. Hurthle cell
25. Colloid goiter
26. Morphologic features of papillary carcinoma thyroid
27. Psammoma bodies]
28. Enlist 4 microscopic features in papillary carcinoma of thyroid
29. Microscopy of papillary carcinoma thyroid
30. Write briefly on types of hyperparathyroidism
31. Diabetic Macrovascular disease
32. Enumerate four complications of diabetes mellitus
33. Microalbuminuria
34. Mention 4 features of Addison’s disease
35. Pheochromocytoma
SKIN
Long Questions
1. Exfoliative cytology
2. Precancerous lesion skin
3. Intradermal naevus
4. Malignant melanoma
5. Basal cell carcinoma
6. Microscopic features of basal cell carcinoma
7. Blue nevus
8. Mention four pre malignant lesions
9. Grading of squamous carcinoma
10. Enlist two characteristic features of mycosis fungoides
11. Enumerate two common Premalignant Lesions of Malignant
Melanoma
Long Questions
Short Questions
Short Questions
CNS
Long Questions
Short Questions
1. Examination of CSF
2. TB meningitis
3. CSF in TB meningitis / pyogenic meningitis
4. Prion disease
5. Brain tumors classification
6. Astrocytoma
7. Pilocytic astrocytoma
8. Glioblastoma
9. Glioblastoma multiforme
10. Medulloblastoma
11. Meningioma
12. Morphology of meningiomas
13. Retinoblastoma
14. CSF in tuberculous meningitis
15. Berry’s aneurisms
16. CSF changes in pyogenic meningitis
17. Tuberculosis meningitis
18. Negri bodies
19. Prions
20. Creutzfeldt Jakob disease
21. Mention four tumors of CNS
22. Pilocytic astrocytoma
23. Glioblastoma multiforme
24. Features of diabetic retinopathy
25. Flexner Wintersteiner rosettes and fleurettes
Clinical Scenario
1. 40 year female presents with post coital bleeding and foul smelling
discharge per vagina. She lost 15% wt in 2 months, with loss of
appetite. a) What is your diagnosis ? b) What etiopathogenesis of
this condition? c) What are the morphological features?
2. A 60 year old postmenopausal anorexic, cachectic woman has an
ulcerated and friable cervix that bleeds on touch. These features
were accompanied by foul smelling vaginal discharge. a) What is
your diagnosis? b) Discuss in detail the aetiopathogenesis and
morphological features of your diagnosis. c) Enlist the investigations
that will enable diagnosis
3. 20 years female H/o pain, swelling, tenderness over lower and of
right femur since 3 months. Suddenly developed breathlessness
during her treatment and died, clinical autopsy conducted. Answer
the following: a) What is your diagnosis? b) Mention two
investigations to arrive at diagnosis? c) Aetio pathogenesis of the
lesion? d) Gross and Microscopic picture of the lesion? e) Mention
two autopsy confirmed lesions leading to death?
4. A 35 years, old man was admitted with history of painless cervical
and axillary lymphadenopathy. He had history of loss of weight, fever
and night sweating and was found to have cutaneous anergy. No
hepatosplenomegaly. a) What is your most probable diagnosis? b)
Give the classification of the condition. c) Describe the morphology of
any two types.
5. A 50 years old man collapses suddenly while climbing the stairs with
severe chest pain and profuse sweating. a) What is your clinical
diagnosis? b) Discuss the aetiopathogenesis of the condition. c)
What are the complications that may follow the condition?
6. A 12 year old boy presented with fever, oliguria and high coloured
urine. He had sore throat three weeks back. i) What is your probable
diagnosis? ii) Describe the etiopathogenesis of the condition iii) What
are the relevant investigations?
7. A 50 year old man with complains of severe chest pain and sweating.
a) What is the most possible diagnosis for this patient? b) Enlist the
risk factors and discuss in detail the etiopathogenesis and
complications of this disease. c) Enlist the biochemical tests and their
role in diagnosis of this disease.
8. Thirteen year old female child had massive edema with puffiness of
face with decreased urine output. a. What is the most probable
diagnosis ? b. What can be the most probable renal pathology in this
child ? c. Write in detail about minimal change disease.
9. 44 year old nulliparous women presented with hard, fixed non tender
mass of about 6x4x4 cm in the upper outer quadrant of right breast
with axillary lymphadenopathy. a) What is your probably diagnosis. b)
Discuss in detail the prognostic & predictive factors of your diagnosis.
10. 8 Yr Old boy with old scar of scabies skin lesion, with history of
Haematuria, Oliguria and Puffiness of face. a) What is your probable
diagnosis. b) Etiopathogeneisis and laboratory investigations.
11. 50 Yr old Male with painless firm Testicular swelling, with loss of
testicular sensation. a) What is your probable Diagnosis. b) Discuss
classification and Etiopathogenesis.
12. 47 yrs old male presented with acute onset of dyspnea, profuse
sweating and chest pain radiating to the left shoulder. Lab
investigation revealed elevated troponin – T. What is your diagnosis,
pathogenesis and morphology of the condition?
13. A sixty year old male presented with anaemia, loss of weight,
persistent abdominal pain, abdominal distension and vomiting. Upper
GI endoscopy and biopsy done. a) What is the probable diagnosis?
b) Discuss the etiopathogenesis and morphology of the disease.
14. 65/M presented with bleeding PR. Colonoscopy revealed a hard
mass in rectosigmoid. What is your diagnosis?
15. 50 years / Male admitted in emergency care with chest pain, profuse
sweating and Rapid pulse. What is your diagnosis? Describe the
Etiopathogenesis, Morphology and Complications of the above
mentioned disease.
16. A 3yrs old child was hospitalized for the complaints of fever and
passing smoky urine. The child had recovered from sore throat a
week ago. What is your diagnosis? Describe the etiopathogenesis,
morphology and laboratory findings of this condition.
17. 75 year male presented with dyspnea and sweating of sudden onset.
He is a known hypertensive and diabetic for 15 years. On
examination he has weak pulse. What is the diagnosis? Write about
pathogenesis of the above disorder. Write in detail about the
morphological changes that occur.
18. 55 year old post menopausal women presented with hard lump 6 x 6
cm in upper outer quadrant of left breast. FNA – revealed cluster of
pleomorphic cells. a) What is your clinical diagnosis? Discuss the
etiopathogenesis, molecular mechanism of carcinogenesis of the
disease. Discuss about prognostic and predictive factors of the
disease.
19. A 50 year old male presents with cough, dyspnoea, and intermittent
haemoptysis for two months along with loss of weight and appetite.
He is a chronic smoker for the past 3 decades. CT chest revealed
mass lesion in the right lobe of lung. a) What is your probable
diagnosis? b) Discuss in detail the classification, morphological
features and the Paraneoplastic syndromes associated with it.
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