1. Mulitple discrete nodules scattered throughout all lobes of the lungs would be most characteristic of ______
    • metastatic carcinoma
  2. Which lipoprotein echerts a beneficial effect by delaying the onset of syptomatic atherosclerotic vascular disease
    high density lipoprotein
  3. The most frequent clinically significant complication of acute rheumatic fever is
    mitral valve stenosis
  4. A leiomyoma of the uterus would be expected to
    enlarge slowly over time
  5. A 50 year old man is admitted to the hospital complaining of increased SOB. There is no history of chest pain or previous heary of lung problems. ECG findings show concentric left ventricular hypertrophy and x-ray shouws enlarged heart and pulmonary edema. Findings likely the results of_____
    systemic hypertension
  6. A 69 year old man has advanced lung cancer. He is experiencing a prgressice loss of body fat, lean muscle mass as well as extreme weakness and loss of appetite, changes are chacteristic of
  7. Least likely to contribute to the development of atelectasis is
    interstitial fibrosis
  8. Abdominal aortic aneurysms are most often the result of preexisting
  9. The most likely mechanism of death in patient suffering a massive pulmonary embolus is
    acute right heart failure
  10. Early signs and symptoms of squamous cell brochogenic carcinoma are most ofter related to
    bronchial obstruction
  11. Thrombic occlusion of the right cornary artery near its origin would likely result in abnormalities of the ECG tracings monitoring the _____
    posterior wall of the left ventricle
  12. Symptoms of allergic asthma are primarily due to changes occuring in the pulmonary ____________
    small bronchi and bronchioles
  13. A feature common to neoplasms is the _________
    unrelated replication of cells
  14. Most theories of the pathogenesis of atherosclerotic plaques agree that the initial precipitating events is
    injury to vascular epithelium
  15. The "stage" of malignant neoplasm is based on the
    platelet adherence to the endothelial surface
  16. Edema fluid in the lung is primarily removed by
    lymphatic drainage
  17. Which is the most likely to produce sudden death
    hypertrophic cardiomyopathy
  18. In patients with congenital heart disease, the most common reason for the development of cyanosis is
    right to left shunt
  19. Radiation is thought to increase the risk of subsequent neoplasisa by
    interaction with DNA and causing mutation
  20. A high fever and shaking chills would be most characteristic of which of the following pulmonary disorders
    bacterial pneumonia
  21. Which one of the following is most often the cause of death in cases of aortic dissections
    cardiac tamponade
  22. Of the following disorders would you most likely observe the presence of fibrin and neutrophils in alveiolar spaces
    bacterial pneumonia
  23. Of the following, the most significant factor involved in the development of repiratory distress sundrome of the newborn (hyaline membrane disease) is
  24. Which of the following neoplasms would have the best prognosis
    papillary cystadenoma
  25. Acute myocardial infarction most frequently incolces the
    anterior portion of the intercentricular septum and adjacent left ventricular wall
  26. The most distincitve structural defect in pulmonary emphysema is
    enlargment of air spaces and loss of alveolar septae
  27. Although many factors play a role in development of neoplasia the basic underlyiny mechanism most likely relates to
    altered genetic function
  28. Developmental heart defects which results in left to right shunts would most likely be characterized by
    pulmonary hpertension
  29. Which of the following neoplasms is malignant
  30. Death within the first twenty-four hours following an acute myocardial infarction is most often due to
  31. Irrespective of the cause of chronic interstitial pneumonias, in the initial pathologic event is generally accepted to be an
  32. Which of the following is most closely associated with chronic bronchitis
    frequently pulmonary infarctions
  33. Atherosclerotic plaques in the pulmonary arteries indicate
    pulmonary hypertension
  34. The fatty streak of atherosclerosis consists of lipid filled cells which, in part, are derived from which of the following
    clood monocytes
  35. Which of the following features distinguish carcinoma from carcinoma-in-situ
    invasion of basement membrane
  36. Which of the following disorders is most likely to produce hypoxemia on the basis of pulmonary perfusion deficits
    pulmonary emboli
  37. Xanthomas may be a clinical reflection of
  38. Patients with which of the following disorders are at greatest risk of ventricular rupture
    myocardial infarction
  39. A teratoma is most likely to arise in which of the following
  40. Most instances of lung abscess are preceded by
  41. Of the folowing, the most feared complication of bacterial endocarditis would be
    septic embolization
  42. Which of the following features most accurately distiniguishes a malignant neoplasm from a benign neoplasm
    presence of metastases
  43. Of the following, a patient with acute rhematic fever would most likely give a history of recent
    sore throat
  44. The pulmonary disorder associated with production and secretion of a hormone like substances is
    small cell undifferentiated carcinom
  45. Which is a characteristic of viral pneumonia
    intersititial lymphatic inflammation
  46. Edema of the lung is primarily removed by
    lymphatic drainage
  47. Staging is
    based on the overall extent of the disease
  48. The initial precipitating even in atherosclerotic plaque formation is
    injury to vascular endothelium
  49. Secondary TB is known for
    apical cavitary lesions
  50. The most common cause of death in patients with calcific aortic stenosis is
    CHF- congestive heart failure
  51. Most likely to metastasize to lymph system
    adenocarcinoma of the pancreas
  52. A 48 year old male has cold sweats, severe chest pain, nausea and vomitting, and finally collapses. His condition is most likely
    coronary artery thrombosis
  53. Most common occlusion from myocardial infarction
    left anterior decending- LAD
  54. The heart defect that develops into a right to left shunt is characterized by
    pulmonary hypertension
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