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Pathology Practice

5 MCQs • Practice Free attempt

Practice Test

Pathology — 5 Questions

1
Pathology

In sickle cell disease, substitution of which amino acid at the sixth position of the beta-globin chain produces HbS?
1) Glutamic acid replaced by valine
2) Valine replaced by glutamic acid
3) Lysine replaced by asparagine
4) Glycine replaced by alanine

📝 Explanation:

Correct answer: A) HbS results from substitution of valine for glutamic acid at position 6 of the beta-globin chain. Upon deoxygenation, HbS molecules polymerize (gelation), distorting red cells into the characteristic sickle shape; repeated sickling eventually causes irreversible membrane damage.

2
Pathology

Which finding is most characteristic of chronic (as opposed to acute) viral hepatitis on biopsy?
1) Ballooning degeneration of hepatocytes
2) Canalicular bile plugs
3) Portal fibrosis with formation of bridging fibrous septa
4) Isolated hepatocyte necrosis

📝 Explanation:

Correct answer: C) While acute and chronic hepatitis share hepatocyte injury, necrosis, and regenerative changes, chronic hepatitis is distinguished by progressive fibrosis from portal deposition to portal/periportal fibrosis to bridging fibrous septa potentially progressing to cirrhosis, along with "interface hepatitis" where portal inflammation spills into adjacent parenchyma.

3
Pathology

Transfusion-transmitted infections that must be routinely screened for prior to blood transfusion include all of the following EXCEPT:
1) HIV
2) Hepatitis B and C
3) Syphilis
4) Rabies

📝 Explanation:

Correct answer: 4) Mandatory pre-transfusion screening includes HIV, HBV, HCV, syphilis, and malarial parasite testing, as these are recognized transfusion-transmissible infections. Rabies is not part of standard blood bank screening protocols.

4
Pathology

Which selectin, expressed on endothelial cells, is considered a hallmark of acute cytokine-mediated inflammation and binds sialyl-Lewis X on leukocytes?
1) L-selectin
2) P-selectin
3) E-selectin
4) N-selectin

📝 Explanation:

Correct answer: 3) E-selectin (CD62E) is expressed on activated endothelial cells and binds sialyl-Lewis X on leukocytes; its induced expression is a hallmark of acute cytokine-mediated inflammation. P-selectin is found on both endothelium and platelets, while L-selectin is expressed on leukocytes and binds GlyCAM-1 on endothelium.

5
Pathology

Which cells are considered the most important source of histamine and are key effectors in immediate (type I) hypersensitivity?
1) Eosinophils
2) Mast cells and basophils
3) Neutrophils
4) Plasma cells

📝 Explanation:

Correct answer: 2B) Mast cells and basophils are the principal source of histamine and central effector cells in immediate hypersensitivity reactions; basophils circulate in blood while mast cells reside and mature within tissues. They also release serine proteases, proteoglycans, and other mediators.

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