MDS PREP
Nuclear cytoplasmic asynchrony is a characteristic feature of:
1. Megaloblastic anemia
2 Fe deficiency anemia
3. Erythroblastosis fetails
4. all of the above
Pathology
Answer: 1
Nuclear cytoplasmic asynchrony refers to a condition where the nucleus and
cytoplasm of a cell do not develop at the same rate. This can occur in various
forms of anemia and other pathological conditions. Here's a detailed explanation
of the concept and its relevance to the options provided:
1. Megaloblastic Anemia: Megaloblastic anemia is a type of anemia characterized
by the presence of large, immature, nucleated red blood cells (megaloblasts) in
the bone marrow and peripheral blood. This condition is primarily caused by a
deficiency in vitamin B12 or folic acid, which are essential for DNA synthesis
during cell division. The nucleus of the cells divides more slowly than the
cytoplasm, leading to an asynchronous development and the formation of large,
abnormal cells. In megaloblastic anemia, the nucleus is often large and
hyperchromatic (darkly stained), while the cytoplasm is relatively less
developed and pale. Therefore, this option is the most appropriate answer.
2. Fe Deficiency Anemia: Iron deficiency anemia is the most common type of
anemia worldwide, resulting from a lack of iron in the body. Iron is a critical
component of hemoglobin, which is responsible for carrying oxygen in red blood
cells. In this condition, the body produces smaller than normal red blood cells
(microcytic) that lack hemoglobin, leading to decreased oxygen transport. The
nucleus and cytoplasm of the erythrocytes are typically smaller than normal, and
there is no significant asynchrony in their development. Hence, this option is
not a characteristic feature of nuclear cytoplasmic asynchrony.
3. Erythroblastosis Fetalis: This is a condition that occurs when an Rh-negative
mother has an Rh-positive fetus. The mother's immune system produces antibodies
against the fetal red blood cells, leading to their destruction. This causes
anemia in the newborn. However, erythroblastosis fetalis is not typically
associated with nuclear cytoplasmic asynchrony. The anemia is a result of
hemolysis (destruction of red blood cells) rather than an intrinsic defect in
the development of the cells themselves. Thus, this option is not the correct
answer for this characteristic feature.
correct answer is:
1. Megaloblastic anemia
This is because megaloblastic anemia is the condition where nuclear cytoplasmic
asynchrony is a hallmark feature due to the disproportionate growth of the
nucleus and cytoplasm in red blood cell precursors, resulting from vitamin B12
or folic acid deficiencies affecting DNA synthesis.
The medical specialty in which there is statistically higher incidence of leukaemia
1. Dentistry
2. Internal medicine
3. Radiology
4. Anaesthesiology
Oral Pathology
Answer: 3
Radiology has a statistically higher incidence of leukemia.
Which of the following is true regarding seminoma?
1) 40% cases occur in children <1 year of age
2) Alpha fetoprotein can be used as a marker
3) Dysgerminoma is its ovarian counterpart
4) All of the above statements are true
General Pathology Answer: 3Dysgerminoma is the ovarian counterpart of seminoma, which is a germ cell tumor found in the testes.
Zenkers degeneration is?
1) Coagulative necrosis
2) Liquefactive necrosis
3) Fibroid necrosis
4) Caseous necrosis
General Pathology Answer: 1Zenkers degeneration is characterized by coagulative necrosis, typically seen in cases of ischemia or infarction.
A black line on the gingiva which follows the contour of the margin is due to
1. Lead
2. Argyria
3. Iron
4. Mercury
Oral Pathology
Answer: 4
A black line on the gingiva which follows the contour of the margin is due to mercury.
The X-ray collimators commonly used in dentistry include the following except
1. Diaphragm collimator
2. Tubular collimator
3. Rectangular collimator
4. Square collimator
Oral Pathology
Answer: 4
Square collimators are not commonly used in dentistry.
All of the following can cause osteoporosis, except
1. Hyperparathyroidism
2. Steroid use
3. Fluorosis
4. Thyrotoxicosis
Oral Pathology
Answer: 3
Fluorosis does not cause osteoporosis.
A 23-year-old female presented with jaundice and pallor for 2 months. Her peripheral blood smear shows the presence of spherocytes. The most relevant investigation to arrive at a diagnosis is -
1) Reticulocyte count
2) Osmotic fragility test
3) Coombs test
4) Tests for PNH
General Pathology
Answer: 3
The osmotic fragility test is the most relevant investigation for diagnosing hereditary spherocytosis, as it assesses the red blood cells' ability to withstand osmotic stress.