1. Most patients presenting with idiopathic pulmonary hypertension are A. children B. old men C. old women D. young men E. young women (*) 2. Oat cell carcinoma is LEAST LIKELY to produce A. autoimmune nervous system disease B. cushingism C. hypercalcemia (*) D. liver metastases E. syndrome of inappropriate ADH / hyponatremia 3. Sarcoidosis is LEAST LIKELY to cause A. dry eyes and mouth B. erythema nodosum C. facial nerve paralysis D. hypercalcemia E. monoclonal gammopathy (*) 4. Coal macules are located at what level of the respiratory tree? A. alveolar ducts and spaces B. primary bronchi C. terminal bronchi D. respiratory bronchioles (*) E. pleural surfaces 5. Which is easiest to mistake for sarcoidosis on biopsy? A. asbestosis B. berylliosis (*) C. cystic fibrosis D. farmer's lung E. silicosis 6. Today's "usual suspect" in the apparent epidemic of new asthma is chronic infection by A. candida B. chlamydia TWAR (*) C. histoplasmosis D. pseudomonas E. respiratory syncytial virus 7. TWO KODACHROMES. Your best diagnosis A. asthma B. bronchiectasis C. emphysema (*) D. farmer's lung E. pulmonary fibrosis 8. THREE KODACHROMES. What's this? A. adenocarcinoma B. bronchopneumonia C. embolus with infarcts D. small cell carcinoma (*) E. viral pneumonitis with lymphocytes 9. ONE KODACHROME. Special technique. What's the diagnosis? A. adult respiratory distress syndrome B. asbestosis C. farmer's lung D. Goodpasture's E. silicosis (*) 10. TWO KODACHROMES. This is probably what? A. adenocarcinoma B. emphysema C. oat cell carcinoma D. squamous cell carcinoma E. tuberculosis (*) 11. ONE KODACHROME. What's this? A. asbestosis B. blastomycosis C. coccidioidomycosis D. pulmonary hypertension (*) E. squamous cell carcinoma (pearl) 12. ONE KODACHROME. What's your diagnosis? A. adult respiratory distress syndrome (*) B. asthma C. bronchioloalveolar cell carcinoma D. Goodpasture's E. viral pneumonitis 13. TWO KODACHROMES. And what's this? A. adenocarcinoma B. Goodpasture's C. infarct (*) D. oat cell carcinoma E. squamous cell carcinoma 14. ONE KODACHROME. Histology most suggestive of A. asthma (*) B. bronchiectasis / cystic fibrosis C. bronchiolitis obliterans organizing pneumonia D. carcinoma in situ E. no pathology 15. ONE KODACHROME. What's this? A. anthracosis B. atrophic glossitis C. carcinoma D. diphtheria (*) E. lymphangiomyomatosis 16. ONE KODACHROME. Diagnose this. A. adenocarcinoma B. aspergillosis C. helminth infection, perhaps echinococcus D. pulmonary hypertension E. squamous cell carcinoma (*) 17. FOUR KODACHROMES. What's the diagnosis? A. asthma B. Eaton-Lambert from oat cell carcinoma C. emphysema (*) D. eosinophilic granuloma E. pulmonary fibrosis 18. ONE KODACHROME. Histology most suggestive of A. asthma B. bronchial carcinoid C. bronchiectasis / cystic fibrosis D. carcinoma in situ E. no pathology (*) 19. ONE KODACHROME. What's your best diagnosis? A. adenocarcinoma B. oat cell carcinoma C. sarcoidosis (*) D. squamous cell carcinoma E. viral interstitial pneumonitis 20. ONE KODACHROME. Make the call on the "gross". A. aspergillosis B. emboli C. fibrosing alveolitis ("Hamman-Rich") D. oat cell carcinoma E. pneumonia (*) 21. ONE KODACHROME. Fine-needle aspiration. Your best diagnosis? A. adenocarcinoma B. carcinoid C. tuberculosis (*) D. oat cell carcinoma E. squamous cell carcinoma 22. ONE KODACHROME. Fine-needle aspiration. Your best diagnosis? A. adenocarcinoma B. blastomycosis (*) C. oat cell carcinoma D. squamous cell carcinoma E. no pathology 23. TWO KODACHROMES. What's this? A. adult respiratory distress syndrome B. bronchioloalveolar cell carcinoma (*) C. Goodpasture's D. obstructive ("golden") pneumonia E. viral interstitial pneumonitis 24. ONE KODACHROME. What's your diagnosis? A. aspergillosis (*) B. bacterial pneumonia C. Goodpasture's D. respiratory syncytial virus E. squamous cell carcinoma 25. ONE KODACHROME. Easy call. A. asthma B. bronchiectasis C. emphysema D. oat cell carcinoma E. pulmonary emboli (*) 26. TWO KODACHROME. Diagnose this lung lesion. A. adenocarcinoma (*) B. oat cell carcinoma C. sarcoidosis D. squamous cell carcinoma E. tuberculosis 27. TWO KODACHROMES. What's this? A. adenocarcinoma B. bronchiectasis C. Goodpasture's D. Hamman-Rich pulmonary fibrosis (*) E. squamous cell carcinoma 28. TWO KODACHROMES. Diagnose this lung lesion A. alveolar proteinosis B. bacterial pneumonia C. coccidioidomycosis D. obstructive ("golden") pneumonia E. pneumocystis (*) 29. ONE KODACHROME. Your best diagnosis? A. cartilage hamartoma B. emphysema C. pneumothorax (*) D. tuberculosis E. no pathology 30. ONE KODACHROME. Which is most likely? A. asbestosis (*) B. Hamman-Rich pulmonary fibrosis C. oat cell carcinoma D. silicosis E. squamous cell carcinoma BONUS ITEMS 31. TWO KODACHROMES. Your diagnosis, please. [aspergillus, accept fungus ball] 32. ONE KODACHROME. The spirals in the left frame suggest what illness? [asthma] 33. ONE KODACHROME. Did the patient survive this embolus? Why or why not? [yes, has propagated in situ] 34. What is encoded at the Pi locus? [alpha-one antitrypsin] 35. Why do people who spend their lives in the high mountains tend to develop pulmonary hypertension? [something about the hypoxic vascular response] 36. Why should a pathologist take a sample of skin for histopathology in a case of "SIDS"? [check for absent sweat glands] 37. The suffix "-ectasis" (as on "bronchiectasis") means [dilation] NAME: ______________________ 30 points Who's sitting near you? UHS PATHOLOGY Respiratory Unit Spring, 2002 INSTRUCTIONS: If you are in the first group, please do not leave the room until time is called. Here's the best way to use tobacco - making peace between two cultures. If you like, write your caption here: