Cytology
1. Cytology is study of:
A. Individual cells
B. Tissue fragments
C *A and B*
D. None
2. For cytology commonly used stains are:
A. Papanicolaou's stain
B. May-Grünwalds Giemsa (MGG) stain
C *A and B*
D. None
3. For fine needle aspirations and thick cellular discharges/
fluids, no centrifugation is required. While relatively watery,
thin and hypocellular fluids smear is prepared from:
A *Centrifuged sediments*
B. Centrifuged supernatant
C. None
D. Both of the above
4.Smear should be prepared and fixed immediately for cytology
because
A. *Exfoliated cells degenerate rapidly*
B. Exfoliated cells may be blown away
C. Thenuclei of the cells get extruded from the cell
D. Cytoplasm develops granularity
5. Body fluids and watery exudates (e.g. urine, spinal fluid,
pleural fluid, etc.) will not adhere to the glass slides slide
first it has to be coated with a layer of:
A. *Mayer's egg albumin*
C. Glycerine
B. Yolk of the egg
D. All of the above
6. If unstained slides are to be mailed, they must be placed in
the fixative for at least:
A. 5min.
B. *2 hours*
C. 1 hour
D. 1 day
7. For fluid cytology fluid has to be collected in:
A. *EDTA*
B. Sodium citrate
C. Plain
D. None
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8. Smear for cytology stained by Harris's haematoxylin nuclei
appear:
A. Blue with clear sharp details.
B. Cytoplasm-varying shades of pink, blue, yellow, green,Grey
C. A and B*
9. What are the techniques of fine-needle aspiration biopsy?
A. Needle within the lymph node
B. Retraction of the piston of the syringe in order to create
negative pressure in barrel of syringe
C. Movement of needle in 2 to 3 directions/plains
D. Release of piston and withdrawal of the needle
E All of the above*
10. Aspiration cytology of intrathoracic masses is performed to
diagnose peripheral lung lesions which are not accessible by:
A. Bronchoscope
B. Which do not desquamate into the bronchial tree
C A and B*
D. Nonee
11.Aspiration cytology of intrathoracic masses is usually carried out around the table under:
A. Television flouroscopy
B. Ultrasound guidance
C. CT guidance
D. All of the above*
12. Aspiration cytology of intrathoracic masses local anaesthesia
is done up to:
A. Pleura*
B. Chest wall
C. Skin
D. Periosteum
13. The usual internal diameter of the needle in cytology of
intrathoracic masses is:
A. 0.8 to 0.12 mm
B. 0.6 to 0.7 mm*
C. 0.1 to 0. 2 mm
D. 0.4 to 0.9 mm
14. The entire procedure of inserting the needle and aspirating
the lesion in cytology of intrathoracic masses should not take
more than:
A. 2 minutes
B. 5 minutes
C.20 seconds*
D. 45 seconds
15, After the aspiration cytology of intrathoracic masses, the
natient needs to be kept under observation for about two hours so as to detect complications like:
A. Bleeding
B. Pneumothorax
C. A and B*
D. None
16. For aspiration of liver, 8-16 cm needle is used with external diameter of:
A. 0.6 mm (22 gauge)*
B. 0.3 mm (26 gauge)
D. None
C. A and B
17. Prothrombin time is estimated before:
A. Liver aspiration*
B. Intrathoracic masses aspiration
C. A andB
D. None
18.Inliver aspiration, the ideal transcostal area for entry of needle is:
A. 9th intercostal space in midaxillary line*
B. 7th intercostal space in midaxillary line
C. 5th intercostal space in midaxillary line
D. Subcostal region
19.When the liver is enlarged particularly when the tumour mass
is palpable, aspiration can be carried out in the:
A. Subcostal region*
B. 9th intercostal space in midaxillary line
C. 7th intercostal space in midaxillary line
D. None
20. In prostatic aspiration following steps are included:
A. Needle guide and long needle (20 cm) is used.
B. The patient is placed in the lithotomy position.
C. The prostate is carefully palpated through rectum before
the procedure.
D. Then the needle is introduced through the needle guide and aspiration is performed.
E. All of the above*
21. Large ovarian tumours which are palpable per abdomen can be aspirated:
A. Transabdominally avoiding the loops of intestine
B. One can go through the vaginal vault too by US guidance
C. Both of the above*
D. None of the above
22. What are the advantages of the fine-needle aspiration biopsy
procedure?
A. Is a quick, convenient, economic and almost painless.
B. Local anaesthesia is not required.
C. Can be attempted at multiple sites and repeated if necessary
D All of the above*
23. False-negative results may be obtained in the following situations:
A. If there is extensive filbrosis and sclerosis in a tumour.
B. If the tumour is highly vascular
C If there is tumour necrosis
D. All of the above*
24. B-scan displays are used when performing studies of the:
A. Abdomen
B., Retroperitoneum
C. Pelvis
D. All of the above*
25. What are the advantages of B-scan?
A. Takes less time than to perform mammography.
B. No radiation hazards.
C. Can be used to guide the aspiration of cyst that could not
be drained clinically hence avoids surgery.
D. All of the above*
26. What are the disadvantages of B-scan?
A. Limitations in diagnostic usefulness because benign
appearance overlaps the malignant.
B. Unable to detect lesions less than 1.5 cm in diameter(breast).
C. A and B*
D. None
27. For needle aspirates that are diluted by fluid, a procedure called the two-step smearing technique provides an:
A. Optimal concentration of cells on the slide*
B. Provides optimal concentration of solutes
C. Provides optimal concentration of solvents
D. All ot the above
28. Combined alcian blue-PAS technique is used to sxeparate:-
A. Acid mucin and neutral mucin*
B. Alkaline and neutral mucin
C. Alkaline and acidic mucin
D. Mucopolysaccharides and alkaline mucin
29. What does PAS stand for:
A. Per-iodic acid Schiff's reaction.*
B. Para-iodic acid Schiffs reaction
C. Pro-iodic acid Shiff's reagent
D. Pre-iodic acid Schiff's reagent
30. Acid phosphatase is demonstrated by an azo dye coupling technique that depends upon the hydrolysis of a substrate
containing
A. Alphanaphthol phosphate*
B. NAD
C. NADPH
D. G6PD
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