CYTOLOGY 2

MCQS

2.The presence of metaplastic cell means the pap smear had been taken from the
region.
A.vaginal
B.endometrium
C.endocervix

3.Invasive cervical carcinoma should be confirm by
Biopsy

4.Proliferation of cancer cells to distant organs Is called
Metastasis

5.Low grade squamous intraepithelial lesion are associated with the following except

6.In the Bethesda System of the reporting HGSIL refers to cytology cases which are
CIN2 & CIN3

7.Quality control is concerned with all of the following except
Punctuality of staff

8.Actinomyces isreali is commonly associated with
IUCD

9.Koilocyte are found

Predominantly in CIN1 lesions
10. The term carcinoma :

Refers to an epihelial maglinancy
11. Advanced cases of poorly differmtiated squamous carcinoma cervix exhibit :
All above

12. In smears from cervical lesion, spindle shaped maglinant cells are most commonly :
Adenocarcinoma

13. Infilitrating carcinoma is one which :
Has penetrated basement membrane

14. Earlier cytologic feature of invasion is :
Nuclear prominence

15. Liquid-based (Thinprep) specimen collection is method for cervical specimen is designed to :
Both a and b

16. Carcinoma of the cervix uteri is most strongly associated with :
Sexual activity

17.The success of regular cervical sreening is because :
All of above

18. Who can perform FNA?
Any doctors (Radiologists, pathologists, cervix surgery)

19. What is the main purpose of FNA :
To obtain cells from lesion or tumour for diagnosis

20. What is ISO :
International Organizational for Standardization

21. What is the main difference between squmous cell carcinoma and adenocarcinoma :
Squmous cell carcinoma is from squmous cell and adenocarcinoma from glandular cells

22. What is the main features you must observe when examine pap smears fro squmous cell carcinoma?
Cytoplasm, nucleoli, nuclei and background

23. Th endometrium is lined by :
Simple columnar epithelium

24. A speculum is :
Used to dilate the vagina

SAQS

List 2 cytological features for the following infections (6 m) :
HSV
Trichomonas vaginalis
Actinomycosis

List 3 cytological features of pre-cancerous cells (3m)

Briefly describe how a cervicals pecimen is collected by a doctor and processed using the thin prep
method for cytology examination (4 marks)

List 3 reasons for which cervical smears may be consired unsatisfactory for reliable assessment (3m)

Cervical smears are generally stained by Papanicolau stain. Describe the staining result (4m)

Name the organism which causes the infection (2m)
List 3 cellular changes seen in the smear
List 3 methods of transmission of this organism (3m)
If this infection is left untreated, what is the likely consequences (2m)

Purpose of PAP smear

Features of adenocarcinoma

Features of SCC

*Study the Cytology 1 tips paper too

MEDICAL PARASITOLOGY 2

SAQS
Taenia saginata and Taenia solium
Entomology
Culex and Anopheles
Normal artifacts in human stool and blood film
Clonorschis sinensis and Opisthorchis spp
Wuchereria bancrofti and Brugia malayi

*4 life cycles : Taenia saginata, Culex and Anopheles, Entolomology, Wuchereria bancrofti and
Brugia malayi

MEDICAL MICROBIOLOGY 3

DRY PRACTICAL :
1) 3 Slides :
Gram staining
Morphology/shape
2) Bacterial counting (Dry)

3) 2 examples of QC and QA

4) Types of agar and description (directly/indirectly) given. Answer questions based on it

5) Shape of yeast and mold

MEDICAL MICROBIOLOGY 3 :

THEORY :
Mycology : Asexual and sexual difference , fungi and food, fungal infection and mechanism, 2 types of
fungi (yeast and mold ), fungi reproduce by spores
Virus : Life cyles (Briefly explain), how to grow virus in laboratory, why not prefer to more viruses,
difference between virus and bacteria infection, RNA and DNA virus,
Differences between virus, bacteria and fungi
Nosocomial infections : Definitions, route of transmission, situation factor lead to infection, prevention
and control
MRSA
Examples of QC and QA, elements, relationship between QC, QA and management