@ The following lesion in myocardium is pathognomonic of

https://upload.wikimedia.org/wikipedia/commons/d/d5/Rheumatic_heart_disease_-_3b_-
_very_high_mag.jpg

a) Infective endocarditis
b) Rheumatoid arthritis
c) Rheumatic fever
d) Non Bacterial thrombotic endocarditis

Ans C
Aschoff Body

@ The following lesion in brain of 46 year old alcoholic presenting with diplopia,ataxia and
memory loss is pathognomonic of

https://upload.medbullets.com/topic/120328/images/we.jpg

a) Lacunar stroke
b) Wernicke’s encephalopathy
c) Midbrain hemorrahgic stroke
d) Lewy body disease
Ans B
Atrophy of the mammillary bodies in Wernicke’s encephalopathy

@ The peripheral smear finding shown in Figure is Pathognomonic of

https://img.tfd.com/MosbyMD/thumb/auer-rod.jpg

a) ALL
b) AML
c) CML
d) CLL

Ans b
Auer rods - Acute myelogenous leukemia (APML)

@
The peripheral smear finding shown in Figure is Pathognomonic of
https://webpath.med.utah.edu/jpeg5/HEME012.jpg
a) Arsenic poisoning
b) Lead Poisoning
c) Copper Poisoning
d) Iron toxicity
Ans B
Basophilic stippling of RBCs - Lead poisoning
The nucleated RBCs contain basophilic stippling of the cytoplasm. This suggests a toxic
injury to the bone marrow, such as lead poisoning.
@ The X Ray findings , skin and Ocular lesions shown in Figure is diagnostic of

https://upload.wikimedia.org/wikipedia/commons/thumb/e/e6/Chest_X-
ray_of_sarcoidosis_nodules.png/300px-Chest_X-ray_of_sarcoidosis_nodules.png

a) Disseminated Tuberculosis
b) Sarcoidosis
c) Behcet’s disease
d) Kawasaki diasease
Ans B
Bilateral hilar adenopathy, uveitis -Sarcoidosis

@ The ocular feature shown is characteristically seen in

a) Trisomy 13
b) Trisomy 18
c) Trisomy 21
d) Cri-du-Chat syndrome
Ans C
Brushfield’s spots Down syndrome

@
The translocation shown in Karyotype is seen in
https://ars.els-cdn.com/content/image/1-s2.0-S165838761730033X-gr1.jpg
a) CML
b) Burkitt’s lymphoma
 c) Mantle cell lymphoma
d) Hairy cell Leukaemia

Ans B
Burkitt’s lymphoma - 8:14 translocation; associated with EBV

@ The following histologic lesion is pathognomonic of

http://www.liberaldictionary.com/wp-content/uploads/2019/01/call-exner-body-5628.jpg

a) Dysgeminoma
b) Endodermal sinus tumor
c) Arrhenoblastoma
d) Granulosa cell tumor
Ans D

Call-Exner bodies Granulosa-theca cell tumor of the ovary

@ The peripheral smear finding shown in Figure is Pathognomonic of

https://upload.medbullets.com/topic/111027/images/slide015_sezary4.jpg
a) Mycosis fungoides
b) CLL
c) Hairy cell Lukemia
d) Castleman syndrome
Ans A

Cerebriform nuclei Mycosis fungoides (cutaneous T-cell lymphoma)

@ The following cells on vaginal smear are charecterstic of

https://www.researchgate.net/profile/Deepak_Upadhyay9/publication/276440235/figure/fig1/
AS:614185792729089@1523444712320/Showing-the-characteristic-clue-cells-of-bacterial-
vaginosis.png
a) Cadidia infection
b) Gardnerella vaginitis
c) Vaginal carcinoma
d) Cervical Cancer
Ans B
Clue cells - Gardnerella vaginitis . Clue cells are epithelial cells of the vagina that get
their distinctive stippled appearance by being covered with bacteria.