No.1
• A 15 yr old boy developed acute severe
pain in the right iliac fossa with fever and
local tenderness.
• Lab investigation- TLC- 15,000/cmm
• DC- Neutrophilia with toxic granulation
• A. what is the possible diagnosis
• B.morphology of the lesion
No.2
• Female 23 yrs had a caesarian
section.Stitches were removed on 8th
postoperative day.
• A.outline the process of healing.
• B.common reasons which delays healing
• C. complications of abnormal healing
No.3
• A bare footed farmer had a thorn prick of
right foot who developed later swelling of
foot with discharging sinuses.
• A.mention possible diagnosis with reason
• B.morphology of the lesion
No.4
• A 10 yr old boy developed evening rise of
temperature ,loss of weight and enlarged
matted lymph nodes in the neck.
• A. mention the possible diagnosis with
reason
• B. morphology of lymph nodes.
No.5
• 50 YR Old obese male with gradual
darkening and shrivelling of rt great toe.
• a.diagnosis
• B.investigations
• C.morphology of toe lesion.
• D. how do you differentiate from other
type.
No.6
• A 30yr old male with severe abdominal
pain
• Laparotomy blackish gangrenous bowel
loops
• What is the type of gangrene do you
expect in the bowel?
• What are the types of gangrene?
• List the differences between two main
types of gangrene.
No 7
• 12yr old boy with swelling above the knee
joint with mild tenderness -3 weeks
duration
• X ray lesion in lower end of femure with
soft tissue involvement
• A.what is your diagnosis?
• Common sites of occurrence of this
condition
• Mention the etiology ,morphology
OSTEOSARCOMA
CODMAN’S
SUN BURST APPEARANCE
OSTEOSARCOMA
PERIOSTEAL OSTEOSARCOMA_MORE
CARTILAGE
PEROSTEAL OSTEOSARCOMA –WELL
DIFFERENTIATED
No.8
• A male 35 yrs old admitted for compound
fracture of femure.On 3rd day developed
dyspnea and chest pain and died within a
few minutes.
• A. mention probable diagnosis
• B.etiopathogenesis
• C.name 3 organs you will specially study if
you are allowed to do the postmortem.
FAT EMBOLISM- GLOBULES OF FAT
IN BLOOD VESSEL
POST TRAUMATIC FAT EMBOLISM
KIDNEY FAT EMBOLISM
FAT EMBOLISM
No.9
• 60 yr old male with loss of appetite
,epigastric pain,loss of weight+
achlorhydria
• a.Diagnosis
• B.morphology of the lesion
• C.etiopathogenesis
EGC
ADVANCED GASTRIC
CANCER
ULCER CANCER
ADENOCARCINOMA
LINITIS PLASTICA
LINITIS PLASTICA
No.10
•
•
•
•
A 3yr old with generalized oedema,oligura
Responded promptly to steroid therapy .
A.What is your diagnosis?
b.necessary investigation to arrive at a
diagnosis
• Morphology of the lesion involved.
MINIMAL CHANGE DISEASE
ELECTRON MICROSCOPY DIFFUSE
LOSS OF FOOT PROCESSES
No.11
• 55yr old hypertenssive diabetic ,obese
lady,nulliparous presented with bleeding
per vaginum
• A.mention your diagnosis
• B.dicuss the pathogenesis
• C.describe the morphology
ENDOMETRIAL CARCINOMA
Endometroid carcinoma
ENDOMETROID CARCINOMA
No .12
• A 40 yr multiparous lady with history of
high risk male sexual partners presented
with abnormal bleeding.3 months later she
developed pelvic lymphadenopathy.
• A.mention your diagnosis
• Discuss the pathogenesis
• Discuss the morphology
• Mention the relevent investigations
CARCINOMA CERVIX
CARCINOMA CERVIX
CERVICAL INTRAEPITHELIAL
NEOPLASIA - CIN
INVASIVE SCC - CERVICAL
CARCINOMA
ADENOCARCINOMA CERVIX
PAP SMEAR
No.13
• A 26 yr old female with mobile nontender
breast lump in the right upper quadrant.
• A.mention your diagnosis.
• B.discuss the morphology.
FIBROADENOMA BREAST
FIBROADENOMA BREAST
FIBROADENOMA BREAST
No.14
• A 45 yr old female with nipple eczema and
discharge. A firm mass was noted
attached to chest wall.
• Axillary lymph nodes were palpable.
• A.Mension your diagnosis
• B.mention etiologic factors.
• Describe the morphology of the lesion
PAGETS DISEASE OF NIPPLE
PAGETS DISEASE OF NIPPLE
PAGETS DISEASE OF NIPPLE
No.15
• A 15 yr old boy with joint pain, fever and
palpitation with past history of fever, throat
infection one month back.
• Diagnosis
• Investigations to confirm the diagnosis
• Etiopathogenesis
• Morphology of the lesion
RHEUMATIC VALVULITIS
RHEUMATIC HEART DISEASE
ASCHOFF NODULE IN
RHEUMATIC HEART
DISEASE.
RHEUMATIC PERICARDITIS
RHEUMATIC HEART DISEASE
RHEUMATIC MITRAL STENOSIS
No.16
• 58 yr old male complained of sudden
severe chest pain,difficulty in breathing
with perspiration.BP was low.
• A. what is your diagnosis/
• B.relevant investigations
• C.pathogenesis
• D.morphology
• E.complications
MYOCARDIAL INFARCTION
MYOCARDIAL INFARCTION
MYOCARDIAL INFARCTION
COAGULATIVE NECROSIS
MYOCARDIAL INFARCTION
MYOCARDIAL INFARCTION
MYOCARDIAL INFARCTION-3 WEEKS
AFTER INFARCTION
MURAL THROMBOSIS
MURAL THROMBOSIS
ANEURYSM OF LEFT
VENTRICLE
No.17
• A 37 year old male with sudden onset of
high grade fever,pleuritic chest pain,rusty
sputum.
• A.what is your diagnosis?
• B.What is the etiology
• C.morphology
• D.Complications
No.18
• A 50 yr old male fever ,severe persistant
cough with foul smelling sputum for 6
months.Sputum quantity increases in the
morning and on sudden change in the
posture.clubbing of fingers
• A.what is the diagnosis
• B.etiopathogenesis
• C.morphology
• D.complications
No19.
• A 30 yr old male presented with cough,
mucopurulent sputum ,low grade fever in
the evening, night sweats and progressive
weight loss
• A.What is your diagnosis
• B.relevant lab investigations
• Etiopathogenesis of the disease
No.20
• A young female presented with cough
matted cervical lymph nodes,x ray chest
showed apical opacity.
• A.what is the diagnosis?
• B.discuss the etiopathogenesis
• C.morphology
No. 21
• A 60 yr old chronic smoker with cough
,haemoptysis,chest pain , dyspnea, loss of
weight and appetite.
• A. what is the diagnosis?
• B.classification
• C.morphology of one type
No.22
• A 35 yr old farmer with severe pallor and
shortness of breath,
• Stool examination- hook worm ovas +ve
• A. what is the cause of pallor?
• B.etiologic factors
• C.lab investigations
No.23
• A 40 yr old man developed persistent
anaemia after gastrectomy.
• A. discuss etiologic factors
• B.lab findings
No. 24
• A 8yr old boy with progressive pallor
Sudden high fever bleeding from nose and
gums sternal tenderness
lymphadenopathy and spleenomegaly
• A. what is the probable diagnosis?
• B.classify the condition
• C.discuss the lab findings.
No.25
• A 35 yr old female with fever weight loss
and massive splenomegaly
• TLC- 1,00,000
• A. what is your probable diagnosis
• B. discuss the lab findings
• C.mention likely mode of termination of the
disease.
No.26
• 60 yr old male with pallor , generalised
lymphadenopathy, respiratory infection
and peripheral lymphocytosis
• A.what is the probable diagnosis?
• B.discuss the lab findings.
No.27
• A 12 yr old who on treatment for otitis
media developed fever, headache,neck
rigidity,seizures and altered mental state.
• A.what is your diagnosis?
• B.what are the etiological agents?
• C.ivestigatiohs to confirm the diagnosis
No.28`
• A 32 yr old man receiving treatment for
chronic cough with expectoration
developed fever,headache,neck rigidity
and irritability.
• A. what is your diagnosis?
• B.list the relevant investigations you ask.
• C. what are the findings of confirmation
No.29
• A 50 yr old man, a chronic alcoholic
presented with severe haemetemesis
• On examination- abdomen was distended.
• A.what is your clinical diagnosis?
• B.Investigations to confirm the diagnosis.
• C.Pathogenesis of the disease.
No.30
• A 60 yr old presented with severe
haemetemesis,.There was past history of
abdominal surgery and 5 pints of blood
was transfused at that time.
• On examination – ascitis and
spleenomegaly were present.
• A.what is your diagnosis
• B.lab findings
• C.pathogenesis of the disease
No.31
• A 32 yr old male with malaise ,fever ,
abdominal discomfort, nausea and
vomiting.Later he complained of dark
urine,yellow discolouration of sclera.
• On examination -tender hepatomegaly
• A. what is your diagnosis?
• B.Lab findings to confirm your diagnosis
• Discuss pathogenesis of the lesion.
No.32
• A 42 yr old obese multiparous female with
on and off right hypochondriac colicky pain
and tenderness associated with jaundice
• A.what is your diagnosis?
• B.investigations to confirm your diagnosis.
• C.pathogenesis of the disease
No.33
• A femae aged 35 yrs with fever night
sweats,loss of weight and anaemia.CT
showed mass in the mediastinum
• A.possible diagnosis with reasons
• B.morphology of mediastinal mass
No.34
• A 45 yr old female with painless
enlargement of thyroid with apathy,mental
sluggishness,intolerance to cold since 6
years.serum t3 ,t4 level decreased with a
rise in TSH
• A.mension possible diagnosis with
reasons
• B.Morphology of thyroid
• C.etiology
No.35
• A 55 yr old male presented with a solitary
nodule thyroid of 6 months duration
• Nodule was found to be cold with
radioiodine uptake study.after 4 months
patient developed mass in the scalp
• A.mention the possible diagnosis with
reason
• B.morphology of thyroid and scalp nodule
No.36
• A 50 yr old female with an attack of
tachycardia ,palpitation,headache,nausea
,vomiting of sudden onset.Blood pressure
was found to be high
• MRI scan showed 2cm mass in the
retroperitoneum
• A.mention the possible diagnosis
• B.mention investigation which help in the
final diagnosis.
No.37
• A 18 yr old diabetic for 8 yrs developed
anasarca.
• A. what is the possible diagnosis?
• B.investigations which help in the
diagnosis.
• C.pathology of kidney
No.38
• A man aged 55 yrs developed increasing
jaundice with itching all over the body with
dull aching pain in the upper abdomen
with palpable hard mass. Stools were pale
and bulky.rapid loss of wewight with
nodular palpable liver.
• A.Possible diagnosis
• B.relevent lab investigations
• C.postmortem findings
No.39
• A young female developed palpitations
,tremors of hands with a staring look with
diffuse firm swelling of the lower part of the
neck.
• A. what is the diagnosis
• B. gross of the lesion
• C.histopathologic diagnosis
• D.etiopathogenesis
No.40
• A woman who had a delivery of stillborn
child gave birth to a deeply jaundiced child
• What is the diagnosis?
• Indicate the etiopathogenesis
No.41
• A female patient with a rheumatic carditis
developed intermittent fever, changing
systolic murmurs in the mitral area and
pain in the left hypochondrium.
• A.what is your diagnosis
• B.what is the etiopathogenesis
• C.morphology of the organs involved
No.42
• A school going child developsmalaise,
fever, nausea,oliguria,haematuria
following recovery from sore throat
• A. what is your diagnosis
• B.what is the etiopathogenesis
• C.morphology
No.43
• Male aged 35 yrs , sales representative
with repeated attacks ofdysentery with
blood and mucus in the stool off and on
with pain abdomen with irregular treatment
• Saline and iodine preparations of faeces
confirmed the diagnosis.
• A.what is the diagnosis
• B. morphology of ileocaecal region and
colon
No.44
• A male 30yrs chronic alcoholic developed
high fever cough with rusty sputum and
chest pain 7 days duration. Gram staining
of sputum revealed diplococci. Patient
died on 8th day.
• A.what is the diagnosis?
• B. what is the etiologic agent
• C. what is the morphology
No.45
• Male aged 35 yrs had attacks of severe
renal colics and passage of small stones
with radioopaque shadow in the upper
calyx of left renal pelvis.
• A.what is the diagnosis
• B.Classify and mension the common types
• Etiopathogenesis and complications
No.46
• A male aged 18 yrs with foul smelling
copious sputum with clubbing of fingers
since childhood
• AFB and mantoux negative.
• Cured by surgery
• A.what is your diagnosis
• B. what is the morphology
No.47
• A40 yrs old diabetic with 4yrs off and on
severe pain abdomen. Plain x ray
confirmed the diagnosis.pateint died 5 yrs
later
• A.what is the diagnosis
• B.investigations
• B.Morphology of the organ involved
No.48
• A female aged 26 yrs 3 weeks after child birth developed
rapidly growing swelling in the breast with local signs of
inflammation, firm in consistancy with thick oedematous
skin.
• A.mension 2 possible diagnosis
• B.Incision and drainagefailed to yeild pus
• C.Haemorrhagic fluid and tissue bits are sent to the
laboratory after which radical surgery was performed.
• A.what is the diagnosis now?
• Lab investigations to diagnose
• B.Morphology of breast
•
No. 49
• A female 36 yrs with complaints of
dyspnea and palpitation with a past history
of pain swelling of joints at the age of 7.
• On examination she has bilateral pitting
oedema of the lower extremities and
palpable tender liver
• A.mention your diagnosis with reasons
• B.Patient died few days after admissionpostmortem findings
No.50
• 21 yrs old drug addict was admitted with a
history of malaise loss of appetite and jaundice
of one month duration
• The liver was enlarged and tender.
• The serum aminotransferaces were raised
• A.mention most likely diagnosis with reasons
• B .relevent investigations for a conclussive
diagnosis
• C.morpholgy of the liver
No.51
• 51 yrs old man with dibetes and
hypertention suddenly complained of
severe chest pain and expired within 2
hours.
• A.mention diagnosis with reasons
• B.postmortem findings
• C.if the man had survived mention the
complications that would have occurred.