Pathology Quick Review and MCQs, 3rd Edition

1 PATHOLOGYQ uick Review and MCQsBased onTextbook of Pathology6th EditionFor free online Web Images and Web Tables cited in the text,access on pin number available in the main Review and MCQsTHIRD EDITIONB ased onTextbook of Pathology6th EditionHarsh Mohan MD, MNAMS, FICPath, FUICCP rofessor & HeadDepartment of PathologyGovernment Medical CollegeSector-32 A, Chandigarh-160 031 INDIAE-mail: BROTHERS MEDICAL PUBLISHERS (P) LTDSt Louis (USA) Panama City (Panama) New Delhi Ahmedabad BengaluruChennai Hyderabad Kochi Kolkata Lucknow Mumbai Nagpur Published byJitendar P VijJaypee Brothers Medical Publishers (P) LtdCorporate Office4838/24 Ansari Road, Daryaganj, New Delhi 110 002, India, Phone: +91-11-43574357,Fax: +91-11-43574314 Registered OfficeB-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, IndiaPhones: +91-11-23272143, +91-11-23272703, +91-11-23282021,+91-11-23245672 Rel: +91-11-32558559 Fax: +91-11-23276490, +91-11-23245683e-mail: Website: 2/B, Akruti Society, Jodhpur Gam Road SatelliteAhmedabad 380 015 Phones.

2 +91-79-26926233, Rel: +91-79-32988717 Fax: +91-79-26927094 e-mail: 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park EastBengaluru 560 001 Phones: +91-80-22285971, +91-80-22382956, +91-80 22372664 Rel: +91-80-32714073 Fax: +91-80-22281761 e-mail: 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon RoadChennai 600 008 Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089 Fax: +91-44-28193231 e-mail: 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross RoadHyderabad 500 095 Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929 Fax:+91-40-24758499, e-mail: No. 41/3098, B & B1, Kuruvi Building, St. Vincent RoadKochi 682 018, Kerala Phones: +91-484-4036109, +91-484-2395739, +91-484-2395740e-mail: 1-A Indian Mirror Street, Wellington SquareKolkata 700 013 Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415 Fax: +91-33-22656075, e-mail: Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira NagarLucknow 226 016 Phones: +91-522-3040553, +91-522-3040554e-mail: 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, ParelMumbai 400 012 Phones: +91-22-24124863, +91-22-24104532,Rel: +91-22-32926896 Fax: +91-22-24160828, e-mail: KAMALPUSHPA 38, Reshimbag, Opp.

3 Mohota Science College, Umred RoadNagpur 440 009 (MS) Phone: Rel: +91-712-3245220 Fax: +91-712-2704275 e-mail: America Office1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA, Ph: 001-636-6279734e-mail: America OfficeJaypee-Highlights Medical Publishers Inc., City of Knowledge, Bld. 237, Clayton,Panama City, Panama, Ph: 507-317-0160 Pathology Quick Review and mcqs 2010, Harsh MohanAll rights reserved. No part of this publication should be reproduced, stored in a retrieval system, ortransmitted in any form or by any means: electronic, mechanical, photocopying, recording, orotherwise, without the prior written permission of the author and the book has been published in good faith that the material provided by author is effort is made to ensure accuracy of material, but the publisher, printer and author will notbe held responsible for any inadvertent error(s).

4 In case of any dispute, all legal matters are tobe settled under Delhi jurisdiction Edition : 2000 Second Edition : 2005 Third Edition : 2010 Assistant Editors: Praveen Mohan, Tanya Mohan, Sugandha MohanISBN: 978-81-8448-778-7 Typeset atJPBMP typesetting unitPrinted atAjanta PressTo all those who matter so much to me:My family wife Praveen anddaughters Tanya, SugandhaandAll students and colleagues former and present, with whom I had occasion to share and whose deeds are virtuous,is rewarded with purity and actions done with passion cause misery,while he whose deeds are dark is cursed with ignorance.(The Bhagvadgita, Chapter XIV: Verse 16) PrefaceThe release of the Third Revised Edition of Pathology QuickReview and mcqs simultaneous to the release of the SixthEdition of its parent book, Textbook of Pathology , marks thecompletion of 10 years since its first launch.

5 The satisfiedusers of this ancillary handy learning material during thedecade have surely encouraged me and the publisher tocontinue the convention of providing the baby-book as apackage with the mother-book. Besides, with this Edition , athird learning resource has been added for the benefit ofusers the buyer of the package now gets free access to thehighly useful website containing all the images and tablesincluded in the main textbook which can be used as anadditional learning tool by the students for self-assessmentand Quick Review of the subject while teachers may use thedownloadable figures and tables for inclusion in companion book is the abridged version of sixthrevised Edition of my textbook and has been aimed to servethe following twin purposes as before.

6 For beginner students of Pathology who have undertakenan in-depth study of the main book earlier may like to revisethe subject in a relatively short time from this book and mayalso undertake self-test on the mcqs given at the end ofeach senior students and interns preparing for theirpostgraduate and other entrance examinations who areconfronted with revision of all medical subjects besidespathology in a limited time, this book is expected to act asthe main source material for Quick revision and also exposethem to mcqs based on essential Quick Review book has the same 30 chaptersdivided into sections as in the main textbook Section I:Chapters 1-11 (General Pathology and Basic Techniques),Section II: Chapters 12-14 (Haematology and Lymphoreti-cular Tissues), Section III: Chapters 15-30 (SystemicPathology) and an Appendix containing essential NormalValues.

7 Each major heading in the small book has cross-references of page numbers of the 6th Edition of my textbookso that an avid and inquisitive reader interested insimultaneous consultation of the topic or for clarification ofa doubt, may refer to it conveniently. Self-Assessment byMCQs given at the end of every chapter which keeps thisbook apart from other similar books, has over 100 newviiiPathology Quick Reviewquestions raising their number to over 700 mcqs in therevised Edition , besides modifying many old ones. Whilemuch more knowledge has been condensed in the baby-book from the added material in the main textbook, efforthas been made not to significantly increase the volume ofthis book.

8 It is hoped that the book with enhanced andupdated contents continues to be user-friendly in learningthe essential aspects of Pathology , while at the same time,retaining the ease with which it can be conveniently carriedby the users in the pocket of their white of this little book necessitated selection fromenhanced information contained in the revised Edition ofmy textbook and therefore, required application of mydiscretion, combined with generous suggestions fromcolleagues and users of earlier Edition . In particular, valuablesuggestions and help came from Drs Shailja and Tanvi,Senior Residents in the department, which is thank profusely the entire staff of M/s Jaypee BrothersMedical Publishers (P) Ltd.

9 For their ever smiling supportand cooperation in completion of this book in a relativelyshort time, just after we had finished the mammoth task ofrevision work of sixth Edition of the main , although sincere effort has been made to be asaccurate as possible, element of human error is still likely; Ishall humbly request users to continue giving their valuablesuggestions directed at further improvements of its Medical CollegeHarsh MohanSector-32 AMD, MNAMS, FICPath, FUICCC handigarh-160 031 Professor and HeadINDIAD epartment of PathologyE-mail: I: GENERAL Pathology ANDBASIC TECHNIQUES1. Introduction to Pathology .. 012. Techniques for the study of Pathology .. 063. Cell Injury and Cellular 144.

10 Immunopathology Including Amyloidosis .. 415. Derangements of Homeostasis 636. Inflammation and Healing .. 927. Infectious and Parasitic Diseases ..1318. Environmental and Nutritional Diseases .. 18510. Genetic and Paediatric Diseases ..20311. Basic Diagnostic Cytology .. 212 SECTION II: HAEMATOLOGY ANDLYMPHORETICULAR TISSUES12. Introduction to Haematopoietic System andDisorders of Erythroid Series .. 22613. Disorders of Platelets, Bleeding Disorders andBasic Transfusion 26614. Disorders of Leucocytes andLymphoreticular 281 SECTION III: SYSTEMIC PATHOLOGY15. The Blood Vessels and 32216. The Heart .. 34617. The Respiratory System .. 38518. The Eye, ENT and 42519.