CPD Questions Maximising Histapathology in Oncology Patients AC/1986/18 Web-based: www.cpdsolutions.co.za - choose Onlinevets/VET360. To answer through sms system use the following code: a16663. *CPD reserved for Vet360 subscribers (R360 per annum) Call 012 346 1590 for assistance Question 1 In oncology which one of the following cannot be achieved with a surgical biopsy? Question 6 Which one of the following are critical to obtaining a biopsy representative of the neoplastic process? a. Confirming a diagnosis. b. Assessing the progress of therapy. c. Grading of the tumour. d. Determining the completeness of excision. e. Determining the cause of death. a. Collecting biopsies from the center of the lesion. b. Necrotic areas provide highly diagnostic information. c. Always use techniques which allow for direct visualization of the lesion being sampled. d. Areas with haemorrhage and/all inflammation provide diagnostic information. e. Conflict biopsies from the age of the lesion. Question 2 Which one of the following features is considered the upside of surgical pathology? a. The pathologist does not see the gross lesion. b. They is usually minimal or no autolysis. c. There is time for reflection on the pathology. d. Minimal history is required. e. Clinical data is not needed. Question 3 Which one of the factors listed below does NOT constitute a diagnostic biopsy? a. An adequate amount of tissue. b. Is representative of the neoplastic process. c. Artifacts are not an issue. d. Signalment, history and description of the lesion. e. Differential diagnoses for the lesion. Question 4 Which one of the factors listed below is an advantage of Tru-cut biopsies? a. They permit some evaluation of architecture and all minimally invasive. b. Significant conclusions can be drawn from histopathology in 100% of cases. c. Surgical margins can be deceased. d. Metastatic spread can be evaluated. e. Mitotic index can be considered reliable. Question 5 Which one of the factors listed below is a disadvantage of endoscopic/laparoscopic biopsies? a. It is an invasive procedure. b. Tissues cannot be observed for sampling. c. Corrective surgery cannot be performed at the same time. d. General anaesthesia is required. e. Open laparotomy, thoracotomy or cystectomy is required. vet360 Issue 04 | SEPTEMBER 2018 | 8 Question 7 What one of the measurements listed below is the ideal thickness of tissue slices to ensure that adequate formalin fixation? a. 0.5 – 1 cm. b. 1.5 – 2 cm. c. 2.5 – 3 cm. d. 3.5 – 4 cm. e. 4.5 – 5 cm. Question 8 Which one of the following biopsies would be the most susceptible to crush artifacts? a. Incisional biopsies of solid masses. b. Punch biopsies of skin masses. c. Incisional biopsies of skin masses. d. Tru cut biopsies. e. Excision will biopsies. Question 9 Which one of the following is not essential in the clinicians gross description of the tumour? a. Size. b. Colour. c. Location. d. Distribution. e. Smell. Question 10 Which one of the following actions by clinicians is most likely to result in misdiagnosis? a. Describe what you see at gross examination. b. Explain what treatment you employed. c. Tell the pathologist nothing to avoid bias. d. Provide the pathologist with your clinical differential diagnoses. e. Tell the pathologist what you want him/her to look for.