CPD Questions
Maximising Histapathology in Oncology Patients
AC/1986/18
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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.
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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.