E THI LY THUYET GIAI PHAU BENH Y2011 LAN 1

NIEN KHOA 2013 - 2014

Ngay thi: 19/06/2014

E A
E1. Phu n mang thai co t cung to ra la do te bao c trn t cung:
A/ Tang san
B/ Ph ai
C/ Chuyen san
D/ Tat ca A, B, C ung
E/ Ch A va B ung
A2. Sau khi c thao bot bo chan (do mot chan thng gay xng), benh nhan thay chan b bo bot nho hn han so vi
chan con lai. Co the giai thch cho benh nhan hien tng nay la do cac bap c chan b ton thng nao sau ay?
A/ Teo et
B/ Tang san
C/ Chuyen san
D/ Nghch san E/ Hoai t
C3. Mot be trai 5 tuoi, b chan thng cang chan do tai nan xe may. Sau thang sau, tai v tr chan thng xuat hien mot
khoi cng chac. Sinh thiet khoi u, thay co nhng be xng vi cac te bao xng nam gia cac bo c van. ay la
ton thng:
A/ Teo et
B/ Nghch san
C/ Chuyen san xng
D/ Canxi hoa nghch dng
E/ Canxi hoa di can
E4. Benh nhan nam 45 tuoi, c sinh thiet mot polyp ai trang trai va c chan oan la mot u tuyen ong cua ai
trang. Ton thng thay c tren nh cua polyp se co hnh anh nh the nao?
A/ Ong tuyen tang san
B/ Ong tuyen chuyen san
C/ Ong tuyen nghch san
D/ Ch A va B ung
E/ Ch A va C ung
D5. Co the xac nh c ban chat cua cac sac to noi sinh ong noi bao da tren:
A/ Mau sac cua hat sac to
B/ Kch thc cua hat sac to
C/ Loai te bao b ong
D/ Phng phap nhuom ac biet
E/ Ch A va C ung
D6. Sinh thiet mot ton thng vi voi hoa cua vu, ta thay cac o vi voi hoa tng ng vi cac am canxi nam trong mo
hoai t cua cac ong tuyen co hnh anh carcinom ong tuyen vu tai cho grad cao. ay la ton thng:
A/ Chuyen san xng
B/ Nghch dng xng
C/ Nghch san xng
D/ Canxi hoa nghch dng
E/ Canxi hoa di can
C7. Ban chat the Mallory ong trong bao tng te bao gan cua benh nhan b ngo oc ru la:
A/ Lipofuscin
B/ Glycogen
C/ Protein
D/ Triglycerid E/ Bilirubin
D8. KHONG PHAI la ac iem hnh thai cua te bao hoai t:
A/ Nhan ong
B/ Nhan v
C/ Nhan tan
D/ Phan bao bat thng
E/ Bao tng tang tnh bat mau axt
D9. S gia tang ch so phan bao trong mot mo co the gap trong ton thng:
A/ Tang san B/ Nghch san
C/ U
D/ Tat ca A,B,C ung E/ Ch A, C ung
D10. KHONG PHAI la hien tng chuyen san:
A/ Bieu mo tru gia tang phe quan bien thanh bieu mo lat tang
B/ Bieu mo tru n co trong co t cung bien thanh bie u mo lat tang
C/ Bieu mo lat tang thc quan bien thanh bieu mo tru tiet nhay
D/ Bieu mo ngam calci
E/ Mo si chuyen thanh mo xng
D11. T huy te bao khong kch thch phan ng viem, la do:
A/ Te bao b no tung
B/ Nhieu te bao cung chet mot luc
C/ T huy ch do nguyen nhan sinh ly
D/ Te bao b cat ra thanh cac the t huy va c thc bao ngay lap tc
E/ Trong t huy te bao co hien tng t tieu
B12. Hnh thai mo hoc cua hoai t trong nhoi mau nao la:
A/ Hoai t ong
B/ Hoai t hoa long
C/ Hoai t ba au
D/ Hoai t m
E/ Hoai t hoai th
D13. Tran dch mang bung trong x gan la do:
A/ Giam ap lc keo huyet tng do giam tong hp protein
B/ Giam ap lc keo huyet tng do tang that thoat protein qua mang ay cau than
C/ Tang ap lc thuy tnh tnh mach ca
D/ Ch A va C ung E/ Ch B va C ung
E14. Cuc huyet khoi c tm thay trong long:
A/ ong mach B/ Tnh mach
C/ Mao mach
D/ Buong tim
E/ Tat ca A,B,C,D ung
D15. Huyet tac phoi:
A/ a so xuat phat t huyet khoi tnh mach sau chi di

B/ Mot t trng hp do m, nc oi ri vao tnh mach i ve tim phai va len phoi

C/ Gay ot t khi hn 60% he tieu tuan hoan b tac nghen bi cuc huyet khoi
D/ Tat ca A, B, C ung
E/ Ch A va B ung
D16. C quan nao sau ay co the xay ra nhoi mau trang cung nh nhoi mau o:
A/ Tim
B/ Lach
C/ Nao
D/ Than
E/ Ruot
C17. S hnh thanh seo co keo trong qua trnh sa cha bang hnh thc hoa seo la do hoat ong qua mc cua cac:
A/ Nguyen bao si
B/ Nguyen bao c
C/ Nguyen bao si - c
D/ Te bao c van
E/ Te bao c trn
B18. O viem cap tnh co bieu hien nong o la do tnh trang:
A/ Sung huyet tnh
B/ Sung huyet ong
C/ Phu viem
D/ Xuat huyet vi the
E/ Tang tnh tham thanh mach
B19. Dch xuat t huyet la dch xuat thanh huyet co them nhieu:
A/ Fibrinogen
B/ Fibrin
C/ Chat ien giai D/ Bach cau a nhan
E/ Hong cau
C20. Trong phan ng viem cap, hien tng tu vach, lan va xuyen mach cua bach cau la do hoat ong tng tac gia cac
phan t sau, TR MOT:
A/ P-Selectin
B/ E- Selectin C/ Interleukin
D/ Integrin
E/ Sialyl-Lewis X
D21. Trong phan ng viem cap tnh, bach cau xuyen mach:
A/ Chu yeu la bach cau a nhan trung tnh trong 24 gi au
B/ Tai tieu ong mach
C/ Do tng tac gia cac phan t ket dnh co be mat bach cau va te bao noi mo (PECAM-1)
D/ Ch A, C ung
E/ Tat ca A, B, C ung
C22. Tai o viem cap, neu vat the c thc bao la vi khuan th trong bach cau se xay ra hien tng:
A/ Tang tong hp cac enzym tieu the
B/ Tang s dung oxy e tong hp ATP
C/ Bung no tieu thu oxy e tong hp cac san pham chuyen hoa co tnh oxy hoa rat manh
D/ Tang tong hp chat trung gian hoa hoc
E/ Tang tong hp yeu to hoa ng ong
E23. Trong phan ng viem cap, cac chat trung gian hoa hoc:
A/ c giai phong t te bao va mo ton thng
B/ Gan ket vi cac thu the khac nhau tren be mat te bao
C/ Tao ra cac bien oi mo hoc: sung huyet ong, phu viem va tham nhap te bao
D/ Gay ra bieu hien lam sang thng gap nh sng, nong, o, au
E/ Tat ca A, B, C, D eu ung
A24. Chat trung gian hoa hoc nao KHONG c tao ra t phospholipid mang:
A/ Histamin
B/ Prostaglandin
C/ Prostacyclin
D/ Leukotrien
E/ Thromboxane
E25. ai thc bao c tap trung nhieu tai o viem man tnh la do c che:
A/ ai thc bao tiep tuc t trong long mach xuyen mach i vao o viem
B/ ai thc bao co kha nang tang sinh tai cho
C/ ai thc bao b c che di chuyen ra khoi o viem
D/ Tat ca A, B, C ung
E/ Ch B va C ung
C26. Mot u hat lao va mi c hnh thanh se gom cac thanh phan cau tao sau, TR MOT:
A/ Limpho bao
B/ Tng bao
C/ Chat hoai t ba au
D/ Te bao dang bieu mo
E/ ai bao Langhans
C27. Trong viem hat, te bao dang bieu mo c hnh thanh do s chuyen dang cua:
A/ Limpho bao
B/ Mono bao
C/ ai thc bao
D/ Tng bao E/ Masto bao
B28. Ve hien tng tang sinh mach mau trong o viem man, phat bieu sau KHONG UNG:
A/ Do ai thc bao san xuat ra cac yeu to tao mach
B/ Cac te bao trung mo c kch thch biet hoa trc tiep thanh mach mau tan sinh
C/ Mach mau tan sinh c tao do s phan nhanh cac mach mau co san trong o viem
D/ Mach mau tan sinh co te bao noi mo phong to
E/ Co the thay hnh anh phan bao cua te bao noi mo trong mach mau tan sinh
C29. U gia KHONG CO ac iem:
A/ Co the at kch thc ln vai cm
B/ Co the xuat hien bat ky ni nao trong c the
C/ Tnh sinh san t ong cua te bao
D/ Cau truc mo hoc bnh thng
E/ Co the gay ra trieu chng lam sang
C30. Cau tao vi the cua moi loai u eu co 2 thanh phan la:
A/ Bieu mo va trung mo
B/ Mo chu u va mo lanh quanh u
C/ Mo chu u va mo em u
D/ Mo chu u va mach mau tan sinh
E/ Mo chu u va mach bach huyet
E31. Carcinom te bao gai cua da c xep Grad mo hoc da vao:

A/ o biet hoa cua te bao u

B/ Ch so phan bao trong khoi u
C/ Co hnh thanh cau sng
D/ Ch B va C ung
E/ Ch A va B ung
E32. Carcinom tai cho:
A/ La ung th giai oan tien xam nhap
B/ Te bao ung th cha pha huy mang ay bieu mo
C/ Co kha nang di can hach
D/ Tat ca A, B, C ung E/ Ch A va B ung
B33.Ve sarcom, phat bieu sau KHONG UNG:
A/ La u ac tnh xuat phat t trung mo
B/ Khi au la giai oan sarcom tai cho
C/ Co kha nang xam nhap mo lanh lan can
D/ Di can trc tien theo ng mau
E/ Mot vai loai sarcom co kha nang di can hach
C34. Protein san xuat bi te bao u trong ung th sau KHONG DO c che giai c che gen:
A/ CEA trong carcinom ruot gia
B/ Chat tng t insulin trong u mo em ng tieu hoa
C/ Calcitonin trong carcinom tuyen giap dang tuy
D/ AFP trong carcinom te bao gan
E/ ACTH trong carcinom te bao nho phoi
D35. Ve gii han Hayflick trong nuoi cay te bao:
A/ Te bao c the bnh thng ch co the phan chia 1 so lan nhat nh roi chet
B/ au mut nhiem sac the cua te bao c the bnh thng b rut ngan sau moi lan phan bao
C/ Te bao Hela la 1 v du cho thay te bao ung th c bat t hoa nh enzym telomerase
D/ Tat ca A,B,C ung
E/ Ch A va B ung
B36. Toc o tang trng gia cac loai ung th khac nhau la do s khac biet ve:
A/ Phan so tang trng
B/ Thi gian nhan oi
C/ T le te bao chet
D/ T le te bao mi sinh
E/ Tat ca A,B,C,D ung
E37. Ve s tang sinh mach mau trong khoi u, phat bieu sau KHONG UNG:
A/ Can thiet e khoi u co ng knh ln hn 1-2 mm
B/ Do te bao u co kha nang san xuat ra cac yeu to tao mach nh FGF, VEGF
C/ Mach mau tang sinh cung cap oxy va chat dinh dng can cho s tang trng khoi u
D/ Te bao noi mo cua mach mau tang sinh co the tiet cac yeu to tang trng cho khoi u
E/ Lam tang kha nang te bao u di can en hach limpho
C38. Mot benh nhan b carcinom tuyen vu tren ngoai vu trai co hach nach trai sng to, c mo oan nhu nao hach.
Khao sat hach nach thay hach nach nhom di va gia khong b di can nhng hach nhom tren th co cac am te bao
ung th di vo bao hach. ay la kieu di can:
A/ Di can hach thuan dong
B/ Di can hach ngc dong
C/ Di can hach cach quang
D/ Di can hach chon loc
E/ Di can hach trc tiep
D39. oi vi Carcinom, co the d oan vung hach b di can da vao:
A/ V tr khoi u nguyen phat
B/ He thong mach bach huyet cua vung cha u
C/ He thong tnh mach cua vung cha u
D/ Ch A va B ung
E/ Ch A va C ung
D40. e di can theo ng mau, te bao ung th thng pha thanh mach cua:
A/ ong mach
B/ Tieu ong mach
C/ Mao mach
D/ Tnh mach
E/ Tat ca A, B, C, D ung
E41. Mot phu n b carcinom ong tuyen vu xam nhap vu phai, sau phau thuat 1 nam th co trieu chng au vung canh
tay trai, x-quang thay co ton thng huy xng than xng canh tay. Ton thng nay do:
A/ Te bao u di can en xng theo ng mau
B/ Te bao u trc tiep pha huy be xng
C/ Te bao u di can en xng kch thch huy cot bao tang hoat ong huy xng
D/ Ch A va B ung
E/ Ch A va C ung
A42. Bon loai ung th hang au an ong Viet Nam hien nay la :
A/ Ung th phoi - gan - da day - ruot gia
B/ Ung th phoi - gan - da day - ruot non
C/ Ung th phoi - gan - thc quan - da day
D/ Ung th phoi - thc quan - da day - bang quang
E/ Ung th gan - thc quan - da day - tuyen tien liet
D43. Ve chat anh dau u:
A/ La san pham cua te bao u c phong thch vao trong tuan hoan
B/ Co gia tr chan oan ung th mot cach ac hieu
C/ Giup theo doi tai phat ung th sau ieu tr
D/ Ch A va C ung
E/ Ch B va C ung
B44. Ve Gen p53, phat bieu sau KHONG UNG:
A/ La mot gen c che u nam tren nhiem sac the 17
B/ Khi te bao co ton thng ADN, ham lng protein p53 trong bao tng tang nhanh
C/ Protein p53 giup te bao co ton thng ADN ngng tang sinh e sa cha

D/ Protein p53 thuc ay te bao co ton thng ADN i vao t huy neu sa cha that bai
E/ Co s bat hoat ca 2 gen alen p53 trong phan ln cac loai ung th
E45. Ve thc quan Barrett, phat bieu sau KHONG UNG:
A/ La bien chng cua viem thc quan trao ngc keo dai
B/ Niem mac thc quan vung ton thng co mau o mt
C/ Co hien tng chuyen san bieu mo lat tang khong sng hoa thanh bieu mo tru n tiet nhay
D/ Bieu mo tru chuyen san co the b nghch san t nhe en nang
E/ Tang nguy c b carcinom te bao gai thc quan
E46. Vi khuan Helicobacter pylori co the gay ra:
A/ Loet da day - ta trang man tnh
B/ Carcinom tuyen da day
C/ Limphom da day
D/ Ch B va C ung
E/ Tat ca A, B, C ung
E47. O loet da day-ta trang:
A/ B o loet khong go cao, vach o loet dng ng
B/ Co 4 vung tren vi the
C/ Tren vi the, vung di cung la mo seo
D/ Ch A va B ung
E/ Tat ca A, B, C ung
B48. c goi la Carcinom da day sm khi ton thng:
A/ Khu tru vung tam v
B/ Khu tru lp niem mac va di niem mac
C/ a xam nhap lp c nhng cha cho di can hach vung
D/ Ch A va B ung
E/ Ch B va C ung
D49. Carcinom da day kieu lan toa:
A/ La mot trong 2 hnh thai mo hoc chnh cua carcinom tuyen da day
B/ Thng xuat phat t bieu mo nghch san trong viem da day man tnh
C/ Te bao ung th co dang mat nhan, co the xam nhap tat ca cac lp thanh da day
D/ Ch A va C ung
E/ Ch B va C ung
E50. Ton thng ai trang nao sau ay co nguy c hoa ac cao nhat:
A/ Polyp Peutz-Jeghers
B/ Polyp thanh thieu nien
C/ U tuyen ong
D/ U tuyen ong - nhanh
E/ U tuyen nhanh
C51. Carcinom tuyen ai trang:
A/ Thng b tuoi thanh thieu nien
B/ Lien quan che o an nhieu m
C/ Ve ai the thng co dang sui, loet hoac tham nhiem
D/ Co the xuat phat t polyp tang san kch thc nho
E/ Ve vi the thng co dang te bao nhan, lan toa.
D52. Tui tha Meckel:
A/ La 1 ong bt dai 5 - 6cm, do ong mac treo - ron khong teo lai
B/ V tr thng thay la hoi trang
C/ Co the cha 1 o niem mac da day lac cho (choristom)
D/ Tat ca A, B, C ung
E/ Ch A va C ung
C53. ieu nao KHONG TM THAY trong dien tien cua mang x va ong mach:
A/ Huyet khoi tren be mat
B/ Huyet tac cholesterol
C/ X cng tieu ong mach hyalin
D/ Teo lp ao gia
E/ Thanh mach don de v do b calci hoa
A54. Trong cac v tr sau, o nhoi mau c tim c thay nhieu nhat :
A/ Thanh trc that trai
B/ Thanh trc that phai
C/ Thanh ben that trai
D/ Thanh sau that trai
E/ Thanh sau that phai
B55. Mot ngi an ong 51 tuoi b cao huyet ap va tieu ng a nhieu nam, c a vao benh vien cap cu v 1 cn
au ngc d doi. Benh nhan c chan oan nhoi mau c tim mom tim, ieu tr co ap ng nhng en ngay th 4
th ot t. Mo t thi, ton thng co kha nang thay c nhieu nhat la:
A/ Viem noi tam mac nhiem khuan
B/ V o nhoi mau gay tran mau mang tim
C/ Huyet tac phoi
D/ H van 2 la
E/ Viem ngoai tam mac t huyet
D56. Benh viem noi tam mac nhiem khuan:
A/ De xay ra tren noi tam mac co san ton thng do benh tim bam sinh, thap tim
B/ Ton thng la not sui mau o nau de v, tren van 2 la va van ong mach chu
C/ Co the gay bien chng ap xe nao
D/ Tat ca A, B, C ung
E/ Ch A va B ung
D57. The Mallory c tm thay trong:
A/ Viem gan virus A cap
B/ X gan do hep ng mat ngoai gan
C/ Carcinom ng mat trong gan
D/ Viem gan ru

E/ Viem gan do thuoc acetaminophen

D58. Viem gan sieu vi the toi cap:
A/ Co the do virut viem gan A hoac virut viem gan B
B/ Tren ai the, gan teo nho, bao gan nhan nhum
C/ Tren vi the, hoai t te bao gan xuat hien rai rac tai vung trung tam tieu thuy
D/ Ch A va B ung
E/ Tat ca A, B, C ung
E59. X gan not nho:
A/ Tren ai the not co kch thc < 3 mm
B/ Gap trong giai oan khi au cua x gan do ru
C/ Co s tang tong hp si collagen type IV bi te bao hnh sao trong khoang Disse
D/ Tat ca A, B, C ung
E/ Ch A va B ung
E60. Carcinom te bao gan:
A/ t gap hn ung th gan do di can
B/ Co moi lien quan vi tnh trang viem gan man tnh do HBV va HCV
C/ Ket qua AFP/ mau am tnh cho phep loai tr chan oan carcinom te bao gan
D/ Tat ca A, B, C ung
E/ Ch A va B ung
E61. Tiep xuc vi bui asbestos lam tang nguy c benh phoi nao sau ay:
A/ Viem phe quan man
B/ Carcinom phe quan
C/ U trung mac mang phoi ac tnh
D/ A,B,C ung
E/ Ch B va C ung
A62. Trong benh bui phoi, ton thng tm thay mo ke phoi, tren vach cac phe nang la:
A/ Tham nhap te bao viem kem tang san mo si
B/ Tham nhap te bao viem kem pha huy si collagen
C/ Tham nhap te bao viem kem tang san si chun
D/ Si chun b pha huy kem tang san mo si
E/ Si chun b pha huy khong kem tang san mo si
D63. Be gai 12 tuoi en kham benh v thng b ho, kho khe va len cn kho th, ac biet khi chi vi cho meo. Be
khong sot, phoi cang phong khi len cn kho th, IgE/huyet thanh tang cao. ac iem vi the nao sau ay la ac
trng cho benh ly phoi c mo ta nh tren be gai nay?
A/ Phnh gian cac tieu phe quan ho hap va phe nang
B/ U hat vi ai bao Langhans, te bao dang bieu mo va chat hoai t ba au
C/ Tham nhap te bao viem, x hoa va day vach phe nang
D/ Day mang ay, tang san tuyen tiet nhay, viem niem mac phe quan va ph ai c trn phe quan
E/ Cac phe quan, tieu phe quan, phe nang ay dch phu va bach cau a nhan trung tnh
E64. Trong cac carcinom phe quan, loai mo hoc nao sau ay xuat phat t te bao than kinh noi tiet:
A/ Carcinom te bao gai
B/ Carcinom tuyen phe quan
C/ Carcinom tieu phe quan - phe nang
D/ Carcinom te bao ln
E/ Carcinom te bao nho
E65. Trong tiep can chan oan 1 benh nhan co ton thng tuyen giap dang cuc, ky thuat choc hut kim nho c anh
gia cao v:
A/ Ky thuat an toan, t ton kem va cho ket qua nhanh
B/ Phan biet chnh xac gia u tuyen tuyen giap dang nang va carcinom tuyen giap dang nang
C/ o chnh xac cao oi vi carcinom dang nhu, la loai ung th thng gap nhat cua tuyen giap
D/ Tat ca A, B, C ung
E/ Ch A va C ung
B66. Benh nhan n 40 tuoi, co trieu chng met moi, hay n lanh. Kham thay tuyen giap phnh to, co 1 cuc 2 cm thuy
trai; tien hanh choc hut kim nho cuc nay thay cac te bao Hurthle va limpho bao. Chan oan phu hp nhat la:
A/ Benh Basedow
B/ Viem giap Hashimoto C/ Viem giap limpho bao
D/ Viem giap ban cap
E/ Viem giap Riedel
C67. Mot phu n 30 tuoi co bieu hien cng giap, sieu am thay tuyen giap phnh to va co nhieu cuc 1-2 cm tren ca 2
thuy, ket qua choc hut kim nho cho thay hnh anh te bao nang giap bnh thng, chat keo va bot bao. Loai benh ly
nhieu kha nang nhat ang xay ra phu n nay la:
A/ Phnh giap loan sinh hormon
B/ Benh Basedow
C/ Phnh giap le te nhieu cuc trong o co 1 cuc tang hoat ong tong hp T3, T4
D/ Viem giap Hashimoto
E/ U tuyen tuyen giap dang nang
B68. Chat amyloid lang ong trong carcinom tuyen giap dang tuy co ban chat la:
A/ Globulin mien dch
B/ Calcitonin
C/ Fibrin
D/ Collagen E/ Hyalin
D69. Tnh trang co mang trang am ho (con goi la bach san am ho):
A/ Co the la bieu hien cua 1 ton thng lanh tnh hoac ac tnh cua da am ho

B/ Thng gay trieu chng nga

C/ Can sinh thiet neu nghi ng ton thng ac tnh
D/ Tat ca A, B, C ung
E/ Ch A va B ung
D70. Chng trnh tam soat va phong nga ung th co t cung phu n bao gom:
A/ Phet te bao co t cung nh ky e phat hien sm ton thng tien ung th
B/ Soi co t cung khi ket qua te bao hoc bat thng e sinh thiet ton thng nghi ng
C/ Tiem chung vaccin nga HPV e co mien dch chu ong chong moi loai HPV
D/ Ch co A va B ung
E/ Tat ca A, B, C ung
D71. Chuyen san gai co t cung:
A/ La 1 ap ng thch nghi
B/ Xay ra vung tuyen co trong b lon ra pha co ngoai co t cung
C/ Bieu mo chuyen san gai co the b roi loan tang sinh te bao dan en nghch san
D/ Tat ca A, B, C ung
E/ Ch A va B ung
E72. Nhiem HPV typ 16,18 co the gay ra nhng benh ly nao sau ay:
A/ VIN
B/ VAIN
C/ CIN
D/ Carcinom te bao gai xam nhap am ho, am ao, co t cung E/ Tat ca A, B, C, D ung
E73. Tang san noi mac t cung co ac iem:
A/ Cau truc tuyen co the n gian hoac phc tap
B/ Tang san phc tap noi mac t cung thng gap cac phu n tre tuoi
C/ Tang san phc tap khong ien hnh co nhieu nguy c chuyen sang ung th
D/ Tat ca A, B, C ung
E/ Ch co A va C ung
D74. U buong trng KHONG xuat phat t te bao mam:
A/ U quai
B/ U nghch mam
C/ U tui noan hoang
D/ Carcinom em nuoi xuat phat t nguyen ba o nuoi
E/ Carcinom phoi
B75. Loai u xuat hien ca 2 buong trng, vi the co hnh anh te bao tuyen dang mat nhan xam nhap mo buong trng, co
ten:
A/ U Brenner
B/ U Krukenberg
C/ U dch nhay
D/ U te bao Leydig - Sertoli
E/ U Carcinoid
B76. Mot phu n 23 tuoi, co thai 15 tuan th b say thai t nhien. Thai nho hn tuoi thai, gii tnh n; nhau co mot so gai
phu nh chum nho ben canh cac gai nhau bnh thng. Thai n nay se co bo nhiem sac the la:
A/ 46XX
B/ 69XXX
C/ 45X
D/ 23X
E/ 47XXX
D77. Tinh hoan an:
A/ a so tinh hoan an nam trong o bung
B/ Tinh hoan thng b teo
C/ Ong sinh tinh ch co te bao Sertoli
D/ Ch B va C ung
E/ Tat ca A, B, C ung
D78. Carcinom te bao gai dng vat:
A/ Co lien quan vi tnh trang hep that da qui au va nhiem HPV
B/ Ton thng thng co dang tham nhiem than dng vat
C/ Vi the thng la carcinom te bao gai biet hoa tot
D/ Ch A va C ung
E/ Ch B va C ung
A79. Loai u te bao mam thng gap nhat tinh hoan:
A/ U tinh bao
B/ U quai trng thanh
C/ U tui noan hoang
D/ U te bao Leydig
E/ U te bao Sertoli
B80. Carcinom tuyen tien liet:
A/ Thng xay ra ngi tre tuoi
B/ Co vai tro androgen trong c che benh sinh
C/ Phan ln ung th xuat phat t vung trung tam tuyen tien liet
D/ Bang phan loai Gleason giup chan oan benh
E/ Tat ca A, B, C, D sai
B81. Sinh thiet mot mang sng trong tuyen vu mot benh nhan 40 tuoi, thay cac ong tuyen vu dan rong than h boc, mo
em x hoa, mot so ong tuyen khac co te bao bieu mo tang sinh manh lap ay long ong. Chan oan phu hp nhat
la:
A/ Bien oi si boc khong tang sinh
B/ Bien oi si boc co tang sinh
C/ U si tuyen
D/ U diep the
E/ U nhu trong ong
B82. Trong cac mc o tang san cua ong tuyen vu, chan oan tang san khong ien hnh khi mot phan ong tuyen co hnh
anh tang san bieu mo thong thng va phan con lai co hnh anh giong vi ton thng nao sau ay:
A/ Carcinom tieu thuy tai cho
B/ Carcinom ong tuyen vu tai cho grad thap
C/ Carcinom ong tuyen vu tai cho grad trung bnh
D/ Carcinom ong tuyen vu tai cho grad cao
E/ Carcinom ong tuyen vu xam nhap

C83. Benh nhan 20 tuoi c sinh thiet mot khoi u vu 2cm, gii han rat ro. U co vo bao ro, co thanh phan ong tuyen
tang sinh b keo dan va ep det; thanh phan mo em giau te bao giong mo em trong tieu thuy cung tang san manh.
Chan oan phu hp nhat la:
A/ Bien oi si boc khong tang sinh
B/ Bien oi si boc co tang sinh
C/ U si tuyen
D/ U nhu trong ong
E/ Carcinom tuyen vu
D84. Benh nhan n, 60 tuoi, en kham v mot khoi u vu. U 2 cm, tren vu phai, gii han tng oi ro, di ong t, be
mat da tren u co mau vang nhat. Hoi ky benh s, benh nhan cho biet khoi u xuat hien ot ngot sau khi ba b vap
vao canh ban cach o 2 tuan le. Chan oan c ngh en nhieu nhat tai thi iem nay la?
A/ Bien oi si boc co tang sinh
B/ U si tuyen
C/ Carcinom tuyen vu
D/ Hoai t m
E/ Dan ong dan sa
D85. Sang thng Kimmelstiel-Wilson gap trong benh:
A/ X hoa cau than tng o - cuc bo
B/ Benh than do cao huyet ap
C/ Benh than IgA
D/ Benh than do tieu ng
E/ Viem cau than liem the
E86. Soi than:
A/ V tr thng gap la ai be than B/ Co the gay bien chng tieu mau, than nc
C/ a so cac trng hp la soi cystin D/ Tat ca A, B, C ung E/ Ch A va B ung
E87. Viem cau than hau nhiem trung cap tnh:
A/ Thng gap tre em 1-2 tuan le sau viem hong
B/ Cau than viem tang sinh toan bo phnh to
C/ Cau than tham nhap nhieu tng bao
D/ Tat ca A, B, C ung
E/ Ch A va B ung
E88. Carcinom te bao than:
A/ La loai ung th than thng gap nhat
B/ Bieu hien tam chng lam sang ac trng: tieu mau, au vung that lng va co khoi u bung
C/ Te bao u co bao tng sang do ong nc
D/ Tat ca A, B, C ung
E/ Ch A va B ung
A89. Tren vi the, cac be xng cua vung xng xop b mong i, phan bo tha tht, ri rac. Vo xng ac cung khong
con day nh trc, la hnh anh cua benh nao sau ay:
A/ Benh loang xng
B/ Benh mem xng
C/ Benh coi xng
D/ Benh viem xng si hoa boc
E/ D tat bam sinh
D90. Nguyen nhan cua benh mem xng thng do thieu:
A/ Calci
B/ Phospho
C/ Chat am
D/ Vitamin D
E/ Vitamin C
B91. Benh loang xng nguyen phat:
A/ t xay ra ni co nhieu xng xop
B/ Thng gay gay co xng ui, au di xng quay va xep ot song
C/ Xng c phu bi mot lp chat dang xng day hn bnh thng gap hang chuc lan
D/ Ch B va C ung
E/ Tat ca A, B, C ung
B92. Tren vi the can si la:
A/ Khoi mau tu
B/ Mo hat viem C/ Mo si
D/ Mo sun
E/ Mo sun si
C93. Tren X quang, loai u co hnh anh huy xng tao xng, tam giac Codman va tia loe mat tri:
A/ U lanh sun
B/ Sarcom sun
C/ Sarcom xng
D/ U ai bao xng
E/ U xng dang xng
A94. Mot thieu nien nam 15 tuoi, b tai nan giao thong lam au chan phai, nghi gay xng. Chup X quang phat hien mot
o can quang kem, gii han ro khoang 2cm vung hanh xng au di xng ui phai. Chan oan nao co nhieu
kha nang phu hp nhat:
A/ U xng dang xng
B/ U lanh sun
C/ Sarcom xng
D/ Sarcom sun
E/ U ai bao xng
E95. ieu nao KHONG UNG trong benh thoai hoa khp nguyen phat:
A/ Thng co xuat o tang dan theo tuoi
B/ Thng xay ra khp chu tai nang (khp hang, khp goi)
C/ Sun khp bong troc, e lo ban xng di sun
D/ X quang co hnh anh hep khe khp va co gai xng ra khp
E/ X quang co hnh anh hep khe khp va mat xng ra khp
A96. Mot phu n 60 tuoi c mo sinh thiet 1 khoi u nam sau vung ui phai, gii han ro, ng knh 8 cm, mat o
chac. Hnh anh vi the cua u gom cac te bao co nhan hnh thoi vi 2 au nhon, xep thanh bo bat cheo nhau nh
xng ca, t le phan bao cao. Chan oan phu hp nhat la:
A/ Sarcom si
B/ Sarcom c van
C/ Sarcom c trn

D/ Sarcom m
E/ U ac mo bao si
B97. Trong trng hp limphom khong Hodgkin dang nang loai te bao ln (limphom nang grad 3) te bao bu tang sinh
ac tnh mang kieu hnh mien dch giong vi loai te bao limpho ang giai oan biet hoa chuyen dang nao sau ay?
A/ Limpho bao B nho
B/ Nguyen tam bao
C/ Tng bao
D/ Nguyen bao mien dch B
E/ Nguyen bao limpho B

C98. Hai loai limphom khong Hodgkin thng gap nhat ngi ln (chiem khoang 50% cac limphom ngi ln) la:
A/ Limphom nang va limphom Burkitt
B/ Limphom Burkitt va limphom nguyen bao mien dch
C/ Limphom nang va limphom lan toa loai te bao B ln
D/ Limphom Burkitt va limphom nguyen bao limpho
E/ Limphom Burkitt va limphom limpho bao B nho
D99. Chan oan phan biet gia 1 hach tang san nang vi limphom khong Hodkin dang nang da vao cac ac iem:
A/ Nang tang san to nho khong eu, co vien limpho bao nho bao quanh,
B/ Nang tang san co hnh anh a dang te bao, nhieu phan bao
C/ Nang tang san am tnh vi Bcl-2
D/ Tat ca A, B, C ung
E/ Ch A va C ung
D100. Trong limphom Hodgkin kinh ien:
A/ Thanh phan tang sinh ac tnh chiem 90% the tch bu
B/ Hach b xoa cau truc va co hnh anh n dang mot loai te bao
C/ Hach co nhieu tam mam to nho khong eu
D/ Te bao Reed-Sternberg kinh ien va cac bien the tren nen te bao viem phan ng
E/ Te bao LP tren nen giau limpho bao phan ng