‫بسم اللہ الرحمن الرحیم‬

BLOCK 1
Station # 1
History:
A 50 year old man
presented with a
brain tumor.

Questions:
1. Give 3 gross features (3)
2. Give 3 microscopic features (3)
3. What’s the most likely diagnosis (2)
4. Enlist 4 other brain tumors (2)
Station # 2

A six month child was brought to the

hospital with an eye tumor. The tumor was
excised and submitted for histopathological
evaluation.

1. Give 2 microscopic features (2)

2. What’s the most likely diagnosis (2)
3. Give it’s pathogenesis (2)
4. Enlist 4 other common eye tumors
(2)
 Station # 3

old woman presented with headaches and diplopia. CT brain showed a big mass in the frontal area touching

Questions:

1. Give 3 microscopic features (3)

2. What’s the most likely diagnosis
(2)
3. Give 3 complications of the
tumor(3)
4. Give 2 other tumors where you
may see such microscopic findings
(2)
 Station # 4

A 23 year old female student presented with neck swelling. The FNAC of the lymph node showed this

Questions:
1. Give 3 microscopic features (3)
2. From where this tumor has metastasized to
the lymph node ? (2)
3.Enlist 3 other tumors of that primary organ
(3)
4.What’s your diagnosis (2)
Station # 5

History: A 2 year old child presented

with this tumor in the adrenal
medulla impeaching the upper pole
of the kidney. The FNAC of the
tumor showed this picture

Questions:
1. Give 2 microscopic features (4)
2. What’s your diagnosis? (2)
3. What chemical test you will like to perform
on his urine to confirm the diagnosis? (2)
4. How will you collect the specimen for the
test? (2)
STATION 6

1). Identify the condition.

2). What is most probable cause?
3). How can you prevent this condition?
STATION # 7
A young boy bitten by dog brought in
emergency department of AIMS hospital.
Physical examination revealed scratches on
his face and neck with oozing of blood,
biting dog was not traced and no H/O anti
rabies vaccination

•Write down types of rabies vaccine.

(2)
•Enlist the management of above
case. (4)
•write down type ,dose,route,site and
schedule of rabies vaccine in above
case.(4)
BLOCK 2
 Station # 8

History
A 46 year old smoker man developed an ill defined lesion in the carina region of the trachea of the lun

Questions:
1. What’s your diagnosis (1) SMALL CELL
CARCINOMA
2.Give 3 microscopic features (3) SMALL
BLUE CELLS,NEUROENDOCRINE
CELLS ORIGIN AND HIGH MITOTIC
ACTIVITY

3. Give 3 different clinical presentations

including paraneoplastic syndromes
(6) SIADH,CUSHING
SYNDROME,EATON-LAMBORT
SYNDROME
 Station # 9
History:
A 67 year old smoker man presented with
productive cough for last six months. X-Ray
revealed a lung mass near carina. The mass
was excised and submitted for
histopathology.

Questions:
1. Give 3 microscopic features (3)
SMALL BLUE CELLS,I.C
BRIDGESAND KERATIN
PEARLS
2. What’s your diagnosis? (2)
SQUAMOUS CELL
CARCINOMA
3. Enlist 5 other malignant lung
lesions (5) LARGE
CELL,CARCINOID,BRONCHOA
LVEOLAR,METASTASIS,SQUA
MOUS CELL CARCINOMA
Station # 10

History:
A 48 year old man presented with malaise, weight loss and persistent vomiting.
Ultrasound revealed a mass in the pyloric region of the stomach which was excised and su

Questions:
1. Give 3 microscopic features (1.5)
SIGNET
CELLS,DYSPLASIA,INFLAMMAT
ORY CELLS
2. What’s your diagnosis (2) SIGNET
CELLS CARCINOMA
3. How will you grade this lesion (2)
TNM
4. How will you stage this lesion (2)
5. Give 2 other malignant lesions of the
stomach (1.5)
ADENOCARCINOMA,LYMPHOM
A,GIST
 Station # 11

History:
A 35 year old lady lost significant
weight and developed diarrhea.
Ultrasound revealed a focal lesion in
duodenum. Endoscopic FNAC
revealed atypical monotonous
lymphocytes. A segment of small
bowel resected and sent for
histopathology
Questions:
1. Give 2 gross findings (2)
yellow tan appearance, maybe deeply
infiltrative

2. Give microscopic findings (2)

nest of small blue cells,arranged in
trabeculae OR sheets
.
3. What’s your diagnosis (2)
Carcinoid tumor
4. Enlist 4 other neoplasms of small intestine
(4)
lymphomas,GIST,ADENOCARCINOMA,
ADENOMA
 Station # 12

History:
A 35 year old man presented with a
central bronchial lesion which was
excised and sent for histopathological
evaluation
Questions:
1. Give 3 microscopic features (3) NEST
CELLS APPEARANCE,LOW
MITOTIC ACTIVITY,WELL
DIFFERENTIATED
2. What’s your diagnosis? (2)
CARCINOID
3. Where else you see this type of lesion?
(2) SMALL AND LARGE INTESTINE
4. Give 3 associated symptoms
(3) DIARRHEA,FLUSHING
&WHEEZING
 Station # 13

A three years old boy was brought to the emergency department

of Abbas Institute of Medical Sciences with history of fever,
running nose, watering from eyes, rash on face and upper chest,

a).Give your diagnosis MEASLES

b).What is the source of infection? PARAMYXOVIRUS
c). Mode of transmission. DROPLET INFECTION
d). Incubation period. 10-14 DAYS
e).Write down vaccination schedule for this disease if any?
EPI:9 MONTHS FOR MEASLES, MMR I 12-15 MONTHS, MMR II 4-6
YEARS
 Station # 14

Explain the following triad for Tuberculosis .

HOST:IMMUNO
COMPROMISED
INDIVIDUALS

ENVIRONMENT:
OVERCROWDIN
G,POOR
SANITATION,PO AGENT:M.TUBE
OR RCULOSIS
SOCIOECONOMI
C STATUS
 Station # 15
A forty years old man who is a sandblaster by
profession presented to you in outpatient
department with history of cough, shortness of
breath, his chest radiograph shows dense nodular
opacities in lungs especially upper zone.

a) What is most likely diagnosis? SILICOSIS

b) Name its causative agent? SILICA
c) Enlist levels of prevention from such
conditions?
MEDICAL MEASURES,ENGINEERING
MEASURES,LEGISLATION
BLOCK 3
 Station # 16

History:
A 15 year old boy presented with a swelling in
the lower femur. The FNAC revealed highly
atypical cells. An amputation was done. The
specimen was submitted for microscopic
evaluation.

Questions:
1. Give 3 gross findings (3)
2. Give 3 microscopic findings (3)
3. Enlist 4 other malignant tumors of the bone (4)
 Station # 17

A 2 yr old boy presented with

pancytopenia. He is diagnosed as
ALL.

Questions:
1. Describe the morphology of
blast cells (4)
2. What cytochemical reaction
are expected (2)
3. How will you treat him
(phases) (2)
4. Whats prognosis of ALL? (2)
 Station # 18

Kaleem Ahmad presented with bleeding. He is

diagnosed as a case of AML 3

QUESTIONS:
1. Describe the morphology of the blast cells (3)
2.Which specific complication is associated with
this disease (2)
3. Which cytogenic abnormality is found in this
case (3)
4.What’s specific treatment for this disease (2)
 Station # 19

Abdur Rashid having weakness and

weight loss and early satiety at the age
of 45. He had mild splenomegaly

Questions:
1. What’s your diagnosis? (4)
2.Which cytogenetic abnormality is seen in
95% of such patients? (2)
3. Whats’ the expected basophil count of
this patient? (2)
4.How will you treat this patient? (2)
Station # 20

History:
A 8 year old boy presented with difficulty in standing
and walking. His serum creatinine was very high and
a skeletal muscle biopsy showed this picture

Questions:
1. What’s your presumptive diagnosis? (2)
2. Give 2 gross physical features (2)
3. Give 3 microscopic features (3)
4. What’s the course of the disease (3)
 STATION # 21
• aIdentify the diagram (2)
• b- What is the effect of
incidence rate on
prevalence (4)
• c- What do you
understand by
prevalence and
incidence (4)
BLOCK 4
Station # 22

A 55 year old man presented with hematuria. The Urine Cytology

revealed atypical cells. Cystoscopy revealed a bladder tumor which was
subsequently excised and submitted for microscopy examination.

Questions:
1. Give 2 microscopic features (2)
2. What’s your diagnosis? (2)
3. Enlist 4 other malignant tumors of
bladder (4)
4. Which parasitic infection is
associated with one type of bladder
carcinoma? (2)
Station # 23

History:
A 54 year old man presented with painless
hematuria. Urine cytology revealed atypical
cells. The kidney was excised and the sections
of tumor histopathology showed this
morphology.

Questions:
1. Give 3 gross findings (3)
2. Give 3 microscopic findings (3)
3. Give 2 risk factors for this tumor (2)
4. What are the contents in these tumor cells and
how would you confirm? (2)
Station # 24

History:
A mother brought her 3 year
old son with a large
abdominal mass which
turned out to be arising from
his kidney. The FNAC
showed a small blue cell
tumor. The mass was excised
and submitted for
microscopy.

Questions:
1. Give 3 important microscopic
features (3)
2. What’s your diagnosis? (2)
3. Give 5 small blue cell tumors (5)
 Station # 25
:History
A 45 year old man presented with severe throwing headache
for many years. His temporal artery on one side was excised and
submitted fro microscopy

:Questions
1. Give one gross finding (2)
2. Give 3 microscopy findings (3)
3. Classify vasculitis giving one example of each type (5)
Station # 26

History:
A 43 year old lady presented abnormal vaginal discharge. The uterine
cervix was found to have erosions. A biopsy was taken

Questions:
1. Give 3 microscopic findings (3)
2. What’s your diagnosis (2)
3. How can we prevent this disease (3)
4. Give etiological factors (2)
 Static station-27

A-label the diagram. (06)

B--Write down schedule of routine ANC visits (04)
 Static station-28

A-Identify the surgical procedure

shown in figure.(2)
B-Write down the complication of
this surgical procedure (2)
C-Enlist barrier method of family
planning (4)
 Static station-29

A-Identify the diagram. (2)

B-Enlist hormonal
methods of contraception
(6)
C-Which type of
contraceptive pills can be
given to lactating mother
(2)
 Static station -30
• A-Identify diagram and
define it.(4)
• B-Write down factors
influence population
growth. (2)
• C-What do you
understand by
dependency ratio (4)