MDS PREP
One variant of hidebound disease is which syndrome? 
 1. Down"s syndrome
 2. Crest syndrome
 3. Greenspan"s syndrome
 4. Kleinfelter"s syndrome
                            Oral Pathology
                            Answer: 2
                            Crest syndrome is a variant of hidebound disease.
A 25-year-old woman presents with a painful, red, swollen, and tender area on the dorsum of her foot. She reports a recent injury while playing sports. The area is warm to the touch and has a well-defined border. Which of the following is the most likely diagnosis?
1) Osteomyelitis
2) Cellulitis
3) Gout
4) Plantar wart
Cellulitis is the most likely diagnosis for a painful, red, swollen area on the foot with a recent injury.
Bell"s palsy is triggered by 
 1. Exposure to cold
 2. Tooth extraction
 3. Local and systemic infection
 4. Any of the above
                            Oral Pathology
                            Answer: 4
                            Bell's palsy can be triggered by exposure to cold, tooth extraction, or infections.
Indirect chemical carcinogens differ from direct acting agents in those 
indirect agents:
1. Induce carcinogenicity without chemical transformation
2. Induce carcinogenicity after chemical transformation
3. Don’t require metabolic conversion
4. None of the above
Pathology Answer: 2
Indirect chemical carcinogens differ from direct acting agents in that they 
require metabolic activation to exert their carcinogenic effects. This means 
that indirect carcinogens must undergo a chemical transformation within the body 
before they can damage DNA and induce cancer. Direct acting carcinogens, on the 
other hand, can interact directly with DNA without the need for metabolic 
conversion. Therefore, the correct answer is:
2. Induce carcinogenicity after chemical transformation
1. Induce carcinogenicity without chemical transformation: This statement is 
incorrect for indirect chemical carcinogens. Indirect carcinogens are typically 
non-reactive or less reactive in their original form and must undergo metabolic 
activation to become DNA-reactive. This metabolic conversion is crucial for 
their carcinogenic potential.
2. Induce carcinogenicity after chemical transformation: This is the correct 
explanation. Indirect carcinogens require metabolic activation by the body's 
enzyme systems, particularly phase I enzymes such as cytochrome P450, to convert 
them into electrophilic or reactive intermediates that can interact with DNA. 
This activation process can occur in various tissues, often the liver, where 
these enzymes are present. The reactive metabolites then form DNA adducts, which 
can lead to mutations and ultimately cancer if not repaired properly by the 
cell's DNA repair mechanisms.
3. Don’t require metabolic conversion: This statement is incorrect. Indirect 
carcinogens do require metabolic conversion to become active carcinogens. It is 
the direct acting carcinogens that can interact with DNA without the need for 
such activation because they are already electrophilic or reactive in their 
original form.
Quantity of the X-ray beam is governed by 
 1. kVp
 2. mAs
 3. Filament current
 4. Length of the X-ray tube
                            Oral Pathology
                            Answer: 1
                            Quantity of the X-ray beam is governed by mAs (milliampere-seconds).
Prodromal symptomos precede 1 to 2 days before the onset of disease in 
1) Viral fever
2) Erythema multiforme
3) Pemphigus
4) Pemphigoid
                            Oral Pathology
                            Answer: 1
                            Explanation: Prodromal symptoms are early signs that precede the full onset of a disease. In the case of viral fevers, patients often experience nonspecific symptoms such as malaise, fatigue, and low-grade fever 1 to 2 days before the more specific symptoms of the viral infection appear.
Commonly used collimating device 
 1. Aluminium filter
 2. Lead diaphragm
 3. Molybdenum cup
 4. Tungsten filament
                            Oral Pathology
                            Answer: 2
                            Lead diaphragms are commonly used collimating devices.
The peripheral blood smear of a patient shows features of thalassemia, also presented with anemia. Family history is also +ve. The investigation was done to establish the diagnosis is -
1) ESR estimation
2) Blood spherocyte estimation
3) Bone marrow aspiration
4) Hb-electrophoresis
                            General Pathology
                            Answer: 4
                            Hb-electrophoresis is the investigation done to establish the diagnosis of thalassemia, as it separates different hemoglobin types based on their charge.
