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ASRB NET and ARS / SMS / STO Systemic Veterinary Pathology: practice questions

ASRB NET and ARS / SMS / STO (Agricultural Scientists Recruitment Board) · India · Agricultural Scientists Recruitment Board

Original practice questions written to the published syllabus · not past papers
10worked here, free
49written to this exam in this subject
12syllabus units

What this subject covers

Lesions organ system by organ system, plus the pathology of nutritional and production diseases.

In the exams: ICAR AICE-JRF core group 06; ICAR AIEEA-PG 13 (Pathology)

Where the 49 questions fall

How our questions for ASRB NET and ARS / SMS / STO spread across the units of Systemic Veterinary Pathology. Difficulty: 17 easy, 27 medium, 5 hard.

Pathology of the gastrointestinal tract5
Pathology of the nervous system5
Nutritional pathology5
Pathology of the cardiovascular system4
Pathology of the liver4
Pathology of the urinary system4
Pathology of the musculoskeletal system4
Pathology of the reproductive system4
Pathology of the endocrine system4
Production pathology4
Pathology of the respiratory system3
Pathology of the skin3

10 practice questions, worked

Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.

1 · Pathology of the cardiovascular system · easy

The term 'nutmeg liver' describes which lesion?

  1. Chronic passive congestion of the liver from right-sided heart failure
  2. Diffuse hepatic lipidosis from negative energy balance in late pregnancy
  3. Multifocal hepatic necrosis from bacteraemia
  4. Biliary cirrhosis from chronic fasciolosis
Answer and working

A. Chronic passive congestion of the liver from right-sided heart failure

Right-sided failure raises central venous pressure, so centrilobular sinusoids stay congested (dark) while periportal tissue is pale or fatty, giving a nutmeg pattern on the cut surface. Lipidosis makes the whole liver uniformly yellow and greasy, not mottled in a lobular pattern.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

2 · Pathology of the cardiovascular system · medium

In cattle, bacterial valvular endocarditis most often involves which valve?

  1. Left atrioventricular (mitral) valve
  2. Right atrioventricular (tricuspid) valve
  3. Aortic valve
  4. Pulmonary valve
Answer and working

B. Right atrioventricular (tricuspid) valve

In cattle the tricuspid valve is the classic site, often with Trueperella pyogenes, and septic emboli then go to the lungs. The mitral valve is the usual site in dogs and pigs, which is the common mix-up.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

3 · Pathology of the respiratory system · medium

Coagulation necrosis bordered by streaming, oat-shaped leucocytes in a fibrinous bronchopneumonia of a recently transported steer is typical of:

  1. Mycoplasma bovis infection
  2. Dictyocaulus viviparus (lungworm)
  3. Bovine respiratory syncytial virus
  4. Mannheimia haemolytica
Answer and working

D. Mannheimia haemolytica

Leukotoxin of Mannheimia haemolytica kills leucocytes, which become elongated 'oat cells' at the edge of necrotic foci in shipping fever. Mycoplasma bovis gives caseonecrotic bronchopneumonia; lungworm causes caudodorsal bronchitis; BRSV causes bronchiolitis and interstitial pneumonia.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

4 · Pathology of the gastrointestinal tract · easy

Wooden tongue in cattle is caused by:

  1. Actinomyces bovis
  2. Fusobacterium necrophorum
  3. Actinobacillus lignieresii
  4. Dermatophilus congolensis
Answer and working

C. Actinobacillus lignieresii

Actinobacillus lignieresii causes pyogranulomatous inflammation of soft tissue, notably the tongue. Actinomyces bovis causes lumpy jaw, an osteomyelitis of the mandible; the two are often confused.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

5 · Pathology of the gastrointestinal tract · medium

Johne's disease in cattle is characterised microscopically by:

  1. Suppurative crypt abscesses with neutrophils and sloughing of the overlying villous epithelium
  2. Crypt necrosis with intranuclear inclusions
  3. Eosinophilic enteritis with larval nematodes
  4. Granulomatous enteritis with sheets of epithelioid macrophages holding acid-fast bacilli
Answer and working

D. Granulomatous enteritis with sheets of epithelioid macrophages holding acid-fast bacilli

Mycobacterium avium subspecies paratuberculosis persists in macrophages, producing diffuse granulomatous enteritis and lymphangitis, most marked in the ileum. Crypt necrosis with inclusions points to parvovirus, and suppurative crypt abscesses occur in salmonellosis or swine dysentery.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

6 · Pathology of the liver · medium

Centrilobular hepatic necrosis is the usual pattern after toxic injury because zone 3 hepatocytes:

  1. Receive the most blood from the hepatic artery
  2. Contain no glycogen
  3. Are exposed first to toxins entering from the portal vein and hepatic artery
  4. Have the lowest oxygen supply and the highest cytochrome P450 activity
Answer and working

D. Have the lowest oxygen supply and the highest cytochrome P450 activity

Blood flows from portal areas to the central vein, so centrilobular cells get the least oxygen and they hold most P450 enzymes that activate toxins such as carbon tetrachloride. Toxins that act without metabolic activation hit periportal cells first, the opposite pattern.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

7 · Pathology of the liver · medium

Megalocytosis of hepatocytes with bile duct hyperplasia and portal fibrosis in a horse grazing weedy pasture most strongly suggests poisoning by:

  1. Aflatoxin B1 in mouldy grain or contaminated groundnut meal
  2. Pyrrolizidine alkaloids from plants such as Senecio
  3. Carbon tetrachloride
  4. Fumonisin B1
Answer and working

B. Pyrrolizidine alkaloids from plants such as Senecio

Pyrrolizidine alkaloids are metabolised to pyrroles that cross-link DNA and stop hepatocytes dividing, so cells enlarge (megalocytes) as the liver fibroses. Fumonisin in horses mainly causes leukoencephalomalacia; aflatoxin can cause megalocytes in some species, but the weedy-pasture history and fibrosis fit pyrrolizidines.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

8 · Pathology of the nervous system · medium

Hansen type I intervertebral disc disease occurs typically in:

  1. Old non-chondrodystrophic large breeds only, such as the German shepherd
  2. Chondrodystrophic breeds such as the dachshund
  3. Young horses with wobbler syndrome
  4. Cattle with copper deficiency
Answer and working

B. Chondrodystrophic breeds such as the dachshund

Type I is acute extrusion of a degenerated, often mineralised nucleus pulposus in chondrodystrophic breeds. Type II, a slow protrusion of the annulus, is typical of older non-chondrodystrophic dogs.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

9 · Pathology of the endocrine system · easy

The most common cause of spontaneous hyperadrenocorticism in dogs is:

  1. A functional pituitary corticotroph adenoma or hyperplasia (pituitary-dependent)
  2. A functional adrenocortical carcinoma or adenoma secreting cortisol (adrenal-dependent) independently of ACTH
  3. Phaeochromocytoma
  4. Immune-mediated adrenalitis
Answer and working

A. A functional pituitary corticotroph adenoma or hyperplasia (pituitary-dependent)

About 80-85% of canine Cushing's syndrome is pituitary-dependent, with both adrenal cortices hyperplastic from ACTH excess. Adrenal tumours account for the rest; immune-mediated adrenalitis causes the opposite disease, hypoadrenocorticism.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

10 · Production pathology · medium

Ascites in fast-growing broiler chickens is primarily the result of:

  1. Liver cirrhosis from dietary aflatoxin causing portal hypertension and fluid leakage into the abdomen
  2. Kidney failure with visceral gout
  3. Pulmonary hypertension causing right ventricular hypertrophy and right heart failure
  4. Protein deficiency causing hypoalbuminaemia
Answer and working

C. Pulmonary hypertension causing right ventricular hypertrophy and right heart failure

High oxygen demand and relatively small lungs raise pulmonary arterial pressure; the right ventricle hypertrophies and fails, causing ascites and congested liver. Aflatoxin can cause liver disease but is not the usual cause of broiler ascites.

Further reading: Zachary JF, Pathologic Basis of Veterinary Disease, 7th ed.

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Read the subject

Systemic Veterinary PathologyThe full study manual, free ASRB NET and ARS / SMS / STOFormat, sections and how it has changed

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Systemic Veterinary Pathology for other exams

ENADE · BrazilNational Veterinary Examination · JapanRPSC Veterinary Officer · IndiaTNPSC Animal Husbandry & Veterinary Science, Code 396 · IndiaAustralasian Veterinary Examination, formerly the National Veterinary Examination · Australia / New ZealandBCSE · USA / CanadaNAVLE · USA / CanadaPAVE and its QSE · USARCVS Statutory Membership Examination · UK

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