Veterinary Pathology exam questions: topics, study tips and free sample questions
Updated 20 October 2026
Veterinary Pathology on the BCSE covers general and systemic pathology: cell injury, inflammation, neoplasia and the gross and microscopic lesions of disease. The published BCSE range is about 20 to 23 questions.
Topics to know in pathology
- Cell injury, necrosis and repair
- Acute and chronic inflammation
- Neoplasia: benign versus malignant and common tumours
- Gross and histological lesions by organ system
- Necropsy findings and interpretation
How to study pathology for the BCSE
- Learn lesions as a pattern plus the disease that causes it.
- Practise histology and gross images.
- Pair every lesion with the likely cause and species.
- Read every explanation and add questions you miss to a list you clear to zero.
Free pathology sample questions
Try these practice questions. Open each one to see the answer and the explanation. They are for study only. These are not official exam questions.
Question 1. Leukemia and lymphoma are related diseases. Which statement about leukemia is correct?
- Leukemia can arise from lymphoid or myeloid cells
- Leukemia occurs only in cats
- Lymphoma is the precursor to leukemia
- Leukemia originates from the thymus, lymph nodes, and spleen
- Only lymphoma originates in bone marrow
Show the answer and explanation
Answer: A. Leukemia is a malignant neoplastic disease of the WBC or RBC precursors with neoplastic cells in the bone marrow and peripheral blood. Leukemias are further distinguished according to their behaviour (acute or chronic) and their precursor cell (lymphoid or myeloid), so you will see names like Acute Lymphocytic Leukemia (ALL) or Chronic Myeloid Leukemia (CML). Lymphoma is a tumor of lymphocytes that originates mainly solid lymphoid tissues including the bone marrow, thymus, lymph nodes, and spleen. In addition, common extranodal sites include the skin, eye, CNS, testis, and bone. Lymphomas are further distinguished according to their location (multicentric, cutaneous, CNS, GI). In cats, FeLV infection is an important risk factor for both leukemia and lymphoma. FIV infected cats have a higher than expected incidence of FeLV-negative lymphomas.
Question 2. Which three diseases are all associated with type III immune reactions (antigen-antibody complex deposition)?
- Lymphocytic choriomeningitis, Keratitis sicca, Autoimmune thyroditis
- Idiopathic thrombocytopenia, Transplant rejection, Pemphigus vulgaris
- Amyloidosis, Bee sting allergy, Autoimmune hemolytic anemia
- Glomerulonephritis, Anterior uveitis, Purpura hemorrhagica
- Systemic lupus erythematosus, Vaccination reaction, Allergic bronchiolitis
Show the answer and explanation
Answer: D. Classic type III diseases include: Glomerulonephritis Hypersensitivity pneumonitis (think moldy hay) Purpura hemorrhagica (think post- strangles) and Anterior uveitis In type III reactions antigen-antibody complexes are deposited on the endothelium, stimulating complement and a neutrophilic inflammatory response and vascular damage. Look for multisystemic vasculitis.
Question 3. What is the pathogenesis of osteochondrosis in horses and pigs?
- Dietary insufficiency of vitamin D or calcium imbalance
- Sequelae of pathologic changes of juvenile osteosarcoma
- Enzootic calcinosis from consumption calcitriol-like glycosides (Cestrum diurnum)
- Primary hyperparathyroidism resulting in bone resorption
- Focal disturbances in endochondral ossification of a joint or physis
Show the answer and explanation
Answer: E. Osteochondrosis is thought to be the result of a focal disturbance in endochondral ossification. The etiology is multifactorial, including rapid growth, overnutrition, mineral imbalance, genetic influences, and cartilage trauma. Osteochondrosis is most commonly seen in young animals in the femoropatellar, tibiotarsal, fetiock, and shoulder joints. Enzootic calcinosis is caused by ingestion of plants, such as Cestrum_ diurnum, (Day-blooming jessamine) containing calcitriol-like glycosides, resulting in excessive absorption of calcium and soft tissue calcification. Dietary insufficiency of vitamin D in young, growing animals leads to rickets, which is characterized by failure of bone calcification, especially in the metaphyses of long bones. Chronic increases in parathyroid hormone due to hyperparathyroidism results in increased bone resorption and fibrous osteodystrophy, but not osteochondrosis.
Frequently asked questions
How many pathology questions are on the BCSE?
The published range for pathology is about 20 to 23 questions.
How should I study pathology for the BCSE?
Learn lesions as a pattern plus the disease that causes it. Practise histology and gross images. Pair every lesion with the likely cause and species.
Where can I practise pathology questions?
VetQ has 22 pathology practice questions, including 4 with images, with explanations. You can try it free for 48 hours.
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