High Yield Images (Dirty Medicine)

Question 1

Answer 1

negative birefringence (gout)

Question 2

Answer 2

Kayser Fleischer Ring (Wilson Disease)

Question 3

Answer 3

Kayser Fleischer Ring (Wilson Disease) copper overload, decreased ceruloplasmin

Question 4

Answer 4

Clue cells (Gardnerella Vaginosis)

Question 5

Answer 5

Kayser Fleischer Ring (Wilson Disease); copper overload, decreased ceruloplasmin

Question 6

Answer 6

Clue cells (Gardnerella Vaginosis);

Question 7

Answer 7

Aschoff bodies (Rheumatic Fever)

Question 8

Answer 8

Aschoff bodies (Rheumatic Fever); heart muscle histology

Question 9

Answer 9

Curschmann spirals (asthma); can also see Charcot-Leyden crystals

Question 10

Answer 10

Erythema Multiforme (HSV); target lesion (don’t get confused w Lyme disease - no history of camping

Question 11

Answer 11

subdural hematoma; crescent shaped; bridging veins

Question 12

Answer 12

epidural hematoma; rupture of middle meningeal artery

Question 13

Answer 13

melanoma; depth of invasion is the most important diagnostic factor

Question 14

Answer 14

Call Exner Bodies (Granulosa cell tumor

Question 15

Answer 15

Phyllodes Tumor (breast cancer); leaf-like projection

Question 16

Answer 16

Ulnar deviation and involvement of MCPs; classic in RA

Question 17

Answer 17

CT of polycystic kidney disease; at risk for brain aneurysm

Question 18

Answer 18

Neurofibrillary tangles (Alzheimer’s)

Question 19

Answer 19

Basophillic Stippling (Lead Poisoning)

Question 20

Answer 20

Rouleaux formation of RBCs (classically seen in multiple myeloma)

Question 21

Answer 21

Schiller-Duval Bodies (yolk sac tumor)

Question 22

Answer 22

Hilar adenopathy (sarcoidosis)

Question 23

Answer 23

hairy cell (hair cell leukemia)

Question 24

Answer 24

Heliotrope Rash (dermatomyositis); increased risk of malignancy

Question 25

Answer 25

Schistocytes (TTP, HUS, DIC, Aortic Stenosis)

Question 26

Answer 26

multisegment neutrophil (b12/folate deficiency)

Question 27

Answer 27

Situs Inversus (Kartagener’s Syndrome)

Question 28

Answer 28

Reed Sternberg Cell (Hodgkin’s lymphoma); CMV

Question 29

Answer 29

Lead Pipe Sign (ulcerative colitis)

Question 30

Answer 30

Lewy body (Parkinson’s and Lewy body Dementia)

Question 31

Answer 31

Thumbprint Sign (epiglotitis); H. influenza

Question 32

Answer 32

Kimmelstiel-Wilson Nodules (DM Nephropathy)

Question 33

Answer 33

teratoma; all 3 germ layers

Question 34

Answer 34

Seborrheic Keratosis; “stuck on” appearance

Question 35

Answer 35

Steeple Sign (croup)

Question 36

Answer 36

Apical Lung Cavitation (TB)

Question 37

Answer 37

Starburst appearance (osteosarcoma); onion skin is Ewing sarcoma (be able to differentiate) and mushroom is Chondrosarcoma

Question 38

Answer 38

Virchow Node; supraclavicular enlarge lymph node (underlying malignancy)

Question 39

Answer 39

Apple Core Sign (colon cancer)

Question 40

Answer 40

meningioma; don’t confuse with epidural hematoma; more dense and more white; multiple lesions is brain metastasis