Rapid Review - Set 06 - Sheet1

Question 1

Basophilic nuclear remants in RBCs

Answer 1

Howell-Jolly bodies (due to splenectomy or nonfunctional spleen)

Question 2

Basophilic stippling of RBCs

Answer 2

Lead poisoning or sideroblastic anemia

Question 3

Bloody tap on LP

Answer 3

Subarachnoid hemorrhage

Question 4

“Boot shaped” heart on x-ray

Answer 4

Tetarlogy of Fallot, RVH

Question 5

Branching G+R with Sulfur granules

Answer 5

Actinomyces Israelii

Question 6

Bronchogenic Apical lung tumor on imaging

Answer 6

Pancoast Tumor (can compress sympathetic ganglion and cause Horner’s syndrome)

Question 7

“Brown” tumor of bone

Answer 7

Hyperparathyroidism or Osteitis Fibrosa Cystica (deposited hemosiderin from hemorrhage gives brown color)

Question 8

Cardiomegaly with apical atrophy

Answer 8

Chagas’ Disease (Trypanosoma cruzi)

Question 9

Cellular crescents in Bowman’s capsule

Answer 9

Crescentic glomerulonephritis (rapidly progressive crescenteric)

Question 10

“Chocolate cyst” of ovary

Answer 10

Endometriosis (frequently involves both ovaries)

Question 11

Circular grouping of dark tumor cells surrounding pale neurofibrils

Answer 11

Homer-Wright rosettes (neuroblastoma, medulloblastoma, retinoblastoma)

Question 12

Colonies of mucoid Pseudomonas in lungs

Answer 12

Cystic fibrosis (autosomal-recessive mutation in CFTR resulting in fat-soluble vitamin deficiency and mucous plugs)

Question 13

Decreased alpha-fetoprotein in amniotic fluid/maternal serum

Answer 13

Down Syndrome or Other Chromosomal Abnormality

Question 14

Degeneration of Dorsal Column nerves

Answer 14

Tabes Dorsalis (tertiary syphilis), Subacute Combined degeneration (Dorsal columns and lateral corticospinal tracts affected)

Question 15

Depigmentation of neurons in substantia nigra

Answer 15

Parkinson’s Disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)

Question 16

Desquamated epithelium casts in sputum

Answer 16

Curschmann’s spirals (bronchial asthma; can result in whorled mucous plugs)

Question 17

Disarrayed granulosa cells in eosinophilic fluid

Answer 17

Call-Exner bodies (granulosa-theca cell tumor of the ovary)

Question 18

Dysplastic squamous cervical cells with nuclear enlargement and hyperchromasia

Answer 18

Koilocytes (HPV: predisposes to cervical cancer)

Question 19

Enlarged cells with intranuclear inclusion bodies

Answer 19

“Owl’s eye” appearance of CMV

Question 20

Enlarged thyroid cells with ground-glass nuclei

Answer 20

“Orphan Annie’s eyes” nuclei (Papillary Carcinoma of the thyroid)

Question 21

Eosinophilic cytoplasmic inclusion in liver cell

Answer 21

Mallory bodies (Alcoholic Liver Disease)

Question 22

Eosinophilic cytoplasm inclusion in nerve cell

Answer 22

Lewy Body (Parkinson’s disease)

Question 23

Eosinophilic globule in liver

Answer 23

Councilman body (Toxic or Viral Hepatitis, often Yellow Fever)

Question 24

Eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells

Answer 24

Negri bodies of Rabies (Lyssavirus)

Question 25

Extracellular amyloid deposition in gray matter of brain

Answer 25

Senile plaques (Alzheimer’s disease)

Question 26

Giant B cells with bilobed nuclei with prominent inclusions (“Owl’s Eyes”)

Answer 26

Reed-Sternberg Cells (Hodgkin’s lymphoma)

Question 27

Glomerulus-like structure surrounding vessel in germ cells

Answer 27

Schiller-Duval bodies (Yolk Sac tumor)

Question 28

“Hair on end” (crew-cut appearance on xray

Answer 28

Marrow expansion seen in Beta-Thalassemia or Sickle cell anemia

Question 29

hCG elevated

Answer 29

Choriocarcinoma, hydatidiform mole (occurs with and without embryo)