Things I got wrong 22/04/2016

Question 1

Appendix visceral afferents enter the spinal cord at.

Answer 1

t10

Question 2

In an appendicectomy, what is the most likely nerve to be damaged.

Answer 2

Ilioinguinal.

Question 3

Hard metal lung disease

Answer 3

Causes interstitial pulmonary fibrosis.

Question 4

Immune cells found in broncheolavage of a hard metal lung disease patient.

Answer 4

Giant cells.

Question 5

Diffuse alveolar heamorrhage

Answer 5

Rare- but potentially fatal complication of systemic lupus. (SLE). CXR will show diffuse infiltrates.

Question 6

Plastic bronchiolitis

Answer 6

Formation of plastic gelitanous sputum. Possible collapsed lung. Found in asthma, CF,

Question 7

Bronchiolitis obliterans

Answer 7

Past bone marrow patient
CXR could be normal or show interstitial infiltrates with hyperinflation
FEV1 reduced. 
Fvc slightly reduced
FEV1/FVC reduced

Question 8

Features of sarcoidosis

Answer 8

Pleomorphic cells in a cluster with keratin pearls and intracellular bridges

Question 9

Features of TB

Answer 9

caseating necrosis

Question 10

Large cell carcinoma

Answer 10

Undifferentiated cells

Question 11

pulmonary adenoma

Answer 11

Neoplastic cells forming mucinous glands.

Question 12

Mesothelioma

Answer 12

Atypical epithelial tubules on a sarcomatous background.