7/30/2019 Path Lab Exam I Checklist

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Path Lab Exam I Tally of Tagged Items:

Acute appendicitis (pt had nausea, vomiting, fever, and acute abd pain) Microscope slide 3Once, asked for additional lab findings of appendicitis answer was increased total WBCs w/neutrophils and band forms present

Acute glomerulonephritis Kidney biopsy, photos 3Adenomatous polyp (after segmented colon resection) 2AFP Monitor tumors for recurrence during chemo using 1AIDS prevalence Graph 1Alkaline Phosphatase, bilirubin The changes in gall bladder suggest 2

Anaplastic tumor (twice, choose the best descr. for this neoplasm) Two H&E-stained slides 3Anthracosis and squamous cell carcinoma. Once: long time smoker, resection of left upper lobe of lung after fine needle biopsy. 2

Once, smoker underwent thoracotomy and removal of right lung for malignant tumor diagnosed by FNA, 5.0cm diameter.Answer was Lung, squamous cell carcinoma; lymph nodes, anthracosis

Aorta w/atherosclerosis (twice, was atherosclerosis + thrombus) 3Apoptosis Photos 1Asthma (ON FOUR TESTS, the patient dies in the ER) Lung biopsy 5Atrophy (kidney) 3Auspitz sign Skin changes shown in photo what would be a finding? 2Basal cell carcinoma Biopsy from nose/hand/ear, photos/microscopic images 5

Bilateral leg fractures The gross path in this specimen is consistent with a 3history of (pulmonary embolus is shown)

Bile stasis (once, clues were reformed alcoholic, abd pain + jaundice) Liver biopsies 6Bronchopneumonia Lung photo 1Bullae (lung) Gross 4Candida albicans Tongue, Gram stain, germ tube test 1

Carcinoma in-situ (CIS) Diagram 2Caseous granuloma (or caseous necrosis, caseation necrosis) H&E biopsy 6

Chronic inflammation and calcification of kidney 1Cirrhosis 4Cirrhosis, carcinoma, and necrosis Autopsy liver biopsy 1Cirrhosis, infarction, and hepatocellular carcinoma (pt was jaundice) Liver biopsy 2Coagulative necrosis (Once was lung; spleen 3 times. Once, pt had angioplasty after MI and was on anti-HT drugs) Photos 7Congestion, edema, and pneumonia (75 y/o died 6 mo after MI) Lung biopsy 1Cushing syndrome Lung biopsy tumor 1Cysts (once specified kidney) 3

Dermatitis herpetiformis H&E skin biopsy, IgA stain, gross 2Diabetes Mellitus Type 1 Photos 1Diabetic lesions Type I and Type II Pancreas biopsies 3Dystrophic calcification of the aorta 1Endocarditis 2

Enzymic fat necrosis Photos, pancreas 2Fatty change (3 times, was fatty change w/o cirrhosis) Liver biopsy 4Fibroadenoma H&E-stained breast biopsy 2Glandular metaplasia region (must classify A/B/C or D as this) Barretts syndome surgical specimen photo 3

Granuloma Gross photo and microscopic image 1Granulomatous inflammation (supraclavicular lymph node) Patient w/gastric carcinoma and cavitary lung nodules 1Hashimoto disease (aka Hashimotos thyroiditis) H&E-stained thyroid biopsy 3Hemochromatosis (liver) Twice, said both organs are consistent with 5Histoplasma capsulatum Giemsa and GMS (silver) stained bronchoalveolar lavage 1

(BAL)HPV Cytology (Pap smear) 2Hyperplasia (adrenal) Photo 1

Hyperplasia (prostate) Biopsy 1Hyperplasia and carcinoma (prostate) Photos 1Hypertrophy (once- specifically heart) 2

Hypertrophy, smooth muscle (prostate + bladder) 1Hypertrophy (prostate) + hyperplasia (bladder) 1Hypertrophy (bladder) + hyperplasia (prostate) 3Infarction Which of the photographs is consistent w/infarction? 1Invasive adenocarcinoma Stomach biopsy 1

Invasive ductal carcinoma Small (

7/30/2019 Path Lab Exam I Checklist

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Melanoma (Once- pigmented mole, size of pencil eraser. Once- irreg, pigmented lesion, 13mm diameter) Photos, biopsy 4Meningioma 2Merkel cell tumor, foreign body giant cell reaction and fibrosis Slide showing re-excision of the tumor 1Metastates (liver) 1Metastatic calcification (clues: benign adenoma adj to thyroid was removed 5 years ago, has bone irregularities) Lung biopsy 1Metastatic carcinoma (liver) 4Metastatic Melanoma (twice in brain, once in ovary+bone) Photo 3MI Day #7 Photo of myocardium 3Multiple myeloma (pt suffered from constrictive cardiomyopathy, renal failure, and coagulopathy) Liver biopsy 1Neuroblastoma Abdomen tumor, kidney, & adrenal gland removed 1OraQuick HIV-1 is: a screening test for HIV-1 1

Osteoblastic bone lesions Prostate photo this disease assocd with 2Pancreatic cancer (Pt had increased scleral and skin pigmentation and abnormal liver fxn tests. Underwent ultrasound-guided 1

liver biopsy)Pemphigus vulgaris H&E skin biopsy, IgG stain 5

(Bullous skin lesion given as clue once. Once, pt had painful oral ulcers and blisters on her back blister was biopsied)

Pneumocystis Photos 2Pneumocystis jiroveci H&E stain, GMS (silver) stained bronchoalveolar lavage 1

(BAL)

Polycystic kidney 1Polycythemia This tumor/neoplasm (in kidney) is consistent with 2Polyps (colon) 1Portal hypertension treatment Both photos illustrate treament of 1Post-mortem clot Slide (from pulmonary artery at autopsy) 2Psoriasis Clinical photos, H&E skin biopsy 1

Pulmonary embolus 1Renal cell carcinoma Kidney biopsy 1

Rheumatic heart disease (Patient presents w/heart failure) Illustrations, twice was heart biopsy (Aschoff bodies shown) 4Right heart failure Gross photo, H&E section of liver (once) 4Signet ring cell adenocarcinoma (twice was stomach tumor, malignant) H&E biopsies 3

Once, answer was lung, metastatic adenocarcinoma, signet ring typeSmall cell undifferentiated carcinoma Lung biopsy 1Squamous cell carcinoma (once, answer was invasive SCC) Lung biopsy, larynx biopsy, bronchus biopsy 4Systemic Lupus Erythematosis (choose the ANA fluorescence pattern most consistent w/SLE) 1Teratoma Photos of resected ovary 1

Thrombosis (once in lung, once in aorta) 2Thrombus (once, aorta was specified) Gross image, microscopic image 5Tuberculosis Lymph node biopsy from patient w/lung nodules 2Ulcer (once- specifically stomach) Gross photos, microscopic image 5Undifferentiated tumor Best description for this neoplasm 2

Verruca vulgaris (Grossly resembled a cauliflower once. Once, hard solitary papule w/rough surface on hand.) Skin biopsy 4WT-1 (Tumor removed from kidney/adrenal area. What gene/protooncogene is commonly associated w/this tumor?) 1