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OUMC Pathologic Descriptions Cellular or Tissue Alteration Questionnaire

 

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For each of the following pathologic descriptions, select the most likely pattern of cellular or tissue alteration:

1. Trauma to the left breast occurs to a 40-year-old woman. A month later there is a palpable firm mass in this breast

2. Ischemic injury to the central nervous system from left internal carotid arterial occlusion is suffered by a 62-year-old man:

3. A 45-year-old man has a left upper lobe 2 cm “coin lesion” on chest radiograph that is found to be a granuloma microscopically

4. The endocervical biopsy in a 33-year-old woman demonstrates the presence of squamous epithelium

5. Bronchoscopy with biopsy from the left lower lobe in a 52-year-old man with a 20 pack year smoking history shows bronchial squamous epithelium

6. A 40-year-old HIV positive man is unable to care for himself, and is also exhibiting both a loss of motor control as well as decreased mentation. A CT scan of the head shows no evidence for a mass lesion, with no edema or hemorrhage noted. He is afebrile

7. A 23-year-old HIV positive woman has developed superficial erosions of her fingernails over the past few months. Her CD4 count is 515/microliter:

8. Tan to yellow plaque-like areas are noted on the lateral aspects of the tongue of a 34-year-old HIV positive woman. Her CD4 count is 425/microliter:

9. Meningeal signs including a stiff neck with headache are noted in a 39-year-old HIV positive man, who has had a fever for the past three days. A lumbar puncture is performed and the opening pressure is increased. There are only a few WBC’s in the CSF. The India ink preparation on the CSF is positive

10. A reticulonodular pattern is seen on chest radiograph in a 48-year-old HIV positive man who has had a chronic cough with fever for several months. Some of the larger lesions involving the upper lobes show cavitation. There is mediastinal and hilar lymphadenopathy