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Exam (elaborations)

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  • August 2, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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SBCP Exam Latest Update @ 2024-2025
Pseudostratified ciliated columnar epithelium - Answer Respiratory Epithelium

Silver stain - Answer Pneumocystis carinii (round/crescent organisms)

pink puffer/blue bloater - Answer Emphysema/COPD

Pontiac fever - Answer Legionella pneumoniae

Alpha-1-antitrypsin deficiency - Answer Early onset pulmonary fibrosis & emphysema

Charcot-Leyden crystals - Answer Asthma

Curshmann spirals - Answer asthma

Creda bodies - Answer Asthma

Acid and alcohol fast bacilli (rods) - Answer TB

Ziel-Neelsen stain +ve - Answer TB

Ghon complex - Answer TB granulomas (Ghon focus) w/ lobar and perihilar lymph node
involvement. Reflects primary infxn or exposure.

Ghon focus - Answer Primary TB

Caseating granuloma - Answer Central necrosis; characteristic of TB and fungal
infections

Epithelioid histiocytes - Answer TB

Langhans giant cells - Answer Characteristic of granulomatous conditions, like TB.
These cells have multiple nuclei in the shape of a horseshoe. The macrophages that
form these giant cells are activated by Th1 cells.

Non-caseating granulomas - Answer Sarcoidosis

Masson bodies - Answer cryptogenic organizing pneumonia

Crocidolite - Answer Asbestos

Caplan lesions - Answer Coal worker's pneumoconiosis

Erythema nodusum, Granuloma, ACE, Hypercalcaemia - Answer Sarcoidosis

Kerley B lines - Answer Congestive heart failure/Pulmonary oedema

Heart failure cells - Answer Haemosiderin laden macrophages - pulmonary oedema

Nipple discharge, smoking, older - Answer Duct ectasia

,Blood-stained nipple discharge - Answer Intraductal papilloma

Triple assessment - Answer Clinical exam, Imaging (Mammo/US), FNA/Core biopsy

Fibroadenosis of breast - Answer Exaggeration of normal physiological changes

Breast mouse (solid, firm, well circumscribed, mobile) - Answer Fibroadenoma

Fibroadenoma can progress to what? - Answer Phyllodes tumour

Fibroblasts, histiocytes, adipocytes - Answer Fat necrosis

Breast Abscess - Answer Seen only in lactating women; otherwise cancer unless
disproven by biopsy -> I & D

Eczema around nipple - Answer Paget's disease

Paget's disease of nipple - Answer Ductal carcinoma in situ

Microcalcifications, no necrosis, premenopausal, bilateral - Answer Lobular carcinoma
in situe/ISLN

Tubule formation, cells in nests/islands - Answer Invasive ductal carcinoma

invasive ductal carcinoma - Answer most common type of breast cancer - mucinous,
tubular, medullary, papillary

indian file pattern - Answer invasive lobular carcinoma

Red infarct - Answer -Red (hemorrhagic) infarcts (see picture) occur in venous
occlusion and tissues with multiple blood supplies, such as liver, lung, and intestine;
reperfusion (e.g., after angioplasty).

-Reperfusion injury is due to damage by free radicals.

"Red = reperfusion"

Pale infarct - Answer Pale (anemic) infarcts (see picture) occur in solid organs with a
single (end-arterial) blood supply, such as heart, kidney, and spleen

Arterial thrombus - Answer Distal tissues, red, tender and swollen

Charcot-Bouchard microaneurysm - Answer associated with chronic hypertension

affects small vessels (e.g. in basal ganglia, thalamus)

Retinopathy - Answer Cotton wool spots, hard exudates, papilloedema

Malignant hypertension - Answer Malignant arteriosclerosis, fibrinoid necrosis of
arterioles, hyperplastic arterioles - onion skinning (concentric lamellae)

Onion Skinning - Answer Concentric lamellae

, Aschoff bodies - Answer Rheumatic fever

Pale focus on eosinophilic hyaline surround by lymphocytes and macrophages - Answer
Aschoff bodies (Rheumatic fever)

Anitschkow cells - Answer Contained in Aschoff bodies in myocarditis of acute
rheumatic fever

Ectocervix - Answer a portion of the canal of the uterine cervix that is lined with
squamous epithelium

Endocervix - Answer Mucin-secreting glandular epithelium

Transformation zone - Answer Junction between ectocervix and endocervix

LLETZ - Answer large-loop excision of the transformation zone

Mild CIN - Answer Affects bottom third of cervical epithelium

Moderate CIN - Answer Affects bottom two-thirds of cervical epithelium



Severe CIN - Answer Full thickness of cervical epithelium - progression to squamous
carcinoma



Koilocytosis - Answer clear halo containing a wrinkled, pyknotic nucleus --> effect of
HPV on squamous cells



Cervical glandular intraepithelial neoplasia (CGIN) - Answer Loss of mucin, apoptotic
bodies - progresses to adenocarcinoma



HPV-6 and HPV-11 - Answer Low risk types of HPV



HPV 16 and 18 - Answer High risk types of HPV



Polypoid, friable mass arising in transformation zone, cells invading stroma - Answer
SCC



Endocervix not visible on colposcopy - Answer Adenocarcinoma

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