ASCUS Anything!
Breathe, Just Breathe
Urine It to Win It
Body-ody-ody Fluids
It's all In Your Heeaaaaad
The Breast is Yet to Come
100

What term is best used to denote these cells?

Clue cells

100

The adequacy of bronchoalveolar lavage is established by finding which of the following cells in the specimen?

Pulmonary macrophages

100

This urine specimen is collected from a patient with a clinical history of urothelial carcinoma, and it shows many degenerated cells. What is the most likely interpretation?

Ileal conduit specimen

100

Most common cause of so called eosinophilic pleural effusions

Pneumo/hemothorax

100

Minimum amount of CSF that may be examined by cytology.

1.0 mL

100

This 42-year-old woman developed a right breast mass after a recent car accident. Fine-needle aspiration of the mass was performed, and the smear is shown here. What is the diagnosis?

Fat necrosis

200

This cervical smear was obtained from a 23-year-old sexually active nulliparous woman. What is the correct diagnosis?

Low-grade squamous intraepithelial lesion (LSIL)

200

Which of the following gene mutations is a predictor of lack of response to EGFR tyrosine kinase inhibitor (TKI) therapy?

KRAS

200

A 48-year-old man presents for follow-up surveillance for urothelial carcinoma. Voided urine sample was obtained and shown here. What do the cells represent?

High-grade urothelial carcinoma

200

What are these cells?

Mesothelial cells

200

CSF in patient w/ fever, headache. The next ancillary test you would perform.

Flow cytometry (lymphocytosis)

200

This is a Pap-stained smear from a 68-year-old woman with a breast mass. What is the diagnosis?


Invasive ductal carcinoma

300

What are these cells in a Pap smear obtained from a 47-year-old woman?

High-grade squamous intraepithelial lesion (HSIL) cells

300

A 39-year-old HIV-positive man presents with dry cough, fever, and dyspnea. Bronchioalveolar lavage is performed and shown in this Pap-stained smear. What is the correct diagnosis?

Cryptococcus

300

What do these cells in a voided urine sample represent?

Polyoma virus inclusion

300

Pelvic wash: F patient, hysterectomy for endometrial adenocarcinoma. A negative IHC for *** supports metastatic endometrial adenocarcinoma over endometriosis.

ARID1A (loss of expression maybe important in tumor progression of endometrioid carcinoma...)

Both (+) for PAX8, vimentin, (-) for CD10

300


Chondrocyte

300

A 32-year-old woman presents with a 2.0 cm movable rubbery right breast mass. A fine-needle aspiration is performed and the smear is shown. What is the correct diagnosis?

Fibroadenoma

400

This Pap smear was obtained from a 38-year-old woman. What is the diagnosis?

Trichomonas vaginalis

400

What is the diagnosis of this cell group from a bronchial washing specimen?

Adenocarcinoma

400

This bladder washing is collected from a 56-year-old man with hematuria. What is the correct interpretation?

Benign/reactive changes

400

39F w/ fatigue, ascites, R pleural effusion (above). Large ovarian mass. Most likely Dx of ovarian mass?

Fibroma (Meigs/Demons-Meigs syndrome)

400

CSF from 43yo. Most likely CNS neoplasm?

GBM

400

What is the diagnosis of this breast fine-needle aspiration smear?

Invasive lobular carcinoma

500

What is the correct diagnosis of this Pap smear obtained from a 62-year-old postmenopausal woman?

Atrophy

500

These cells are seen on a bronchoalveolar lavage specimen from a 45-year-old woman with marked acute respiratory distress and diffuse lung infiltrates. What is the most likely interpretation?

Reactive type II pneumocytes

500

What are these red cytoplasmic inclusions?

Melamed-Wolinska bodies

500

62F, L sided pleural effusion & multiple lung nodules.

Rheumatoid pleuritis

500

Ventricular CSF from 16M p/w 3v/suprasellar mass, IHC = SALL4+

Germinoma

500

What is the correct interpretation of this breast fine-needle aspiration smear?

Usual ductal hyperplasia

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