Science Quiz / Rapid Review Step1 Classic Labs/Findings

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Can you name the Rapid Review Step1 Classic Labs/Findings

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Lab/Diagnostic FindingName/Diagnosis
novobiocin sensitive
glomerulus-like structure surrounding vessel in germ cells
RBC casts in urine
Anti-Glomerular Basment membrane antibodies
disarrayed granulosa cells in eosinophilic fluid
apple core lesion on abdominal xray
monoclonal antibody spike, general
liniear IgG deposition on glomerular basement membrane
WBC casts in urine
bloody tap on LP
anti-topoisomerase antibodies
dysplastic squamous cervical cells with nuclear enlargement and hyperchromasia
nutmeg liver
antimitochondrial antibodies (AMA)
hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower lungs, may be calcified
mucin filled cell with peripheral nucleus
rib notching
renal epithelial casts in urine
Antidesmoglein (epithelial) antibodies
lytic hole punch bone lesions on xray
Azurophilic peroxidase positive granular inclusions in granulocytes and myeloblasts
Calcified whorls on histo
Mamary gland blue domed cyst
eosinophilic cytoplasmic inclusion in LIVER cell
desquamated epithelium casts in sputum
brown tumor of bone
basophilic nuclear remnants in RBCs
circular grouping of dark tumor cells surrounding pale neurofibrils
optochin sensitive
tramtrack appearance of capillary loops of glomerular basement membrane on LM
enlarged thyroid cells with ground glass nuclei
low serum ceruloplasmin
keratin pearles on skin biopsy
Hypertension, hypokalemia, metabolic alkalosis
eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells
hexagonal, doublepointed, needle like crystals in bronchial secretions
lumpy bumpy appearance of glomeruli on immunofluorescence
Hair on end crew cut appearance on xray
Lab/Diagnostic FindingName/Diagnosis
tennis racket shaped cytoplasmic organelles by EM in langerhan's cells
honeycomb lung on xray or CT
pseudopalisading tumor cells on brain biopsy
Anti-endymysial Antibodies
degeneration of dorsal column nerves
smudge cells (WBCs)
heart nodules (granulomatous)
large lysosomal vesicles in phagocytes
stacks of RBCs
triglyceride accumulation in liver cell vacuoles
depigmentation of neurons in substantia nigra
anti-transglutaminase Antibodies
cellular crescents in bowman's capsule
protein aggregates in neurons from hyperphosphorylation of protein Tau
giant B cells with bilobed nuclei with prominent inclusions ('owl's eye')
narrowing of bowel lumen on barium xray
spikes on BM and dome like subepithelial deposits
silver staining spherical aggregation of tau proteins
Sheets of medium sized lymphoid cells with scattered pale tingible body0laden macrophages ('starry sky')
Anticentromere Antibodies
Hypersegmented neutrophils
antiplatelet antibodies
weakly acid fast branching rods
Yellow CSF
decreased AFP in maternal serum/amniotic fluid
boot shaped heart on xray
Increased uric acid
bronchogenic apical lung tumor on imaging
heterophile antibodies
Bacitracin Sensitive
necrotizing vasculitis in the lungs and necrotizing glomerulonephritis
thrombi made of white/red layers
nodular hyaline deposits in glomeruli
Bacitracin Negative
podocyte fusion/effacement on EM
Basophilic stippling of RBCs
iron-containing nodules in alveolar septum
rectangular crystal-like cytoplasmic inclusions in Leydig Cells
Lab/Diagnostic FindingName/Diagnosis
hypercoagulability leading to migrating superficial thrombophlembitis, DVTs, vasculitis…
rhomboid crystals, positively birefringent
monoclonal antibody spike, IgA or IgG
onion skin periosteal reaction
periosteum raised from bone, creating triangular area
branching gram positive rods with sulfur granules (yellow)
wire loop clomerular capillary appearance on LM
chocolate cyst of ovary
stippled vaginal epithelial cells
optochin resistant
anti-IgG antibodies
thyroid like appearance of kidney
colonies of mucoid pseudomonas in lungs
thumb sign on lateral xray of neck
ring enhancing brain lesion in AIDs
Bamboo Spine on x-ray
elevated hCG but not pregnant
soap bubble in femor or tibia on xray
hypochromic microcytic anemia
intranuclear eosinophilic droplet like bodies
High D-Dimer
anti-histone antibodies
novobiocin resistant
polished, ivorylike appearance of bone at cartilage erosion
extracellular amyloid deposition in gray matter of brain
Anti-gliadin Antibodies
Increased AFP in maternal serum/Amniotic fluid
monoclonal antibody spike, IgM
enlarged cells with intranuclear inclusion bodies
eosinophilic globule in liver
Anti-Nuclear Antibody (ANA)
lead pipe appearance of colon on bariam enema xray
eosinophilic cytoplasmic inclusion in nerve cell
needle shaped, negatively birefringent crystals
cardiomegaly with apical atrophy
waxy casts with low urine flow

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