Science Quiz / USMLE First Aid Rapid Review - Classic Labs / Findings

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Can you name the USMLE First Aid Rapid Review - Classic Labs / Findings?

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Clinical presentationDiagnosis / diseasecharacteristic features
Polished, “ivory-like appearance of bone at cartilage erosion
“Thumb sign” on lateral x-ray
Stacks of red blood cells
Cellular crescents in Bowman’s capsule
Hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower lung lobes (can calcify)
Bronchogenic apical lung tumor
Monoclonal globulin protein in blood / urine (κ or λ Ig chains)
Increased uric acid levels (HGPRT deficiency)
Azurophilic granular needles in leukemic blasts
Enlarged cells with intranuclear inclusion bodies
Low serum ceruloplasmin
Hypochromic, microcytic anemia (stippling)
Eosinophilic cytoplasmic inclusion in nerve cell
“Chocolate cyst” of ovary
High level of D-dimers
Antiplatelet antibodies
Heart nodules (inflammatory)
Silver-staining spherical aggregation of tau proteins in neurons
RBC casts in urine
Bamboo spine on X-ray
Increased uric acid levels (lymphomas)
Anti-transglutimnase / antigliadin / anti-endomysial antibodies
Antidesmoglein (epithelial) antibodies
Hypochromic, microcytic anemia (bleeding)
“spikes” on basement membrane, “dome-like” endothelial deposits
Monoclonal globulin protein in blood / urine (IgM)
Giant B cells with bilobed nuclei with prominent inclusions (“owl’s eyes”)
Enlarged thyroid cells with ground-glass nuclei
Colonies of mucoid Pseudomonas in lungs
Rectangular, crystal-like, cytoplasmic inclusions in Leydig cells
Triglyceride accumulation in liver cell vacuoles
Mucin-filled cell with peripheral nucleus
Iron-containing nodules in alveolar septum
Monoclonal antibody spike (M proteins = IgM)
Clinical presentationDiagnosis / diseasecharacteristic features
“wire-loop” glomerular appearance on LM
Eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells
Hypersegmented neutrophils
Basophilic stipping of RBCs
Narrowing of bowel lumen on barium radiograph
Stippled vaginal epithelial cells
Bloody tap on LP
Increased α-fetoprotein in amniotic fluid / maternal serum
“Hair-on-end” (crew cut) appearance on x-ray
Anti-neutrophil cytoplasmic antibodies
“Tram-track” appearance on LM
Thrombi made of white / red layers
WBCs that look “smudged”
Rib notching
“Nutmeg” appearance of liver
Cardiomegaly with apical atrophy
Disarrayed granulosa cells in eosinophilic fluid
Monoclonal antibody spike (AL)
Lumpy-bumpy appearance of glomeruli on immunofluorescence
Antihistone antibodies
Increased uric acid levels (hypertension)
Monoclonal antibody spike (normal consequences of aging)
Mammary gland (blue-domed) cyst
Thyroid-like appearance of kidney
Anti-glomerular basement membrane antibodies
Intranuclear eosinophilic droplet-like bodies
Desquamated epithelium casts in sputum
Antinuclear antibodies (ANAs: anti-Smith and anti-dsDNA)
Anti-topoisomerase antibodies
Sheets of medium-sized lymphoid cells (“starry sky” appearance on histology)
Monoclonal antibody spike (M protein = usually IgG or IgA)
Circular grouping of dark tumor cells surrounding pale neurofibrils
“Tennis-racket” shaped cytoplasmic organelles (EM) in Langerhans cells
Rhomboid crystals, positive birefringent
Clinical presentationDiagnosis / diseasecharacteristic features
Anticentromere antibodies
Hypochromic, microcytic anemia (abnormal hemoglobin)
“Soap bubble” in femur or tibia on x-ray
“boot shaped heart on X-ray
Lytic (hole-punched) bone lesions on x-ray
Honeycomb lung on x-ray
Glomerulus-like structure surrounding vessel in germ cells
Dysplastic squamous cervical cells with enlargement and hyperchromasia
Pseudopalisading tumor cells on brain biopsy
Branching gram-positive rods with sulfur granules
Yellow CSF
Depigmentation of neurons in substantia nigra
Needle-shaped, negatively birefringent crystals
Elevated hCG
Hexagonal, double-pointed, needle-like crystals in bronchial secretions
Extracellular amyloid deposition in gray matter of brain
Podocyte fusion on EM
Anti-mitochondrial antibodies
Anti-IgG antibodies
“Brown” tumor of bone
Increased uric acid levels (arthritis)
Renal epithelial casts in urine
Nodular hyaline deposits in glomeruli
Eosinophilic cytoplasmic inclusion in liver cell
Basophilci nuclear remnants in RBCs
“Onion-skin” periosteal reaction
Large lysosomal vesicles in phagocytes, immunodeficiency
Heterophile antibodies
Eosinophilic globule in liver
Periosteum raised from bone, creating triangular area
Degeneration of dorsal column nerves
Protein aggregates in neurons from hyperphosphorylation of protein tau

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Created May 3, 2011ReportNominate

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