USMLE Forum Archives - USMLE Step 1 - lym1
lym1
babbu5508 - 04-30-11 23:38
A patient undergoing chest x-ray following an automobile accident is found to have an enlarged mediastinum with bilateral hilar and right
paratracheal adenopathy. The patient has been asymptomatic, but careful examination demonstrates an enlarged cervical lymph node. This
node is biopsied and demonstrates involvement by smalI, non-caseating granulomas.
Occasional giant cells with stellate inclusions are seen within the granulomas. These are most likely which of the following?
/ A. Anitschkow cells
/ B. Aschoff bodies
/ C. Asteroid bodies
/ D. Paget's cells
/ E. Schaumann's bodies
babbu5508 - 04-30-11 23:38
A patient undergoing chest x-ray following an automobile accident is found to have an enlarged mediastinum with bilateral hilar and right
paratracheal adenopathy. The patient has been asymptomatic, but careful examination demonstrates an enlarged cervical lymph node. This
node is biopsied and demonstrates involvement by smalI, non-caseating granulomas.
Occasional giant cells with stellate inclusions are seen within the granulomas. These are most likely which of the following?
/ A. Anitschkow cells
/ B. Aschoff bodies
/ C. Asteroid bodies
/ D. Paget's cells
/ E. Schaumann's bodies
The correct answer and explanation will be available after you answer.
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#4
Re: lym1 theonlymehul - 05-10-11 06:28 My answer is: c.
in this case, it seems like its sarcoidosis.
#7
Re: lym1
babbu5508 - 05-15-11 01:30 My answer is: c.
The correct answer is C. The cells described are asteroid bodies, and are classically associated with sarcoidosis, although they are not completely specific for this disease.
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