October 29th, 2007

35 year old male with parotidmass on right side. FNA smear.A. Warthin TumorB. Pleomorphic adenomaC. Mucoepidermoid carcinomaD. Adenoid cystic carcinomaE. Acinic cell carcinoma

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68 year old male with stricture incommon bile duct.A. Reactive epitheliumB. Squamous cell carcinomaC. AdenocarcinomaD. Islet cell tumorE. Plasma cell neoplasm

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64 year old with liver mass. FNA of celiac node.A. Germinal centerB. Benign hepatocytesC. Hepatitis C cytopathic changesD. Hepatocellular carcinomaE. Hepatic adenoma

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51 year old male with hematuria.Bladder Washing.A. Polyoma VirusB. “Umbrella” cellsC. Low grade urothelial carcinomaD. PUNLMPE. High grade urothelial carcinoma

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24 year old female. ThinPrep papA. ParakeratosisB. ASCUSC. LSILD. HSILE. Squamous cell carcinoma

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49 year old female with pelvicmass. FNA lymph node.A. Squamous metaplasiaB. Reactive Germinal centerC. SarcoidosisD. Metastatic tumorE. Histiocytosis

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68 year old male with hematuriaA. Polyoma VirusB. Umbrella cell and reactive urothelial cellsC. Low grade urothelial carcinomaD. PUNLMPE. High grade urothelial carcinoma

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29 year old female. ThinPrep papA. ReactiveB. Endocervical cellsC. ASC-USD. LSILE. HSIL

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47 year old female with esophageal submucosal nodule. FNA cell block.A. LeiomyomaB. Skeletal muscleC. NeuromaD. FibromaE. Sarcoma

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66 year old female with pulmonary nodule. FNA.A. Reactive endobronchial cellsB. Reactive macrophagesC. Non-small cell lung CAD. Small cell lung CAE. Adenovirus.

1. A Warthin TumorOne image shows lymphocytes + the other shows the epithelium = Warthin tumor

2. A Reactive EpitheliumSmall regular nuclei and honeycomb appearance. Reactive ductular epithelium.

3. D Hepatocellular carcinomaMitoses and big ugly nuclei with necrosis in background.

4. E High grade urothelial carcinomaHigh NC ratio, hyperchromatic irregular nucei

5. A ParakeratosisNuclei not enlarged or irregular. Not koilocytes or HPV.

6. D Metastatic carcinomaUgly pleomorphic tunmor cells replacing a node. Node metastasis in a patient with cervical cancer.

7. B Umbrella cell and reactive urthelial cellsThe big one if the umbrella cell and the small ones are just reactive urothelial cells. Both normal.

8. D LSILKoilocytes !!!!!!!

9. A LeiomyomaSmooth muscle only

10. C Non-Small cell Lung CAHigh NC ratio, pleomorphic hyperchromatic nuclei.