conosci la citologia ? livello 1 avrai 60 secondi per rispondere ad ogni immagine. puoi rispondere...
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Conosci la citologia ?Livello 1
Avrai 60 secondi per rispondere ad ogni immagine. Puoi rispondere cliccando
• Reactive change
oppure• More than reactive change
oppure• Normal
Reactive Change More than Reactive Change
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Bravo hai completato il test
Hai totalizzato 30 punti
Image 1: reactive changesSmear with marked inflammation: many granulocytes and histiocytes. (obj. 20x) Image 2: reactive changesMenopausal atrophy with large sheets of parabasal or basal cells and some naked nuclei. (obj. 20x) Image 3 – reactive changesMetaplasia: enlarged nuclei with regular chromatin and abundant cytoplasm. This change is not typical of ASC-US. Repair change. (obj. 40x) Image 4 – reactive changesExocervical smear with aggregates of anucleate squames (hyperkeratosis) and sheets of parakeratotic cells. (obj. 10x) Image 5 – changes more than reactive, to send for a second opinionASCUS: inflammatory ectocervix with some intermediate squamous cells with enlarged nuclei and narrow perinuclear halos. (obj. 20x) Image 6 – reactive changesmetaplastic cells with enlarged nuclei. This change is not typical of ASC-US. (obj. 20x) Image 7 – changes more than reactive, to send for a second opinionL-SIL: eosinophilic squamous cells with a perinuclear empty cavity surrounded by cytoplasmic thickening and with moderate nuclear enlargement: typical koilocytes. (obj. 20x) Image 8 – changes more than reactive, to send for a second opinionL-SIL: eosinophilic squamous cells with dense cytoplasm, parakeratosis and some typical koilocytes. (obj. 20x).
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Image 9 – reactive changesSquamous metaplasia: sheet of metaplastic squamous cells. (obj. 20x) Image 10 - normalIntermediate and superficial squamous cells, basophilic or eosinophilic. Some polymorphs are present. (obj. 10x) Image 11 – reactive changesParakeratosis. (obj. 20x) Image 12 – reactive changesA large, multinucleated histiocyte (obj. 40x) Image 13 - normalA sheet of normal secretory glandular cells with a typical honeycomb pattern. (obj. 40x) Image 14 – reactive changesmetaplastic cells with enlarged nuclei. This change is not typical of ASC-US. (obj. 20x) Image 15 - normalBasophilic squamous cells with macrophages and granulocytes. (obj. 20x) Image 16 – reactive changesRepair cells with clear chromatin and nucleoli, probably superimposed to squamous metaplasia: look also some nuclear grooves. (obj. 40x). Remember that repair are sheets of cells with abundant cytoplasm, enlarged nuclei (but N/C ratio near normal), with a granular chromatin and a prominent nucleoli, in a more or less inflammatory background.
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Image 17 – changes more than reactive, to send for a second opinionASCUS: squamous cell with a nucleus more than twice the normal diameter and irregular (obj. 40x)Image 18 – reactive changesSquamous metaplasia: sheet of metaplastic squamous cells. Image 19 – changes more than reactive, to send for a second opinionASCUS: eosinophilic squamous cell with enlarged and hyperchromatic nucleus. (obj. 20x) Image 20 - normalSheet of glandular endocervical cells seen at medium magnification. Compare nuclear sizes of columnar cells and the intermediate squamous cell. (obj. 20x) Image 21 – reactive changesHerpetic infection: multinucleated cells with smudgy nuclei looking like ground glass. (obj. 20x) Image 22 – changes more than reactive, to send for a second opinionL-SIL: squamous cells with an enlarged nucleus, surrounded by an ill-defined clear halo, associated with parakeratotic cells. (obj. 20x) Image 23 – reactive changesMycosis: hyphae and yeasts of Candida albicans in an inflammatory background. (obj. 20x) Image 24 – changes more than reactive, to send for a second opinionL-SIL: squamous cells with an enlarged nucleus, surrounded by an ill-defined clear halo, associated with parakeratotic cells: (obj. 20x)
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Image 25 - normalEndometrial cells in under 40 year-old woman, not menopaused. (obj. 20x) Image 26 – reactive changesSquamous cells with reactive changes with a clear perinuclear halo and a nucleus increased in size: look for trichomonas or fungi (obj.10x)Image 27 – changes more than reactive, to send for a second opinionASCUS: eosinophilic squamous cell with an enlarged nucleus but with pale chromatin. (obj. 20x) Image 28 – changes more than reactive, to send for a second opinionL-SIL: basophilic koilocytes and normal intermediate and superficial squamous cells. (obj. 40x) Image 29 – reactive changesInflammatory smear with intermediate and superficial squamous cells having enlarged nuclei: look for Trichomonas or Gardnerella. Image 30 – reactive changesBacteria are seen in the background, mainly on the squamous cells resulting in clue cells. Granulocytes are absent or rare. (obj. 20x)
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Fine del test
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Fine del test
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