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

1

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

2

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

3

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

4

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

5

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

6

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

7

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

8

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

9

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

10

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

11

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

12

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

13

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

14

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

15

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

16

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

17

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

18

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

19

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

20

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

21

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

22

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

23

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

24

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

25

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

26

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

27

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

28

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

29

Normal

Tempo scaduto

Ricomincia il gioco

Reactive Change More than Reactive Change

30

Normal

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).

ricomincia

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.

ricomincia

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)

ricomincia

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)

ricomincia

Fine del test

ricomincia

Fine del test

ricomincia