Pathology · USMLE Step 1

USMLE Neuropathology

CNS tumor types, neurodegenerative disease histology, and classic stroke and demyelination patterns, one finding per card. Original cards testing the underlying concepts.

40 cards · basic cards · AI-written, checked twice. Edit anything.

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Which primary CNS tumor is the most common malignant brain tumor in adults?
Glioblastoma (GBM)
What histologic hallmark is seen in glioblastoma?
Pseudopalisading necrosis (tumor cells lined up around necrotic areas)
What gross growth pattern lets glioblastoma cross the corpus callosum?
It grows across the midline, forming a butterfly glioma
From what cell type does a meningioma arise?
Arachnoid cap cells
What concentric, calcified structures are seen histologically in meningioma?
Psammoma bodies
Is a meningioma an intra-axial or extra-axial tumor?
Extra-axial, attached to the dura
What immunohistochemical marker is positive in schwannoma?
S-100
Bilateral vestibular schwannomas are characteristic of which genetic syndrome?
Neurofibromatosis type 2
What classic histologic appearance describes oligodendroglioma cells?
Fried egg appearance (round nuclei with clear halos)
What chromosomal deletion is characteristic of oligodendroglioma?
Codeletion of chromosome arms 1p and 19q
What eosinophilic fiber is seen histologically in pilocytic astrocytoma?
Rosenthal fibers
What is the most common brain tumor of childhood?
Pilocytic astrocytoma
What rosette pattern is characteristic of medulloblastoma?
Homer Wright rosettes
What histologic pattern is characteristic of ependymoma?
Perivascular pseudorosettes
From what embryologic structure does a craniopharyngioma arise?
Remnants of Rathke pouch

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