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Pathology · USMLE Step 1 · Healthcare and Nursing

USMLE Pathology: Infectious Disease Morphology

Granulomatous and other classic tissue response patterns to infection, distinct from the organism-identification focus of the Microbiology decks.

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34 basic cards for USMLE Step 1 Pathology. Set 11 of 27 in USMLE Pathology. It opens with "What is the general term for a nodular collection of activated macrophages" and "What cell type do epithelioid histiocytes differentiate from?". Study it alongside the other USMLE Step 1 sets below.

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What is the general term for a nodular collection of activated macrophages (epithelioid histiocytes) that forms in response to persistent, poorly degradable antigens?
Show answerGranulomatous inflammation (granuloma)
What cell type do epithelioid histiocytes differentiate from?
Show answerActivated macrophages
How do epithelioid histiocytes appear histologically?
Show answerAbundant pink cytoplasm with elongated, slipper-shaped nuclei
How are the nuclei arranged in a Langhans giant cell?
Show answerIn a peripheral horseshoe or ring pattern around the edge of the cell
How are the nuclei arranged in a foreign body giant cell?
Show answerScattered haphazardly throughout the cytoplasm
What organism classically causes caseating granulomas?
Show answerMycobacterium tuberculosis
What is the gross (naked-eye) appearance of caseous necrosis?
Show answerSoft, friable, cheese-like white-yellow material
How does caseous necrosis appear under the microscope?
Show answerAmorphous, structureless eosinophilic debris with no visible cell outlines
What is a Ghon focus?
Show answerA peripheral lung granuloma marking the initial site of primary tuberculosis infection
A Ghon focus plus involvement of what structure together make up a Ghon complex?
Show answerThe ipsilateral hilar lymph node
What is a Ghon complex called once it becomes calcified and fibrotic?
Show answerRanke complex
Describe the gross pattern of miliary tuberculosis.
Show answerNumerous small (1-2 mm), yellow-white granulomas scattered throughout the organ
What term describes a granuloma that lacks central necrotic debris?
Show answerNoncaseating granuloma
Which systemic disease of unknown cause classically produces noncaseating granulomas in multiple organs?
Show answerSarcoidosis
Which inflammatory bowel disease is associated with noncaseating granulomas in the bowel wall?
Show answerCrohn disease

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