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Clinical History

A 28 year old male presents with gross hematuria after a trip abroad. Cystoscopy and biopsy are performed.

Choose the Correct Diagnosis: 

  1. Schistosomiasis with reactive urothelium
  2. Schistosomiasis with Carcinoma in situ
  3. Schistosomiasis with Eosinophilic cystitis
  4. Schistosomiasis with invasive urothelial carcinoma

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Clinical History:

Resection of a 3.5 cm subcutaneous mass from the left hand of a middle-aged man is depicted. What is the most likely cytogenetic abnormality in this tumor? (Brief History)

  1. t(11;22)
  2. t(9;22)
  3. t(7;16)
  4. t(12;16)

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Clinical History:
44 year old male with pleural rind biopsy

 Choose the correct diagnosis:

  1. Squamous metaplasia
  2. Poorly differentiated adnocarcinoma
  3. Adenosquamous carcinoma
  4. NUT midline carcinoma



Clinical History:

66 year old male s/p kidney transplant with pericardial effusion

 Choose the correct diagnosis:

  1. Candida pericarditis
  2. Cryptococcus pericarditis
  3. Blastomyces pericarditis
  4. Histoplasma pericarditis

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Clinical History:

41 year old pregnant female with invasive cervical squamous cell carcinoma underwent cesarean section delivery, hysterectomy and lymph node dissection. Sections from the cervix confirmed the presence of invasive squamous cell carcinoma. Right obturator lymph node shows the following.

 Choose the correct diagnosis:

  1. Squamous metaplasia
  2. Decidual reaction
  3. Squamous cell carcinoma, metastatic
  4. Mucinous carcinoma, metastatic

Case 20180315 4x 1Case 20180315 20x 1Case 20180315 20x 2
The patient is a 60 year old female with left breast mass, who underwent needle localized lumpectomy.

 What is the most likely diagnosis?

A. Invasive ductal carcinoma.
Matrix-producing carcinoma.
Metaplastic carcinoma with squamous elements.
E. Phyllodes tumor

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57 year-old male with varices. Gastric biopsy. 

 What is the most likely diagnosis?

A. Helicobacter Pylori-related peptic ulcer
Helicobacter Pylori-related  chronic active gastritis
Iron-related  ulcerative mucosal injury
Mucosal calcinosis.

2Uterine mass in a 45 year old woman.

 What is the most likely diagnosis?

A. Papillary squamous cell carcinoma
B. High grade squamous intraepithelial lesion (CIN3).
C. Invasive, well differentiated squamous cell carcinoma.
D. Condyloma with atypia.

OMFP CASE O WEEK 1 OMFP 2 14 18This placental lesion an example of (Figure 1)

 What is the most likely diagnosis?

A. 1⁰ placental choriocarcinoma
B. Chorangioma
C. Diffuse multifocal chorangiomatosis
D. Segmental localized chorangiomatosis.
E. Chorangiosis.

01A 58 Y/O male h/o HBV, HCV, decompensated alcoholic cirrhosis and renal dysfunction (unclear etiology) who presented for consideration of orthotopic liver transplant and deceased donor renal transplant. Most recent End-Stage Liver Disease (MELD) score at last clinic visit was 24. He No encephalopathy. Denies h/o kidney or liver biopsy. Abdominal MRI revealed cirrhotic liver without focal lesion identified within the limitations of this examination due to given large volume of ascites. Macroscopic examination of the native liver weighted 983 g and 19.7 x 18.3 x 8.3 cm. The external surface of the liver is tan-brown and nodular. The cut surface is tan-brown to red-brown and diffusely nodular (ranging from 0.1-0.3 cm). In the left lobe, there are numerous (>30) tan-yellow soft ovoid nodules ranging from 0.1-0.9 cm in greatest dimension.

 What is the most likely diagnosis?

A. Focal Nodular Hyperplasia (FNH).
B. Hepatic adenomas.
C. Scirrhous hepatocellular carcinoma
D. Cirrhotomimetic hepatocellular carcinoma (Diffuse HCC / Cirrhotic-like HCC).
E. Fibrolamellar hepatocellular carcinoma (FLC)