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11631 Medicine

A 48 year old women was admitted with a history of weakness for two months. On examination, cervical lymph nodes were found enlarged and spleen was palpable 2 cm below the costal margin. Her hemoglobin was 10.5 g/dl, platelet count 2.7 x lO’/L and total leukocyte count 40 x WfL, which included 80% mature lymphoid cells with coarse clumped chromatin. Bone marrow revealed nodular lymphoid infiltrate. The peripheral blood lymphoid cells were positive for CD 19, CD 5, CD20 and CD23 and were negative for CD 79 B and FMC – 7. The histopathological examination ofthe lymph node in this patient will most likely exhibit effacement of lymph node architecture by –

AA pseudofollicular pattern with proliferation centers
BA monomorphic lymphoid proliferation with a nodular pattern
CA predominantly follicular pattern
DA difiuse proliferation of medium to large lymphoid cells with high mitotic rate.
Medicine
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11632 Medicine

A 48 year old women was admitted with a history of weakness for two months. On examination, cervical lymph nodes were found enlarged and spleen was palpable 2 cm below the costal margin. Her hemoglobin was 10.5 g/dl, platelet count 2.7 x lO’/L and total leukocyte count 40 x WfL, which included 80% mature lymphoid cells with coarse clumped chromatin. Bone marrow revealed nodular lymphoid infiltrate. The peripheral blood lymphoid cells were positive for CD 19, CD 5, CD20 and CD23 and were negative for CD 79 B and FMC – 7. The histopathological examination ofthe lymph node in this patient will most likely exhibit effacement of lymph node architecture by –

AA pseudofollicular pattern with proliferation centers
BA monomorphic lymphoid proliferation with a nodular pattern
CA predominantly follicular pattern
DA difiuse proliferation of medium to large lymphoid cells with high mitotic rate.
Medicine
View Explanation →
11633 Medicine

A 75-year old woman with chronic atrial fibrillation presented to the hospital with a 2-day of colicky abdominal pain. The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness. Laboratory tests showed a white cell count of 19,400 per cubic millimeter with 92% neutrophils, a blood urea nitrogen level of 42 mg per deciliter (15 p,mol per liter) and a serum creatinine level of 3.0 mg per deciliter (267 fimol per liter). The most probable diagnosis in this pateint would be-

APoal view thrombosis
BMesenteric ischemia
CIntestinal perforation
DLynch syndrome
Medicine
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11634 Medicine

A 75-year old woman with chronic atrial fibrillation presented to the hospital with a 2-day of colicky abdominal pain. The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness. Laboratory tests showed a white cell count of 19,400 per cubic millimeter with 92% neutrophils, a blood urea nitrogen level of 42 mg per deciliter (15 p,mol per liter) and a serum creatinine level of 3.0 mg per deciliter (267 fimol per liter). The most probable diagnosis in this pateint would be-

APoal view thrombosis
BMesenteric ischemia
CIntestinal perforation
DLynch syndrome
Medicine
View Explanation →