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10972 Pathology

A 52-year-old woman presents with a 1-year history of upper truncal obesity and moderate depression. Physical examination shows hirsutism and moon facies. A CT scan of the thorax displays a hilar mass. A transbronchial lung biopsy discloses small cell carcinoma. Electron microscopy of this patient’s lung tumor will most likely reveal which of the following cytologic features?

ACouncilman bodies
BHyperplasia of endoplasmic reticulum
CMitochondrial calcification
DNeuroendocrine granules
Pathology
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10974 Pathology

A 22-year-old woman presents to the emergency room with an 8-hour history of high fever, vomiting, diarrhea, and night sweats. Her temperature on admission is 38.7degC (103degF), blood pressure 100/60 mm Hg, and respirations 24 per minute. She has a diffuse desquamative erythematous rash. Upon pelvic examination, the patient is found to be menstruating, and a tampon is in place. A purulent exudate is found within the vagina, which is cultured and grows Staphylococcus aureus. The hemoglobin is 12 g/dL, and the platelet count is 40,000/mL. Which of the following represents the most common life-threatening complication of this patient’s systemic disorder?

AAcute tubular necrosis
BAnemia
CCardiac arrhythmia
DDisseminated intravascular coagulation
Pathology
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