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7615 Pathology

A 53-year-old man has a slowly enlarging “bump” over the olecranon process of his elbow. The mass is excised and on section has a chalky white consistency. Microscopically, the mass is composed of elongated, needle-shaped crystals that under polarized light are negatively birefringent. Surrounding the crystals is a granulomatous inflammatory infiltrate. True statements concerning his condition include all of the following, except?

AMost patients with hyperuricemia will develop it
BThe first metatarsal-phalangeal joint is usually involved
CThe crystals can also be seen in synol fluid
DThis lesion can erode bone and cailage
Pathology
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7620 Pathology

A 12-year-old boy presents with a 5-day history of sore throat. His temperature is 38.7degC (103degF). Physical examination reveals inflamed tonsils and swollen cervical lymph nodes. Trafficking and recirculation of blood-borne lymphocytes through the cervical lymph nodes in this patient occurs primarily at which of the following locations?

AAfferent lymphatic vessel
BEfferent lymphatic vessel
CHassall corpuscles
DHigh endothelial venules
Pathology
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