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1874 Unknown

A 45-year-old man is brought to the emergency room complaining of intense pain in his left calf and ankle. The patient gave a history of playing tennis where had lunged forward, heard a “snap,” fell to the cou in tremendous pain, and could not walk. On examination, the left calf was tender and indurated, with an irregular mass noted in the back of the mid-calf area with the following finding. What type of excessive abnormal ankle movement would be present?

APlantar flexion
BDorsiflexion
CInversion
Deversion
Unknown
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1880 Unknown

A 16-yrs-old girl presents with bowel obstruction. Laparotomy reveals markedly enlarged para-aortic lymph nodes. Biopsy of lymph nodes exhibit a diffuse neoplastic infiltrate of small, round lymphocytes with a “starry sky” appearance on low power. The cytoplasm of some of the lymphocytes is vacuolated and fat stains are positive. You would expect the neoplastic cells to demonstrate a:

APositive non-specific esterase stain of the cells
BPositive specific esterase stain of the cells
CLow leukocyte alkaline phosphatase score
Dt(8;14) translocation
Unknown
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1881 Unknown

A 65-year-old male presents with a rapid onset fever, chest pain and cough with rusty-yellow sputum. Chest x-ray was done. A Gram stain of a sputum sample contained many polymorphonuclear leukocytes and extracellular gram-positive diplococci. Biochemical reactions revealed the organism was bile soluble, optochin sensitive and fermented inulin. Characteristics of the colonies produced on the culture are given below. Which of the following is the most likely pathogen?

AStreptococcus pneumoniae
BEnterococcus faecium
CStreptococcus pyogenes
DEnterococcus faecalis
Unknown
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