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Question 1
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A 50-year-old woman with insulin dependent diabetes complains of swollen legs and has a history of feeling constantly tired, experiencing nausea and vomiting. Her 24-hour urine collections reveal a urinary albumin excretion of 330 mg/24h. A kidney biopsy is performed and shows PAS-positive nodular deposits located in the mesangial space, at the outer edge of the glomerulus, which are encroaching on the capillaries. What is the term used to describe this pattern of nodular deposits?
Your Answer: Focal Segmental glomerulosclerosis
Correct Answer: Kimmelstiel-Wilson nodules
Explanation:Diabetic nephropathy is a kidney disease caused by damage to the capillaries in the kidneys’ glomeruli, characterized by nephrotic syndrome and diffuse scarring of the glomeruli. Kimmelstiel-Wilson nodules and glomerulosclerosis are characteristic findings on microscopy. Other types of glomerulonephritis have different features, such as focal segmental glomerulosclerosis, Lisch nodules, membranoproliferative glomerulonephritis, and membranous glomerulonephritis.
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This question is part of the following fields:
- Histology
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Question 2
Incorrect
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A 54-year-old patient complains of dysphagia that has persisted for four weeks. The GP deems it necessary to urgently refer the patient for an endoscopy within two weeks. During the endoscopy, a suspicious lesion is observed in the middle third of the oesophagus. A biopsy of the lesion is taken and sent to the pathology for further examination.
What are some potential characteristics of a cancerous cell that may be observed under a microscope?Your Answer: Decreased nuclear DNA content with subsequent light staining on H and E slides
Correct Answer: Increased nuclear/cytoplasmic ratio
Explanation:Characteristics of Malignant Cells
Malignant cells possess distinct features that differentiate them from normal cells. These characteristics include an increased nuclear size, which results in an increased nuclear/cytoplasmic ratio. Additionally, malignant cells exhibit nuclear and cellular pleomorphism, which means that they lack cell differentiation. Another feature of malignant cells is an increased nuclear DNA content, which causes dark staining on H and E slides, also known as hyperchromatism. Prominent nucleoli or irregular chromatin distribution and the presence of mitotic figures are also common in malignant cells.
On the other hand, normal cells do not exhibit these features. They have a balanced nuclear/cytoplasmic ratio, and their nuclei are uniform in size and shape. Normal cells also have a well-defined cytoplasm and exhibit cell differentiation. These characteristics are essential for the proper functioning of normal cells and maintaining the overall health of the body.
In summary, the characteristics of malignant cells are distinct from those of normal cells. these features is crucial in the diagnosis and treatment of cancer.
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This question is part of the following fields:
- Histology
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