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  #1  
Old 03-07-2011
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Arrow NBME - acute appendicitis

Watch this video carefully and answer the question below




A 15 year old girl has fever, nausea, and acute abdominal pain and tenderness. Laboratory studies show a neutrophilic leukemoid reaction. A laparotomy and appendectomy are done. Which of the following histologic fingings will establish the diagnosis of acute appendicitis?

a. follicular lymphoid hyperplasia
b. histiocytic infiltrate of the lamina propria
c. lymphoid infiltrate of the mucosa
d. mucosal ulceration
e. neutrophilic infiltrate of the muscularis
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  #2  
Old 03-08-2011
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its E..i think..
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  #3  
Old 03-08-2011
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good question.thanks for posting ..
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  #4  
Old 03-08-2011
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e. thanks for the question and the video
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  #5  
Old 03-08-2011
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E)

He gave the answer away haha
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  #6  
Old 03-08-2011
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didn't even watch the video. Neutrophils are always the first cells at the side of acute inflammation.
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  #7  
Old 03-09-2011
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Default Correct answer: E

neutrophil within the muscularis is the key point to get the diagnosis

Quote:
Originally Posted by aktorque View Post
Watch this video carefully and answer the question below




A 15 year old girl has fever, nausea, and acute abdominal pain and tenderness. Laboratory studies show a neutrophilic leukemoid reaction. A laparotomy and appendectomy are done. Which of the following histologic fingings will establish the diagnosis of acute appendicitis?

a. follicular lymphoid hyperplasia
b. histiocytic infiltrate of the lamina propria
c. lymphoid infiltrate of the mucosa
d. mucosal ulceration
e. neutrophilic infiltrate of the muscularis
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aktorque (03-10-2011)
  #8  
Old 08-02-2011
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Star A

a. follicular lymphoid hyperplasia
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  #9  
Old 08-02-2011
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e. neutrophilic infiltrate of the muscularis
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Old 08-02-2011
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neutrophilic infiltration of musculais
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  #11  
Old 12-11-2011
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could any one please explain why the answer ?

Although neutrophils are the first to reach a site of inflammation , in first aid its written that appendicitis is due to lymphoid hyperplasia . so the answer should be A ?????

A or E ?

thanks
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  #12  
Old 12-12-2011
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E. Neutrophilic infiltration in muscularis mucosa
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  #13  
Old 12-14-2011
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Question Why nor A?

Why is E and not A???... I haven't got that clear yet.
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  #14  
Old 10-17-2015
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also Goljan says A...
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  #15  
Old 11-26-2015
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the answer is E
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