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  1. USMLE Step 1 Forum
    In which of the following clinical scenarios would the patient most likely have an increase in the leukocyte shown in the photograph? A A 4-year-old child has whooping cough. B A 24-year-old man, who raises hogs, has a habit of eating raw bacon. C A 28-year-old man has a perforated acute...
  2. USMLE Step 1 Forum
    A 3-year old boy is hospitalized because of bloody diarrhea and dehydration. According to his mother, during the family outing to a Water Park, he swallowed contaminated water in the kiddie pool. By next day, he develops abdominal cramps, vomiting and bloody diarrhea, followed by kidney...
  3. USMLE Step 1 Forum
    In your rotation for oncology as surgery resident in the Johns Hopkins Hospital Baltimore, within the chart of a patient you observe this picture (see the slide); you forget the differentiation between AML/CML and decide to make it by the result of Lab. Which of the following protein(s) should...
  4. USMLE Step 1 Forum
    A peripheral blood smear is performed in a 60 years old patient with past cardiovascular surgery history due to complications of a pharyngeal infection. According to the image below, which of the following options best explain the findings in his blood smear? click image to enlarge a. Liver...
  5. USMLE Step 1 Forum
    I want to know why sickle cell peripheral blood film has target cell ...Goljan mentions that hemoglobinopathy and alcohol cause target cells in peripheral blood smear. Any gud reason?:confused:
  6. USMLE Step 1 Forum
    The peripheral blood smear shown below could demonstrate which of the following diseases? A) Babesiosis B) Fabry's disease C) Glucose-6-phosphate dehydrogenase deficiency D) Pernicious anemia E) Thalassemia minor click image to enlarge
  7. USMLE Step 1 Forum
    A 47-year-old male presents with 2 weeks of recurrent fevers and fatigue. A peripheral blood smear is shown; the pathologist's report indicates occasional presence of azurophilic, needle-shaped intracellular material. What is the likely diagnosis? A. Hodgkin's lymphoma B. Acute Promyelocytic...
  8. USMLE Step 1 Forum
    A 59-year-old man was admitted because of generalized lymphadenopathy with fever and vomiting. His peripheral blood showed leukocytosis with a WBC of 93,500/μl, and the bone marrow picture revealed a predominance of blast cells. The blasts were negative for peroxidase, alpha-naphthyl butyrate...
  9. USMLE Step 1 Forum
    A 72-year-old man presents with increasing fatigue. Physical examination reveals an elderly man in no apparent distress (NAD). He is found to have multiple enlarged, nontender lymph nodes along with an enlarged liver and spleen. Laboratory examination of his peripheral blood reveals a normocytic...
  10. USMLE Step 2 CK Bits & Pieces
    ALL (IMMATURE LYMHOBLASTS) click image to enlarge AML (central myeloblast showing auer rod) click image to enlarge asplenia ( normally nucleated old rbcs, n rbcs inclusions r removed by spleen) click image to enlarge Hodgkin lymphoma (RS cells, large cell, with pale nucleus and purple...
  11. USMLE Step 2 CK Bits & Pieces
    High Yield images for the Step 2 CK exam I will be adding more to this thread. If you know more please post your replies and add to the list. Sarcoidosis click image to enlarge Lobar Pneumonia (Stept Pneumonia) click image to enlarge Lyme Disease (Erythema Chronicum Migans) click...
  12. USMLE Step 1 Forum
    An African-American mother brings her previously healthy 2-year-old son to the emergency department because he looked pale when he woke up this morning. He was diagnosed with a urinary but she doesn't remembers the name of the antibiotic. blood smear: click image to enlarge Of the following...
  13. USMLE Step 1 Forum
    Which of the following is a known cause of this anemia? click image to enlarge A) Vitamin B9 deficiency B) Isoniazid C) Zinc deficiency D) Acute Hyperthermia E) Copper overload
  14. USMLE Step 1 Forum
    Based on the next picture, this cell is more likely to occur due to: click image to enlarge A) Artifact due to improper drying B) Post-splenectomy C) Dissemintaed intravascular coagulation D) Pyruvate kinase deficiency E) Vitamin B12 deficiency
  15. USMLE Step 1 Forum
    Based on the next picture, the anemia is more likely to occur due to: click image to enlarge A) Iron deficiency B) alpha Talasemia C) Lead poisoning D) Folic acid deficiency E) Chronic renal failure
  16. USMLE Step 1 Forum
    Based on the next picture, which of the following diseases is more likely? click image to enlarge A) Acute lymphoblastic leukemia (ALL) B) Acute myelogenous leukemia (AML) C) Chronic lymphocytic leukemia (CLL) D) Chronic myelogenous leukemia (CML) E) Multiple myeloma
  17. USMLE Step 1 Forum
    A 3 yr old male patient with the following findings on a blood smear is most susceptible to infection by which of the following species? A. Staphylococcus aureus B. Pneumocystis jiroveci C. Streptococcus pneumoniae D. Streptococcus pyogens E. Neisseria meningitidis F. Salmonella typhi click...
  18. USMLE Step 1 Forum
    A mother brings her 6-year-old son to his pediatrician because he has been having recurrent nosebleeds. Physical examination reveals diffuse petechiae. Laboratory studies show Complete blood count Hemoglobin 9.0 g/L Platelet count 20000/mm3 Leukocyte count 14500/mm3 click image to enlarge...
  19. USMLE Step 1 Forum
    Can someone please post a good image along with explanation of what is important in the smear findings of a leukemoid reaction. I understand that we are looking for a Left shift and a high WBC count but I cannot find good smear images for it. Thanks so much =)
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