7.2 Sputum and BAL (Gross and microscopic Examination of sputum)) Flashcards

1
Q

Recent hemorrhage

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

a

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2
Q

Decomposed hemoglobin

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

b

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3
Q

Pneumococcal pneumonia

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

b

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4
Q

Presence of pus (Pulmonary TB, chronic bronchitis

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

d

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5
Q

Congestive hear failure

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

c

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6
Q

Chronic lung CA

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

e

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7
Q

Dust partciles, carbon or charcoal, heavy smokers, anthracosis

a. Red/bright red
b. Rust colored
c. Brown
d. Yellow/yellow green
e. Olive green/grass green
f. black

A

f

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8
Q

Macroscopic structures

Rounded masses of fungal elements seen in Aspergillus infection

a. Cheesy masses
b. Dittrich plugs
c. Pneumoliths/Broncholiths/Lung stones
d. Bronchial casts
e. Mycetomas

A

e

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9
Q

Macroscopic structures

Branching tree-like casts seen in lobar pneumonia and fibrinous bronchitis

a. Cheesy masses
b. Dittrich plugs
c. Pneumoliths/Broncholiths/Lung stones
d. Bronchial casts
e. Mycetomas

A

d

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10
Q

Macroscopic structures

Small white or gray fragments from the calcification of infected and necrotic tissue within the bronchial cavity; seen in chronic PTB and histoplasmosis

a. Cheesy masses
b. Dittrich plugs
c. Pneumoliths/Broncholiths/Lung stones
d. Bronchial casts
e. Mycetomas

A

c

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11
Q

Macroscopic structures

Yellowish or gray caseous materials about the size of a pinhead that emit a foul odor when crushed

a. Cheesy masses
b. Dittrich plugs
c. Pneumoliths/Broncholiths/Lung stones
d. Bronchial casts
e. Mycetomas

A

b

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12
Q

Macroscopic structures

seen in bronchiectasis, putrid bronchitis, and bronchial asthma

a. Cheesy masses
b. Dittrich plugs
c. Pneumoliths/Broncholiths/Lung stones
d. Bronchial casts
e. Mycetomas

A

b

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13
Q

Microscopic structures

Colorless, round or pea-shaped; not significant but may be mistaken for BLASTOMYCES SPP.

a. Curschmann’s spirals
b. Myelin globules
c. Elastic fibers
d. Creola bodies
e. Carbon-laden or dust cells

A

b

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14
Q

Microscopic structures

Spirally twisted mucoid strands frequently coiled into little balls

a. Curschmann’s spirals
b. Myelin globules
c. Elastic fibers
d. Creola bodies
e. Carbon-laden or dust cells

A

a

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15
Q

Microscopic structures

Refractile fibers shed off during the coughing out process; indicates destructive disease

a. Curschmann’s spirals
b. Myelin globules
c. Elastic fibers
d. Creola bodies
e. Carbon-laden or dust cells

A

c

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16
Q

Microscopic structures

Contain black granules; seen in pneumoconiosis

a. Curschmann’s spirals
b. Myelin globules
c. Elastic fibers
d. Creola bodies
e. Carbon-laden or dust cells

A

e

17
Q

Microscopic structures

Bronchial epthelial cells with vacuolated cytoplasm and ciliated borders

a. Curschmann’s spirals
b. Myelin globules
c. Elastic fibers
d. Creola bodies
e. Carbon-laden or dust cells

A

d

18
Q

Microscopic structures

Associated with bronchial asthma

a. Curschmann’s spirals
b. Myelin globules
c. Elastic fibers
d. Creola bodies
e. Carbon-laden or dust cells

A

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19
Q

Microscopic structures

Hemosiderin-laden cells seen in CHF and alveolar hemorrhage

a. Heart failure cells/siderophages
b. Charcot-leyden crystals
c. Hematoidin
d. Sulfur granules

A

a

20
Q

Microscopic structures

Rhombic-shaped crystals; seen in pulmonary infarction and lung abscess

a. Heart failure cells/siderophages
b. Charcot-leyden crystals
c. Hematoidin
d. Sulfur granules

A

c

21
Q

Microscopic structures

hexagonal, needle-like orbipyramid crystals; seen in bronchial asthma

a. Heart failure cells/siderophages
b. Charcot-leyden crystals
c. Hematoidin
d. Sulfur granules

A

b

22
Q

Microscopic structures

Associated with Actinomyces infection

a. Heart failure cells/siderophages
b. Charcot-leyden crystals
c. Hematoidin
d. Sulfur granules

A

d