2014 Free 150 thread

[WilliamsEph]

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Can anyone explain question #111? I got it right by guessing (yes, I suck at Histo). What disease process is going on? Thanks; I've got my exam tomorrow and am trying to finish this quickly. I have heard people are getting a lot of repeats directly off this latest 2014 free 150. Please see linked picture:

http://s26.postimg.org/i1d2nbj6h/111free1502014.png

 

[WilburSK]

Can anyone explain question #111? I got it right by guessing (yes, I suck at Histo). What disease process is going on? Thanks; I've got my exam tomorrow and am trying to finish this quickly. I have heard people are getting a lot of repeats directly off this latest 2014 free 150. Please see linked picture:

http://s26.postimg.org/i1d2nbj6h/111free1502014.png

Someone can correct me if I'm wrong, but I thought they looked like neutrophils. Therefore, C5a would call in the call them in.

 

[notbobtrustme]

don't even need the picture to answer this question. dude has pneumonia, most likely bacterial. c5a brings inflammatory cells to the site of infection.

 

[tantacles]

don't even need the picture to answer this question. dude has pneumonia, most likely bacterial. c5a brings inflammatory cells to the site of infection.

My number 1 rule: NEVER look at the picture unless you ABSOLUTELY HAVE TO.

 

[Etorphine]

multiple nuclei lobules in cells --> PMN's. C5a calls in PMN's to area

 

[Etorphine]

My number 1 rule: NEVER look at the picture unless you ABSOLUTELY HAVE TO.

I've gotten lucky w just the opposite. Sometimes I see a wall of text and look at the histo and say....yup...that's a reed-sternberg cell. Last sentence of Q stem says what's the dx. Answer is A, next. In cases like this I agree though it may slow you down; I think it depends how salient the finding is on histo.

 

[tantacles]

I've gotten lucky w just the opposite. Sometimes I see a wall of text and look at the histo and says....yup...that's a reed-sternberg cell. Last sentence of Q stem says what's the dx. Answer is A, next

It really depends on what kind of person you are. I can recognize Reed-Sternberg cells, but pictures of liver parenchyma, for example, are completely confusing to me (unless it's steatosis; fat is easy).

Work with what you know!

 

[001100010010011]

My number 1 rule: NEVER look at the picture unless you ABSOLUTELY HAVE TO.

Dude, you need to look at the picture. Try answering the question and use the picture as another clue, but don't ignore the picture.

 

[tantacles]

Dude, you need to look at the picture. Try answering the question and use the picture as another clue, but don't ignore the picture.

Ignoring the picture, if you can figure out the answer based on history and demographic clues, is often a good idea. If you need the picture, definitely take a look at it, but my scores have gone up drastically since realizing that many of the pictures are just a waste of space. If I look at the picture despite the fact that I already know the answer based on the stem, it's usually something like, "I know it's minimal change disease already. Does this look like a normal glomerulus?" In other words, I'm already looking for something in the picture that I think I should see.

Of course you sometimes need to use the picture (think hodgkin's lymphoma). But sometimes you don't. And in those cases, you're much better off just answering the question without it.

 

[001100010010011]

Yeah, I agree with you on that. It's funny you said that about Hodgkins because it was exactly what I had in mind.