WBR0505
| Author | [[PageAuthor::Gonzalo A. Romero, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Pathology |
| Sub Category | SubCategory::Neurology, SubCategory::Reproductive |
| Prompt | [[Prompt::A 57- year old patient comes to the ER after presenting with visual hallucinations and visual deficits. The symptoms have been gradually worsening over the last 6 months. His family history is insignificant. His wife denies any history of trauma or drug ingestion. The physician on call performs a thorough history and physical examination. His vitals are within normal limits. The physician encounters on neurological exam a right hemianopsia with macular sparing, and becomes concerned that the patient may have a stroke or a tumor. A CT scan is ordered and shown below:
[[File:]] Following 48 hours of admission the patient develops a Grand-mal seizure and undergoes respiratory arrest. Despite aggressive resuscitation measures the patient dies. The team on call is concerned about malpraxis and orders an autopsy with the wife’s consent. Upon entering the skull, the pathologist notices a tumor arising from the membranes covering the brain. Microscopically a specimen shows spindle cells concentrically arranged in whorled pattern, and laminated calcifications. Which of the following ovarian tumors is also associated with the latter histologic findings of this tumor?]] |
| Answer A | AnswerA::Granulosa cell tumor |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Brenner tumor |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Serous cystadenocarcinoma |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Serous cystadenoma |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Kruckenberg tumor |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Laminated, concentric, calcific spherules are also known as Psammoma bodies, which are encountered in:
Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::Psammoma bodies |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |