Conosci la citologia ? Livello 1 Avrai 60 secondi per rispondere ad ogni immagine. Puoi rispondere cliccando Reactive change oppure More than reactive change oppure Normal

Reactive ChangeMore than Reactive Change 1 Normal

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Reactive ChangeMore than Reactive Change 2 Normal

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Reactive ChangeMore than Reactive Change 3 Normal

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Reactive ChangeMore than Reactive Change 4 Normal

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Reactive ChangeMore than Reactive Change 5 Normal

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Reactive ChangeMore than Reactive Change 6 Normal

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Reactive ChangeMore than Reactive Change 7 Normal

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Reactive ChangeMore than Reactive Change 8 Normal

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Reactive ChangeMore than Reactive Change 9 Normal

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Reactive ChangeMore than Reactive Change 10 Normal

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Reactive ChangeMore than Reactive Change 11 Normal

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Reactive ChangeMore than Reactive Change 12 Normal

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Reactive ChangeMore than Reactive Change 13 Normal

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Reactive ChangeMore than Reactive Change 14 Normal

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Reactive ChangeMore than Reactive Change 15 Normal

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Reactive ChangeMore than Reactive Change 16 Normal

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Reactive ChangeMore than Reactive Change 17 Normal

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Reactive ChangeMore than Reactive Change 18 Normal

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Reactive ChangeMore than Reactive Change 19 Normal

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Reactive ChangeMore than Reactive Change 20 Normal

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Reactive ChangeMore than Reactive Change 21 Normal

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Reactive ChangeMore than Reactive Change 22 Normal

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Reactive ChangeMore than Reactive Change 23 Normal

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Reactive ChangeMore than Reactive Change 24 Normal

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Reactive ChangeMore than Reactive Change 25 Normal

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Reactive ChangeMore than Reactive Change 26 Normal

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Reactive ChangeMore than Reactive Change 27 Normal

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Reactive ChangeMore than Reactive Change 28 Normal

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Reactive Change More than Reactive Change 29 Normal

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Reactive ChangeMore than Reactive Change 30 Normal

Bravo hai completato il test Hai totalizzato 30 punti

Image 1: reactive changes Smear with marked inflammation: many granulocytes and histiocytes. (obj. 20x) Image 2: reactive changes Menopausal atrophy with large sheets of parabasal or basal cells and some naked nuclei. (obj. 20x) Image 3 – reactive changes Metaplasia: enlarged nuclei with regular chromatin and abundant cytoplasm. This change is not typical of ASC-US. Repair change. (obj. 40x) Image 4 – reactive changes Exocervical smear with aggregates of anucleate squames (hyperkeratosis) and sheets of parakeratotic cells. (obj. 10x) Image 5 – changes more than reactive, to send for a second opinion ASCUS: inflammatory ectocervix with some intermediate squamous cells with enlarged nuclei and narrow perinuclear halos. (obj. 20x) Image 6 – reactive changes metaplastic cells with enlarged nuclei. This change is not typical of ASC-US. (obj. 20x) Image 7 – changes more than reactive, to send for a second opinion L-SIL: eosinophilic squamous cells with a perinuclear empty cavity surrounded by cytoplasmic thickening and with moderate nuclear enlargement: typical koilocytes. (obj. 20x) Image 8 – changes more than reactive, to send for a second opinion L-SIL: eosinophilic squamous cells with dense cytoplasm, parakeratosis and some typical koilocytes. (obj. 20x). ricomincia

Image 9 – reactive changes Squamous metaplasia: sheet of metaplastic squamous cells. (obj. 20x) Image 10 - normal Intermediate and superficial squamous cells, basophilic or eosinophilic. Some polymorphs are present. (obj. 10x) Image 11 – reactive changes Parakeratosis. (obj. 20x) Image 12 – reactive changes A large, multinucleated histiocyte (obj. 40x) Image 13 - normal A sheet of normal secretory glandular cells with a typical honeycomb pattern. (obj. 40x) Image 14 – reactive changes metaplastic cells with enlarged nuclei. This change is not typical of ASC-US. (obj. 20x) Image 15 - normal Basophilic squamous cells with macrophages and granulocytes. (obj. 20x) Image 16 – reactive changes Repair cells with clear chromatin and nucleoli, probably superimposed to squamous metaplasia: look also some nuclear grooves. (obj. 40x). Remember that repair are sheets of cells with abundant cytoplasm, enlarged nuclei (but N/C ratio near normal), with a granular chromatin and a prominent nucleoli, in a more or less inflammatory background. ricomincia

Image 17 – changes more than reactive, to send for a second opinion ASCUS: squamous cell with a nucleus more than twice the normal diameter and irregular (obj. 40x) Image 18 – reactive changes Squamous metaplasia: sheet of metaplastic squamous cells. Image 19 – changes more than reactive, to send for a second opinion ASCUS: eosinophilic squamous cell with enlarged and hyperchromatic nucleus. (obj. 20x) Image 20 - normal Sheet of glandular endocervical cells seen at medium magnification. Compare nuclear sizes of columnar cells and the intermediate squamous cell. (obj. 20x) Image 21 – reactive changes Herpetic infection: multinucleated cells with smudgy nuclei looking like ground glass. (obj. 20x) Image 22 – changes more than reactive, to send for a second opinion L-SIL: squamous cells with an enlarged nucleus, surrounded by an ill-defined clear halo, associated with parakeratotic cells. (obj. 20x) Image 23 – reactive changes Mycosis: hyphae and yeasts of Candida albicans in an inflammatory background. (obj. 20x) Image 24 – changes more than reactive, to send for a second opinion L-SIL: squamous cells with an enlarged nucleus, surrounded by an ill-defined clear halo, associated with parakeratotic cells: (obj. 20x) ricomincia

Image 25 - normal Endometrial cells in under 40 year-old woman, not menopaused. (obj. 20x) Image 26 – reactive changes Squamous cells with reactive changes with a clear perinuclear halo and a nucleus increased in size: look for trichomonas or fungi (obj.10x) Image 27 – changes more than reactive, to send for a second opinion ASCUS: eosinophilic squamous cell with an enlarged nucleus but with pale chromatin. (obj. 20x) Image 28 – changes more than reactive, to send for a second opinion L-SIL: basophilic koilocytes and normal intermediate and superficial squamous cells. (obj. 40x) Image 29 – reactive changes Inflammatory smear with intermediate and superficial squamous cells having enlarged nuclei: look for Trichomonas or Gardnerella. Image 30 – reactive changes Bacteria are seen in the background, mainly on the squamous cells resulting in clue cells. Granulocytes are absent or rare. (obj. 20x) ricomincia

Fine del test ricomincia

Fine del test ricomincia