Conosci la citologia ? Livello 2 Avrai 60 secondi per rispondere ad ogni immagine. Puoi rispondere cliccando Reactive change oppure More than reactive change oppure Normal
Reactive changesNormalChanges more than reactive 1
Tempo scaduto Ricomincia il gioco
Reactive changesNormaNormalChanges more than reactive 2
Tempo scaduto Ricomincia il gioco
Reactive changesNormaNormalChanges more than reactive 3
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 4
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 5
Tempo scaduto Ricomincia il gioco
Reactive changesNormaNormalChanges more than reactive 6
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 7
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 8
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 9
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 10
Tempo scaduto Ricomincia il gioco
Reactive changes NormalChanges more than reactive 11
Tempo scaduto Ricomincia il gioco
Reactive changesNormaNormalChanges more than reactive 12
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 13
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 14
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 15
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 16
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 17
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 18
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 19
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 20
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 21
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 22
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 23
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactiChanges more than reactive 24
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 25
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 26
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 27
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 28
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 29
Tempo scaduto Ricomincia il gioco
Reactive changesNormalChanges more than reactive 30
Bravo hai completato il test Hai totalizzato 30 punti
Image 1 - reactive changes Smear with inflammation: some granulocytes. Image 2 - normal Normal smear in progestinic (post-ovulatory) phase. Image 3 – changes more than reactive Squamous cell carcinoma: a group of cells, some with a slight spindle shape, with nuclear enlargement and hyperchromasia. Image 4 - changes more than reactive L-SIL: typical koylocytes with hyperchromatic nuclei with irregular edges and a clear perinuclear halo. Image 5 – reactive changes HSV (herpetic) infection: mononucleated cells with intranuclear viral inclusion. Sorry for the bad image, but you’re already so skilled.... Image 6 – reactive changes Actinomyces: a typical aggregate of pseudofilamentous material. Image 7 – changes more than reactive H-SIL: parabasal cells arranged in a pile with nuclear enlargement, irregular nuclear outlines and coarse chromatin. (obj. 20x) Image 8 – changes more than reactive ASCUS: the cell in central field shows some features of koylocytosis, but these changes aren’t so clear for a diagnosis of L-SIL; note also the thin perinuclear halo in an intermediate cell above it, that is clearly an inflammatory change. Remember that even an isolated cell with “more than reactive” changes requires a second look, so you MUST send a picture by Coolscope!. ricomincia
Image 9 – reactive changes Typical repair: a sheet of metaplastic squamous cells with enlarged nuclei, multinucleolation but with regular chromatin (NOT coarse). Image 10 - normal Intermediate and superficial squamous cells, basophilic or eosinophilic. Some polymorphs are present. I know, this image is also bad.... Image 11 – changes more than reactive H-SIL: parabasal cells with nuclear enlargement, irregular nuclear outlines, with anisokaryosis and anisocytosis in a homogenous cell population. (obj. 20x) Image 12 – reactive changes A sheet of metaplastic cells, with slight changes related to typical repair. Image 13 – changes more than reactive A group of atypical squamous cell with high N/C ratio and hyperchromatic nuclei. Image 14 – changes more than reactive ASCUS: An isolated binucleated cell with hyperchromatic nuclei and clumped chromatin in a cellular background with only slight reactive changes. Image 15 – reactive changes Trichomoniasis: “dirty” background with granulocytes: have you seen the Trichomonas? Image 16 – reactive changes An obvious fungal infection.... ricomincia
Image 17 – normal A superficial cell and some intermediate cells. Image 18 – changes more than reactive ASCUS. A sheet of parabasal and metaplastic cells, as you can see in atrophic smear, with an isolated slightly atypical cell (top right). Image 19 – reactive changes Fungal infection: “dirty” background and some segmented hyphae: note the characteristics disposition of cells that look strongly embedded one another by them. Image 20 – changes more than reactive L-SIL: a group of intermediate cells with cytoplasmatic amphophilia, slight nuclear hyperchromasia and multinucleolation. Image 21 - changes more than reactive Squamous cell carcinoma: pleomorphic malignant cells, isolated or in clusters, sometimes with markedly atypical nuclei or elongated nuclei. Inflammation, blood and necrosis in the background. (obj. 20x) Image 22 – normal A group of endocervical cells in a “honeycomb” fashion: the optically clear cytoplasm is probably due to a dry artifact. Image 23 – changes more than reactive H-SIL. Parabasal cells with enlarged and hyperchromatic nuclei and irregular nuclear outlines. Note the presence of some spindle-shaped cells. Image 24 – changes more than reactive H-SIL. Isolated basophilic and eosinophilic cells with hyperchromatic nuclei with irregular edges. ricomincia
Image 25 – changes more than reactive Squamous cell carcinoma: pleomorphic malignant cells isolated and with bizarre cell shapes. Note that is some nuclei hyperchromasia prevails, but in others the main feature is the clumped chromatin: in both cases, there are signs related to high-grade atypia. Image 26 – changes more than reactive L-SIL: in a strong inflammatory background, there are squamous cells with an enlarged nucleus, surrounded by an ill-defined clear halo, associated with parakeratotic cells. Image 27 – reactive changes Some granulocyes that partially cover isolated superficial and intermediate cells with no significant changes. Image 28 - changes more than reactive Squamous cell carcinoma: group of pleomorphic malignant cells, more or less differentiated and with spindle cell shape. (obj. 40x) Image 29 – reactive changes Bacterial infection. Note the typical “dusty” appearance of the cytoplasm. Image 30 – normal Isolated parabasal and intermediate cells with cytoplasmatic disgregation due to the presence of many Lactobacilli, normally present in squamous cervical and vaginal epithelium.. ricomincia
Fine del test ricomincia