Practice spotter 11/12

Prosection of deep surface of anterior thoracic wall. Identify A.

A (PA chest film)

B

C

D

E

F

Left atrium: what is the name of structure A?

Pharynx: name structure A

Major vessels (veins): match the letters of the major veins to their names? Superior vena cava

Left brachiocephalic vein

Right subclavian vein

Right internal jugular vein

Left subclavian vein

This is the posterior pericardium with the heart removed. Identify the labelled structures in the picture. A.

B

C

D

E

Name structure 3 on this superior view of the larynx.

Thorax muscles: what structure(s) run immediately posterior to the structure labelled A?

Cardiac tamponade: A 33 year old male was brought into A and E barely conscious after being stabbed with a kitchen knife in his anterior chest. His wound is in the fifth intercostal space, immediately left of the sternum. The veins of his face and neck are enlarged. His chest X ray shows a massive enlargement of the cardiac silhouette. Which of the following structures has been damaged by the knife causing the cardiac tamponade?

Horner's syndrome: A 34 year old female presents with Horner's syndrome. She has left sided myosis, ptosis and anhydrosis. An MRI reveals a Pancoast's tumour in the apex of the left lung. What structure is most likely compromised by the tumour?

Lung oblique: what is the anatomical landmark of the highest point of this fissure posteriorly?

Sympathetic nervous system: what is the consequence of activation of the structure indicated on the cardiorespiratory system?

Coronary vessels angiogram: what region of the heart does this vessel typically supply?

Pleura: which nerve fibres carry the information for the sensation of the parietal pleura labelled?

What abnormality is clearly seen in this chest X ray?

Of the structures forming the air passage, which cartilage is enclosing it completely?

Valves: match the letters to the appropriate structures. A

B

C

D

Anatomy of the bronchial tree: identify A

Blood: A 30 year old man who has recently arrived from Africa has come to your surgery complaining of tiredness. His blood film is here. His Hb is 12g/dl (normal range 13.5-17.5g/dl); MCV 75fl (normal range 80-96fl). From the blood film you can tell he has:

Blood: the cell indicated in this blood film is a

Histology of a tumour removed from the lung is shown. The arrow indicates

Blood would normally be in the space to the left. What is labelled A?

Blood: A 65 year old woman presented with increasing breathlessness, spontaneous bleeding from her gums and easy bruising. Blood count: Hb 5.6 (11.5-15.5g/dl); MCV 102 (80-96)fl; WBC 80 (4-11x10'9/l); PLT 10 (150-400x10'9/l). Leukocyte differential: Blasts 98%; Neutrophils 0.8 (2-7.5); Lymphocytes 0.8 (1.5-4). What is the likely diagnosis?

A 60 year old woman presented with severe back pain. An X ray of her back demonstrated a collapsed fourth lumbar vertebra. Her haemoglobin was 8g/dl (normal 11.5-15.5) and MCV 100fl (normal 80-96). WBC and platelet count were normal. Blood film exhibited marked rouleaux formation. A bone marrow aspirate is below. What is the diagnosis?

A blood film from a patient is shown. The cells indicated by the arrows are:

A 23 year old man presented to his GP complaining of tiredness and sore throat. He had cervical lymphadenopathy and a temperature of 38.8 degrees. His blood count was: Hb 12.7; MCV 86; WBC 15.5 (normal 4-11); PLT 203. Leukocyte differential: neutrophils 2.3; lymphocytes 13 (normal 1.5-4); monocytes 0.8. His blood film is here. What condition is suspected?

A man with a 6 week history of flitting joint pains, fever and tachycardia died from cardiac complications of his condition. This is a photomicrograph of a characteristic lesion found in his myocardium. What are the cells indicated by the arrows?

A coronary artery is specially stained to highlight a particular constituent of it. What is indicated by the arrow?

The photomicrographs show 4 different stages of myocardial infarct repair. Collagen is stained blue. Order them from earliest stage to most advanced stage.

A 24 year old man in South Africa presented with a 6 week history of flitting joint pains, fever and tachycardia. Over the next few weeks he developed congestive cardiac failure and despite treatment, he died. What is indicated by the arrows in the autopsy specimen of his heart?

In this pathology specimen of the lung, the arrows mark:

This image shows a part of the respiratory tract. Identify the tissue labelled A.

Name the structure labelled.

This is a cross section at T3. Identify vessel A.

Adrenals: on the left, venous blood from this structure drains into:

Name structure A.

What structures are all found in the cavernous sinus?

Name the structure labelled.

Lumbar plexus. Match the letters to appropriate nerves. A

B

C

D

E

Name the structure labelled

Thyroid muscles: name the muscle labelled.

Uterus: blood supply the the structure labelled is a direct branch of which blood vessel?

Identify A on the bony pelvis.

Male sagittal section: on the sagittal section, identify A.

Posterior abdominal wall: identify A

Sagittal female pelvis: identify A

This prosection demonstrates retroperitoneal organs and the branches of the coeliac trunk. Identify A.

Identify A

Identify vessel A

Identify A

Adrenal gland. Collagen in this image is stained blue. A marks cells that synthesise:

Endocrine organ stained with MSB stain. Collagen is green. What is this organ?

In this photomicrograph from a tumour in the kidney, the cells are derived from:

Kidney: this is a/an:

Histopathology specimen of a liver tumour. The cells shown here are:

Endocrine organ. The arrow indicates:

Pituitary gland. The arrow indicates a(n):

In this kidney section showing membranous glomerulonephrophathy, identify A.

In this section of a renal papilla, identify the cells marked with an arrow

In this liver biopsy, inflammation is centred on the structure indicated by the arrow. What is this structure?

This histopathology specimen is from the thyroid gland. In the centre of the field there is a/an:

The histopathology specimen shown at low magnification is from the liver. The blue tissue indicated by the arrows is:

The liver. The arrow indicates a:

The photomicrograph shows a metastatic tumour in the liver. The majority of the cells indicated by the arrows are:

Identify A

Identify A on this axial CT at the level of the first lumbar vertebrae.