RCPA Examinations in Anatomical pathology - Questions ... - Rcpa.tv

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Question 3 You are directed by the Coroner to perform an autopsy on the body y of a 38-year year-old male who has died following perforation of the oesophagus, followed by suppurative mediastinitis and septicaemia. a. Endoscopy four days prior to death showed an oesophageal ulcer and a biopsy revealed herpes virus inclusions in the squamous epithelium adjacent to the ulcer and fungal elements, presumed to be Candida sp., in the ulcer slough. Describe your approach to the autopsy under the following headings: - Possible differential diagnoses as to any underlying disease process you might expect to encounter; Occupational health and safety issues; Macroscopic examination; Specimen collection and examination: Potential microscopic findings in examination of lymph nodes.
Some of the points we had in mind when setting question 3 included: • Differential should include the range of conditions which might cause immunosuppression in this age group • Occupational health and safety Issues should include universal and a any special precautions for dealing with possible infectious material in the autopsy situation and in the handling of collected specimens ens • The macroscopic and microscopic examinations should include evidence of examination for possible factors related to acquisition ion of acquired immune deficiency and also related pathology, including infections. The possibility that the perforation is iatrogenic should s also be addressed • Lymph node examination should include features seen in HIV infection/AIDS and also other conditions in which immune compromise might be seen, including previously undiagnosed lymphoma etc.
Page 1 and 2: Exam Update 2008 Anatomical Patholo
Page 3 and 4: Available Information What is the B
Page 5 and 6: Available Information (cont.) Polic
Page 7 and 8: Available Information (cont.) Polic
Page 9 and 10: Available Information (cont.) Train
Page 11 and 12: Available Information (cont.) Train
Page 13 and 14: Available Information (cont.) Infor
Page 15 and 16: Available Information 10.3.06
Page 17 and 18: No More Slanted Part II Exams in AP
Page 19 and 20: To avoid confusion (and to also avo
Page 21 and 22: Current Examination Format in AP Pa
Page 23 and 24: Part I Current Examination Format i
Page 25 and 26: Sample portions of Letter To Examin
Page 27 and 28: Some of the points we had in mind w
Page 29: Question 2 Write short notes on thr
Page 33 and 34: Part II - Casebook Current Examinat
Page 35 and 36: Part II - Casebook Current Examinat
Page 37 and 38: Part II - Cytopathology Practical C
Page 39 and 40: Marking of the Part I and Part II p
Page 41 and 42: The Autopsy Assessment in AP • Th
Page 43 and 44: Feedback on the performance and int
Page 45 and 46: “Markers should be selected from
Page 47 and 48: “If it is essential to keep the s
Page 49 and 50: “A A recurring problem has been t
Page 51 and 52: Indication as to what is required f
Page 53 and 54: Indication as to what is required f
Page 55 and 56: 1“Are slides weighted?’ 2“Are
Page 57 and 58: This is the overall format of the l
Page 59 and 60: Part 2 Practical
Page 61 and 62: Analytical Assessment of Cases •
Page 64 and 65: Case 1: Female 36 - suspicious lesi
Page 66: Case 3: Male 19 - cystic lesion in
Page 70: Case 4: Female 42 - right thyroid n
Page 73: Case 5: Male 38 - right retroperito
Page 76: Case 6:Female 29 - persistent bleed
Page 79: Case 7: Male 68 - left scrotal mass
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Case 8: Female 35 - enlarging painf
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Case 9: Male 60 - left pleural mass
Page 88:
Case 10: Male 4 days old - neonatal
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Case 11: Female 52 - nausea, abdomi
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Case 12: Male 52 - burns on hands,
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Case 13: Male 65 - tumour at the ba
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Case 14: Female 45 - left temporal
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Case 15: Female 40 - right orbital
Page 108 and 109:
“At some point ….. Genuine rega
Page 110 and 111:
What’s s under consideration? •
Page 112:
References for relevant information
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RCPA Examinations in Anatomical pathology - Questions ... - Rcpa.tv

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