#march2020mccqe1
A diabetic patient is undergoing a routine physical examination. During the review of systems, the patient comments that he has been having pain on swallowing. He localizes the pain to below his sternum. Barium swallow shows slightly raised plaques throughout the esophagus. Endoscopy demonstrates plaques covered with white, curdy, cheese-like material. A biopsy of one of the lesions will most likely demonstrate which of the following?
(A) Acute-angled, branching, septated filaments
(B) Anaplastic squamous cells with numerous mitotic figures
(C) Intranuclear and cytoplasmic inclusion bodies with “owl’s-eye” appearance
(D) Loss of ganglion cells in the myenteric plexus
(E) Multinucleated epithelial giant cells on Giemsa stain
(F) Pseudohyphal mycelia and budding yeast cells
A diabetic patient is undergoing a routine physical examination. During the review of systems, the patient comments that he has been having pain on swallowing. He localizes the pain to below his sternum. Barium swallow shows slightly raised plaques throughout the esophagus. Endoscopy demonstrates plaques covered with white, curdy, cheese-like material. A biopsy of one of the lesions will most likely demonstrate which of the following?
(A) Acute-angled, branching, septated filaments
(B) Anaplastic squamous cells with numerous mitotic figures
(C) Intranuclear and cytoplasmic inclusion bodies with “owl’s-eye” appearance
(D) Loss of ganglion cells in the myenteric plexus
(E) Multinucleated epithelial giant cells on Giemsa stain
(F) Pseudohyphal mycelia and budding yeast cells
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