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Pathology · Infectious pathology: viral cytopathic effect
Sample itemWhich histologic finding is characteristic of herpesvirus infection?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Multinucleated giant cells with nuclear inclusions
Herpesviruses can cause multinucleation, nuclear molding, chromatin margination, and intranuclear inclusions in infected epithelial cells. Cytology and PCR can aid diagnosis.
Option by option
A. Auer rods in myeloblasts
Auer rods occur in acute myeloid leukemia.
B. Foam cells in arterial intima
Foam cells are seen in atherosclerosis.
C. Acid-fast bacilli in macrophages only
Acid-fast bacilli suggest mycobacterial infection.
D. Multinucleated giant cells with nuclear inclusions (correct)
Correct. Multinucleated cells with nuclear inclusions are a classic herpes cytopathic pattern.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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