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Pathology · Granulomatous inflammation
Sample itemWhat is the defining cellular arrangement in a granuloma?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Aggregates of activated macrophages with epithelioid appearance
Granulomas are organized collections of activated macrophages, often with epithelioid morphology and giant cells, formed when the immune system attempts to contain persistent organisms or foreign material.
Option by option
A. Clusters of adipocytes around nerves
Adipocytes around nerves do not define granulomatous inflammation.
B. Diffuse acellular collagen only
Collagen may accompany chronic disease but does not itself define a granuloma.
C. Sheets of mature erythrocytes
Erythrocytes are circulating red cells and do not form granulomas.
D. Aggregates of activated macrophages with epithelioid appearance (correct)
Correct: activated macrophages are the structural core of granulomas.
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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