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Pathology · Protein deposition disorders
Sample itemWhat is the classic histochemical appearance of amyloid with Congo red staining under polarized light?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Apple-green birefringence
Amyloid deposits bind Congo red and show apple-green birefringence under polarized light, a characteristic demonstration of abnormal extracellular fibrillar protein accumulation in affected tissues.
Option by option
A. Apple-green birefringence (correct)
Correct: apple-green birefringence is the classic Congo-red amyloid finding.
B. Bright red acid-fast bacilli
Acid-fast red bacilli indicate mycobacterial staining, not amyloid.
C. Blue-black nuclear staining
Blue-black nuclear staining describes different histologic techniques.
D. Purple Gram-positive cocci
Gram-positive cocci are bacteria seen with Gram stain, not protein deposits.
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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