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Pathology · Cardiac pathology
Sample itemAschoff bodies are characteristic of which condition?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Rheumatic heart disease
Aschoff bodies are granulomas with Anitschkow (caterpillar) cells that form in the heart in rheumatic fever. Infective endocarditis shows friable vegetations, and Libman–Sacks vegetations are sterile and occur in lupus.
Option by option
A. Libman–Sacks endocarditis
Libman–Sacks lesions are small sterile vegetations seen in lupus.
B. Rheumatic heart disease (correct)
Correct. They are the pathognomonic lesion of rheumatic carditis.
C. Infective endocarditis
Infective endocarditis has large friable vegetations with bacteria.
D. Viral myocarditis
Viral myocarditis shows lymphocytic infiltrates with myocyte injury.
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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