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Question 1
Correct
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A biopsy is obtained from an inflamed tissue. It reveals apoptotic epithelial cells with an excess of lymphocytes, occasional macrophages, and a few neutrophils present. What type of inflammation is this?
Your Answer: Chronic
Explanation:Different Forms of Inflammation
There are various types of inflammation, each with its own distinct characteristics. Chronic inflammation, such as autoimmune hepatitis, is primarily characterized by lymphocytes, with some macrophages and neutrophils. This type of inflammation causes tissue damage, which is evident in apoptotic epithelial cells.
Acute inflammation, on the other hand, involves mainly neutrophils and macrophages, with fewer lymphocytes. It also causes more tissue oedema and hyperaemia than chronic inflammation.
Allergic inflammation, like asthma, is characterized by an eosinophilic infiltrate, along with excess mast cells and basophils in chronic cases.
Granulomatous inflammation requires the presence of granulomas, which are formed from an inner core of macrophages, surrounded by lymphocytes (T-cells), and finally sealed off by fibroblasts.
Malignant tissue can also cause inflammation with oedema, which can have a mixture of inflammatory cells infiltrating. Overall, the different forms of inflammation is crucial in diagnosing and treating various diseases.
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This question is part of the following fields:
- Histology
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Question 2
Correct
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What distinguishes articular cartilage from other types of hyaline cartilage?
Your Answer: Regular arrangement of collagen fibres
Explanation:Types of Cartilage
Hyaline cartilage is a type of cartilage that is firm and is composed of type II collagen. It is found in various parts of the body such as the nose, the cartilaginous rings of the trachea, the foetal skeleton, and lines synovial joints in a specialized form known as articular cartilage. Articular cartilage has a more regular arrangement of collagen fibers and slightly more elastin, which makes it less frictional and facilitates the movement of synovial joints.
Fibrocartilage, on the other hand, is made up of type I collagen and is much more solid. It is used to hold bones together, such as in the pubic symphysis. Lastly, elastic cartilage has a rich elastin content and forms the pinna of the ear.
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This question is part of the following fields:
- Histology
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Question 3
Correct
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What is the cutaneous sensory organ that has a histological structure resembling the layers of an onion when viewed in cross-section?
Your Answer: Pacinian corpuscles
Explanation:Types of Skin Receptors
Pacinian corpuscles, free nerve endings, Meissner’s corpuscles, and Merkel cells are all types of skin receptors that play a role in sensory perception. Pacinian corpuscles are located deep in the dermis and are responsible for detecting pressure and vibration. They are made up of concentric rings of Schwann cells surrounding a nerve ending, giving them a distinctive onion-like appearance. Free nerve endings, on the other hand, are primary sensory afferents that are found throughout the dermal tissue and act as pain and temperature receptors.
Meissner’s corpuscles are touch receptors that are primarily located on the hands and feet. They are formed of spirally arranged cells in a fibrous coating, allowing them to detect light touch and changes in texture. Finally, Merkel cells are single cells that are found in the epidermis and function as slowly adapting touch receptors. They are similar in appearance to melanocytes but lack cytoplasmic processes.
In summary, these different types of skin receptors work together to provide us with a complex sensory experience, allowing us to perceive pressure, vibration, pain, temperature, and touch.
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This question is part of the following fields:
- Histology
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Question 4
Incorrect
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What is the definition of liver cirrhosis?
Your Answer: Severe fibrosis of portal tracts
Correct Answer: Nodules, fibrosis, and architectural disruption
Explanation:Cirrhosis: End-Stage Fibrosis of the Liver
Cirrhosis is a condition that describes the changes that occur in the liver when it reaches end-stage fibrosis. This happens due to chronic inflammation that leads to the death of liver cells or hepatocyte apoptosis. Initially, the dead cells are replaced by new ones through hepatocyte regeneration. However, in cases of chronic inflammation, activated stellate cells deposit fibrous tissue in the liver, leading to the formation of large bands that stretch between portal tracts. These tracts are also expanded with fibrosis, and areas of hepatocyte regeneration occur, forming nodules. Unfortunately, at this stage, the normal relationship between hepatocytes, portal triads, and central vein is lost, leading to poor drainage of portal blood through the liver. This results in increased back-pressure and portal hypertension. It is important to note that these features alone do not necessarily indicate cirrhosis.
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This question is part of the following fields:
- Histology
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Question 5
Correct
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What is the composition of nails?
Your Answer: Keratin
Explanation:Skin, Collagen, and Other Components of Tissue
The epidermis is composed of keratinocytes that become less cellular and harder as they move towards the surface. The nail bed is a specialized area of skin that produces hardened plates of keratin to form nails. Type I collagen is the primary structural collagen that helps form bone, cartilage, and tendons. Ehlers-Danlos syndrome is a condition where Type I collagen is defective. Type IV collagen is the primary structural collagen in the basement membrane and is defective in Alport’s syndrome. Hyaluronic acid is a glycosaminoglycan and a major component of the ground substance that surrounds cells. Fibrin is an insoluble protein that cross-links to form clots as part of haemostasis.
Overall, these components play important roles in the structure and function of tissues in the body. their functions and potential defects can aid in the diagnosis and treatment of various conditions.
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This question is part of the following fields:
- Histology
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Question 6
Incorrect
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Which type of cell creates the visceral peritoneum?
Your Answer: Endothelial cells
Correct Answer: Mesothelial cells
Explanation:Different Types of Cells in the Body
Mesothelial cells are a type of flat epithelial cells that are responsible for lining cavities in the body. These cells can be found in the parietal and visceral pleura, peritoneum, tunica vaginalis, and pericardium. They secrete a small amount of lubricant fluid that allows the parietal and visceral layers to move against each other with low friction. However, mesothelial cells are also known for their development into mesothelioma, a malignant tumor that is strongly associated with asbestos exposure and has a poor prognosis.
Endothelial cells, on the other hand, are responsible for lining blood vessels. Fibroblasts are cells that secrete extracellular matrix, which is important for tissue repair and wound healing. Mesangial cells are supporting cells of the glomerular capillaries, which are responsible for filtering blood in the kidneys. Lastly, goblet cells are mucus-secreting cells that can be found throughout the body, particularly in the respiratory and digestive tracts.
Overall, the body is made up of various types of cells that have different functions and play important roles in maintaining overall health and well-being.
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This question is part of the following fields:
- Histology
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Question 7
Correct
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Which cell type provides support to the blood brain barrier through its foot processes?
Your Answer: Astrocytes
Explanation:Glial Cells in the Nervous System
There are various types of supporting cells in the nervous system, including astrocytes, ependymal cells, microglia, oligodendrocytes, and Schwann cells. Astrocytes play a crucial role in supporting the blood-brain barrier by wrapping their long foot processes around every capillary in the brain. This barrier separates the systemic circulation from the cerebral tissue and regulates the movement of water and glucose between them.
Ependymal cells are responsible for producing cerebrospinal fluid (CSF) in the choroid plexus. Microglia have an immune function and are involved in phagocytosis. Oligodendrocytes are responsible for myelinating cells in the CNS, while Schwann cells perform the same function in the PNS.
In summary, glial cells play a vital role in supporting and protecting the nervous system. Each type of glial cell has a unique function, from supporting the blood-brain barrier to producing CSF and myelinating cells. the roles of these cells is crucial in the complex workings of the nervous system.
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This question is part of the following fields:
- Histology
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Question 8
Incorrect
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What is the cell type in the glomerulus that has a role in phagocytosis?
Your Answer: Podocytes
Correct Answer: Mesangial cells
Explanation:The Structure of the Glomerulus
The glomerulus is composed of glomerular capillaries that are lined by a basement membrane and podocyte processes. Podocytes are connected to the epithelial cells of Bowman’s capsule, which are then connected to the cells of the proximal convoluted tubule. Supporting cells called mesangial cells are located between the capillary endothelial cells and podocytes. These cells produce the extracellular matrix that supports the structure of the glomerulus and remove dead cells through phagocytosis. Additionally, mesangial cells may play a role in regulating glomerular blood flow. Overall, the glomerulus is a complex structure that plays a crucial role in the filtration of blood in the kidneys.
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This question is part of the following fields:
- Histology
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Question 9
Incorrect
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What does the term carcinoma in situ mean?
Your Answer: Benign growth that has invaded through the basement membrane
Correct Answer: Highly dysplastic cells that have not invaded through the basement membrane
Explanation:Carcinoma in Situ: A Non-Invasive Tumor
A carcinoma in situ is a type of tumor that appears malignant under microscopic examination but has not yet invaded through the basement membrane. This membrane is a crucial feature that defines malignancy, and without it, the tumor cannot metastasize. Therefore, local resection is often curative. The cells that make up a carcinoma in situ typically exhibit high-grade dysplasia, which means they have all the characteristics of malignancy.
It’s important to note that benign growths do not invade through the basement membrane, and low-grade dysplasia alone is not enough to define a carcinoma in situ. Additionally, an inherited mutation in an oncogene or tumor suppressor gene can increase the risk of developing malignancy, but it does not necessarily result in a carcinoma in situ.
Overall, a carcinoma in situ is a non-invasive tumor that has the potential to become malignant if it invades through the basement membrane. However, with proper treatment, it can often be cured before it becomes a more serious issue.
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This question is part of the following fields:
- Histology
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Question 10
Incorrect
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Which types of cells have cilia that are capable of movement?
Your Answer: Alveolar type 1 pneumocytes
Correct Answer: Fallopian tube epithelial cells
Explanation:Cilia, Flagella, and Microvilli: Cellular Projections with Unique Functions
Cilia, flagella, and microvilli are cellular projections that serve different functions in various cells. Cilia are hair-like structures made up of microtubules and dynein proteins. They can be either immotile or motile, with immotile cilia used for sensory transduction and attachment to underlying tissues, while motile cilia beat rhythmically to move fluid over the surface of cells or confer motility to cells. Cilia are found in the respiratory tract and Fallopian tube epithelium.
Flagella, on the other hand, are longer projections that are classified as a type of cilium. Spermatozoa have a long flagellum that has a similar internal structure to a cilium but is much longer and is used for motility.
Microvilli are folds of the cell membrane that increase the surface area for absorption. They are found in cells such as ileal enterocytes, which are responsible for nutrient absorption in the small intestine.
In summary, cilia, flagella, and microvilli are cellular projections that serve unique functions in different cells. While cilia can be either immotile or motile, flagella are longer and used for motility, and microvilli increase surface area for absorption.
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This question is part of the following fields:
- Histology
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Question 11
Incorrect
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What characteristic might indicate the presence of high-grade dysplasia?
Your Answer: Small nuclei
Correct Answer: High Ki67 index
Explanation:Dysplasia and its Association with Malignancy
Dysplasia refers to the cellular changes that occur during the development of malignancy. The degree of dysplasia in a cell is directly proportional to its likelihood of being found in an invasive cancer. Cells with higher-grade dysplasia have more genetic abnormalities than those with low-grade dysplasia.
Progressive dysplasia is characterized by variations in the appearance of cells and their nuclei, which is not typical in most tissues where cells appear similar. The nuclei of dysplastic cells are larger, and there is an increase in the number of nucleoli. The Ki67 index is a marker of proliferation, and a higher Ki67 index indicates a higher rate of cell turnover.
In most tissues, mitoses are rare, but malignant tissues made up of dysplastic cells show visible mitoses. dysplasia and its association with malignancy is crucial in the early detection and treatment of cancer.
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This question is part of the following fields:
- Histology
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Question 12
Correct
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What is the epithelial lining of the ectocervix?
Your Answer: Stratified squamous
Explanation:The human body is composed of approximately 50-60% total body water, with men having a higher percentage of water at around 60%. This means that a 70Kg man would have approximately 42 litres of total body water.
This water is divided into two main categories: extracellular fluid and intracellular fluid. Extracellular fluid makes up one third of the total body water and is further divided into four subcategories: plasma, interstitial fluid, lymph, and transcellular fluid.
Plasma makes up 3.5 litres, interstitial fluid makes up 8.5 litres, while lymph and transcellular fluid each make up 1.5 litres. The remaining two thirds of the total body water is intracellular fluid.
It is important to note that the concentration of electrolytes, such as potassium, in the extracellular fluid is crucial for maintaining proper bodily function. In fact, an extracellular fluid concentration of 12 mmol/L of potassium is incompatible with life.
The body’s fluid composition is essential for maintaining overall health and wellness.
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This question is part of the following fields:
- Histology
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Question 13
Incorrect
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What is the fundamental structure of the adrenal cortex?
Your Answer: Enterochromaffin cells
Correct Answer: Zona reticularis
Explanation:Anatomy and Function of the Adrenal Glands
The adrenal glands are composed of two distinct parts: the outer cortex and the inner medulla. The adrenal cortex is responsible for producing the body’s steroid hormones and is divided into three layers. The outermost layer, the zona glomerulosa, produces mineralocorticoids such as aldosterone. The middle layer, the zona fasciculata, produces glucocorticoids like cortisol. The innermost layer, the zona reticularis, produces androgens such as DHEA and androstenedione.
On the other hand, the adrenal medulla is made up of enterochromaffin cells, which are neural crest derivatives that secrete catecholamines. The adrenal gland is covered by a fibrous capsule that contains fibroblasts. The adrenal gland plays a crucial role in regulating various bodily functions, including blood pressure, metabolism, and stress response.
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This question is part of the following fields:
- Histology
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Question 14
Incorrect
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In which location of the skin are melanocytes predominantly located?
Your Answer: Dermis
Correct Answer: Stratum basale
Explanation:The Role of Melanocytes in Skin Pigmentation
Melanocytes are a type of epithelial cell found in the basal layer of the epidermis. Despite their location, they have long cytoplasmic processes that extend into the spaces between keratinocytes. These cells are responsible for producing melanin, which is derived from tyrosine. The melanin is then transported along the cytoplasmic processes and into the keratinocytes in the basal and prickle cell layers. Interestingly, it is the rate of melanin production that determines skin tone, rather than the number of melanocytes present.
The epidermis is composed of four layers, with the stratum corneum being the most superficial and the stratum basale being the deepest. The stratum corneum is also known as the keratin layer, while the stratum granulosum is referred to as the granular layer. The prickle cell layer is known as the stratum spinosum, and the basal layer is the stratum basale. the role of melanocytes in skin pigmentation is important for the mechanisms behind skin color and how it can vary among individuals.
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This question is part of the following fields:
- Histology
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Question 15
Incorrect
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In what location can Leydig cells be found?
Your Answer: In the prostate
Correct Answer: Between testicular seminiferous tubules
Explanation:Cell Types and Functions in Male Reproductive System
The male reproductive system is composed of various organs that work together to produce and transport sperm. Two main types of epithelial cells are present in the testes: Sertoli cells and Leydig cells. Leydig cells are located between the seminiferous tubules and produce androgens, including testosterone. On the other hand, Sertoli cells are arranged in tubular structures and have a basal and luminal compartment where spermatogonia divide and spermatids mature, respectively. Testosterone diffuses into Sertoli cells and is converted into a more active form called 5-hydroxytestosterone.
The epididymis is lined by tall columnar epithelial cells with long microvilli. These cells phagocytose dead spermatozoa and produce substances that aid in sperm maturation. The prostate gland is an exocrine gland composed of acinar and ductal cells. Its secretory products are essential for the stability of spermatozoa. Lastly, the seminal vesicles have a convoluted lining of secretory epithelial cells that produce the majority of the volume of seminal fluid, including fructose, which serves as the energy source for spermatozoa. the functions of these cells and organs is crucial in comprehending the male reproductive system’s overall function.
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This question is part of the following fields:
- Histology
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Question 16
Incorrect
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What type of epithelial cells can be found in the choroid plexus?
Your Answer: Microglia
Correct Answer: Ependymal cells
Explanation:Cells in the Central Nervous System
Ependymal cells are responsible for the production of cerebrospinal fluid (CSF) in the choroid plexus, which is a highly vascular tissue found in all CNS ventricles. These cells are specialised for secretion and have apical microvilli. Enterochromaffin cells, on the other hand, are catecholamine-secreting cells found in the adrenal medulla. Mesangial cells are supporting cells of the glomerulus, while mesothelial cells form a monolayer that comprises the pleura, peritoneum, and pericardium. Lastly, microglial cells are phagocytic glial cells of the CNS. Each of these cells plays a unique role in the central nervous system and contributes to its overall function.
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This question is part of the following fields:
- Histology
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Question 17
Incorrect
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What are the differences between veins and arteries?
Your Answer: Veins have two elastic laminae
Correct Answer: Veins have a thicker serosa
Explanation:Differences between Arteries and Veins
Arteries and veins are two types of blood vessels that have distinct differences in their structure and function. Both arteries and veins have three layers: the tunica intima, tunica muscularis, and tunica serosa. However, there are notable differences between the two.
The tunica intima of both arteries and veins contains endothelium and subendothelial tissue. However, the tunica intima of veins is specialized to form valves. The tunica muscularis of arteries is much thicker and has more elastin than veins. It also has two elastic laminae, one internal and one external. In contrast, the tunica muscularis of veins is thinner and less elastic. The tunica serosa of veins is much thicker and contains more collagen than arteries.
One of the most significant differences between arteries and veins is their internal diameter. Veins have a larger internal diameter than arteries, which allows them to carry a greater volume of blood. Additionally, veins have a thicker serosa than arteries.
In summary, while both arteries and veins have similar layers, their differences lie in the thickness and composition of these layers. The specialized tunica intima of veins allows them to form valves, while the thicker tunica muscularis and serosa of arteries provide them with more elasticity and strength. The larger internal diameter of veins allows them to carry more blood, making them an essential component of the circulatory system.
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This question is part of the following fields:
- Histology
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Question 18
Incorrect
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What is the name of the cells that make up the outermost layer of the retina and are first exposed to light?
Your Answer: Horizontal cells
Correct Answer: Ganglion cells
Explanation:The Retina and its Cell Types
The retina is composed of various types of cells, with the ganglion cell layer being the most superficial layer that is first exposed to light. Ganglion cells are the only neurons present in the retina, and they have an axon that extends centrally to form the optic nerve. These cells form synapses with bipolar cells, which are located deeper in the retina. Bipolar cells, in turn, synapse with photoreceptors, which are situated in the deepest layer of the retina. Supporting cells such as horizontal cells and amacrine cells are positioned between the other cells.
Photoreceptors play a crucial role in the retina by absorbing light and generating electrical impulses that travel through the optic nerve to the occipital lobe, where photographic images are created. The retina’s complex structure and the interactions between its various cell types enable us to see the world around us.
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This question is part of the following fields:
- Histology
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Question 19
Incorrect
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In what location can calcitonin-secreting C-cells be found?
Your Answer: In the duodenal mucosa
Correct Answer: Between thyroid follicles
Explanation:Endocrine Glands and Cells in the Body
The thyroid gland is composed of follicles that contain colloid and are lined by follicular cells. These cells produce thyroid hormones, T4 and T3. The parafollicular cells, also known as C-cells, are located between the thyroid follicles and produce calcitonin. Calcitonin is produced in hypercalcaemia and inhibits osteoclast resorption of bone, which promotes hypocalcaemia. Tumours of the parafollicular cells can cause hypocalcaemia and have raised levels of calcitonin.
The parathyroid gland produces parathyroid hormone, which activates osteoclasts and promotes hypercalcaemia. This hormone works in conjunction with vitamin D. The islets of Langerhans contain alpha-cells, beta-cells, and delta-cells. These cells produce glucagon, insulin, and somatostatin, respectively. Lastly, there are multiple endocrine cells in the duodenal mucosa that secrete hormones with various gastrointestinal and metabolic functions. These cells include S-cells, L-cells, and I-cells.
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This question is part of the following fields:
- Histology
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