AOBPa Pathology case studies
AOBPa Pathology · Put your knowledge to work in context.
The AOBPa Pathology examination is the board certification assessment administered by the American Osteopathic Board of Pathology for osteopathic physicians who have completed pathology residency training and wish to be certified in pathology. It is intended for candidates at the point of transition from training to independent practice, and for practicing pathologists seeking to demonstrate currency of knowledge. The AOBPa Pathology case studies are 5 cases and about 2,551 words.
1A Neck Mass in a Patient Who Declines Excision
A 52-year-old man presents with a 2.4 cm firm, nontender left level II neck mass that has enlarged over 6 weeks. He has smoked 1 pack/day for 30 years and reports 3 episodes of scant blood-tinged sputum but no dysphagia or hoarseness.
553 words, about 3 min2A Transfusion Reaction During an Outpatient Infusion
A 68-year-old woman with myelodysplastic syndrome receiving a unit of packed red cells in the infusion clinic develops fever to 39.1°C, chills, and flank pain 15 minutes into the transfusion. Her baseline blood pressure is 128/76 mmHg; now it is 96/58 mmHg with a heart rate of 118.
546 words, about 3 min3Frozen Section on a Small Ovarian Mass
A 34-year-old woman undergoes laparoscopy for a 6 cm right ovarian mass found on ultrasound. Intraoperatively the mass is smooth, cystic, and adherent to the pelvic sidewall; the contralateral ovary is normal.
500 words, about 3 min4A Mediastinal Mass Aspirate With Necrosis
A 61-year-old former smoker presents with a 4 cm right paratracheal mediastinal mass, a 1.5 cm right hilar node, and a small right pleural effusion. Endobronchial ultrasound-guided fine-needle aspiration of the paratracheal node yields scant cellular material: clusters of atypical epithelioid cells with prominent nucleoli in a background of abundant necrosis and scattered lymphocytes.
472 words, about 2 min5A Pancytopenic Patient With a Dry Tap
A 70-year-old man presents with fatigue, 8 kg weight loss, and early satiety. Examination shows marked splenomegaly 12 cm below the costal margin and no lymphadenopathy.
480 words, about 2 min