CASE F

This specimen is from an expectorated sputum from a 71-year-old man with chronic obstructive pulmonary disease. Chest x-rays demonstrate bilateral infiltrates in both upper lobes.

Look at the slide (This will open a new browser window that you can refer to while answering the questions below. Close when finished.)

How many different types of organisms are present in this smear?

1
2
3
4
5

Describe the morphology(ies) of the organism(s) seen in the smear. (There will be more than one correct answer)

Gram negative bacilli
Gram negative diplococci
Gram positive bacilli
Gram positive cocci in chains
Gram positive cocci in pairs

 

Describe the types of tissue cell(s) seen in the smear?

Epithelial cell and red blood cell
Epithelial cell and neutrophil
Epithelial cell and macrophage
Red blood cell and macrophage
Red blood cell and neutrophil
Macrophage and neutrophil

 

Which tissue cell type predominates in this smear?

Epithelial cell
Macrophage
Red blood cells
Neutrophils