var killers = new Array
(
"The following two photographs refer to a 62 year old man who complained of lethargy and pain in his hands and legs upon exposure to cold. The first picture is of a serum protein electrophoresis and the second shows a skull X-Ray with an insert illustrating features of a bone marrow aspiration.<p>Should this man become dehydrated, he is at great risk to develop<p><IMG SRC=que7a.jpg><p><IMG SRC=que7b.jpg>$$peripheral cyanosis%%acute renal failure^^an abdominal aneurysm&&a cerebral hemorrhage",
"The following photograph is from a lymph node biopsy of a 24 year old female college student. She had complained of night weets and fever.<p>The histologic features indicate<p><IMG SRC=rscell.jpg>$$tuberculosis%%metastatic malignancy, most likely of ovarian origin^^poorly diferentiated lymphoma&&Hodgkin's disease",
"The following photographs are of a lymph node biopsy from a 9 year old African child with profound cervical adenopathy. Genetic studies reveal the presence of EBV genome. The best diagnosis is.<p><IMG SRC=burk_gross.jpg><p><IMG SRC=burk.jpg>$$Hodgkins disease%%tuberculosis^^Burkitt's lymphoma&&high grade T-cell lymphoma",
"This 14 year old high school student complains of sore throat, fever and lethargy. Physical exam reveals large cervical lymph nodes and mild splenomegaly. The CBC has a WBC count of 14,000 with 60% of the cells as shown in the following photograph. The person is not anemic and the platelet count is within normal limits. The most helpful diagnostic test would be<p><IMG SRC=mono.jpg>$$lymph node biopsy%%bone marrow exam^^Ph' chromosome&&mono test",
"This 44 year old man comes for evaluation of evaluation of shortness of breath, night sweats and fever. In the course of his work-up he is found to have cervical and mediastinal lymph adenopathy. A biopsy of one of the lymph nodes is shown in the next photographs. The cell most likely responsible for this condition is<p><IMG SRC=lymph1.jpg><p><IMG SRC=lymph2.jpg>$$germinal center B cell%%peripheral T cell^^stimulated macrophage&&bone marrow stem cell",
"The following two photographs are of autopsy tissue from a 62 year old man with several years history of CLL. About 6 months prior to his death he began to experience severe flu-like symptoms, combined with fevers, night sweats and generalized lymphadenopathy. His liver enzymes rose dramatically several weeks prior to his death.  The most likely explanation for his demise is<p><IMG SRC=lymliv1.jpg><p><IMG SRC=lymliv2.jpg>$$overwhelming fungal infection%%Richter syndrome^^secondary development of Hodgkin lymphoma&&CMV infection",
"Splenomegaly is a typical finding in all of the following EXCEPT$$chronic lymphocytic leukemia%%chronic granulocytic leukemia^^multiple myeloma&&Gaucher's disease",
"Histiocytosis X includes which of the following conditions?$$Tay-Sachs disease%%Letterer-Siwe syndrome^^Niemann-Pick disease&&von Hippel-Lindau disease",
"This 58-year-old man was admitted with a nine month history of a mass in the right parotid region.  Examination revealed no generalized lymphadenopathy nor hepatosplenomegaly.  Hemoglobin 15.9 g/dl; platelet count 138,000/mm3; WBC-6,700/mm3 with normal differential count. The disease process which best characterizes this slide is<p><IMG SRC=sjogrn1.jpg><p><IMG SRC=sjogrn2.jpg>$$lymphocytic lymphoma%%Sjogrren's syndrom^^metastatic squamous cell carcinoma&&tuberculosis"
);
var answers = new
Array('b','d','c','d','a','b','c','b','b');