Pathology · single question

A patient has a draining sinus tract from tooth #3. What cells predominate in the exudate?

  1. Macrophages
  2. Plasma cells
  3. Neutrophils
  4. Lymphocytes
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Correct answer: C. Neutrophils

  • A. Macrophages are key in chronic inflammation and phagocytosis; they are present but not the primary cell in acute purulent exudate.
  • B. Plasma cells are seen in chronic inflammation and antibody production; not the primary cells in purulent drainage.
  • C. Neutrophils (PMNs) are the hallmark cells of acute purulent exudate (pus). Abscess exudate consists predominantly of dead/dying neutrophils, cellular debris, and bacteria.
  • D. Lymphocytes predominate in chronic inflammation, not in purulent exudate.

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