PathMD Quizes, Clinical Endocrine Pathology – 01 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A patient is found to have an adrenal mass. The adrenal gland is removed, and representative histologic images are shown. Based on the findings, what is the best diagnosis? Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9. Chromogranin Endocrine-Exocrine, Question #9. SynaptophysinPheochromocytomaAdrenal carcinomaMyelolipomaAdrenal cortical adenoma 2. A 42 y/o female presents with a 10 cm pancreatic head mass. A CT guided biopsy is performed, which was noted to be very bloody during the procedure and on touch preparation. This entity can be associated with all of the following EXCEPT: Endocrine-Exocrine, Question #7 Endocrine-Exocrine, Question #7 Endocrine-Exocrine, Question #7. AE1/AE3 Endocrine-Exocrine, Question #7. CD34 Endocrine-Exocrine, Question #7. PASVon Hippel-Lindau diseaseMultiple endocrine neoplasiaDiabetesDuctal adenocarcinoma of the pancreas 3. Where in the normal thyroid gland are C-cells found in the highest concentration?IsthmusMiddle portionLower poleUpper pole 4. A patient is found to have an adrenal mass. The adrenal gland is removed, and representative histologic images are shown. The patient in the above case was found to have a gastric stromal sarcoma. In light of the new findings, what is the best clinical diagnosis for this patient? Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9. SynaptophysinMultiple endocrine neoplasiaNone of the answers are correctVon Hippel-Lindau diseaseCarneyʼs syndromeCarneyʼs triad 5. All of the following are true with respect to follicular thyroid carcinoma EXCEPT:Microinvasive follicular carcinomas have an excellent prognosisHigher incidence in iodine deficient areasPropensity for lymphatic invasionRadiation exposure is a risk factorRepresent ~5% of thyroid cancers 6. In mantle cell lymphoma, which of the following FISH studies would most likely be positive?t(2;5)t(11;14)t(14;18)t(8;14) 7. A 60 y/o man undergoes colonoscopy, and is noted to have a “nodular” mucosal surface. Multiple biopsies are performed, and representative images and stains are shown. Based on the findings, what is the best diagnosis? Endocrine-Exocrine, Question #5 Endocrine-Exocrine, Question #5 Endocrine-Exocrine, Question #5 Endocrine-Exocrine, Question #5. CD3. Endocrine-Exocrine, Question #5. CD5. Endocrine-Exocrine, Question #5. CD20. Endocrine-Exocrine, Question #5. BCL-1. Endocrine-Exocrine, Question #5. BCL-2.CLL/SLLMarginal zone lymphomaDiffuse large B-cell lymphomaMantle cell lymphomaAtypical reactive lymphoid hyperplasia 8. A 50 y/o male presents with an enlarged thyroid. Due to the mass effect, a complete thyroidectomy is performed. Based on the images shown, what is the best diagnosis? Endocrine-Exocrine, Question #1 Endocrine-Exocrine, Question #1 Endocrine-Exocrine, Question #1 Endocrine-Exocrine, Question #1Follicular variant of papillary carcinomaFollicular adenomaAdenomatoid nodulesFollicular carcinomaNodular hyperplasia 9. A 42 y/o female presents with a 10 cm pancreatic head mass. A CT guided biopsy is performed, which was noted to be very bloody during the procedure and on touch preparation. Based on the histology and special stains, what is the best diagnosis? Endocrine-Exocrine, Question #7 Endocrine-Exocrine, Question #7 Endocrine-Exocrine, Question #7 Endocrine-Exocrine, Question #7 Endocrine-Exocrine, Question #7. AE1/AE3 Endocrine-Exocrine, Question #7. CD34 Endocrine-Exocrine, Question #7. PASEpithelioid angiosarcomaLymphangiomaMicrocystic serous cystadenomaPancreatic pseudocystAcinar cell cystadenoma 10. What is the fatality rate for widely invasive follicular carcinoma tumors?75%>90%25%50%3% Loading... Share this: Share on X (Opens in new window) X Share on WhatsApp (Opens in new window) WhatsApp Share on Facebook (Opens in new window) Facebook Email a link to a friend (Opens in new window) Email Print (Opens in new window) Print Share on LinkedIn (Opens in new window) LinkedIn Related