PathMD Quizes, GI Pathology GI Pathology – 04 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A 55-year-old man undergoes an EGD for dysphasia. While examining the duodenum, and nodularity was noted in the duodenal bulb. This area was biopsy, and representative histologic sections are shown. Based on the histologic findings which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #7 Gastrointestinal Pathology - Part 4, Case #7 Gastrointestinal Pathology - Part 4, Case #7Gastric heterotopia AdenocarcinomaBrunner's gland adenoma Pancreatic heterotopiaCarcinoid 2. A colonic mass is found in a 45-year-old male with a history of anemia. At surgery a hemicolectomy was performed, and representative histologic images are shown for this case. Based on the findings, which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #4 Gastrointestinal Pathology - Part 4, Case #4Diffuse large B cell lymphomaMantle cell lymphoma Signet ring cell carcinomaMedullary carcinoma Colonic adenocarcinoma 3. All of the following are helpful in diagnosing reflux esophagitis (GERD) EXCEPT:Intraepithelial eosinophils in the range of 30/hpfIntraepithelial neutrophils Subepithelial papillae that extend > 2/3rds of the mucosal thickness Basal layer >15% of mucosal thickness All of the above are helpful in diagnosis of GERD 4. A 45-year-old female is found to have a 2.5 cm cecal mass. And excision was performed, and representative images are shown for this case. Based on the histologic findings, what is the most likely diagnosis? Gastrointestinal Pathology - Part 4, Case #3 Gastrointestinal Pathology - Part 4, Case #3 Gastrointestinal Pathology - Part 4, Case #3Carcinoid tumor Small cell carcinoma Neuroendocrine carcinoma Basaloid squamous cell carcinoma Signet ring cell carcinoma 5. Which of the following is the most important prognostic indicator in MALT lymphoma?CD30 positivity MUM-1 positivityThe presence of Helicobacter pylori organisms Bcl-6 positivityALK1 positivity 6. A 30-year-old female is found to have a 10 cm pancreatic mass. Representative histologic slides from this lesion are shown. Based on the history and histologic findings, what is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #6 Gastrointestinal Pathology - Part 4, Case #6 Gastrointestinal Pathology - Part 4, Case #6Neuroendocrine CarcinomaDiffuse large B cell lymphoma Pancreatic adenocarcinomaSolid-pseudopapillary tumor Carcinoid tumor 7. A 50-year-old female is found to have a 5 cm pancreatic tumor in the tail. A partial pancreatectomy is performed, and representative histologic images are shown for this case. Based on the histologic findings and the clinical history, which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #5 Gastrointestinal Pathology - Part 4, Case #5Mucinous cystadenoma Microcystic serous cystadenomaIntraductal papillary-mucinous neoplasm Pancreatic adenocarcinomaSerous cystadenoma 8. A 35-year-old female who underwent a CT scan for dysplasia was found to have a localized stomach mass. An EGD was performed, and representative histologic images from the biopsy or shown. Based on the histologic findings, what is the most likely diagnosis? Gastrointestinal Pathology - Part 4, Case #2 Gastrointestinal Pathology - Part 4, Case #2 Gastrointestinal Pathology - Part 4, Case #2Marginal zone lymphomaChronic lymphocytic leukemia/small lymphocytic lymphoma Diffuse large B cell lymphoma Mantle cell lymphoma Anaplastic large cell lymphoma 9. A patient with a history of HIV and disseminated histoplasmosis undergoes screening colonoscopy for intractable G.I. bleeding. Several red to purple patches are found along the colonic mucosa, and partial resection is performed. Representative histologic sections are shown. Based on the clinical history and histologic findings, what is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #8 Gastrointestinal Pathology - Part 4, Case #8 Gastrointestinal Pathology - Part 4, Case #8Bacillary Angiomatosis Arteriovenous malformationKaposi's sarcoma Capillary Hemangioma Angiosarcoma 10. A patient is found to have a liver mass by CT scan. Representative histology is shown in the images for this case. You are asked to review the case. Which of the following is the single test stain to confirm this diagnosis? Gastrointestinal Pathology - Part 4, Case #1 Gastrointestinal Pathology - Part 4, Case #1 Gastrointestinal Pathology - Part 4, Case #1HepPar-1 stainPASAlpha fetal protein (AFP) level CK-19Reticulin stain 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