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 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 #3Basaloid squamous cell carcinoma Signet ring cell carcinoma Small cell carcinoma Carcinoid tumor Neuroendocrine carcinoma 2. 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 #7Pancreatic heterotopiaAdenocarcinomaCarcinoidGastric heterotopia Brunner's gland adenoma 3. 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 #5Intraductal papillary-mucinous neoplasm Mucinous cystadenoma Microcystic serous cystadenomaPancreatic adenocarcinomaSerous cystadenoma 4. Which of the following is the most important prognostic indicator in MALT lymphoma?MUM-1 positivityThe presence of Helicobacter pylori organisms CD30 positivity Bcl-6 positivityALK1 positivity 5. 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 #1PASReticulin stainHepPar-1 stainCK-19Alpha fetal protein (AFP) level 6. 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 lymphomaMedullary carcinoma Colonic adenocarcinoma Mantle cell lymphoma Signet ring cell carcinoma 7. 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 #2Anaplastic large cell lymphoma Diffuse large B cell lymphoma Chronic lymphocytic leukemia/small lymphocytic lymphoma Mantle cell lymphoma Marginal zone lymphoma 8. 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 CarcinomaSolid-pseudopapillary tumor Diffuse large B cell lymphoma Carcinoid tumor Pancreatic adenocarcinoma 9. 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 10. 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 #8AngiosarcomaCapillary Hemangioma Arteriovenous malformationKaposi's sarcoma Bacillary Angiomatosis 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