PathMD Quizes, GI Pathology GI Pathology – 05 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. 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 #9 Endocrine-Exocrine, Question #9 Endocrine-Exocrine, Question #9. CD20. Endocrine-Exocrine, Question #9. BCL-1.Mantle cell lymphoma Diffuse large B-cell lymphoma Atypical reactive lymphoid hyperplasiaCLL/SLLMarginal zone lymphoma 2. Which of the following are true about gastric foveolar polyps?Typically occur in the antrum Do not have intestinal metaplasiaAre associated with an increased risk of carcinomaProminent cystic changeOften have chronic inflammation 3. Fundic gland polyps are associated with all of the following EXCEPT:H. pylori infectionFamilial adenomatous polyposis (FAP) Proton pump inhibitor therapyFemale gender Adenomatous polyposis coli (APC) gene mutations 4. A 40 y/o female undergoes an EGD. Multiple nodules are noted in the stomach. Based on the images shown, what is the best diagnosis? Gastrointestinal Pathology - Part 5, Question #4Hyperplastic polyp Juvenile polyp AdenomaFundic gland polypMenetrier’s disease 5. All of the following are characteristic of lymphocytic colitis, EXCEPT:Thickened basement membrane Association with use of ranitidineAssociation with celiac diseaseSurface epithelial damage Lamina propria plasmacytosis 6. A 64 y/o male presents with chronic weight loss that is significant and unwanted. Chest X-ray and CT scans show infiltrates and a possible mass. The patient has no known history of immune suppression or steroid use. An EGD was performed due to difficulty swallowing and showed a 5cm stricture. This area was biopsied, and representative images are shown. Based on the findings, what is the best diagnosis? Gastrointestinal Pathology - Part 5, Question #7 Gastrointestinal Pathology - Part 5, Question #7 Gastrointestinal Pathology - Part 5, Question #7Squamous cell carcinoma TB infection Invasive fungal infection MAI infection Poorly differentiated adenocarcinoma 7. A 60 y/o male presents with a history of chronic diarrhea. Colonoscopy was performed with no significant findings. Random biopsies were obtained, which are shown for this case. Based on these findings, what is the best diagnosis? Gastrointestinal Pathology - Part 5, Question #1 Gastrointestinal Pathology - Part 5, Question #1Ulcerative colitis Crohn’s diseaseBrainerd diarrhea Lymphocytic colitisCollagenous colitis 8. All of the following are true about collagenous colitis, EXCEPT:Women outnumber men, 2:1 Distal colon biopsies may appear normal Paneth cell metaplasia may indicate treatment resistanceThe collagen often entraps small capillaries Increased intraepithelial lymphocytes should always be present 9. A 36 y/o Mongolian woman presents with disseminated nodule on the peritoneum during an exploratory laporatomy. She has a past history of “stomach cancer” 10 years earlier. Representative images of the histology, including special stains, are shown. What is the best diagnosis? Gastrointestinal Pathology - Part 5 Gastrointestinal Pathology - Part 5 Gastrointestinal Pathology - Part 5. CD34. Gastrointestinal Pathology - Part 5. CD117.MelanomaLeiomyosarcomaPoorly differentiated adenocarcinomaGastrointestinal Stromal Tumor (GIST) Epithelioid hemangioendothelioma 10. In the images for the case below, which of the following FISH studies would most likely be positive? Endocrine-Exocrine, Question #10 Endocrine-Exocrine, Question #10 Endocrine-Exocrine, Question #10. CD20. Endocrine-Exocrine, Question #10. BCL-1.t(14;18)t(8;14)t(11;14)t(2;5) Loading... Share this:TwitterWhatsAppFacebookEmailPrintLinkedIn Related