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 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 MAI infection Invasive fungal infection TB infection Poorly differentiated adenocarcinoma 2. 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.CLL/SLLDiffuse large B-cell lymphoma Marginal zone lymphoma Mantle cell lymphoma Atypical reactive lymphoid hyperplasia 3. All of the following are true about collagenous colitis, EXCEPT:Paneth cell metaplasia may indicate treatment resistanceIncreased intraepithelial lymphocytes should always be present Women outnumber men, 2:1 Distal colon biopsies may appear normal The collagen often entraps small capillaries 4. 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 #1Collagenous colitis Lymphocytic colitisUlcerative colitis Brainerd diarrhea Crohn’s disease 5. Which of the following are true about gastric foveolar polyps?Typically occur in the antrum Prominent cystic changeOften have chronic inflammation Do not have intestinal metaplasiaAre associated with an increased risk of carcinoma 6. 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.Poorly differentiated adenocarcinomaGastrointestinal Stromal Tumor (GIST) LeiomyosarcomaMelanomaEpithelioid hemangioendothelioma 7. All of the following are characteristic of lymphocytic colitis, EXCEPT:Lamina propria plasmacytosis Association with use of ranitidineThickened basement membrane Surface epithelial damage Association with celiac disease 8. Fundic gland polyps are associated with all of the following EXCEPT:H. pylori infectionAdenomatous polyposis coli (APC) gene mutations Female gender Familial adenomatous polyposis (FAP) Proton pump inhibitor therapy 9. 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(8;14)t(14;18)t(11;14)t(2;5) 10. 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 #4Juvenile polyp AdenomaHyperplastic polyp Fundic gland polypMenetrier’s disease 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