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 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 adenocarcinomaEpithelioid hemangioendotheliomaMelanomaLeiomyosarcomaGastrointestinal Stromal Tumor (GIST) 2. All of the following are true about collagenous colitis, EXCEPT:Women outnumber men, 2:1 Paneth cell metaplasia may indicate treatment resistanceThe collagen often entraps small capillaries Increased intraepithelial lymphocytes should always be present Distal colon biopsies may appear normal 3. 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 #4AdenomaMenetrier’s disease Fundic gland polypJuvenile polyp Hyperplastic polyp 4. All of the following are characteristic of lymphocytic colitis, EXCEPT:Lamina propria plasmacytosis Thickened basement membrane Surface epithelial damage Association with use of ranitidineAssociation with celiac disease 5. 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(11;14)t(8;14)t(14;18)t(2;5) 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 #7Poorly differentiated adenocarcinoma Squamous cell carcinoma TB infection MAI infection Invasive fungal infection 7. Fundic gland polyps are associated with all of the following EXCEPT:Proton pump inhibitor therapyH. pylori infectionFamilial adenomatous polyposis (FAP) Female gender Adenomatous polyposis coli (APC) gene mutations 8. 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 #1Lymphocytic colitisBrainerd diarrhea Crohn’s diseaseCollagenous colitis Ulcerative colitis 9. 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/SLLMantle cell lymphoma Atypical reactive lymphoid hyperplasiaMarginal zone lymphoma Diffuse large B-cell lymphoma 10. Which of the following are true about gastric foveolar polyps?Are associated with an increased risk of carcinomaOften have chronic inflammation Do not have intestinal metaplasiaProminent cystic changeTypically occur in the antrum 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