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 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 Menetrier’s disease AdenomaJuvenile polyp Fundic gland polyp 2. All of the following are true about collagenous colitis, EXCEPT:Increased intraepithelial lymphocytes should always be present Distal colon biopsies may appear normal Women outnumber men, 2:1 The collagen often entraps small capillaries Paneth cell metaplasia may indicate treatment resistance 3. All of the following are characteristic of lymphocytic colitis, EXCEPT:Association with celiac diseaseAssociation with use of ranitidineLamina propria plasmacytosis Surface epithelial damage Thickened basement membrane 4. Fundic gland polyps are associated with all of the following EXCEPT:Proton pump inhibitor therapyFamilial adenomatous polyposis (FAP) H. pylori infectionFemale gender Adenomatous polyposis coli (APC) gene mutations 5. Which of the following are true about gastric foveolar polyps?Typically occur in the antrum Do not have intestinal metaplasiaProminent cystic changeAre associated with an increased risk of carcinomaOften have chronic inflammation 6. 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(2;5)t(8;14)t(14;18)t(11;14) 7. 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 8. 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 Invasive fungal infection TB infection Squamous cell carcinoma MAI infection 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.LeiomyosarcomaMelanomaEpithelioid hemangioendotheliomaGastrointestinal Stromal Tumor (GIST) Poorly differentiated adenocarcinoma 10. 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 Brainerd diarrhea Lymphocytic colitisCollagenous colitis Crohn’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