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. All of the following are true about collagenous colitis, EXCEPT:Increased intraepithelial lymphocytes should always be present The collagen often entraps small capillaries Women outnumber men, 2:1 Paneth cell metaplasia may indicate treatment resistanceDistal colon biopsies may appear normal 2. 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(14;18)t(11;14)t(8;14) 3. Fundic gland polyps are associated with all of the following EXCEPT:Adenomatous polyposis coli (APC) gene mutations Female gender Proton pump inhibitor therapyFamilial adenomatous polyposis (FAP) H. pylori infection 4. All of the following are characteristic of lymphocytic colitis, EXCEPT:Lamina propria plasmacytosis Thickened basement membrane Surface epithelial damage Association with celiac diseaseAssociation with use of ranitidine 5. 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 #7MAI infection Invasive fungal infection Poorly differentiated adenocarcinoma Squamous cell carcinoma TB infection 6. Which of the following are true about gastric foveolar polyps?Often have chronic inflammation Typically occur in the antrum Are associated with an increased risk of carcinomaProminent cystic changeDo not have intestinal metaplasia 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 #1Lymphocytic colitisUlcerative colitis Brainerd diarrhea Crohn’s diseaseCollagenous colitis 8. 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 Fundic gland polypMenetrier’s disease Adenoma 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.Mantle cell lymphoma CLL/SLLAtypical reactive lymphoid hyperplasiaDiffuse large B-cell lymphoma Marginal zone lymphoma 10. 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.Gastrointestinal Stromal Tumor (GIST) MelanomaPoorly differentiated adenocarcinomaEpithelioid hemangioendotheliomaLeiomyosarcoma 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