PathMD Quizes, GI Pathology GI Pathology – 06 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 6, Question #3 Gastrointestinal Pathology - Part 6, Question #3 Gastrointestinal Pathology - Part 6, Question #3 Gastrointestinal Pathology - Part 6, Question #3Invasive fungal infectionMAI infectionTB infectionSquamous cell carcinomaPoorly differentiated adenocarcinoma 2. All of the following are true about collagenous colitis, EXCEPT:Paneth cell metaplasia may indicate treatment resistanceWomen outnumber men, 2:1The collagen often entraps small capillariesDistal colon biopsies may appear normalIncreased intraepithelial lymphocytes should always be present 3. A patient undergoes an EGD for non-specific abdominal pain. A nodule is found in the duodenum. Based on the histologic images, what is the most important diagnosis to consider? Gastrointestinal Pathology - Part 6, Question #6 Gastrointestinal Pathology - Part 6, Question #6 Gastrointestinal Pathology - Part 6, Question #6Familial adenomatous polyposisNeurofibromatosis, type 1Gardner syndromeUnderlying carcinoma 4. Which of the following is the most specific marker for a gastrointestinal stromal tumor?CD10S100CD34CD117Desmin 5. A 67 y/o female presents with dysphagia and undergoes an EGD. Biopsies were performed and histologic images and appropriate immunohistochemical (IHC) stains are performed. Based on the findings, what is the IHC diagnostic of? Gastrointestinal Pathology - Part 6, Question #2 Gastrointestinal Pathology - Part 6, Question #2 Gastrointestinal Pathology - Part 6, Question #2HIVHSVEBVCMV 6. What is the best diagnosis, based on images for this case? Gastrointestinal Pathology - Part 6, Question #9 Gastrointestinal Pathology - Part 6, Question #9 Gastrointestinal Pathology - Part 6, Question #9. PAS Gastrointestinal Pathology - Part 6, Question #9. AE1/AE3 Gastrointestinal Pathology - Part 6, Question #9. AFBMetastatic carcinomaWhipple diseaseMAI infectionCryptosporidiosisDiarrheogenic bacterial colitis 7. Which of the following are true about gastric foveolar polyps?Do not have intestinal metaplasiaOften have chronic inflammationTypically occur in the antrumAre associated with an increased risk of carcinomaProminent cystic change 8. Fundic gland polyps are associated with all of the following EXCEPT:H. pylori infectionFemale genderProton pump inhibitor therapyAdenomatous polyposis coli (APC) gene mutationsFamilial adenomatous polyposis (FAP) 9. 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 6, Question #5 Gastrointestinal Pathology - Part 6, Question #5 Gastrointestinal Pathology - Part 6, Question #5 Gastrointestinal Pathology - Part 6, Question #5 Gastrointestinal Pathology - Part 6, Question #5Collagenous colitisCrohnʼs diseaseBrainerd diarrheaLymphocytic colitisUlcerative colitis 10. All of the following are true with respect to “intramucosal carcinoma” of the colon EXCEPT:Usually encountered in adenomasIs also referred to as high grade dysplasiaThere is no EXCEPT, all of the above are trueIs equivalent to the term intramucosal neoplasiaHas biologic potential for metastasis 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