PathMD Quizes, GI Pathology GI Pathology – 02 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A 45 y/o Asian male with a history of chronic hepatitis B presents to the ER with a liver mass by CT scan. Surgery is performed and representative images of the histology are shown. Based on the findings, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #10 Gastrointestinal Pathology - Set 2, Case #10 Gastrointestinal Pathology - Set 2, Case #10CirrhosisChronic hepatitis B Hepatocellular carcinomaCholangiocarcinomaMacroregenerative nodule 2. A 35 y/o male with HIV presented to the ER with a h/o bloody diarrhea. Colonoscopy with multiple biopsies were performed. Based on the histologic findings in the images, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #2 Gastrointestinal Pathology - Set 2, Case #2E. coli H7:O157 infection Ischemic colitis Pseudomembranous colitis CMV colitis HSV infection 3. A 55 y/o male with a history of intermittent bloody stool undergoes a colonoscopy. A large polyp is found and biopsied. Based on the histologic finding shown, what is the best diagnosis: Gastrointestinal Pathology - Set 2, Case #7 Gastrointestinal Pathology - Set 2, Case #7 Gastrointestinal Pathology - Set 2, Case #7Tubular Adenoma with Whipple’s diseaseTubular Adenoma Tubular Adenoma with high grade dysplasia Tubular Adenoma with signet ring carcinoma Tubular Adenoma with MAI infection 4. A 60 y/o female undergoes a screening colonoscopy and is found to have a single left-sided colon polyp. Based on the histologic findings in the images for this case, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #3 Gastrointestinal Pathology - Set 2, Case #3 Gastrointestinal Pathology - Set 2, Case #3Colitis cystica profunda Inflammatory fibroid polyp Hyperplastic polyp Prolapse polyp Tubular adenoma 5. A 45 y/o male with a history of constipation and occasional bright read blood on his stool undergoes a colonoscopy. A polypoid lesion is identified in the left colon, and a biopsy is performed. Based on the histologic findings, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #6 Gastrointestinal Pathology - Set 2, Case #6 Gastrointestinal Pathology - Set 2, Case #6Inflammatory fibroid polyp Colitis cystica profunda Tubular adenoma Hyperplastic polyp Prolapse polyp 6. A 55 y/o male is found to have a mass lesion in the anal canal just above the dentate line. Based on the history and histologic findings in the images, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #1 Gastrointestinal Pathology - Set 2, Case #1 Gastrointestinal Pathology - Set 2, Case #1Spindle cell squamous cell carcinoma “Cloacogenic” carcinoma MSI associated adenocarcinoma Poorly differentiated adenocarcioma Small Cell Carcinoma 7. A 70 y/o woman undergoes a screening colonoscopy and is found to have a right sided polyp. Based on the histologic findings in the images, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #4 Gastrointestinal Pathology - Set 2, Case #4Liposarcoma, low grade Granular cell tumor HamartomaGastrointestinal Stromal Tumor Lipoma 8. A 45 y/o woman undergoes colonoscopy for chronic diarrhea. No polyps or ulcerations are found. The mucosal surface is somewhat discolored, and multiple biopsies are obtained. Based on the histologic findings, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #5 Gastrointestinal Pathology - Set 2, Case #5Ceroidosis “Brown Bowel Syndrome”Whipple’s disease Vitamin E deficiencyMelanosis Coli MAI infection 9. A 35 y/o black male with a history of renal transplant and unspecified GI complaints undergoes colonoscopy for the evaluation of GVHD. Based on the histologic findings, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #8 Gastrointestinal Pathology - Set 2, Case #8Graft versus host disease CMV infection HSV infection Ischemic bowel Histoplasmosis 10. A 55 y/o female is found to have an abdominal mass. A surgery a mass was found within the mesentery abutting the stomach and small intestine. Immunohistochemistry found the cells of interest to be positive for smooth muscle actin but negative for CD34, CD117, S-100, and desmin. Based on the histologic immunohistochemical findings, the best diagnosis is: Gastrointestinal Pathology - Set 2, Case #9 Gastrointestinal Pathology - Set 2, Case #9 Gastrointestinal Pathology - Set 2, Case #9 Gastrointestinal Pathology - Set 2, Case #9Mesenteric melanoma Smooth muscle tumorSchwannomaFibromatosisGastrointestinal Stromal Tumor (GIST) Loading...