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 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 #5Lymphocytic colitisUlcerative colitisBrainerd diarrheaCrohnʼs diseaseCollagenous colitis 2. 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 #6Neurofibromatosis, type 1Gardner syndromeUnderlying carcinomaFamilial adenomatous polyposis 3. Which of the following is the most specific marker for a gastrointestinal stromal tumor?CD34CD10DesminS100CD117 4. Fundic gland polyps are associated with all of the following EXCEPT:H. pylori infectionFemale genderAdenomatous polyposis coli (APC) gene mutationsProton pump inhibitor therapyFamilial adenomatous polyposis (FAP) 5. All of the following are true about collagenous colitis, EXCEPT:The collagen often entraps small capillariesPaneth cell metaplasia may indicate treatment resistanceIncreased intraepithelial lymphocytes should always be presentDistal colon biopsies may appear normalWomen outnumber men, 2:1 6. All of the following are true with respect to “intramucosal carcinoma” of the colon EXCEPT:There is no EXCEPT, all of the above are trueHas biologic potential for metastasisUsually encountered in adenomasIs equivalent to the term intramucosal neoplasiaIs also referred to as high grade dysplasia 7. 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. AFBWhipple diseaseDiarrheogenic bacterial colitisMetastatic carcinomaCryptosporidiosisMAI infection 8. 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 #2HIVCMVHSVEBV 9. 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 #3Poorly differentiated adenocarcinomaTB infectionSquamous cell carcinomaMAI infectionInvasive fungal infection 10. Which of the following are true about gastric foveolar polyps?Are associated with an increased risk of carcinomaDo not have intestinal metaplasiaOften have chronic inflammationTypically occur in the antrumProminent cystic change Loading...