PathMD Quizes, GI Pathology GI Pathology – 04 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A 50-year-old female is found to have a 5 cm pancreatic tumor in the tail. A partial pancreatectomy is performed, and representative histologic images are shown for this case. Based on the histologic findings and the clinical history, which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #5 Gastrointestinal Pathology - Part 4, Case #5Intraductal papillary-mucinous neoplasm Pancreatic adenocarcinomaMicrocystic serous cystadenomaSerous cystadenoma Mucinous cystadenoma 2. Which of the following is the most important prognostic indicator in MALT lymphoma?ALK1 positivity MUM-1 positivityBcl-6 positivityCD30 positivity The presence of Helicobacter pylori organisms 3. A patient with a history of HIV and disseminated histoplasmosis undergoes screening colonoscopy for intractable G.I. bleeding. Several red to purple patches are found along the colonic mucosa, and partial resection is performed. Representative histologic sections are shown. Based on the clinical history and histologic findings, what is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #8 Gastrointestinal Pathology - Part 4, Case #8 Gastrointestinal Pathology - Part 4, Case #8Bacillary Angiomatosis Arteriovenous malformationCapillary Hemangioma Kaposi's sarcoma Angiosarcoma 4. A 45-year-old female is found to have a 2.5 cm cecal mass. And excision was performed, and representative images are shown for this case. Based on the histologic findings, what is the most likely diagnosis? Gastrointestinal Pathology - Part 4, Case #3 Gastrointestinal Pathology - Part 4, Case #3 Gastrointestinal Pathology - Part 4, Case #3Small cell carcinoma Basaloid squamous cell carcinoma Neuroendocrine carcinoma Signet ring cell carcinoma Carcinoid tumor 5. A 35-year-old female who underwent a CT scan for dysplasia was found to have a localized stomach mass. An EGD was performed, and representative histologic images from the biopsy or shown. Based on the histologic findings, what is the most likely diagnosis? Gastrointestinal Pathology - Part 4, Case #2 Gastrointestinal Pathology - Part 4, Case #2 Gastrointestinal Pathology - Part 4, Case #2Chronic lymphocytic leukemia/small lymphocytic lymphoma Diffuse large B cell lymphoma Anaplastic large cell lymphoma Mantle cell lymphoma Marginal zone lymphoma 6. A 55-year-old man undergoes an EGD for dysphasia. While examining the duodenum, and nodularity was noted in the duodenal bulb. This area was biopsy, and representative histologic sections are shown. Based on the histologic findings which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #7 Gastrointestinal Pathology - Part 4, Case #7 Gastrointestinal Pathology - Part 4, Case #7Gastric heterotopia Pancreatic heterotopiaCarcinoidBrunner's gland adenoma Adenocarcinoma 7. A patient is found to have a liver mass by CT scan. Representative histology is shown in the images for this case. You are asked to review the case. Which of the following is the single test stain to confirm this diagnosis? Gastrointestinal Pathology - Part 4, Case #1 Gastrointestinal Pathology - Part 4, Case #1 Gastrointestinal Pathology - Part 4, Case #1Reticulin stainCK-19PASHepPar-1 stainAlpha fetal protein (AFP) level 8. A colonic mass is found in a 45-year-old male with a history of anemia. At surgery a hemicolectomy was performed, and representative histologic images are shown for this case. Based on the findings, which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #4 Gastrointestinal Pathology - Part 4, Case #4Colonic adenocarcinoma Diffuse large B cell lymphomaMantle cell lymphoma Signet ring cell carcinomaMedullary carcinoma 9. A 30-year-old female is found to have a 10 cm pancreatic mass. Representative histologic slides from this lesion are shown. Based on the history and histologic findings, what is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #6 Gastrointestinal Pathology - Part 4, Case #6 Gastrointestinal Pathology - Part 4, Case #6Pancreatic adenocarcinomaNeuroendocrine CarcinomaCarcinoid tumor Solid-pseudopapillary tumor Diffuse large B cell lymphoma 10. All of the following are helpful in diagnosing reflux esophagitis (GERD) EXCEPT:Basal layer >15% of mucosal thickness Intraepithelial eosinophils in the range of 30/hpfIntraepithelial neutrophils Subepithelial papillae that extend > 2/3rds of the mucosal thickness All of the above are helpful in diagnosis of GERD Loading...