8

Question 1

Dystrophic intramural calcium deposits in setting of chronic inflammation

Answer 1

Porcelain gallbladder - increase risk of gallbladder adénocarcinoma

Question 2

Intrahepatic bile duct proliferation ,portal tract edema, fibrosis.

Answer 2

Biliary atresia

Question 3

Cluster of enlarged tortuous veins in gastric fundus

Answer 3

Gastric varices - splenic vein thrombosis

• b/w short gastric veins and splenic vein

Question 4

Bacterial count 10^5 organisms in jejunum in GASTRIC BYPASS patient consistent with bacterial overgrowth-presented with diarrhea, bloating
Which substance likely to increase cobalamine,zinc,folate,iron, vita D

Answer 4

Folate and vitamin K

Question 5

Abdominal pain, LLQ, mass palpable due to inflammation and abscess,nausea,vomiting, diarrhea /constipation.

Answer 5

Acute diverticulitis

Question 6

Flask shaped ulcers with bloody diarrhea, fulminant colitis with bowel necrosis

Answer 6

Entamoeba histolytica

Question 7

Transmural inflammation, stricture(d/t bowel wall edema fibrosis, thickening of muscularis mucosa) fistulas (penetration of ulcers through wall

Answer 7

Chrons Disease

Question 8

Solid nests of neoplastic squamous cell with abundant eosinophilic cytoplasm and distinct borders, keratin pearls with intracellular bridges

Answer 8

Squamous cell CA oesophagus

Question 9

Élongation of papilla , basal cell hypertrophy, intraepithelial eosinophils

Answer 9

Reflux esophagitis

Question 10

Enterocytes contain clear or foamy cytoplasm more prominent at tips of the villi. Acanthocytes, neurological impairment, vit E def
<1 year of life

Answer 10

Abetalipoproteinaemia

Question 11

Fibrin, inflammatory cells and cellular debris in colonic biopsy

Answer 11

C.Difficle

Question 12

Shell fish

Answer 12

Hepatitis A, norwalk,vibrios

Question 13

Traveller diarrhea

Answer 13

Enterotoxigenic Ecoli, shifella,salmonelle, campylobactor

Parasites-giardiasis

Question 14

Clumped, amphorous, eosinophilic intra cytoplasmic inclusions of tangled intermediate filaments called mallory bodies with swollen necrotic hepatocyte due to fat vesicles in cytoplasm.

Answer 14

Alcoholic hepatitis

Question 15

Intestinal angina, post pariandial pain, fear to eat, weight loss.

In pts with CAD,Stroke,HTN(co morbidities)

Answer 15

Chronic mesenteric ischemia

Pathogenesis is similar to angina pectoris

Question 16

Panlobular lymphocytic inflammation bridge into adjacent hepatic lobules due to collapse of reticulin framework. Hepatocyte ballooning with pale cytoplasm undergo cytotoxic T cell mediated apoptosis. Apoptotic cells appear round acidophilic (pink on hematoxylin and eosin staining) bodies known as councilman bodies

Answer 16

Acute viral hepatitis

Question 17

Lobulated with central grey matter, depressed stellate scar containing an abnormal large artery from which fibrous septa radiate to periphery.

Answer 17

Focal nodular hyperplasia

Question 18

Irregular tan shaped nodules composed of large plates of adenoma cells which lacks hepatic architecture (no portal structures or bile ducts)

Answer 18

Hepatic adenoma

Question 19

fluid filled spaces lined by single epithelium, filled with red blood cells-malignant

Answer 19

Cavernous hemangioma

Question 20

Most specific test for Acute cholecystitis

Answer 20

HIDA Scan cholescintigraphy radionuclides biliary scan

Question 21

Portal hypertension cause venous congestion cause apparent expansion of red pulp composed of blood filled sinuses and cords lined by reticuloendothelial type cells- in CLD/ALD

Answer 21

Reason of Spleenomegaly

Question 22

Pentagastrin

Answer 22

Diagnostic agent that increase calcitonin in medullary thyroid CA and serotinin In carcinoid tumors

Question 23

Increase triglycerides accumulation in hepatocellular cytoplasm, Decrease fatty acid oxidation and impaired lipoprotein assembly and increase peripheral fat catabolism

Answer 23

Alcohol steatosis

Question 24

Double bubble sign, olive mass in epigastric area, non bilious projectile vomiting 2-6 weeks old, visible peristalsis

Answer 24

Gastric pyloric hypertrophy stenosis - of muscularis mucosa

Question 25

Bloody stools, curvilinear areas of lucency parallel to bowel- preterm infant.

Answer 25

Necrotising enterocolitis - termina ileum,proximal colon.

Pneumonitis intestinalis
Portal venous gas
Pneumopéritoineum