Ch. 17

Question 1

Semi-circumferential webs, Paterson-Brown-Kelly or Plummer-Vinson syndromes

Answer 1

Esophageal mucosal webs

Question 2

Circumferential webs

Answer 2

Schatzki rings

Question 3

Mallory-Weiss tears

Answer 3

Lacerations

Question 4

Full thickness esophageal tear

Answer 4

Boerhaave syndrome

Question 5

Dysphagia with intraepithelial eosinophils

Answer 5

Eosinophilic esophagitis

Question 6

Mucin producing tumor in distal 1/3 of esophagus causying hematemesis and odynophagia

Answer 6

Adenocarcinoma of esophagus

Question 7

Dysplastic squamous tumor in middle 1/3 of esophagus causing odynophagia and dysphagia

Answer 7

Squamous cell carcinoma of esophagus

Question 8

Atrophic gastric body, hyperplastic antrum, beefy red tongue (atrophic glossitis)

Answer 8

Autoimmune gastritis

Question 9

Dense eosinophilic infiltrates in antrum/pylorus with elevated serum IgE

Answer 9

Eosinophilic gastritis

Question 10

Increased intraepithelial T cells affecting the entire stomach

Answer 10

Lymphocytic/Varioliform gastritis

Question 11

Hyperplastic body/fundus causing enlarged rugae, corkscrew glands, hypoplastic chief/parietal cells with chronic ulceration of duodenum/stomach

Answer 11

Menetrier disease

Question 12

Doubling of oxyntic mucosal thickness from gastrin-secreting tumor

Answer 12

ZE Syndrome

Question 13

Sharply demarcated ulcers in the stomach with normal adjacent mucosa

Answer 13

Stress ulcer

Question 14

Ulcers in duodenum associated with severe burns/trauma

Answer 14

Curling ulcer

Question 15

Ulcers in pts with intracranial disease

Answer 15

Cushing ulcer

Question 16

Improper branching of artery along lesser curvature of stomach near GE junction

Answer 16

Dieulafoy lesion

Question 17

Alternating edematous/erythematous mucosa with normal mucosa

Answer 17

Gastric Antral Vascular Ectasia (GAVE)

Question 18

Lesions in antrum composed of dysplastic epithelium

Answer 18

Gastric adenoma

Question 19

Well-circumscribed lesions lined by flattened parietal/chief cells

Answer 19

Fundic gland polyps

Question 20

Signet ring growth with diffuse rugal flattening and “Leather Bottle” appearance

Answer 20

Diffuse gastric adenocarcinoma

Question 21

Lymphoepithelial lesions expressing CD43 and t(11;18) translocation

Answer 21

MALToma (Lymphoma)

Question 22

Firm, yellowish mass with intense desmoplasia

Answer 22

Carcinoid tumor

Question 23

Solitary, well-circumscribed mass with whorled appearance when cut, KIT is diagnostic marker

Answer 23

GI stromal tumor

Question 24

Broad-based ulcerations causing mucoid dysentery and polyarthritis with ECM1 mutation

Answer 24

Ulcerative colitis

Question 25

Skip lesions, deep ulcers, cobblestone appearance, non-caseating granulomas with relapsing dysentery, fistulae, and rectal abscesses and NOD2 mutation

Answer 25

Crohn disease

Question 26

Out-pouching along the taenia coli

Answer 26

Sigmoid diverticulum

Question 27

Benign, smooth nodular protrusion from colon

Answer 27

Hyperplastic polyp

Question 28

Pedunculated, reddish lesion in child with rectal bleeding, intussusception, and obstruction and SMAD4 mutation

Answer 28

Juvenile Polyp

Question 29

Large pedunculated polyp, mucocutaneous hyperpigmentation, and STK11 mutation

Answer 29

Peutz-Jeghers syndrome

Question 30

Sessile, serrated adenomas with MSH2/MLH1 mutations

Answer 30

Hereditary non-polyposis colorectal cancer

Question 31

Napkin-ring constrictions in distal colon with APC and SMAD2/4 mutations

Answer 31

Adenocarcinoma

Question 32

Peritoneal tumor with t(11;22)

Answer 32

Mesothelioma

Question 33

Chronic diarrhea, bloating, fatigue, dermatitis herpetiformis with HLA-DQ2/8

Answer 33

Celiac disease

Question 34

Failure to thrive, diarrhea, steatorrhea, presence of “burr” cells on Oil Red-O stain with MTP mutation

Answer 34

Abetalipoproteinemia

Question 35

Malformed blood vessels occurring in cecum or right colon

Answer 35

Angiodysplasia