GI Flashcards

1
Q

Specialized columnar epithelium and goblet cells seen in a biopsy from distal esophagus?

A

Barrett’s esophagus

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2
Q

Biopsy of a pt with esophagitis reveals large pink intranuclear inclusions and host cell chromatin that is pushed to the edge of the nucleus

A

HSV-1 esophagitis

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3
Q

biopsy of mass in parotid gland reveals a double layer of columnar epithelial cells resting on a dense lymphoid stroma

A

Warthin’s tumor

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4
Q

small intestine biopsy reveals small lymphocytes with irregular nuclear contours and proliferation of these lymphocytes into mucos and epithelial glands

A

MALT lymphoma

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5
Q

Outpouching of all layers of the esophagus found just above the LES

A

Epiphrenic diverticulum

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6
Q

Basal cell hyperplasia, eosinophilia, elongation of lamina propria papillla seen in biopsy of esophagus

A

chronic reflux esophagitis

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7
Q

stomach biopsy reveals lymphoid aggregates in lamina propria, columnar absorptive cells, atrophy of glandular structures

A

chronic gastritis

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8
Q

protrusion of mucosa in the upper esophagus

A

Esophageal web - Plummer vinson syndrome

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9
Q

Biopsy of patient with esophagitis reveals enlarged cells, intranuclear and cytoplasmic inclusions and clear perinuclear halo

A

CMV esophagitis

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10
Q

Diffuse thickening of gastric folds, elevated serum gastrin levels, biopsy reveals glandular hyperplasia without foveolar hyperplasia

A

zollinger ellison syndrome

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11
Q

Biopsy of mass in parotid gland shows both epithelial and mesenchymal differentiation

A

pleomorphic adenoma

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12
Q

Biopsy of mass from parotid gland reveals a carcinoma composed of mostly mucus-secreting cells but also some squamous cells and intermediate hybrids of both

A

mucoepidermoid tumor

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13
Q

a PAS stain on a biopsy obtained from pt with esophagitis reveals hyphenated organisms

A

candida esophagitis

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14
Q

most common cause of duodenal ulcers

A

H. Pylori

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15
Q

esophageal pouch found in upper esophagus

A

Zenger Diverticulum

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16
Q

Most common cause of RLQ pain

A

Appendicitis

17
Q

50 year old femail presents with pruritis w/out jaundice, lab reveals + AMA

A

primary biliary cirrhosis

18
Q

most common cause of acute LLQ pain

A

Diverticulitis

19
Q

Gluten sensitivity

A

Celiac disease (sprue)

20
Q

A patient with GI bledding has buccal pigmentation

A

Peutz Jeiger

21
Q

60 yr-old female with rheumatoid arthritis and no alcohol history presents with fatigue and right abdominal pain, lab studies reveal high levels of ANA and ASMA, elevated serum IgG levels and no viral serologic markers

A

Autoimmune hepatitis

22
Q

colonoscopy reveals very friable mucosa extending from rectum to distal transverse colon

A

Ulcerative colitis

23
Q

Small intestinal mucosa laden with distended macrophages in lamina propria (filled with PAS + granules and rod-shaped bacilli seen by electron microscopy)

A

Whipple’s Disease

24
Q

Most common cause of RUQ pain

A

cholecystitis

25
Q

liver biopsy on 23 yo female with elevated levels of LKM-1 Abs, no alcohol hx and no viral serological markers reveals infiltration of the portal and periportal area with lymphocytes

A

autoimmune hepatitis

26
Q

diarrhea, fever, abdominal cramps following course of abx

A

pseudomembranous colitis

27
Q

Fatal disease of unconjugated bilirubin resulting from complete lack of UDPGT activity

A

criggler Najar I

28
Q

radiography reveals a “string-sign” in terminal ileum

A

Crohn’s disease

29
Q

Total or subtotal atrophy of the small bowel villi, plasma cells and lymphocyte infiltration into the lamina propria and epithelium and hyperplasia/elongation of crypts

A

celiac sprue

30
Q

nonfatal disease of unconjugated bilirubin resulting from low levels of UDPGT activity

A

CN II or Gilbert’s syndrome

31
Q

Elevated levels of serum ferritin and increased transferrin saturation

A

Hemochromatosis

32
Q

alpha-fetoprotein levels > 1000 pg/mL

A

Hepatocellular Ca

33
Q

elevated serum copper, decreased serum ceruloplasmin, and elevated 24 hr urinary copper

A

Wilson’s disease

34
Q

liver disease and lung emphysema

A

alpha-1 antitrypsin deficiency

35
Q

ERCP reveals alternating strictures and dilation

A

Primary sclerosing cholangitis