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Z.D. Pathology > GI (Esophagus, Stomach, Pancreas, Liver, Intestine) > Flashcards

GI (Esophagus, Stomach, Pancreas, Liver, Intestine) Flashcards

1
Q

Complications of peptic ulcer (2 right answers)

a. Sickle cell disease
b. Celiac disease
c. Perforation
d. Haemorrhage

A

c. Perforation

d. Haemorrhage

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2
Q

Celiac sprue is an infectious disease

a. True
b. False

A

b. False

* Tropical sprue is

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3
Q

Diagnostic criteria of Barrett’s esophagus:

a. Keratinatization
b. Goblet cell
c. Brunner’s gland
d. Granuloma

A

b. Goblet cell

Ciliated columnar epithelium with goblet cells

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4
Q

Obligate feature of adenomatous polyp in colon:

a. Metaplasia
b. Hypertrophia
c. Dysplasia
d. Hyperplasia

A

c. Dysplasia

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5
Q

Which kind of polyp turns into an invasive carcinoma most probably?

a. Villous adenoma
b. Tubulovillous adenoma
c. Hyperplastic polyp
d. Juvenile polyp
e. Tubular adenoma

A

a. Villous adenoma

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6
Q

Where does ulcer occur in the bowel in case of typhoid fever?

a. Muscular layer
b. Crypts of lieberkuhn
c. Mesenteric veins
d. Subserosa
e. Over peyer’s patches

A

e. Over peyer’s patches

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7
Q

Familial adenomatous poylposis is a precancerous condition.

a. True
b. False

A

a. True

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8
Q

True of Crohn’s disease except:

a. Cobble-stone pattern of the mucosa
b. Involves every layer of the bowel
c. Etiology is poorly discovered
d. Fistule formation is typical
e. Caseating granulomas are typical

A

e. Caseating granulomas are typical

* Non-caseating

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9
Q

Cystic pancreas lesions (2 correct answers)

a. Annular pancreas
b. Intraductal papillary mucinous neoplasia
c. Insulinoma
d. Pseudocyst

A

b. Intraductal papillary mucinous neoplasia

d. Pseudocyst

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10
Q

Formation of pseudopolyps in ulcerative colitis is more frequent than in Crohn’s disease

a. True
b. False

A

a. True

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11
Q

Consequence of acute pancreatitis, except :

a. ARDS
b. DIC
c. Cholelithiasis
d. Shock
e. Acute tubular necrosis

A

c. Cholelithiasis

* It’s a cause

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12
Q

By histological examination, chronic inflammation affects the whole thickness of the colon wall with noncaseating granuloma formation. What is the most probable diagnosis?

a. SLE
b. Ulcerative colitis
c. Sarcoidosis
d. Crohn’s disease

A

d. Crohn’s disease

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13
Q

Possible causes of megacolon (2 right answers)

a. Congenital aganglionosis of the rectum
b. Ulcerative colitis
c. Familial polyposis
d. Meckel’s diverticulum

A

a. Congenital aganglionosis of the rectum

b. Ulcerative colitis

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14
Q

Signet-ring cell carcinoma occurs most frequently in the stomach

a. True
b. False

A

a. True

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15
Q

Common histological features of colorectal carcinoma (2 right answers)

a. Glandular pattern
b. Focal keratinisation
c. Rosette formation
d. Mucin production

A

a. Glandular pattern

d. Mucin production

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16
Q

Grading of pancreatic neuroendocrine tumors is based on the following histological parameter:

a. Presence of nucleoli
b. Mitotic count
c. Nuclear atypia
d. Necrosis

A

b. Mitotic count

17
Q

Typical histological feature of acute pancreatitis:

a. Splenomegaly
b. Extreme dilation of ducts
c. “Moth-eaten” appearance of necrosis
d. Desmoplastic reaction
e. Focal fat necrosis

A

e. Focal fat necrosis

If two answers, also-
c. “Moth-eaten” appearance of necrosis

18
Q

True for Barrett esophagus (2 correct answers):

a. Can be accompanied by erosions
b. Precursor lesion of adenocarcinoma
c. Caused by HPV infection
d. Precursor lesion of squamous cell carcinoma

A

a. Can be accompanied by erosions

b. Precursor lesion of adenocarcinoma

19
Q

What is the most common cause of acute haemorragic (nectrotizing) pancreatitis?

a. Pregnancy
b. Alcohol
c. Gallstone
d. Dietary fault

A

b. Alcohol

* Not clear, but alcohol causes several damages which result in more releasing of enzymes (P. 648-649 Robbins)

20
Q

Characteristic morphological changes of celiac disease can be detected in the colon.

a. True
b. False

A

b. False

21
Q

Familial adenomatous polyposis is a precancerous condition.

a. False
b. True

A

b. True

22
Q

True of pancreas carcinoma, EXCEPT:

a. Jaundice is a common consequence.
b. Might produce mucin.
c. Most commonly originates from the head of the pancreas.
d. Massive desmoplasia.
e. Symptomatic in early stage

A

e. Symptomatic in early stage

23
Q

Diabetes mellitus developes when…

a. 20% of β cells are damaged
b. 50% of β cells are damaged
c. 90% of β cells are damaged
d. 60% of β cells are damaged

A

c. 90% of β cells are damaged

24
Q

True for early gastric carcinoma:

a. Gastric carcinoma of the childhood
b. Limited to the mucosa
c. Does not metastasize
d. Limited to the mucosa and submucosa
e. Superficially ulcerated cancer

A

d. Limited to the mucosa and submucosa

P. 570 Robbins

25
Q

Possible etiology of chronic hepatitis, EXCEPT (1 correct answer):

a. Drug induced
b. Mushroom poisoning
c. Idiopathic
d. Autoimmune

A

b. Mushroom poisoning

In Schaff’s lecture it is under acute, but not clear what does ‘idiopathic hepatitis’ means

26
Q

Peptic ulcers are usually located near the pylorus.

a. True
b. False

A

a. True

Most are located in the proximal duodenum

27
Q

Councilman bodies can be detected mainly in this disease: a. Laennec’s cirrhosis

b. Rotor syndrome
c. Wilson’s disease
d. Viral hepatitis
e. Alcoholic hepatitis

A

d. Viral hepatitis

28
Q

Common features of ulcerative colitis and Crohn’s disease (2 correct answers):

a. May be associated with autoimmune diseases
b. Perianal abscess
c. Stomach may be affected
d. May indicate bowel resection

A

a. May be associated with autoimmune diseases

d. May indicate bowel resection

29
Q

Increases the risk of MALT-lymphoma in the stomach:

a. Acute erosive gastritis
b. Peptic ulcer
c. Acute autoimmune gastritis
d. H. pylori associated gastritis
e. Crohn’s disease

A

d. H. pylori associated gastritis

30
Q

Morphological forms of cirrhosis, EXCEPT:

a. Micronodular
b. Focal
c. Mixed
d. Macronodular

A

b. Focal

Z.D. Pathology (7 decks)

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