GI Path CIS

Question 1

dilantin

Answer 1

can develop gingival hyperplasia

Question 2

sjogrens

Answer 2

more cavities

but no gingivitis

Question 3

tzanck test

Answer 3

for multinucleated giant cells

and intranuclear inclusions
-of virus particles

Question 4

biting lip lesion

Answer 4

irritating fibroma

Question 5

PAS stain

Answer 5

candidiasis

Question 6

herpes

Answer 6

has blisters

Question 7

won’t scrape off

Answer 7

oral hairy leukoplakia

-EBV infection

Question 8

will scrape off

Answer 8

candidiasis
PAS

pseudo-hyphae

Question 9

perineural involvement

Answer 9

adenoid cystic carcinoma

spreads along nerves

Question 10

friable and readily bleed

Answer 10

can be in tumors

Question 11

pyogenic granuloma

Answer 11

readily bleeds

• women
• pregnancy

Question 12

smoking and teeth

Answer 12

brown discoloration

-into tubular structures into teeth

Question 13

ameloblasts

Answer 13

create enamel

stop when gets above gum

Question 14

tetracycline

Answer 14

bind to calcium

contraindicated in pregnancy
-2 and 3 trimester - ameloblasts putting enamel to dentin

discoloration yellow - to gray/black - of teeth

Question 15

lots of pink eosinophilic change in cytoplasm

Answer 15

keratin
-squamous epithelium

squamous cell carcinoma

Question 16

omphalocele

Answer 16

can be associated with overreactive pancreas

also - beckwith wiedemann syndrome

Question 17

presentation of meckel diverticulum

Answer 17

like appendicitis

or GI bleed

Question 18

meckel diverticulum

Answer 18

defect in viteline duct obliteration

usually asymptomatic

gastric mucosa detection 99mTc

Question 19

herpes

Answer 19

nuclear inclusions

can occur in esophagus

Question 20

double bubble

Answer 20

annular pancreas

duodenal atresia

Question 21

hirschsprungs

Answer 21

aganglionosis

finger in butt - POOP!

Question 22

metaplasia

Answer 22

replacement of cell

Question 23

nitrous oxide

Answer 23

can induce odd chained fatty acids

-deficit of succinyl CoA incorporated into myelin

Question 24

gastrinoma

Answer 24

zollinger-ellison

severe gastritis can occur

and dyspepsia

Question 25

cocaine

Answer 25

lower GI bleed

Question 26

false positive guiac

Answer 26

eat meat - blood from meat causes guiac positive

Question 27

upper GI bleed above ligament of trietz

Answer 27

in contact with acid

-melena - black tarry stool

Question 28

kaposi sarcoma

Answer 28

oral cavity

• red lesion, slightly elevated
• acid-fast positive organisms

latent herpes infection

Question 29

regional lymph nodes for colon

Answer 29

pericolonic adipose tissue

Question 30

colon ca to brain

Answer 30

to arterial circulation

• to vein through liver
• through lungs
• through heart
• to brain

Question 31

colon mets to liver stop where?

Answer 31

sinusoids

maybe to the space of disse

cells adhere to endothelium

Question 32

paraneoplasm with colonic adenocarcinoma

Answer 32

nephrotic syndrome - membranous glomerulopathy - immune complexes auto-Abs against antiphospholipase A2 reeptor

also:

venous thrombosis

some say none

Question 33

membranous glomerulopathy

Answer 33

nephrotic syndrome

proteinuria**

antiphospholipase A2 recpetor Abs

need biopsy for diagnosis

Question 34

groin nodes

Answer 34

below dentate line

- anus

Question 35

HPV

Answer 35

anal SCC

viral E6/E7 oncogenic proteins

Question 36

PiZZ

Answer 36

homozygous alpha-1 antitrypsin deficiency

misfolded protein accumulation

Question 37

black liver

Answer 37

dubin johnson syndrome

inability to secrete conjugated bilirubin

deposition of epinephrine metabolites

Question 38

PBC

Answer 38

destruction of bile ducts

Question 39

<1cm bile duct

Answer 39

intra-hepatic