Week 3: Celiac Disease Flashcards

1
Q

What is celiac disease?

A
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2
Q

How is the autoimmune response triggered in celiac disease

A
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3
Q

HLA types common in Celiac disease

A

HLA DQ2

HLA DQ8

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4
Q

Different serological types of celiac disease

A
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5
Q

Question

A

D. Submucosa

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6
Q

Question

A

B. Lamina Propria

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7
Q

What is the main difference between small intestinal mucosa and colonic mucosa?

A
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8
Q

Differences in function of small intestine and colon

A
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9
Q

Describe histologic features of small intestine

A
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10
Q

Describe histologic features of the large intestine

A
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11
Q

Question

A

D. Goblet cell

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12
Q

Villi compared to crypts

A
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13
Q

Celiac Disease Diagnostic criteria

A
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14
Q

Who diagnoses Celiac disease

A

E.

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15
Q

Pathologic histologic features of celiac disease

A
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16
Q

Small intestinal CD3 stain

A
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17
Q

Question

A

A. the one on the left

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18
Q

Histologic features of celiac disease

A
19
Q

What is the preferred biopsy location for celiac disease

A
20
Q

Describe histological features of 1st and 2nd portions of duodenum

A
  • 1st is more sensitive for celiac has a lot of Brunners glands
  • 2nd part is more specific for celiac
21
Q

Mucosal damage and symptomology or serology

A
22
Q

MARSH Classifications

A
23
Q

Describe these features

A
24
Q

Compare celiac histology to normal small intestine

A
25
Q

Compare celiac histology to colon

A
26
Q

Question

A
27
Q

Anti-tTG levels can be elevated in?

A
28
Q

Other serological tests for celiac disease

A
29
Q

HLA testing benefits for celiac disease

A
30
Q

Assume a different scenario

A

No, lack of blah blah

31
Q

Are IELs and villous blunting pathognomonic of celiac

A
32
Q

Differentials of celiac disease

A
33
Q

How common are increased IELs in duodenal biopsies?

A
34
Q

What is the best initial test for celiac disease?

A

Anti-tTG test

35
Q

Summary of celiac disease

A
36
Q

Algorithm of celiac disease testing

A
37
Q

Question

A

Looks normal

B. Villi are the right height

38
Q

Question

A

too many lymphocytes in the villus tip

39
Q

CD3 stain

A

way too many lymphocytes at the villus tips

40
Q

Question

Is this celiac disease?

A

C Maybe poster child for gluten diet restriction

41
Q

Describe

A

stomach

antral mucosa 2x

lymphoplasmacytic infiltrate along superficial aspect of antral mucosa

42
Q

Diagnosis

A

H. pylori

43
Q

Celiac disease complications

A
44
Q

What is refractory celiac disease?

A