Pathology EMQ template.

Name: Sangeetha Sathianandan

Theme: Upper GI Disease

 

OPTION LIST

A	Acute gastritis		I	Gluten-sensitive enteropathy
B		Adenocarcinoma of the oesophagus	J	GORD
C		Autoimmune gastritis	K	Squamous cell carcinoma of the oesophagus
D		Barrett's oesophagus	L
E		Bleeding peptic ulcer	M
F		Chronic gastritis	N
G		Duodenal ulcer	O
H		Gastric cancer	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 72 year old gentleman complains of tiredness. He has a haemoglobin of 11g/dL. He is retired and is a non-smoker. His medical conditions include rheumatoid arthritis for which he has been taking NSAIDs long-term.

 

2. A 65 year old lady complains of tiredness. Her haemoglobin is 9.5g/dL and a blood film shows macrocytes with hypersegmented neutrophil nuclei. An auto-antibody screen reveals the presence of parietal cell antibodies and intrinsic factor antibodies.

 

3. A 57 year old gentleman has a history of heartburn worsened on lying down. His most recent endoscopy shows replacement of the squamous epithelium by columnar epithelium with goblet cells.

 

4. A 68 year old gentleman who has smoked heavily since the age of 16 and consumes alcohol daily complains of difficulty swallowing solid food and has noticed weight loss. Investigations reveal a lesion in the middle third of the oesophagus.

 

5. An endoscopy of a 60 year old gentleman displayed superficial inflammation of the antral mucosa. Biopsy of the antrum revealed an increased population of lymphocytes. Gram negative Helicobacter pylori presence was confirmed.

 

 

 

ANSWERS

1. E

2. C

3. D

4. K

5. F