Pathology EMQ template

 

YourName: Danielle Crawley

Theme 5: GI Pathology 156-160 (Danielle Crawley)

 

OPTION LIST

 

A

Active Chronic Gastritis

 

I

Normal oesophagus

 

B

Acute Gastritis

 

J

Oesophageal Adenocarcinoma

C

Barretts Oesophagus

 

K

Oesophageal Varices

D

Coeliac Disease

 

L

Pernicious Anaemia

E

Duodenal Ulcer

 

M

Squamous carcinoma

F

Gastric Ulcer

 

N

Ulcerative colitis

G

GORD

 

O

 

H

Intestinal Metaplasia

 

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 40 year old male complaining of a long history of burning epigastric pain, worse on lying flat. Endoscopy and biopsy reveals inflamed squamous lining and increased basal cell proliferation.

 

 

2. A 38 year old female with Rheumatoid Arthritis presents with a single episode of malaena.  Investigations reveal erosions through out the stomach and a neutrophilic infiltrate in the superficial mucosa.

 

 

3. A 30 year old female complaining of diarhorrea and weight loss.  Biopsy of duodenum shows increased intraepithelial cytotoxic T cells.

 

 

4. A 60 year old male complaining of epigastric pain relieved by antacids and meals.  He has a positive CLO test.

 

 

5. A 65 year old male with a long history of epigastric pain.  Endoscopy reveals 3.2cm of columnar metaplasia in the lower oesophagus.  Goblet cells are seen.

 

 

ANSWERS

1. G

2. B

3. D

4. E

5. C