Pathology EMQ template.

Name:Kowchika Uruthirakumaran

Candidate number:

Theme:Upper GI Disease

 

OPTION LIST

 

A	Acute gastritis	I	Intestinal metaplasia
B	Adenocarcinoma	J	MALT (Mucosa Associated Lymphoid Tissue)
C	Chronic gastritis	K	NSAIDs
D	CMV infection	L	Oesophageal stricture
E	Coeliac disease	M	Pernicious anaemia
F	Dysplasia	N	Squamous cell carcinoma
G	Gastro-oesophageal Reflux Disease (GORD)	O
H	H.pylori infection	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. This is a common cause of oesophagitis and increase the risk of developing Barrett’s oesophagus.

 

 

2. A 65 year old man presents to GP with tiredness, pallor and shortness of breath on exertion. Further investigations revealed vitamin B12 deficiency and the presence of parietal cell antibodies.

 

 

3. A 50 year old man presents with dysphagia, anorexia and also complains of weight loss. CXR showed mediastinal mass and oesophagoscopy detected a mass around mid-lower part of oesophagus.

 

 

4. Large numbers of neutrophil were seen on biopsy from stomach of a 30 year old woman after aspirin overdose.

 

 

5. A 28 year old man complains of being tired all the time and abdominal pain, bloating and some weight loss. After several investigations patient was diagnosed with lymphoma and anti-endomysial antibodies were also present.

 

 

 

ANSWERS

1. G

2. M

3. N

4. A

5. E