Pathology EMQ.

Name: Aneesha Verma

Theme: Upper GI disease

OPTION LIST

A	Acute Gastritis	I	Gastric Cancer
B	Gastric Ulcer	J	Barrett’s Oesophagus
C	Intestinal Metaplasia in gastric mucosa	K	Oesophagitis
D	Oesophageal Squamous Cell Carcinoma	L
E	Chronic Gastritis	M
F	Gastro-oesophageal Reflux disease	N
G	Adenocarcinoma of the oesophagus	O
H	Gastric Dysplasia	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 55 year old patient with previously diagnosed chronic gastritis is told, following a biopsy, that “cancerous” changes were found but that they were “not yet invasive”.

2. A 67 year old alcoholic suffering from Plummer-Vison syndrome presents with a 6 month history of dysphagia and weight loss. After investigation with cytology and biopsy the diagnosis is made, but doctors are worried about the high risk of invasion and metastases associated with the diagnosis.

3. A 61 year old lady presents with a long standing history of reflux, heartburn, acid brash and odynophagia. He has been on NSAIDs long term, and endoscopy reveals oesophageal erosions.

4. A 19 year old student is diagnosed with H. pylori infection. On investigation, the inflammatory cell infiltrate is found to be composed mainly of neutrophils rather than lymphocytes.

5. A 46 year old gentleman with a long standing history of reflux presents with dysphagia. On endoscopy, the squamous mucosa shows metaplastic change and the ora serrata is found to have migrated upwards.

ANSWERS

1. H

2. D

3. K

4. A

5. J