Pathology EMQ template

 

YourName: Sasha Thambapillai

YourIdentifier:

Theme: Upper GI disease

 

OPTION LIST

 

A

Acute gastritis

I

Gastric ulcer

 

B

Adenocarcinoma of oesophagus

 

J

GORD

 

C

BarrettŐs oesophagus

K

Lymphoma

 

D

Chronic gastritis

 

L

Partial villus atrophy

 

E

Coeliac disease

 

M

Squamous cell carcinoma of oesophagus

 

F

Duodenal ulcer

 

N

Varices

 

G

Duodenitis

 

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 65 year old alcoholic man presents with progressive dysphagia and retrosternal chest pain. He has been losing weight which he attributes to his difficulty eating and drinking. He was diagnosed with BarrettŐs oesophagus 10 years ago but has not been attending follow up appointments.

 

 

2. A 52 year old man presents with an episode of haematemesis. He has a history of epigastric pain, which is worse at night and relieved on eating. CLO test was positive.

 

 

3. A 50 year old man presents with a long history of epigastric discomfort related to meals. Endoscopy reveals reddened mucosa with no evidence of ulceration. Biopsy shows infiltrate of lymphocytes, plasma cells and neutrophils in the mucosa. Staining reveals numerous H. pylori organisms.

 

 

4. A 34 year old woman presents with a three month history of tiredness, malaise and weight loss. She has also been experiencing diarrhoea and some abdominal discomfort. Duodenal biopsy showed partial villous atrophy with an increase in intraepithelial cell lymphocytes.

 

 

5. A 65 year old woman with a history of thyroid disease presents with a long history of epigastric pain. Biopsy reveals glandular atrophy of the gastric mucosa.

 

 

ANSWERS

1. B

2. F

3. D

4. E

5. D