Systemic Pathology Gastrointestinal 1992

1. In a patient with an infiltrating diffuse gastric carcinoma, systemic effects acts on blood.  Which of the following statements is related with this neoplasia?
a) Microcytic anemia
b) Normocytic anemia
c) Thrombocytopenia
d) Megoblastic anemia
e) Thrombocytosis

2. Which of the following malignant tumors of the stomach mimics the gross and radiological aspect of an infiltrated carcinoma?
a) Multifocal superficial carcinoma
b) Squamous cell carcinoma
c) Malignant histiocytic lymphoma
d) Menetrier's disease
e) Adenosquamous carcinoma

3. In patients with ulcerative colitis, there is frequently:
a) Antibodies against colonic epithelial cells
b) Fistulization
c) Pseudomembranous colitis
d) Ischemic changes in the rectum
e) Nonspecific granulomatous changes

4. In a 45 year old male patient with abdominal pain in the upper abdominal quadrants, stool fresh bleeding and arthritis; as repetitive episode.  The most probably diagnosis is:
a) Crohn's disease
b) Colonic diverticulitis
c) Mesenteric thrombosis
d) Sigmoid volvulus
e) Chronic ulcerative colitis

5. "Nutmeg" liver is a term used to describe the appearance of the liver in which of the following carcinomas?
a) ... crine ... carcinoma
b) 
c) ... passive ...
d) ... atresia
e) ... A
f) I don't know ... I couldn't read the copy of the exam i had; if you would like to suggest a better answer please email me at gmb1994@aol.com

6. The complications of alcoholic cirrhosis of the liver includes all of the following EXCEPT:
a) ... ndice
b) bleeding ...
c) ascites
d) enlarged ...
e) choles ...
f) I don't know ... I couldn't read the copy of the exam i had; if you would like to suggest a better answer please email me at gmb1994@aol.com

7. A 58 year old man with a history of hepatitis during his life has a liver biopsy which shows hepatocytes with eosinophiles, cytoplamic inclusions, marked fibrosis and fatty change.  Most likely diagnosis is:
a) Hemochromatosis
b) Wilson's disease
c) Hepatits and related liver disease
d) Cryptogenic cirrhosis
e) Alcohol liver disease

8. Hepatocellular carcinoma is most often associated with:
a) Chronic pancreatitis
b) hepatic cirrhosis
c) gallstones
d) biliary atresia
e) "nutmeg" liver

9. Which of the following substances is related with development of liver adenoma?
a) aflotoxin
b) thorotrast
c) chloride vinyl
d) steroid
e) alcohol

10. The 3 most common predisposing factors to active pancreatitis include:
a) trauma, diabetes, alcoholism
b) gallstones, hypertension, trauma
c) diabetes, alcoholism, gallstones
d) alcoholism, trauma, gallstones
e) diabetes, hypertension, trauma

11. Of the following, which would have the highest mortality rate?
a) viral hepatitis
b) toxic hepatitis
c) acute cholecystitis
d) acute pancreatitis
e) cholelithiasis

12. Early diagnosis of pancreatic cancer is most likely if the tumor:
a) is located in the tail of the pancrease
b) is located in the body of the pancrease
c) is located in the head of the pancrease
d) has metastasized to the brain
e) has metastasized to the bones



----------Key----------

1. (d) 
2. (d) 
3. (d) 
4. (b) (e) 
5. (f) 
6. (f) 
7. (e) 
8. (b) 
9. (d) 
10. (d) 
11. (a) 
12. (c)