GIT

CASE 1

CASE 1

CASE 1

• 1. What is your diagnosis based on the imagesA. DiverticulitisB. Colon carcinomaC. Ruptured appendixD. Uncomplicated colonic polyp

CASE 1

• 1. What is your diagnosis based on the imagesA. DiverticulitisB. Colon carcinomaC. Ruptured appendixD. Uncomplicated colonic polyp

Margulis p.733

CASE 1

• 2. Colonic diverticula represent acquired herniation of theA. Mucosa and muscularis mucosaB. Mucosa onlyC. Muscularis mucosaD. Mucosa, muscularis mucosa and serosa

CASE 1

• 2. Colonic diverticula represent acquired herniation of theA. Mucosa and muscularis mucosaB. Mucosa onlyC. Muscularis mucosaD. Mucosa, muscularis mucosa and serosa

Margulis p.733

CASE 1

• 3. Most common site for diverticular diseaseA. SigmoidB. DescendingC. RectumD. Cecum

CASE 1

• 3. Most common site for diverticular diseaseA. SigmoidB. DescendingC. RectumD. Cecum

Margulis p.733

CASE 2

CASE 2

• 1. What is your diagnosis based on the imagesA. Colon carcinoma B. DiverticulitisC. Ruptured appendixD. Uncomplicated colonic polyp

CASE 2

• 1. What is your diagnosis based on the imagesA. Colon carcinoma B. DiverticulitisC. Ruptured appendixD. Uncomplicated colonic polyp

CASE 2

• 2. Classic appearance of colon carcinoma on Barium studiesA. Apple core deformityB. Carman meniscus signC. Polypoid filling defectD. Crescent sign

CASE 2

• 2. Classic appearance of colon carcinoma on Barium studiesA. Apple core deformityB. Carman meniscus signC. Polypoid filling defectD. Crescent sign

Margulis p.772

CASE 2

• 3. Type of colonic polyp colonic polyp with the highest malignant potentialA. Villous adenomaB. Tubular adenomaC. Tubulovillous adenomaD. Hyperplastic

CASE 2

• 3. Type of colonic polyp colonic polyp with the highest malignant potentialA. Villous adenomaB. Tubular adenomaC. Tubulovillous adenomaD. Hyperplastic

Margulis p.763

CASE 3

CASE 3

• 1. What is your diagnosisA. Ulcerative colitisB. Crohn’s DiseaseC. Malabsorption syndromeD. Toxic megacolon

CASE 3

• 1. What is your diagnosisA. Ulcerative colitisB. Crohn’s DiseaseC. Malabsorption syndromeD. Toxic megacolon

CASE 3• 2. The reason why perforation, pain, fistula

formation and peritoneal signs are absent in this disease

A. It is usually limited only to the mucosa and submucosa

B. Formation of granulation tissue on the colonic mucosa

C. Abscess formation of the crypts of LieberkuhnD. Chronic inflammatory process of the colonic

mucosa

CASE 3

• 2. The reason why perforation, pain, fistula formation and peritoneal signs are absent in this disease

A. It is usually limited only to the mucosa and submucosaB. Formation of granulation tissue on the colonic mucosaC. Abscess formation of the crypts of LieberkuhnD. Chronic inflammatory process of the colonic mucosa

Margulis p. 573

CASE 3

• 3. Radiologic signs of chronicity of the diseaseA. Foreshortened colon, lack of haustration, lead

pipe appearanceB. Abnormal fold patterns on barium studyC. Blunting of the normal acute angles of the rectal

valvesD. Fine, stippled appearance of the colonic mucosa

espe. on barium studies

CASE 3

• 3. Radiologic signs of chronicity of the diseaseA. Foreshortened colon, lack of haustration, lead

pipe appearanceB. Abnormal fold patterns on barium studyC. Blunting of the normal acute angles of the rectal

valvesD. Fine, stippled appearance of the colonic mucosa

espe. on barium studies

Margulis p. 575 (All other choices are early signs)

CASE 4: Matching type

• 1.Muir-Torre Syndrome• 2.Cowden’s disease• 3.Turcot syndrome• 4.Cronkhite-Canada• 5.Peutz-Jeghers

• A. Sebaceous neoplasms of the skin

• B. Hyperpigmentation with alopecia

• C. Verrucose skin lesions

• D. CNS tumors• E. Pigmented skin

lesions

CASE 4: Matching type

• A. 1.Muir-Torre Syndrome

• C. 2.Cowden’s disease• D. 3.Turcot syndrome• B. 4.Cronkhite-Canada• E. 5.Peutz-Jeghers

• A. Sebaceous neoplasms of the skin

• B. Hyperpigmentation with alopecia

• C. Verrucose skin lesions

• D. CNS tumors• E. Pigmented skin

lesions