MCQ-Lower GI

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FRCPath Part1 Course

Lower Gastrointestinal System EMQ 1 A. B. C. D. F. G.

Infective colitis Pseudomembranous colitis Ulcerative colitis Crohn’s disease E. Lymphocytic colitis Collagenous colitis Ishcaemic colitis

Select the appropriate condition from the list of options for each of the clinicopathological descriptions. 1. A 64 year old male admitted in ITU for sepsis develops acute onset diarrhoea. Colonic biopsies show a luminal spray of mucus and neutrophils. The background mucosa shows minimal inflammatory changes. 2. A 55 year old female with watery diarrhoea and normal colonoscopy. The colonic biopsies show increased intraepithelial lymphocytes with a thickened sub epithelial collagen plate 3. A 28 year old male with bloody diarrhaoea and abdominal pain. A colonscopy shows patchy inflammation affecting the right side colon with apthous ulcers. The colonic biopsies show mild crypt distortion with patchy discontinuous inflammation with cryptitis 4. A 42 year old female with acute onset bloody diarrhoea and granular and congested rectum on endoscopy. The rectal biopsy shows oedematous mucosa with dispersed ‘sprinkled salt’ inflammatory cells, cryptitis and dilatation and withering of crypts 5. A 72 year old male with abdominal pain and bloody diarrhoea. Sigmoidoscopy shows inflammation in the left side of the colon, most prominent in the sigmoid colon. Biopsies show extensive ulceration with preservation of basal crypts and active inflammation. There is no crypt distortion or crypt abscess formation

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