1.
This d/o is due to a production of what?
Correct Answer
C. Keratin
Explanation
Keratin is a protein that is responsible for the structure and strength of hair, nails, and the outer layer of skin. This d/o (disorder) mentioned in the question could be referring to a disorder related to the production or functioning of keratin.
2.
This can only be diagnosed by what?
Correct Answer
biopsy
Explanation
The question is asking about the method used for diagnosis. The correct answer is "biopsy." A biopsy is a medical procedure in which a sample of tissue or cells is taken from the body and examined under a microscope to determine the presence of any abnormality or disease. It is commonly used to diagnose various conditions such as cancer, infections, and autoimmune disorders. Therefore, a biopsy is the only way to accurately diagnose the condition mentioned in the question.
3.
Features of this d/o are ...
Correct Answer(s)
B. Firm
E. More common in females
Explanation
This is a picture of mucoepidermoid carcinoma
4.
The picture above often metastasize to where?
Correct Answer
D. Submandibular and cerivcal lympH nodes
Explanation
The picture above often metastasizes to the submandibular and cervical lymph nodes.
5.
What was most likely the initial dx for this patient? (Pick the best choice for what you see)
Correct Answer
C. Barrett's EsopHagus
Explanation
Barrett's Esophagus is the most likely initial diagnosis for this patient because it is a condition characterized by the abnormal change in the cells of the lower esophagus, often caused by long-term gastroesophageal reflux disease (GERD). This condition increases the risk of developing esophageal adenocarcinoma, which is a type of cancer. Therefore, considering the patient's symptoms and the association between Barrett's Esophagus and oral carcinoma, adenocarcinoma, and GERD, Barrett's Esophagus is the most plausible initial diagnosis.
6.
This is usually seen where?
Correct Answer
D. Lower 1/3 of esopHagus
Explanation
The lower 1/3 of the esophagus is the correct answer. This is because it is in this region that the lower esophageal sphincter (LES) is located, which separates the esophagus from the stomach. The LES helps to prevent acid reflux from the stomach into the esophagus. If the LES is weakened or dysfunctional, it can lead to a condition called gastroesophageal reflux disease (GERD), where stomach acid flows back into the lower part of the esophagus, causing symptoms such as heartburn and regurgitation.
7.
What does the previous picture represent
Correct Answer
B. Squamous Cell Carcinoma of the EsopHagus
Explanation
Specifically polypoid
8.
This type of Esophagus Cancer tends to obstruct early?
Correct Answer
B. False
Explanation
This is an infiltrating esophageal carcinoma, which tends to gradually narrow the lumen by concentric compression
9.
This Picture is an example of what specific esophageal cancer?
Correct Answer
B. Ulcerating
Explanation
The picture shows a specific type of esophageal cancer known as ulcerating cancer. This can be determined by the presence of ulcers or open sores on the surface of the esophagus, as depicted in the image. Ulcerating cancer is characterized by the erosion of the esophageal lining, which can lead to symptoms such as pain, difficulty swallowing, and bleeding.
10.
This picture depicts a tumor now more common in the US than Squamous Cell Carcinoma?
Correct Answer
A. True
Explanation
The picture depicts a tumor that is now more common in the US than Squamous Cell Carcinoma. This suggests that the prevalence of this tumor has increased and it has surpassed Squamous Cell Carcinoma in terms of occurrence.
11.
These 2 photos are pictures of what?
Correct Answer
C. Gastric Ulcer
Explanation
The correct answer is Gastric Ulcer. The question asks about the subject of the two photos, and the answer provided is Gastric Ulcer.
12.
This type of Ulcer Manifests w/what symptom(s)?
Correct Answer(s)
A. Relief of pain with food
D. Awaking pain at night/while asleep
Explanation
This type of ulcer manifests with the symptom of relief of pain with food and awakening pain at night/while asleep.
13.
This photo is what?
Correct Answer
D. Malignant Gastric Ulcer
Explanation
The correct answer is Malignant Gastric Ulcer. This is indicated by the presence of a large ulcer in the stomach, which is likely to be cancerous (malignant). The term "gastric" refers to the stomach, further supporting the diagnosis. The other options, such as duodenal ulcer, infiltrating tumor, metastasized colon cancer, and Krukenberg, are not consistent with the features seen in the photo.
14.
This Picture is a severe manifestation of what d/o?
Correct Answer
A. Advanced Stomach Cancer
Explanation
The picture shows a severe manifestation of a disease. Advanced Stomach Cancer is the correct answer because stomach cancer can cause the formation of large tumors in the stomach, leading to symptoms such as severe pain, weight loss, and difficulty swallowing. The picture likely depicts a large tumor in the stomach, indicating an advanced stage of stomach cancer. Esophageal cancer, gastric ulcer, Crohn's, and CUC are not as likely to cause such a severe manifestation as depicted in the picture.
15.
This picture is a distant mets of what type of cancer?
Correct Answer
C. Stomach Cancer
Explanation
The picture is a distant metastasis of stomach cancer because the question asks about the type of cancer represented in the image. The correct answer is stomach cancer because the picture shows a distant spread of cancerous cells originating from the stomach.
16.
The previous photo was of a Krukenberg Tumor, what type of cell changes occur with this?
Correct Answer
B. Fibrous
Explanation
desmoplastic changes are associated w/a krukenberg tumor which is fibrous or connective tissue growth
17.
The cancer that causes a krukenberg tumor, can also spread through the lymph to where?
Correct Answer
C. Porta hepatis
Explanation
The cancer that causes a Krukenberg tumor can also spread through the lymph to the porta hepatis. The porta hepatis is a part of the liver where the hepatic artery, portal vein, and bile duct enter. Lymphatic spread to this area can lead to the formation of Krukenberg tumors, which are metastatic tumors in the ovaries that originate from gastrointestinal or breast cancers.
18.
This is what Fisch call's Rubber Hose Fibrosis, which represents what?
Correct Answer
D. Transmural Involvement
Explanation
The term "Rubber Hose Fibrosis" is used by Fisch to describe a condition. The correct answer, "Transmural Involvement," suggests that this condition involves inflammation that affects all layers of the affected tissue.
19.
This is picture represents what?
Correct Answer(s)
B. CUC
D. Confluent Serpiginous Ulcerations
Explanation
The picture represents Confluent Serpiginous Ulcerations (CUC). CUC is a characteristic finding in Crohn's disease, which is a type of inflammatory bowel disease. It is characterized by the presence of deep, serpiginous (snake-like) ulcers that are confluent (merge together) in appearance. These ulcerations occur in the lining of the gastrointestinal tract and can cause symptoms such as abdominal pain, diarrhea, and weight loss. Therefore, the correct answer is CUC, Confluent Serpiginous Ulcerations.
20.
This is a picture of what type of benign neoplastic tumor?
Correct Answer
C. Villous
Explanation
The correct answer is "Villous." A villous neoplastic tumor is a type of benign tumor that is characterized by finger-like projections called villi. These villi are lined with cells that have the potential to become cancerous. This type of tumor is often found in the gastrointestinal tract, particularly in the colon and rectum. The presence of villi helps to distinguish villous tumors from other types, such as tubular or tubulovillous tumors, which have different growth patterns.
21.
The previous picture is associated with what area?
Correct Answer
B. Colon
Explanation
The previous picture is associated with the colon because the colon is the large intestine, and the picture likely shows a section of the large intestine. The ileum is part of the small intestine, and the cecum is the beginning of the large intestine, so they are not the correct answers.
22.
This Annular of Napkin-Ring Cancer is most common to where?
Correct Answer
B. Left Side
23.
Besides Pancreatisis, what is seen on this picture?
Correct Answer
A. Hemorrhage
Explanation
This picture shows evidence of hemorrhage.
24.
This is what? (best answer)
Correct Answer
D. Early Acute Hemorrhagic Pancreatitis
Explanation
The given answer, Early Acute Hemorrhagic Pancreatitis, is the best answer because it accurately describes the condition being referred to in the question. The term "early" suggests that the pancreatitis is in its initial stages, while "acute" indicates that it is a sudden and severe inflammation of the pancreas. The inclusion of "hemorrhagic" signifies that there is bleeding associated with the inflammation. Therefore, Early Acute Hemorrhagic Pancreatitis is the most appropriate choice based on the information provided.
25.
This is a picture of acute pancreatitis, but what else is visible?
Correct Answer
B. Fat Necrosis
Explanation
Fat necrosis refers to the death of fat cells, which can occur due to various reasons including trauma, inflammation, or reduced blood supply. In the context of acute pancreatitis, fat necrosis is a common finding. It occurs when the enzymes released by the inflamed pancreas cause damage to the nearby fat tissue. This leads to the formation of areas of necrosis or dead fat cells. Therefore, in the given picture of acute pancreatitis, fat necrosis is likely visible as an additional finding.
26.
This picture is associated with?
Correct Answer
B. Alcohlic Hepatitis
27.
The liver above is a picture of Alcoholic Hepatitis, Mallory Bodies are associated w/this, what exactly are Mallory bodies?
Correct Answer
C. EosinopHilic aggregates w/necrotic areas
Explanation
Mallory bodies are eosinophilic aggregates with necrotic areas. In the context of alcoholic hepatitis, Mallory bodies are characteristic histological features that are observed in liver tissue. They are composed of abnormal protein aggregates, primarily cytokeratins, and are indicative of cellular damage and stress. These eosinophilic aggregates with necrotic areas are often seen in hepatocytes and are associated with the inflammatory response and tissue injury seen in alcoholic hepatitis.
28.
Is this a picture of HCC or Hepatocellular Adenoma?
Correct Answer
A. HCC
Explanation
The given correct answer is HCC, which stands for Hepatocellular Carcinoma. This is a type of liver cancer that originates from hepatocytes, the main cells of the liver. HCC is the most common type of primary liver cancer and is often associated with underlying liver diseases such as chronic hepatitis B or C infection, cirrhosis, or alcohol abuse. It is important to differentiate HCC from other liver tumors, such as Hepatocellular Adenoma, as the treatment and prognosis can vary significantly.