Quiz 10
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Transcript of Quiz 10
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Quiz 10
Geral
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Caso 1
Paciente idosa, constipação intestinal crônica, colonoscopia para rastreamento CCR. Coloração acastanhada no ceco:
A. Colite isquêmica
B. Colite actínica
C. RCUI
D. Doença de Crohn
E. Nenhuma delas
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Caso 2 Mulher jovem. Lesão
na gde. curv. Antral.
A. Leiomioma
B. Gist
C. Coristoma
D. Pâncreas ectópico
E. Duas corretas
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Caso 3
Adolescente com febre e diarréia aguda. Imagem do reto e sigmóide:
A. RCUI
B. Doença de Crohn
C. Colite infecciosa
D. Colite colágena
E. Colite linfocítica
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Caso 4
Meia idade. Imagem do esôfago. Ascite. Anticorpo antimitocôndia positivo:
A. Cirrose alcoólica
B. Cirrose biliar primária
C. Trombose de veia porta
D. Budd Chiari
E. Nenhuma delas
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Caso 5
Idoso. Anemia crônica. Lesão na incisura:
A. Úlcera péptica
B. GIST
C. Pâncreas ectópico
D. Lesão por AINES
E. Nenhuma delas
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Caso 6
Mulher. 60 anos. Diarréia aquosa 6 vezes ao dia, sem muco ou sangue. Colono normal:
A. Colite linfocíticaB. Colite colágenaC. Colite por estáfiloD. Colite por eschericia coliE. Nenhuma delas
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Caso 7 Mulher. 40 anos. Longa
história de azia. Esofago distal:
A. Ectopia gástrica
B. Barrett
C. Mallory Weiss
D. Angiodisplasia
E. Nenhuma delas
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Caso 8 Homem. 45 anos. Diarréia
crônica c/muco e sangue. Emagrecimento. VHS acelerada. PCR +. Lesão de sigmóide:
A. Crohn
B. RCUI
C. Escheríchia coli
D. Salmonella tiffi
E. Nenhuma delas
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Caso 9 Homem. 40 anos.
Vômitos. Hematêmese. Achado no esôfago distal:
A. Cameron
B. Esofagite grau B com sangramento
C. Mallory Weiss
D. Lesão por AINES
E. Nenhuma delas
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Caso 10
Adolescente, fem. Lesão submucosa, parede post. do corpo gástrico. Anemia.
A. GIST
B. Leiomioma
C. Carcinoma
D. Lesão submucosa indeterminada
E. Nenhuma delas
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Respostas
1. Melanosis (or pseudomelanosis) coli 2. Aberrant or ectopic pancreas3. Infectious colitis (Yersinia Pseudotuberculosa was
cultured from faeces, and the boy was cured with ciprofloxacin treatmen)
4. Oesophageal varices caused by primary biliary cirrhosis5. Malignant. The clubbing of the mucosal folds adjacent to
the ulcer is a typical finding. 6. The pink band seen in the histological preparation is a
collagen band. The diagnose is Collagenous Colitis. 7. Barret´s oesophagus8. Crohn 9. Mallory Weiss
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10. Síndrome de Carney
A total gastrectomy was done, and the tumours (there were four of them) were found to be malignant leiomyoblastomas with metastatic changes in the regional lymph nodes. These young patients often have pulmonary chondromas and adrenal paragangliomas.
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JA Carney. This syndrome is very rare but has a great clinical importance. If one of it´s component, for example a malignant gastric leomyoblastoma, is found in a young girl, the other two, pulmonary chondromas and adrenal paragangliomas, should be looked for during a lifelong surveillance.
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FIM