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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
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