The Specialty certificate in Gastroenterology SCE covers the whole of the curriculum of the specialty training in gastroenterology in the UK. Preparation for this exam requires a wide breadth of knowledge around the curriculum . As knowledge is constantly advancing , awareness of current and updated guidelines is important.This blog is an attempt to pool all resources in one site with regular updates.
Dr Elmuhtady Said
Curriculum for Specialty Certificate Examination in Gastroenterology
A 39-year-old woman has had elevated serum aminotransferase levels for more than a year. Her medical history is notable for type 2 diabetes mellitus and hypertriglyceridemia. Serum test results for possible liver pathogens are negative. Ultrasonography reveals increased hepatic echogenicity. What is the most likely finding on histologic evaluation of a biopsy specimen?
1-Interface hepatitis with lymphocytoplasmic infiltrate 2-Nonsuppurative destructive cholangitis 3-PAS-positive diastase-resistant periportal globules 4-Perisinusoidal fibrosis and Mallory hyaline bodies 5-Portal lymphoid aggregates with germinal centers
1-lists typical findings in cases of AIH, 2- lists findings in cases of PBC, 3- lists findings in cases of α1-AT deficiency 5- lists typical findings in cases of chronic HCV infection.
Given her demographic profile, this patient is most likely to have NAFLD. 4 lists typical findings in cases of NAFLD.
A 39-year-old woman has had elevated serum aminotransferase levels for more than a year. Her medical history is notable for type 2 diabetes mellitus and hypertriglyceridemia. Serum test results for possible liver pathogens are negative. Ultrasonography reveals increased hepatic echogenicity. What is the most likely finding on histologic evaluation of a biopsy specimen?
ReplyDelete1-Interface hepatitis with lymphocytoplasmic infiltrate
2-Nonsuppurative destructive cholangitis
3-PAS-positive diastase-resistant periportal globules
4-Perisinusoidal fibrosis and Mallory hyaline bodies
5-Portal lymphoid aggregates with germinal centers
1-lists typical findings in cases of AIH,
2- lists findings in cases of PBC,
3- lists findings in cases of α1-AT deficiency
5- lists typical findings in cases of chronic HCV infection.
Given her demographic profile, this patient is most likely to have NAFLD.
4 lists typical findings in cases of NAFLD.