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
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.