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Pathology · USMLE Step 1 · Healthcare and Nursing

USMLE Pathology: Gastrointestinal System

GI tract, liver, and pancreas pathology with classic histologic findings, inflammatory bowel disease patterns, and hepatic disease morphology. Original cards testing the underlying concepts.

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40 basic cards for USMLE Step 1 Pathology. Set 6 of 27 in USMLE Pathology. It opens with "What type of epithelial change defines Barrett esophagus?" and "Barrett esophagus significantly increases the risk of which cancer?". Study it alongside the other USMLE Step 1 sets below.

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What type of epithelial change defines Barrett esophagus?
Show answerReplacement of normal stratified squamous epithelium with metaplastic columnar epithelium containing goblet cells (intestinal metaplasia).
Barrett esophagus significantly increases the risk of which cancer?
Show answerEsophageal adenocarcinoma.
Achalasia is caused by loss of inhibitory ganglion cells in the ____, preventing the lower esophageal sphincter from relaxing.
Show answermyenteric (Auerbach) plexus
What underlying condition causes esophageal varices?
Show answerPortal hypertension, which dilates submucosal veins in the lower esophagus.
What is Boerhaave syndrome?
Show answerA transmural rupture of the esophagus, usually caused by forceful vomiting.
What is Mallory-Weiss syndrome?
Show answerMucosal, non-transmural lacerations at the gastroesophageal junction caused by forceful vomiting.
What are the two major risk factors for esophageal squamous cell carcinoma?
Show answerAlcohol use and tobacco use.
In which part of the esophagus does adenocarcinoma typically arise?
Show answerThe lower third, usually from preexisting Barrett esophagus.
A Curling ulcer is classically associated with which clinical setting?
Show answerSevere burns.
A Cushing ulcer is classically associated with which clinical setting?
Show answerIncreased intracranial pressure.
H. pylori infection is most strongly associated with which histologic type of gastric adenocarcinoma?
Show answerIntestinal-type gastric adenocarcinoma.
Menetrier disease is characterized by massive hyperplasia of gastric mucous cells, producing ____.
Show answergiant, hypertrophied rugae
What histologic feature defines a signet ring cell in gastric carcinoma?
Show answerA large intracytoplasmic mucin vacuole that pushes the nucleus to the periphery of the cell.
What small bowel histologic findings are seen in celiac disease?
Show answerVillous atrophy with crypt hyperplasia and increased intraepithelial lymphocytes.
Which antibody is used to screen for celiac disease?
Show answerAnti-tissue transglutaminase IgA.

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