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MCQ – 27882

Question

Yellowish exudates at multiple sites seen in colonoscopy indicates –

A.

Crohn’s disease

B.

Hirschsprung disease

C.

Tuberculosis

D.

Lymphoma

Show Answer

Correct Answer » C

Explanation

  • Yellowish exudates or yellow nodules seen at multiple sites on colonoscopy are characteristic of intestinal tuberculosis.
  • Intestinal tuberculosis commonly involves:
    • Ileocecal region
    • Transverse ulcers
    • Nodularity
    • Yellowish caseous exudates
  • These lesions represent caseating granulomatous inflammation.

Reasons to Rule Out Other Options

A. Crohn’s disease

  • Colonoscopy usually shows:
    • Skip lesions
    • Cobblestone appearance
    • Aphthous ulcers
    • Deep linear ulcers
  • Yellowish exudative lesions are not characteristic

B. Hirschsprung disease

  • Congenital absence of ganglion cells
  • Diagnosed by:
    • Contrast studies
    • Rectal biopsy
  • Colonoscopy does not typically show yellow exudates

D. Lymphoma

  • GI lymphoma may present with:
    • Mass lesions
    • Ulcers
    • Thickened folds
  • Yellow caseous exudates are not typical 
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