Q:

For each of the forms of gastritis listed on the left select the most appropriate association from the list of histological features on the right

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For each of the forms of gastritis listed on the left select the most appropriate association from the list of histological features on the right.

a. Atrophic gastritis.

b. Chronic superficial gastritis.

c. Gastric atrophy.


  1. Granulomatous inflammation of the mucosa.
  2. Inflammation limited to superficial lamina propria.
  3. Loss of specialized mucosal cells.
  4. Mucosa thin with intestinal metaplasia.
  5. Mucosal hypertrophy.

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The answer is C, B, D. This is the second stage of chronic gastritis in which specialized mucosal cells such as parietal cells are lost and there is severe inflammatory infiltration in the lamina propria.

This is the first stage of chronic gastritis, there is mucosal inflammation, but there is no loss of specialized cells.

This is the final stage of chronic gastritis in which the mucosa is thin due to loss of parietal cells, chief cells and replacement by mucous secreting epithelium resembling intestinal mucosa. These features are seen most strikingly in the auto-immune disease pernicious anaemia where antibodies are present against parietal cell and intrinsic factor.

Granulomatous (A) and hypertrophic (E) gastritis are rare.

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