Gastroenterology Boards test quiz with possible
solutions A+
1. unconjugated bilirubin is bound to albumin in bloodstream and gets taken
up in the liver and conjugated via-CORRECT ANSWER- UDP glucuronosyl
transferase
2. foregut-CORRECT ANSWER- esophagus to upper duodenum
3. lower duodenum to proximal 2/3-CORRECT ANSWER- midgut
4. distal 1/3 to pectinate line-CORRECT ANSWER- hindgut
5. week 6 and week 10 events-CORRECT ANSWER- week 6 herniation through
umbilical ring
week 10-CORRECT ANSWER- rotate around SMA counterclockwise
6. congenital umbilical hernia is the incomplete closure of the umbilical
ring....seen in-CORRECT ANSWER--CORRECT ANSWER- 1. Downs
2. hypothyroidism cretinism
3. Beckwith Wideman
defect with linea alba and increased abdominal pressure
7. what is the most common problem with TE anomalies-CORRECT ANSWER-
EA + TEF
*polyhydramnios*
8. pure EA would show-CORRECT ANSWER- gasless abdomen
9. bilious vomiting and abdominal distension in 1st two days of life-CORRECT
ANSWER- intestinal atresia
10. duodenal atresia-CORRECT ANSWER- failure to recanalize at 8
weeks....double bubble (dilated stomach and proximal duodenum)
*DOWN SYNDROME
11. jejunal/ileal atresia-CORRECT ANSWER- disruption of mesenteric vessels
and becomes ischemic necrosis!....apple peel
,12. olive shaped mass in epigastrum, peristaltic waves +, NONbilious vomiting at
2 weeks, first born males-CORRECT ANSWER- hypertrophic pyloric stenosis
13. macrolides exposure-CORRECT ANSWER- pyloric stenosis
14. what does hypertrophic pyloric stenosis cause?-CORRECT ANSWER-
vomiting...hypokalemic, hypochloric metabolic alkalosis
*surgical pyloromyomotomy
15. univeristy of west virginia pancreas-CORRECT ANSWER- uncinate is
associated with the wirsung (main pancreatic duct) and *ventral pancreatic
bud*...becomes part of the head
16. head body tail isthmus and accessory Santorini duct-CORRECT ANSWER-
dorsal pancreatic bud
17. annular pancreas-CORRECT ANSWER- ventral bud abnormally circles
2nd duodenum.....ring of tissue and duodenal narrowing
18. pancreatic divisum-CORRECT ANSWER- failure to fuse at 8 weeks!
,19. what arises from the mesentry of the stomach but has foregut supply?-
CORRECT ANSWER- -
spleen (celiac artery gives off splenic artery)
20. retroperitoneal structures-CORRECT ANSWER- anything vertical and SAD
PUCKER
1. suprarenal glands
2. aorta/IVC
3. duodenum 2-4
4. pancreas except tail
5. ureter
6. colon (desc/asc)
7. kidneys
8. esophagus
9. rectum
21. falciform ligament-CORRECT ANSWER- ligamentum teres hepatis holding
oblierated umbilical vein
22. hepatoduodenal-CORRECT ANSWER- portal triad-CORRECT ANSWER-
proper hepatic, portal vein, common bile duct
23. what is pringle maneuver-CORRECT ANSWER- compress
hepatoduodenal ligament wiith thumb and index finger in omental foramen.
24. splenorenal-CORRECT ANSWER- holds splenal artery and vein + tail of
pancreas
25. layers of gut wall-CORRECT ANSWER--CORRECT ANSWER- MSMS
1. mucosa-CORRECT ANSWER- epithelium, lamina propia, muscularis mucosa
2. submucosa-CORRECT ANSWER- submucosal nerve plexus = Meissner
(secretesfluid)
3. muscularis externa-CORRECT ANSWER- myenteric nerve plexus for motility
(Auerbach)
4. serosa/adventitia
26. esophagus histology-CORRECT ANSWER- nonkeratinized stratified
squamous
27. duodenum histology-CORRECT ANSWER- 1. villi/microvilli.....
2. Brunner glands which secrete HCO3 from submucosa
3. crypts of Lieberkun (stem cellls to replace)
4. Paneth cells (defensins, lysozyme, TNF)
28. jejunum histology-CORRECT ANSWER- 1. crypts of Lieberkuhn
2. Plicae circularis
29. Ileum histology-CORRECT ANSWER- 1. crypts of lieberkhum
2. Peyers patches (lymphoid aggregates in submucosa)
, 3. plicae circularis
4. *GOBLET CELLS* most of the SI
30. colon-CORRECT ANSWER--CORRECT ANSWER- 1. crypts of lieberkuhn
2. goblet cells
3. no villi
31. what is SMA syndrme?-CORRECT ANSWER- intermittent intestinal
obstruction symptoms (post- prandial pain) when transverse portion of
duodnum is compressed between SMA
solutions A+
1. unconjugated bilirubin is bound to albumin in bloodstream and gets taken
up in the liver and conjugated via-CORRECT ANSWER- UDP glucuronosyl
transferase
2. foregut-CORRECT ANSWER- esophagus to upper duodenum
3. lower duodenum to proximal 2/3-CORRECT ANSWER- midgut
4. distal 1/3 to pectinate line-CORRECT ANSWER- hindgut
5. week 6 and week 10 events-CORRECT ANSWER- week 6 herniation through
umbilical ring
week 10-CORRECT ANSWER- rotate around SMA counterclockwise
6. congenital umbilical hernia is the incomplete closure of the umbilical
ring....seen in-CORRECT ANSWER--CORRECT ANSWER- 1. Downs
2. hypothyroidism cretinism
3. Beckwith Wideman
defect with linea alba and increased abdominal pressure
7. what is the most common problem with TE anomalies-CORRECT ANSWER-
EA + TEF
*polyhydramnios*
8. pure EA would show-CORRECT ANSWER- gasless abdomen
9. bilious vomiting and abdominal distension in 1st two days of life-CORRECT
ANSWER- intestinal atresia
10. duodenal atresia-CORRECT ANSWER- failure to recanalize at 8
weeks....double bubble (dilated stomach and proximal duodenum)
*DOWN SYNDROME
11. jejunal/ileal atresia-CORRECT ANSWER- disruption of mesenteric vessels
and becomes ischemic necrosis!....apple peel
,12. olive shaped mass in epigastrum, peristaltic waves +, NONbilious vomiting at
2 weeks, first born males-CORRECT ANSWER- hypertrophic pyloric stenosis
13. macrolides exposure-CORRECT ANSWER- pyloric stenosis
14. what does hypertrophic pyloric stenosis cause?-CORRECT ANSWER-
vomiting...hypokalemic, hypochloric metabolic alkalosis
*surgical pyloromyomotomy
15. univeristy of west virginia pancreas-CORRECT ANSWER- uncinate is
associated with the wirsung (main pancreatic duct) and *ventral pancreatic
bud*...becomes part of the head
16. head body tail isthmus and accessory Santorini duct-CORRECT ANSWER-
dorsal pancreatic bud
17. annular pancreas-CORRECT ANSWER- ventral bud abnormally circles
2nd duodenum.....ring of tissue and duodenal narrowing
18. pancreatic divisum-CORRECT ANSWER- failure to fuse at 8 weeks!
,19. what arises from the mesentry of the stomach but has foregut supply?-
CORRECT ANSWER- -
spleen (celiac artery gives off splenic artery)
20. retroperitoneal structures-CORRECT ANSWER- anything vertical and SAD
PUCKER
1. suprarenal glands
2. aorta/IVC
3. duodenum 2-4
4. pancreas except tail
5. ureter
6. colon (desc/asc)
7. kidneys
8. esophagus
9. rectum
21. falciform ligament-CORRECT ANSWER- ligamentum teres hepatis holding
oblierated umbilical vein
22. hepatoduodenal-CORRECT ANSWER- portal triad-CORRECT ANSWER-
proper hepatic, portal vein, common bile duct
23. what is pringle maneuver-CORRECT ANSWER- compress
hepatoduodenal ligament wiith thumb and index finger in omental foramen.
24. splenorenal-CORRECT ANSWER- holds splenal artery and vein + tail of
pancreas
25. layers of gut wall-CORRECT ANSWER--CORRECT ANSWER- MSMS
1. mucosa-CORRECT ANSWER- epithelium, lamina propia, muscularis mucosa
2. submucosa-CORRECT ANSWER- submucosal nerve plexus = Meissner
(secretesfluid)
3. muscularis externa-CORRECT ANSWER- myenteric nerve plexus for motility
(Auerbach)
4. serosa/adventitia
26. esophagus histology-CORRECT ANSWER- nonkeratinized stratified
squamous
27. duodenum histology-CORRECT ANSWER- 1. villi/microvilli.....
2. Brunner glands which secrete HCO3 from submucosa
3. crypts of Lieberkun (stem cellls to replace)
4. Paneth cells (defensins, lysozyme, TNF)
28. jejunum histology-CORRECT ANSWER- 1. crypts of Lieberkuhn
2. Plicae circularis
29. Ileum histology-CORRECT ANSWER- 1. crypts of lieberkhum
2. Peyers patches (lymphoid aggregates in submucosa)
, 3. plicae circularis
4. *GOBLET CELLS* most of the SI
30. colon-CORRECT ANSWER--CORRECT ANSWER- 1. crypts of lieberkuhn
2. goblet cells
3. no villi
31. what is SMA syndrme?-CORRECT ANSWER- intermittent intestinal
obstruction symptoms (post- prandial pain) when transverse portion of
duodnum is compressed between SMA
