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1. What is the most common cause of peptic ulcer disease?
A. NSAID use
B. Stress
C. H. pylori infection
D. Acidic diet - correct answer C. H. pylori infection
2. Duodenal ulcers typically present with which symptom?
A. Pain immediately after eating
B. Weight gain
C. Pain 2-3 hours after meals relieved by food
D. No symptoms - correct answer C. Pain 2-3 hours after meals relieved by food
3. What is the diagnostic test of choice for peptic ulcer disease?
A. Barium swallow
B. Esophagogastroduodenoscopy (EGD)
C. Colonoscopy
D. Ultrasound - correct answer B. Esophagogastroduodenoscopy (EGD)
4. What is a key adverse effect of long-term PPI use?
A. Hyperkalemia
B. Increased risk of osteoporosis
C. Liver damage
D. Iron overload - correct answer B. Increased risk of osteoporosis
5. Which medication forms a protective barrier over ulcers?
A. Omeprazole
B. Sucralfate
C. Famotidine
D. Bismuth subsalicylate - correct answer B. Sucralfate
,6. What color is stool with melena, indicating upper GI bleeding?
A. Bright red
B. Clay-colored
C. Dark and tarry
D. Yellow - correct answer C. Dark and tarry
7. What is the most serious complication of peptic ulcer disease?
A. Nausea
B. Vomiting
C. Hemorrhage
D. Constipation - correct answer C. Hemorrhage
8. What intervention is prioritized for a patient with an upper GI bleed?
A. Administer proton pump inhibitor
B. Give antacids
C. Maintain airway, breathing, and circulation
D. Perform abdominal massage - correct answer C. Maintain airway, breathing, and circulation
9. Inflammatory bowel disease includes which of the following?
A. Crohn's disease and ulcerative colitis
B. IBS and diverticulitis
C. Gastritis and GERD
D. Pancreatitis and hepatitis - correct answer A. Crohn's disease and ulcerative colitis
10. Which lab value is commonly decreased in ulcerative colitis?
A. Sodium
B. Albumin
C. C-reactive protein
D. White blood cells - correct answer B. Albumin
11. Crohn's disease most commonly affects which area?
A. Rectum
, B. Terminal ileum
C. Sigmoid colon
D. Esophagus - correct answer B. Terminal ileum
12. Which symptom is more characteristic of Crohn's disease than UC?
A. Bloody diarrhea
B. Tenesmus
C. Fistulas
D. Continuous colonic inflammation - correct answer C. Fistulas
13. What diet is best during Crohn's exacerbation?
A. High-fiber, low-protein
B. Spicy foods
C. Low-residue, high-protein
D. Raw fruits and vegetables - correct answer C. Low-residue, high-protein
14. What medication class is first-line in mild to moderate Crohn's disease?
A. Antibiotics
B. Corticosteroids
C. Aminosalicylates (e.g., Sulfasalazine)
D. Immunosuppressants - correct answer C. Aminosalicylates (e.g., Sulfasalazine)
15. Which surgical procedure removes colon and rectum with permanent ileostomy?
A. Hartmann's procedure
B. Total proctocolectomy
C. Colostomy reversal
D. Colectomy with J-pouch - correct answer B. Total proctocolectomy
16. Tenesmus is best described as:
A. Gas pain
B. Pain with urination
C. Urgent but ineffective need to defecate