Rosh GI Questions and Answers | Latest Update | 2024/2025 | Already Passed

Rosh GI Questions and Answers | Latest Update | 2024/2025 | Already Passed Note: Answers appear before each question. C. Ischemic colitis An 82-year-old nursing-home resident is sent to the emergency department with lower abdominal pain and bloody diarrhea. He has a history of vascular dementia, hypertension, and hyperlipidemia. On examination he is afebrile, and a nasogastric aspirate is negative for evidence of bleeding. Which of the following is the most likely cause of this patient's bleeding? A. Angiodysplasia B. Diverticular bleeding C. Ischemic colitis D. Peptic ulcer disease A. Acute cholecystitis A 43-year-old woman comes to the emergency department with a 5-hour history of right upper quadrant pain, fever, nausea, vomiting, and anorexia. She says she began experiencing these symptoms shortly after eating at her favorite fast food restaurant. Her temperature is 38.8C (101.8F). Palpation of the abdomen shows voluntary guarding. Laboratory studies shows leukocytosis with a left shift. Which of the following is the most likely diagnosis? A. Acute cholecystitis B. Acute pancreatitis C. Appendicitis D. Peptic ulcer disease A. Ciprofloxacin A 34-year-old woman returns from travel outside of the US. Two days later, she presents with acute onset, frequent, green-colored and voluminous stooling. She has abdominal pain and a temperature of 101.9°F. A stool culture is positive for Shigella. Which of the following do you recommend? A. Ciprofloxacin B. Lactulose C. Sulfasalazine D. Tenofovir B. Emergent endoscopy An 18-year-old man with schizophrenia presents after ingesting a razor blade. The patient indicates that he feels a foreign body sensation in his lower chest. The patient is tolerating secretions and appears to be in no acute distress. X-ray shows a metal foreign body in the distal esophagus. What management is indicated at this point? A. CT scan of the chest to further evaluate the location of the foreign body B. Emergent endoscopy C. Glucagon D. Observation D. High-pitched bowel sounds A 76-year-old woman presents with abdominal pain and distention for the past two hours. Upright films of the abdomen are obtained and