Pathology - Ch. 5 Gastrointestinal
System Questions with Verified
Answers
Visualization of which of the following structures indicate that the correct contrast scale
has been used for a plain abdominal radiograph? - ANSWERSLumbar spine and
transverse processes
The rhythmic smooth muscle contractions four in the upper gastrointestinal system are
called? - ANSWERSPeristalsis
The greatest amount of digestion occurs in which portion of the intestines? -
ANSWERSDuodenum
Detoxification of poisonous substances takes place in which organ? - ANSWERSLiver
Which organ controls the level of glucose in the circulating blood? -
ANSWERSPancreas
The telescoping of one part of the intestinal tract into another is termed? -
ANSWERSIntussusception
Twisting of the bowel upon itself is termed? - ANSWERSVolvulus
What is now considered to be the major imaging modality for the demonstration of
gallstones? - ANSWERSUltrasound
What is the major cause of cirrhosis in the United States and Europe? -
ANSWERSAlcoholism
Rupture of the spleen as a result of blunt abdominal trauma can be best demonstrated
by what imaging procedure? - ANSWERSCT
If a patient is too ill to stand, what position can be used to demonstrate
pneumoperitoneum? - ANSWERSleft lateral decubitus, patient on left side
Extensive calcification in the wall of the gallbladder is termed? - ANSWERSPorcelain
gallbladder
,Varicose veins of the rectum are termed? - ANSWERSHemorrhoids
"Apple Core" and "Napkin Ring" are common descriptive terms for annular carcinoma of
the_______? - ANSWERSColon
Chron's disease occurs in which organ? - ANSWERSColon, small bowell, and stomach
The presence of large amounts of gas and fluid in uniformly dilated loops of small and
large bowel, often seen after abdominal surgery, is termed? - ANSWERSAdynamic
ileus
What medical term is used to denote difficulty in swallowing? - ANSWERSDysphagia
Gastric contents that are mixed with hydrochloric acid and pepsin are called? -
ANSWERSChyme
To demonstrate esophageal reflux, the patient is often asked to perform
the_____________? - ANSWERSValsava maneuver
An abnormal connection between the esophagus and trachea is termed a(n)? -
ANSWERSFistula
The most common TE fistula is _________ described as esophageal atresia. -
ANSWERSType III
An abnormal accumulation of fluid in the peritoneal cavity is termed? -
ANSWERSAscites
Herniations, or outpouchings, of the walls of a hollow organ are termed? -
ANSWERSDiverticula
A colonic intussusception can sometimes be reduced by what radiographic procedure? -
ANSWERSBarium enema
Patients older than 40 years with a history of difficulty in swallowing are usually
assumed, until demonstrated otherwise, to have what pathologic condition? -
ANSWERSEsophageal hernia
What is the most common manifestation of peptic ulcer disease? - ANSWERSDuodenal
ulcer
If loops of bowel are distended by abnormally large amounts of air and are occupying
the central portion of the abdomen, the patient most likely has_______? -
ANSWERSSmall bowel obstruction
, The muscle becomes hypertrophic preventing the normal emptying of the stomach in
cases of _______________. - ANSWERSPyloric stenosis
When located fluid collections arise in the pancreas, these formations are
called________________. - ANSWERSPseudocysts
The most prevalent inflammatory disease of the liver most commonly caused by a viral
infection or a reaction to drugs and toxins is__________. - ANSWERSHepatitis
What is the basic function of the gastrointestinal system? - ANSWERSTo alter the
chemical and physical composition of food so that it can be absorbed and used by the
body.
What is the gastrointestinal system dependent upon? - ANSWERSSecretions of the
endocrine and exocrine glands.
Controlled movement of ingested food through the tract so absorption can occur.
What is the esophageal pathology? - ANSWERSTracheoesophageal fistula
Esaphagitis
Ingestion of corrosive agents
Esophageal cancer
Esophageal diverticula
Esophageal varices
Hiatal hernia
Achalasia
Foreign bodies
Perforation of the esophagus
Congenital form is the result from the failure of the esophageal lumen to develop
completely separate from the trachea. - ANSWERSTracheoesophageal fistula
Acquired type is caused by cancer, infection, trauma, instrumentation perforation. -
ANSWERSTracheoesophageal fistula
The lack of the development of the esophageal lumen resulting in a blind pouch. -
ANSWERSEsophageal atresia
Acute form is most commonly the result of reflux of stomach contents into distal
esophagus. Also Gastroesphageal reflux disease (GERD). Chronic form may result in
strictures. - ANSWERSEsophagitis
Esophagitis may also be caused by these infections. - ANSWERSHerpes virus
Candida (yeast infection)
Produces acute inflammatory changes in the esophagus, superficial penetration results
in only minimal ulceration, deep penetration of the submucosa and muscular layers