GI Pance Review Questions and Answers
A+ Guide
MC cause of traveler's diarrhea - correct answers✅✅Enterotoxigenic E
Coli
Dysentery is MC caused by - correct answers✅✅Shigella; presents with
blood diarrhea and a stool examination reveals PMN leukocytes
What is the C14 urea breath test used for? - correct answers✅✅The
detection of H Pylori; the patient should not be on PPIs or ABX for the
previous 4 weeks; C13 urea breath can be used in pregnant women
What type of colon polyp has the highest risk of carcinoma? - correct
answers✅✅Villous adenoma
Treatment for Clostridium difficile infection: - correct answers✅✅Oral
metronidazole or oral vancomycin`
MC reason for C diff infection - correct answers✅✅Previous ABX usage
11 month infant presents after 2 days of vomiting, diarrhea, and fever of
104. Appears dehydrated, WBC is normal, stool + urine are neg for WBCs.
What is most likely cause of gastroenteritis? - correct
answers✅✅Rotavirus; common in the 1st 2 years of life especially in
winter months
This virus presents with watery diarrhea, vomiting, and abd pain. Diarrhea is
MC in adults w vomiting being MC in children - correct
answers✅✅Norwalk virus
,GI Pance Review Questions and Answers
A+ Guide
Medications that can increase acid reflux and worsen GERD are: - correct
answers✅✅Anticholinergics, CCBs, narcotics, progesterone, quinidine,
benzodiazepines, theophylline
Medications that have a high incidence of pill induced esophagitis: - correct
answers✅✅NSAIDs, tetracycline, bisphosphonates, iron, and potassium
A 1st line drug for the treatment of alcoholic liver disease: - correct
answers✅✅Pentoxyfylline [reduces the production of TNF and other
proinflammatory cytokines]
What percentage of pancreatic cancers are located at the head of the
pancreas? - correct answers✅✅70-80%
The absence of peristalsis in the lower esophagus that leads to a "bird's
beak" appearance on x-ray - correct answers✅✅Achalasia
Treatment for Candida esophagitis: - correct answers✅✅Nystatin
Treatment for achalasia - correct answers✅✅Nifedipine (or another CCB);
it relaxes the lower esophageal sphincter
45 y/o woman treated w ampicillin x 10 days. On 7th day she developed
acute abd pain, accompanied by cramps and diarrhea. Sigmoidoscopy
reveals hyperemic mucosa w hemorrhagic plaque; what is most likely dx? -
correct answers✅✅Pseudomembranous colitis; causative agent is C diff
which produces an enterotoxin responsible for necrosis of the mucus
membrane of sigmoid colon and rectum
1st tx modality for sigmoid colon carcinoma: - correct answers✅✅Surgery
, GI Pance Review Questions and Answers
A+ Guide
Best test for diverticulitis: - correct answers✅✅Abdominal CT
What is the APGAR score? - correct answers✅✅Apgar scores range from 0
to 10
Appearance
Pulse
Grimace
Activity
Respiration
This is a type of intestinal obstruction usually following general anesthesia
that is characterized by silent abdomen w no bowel sounds - correct
answers✅✅Paralytic ileus; usually treated by bowel rest and proper
hydration
Obstruction of colonic blood supply causing ischemia w inflammation and
ulceration of the colonic mucosa. The area of the splenic flexure is most at
risk - correct answers✅✅Ischemic colitis; most important condition to
differentiate from ischemic colitis is small bowel ischemia
The preferred drug for Clostridium difficile infection or relapse - correct
answers✅✅Oral metronidazole
Treatment for sigmoid volvulus: - correct answers✅✅Rigid
proctosigmoidoscopy [w decompression and untwisting of the volvulus]
Pt has weight loss, abd pain, and anorexia. Physical findings include ascites
and hepatomegaly. Labs reflex elevated transaminases, bilirubin, and ALP. Dx
A+ Guide
MC cause of traveler's diarrhea - correct answers✅✅Enterotoxigenic E
Coli
Dysentery is MC caused by - correct answers✅✅Shigella; presents with
blood diarrhea and a stool examination reveals PMN leukocytes
What is the C14 urea breath test used for? - correct answers✅✅The
detection of H Pylori; the patient should not be on PPIs or ABX for the
previous 4 weeks; C13 urea breath can be used in pregnant women
What type of colon polyp has the highest risk of carcinoma? - correct
answers✅✅Villous adenoma
Treatment for Clostridium difficile infection: - correct answers✅✅Oral
metronidazole or oral vancomycin`
MC reason for C diff infection - correct answers✅✅Previous ABX usage
11 month infant presents after 2 days of vomiting, diarrhea, and fever of
104. Appears dehydrated, WBC is normal, stool + urine are neg for WBCs.
What is most likely cause of gastroenteritis? - correct
answers✅✅Rotavirus; common in the 1st 2 years of life especially in
winter months
This virus presents with watery diarrhea, vomiting, and abd pain. Diarrhea is
MC in adults w vomiting being MC in children - correct
answers✅✅Norwalk virus
,GI Pance Review Questions and Answers
A+ Guide
Medications that can increase acid reflux and worsen GERD are: - correct
answers✅✅Anticholinergics, CCBs, narcotics, progesterone, quinidine,
benzodiazepines, theophylline
Medications that have a high incidence of pill induced esophagitis: - correct
answers✅✅NSAIDs, tetracycline, bisphosphonates, iron, and potassium
A 1st line drug for the treatment of alcoholic liver disease: - correct
answers✅✅Pentoxyfylline [reduces the production of TNF and other
proinflammatory cytokines]
What percentage of pancreatic cancers are located at the head of the
pancreas? - correct answers✅✅70-80%
The absence of peristalsis in the lower esophagus that leads to a "bird's
beak" appearance on x-ray - correct answers✅✅Achalasia
Treatment for Candida esophagitis: - correct answers✅✅Nystatin
Treatment for achalasia - correct answers✅✅Nifedipine (or another CCB);
it relaxes the lower esophageal sphincter
45 y/o woman treated w ampicillin x 10 days. On 7th day she developed
acute abd pain, accompanied by cramps and diarrhea. Sigmoidoscopy
reveals hyperemic mucosa w hemorrhagic plaque; what is most likely dx? -
correct answers✅✅Pseudomembranous colitis; causative agent is C diff
which produces an enterotoxin responsible for necrosis of the mucus
membrane of sigmoid colon and rectum
1st tx modality for sigmoid colon carcinoma: - correct answers✅✅Surgery
, GI Pance Review Questions and Answers
A+ Guide
Best test for diverticulitis: - correct answers✅✅Abdominal CT
What is the APGAR score? - correct answers✅✅Apgar scores range from 0
to 10
Appearance
Pulse
Grimace
Activity
Respiration
This is a type of intestinal obstruction usually following general anesthesia
that is characterized by silent abdomen w no bowel sounds - correct
answers✅✅Paralytic ileus; usually treated by bowel rest and proper
hydration
Obstruction of colonic blood supply causing ischemia w inflammation and
ulceration of the colonic mucosa. The area of the splenic flexure is most at
risk - correct answers✅✅Ischemic colitis; most important condition to
differentiate from ischemic colitis is small bowel ischemia
The preferred drug for Clostridium difficile infection or relapse - correct
answers✅✅Oral metronidazole
Treatment for sigmoid volvulus: - correct answers✅✅Rigid
proctosigmoidoscopy [w decompression and untwisting of the volvulus]
Pt has weight loss, abd pain, and anorexia. Physical findings include ascites
and hepatomegaly. Labs reflex elevated transaminases, bilirubin, and ALP. Dx
